Inflammatory kab mob plawv: kab endocarditis

Ua kab mob endocarditis - o ntawm lub puab hauv ob sab phlu ntawm lub plawv, lub plawv li qub, aortic phab ntsa. Classic yav ntawm tus kab mob yog suav tias yog zelenyaschy tus kab mob Streptococcus. Yav tas los, tus kab mob no hu ua subacute kab mob endocarditis. Feem ntau cov kws kho mob ntseeg tias nws theem kawg ntawm kev loj hlob ntawm rheumatic fever. Tam sim no, ua kab mob endocarditis yog suav tias yog ib tug nyias muaj nyias ib tus kab mob uas muaj feem xyuam rau ob qho tib si ib tug hloov thiab ib tug lawm endocardium.

Nyob rau hauv xyoo tsis ntev los cov xwm txheej ntawm ua kab mob endocarditis muaj ntau zog ob peb lub sij hawm. Qhov no yog vim ib tug txo nyob rau hauv lub immunological reactivity ntawm cov pejxeem, raws li zoo raws li ib qho kev nce nyob rau hauv lub virulence ntawm pathogens raws li ib tug tshwm sim ntawm irrational siv tshuaj tua kab mob. Ntau ntau nyob rau hauv cov txiv neej, ib nrab ntawm cov ua kab mob endocarditis muaj nyob rau tom qab ntawm uas twb muaj lawm lub plawv tus kab mob.

etiology

Nyob rau hauv txoj kev loj hlob ntawm ua kab mob endocarditis yog ib qho tseem ceeb streptococci, staphylococci, pneumococci, Salmonella hom, fungi. Ua kab mob endocarditis, ntaus rau sab xis ntawm lub plawv muaj tom qab rov tso dej tshuaj ntawm cov neeg quav questionable purity tshuaj. Vim li cas rau txoj kev mog endocarditis endovascular hom kev kawm yog Cardiology. Tus kab mob feem ntau muaj nyob rau hauv cov neeg mob uas angiogenic sepsis nrog festering thrombus nyob rau hauv lub ventricle ntawm lub plawv nyob rau hauv myocardial transmural.

Pab yam xws li cov kev loj hlob ntawm kev kho hniav, Gastroenterology thiab urological diagnostic thiab kho cov txheej txheem, kub nyhiab, otolarinogologicheskie lag luam.

soj ntsuam daim duab

Ua kab mob endocarditis feem ntau tshwm pom rau tus neeg mob. Muaj yog ib tug general malaise, nkees, ua npaws nrog ua daus no, mob taub hau. Tej zaum thaum pib ntawm endocarditis yuav ua tau mob thiab tsa malaria, brucellosis, los yog typhus. Nyob rau hauv tsawg tus neeg mob, tus kab mob yuav pib nrog hemiplegia, mob, kev hais lus ntshawv siab. Qhov no yog vim cerebral vascular embolism, mob raum lossis po.

Nyob rau kev xeem, cov neeg mob txiav txim seb qhov kev hloov nyob rau hauv cov xim. Nws yuav raug rau tus kab mob no ntxoov ntxoo ntawm kas fes nrog mis nyuj, uas yog ib tug manifestation ntawm hnyav anemia. Nyob rau hauv lub neej yav tom ntej, muaj o thiab pasty complexion. Nyob rau nws ob txhais taw muaj ib tug hemorrhagic pob. Raug yog cov kev hloov ntawm cov ntiv tes: lawv prinimat zoo ntawm lub nruas nrog, thiab ntsia thawv - lub sij hawm qhov rais.

Cov neeg mob tsis txaus siab ntawm qhov mob nyob rau hauv lub plawv, ua pa nyuab, palpitations. Nrog lub yeej ntawm lub aortic, mitral los yog tricuspid valve tshwm txog cov tsos mob ntawm lawv tus kab mob. Lub yeej ntawm lub myocardium manifest weakening ntawm tones, tachycardia, protodiastolic gallop atherosclerosis, lub plawv atherosclerosis teeb - arrhythmias thiab blockades. Tau valve perforation.

Nyob rau hauv ua kab mob endocarditis feem ntau muaj feem xyuam rau lub ob lub raum thiab focal los yog diffuse glomerulonephritis, uas yog manifested los ntawm nce ntshav siab, cov tsos ntawm edema, urinary syndrome. Tau myocardial po, thromboembolism ceg ntawm lub pulmonary leeg, lub plawv yuav nres, mob ntsws.

diagnostic kev ntsuam xyuas

Rau cov mob ntawm endocarditis siv ECG, echocardiography, hauv siab radiography. Los ntawm laboratory kev tshawb fawb appoint ib tug general tsom xam ntawm cov ntshav thiab zis, cov qoob loo ntshav rau cov ntshav kab lis kev cai.

kev kho mob

Yog hais tias clinically xav tias ua kab mob endocarditis, kev kho mob yuav tsum tam sim ntawd pib nrog lub sij hawm ntawm antibacterial txoj kev kho. Yuav kom ascertain lub hom yav tus neeg mob tus kws kho broad-spectrum tshuaj tua kab mob. Tshuaj tua kab mob yuav tsum tau tso dej thiab intramuscular.

Raug ntawm tus kab mob nyob rau hauv lub hom neeg sawv cev, nws rhiab heev rau lub tshuaj tua kab mob, muaj teeb meem, tus neeg mob lub hnub nyoog.