Hlabang lefu la pelo: tšoaetsanoang endocarditis

Infective endocarditis - ruruha ka hare lera la pelo, di-valve pelo, aortic leboteng. Classic pathogen ea lefu lena le ho nkoa zelenyaschy streptococcus. Nakong e fetileng, lefu lena bitsoa subacute baktheria endocarditis. lingaka tse ngata li lumela sethaleng hae ea ho qetela ea ntshetsopele ya feberu rheumatic. Joale, infective endocarditis ho nkoa e lefu arohaneng e amang bobeli e fetotsoeng 'me e endocardium senyeha.

Lilemong tsa morao tjena ditiragalo tsa endocarditis infective e eketsehile ka makhetlo a mangata. Sena ke ka lebaka la ho fokotseha ka reactivity immunological ea baahi ba, hammoho le ho eketseha ha ho virulence tsa likokoana-hloko ka lebaka la tšebeliso utloahaleng ea lithibela-mafu. More atile banna, halofo ea endocarditis infective develops ka semelo sa lefu jaana pelo.

etiology

Ka ntshetsopele ya endocarditis infective ke tsa bohlokoa streptococci, staphylococci, pneumococci, Salmonella mefuta, li-fungus. Infective endocarditis, otla lehlakoreng le letona la pelo develops ka mor'a pheta intravenous liente tsa makhoba a lithethefatsi tse belaetsang hloekileng dintho. lebaka le leng la letona tsehelitseng dithekeniki endocarditis endovascular ke cardiology. lefu hangata develops ka bakuli ba angiogenic sepsis le festering thrombus teng ka ventricle ba pelo ka transmural myocardial.

Tlatsetsa lintlha kenyeletsa ntshetsopele ya meno, gastroenterology le urological tekotshupo le phekolo mekgwa ya tshebetso, chesa, otolarinogologicheskie tshebetso.

setshwantsho ea tleleniki

Infective endocarditis hangata e bonahala e sa bonahaleng ho ba le mamello. Ho na le ke malaise kakaretso, mokhathala, feberu le chills, hlooho e opang. Ka linako tse ling e le qalo ea endocarditis e ka ba a hlobaetsang le ho tšoana le malaria, brucellosis, kapa typhus. Maemong a sa tloaelehang, le maloetse ba ka qala le hemiplegia, bohloko mafu a puo. Sena ke ka ntlha ya go bokong vascular embolism, liphio kapa spleen.

Ka ho hlahloba ka, bakuli ba fumana fetola 'mala. E ba le tloaelehileng bakeng sa moriti ena lefu la kofi le lebese, e leng pontšo ea tsoelang pele khaello ea mali. Nakong e tlang, ho na le ho ruruha le pasty ea letlalo. Ka maoto a hae ho na le e hemorrhagic lekhopho. Tloaelehileng ke phetoho ea menoana ea: ba prinimat mofuta ofe moqomo lithupa, 'me Nail - lifensetere nako.

Bakuli ba tletleba ba bohloko ka pelo, bokhutšoanyane phefumoloho, palpitations. Le ho hlōloa ha aortic, mitral kapa belofo tricuspid bonahala amanang matšoao a lefu le bona. Ho hlōloa ha myocardium bonahatsoa fokolisang tsa medumo, tachycardia, protodiastolic galope morethetho, pelo ea morethetho meferefere - arrhythmias le blockades. Khoneha belofo perforation.

Ka endocarditis infective hangata e ama liphio le tsepamiso kapa diffuse glomerulonephritis, e leng e bontšoa ke khatello e eketsehileng ea mali, ponahalo ea edema, lefu mosese. Khoneha myocardial spleen, makala thromboembolism tsa mothapo le methapo, lefu la pelo, pneumonia.

liteko tekotshupo

Bakeng sa fumanoe tsa endocarditis sebediswa ECG, echocardiography, sefubeng radiography. From laboratori ea lithuto tsa thonya and analysis kakaretso ea mali a le moroto, lijalo mali ka setso mali.

kalafo

Ha ea bongaka belaela infective endocarditis, kalafo lokela ho hang-hang u qale ka ho kgethwa ha phekolo antibacterial. Ho tiisa le mofuta oa pathogen mamello e hlophisitsweng sephara-manyenyane lithibela-mafu. Lithibela-mafu e lokela ho ba intravenous le intramuscular.

Itse'ng ha lefu lena itšetlehile ka mofuta oa moemeli, nahanela lona ho lithibela-mafu e, ho ba teng la mathata a, ea lilemo li le mokuli.