Ukuphefumula, noma amabhaktheriya, i-endocrine ukuvuvukala kwe-endocardium ye-etiology ye-microbial, okuholela ekusebenziseni ukungasebenzi nokubhujiswa kwesakhiwo se-valve apparatus. Isifo yilona imbangela yokutheleleka nge-shunt e-arteriovenous noma isayithi le-aortic coarctation. Kunezinhlobo ezimbili ze-endocarditis ezithathelwanayo - okunamandla nokuziphendulela, okuyinto ngayinye enezibonakaliso zayo.
Izimbangela ze-endocarditis yebhaktheriya
Ngokuya ngesimo sesifo, kubonakala izimbangela ezihlukahlukene ze-endocarditis yebhaktheriya. Uma kwenzeka uhlobo oluthile lwe-pathology, ukubukeka kwesifo kungabangelwa yi-Staphylococcus aureus, okuyiyona yokuqala ethinta amagagasi avamile we-valve, okuthiwa yi-IE eyinhloko. Lokhu kungekudala kuholela ekwehleni kwesakhiwo somzimba kanye nokubonakala kwe-foci ye-metastatic.
I-subacute endocarditis yebhaktheriya ivela ngenxa ye-streptococcus eluhlaza futhi ibonakaliswe ezindaweni ezithintekile, okuthiwa i-secondary IE. Yilokho, imbangela ye-endocarditis ye-bacteria yi-streptococci kanye ne-staphylococci.
Izimpawu ze-endocarditis yebhaktheriya
Ukubonakaliswa kwemitholampilo yesifo kuvame ukubonakala ezinsukwini eziyi-14 emva kokutheleleka. Izimpawu ezisemqoka ze-endocarditis yebhakithi yizi:
- izikhukhula;
- i-myalgia ;
- ukukhathala;
- umkhuhlane;
- i-anorexia.
Ukuhlolwa okuningiliziwe kwembula ukubhujiswa kwama-valves, okuholela ekuhlulekeni kwezimpapho zezinhliziyo, kanye nokubonakala kwemisindo emisha enhliziyweni. Ukubonakaliswa kwe-intrinsic ye-endocarditis yebhaktheriya kubonakala ngokusabela kwe-immunopathological:
- i-glomerulonephritis;
- ukubola kwesifo se-retina esweni ngesikhungo esimhlophe;
- izibopho ezibomvu ezibuhlungu esikhumbeni;
- izindawo ezibomvu ezintendeni nasezintabeni;
- i-polyarthritis .
Njengoba i-endocarditis ye-bacterium endocarditis, i-thromboembolism ingenzeka, okuholela ekuhlaselweni kwenhliziyo kwezinye izitho.
Ukwelapha nokuvimbela i-endocarditis yebhaktheriya
Ukwelapha i-endocarditis yebhaktheriya kuqala nge-hospitalized kanye nokuphumula okulindelekile kokulala. Isikhathi sokuhlala esibhedlela sincike endleleni
Ukwelashwa kwe-antibacterial of endocarditis yokuphefumula ukuthatha iziguli ama-antibiotic nemithi ye-bactericidal. Ama-antibiotic alawulwa kuphela ngaphakathi.
Ukuvimbela i-endocarditis yebhaktheriya ukubhujiswa kwe-foci yokutheleleka okungapheli. Lokhu kusebenza ngokuyinhloko ukuvuvukala kwezitho ze-ENT, kanye nezifo ezivuthayo zomlomo womlomo.
Iziguli ezisenqenqemeni engcupheni zinconywa ukuba zithole inkambo yokwelapha ngokubamba iqhaza kwama-antibacterial agents okuvimbela. Ngokuyinhloko, lesi sincomo sisebenza kubantu abaneziphambeko ze-valve.