Hoʻoʻino naʻau maʻi: infectious endocarditis

Infective endocarditis - li nui o ka pā naʻau o ka naau, naau kiwikā, aortic pa. Classic pathogen o ka maʻi ua noʻonoʻo zelenyaschy streptococcus. Mua, i kēia maʻi i kapa subacute mea koʻohune endocarditis. Loa kauka manaoio i kona kahua hope loa o ke? Acaeoey o rheumatic mai kuni. Ano, infective endocarditis ua noʻonoʻo i ka hookaawale maʻi i loli ai i nā ka Hoʻololi 'a me ka kōna endocardium.

I nā makahiki o ka mea hiki wale mai o infective endocarditis ua mahuahua kekahi mau manawa. O ke kumu ho i ka emi ma ka immunological reactivity o ka heluna kanaka, e like me ka pono me ka mea i loaʻa i loko o ka virulence o pathogens like me ka hopena o irrational pono o antibiotics. More, he pono ole i loko o nā kānaka, ka hapalua o ka infective endocarditis e hoʻomōhala ana i ma luna o ke kāʻei kua o nei naʻau maʻi.

etiology

Ma ka hooulu ana o infective endocarditis e nui streptococci, staphylococci, pneumococci, Salmonella ke kanana nei, fungi. Infective endocarditis, hitting ma kaʻaoʻao'ākau o ka naau e hoʻomōhala ai ma hope o ka puana intravenous injections o ka lāʻau addicts questionable maemae waiwai. Kekahi kumu no ka pono-kapakahi endocarditis endovascular i kūpono i cardiology. Ka maʻi pinepine e hoʻomōhala ana i loko o nā mea maʻi me ka angiogenic sepsis me festering thrombus aia i loko o ka ventricle o ka naʻau i loko o myocardial transmural.

Ka hoʻopukaʻana kumumea nā i ka hooulu ana o kahua niho, gastroenterology a me urological PalekanaEND_LINK a me ka pākōlea ke kaʻina hana,'ā, otolarinogologicheskie hana.

lapaʻau kiʻi

Infective endocarditis pinepine mea akakaʻike makaʻole i ka hoʻomanawanui. Aia ka he mau malaise, luhi, kuni me ka ole, headache. I kekahi manawa, i ka hoʻomaka o ka endocarditis hiki e huʻi, a kohu malaria, brucellosis, a typhus. Ma pohihihi keia hihia, i ka maʻi hiki hoʻomaka me hemiplegia,ʻeha, olelo kāna hana. Kēia mea ma muli o ke cerebral vascular embolism, hakuʻala paha spleen.

Ma keia hookolokolo ana, e hoomanawanui i hooholo i ka loli ma ka waihoʻoluʻu. Ua lilo typical no keia maʻi malu o ke kope a me ka waiū, a mea he kīnā o ka holumua ai anaemia. I ka wā e hiki mai, he haanou ana a me ka pasty complexion. Ma kona mau wawae he mea he hemorrhagic wikiwiki. Typical o ka loli ana o na manamana: ka mea, prinimat ano o ka pahu hoaa, a kui - manawa puka makani.

E hoomanawanui i ohumu o kaʻeha ma ka naʻau, pokole o ka hanu, palpitations. Me ka make o ka aortic, mitral a tricuspid kiwikā hemahema e pili symptoms o ko lākou maʻi. I ka make ana o ka myocardium akaka ia mea hoʻonāwaliwali maoli nō o ka nanahe, tachycardia, protodiastolic holo māmā pāpana, naau pāpana haunaele - arrhythmias a me blockades. Hiki kiwikā perforation.

Ma infective endocarditis pinepine e loli ai i nā puʻupaʻa a me ka mea nui a me eiei? Glomerulonephritis, a ua hoikeia mai ia e mahuahua ke koko,, keʻano o ka edema, urinary maʻi pale. Hiki myocardial spleen, thromboembolism lala o ka pulmonary artery, naau pepehi, pneumonia.

PalekanaEND_LINK ho'āʻo ma

No ka meaʻike, o ka endocarditis hoʻohana ECG, echocardiography, umauma radiography. Mai keʻena hoʻokolohua haʻawina hoonoho i kekahi mau Ikepili o ke koko a me ka mimi, iʻohi ke koko ma luna o ke koko moʻomeheu.

lapaʻau

Inā clinically kēia infective endocarditis, lapaʻau e koke hoʻomaka me ka hookohu o antibacterial Inc. Ke aho i ke 'ano o ka pathogen hoomanawanui ua hoakaka ia ka laulā-pae antibiotics. Antibiotics e e intravenous a me ka intramuscular.

Prognosis o ka maʻi hilinaʻi nui ma luna o ke 'ano o ka agena, kona pā lonoaʻili i ka antibiotic, imua o complications, ke hoʻomanawanui i ka makahiki.