Gịnị ọrịa a na-akpọ infective endocarditis?

Infective endocarditis akpọ mmeri nke obi valves na endocardium. Ihe kpatara ya ịghọ bacteria. Dị ka a na-achị, ọ streptococci. Ma, mgbe ụfọdụ pathogens bụ dịkwa ka usoro ha.

Etiology na pathogenesis

Ọtụtụ mgbe ndị pathogens ịbanye gbasara obi-ulo na ọbara. Otú ọ dị, e nwere mgbe ụfọdụ ọrịa na-infective endocarditis n'ihi na eziokwu na ọrịa banyere n'oge na-emeghe ịwa obi. Nje na idozi na valves na ife efe na endocardium. Site na-efe efe na-kasị susceptible ka anatomical anụ ahụ ntụpọ ma ọ bụ mmerụ. Otú ọ dị, nkịtị obi valves na-emetụta ụdị ụfọdụ nke microorganisms, karịsịa megide ndabere nke general ọnụ ke ọgụ. Ọ na-eme na nje chịrị na ụyọkọ egbochi mkpụkọ nke ọbara-agbaji na-abanye na n'ọbara ka ndị ọzọ na akụkụ. Ha nwere ike ife efe ha ma ọ bụ kpasuo a hardening nke akwara. N'ihi nke a, onye ọrịa nwere ike na-amalite mkpali usoro na mpaghara nke ìgwè pathogens, ahụhụ a nkụchi obi ma ọ bụ ọrịa strok.

Infective endocarditis: nhazi ọkwa

The ọrịa bụ nnukwu na subacute. Nnukwu infective endocarditis a na-akpọ a na ọrịa na-amalite na mberede (ọtụtụ ụbọchị) na na-egbu. mmadụ ahu okpomọkụ adahade 40 Celsius C, na-ukwuu ụba obi ọnụego na-abawanye ngwa ngwa ma na e nwere ọtụtụ ike ọgwụgwụ ọdịda nke valvụ. Si ya abịa anya emboli (endocardial ahịhịa), nke na-ebu site n'ọbara aka ahu, na-echefu n'ime ndị ọzọ na akụkụ, nke nwere ike ime ka mbufụt na mkpọchi nke isi ọbara arịa. N'ime ụbọchị ole na ole nwere ike ịzụlite oké obi ọdịda, ujo, septic syndrome esịtidem ngwa ọdịda. Mbenata mbufụt akwara nwere ike agbawa. Na ụdị ọrịa bụ na o kwere omume na-egbu egbu.

Subacute infective endocarditis a na-akpọ a na ọrịa na-amalite nwayọọ nwayọọ. Ya nwekwara uche eruba ike-adịru site ọtụtụ izu ka ọtụtụ ọnwa. Enweghị a pụrụ iche ule na oké njọ meriri valves ma ọ bụ embolism nwere ike ịchọpụta endocarditis. Mgbe n'oge unexpressed mgbaàmà nwere ike kwuru, sị: a nta na-abawanye na okpomọkụ (na-emekarị ihe na-akarịghị 38 ° C), nọgidere na ụba sweating, arọ ọnwụ, anaemia, elu ike ọgwụgwụ.

Iji chee na mmadụ bụ onye na-arịa ọrịa na infective endocarditis, o kwere omume, ọ bụrụ na ọ na-ẹkenịmde ruo ogologo oge okpomọkụ na-enweghị doro anya nke ọrịa, mbufụt; egosi ma ọ bụ ịgbanwe ẹdude obi nātamu ntamu; ụba splin. Ọtụtụ mgbe na ụmụ mmadụ na anụ e nwere obere tụrụ na yiri ntụpọ ahụ. Ha nwere ike na-egosi n'okpuru mbọ aka, na ndị ọcha nke anya. Nke a bụ a obere hemorrhage, nke na-akpalite ịlụ detached embolus na obere arịa. Ibu-egbochi mkpụkọ nwere ike ịkpalite a mkpọchi nke nnukwu akwara na ogwe aka ma ọ bụ ụkwụ, ime ka abdominal mgbu, ọrịa strok ma ọ bụ nkuchi obi. Ụzọ nke n'imeso ọrịa - ọgwụ nje, ịwa ahụ aka (ma ọ bụrụ na ọ dị mkpa wepụ nje vegetations ma ọ bụ valvụ nnọchi).

sekọndrị endocarditis

Ọrịa nwere ike ịzụlite ọzọ mgbe ama na-ata ahụhụ a ọrịa ma ọ bụ n'ihi na oge mbụ megide ndabere nke ẹdude ọrịa (obi ntụpọ na abnormalities, ọrịa mgbasi akwara, rheumatism, wdg). Nke a daa ọrịa a na-akpọ "abụọ infective endocarditis."