Cudurka wadnaha bararka: endocarditis faafa

Infective endocarditis - barar ah gudaha xuubka of wadnaha, khaanadaha wadnaha, derbiga aortic. pathogene Classic cudurka waxaa loo arkaa streptococcus zelenyaschy. Markii hore, cudurkan loo yaqaan endocarditis subacute bakteeriyada. Inta badan dhakhaatiirtu waxa ay rumaysan uu masraxa ugu dambeeya ee horumarinta qandho rheumatic. Haddaba, endocarditis infective waxaa loo arkaa cudur oo kala duwan oo saamayn labadaba modified iyo endocardium a ah dhawrsan.

Sanadihii la soo dhaafay dhacdooyinka endocarditis infective ayaa kor dhowr jeer. Tan waxa u sabab ah hoos u dhac in falcelin ah difaaca dadweynaha, iyo sidoo kale in la kordhiyo qatarta ah ee wareer ah ay sabab u tahay isticmaalka aan saxda ahayn ee antibiotics. More badan yahay ragga, qeybtii endocarditis ku infective horumarisa ku saabsan asalka ah ee cudurada wadnaha jira.

etiology

In horumarka endocarditis infective waa streptococci muhiim ah, ✰Malax mid, PNEUMOKOCKER, nooc Salmonella, fangaska. endocarditis Infective, garaacid dhankiisa midig ee xagga qalbiga ku horumarisa ka dib soo noqnoqda irbado xididka dadka balwada walxaha khayroon daahirnimo su'aal. Sabab kale oo loogu talagalay farsamooyinka endovascular endocarditis garabka midig waa wadnaha. Cudurku wuxuu inta badan uu yeesho in bukaanka qaba sepsis angiogenic la idhaha thrombus ku yaalla ventricle ee wadnaha ee transmural myocardial.

Sababaha ka qeyb ka mid ah horumarinta caafimaadka ilkaha, gastroenterology iyo hababka ogaanshaha iyo daweynta urological, gubasho, hawlgalka otolarinogologicheskie.

sawir clinical

Infective endocarditis u muuqdaa aan la arki karin bukaanka. Waxaa jira qidmeyntiibulshada ee guud, daal, qandho leh qarqaryo, madax xanuun. Mararka qaarkood bilowgii endocarditis noqon kartaa ba'an oo u ekaan duumada, brucellosis, ama Harar. Marar dhif ah, cudurka bilaabi kartaa qalal, xanuun, xanuunada hadalka. Tan waxa u sabab lungemboli vascular cerebral, kelyaha ama beeryarada.

On baaritaan, bukaanka loo ogaado isbedel ee midabka. Waxa uu noqonayaa mid la mid ah hadhsado this cudurka kafeega caano, taas oo muujin ka timid anemia horusocod ah. In mustaqbalka, waxaa barar iyo muuqaal bardho. On cagihiisa jiro finan dhiigbaxa ah. Caadiga ah waa isbeddelka farahaaga, oo waxay prinimat nooca ulaha durbaanka, iyo ciddiyaha - daaqadaha wakhti.

Bukaan-socodka ka cawdaan xanuun wadnaha, neefta oo ku qabata, wadno. Iyada oo guuldaradii of aortic, mitral ama tubada tricuspid muuqanno calaamadaha ay cudurka la xiriira. guuldaradii ee myocardium daciifaan Cad ee codadka, tachycardia, laxanka faranfardeeyo protodiastolic, rabshooyin garaaca wadnaha - garaaca iyo Cunaqabtayntaas. daloolin waalka macquulka ah.

In endocarditis infective inta badan saameeyaa kelyaha iyo focal ama waajihi glomerulonephritis, kaas oo lagu muujiyey by cadaadiska dhiigga kor u kacay, muuqaalka kore ee barar, kaadida syndrome. beeryarada macquulka ah myocardial, laamaha thromboembolism ee halbowlaha pulmonary, wadne, pneumonia.

baadhitaanada ogaanshaha

Waayo, cudurka of endocarditis isticmaalo ECG, echocardiography, raajada xabadka. Laga soo bilaabo shaybaarka waxbarashada magacaabi falanqaynta guud ee dhiigga iyo kaadida, dalagga dhiig on dhaqanka dhiigga.

daaweynta

Haddii caafimaad ahaan looga shakisan yahay endocarditis infective, daaweynta waa in si deg deg ah u bilaabaan la magacaabidda therapy bakteeriyada. Si loo ogaado nooca bukaanka pathogene wajibiyay antibiotics ballaaran spectrum. Antibiyootikada waa in ay xididka iyo muruqyada dhexdooda.

Saadaasha cudurka waxay ku xiran tahay nooca wakiilka, ay dareen in antibiotic ah, jiritaanka dhibaatooyin, da'da bukaanka.