Izimpawu endocarditis infective: a Osler besigaxa

Ukubukeka amaseli angavamile esikhumbeni esihambisana izifo eziningi. Kwezinye izimo, seal akulona uphawu pathologies dermatological, futhi kulindeleke ukuthi ezinye izimbangela. Esinye isibonelo zokwakheka ezifana esikhumbeni kubhekwa ifindo Osler. Lo msuka kungatholakala abantu abaphethwe eside endocarditis infective. Lapho ISIZINDA Osler kudingeka ukuba bahlolwe. Khumbula ukuthi self-ekwelapheni lwezimpawu buthaka kuphela lokhu uphawu kungaba esikhumbeni, kodwa musa izimbangela zesifo. Ngakho-ke, lezi zici isizathu yokudluliselwa kuchwepheshe.

Qhuzwana Osler - kuyini?

Izigaxana ngokuthi uphawu kokuvela phezu kwesikhumba. Ezimweni eziningi, ziseZwini ngemuva esandleni noma unyawo, izinzwane. Qhuzwana Osler nhlobo ngokuzimela, isb ngaphandle kwesizathu. He is kuphela uphawu isifo njengoba endocarditis infective. Lesi sifo kwenzeka izingane kanye nabantu abasha, okungenani - kwasebekhulile. Osler ISIZINDA ibuhlungu isikhumba uphawu. Basuke kubangelwa izilonda isimiso semithambo yegazi. Umbala uphawu amabanga kusuka pink kuya Burgundy umbala. On palpation ngamaqhubu kungenziwa kushintshile. Ayevame zavele, i exacerbation lesi sifo. Ezimweni eziningi, self-uphawu chaza engashiyanga trace. Ngo degree okunzima endocarditis futhi ingelashwa Izigaxana musa zinyamalale isikhathi eside (amasonto, izinyanga). Ukuhlukanisa lezi zokwakheka ku uphawu zibangelwa ngezinye pathologies kumele zihlolwe ngudokotela wenhliziyo.

Imbangela ngamaqhubu Osler

Osler qhuzwana eba ngenxa kokuziphatha ukuvuvukala fat ongama. Imbangela uphawu esinjalo ejenti webhaktheriya angene izitsha microvasculature futhi ukuhlulwa. Lesi sici ibonisa ukuthi isifo uqalile kudala futhi uye waba ezingamahlalakhona. izici Etiological ka endocarditis infective izimo elandelayo:

1. Rheumatic yokumelwa yinhliziyo. Ngokuvamile kwenzeka lapho umuntu esemncane. Pathology ngokuvamile eba kubantu abaphethwe ukuvuvukala njalo amalaka (namathansela).
2. izitsha Atherosclerotic nenhliziyo.
3. ukucindezeleka Mechanical (ukuhlukumezeka) kokulimaza ama-valve.

Ngokuyinhloko uthinteka endocarditis infective ungqimba yenhliziyo. Khona-ke, e-kuhilela apharathasi valve. Esikhathini zokugula eside izinhlayiya webhaktheriya noma viral kusukela emfudlaneni igazi zabiwa wonke umzimba. Ingxenye amagciwane kuxazululwe on umkhumbi izindonga, okubangela ukuvuvukala yabo. kwakhiwa Ngakho Osler ISIZINDA.

endocarditis Infective: izimpawu

Lwasemtholampilo isithombe ka endocarditis ezithathelwanayo ngo ekuqaleni isifo esifana nezinye izifo ezithathelwanayo. Izimpawu zokuqala ukuvuvukala ukuthuthukisa. Lezi zihlanganisa: imfiva (ngezinye izikhathi afinyelela ku-40 °), ubuhlungu emalungwini nemisipha. Futhi, iziguli ungase uphazamise emizweni ezingemnandi enhliziyweni, tachycardia, uzizwa ka "ukuluma." Esikhathini Lokusakaza ukonakala endocarditis ukutheleleka kuthatha uhlamvu. Lokhu kusho ukuthi amagciwane ithole bungene egazini ongafinyelela nezinye izitho. On lesion semithambo kungaba liyokwahlulelwa uphawu ezifana ukuvela ngamaqhubu Osler. Kuvela isikhumba izinyawo nezandla zibomvu futhi kancane okubuhlungu palpation. Ubukhulu yalezi lingene ongafinyelela nenkundla ipea. ngokuvamile zinyamalale bebodwa zingakapheli izinsuku 5-7.

Ezinye izimpawu zihlanganisa izindawo Roth. Ukuze uthole lesi sici, kumele fundus luhlolo. Lezi zokwakheka kukhona izingxenye ukopha okukhanyisa ngwengwzi nesikhungo phakathi. Roth izindawo singenzeka endocarditis hhayi kuphela lapho. Ngenxa yalesi sizathu, awayona i umbandela olunembile zokuxilonga.

Indlela ukuqeda ngamaqhubu Osler?

Ukwelapha Osler Izigaxana ku izintende kanye ematheni, azodinga yokwelapha esibanzi. Endaweni yokuqala kufanele okuhloswe ngalo ukubhekana izimbangela zalesi uphawu - endocarditis infective. Ukuze wenze lokhu, sebenzisa ama-antimicrobial "penicillin", "i-streptomycin" noma izidakamizwa cephalosporin. Ezimweni ukuhlinzwa okunzima valvular kuyadingeka. Ngoba impatho ngezihloko ezihlukene Izigaxana Osler isicelo onezinga le-SPF celandine akhiphe uju.