Sisiphi isifo esibizwa ngokuba yi-infective endocarditis?

I-endocarditis yokusuleleka yintsholongwane kukutshatyalaliswa kweentsimbi ze- valves kunye ne-endocardium. Isizathu saso yiibhaktheriya. Njengomthetho, yi-streptococci. Kodwa ngamanye amaxesha ii-pathogens ziyi-fungi.

Etiology kunye ne-pathogenesis

Ngokuqhelekileyo ii-microorganisms ze-pathogenic ziya kwiinkamelo zentliziyo kunye nokuhamba kwegazi. Nangona kunjalo, kukho iimeko xa i-infoconitis endocarditis igula ngenxa yokuba isifo sibhalwe ngexesha lokuhlinzwa kwentliziyo evulekile. Iimpawu ezincinci zihlala kwiimvenge kwaye zichaphazele i-endocardium. Ukusuleleka kwintsholongwane, izicubu ezinokukhubazeka kwe-anatomical okanye izilonda zithinteka kakhulu. Nangona kunjalo, iivilves zentliziyo eziqhelekileyo zichaphazelekayo kwiintlobo ezithile ze-microorganisms, ngokubhekiselele kwimvelaphi yokunciphisa jikelele ukukhuseleka. Kwenzeka ukuba iikoloni zeebhaktheriya kunye nokuvalwa kwamacandelo egazi ziphule kwaye zifake igazi kunye nezinye izitho. Bangakwazi ukuwaphazamisa okanye ukukhupha ukukhutshwa kwemibhobho. Ngenxa yalesi sigulane, isigulane sinokuqala inkqubo yokuvuvukala kwindawo yokudibanisa yezilwanyana eziphilayo, ukuhlaselwa yintliziyo okanye ukushaya isifo.

I-endocarditis ye-Infective: udidi

Esi sifo sibuhlungu kwaye siyasicinga. I-endocarditis echaphazelekayo isifo esiqala ngokukhawuleza (ukuya kwiintsuku eziliqela) kwaye ibeka ingozi ebomini. Ubushushu bomzimba womntu buya kuma-40 ° C, ukuphindaphindwa kweentliziyo kukunyuka, ukhathala kwandisa umonakalo omkhulu kunye ne-valve enkulu. Ukusuka kuyo kuvela emboli (i-endocardial vegetation), eqhutyelwa yigazi emzimbeni, ukungena kwezinye izitho, ezinokubangela ukuvuvukala nokukhutshwa kwezixhobo ezibalulekileyo. Kwiintsuku ezimbalwa , ukuphazamiseka kwentliziyo, ukutshitshiswa, isifo septic kunye nokungaphumeleli kwezitho zangaphakathi. Ukunciphisa ukuvuvukala kwemithambo yegazi kunokutshabalalisa. Ngolu hlobo lwesifo, isiphumo esibulalayo sinokwenzeka.

I-endemicarditis epilitis isifo esisifo esenza kancane kancane. Ikhoyo yangoku ingabonakali inokuhlala kwiiveki eziliqela ukuya kwiinyanga ezimbalwa. Ngaphandle kweemviwo ezizodwa, umonakalo omkhulu kumagobhu okanye ukumbumbana kunokufumana i-endocarditis. Ukuba iimpawu azibonakalwanga, iimpawu ze-symptomatology zingaba zilandelayo: ukwanda kancinci kubushushu (ngokuqhelekileyo kungekho ngaphezu kwe-38 ° C), rhoqo kwanda ukujuluka, ukulahleka kwesisindo, ukuphazamiseka kwegazi, kunye nokukhathala okuphezulu.

Kunokwenzeka ukukrokrela ukuba umntu unesifo sesifo sokuphefumula, ukuba unesimo esiphezulu sokushisa ngaphandle kokugxininiswa ngokucacileyo kwintsholongwane, inkqubo yokuvuvukala; Kubonakala okanye utshintshe intliziyo egungqelekileyo; Ipenethi yanda. Ngokuqhelekileyo kwesikhumba somntu kunamabala amancinci, ukukhumbuza ii-freckles. Bangabonakala phantsi kweeminwe kunye nabamhlophe bamaso. Le nxalenye encinci yegazi, ephazamisa ukungena kwamagumbi amancinci. I-thrombi enkulu inokukhusela ukukhutshwa kwemibhobho emikhulu ezandleni okanye ezinyaweni, kubangela intlungu kwisisu, isifo okanye isifo senhliziyo. Izindlela zokonyango kwezifo - unyango lwe-antibiotic, ukungenelela kwongxamiseko (ukuba kuyimfuneko ukususa izityalo ezinobhaktiriya okanye ukufaka iigraves esikhundleni).

Endocarditis yesibini

Isifo sinokuphinda siphucule emva kokugula kwangaphambili okanye ngokokuqala ngqa ngokubhekiselele kwizifo ezisele zikhona (ukukhubazeka kwentliziyo kunye nokukhubazeka, i-atherosclerosis, i-rheumatism, njl.). Le ntsholongwane ibizwa ngokuba yi-"infective endocarditis yesibini".