Kutha, kapena bakiteriya, endocrine ndi kutupa kwa endocardium ya tizilombo toyambitsa matenda, zomwe zimayambitsa kusokonekera ndi kuwonongeka kwa zipangizo zamagetsi. Matendawa ndi chifukwa cha matenda pogwiritsa ntchito shunt arteriovenous kapena malo aortic. Pali mitundu iwiri ya infective endocarditis - yovuta ndi yotsutsana, iliyonse yomwe ili ndi zizindikiro zake.
Zifukwa za bakiteriya endocarditis
Malinga ndi mawonekedwe a matendawa, amayamba chifukwa cha mabakiteriya endocarditis. Ngati matendawa ali ovuta kwambiri, maonekedwe a matendawa amayamba chifukwa cha Staphylococcus aureus, zomwe zimakhudza choyamba magetsi a valve, omwe amatchedwa "primary IE". Izi posachedwa zimayambitsa kusokonezeka kwa kapangidwe ka chiwalo ndi mawonekedwe a nthenda ya metastatic foci.
Matenda a bacteria endocarditis amapezeka chifukwa cha masamba obiriwira ndipo amadziwonetsera pa malo okhudzidwa, omwe amatchedwa secondary IE. Ndicho chifukwa cha mabakiteriya endocarditis ndi streptococci ndi staphylococci.
Zizindikiro za bakiteriya endocarditis
Zochitika zachipatala za matendawa zimakhala zooneka patatha masiku 14 patatha matenda. Zizindikiro zazikulu za bakiteriya endocarditis ndi izi:
- chills;
- myalgia ;
- kutopa;
- malungo;
- anorexia.
Kufufuza mwatsatanetsatane kumasonyeza kuwonongedwa kwa ma valve, zomwe zimapangitsa kulephera kwa mtima wamagetsi, komanso mawonekedwe atsopano mumtima. Mawonetseredwe apakati a bakiteriya endocarditis amawonetseredwa kudzera mu machitidwe a immunopathological:
- glomerulonephritis;
- Kuchepetsa magazi m'thupi la retina la diso ndi malo oyera;
- Zisindikizo zofiira pa khungu;
- mawanga ofiira pa mitengo ya palmu ndi miyala;
- polyarthritis .
Ndi matenda osokoneza bongo endocarditis, thromboembolism ikhoza kuchitika, zomwe zimayambitsa matenda a mtima mwa ziwalo zina.
Kuchiza ndi kupewa mabakiteriya endocarditis
Chithandizo cha bakiteriya endocarditis chimayamba ndi hospitalization ndi zotsatira zolimba bedi kupumula. Nthawi yokhala m'chipatala imadalira momwe mungakhalire
Thandizo la antibacterial la infective endocarditis ndilo kutenga odwala maantibayotiki ndi mankhwala osokoneza bongo. Mankhwala opha majeremusi amaperekedwa kokha mwa intravenously.
Kupewa bakiteriya endocarditis ndiko kuwonongeka kwa matenda a matenda aakulu. Izi zimagwiritsa ntchito kutupa kwa ENT ziwalo, komanso matenda opweteka a m'kamwa.
Odwala omwe ali pachiopsezo akulimbikitsidwa kuti apite kuchipatala ndi kutenga nawo mbali zothandizira odwala antibacterial. Kwa mbali zambiri, mfundo iyi imagwira ntchito kwa anthu okhala ndi ziphuphu zamagetsi.