Ọrịa

General nkọwa nke ọrịa

Endocarditis bụ usoro mkpali nke na-eme n'ime oghere nke obi (endocardium) ma na-emetụta akụrụngwa valvụ na sel ndị na-arụ ọrụ n'elu arịa ndị dị nso.

N'ọtụtụ ọnọdụ, endocarditis bụ obere ọrịa na-eme megide ndabere nke ọrịa ndị ọzọ, ebe afọ enweghị ihe ọ bụla metụtara ọrịa ahụ (ọ nwere ike ịmalite n'oge ọ bụla, ebe ndị sayensị tụlere ihe karịrị ụdị microorganisms 128 ka ọ bụrụ onye na-akpata ya) .

Dabere na ọgwụgwọ, etiological na morphological ihe ịrịba ama, endocarditis nwere ike ịbụ:

• Na-efe efe (nnukwu) - n'aka nke ya, ọ nwere ike ịbụ nje ma ọ bụ septic - na-emetụta mkpo nke valvụ obi, nke nwere ike ibute ọdịda obi, ọrịa obi, arrhythmias, hypertrophy, na ọbụna nkụchi obi.
• Oge na-adịghị ala ma ọ bụ na-edozi (protracted) - pathogens: pneumococci ma ọ bụ streptococci, na-emetụta valvụ myocardial, nke na-eme thrombotic nkwụnye ego na ọnya. N'iji ogologo oge, ọ na - ebute mkpọchi nke arịa ọbara, nke nwere ike ibute nkụchi obi nke akụkụ ahụ ebe mgbochi ahụ mere. Ọzọkwa, splin na-abawanye na nha, enwere anaemia na-aga n'ihu ngwa ngwa.
• Eosinophilic nke Parietal fibroplastic (ma ọ bụghị ya a na-akpọ ya endocarditis Leffler) - enwere ụba ọdịnaya nke eosinophils na ọbara na fibrosis nke parietal endocardium, n'ihi nke a nwere ike ime ka ime ụlọ obi sie ike ma ọ bụ, ọzọ, belata.

Leffler's endocarditis pụtara na usoro 3:

1. 1 nnukwu (necrotic) ogbo, oge nke ya ruru izu isii. Usoro mkpali na-emetụta akụkụ elu nke akwara obi na ventricles. Mkpụrụ ndụ ndị nwụrụ anwụ na-agbakọta ọnụ ọgụgụ buru ibu nke eosinophils, mkpụrụ ndụ plasma na lymphocytes. Ngosipụta ndị a nwere ike gbasaa na arịa nke akụkụ ahụ dị n'ime na akpụkpọ ahụ.
2. 2 ebelata, n’oge nke a ka e guzobere mkpụkọ ọbara nke nha dịgasị iche na aka ekpe nke endocardium, n’ihi nke endocardium na-ebuwanye ibu na mpaghara nwere ọnụ ọgụgụ dị ukwuu nke mkpụrụ ndụ ọbara na arịa. Ekwesiri ighota na ugbua ufodu akwara akwara atrophy, ebe ndi ozo hypertrophy. N'ihi usoro ndị a, isi sclerosis na-apụta ma anụ ahụ jikọtara ọhụrụ (nwata) amalite itolite.
3. 3 ogbo nke fibrosisN'oge a, akwara obi dị warara, akwara akaị na-ada (n'oge a nsogbu nkwarụ nwere ike ibilite. Achọpụtara ọrịa sclerosis, yana ịba ụba nke endocardium yana arịa ndị dị n'akụkụ ya. Usoro mkpali na mgbidi nke arịa ndị ahụ na-aga n'ihu.

• Ngwunye thromboendocarditis na - enweghị efe - na - apụta n'ihi ị intoụbiga mmanya ókè na nke mpụga, yana senile marasmus na ndị nwere ọgụ na - adịghị ike. A na-emetụta ventricle aka ekpe nke valvụ endocarditis, n'elu nke a na-enwe ike imegharị thrombotic (ihe ịrịba ama nke usoro mkpali nwere ike ọ gaghị apụta ma ọ bụ gosipụta ya na-enweghị isi n'ụdị nchịkọta nke fibroblasts, macrophages na monocytes na mpaghara ndị emetụtara).
• Rheumatic - isi ihe kpatara ya bụ rheumatism, nke na-agbasa mbufụt na eriri eriri, anụ ahụ jikọtara nke valvụ obi. Typedị endocarditis a nwere ike ịga n'ihu n'ụdị: mgbasa (mgbasa nke endocarditis hụrụ, mana enweghị mmebi nke anụ ahụ endothelial; yana ọgwụgwọ nke rheumatism n'oge ọ bụla, enweghị nsonaazụ ọ bụla na-ebili), nnukwu warty (na-amalite mgbe endothelium mebiri emebi; na elu, site n'akụkụ nke mmụba ọbara, uto na-apụta n'ụdị tubercles na agba aja aja - waatị, nke nwere fibrin na mkpụrụ ndụ ọbara), na-agagharị n'oge na-adịghị anya (mgbanwe yiri nke ndị gara aga, naanị waatị na-apụta na mgbidi nke valvụ nke sclerosis metụtara) na fibroplastic - bụ ụdị dị elu nke endocarditis niile dị n'elu, nke ọnwụ anụ ahụ na-amalite, enwere mmịnye nke sel ọbara, n'ihi nrụrụ valvụ (aortic na mitral) nwere ike ime.

Omume endocarditis mgbaàmà:

1. 1 ahụ ọkụ na-esonyere na ọsụsọ na oke mmiri (otu n'ime ihe ịrịba ama mbụ);
2. 2 okpomọkụ (ọnọdụ dị iche iche ga-ekwe omume: ị nwere ike ịta ahụhụ ruo ọtụtụ ọnwa site na ọnọdụ dị elu, ma ọ bụ ịnwere ike iwepụta nnukwu okpomọkụ ruo ọtụtụ ụbọchị, wee laghachi na nkịtị, mana usoro mkpali nke ime ga-aga n'ihu);
3. 3 mkpọtụ myocardial;
4. 4 adịghị ike, isi ọwụwa siri ike;
5. 5 ọdịdị nke ụda akpụkpọ anụ na-acha odo odo, ntụpọ na akpati, ụkwụ na nkwụ;
6. 6 ọnụnọ nke obere ọbara ọgbụgba na akpụkpọ anụ mucous;
7. 7 mkpịsị aka mkpịsị aka na phalanges nwere ike iburu ọdịdị nke drumsticks;
8. 8 exudative ma ọ bụ akọrọ pericarditis;
9. 9 ịba ụba lymph gbasaa;
10. 10 akụrụ infarction, nephritis;
11. 11 mmebi nke usoro nhụjuanya nke etiti na valvụ (mitral ma ọ bụ aortic);
12. 12 obi ida.

Fọdụ n'ime mgbaàmà ndị a ga-adị ma ọ bụrụ na a na-ahụ foto nyocha zuru ezu. O nwere ike ịbụ na ọrịa ahụ ga-aga n'ihu na-enweghị mgbaàmà. Site na ọtụtụ mgbaàmà dị iche iche, enwere ike ịkọwa ya - nke a bụ nnukwu ihe egwu na enweghị aghụghọ nke endocarditis.

Ige nti!

Gọọmentị anaghị ahụ maka mbọ ọ bụla iji ozi ahụ enyere, yana anaghị ekwe gị nkwa na ọ gaghị emerụ gị ahụ n'onwe gị. Enweghị ike iji ihe ndị ahụ kọwaa ọgwụgwọ ma mee nchoputa. Gaa dọkịta gị mgbe niile!