Zizindikiro za endocarditis infective: mtolo Osler

Maonekedwe a maselo nthenda pa khungu silipita matenda ambiri. Nthawi zina, zisindikizo si chizindikiro cha pathologies dermatological, ndipo chifukwa cha zifukwa zina. Chitsanzo chimodzi cha formations zinthu pa khungu imatengedwa mfundo Osler. mchitidwe Zimenezi zingapezeke mu anthu akuvutika yaitali infective endocarditis. Pamene Osler mfundo ayenera ndisanabadwe. Kumbukirani kuti kudziletsa chithandizo cha zisindikizo kufooketsa kokha chizindikiro zingakhale pa khungu, koma musati kuthetsa zimayambitsa matenda. Choncho, zinthu izi ndi chifukwa kungapezeke kuti katswiri.

Nodule Osler - ndichiyani?

Tinatake tozungulira otchedwa chisindikizo kuwonekera padziko khungu. Nthawi zambiri amapezeka pa nsana pa dzanja kapena phazi, zala. Nodule Osler konse kumachitika paokha, mwachitsanzo popanda chifukwa. Iye ali chizindikiro cha matenda monga endocarditis infective. Matendawa amapezeka ana ndi achinyamata, osachepera - okalamba. Osler mfundo ndi zopweteka khungu chisindikizo. Iwo amayamba ndi zotupa za dongosolo mtima. Mtundu wosindikiza ranges kuchokera pinki kuti burgundy mtundu. Pa palpation wa tinatake tozungulira akhoza ankatembenukira. Iwo zimakhala mwadzidzidzi, exacerbation la matenda. Nthawi zambiri, kudzikonda wosindikiza kupasuka, wosasiya kufufuza. Mu digiri choopsa cha endocarditis ndi Popanda kuchitapo kanthu tinatake tozungulira chiyani kutha kwa nthawi yaitali (masabata, miyezi). Kusiyanitsa formations izi chidindo chifukwa pathologies ena ayenera kuyezedwa ndi cardiologist a.

Chifukwa cha tinatake tozungulira Osler

Osler nodule akufotokozera chifukwa yotupa kusalola subcutaneous mafuta. Chifukwa umenewu chizindikiro ndi wothandizila bakiteriya ndisapalamule zipangizo za microvasculature ndi kugonjetsedwa. Mbali imeneyi zikusonyeza kuti matenda wayamba kale ndipo wakhala aakulu. zinthu Etiological wa endocarditis infective zikuchitikazi zotsatirazi:

1. Enaake ophwanya mtima kulephera. Nthawi zambiri amapezeka mu ubwana ndi unyamata. Kudwala zambiri akufotokozera anthu akuvutika kutupa aakulu a tonsils ndi (zilonda zapakhosi).
2. ziwiya Atherosclerotic ndi mtima.
3. Makina maganizo (zoopsa) kuwononga mavavu.

Makamaka amakhudzidwa infective endocarditis mumtima wosanjikiza mtima. Ndiye, mu ndondomeko amatenda valavu zida. Mu kudwala yaitali toyambitsa tizilombo ta ku mtsinje wa magazi amafalitsidwa thupi lonse. Part tizilombo toyambitsa kukhazikika pa makoma chotengera, kuchititsa kutupa awo. Choncho anapanga Osler mfundo.

Infective endocarditis: zizindikiro

The matenda chithunzi cha endocarditis opatsirana m'chiyambi cha matenda ofanana ndi matenda ena opatsirana. Zizindikiro zoyambirira za kutupa kukhala. Zikuphatikizapo: malungo (nthawi zina 40 madigiri), kupweteka m'malo olumikizirana mafupa ndi minofu. Komanso, odwala akhoza kusokoneza zomverera zosasangalatsa mu mtima, tachycardia, poganiza za "kumva kulasalasa." Mu kafalitsidwe ka HIV septic endocarditis amatenga khalidwe. Izi zikutanthauza kuti tizilombo toyambitsa matenda ali mu m'magazi ndi angafikire ziwalo zina. Pa chotupa mtima akhoza adzaweruzidwa ndi chizindikiro monga zikamera wa tinatake tozungulira Osler. Iwo amaoneka pa khungu la mapazi ndi manja ndi wofiira ndi pang'ono chopweteka pa palpation. Ukulu wa infiltrates izi angafikire kukula kwa mtola a. kawirikawiri kutha paokha mwa masiku 5-7.

Zizindikiro zina monga mawanga anaigonjetsera. Kupeza Mbali imeneyi, muyenera fundus bwino. formations Awa ndi mbali kukha mwazi retinal zounikira ndi malo pakati. Anaigonjetsera mawanga angayambe osati pamene endocarditis. Chifukwa cha ichi, iwo sali molondola matenda muyezo.

Kodi kuchotsa tinatake tozungulira Osler?

Kuchiza Osler tinatake tozungulira pa Yakanjedza ndi zidendene, Pakufunika ndi mankhwala mabuku. Mu malo oyamba ayenera kuthetsa mavuto a chizindikiro ichi - infective endocarditis. Kuchita izi, ntchito antimicrobials "Penicillin", "Streptomycin" kapena cephalosporin mankhwala. Nthawi ya opaleshoni aakulu valvular n'kofunika. Zochizira apakhungu a tinatake tozungulira Osler ntchito odzola ndi celandine Tingafinye, uchi.