Kumburi cututtukan zuciya: cututtuka endocarditis

Infective endocarditis - kumburi da ciki rufi na zuciya, zuciya bawuloli, aortic bango. Classic pathogen da cuta ne dauke zelenyaschy streptococcus. A baya can, wannan cuta kira subacute kwayan endocarditis. Mai likitoci yi imani karshe mataki na ci gaba da rheumatic zazzabi. Yanzu, infective endocarditis an dauki wani raba cutar da ke shafar biyu a modified da wani m endocardium.

A cikin 'yan shekarun da ya faru na infective endocarditis ya karu sau da yawa. Wannan shi ne saboda wani karu a immunological reactivity na yawan jama'ar, kazalika da karuwa a virulence na pathogens a sakamakon m amfani da maganin rigakafi. More kowa a maza, rabin infective endocarditis tasowa a kan bango na data kasance cututtukan zuciya.

etiology

A ci gaban da infective endocarditis suna da muhimmanci streptococci, staphylococci, pneumococci, Salmonella damuwa, fungi. Infective endocarditis, bugawa da dama da zuciya tasowa bayan maimaita igiyar jini injections miyagun ƙwayoyi addicts m tsarki abubuwa. Wani dalili ga dama-gefe endocarditis endovascular dabaru ne cardiology. Haka kuma cutar sau da yawa tasowa a marasa lafiya tare da angiogenic sepsis da festering thrombus located in ventricle na zuciya a tsokar transmural.

Karin dalilai sun hada da ci gaban da hakori, gastroenterology da urological bincike da warkewa hanyoyin, konewa, otolarinogologicheskie aiki.

asibiti hoto

Infective endocarditis sau da yawa bayyana ganuwa ga mãsu haƙuri. Akwai janar malaise, gajiya, da zazzaɓi da jin sanyi, ciwon kai. Wani lokacin da farkon endocarditis iya zama m, kuma yayi kama da zazzabin cizon sauro, brucellosis, ko typhus. A rare lokuta, cutar na iya fara da hemiplegia, zafi, jawabin cuta. Wannan shi ne saboda cerebral jijiyoyin bugun gini embolism, koda ko baƙin ciki.

A jarrabawa, marasa lafiya ƙayyade da canji a cikin launi. Yana zama na hali da wannan cuta inuwa kofi tare da madara, wanda shi ne wata alama ce ta ci gaba da anemia. A nan gaba, akwai kumburi da pasty kama. A ƙafafunsa akwai wani hemorrhagic kurji. Hankula ne canji na yatsunsu: su prinimat irin drum da sandunansu, kuma ƙusa - lokaci windows.

Marasa lafiya koka zafi a cikin zuciya, shortness na numfashi, palpitations. Tare da shan kashi na aortic, mitral ko tricuspid bawul bayyana alaka da bayyanar cututtuka da cuta. Da shan kashi na myocardium bayyananne weakening na sautunan, tachycardia, protodiastolic gallop kari, zuciya kari disturbances - arrhythmias da blockades. Zai yiwu bawul perforation.

A infective endocarditis sau da yawa rinjayar da kodan kuma mai da hankali ko yaxuwa glomerulonephritis, wanda aka bayyana da ya karu jini, bayyanar edema, urinary ciwo. Zai yiwu na tsokar baƙin ciki, thromboembolism rassan da na huhu jijiya, ciwon zuciya, ciwon huhu.

bincike gwaje-gwaje

Ga ganewar asali na endocarditis amfani ECG, echocardiography, kirji radiography. Daga dakin gwaje-gwaje karatu nada wani janar bincike na jini da kuma fitsari, amfanin gona jini a kan jini da al'adunsu.

magani

Idan asibiti da ake zargi infective endocarditis, magani ya kamata nan da nan fara tare da nada antibacterial far. Don a san irin pathogen haƙuri An wajabta m-bakan maganin rigakafi. Maganin rigakafi ya zama igiyar jini da kuma intramuscular.

Hangen nesa da cutar dogara a kan irin wakili, ta ji na ƙwarai to kwayoyin, gaban rikitarwa, haƙuri da shekaru.