Ngwọrọgwụ endocarditis bụ ọrịa nke na-eme ka mgbidi dị n'ime obi (endocardium) na nnukwu arịa ndị dị n'akụkụ ya, yana akwa valves. Ngwọrọgwu endocarditis na-akpata site n'ụdị dị iche iche nke microorganisms:
- streptococci;
- staphylococci;
- ntinye;
- Mmezima ngwaọrụ;
- Nri nke ihe omumu Candida, wdg.
Ihe puru omume nke endocarditis na-efe efe
Ọrịa na-emetụtakarị valve ma ọ bụ endocardium. Òtù ahụ nwere nsogbu gụnyere ndị ọrịa nwere ọrịa rheumatic, atherosclerotic na traumatic valve. Ọzọkwa, ọrịa ahụ na-ejikarị ndị mmadụ nwere efere na valve na-arụ ọrụ. Ihe ize ndụ nke ịrịa ọrịa endocarditis na-efe efe na-abawanye na infusions ogologo oge na megide immunodeficiency.
Mgbaàmà nke endocarditis infective
Ihe ngosipụta nke ọrịa ahụ bụ:
- ọkụ (mgbe niile ma ọ bụ wavy);
- ọsụsọ;
- izu ike n'ozuzu, ike ọgwụgwụ;
- ihe mgbu n'ime obi;
- tachycardia;
- okpukpu ahu;
- nkwonkwo obi;
- akpụkpọ anụ;
- akpụkpọ anụ ọkụ;
- ọbara ọgbụgba na retina, wdg.
Ọrịa endocarditis - ọnụọgụ
Ruo n'oge na-adịbeghị anya, a na-ekewa ọrịa endocarditis nke na-efe efe na nnukwu ma na-adaba. Taa a naghị eji okwu ndị a eme ihe, a na-ekekwa ọrịa ahụ dị ka ndị a.
Site na mpaghara:
- aka valị nke aka ekpe;
- akwa valve nke dị n'akụkụ aka ekpe (n'oge na mbubreyo);
- aka nri;
- ejikọrọ na ntinye nke ngwaọrụ.
Site na usoro ọrịa:
- metụtara ọgwụgwọ;
- ụlọ ọgwụ;
- ejiri ọgwụ ọjọọ eme ihe.
Dị ka ụdị ọrịa ahụ si dị:
- arụ ọrụ;
- returnable.
Nchọpụta nke endocarditis na-efe efe
Iji mee nchọpụta ziri ezi, a chọrọ usoro nyocha nchọpụta ndị a:
- nkwonkwo na mkpasu obi nke obi;
- nyocha nke ọbara na biochemical (ọtụtụ);
- echocardiography.
Ihe mgbaàmà nke ọrịa endocarditis
Na ọrịa a, ọrịa ahụ nwere ike ịgbasa ngwa ngwa gaa na akụkụ ndị ọzọ, na-akpata ọrịa ndị na-esonụ:
- Site akụrụ: diffuse glomerulonephritis, ọrịa nephrotic, na-emekarị nephritis, nnukwu akụrụngwa aka.
- Site na imeju: cirrhosis , ịba ọcha n'anya, ezughị.
- Site n'akụkụ nke spleen: abc, splenomegaly, infarction.
- Site n'akụkụ akpa ume: ọbara mgbali elu, ọrịa infarction, nhụjuanya.
- Site na akụkụ nke usoro nhụjuanya nke etiti: ụbụrụ nke ụbụrụ, nnukwu nsogbu nke ụbụrụ nke ụbụrụ, maningitis , meningoencephalitis, mgbatị.
- Site n'akụkụ arịa ndị ahụ: thromboses, vascularitis, aneurysms.
Ọ bụrụ na agwọghị ọrịa endocarditis, ọ nwere ike ibute nsogbu nsogbu:
- ụda oyi;
- ọtụtụ ihe ọdịda akụrụngwa;
- nnukwu nkụda obi;
- embolism na ụbụrụ.
Ọgwụgwọ ọrịa endocarditis
Mgbe nchoputa nke "infective endocarditis" na-amalite ozugbo na ọgwụ nje. Nhọrọ nke ọgwụ na-adabere na ụdị pathogen na mmetụta uche na ọgwụ nje. A na-eji ọgwụ ọjọọ eme ihe na nkwonkwo oge ụfọdụ n'etiti injections (iji nọgide na-etinye nje dị mma n'ime ọbara). Ọzọkwa, ọgwụ ọjọọ na-egbu egbu, diuretics, antiarrhythmics, wdg, nwere ike ịhazi. Oge nke ọgwụgwọ dịkarịa ala otu ọnwa. N'ime usoro ọgwụgwọ, a na-eme nnyocha nyocha mgbe niile.
A chọrọ usoro ọgwụgwọ mgbe:
- enweghi mmetụta ziri ezi nke ọgwụ nje;
- ọrịa obi na-adịghị ala ala;
- sepsis;
- ezumike nke obi;
- itinye aka na usoro nke valve prosthesis;
- nkwụghachi azụ.
Nchọpụta nke ọrịa endocarditis
Mgbochi ọrịa ahụ, nke gụnyere ịṅụ ọgwụ nje, na-eme ndị ọrịa nọ n'ihe ize ndụ n'ọnọdụ dị otú ahụ:
- nwere eze na ndị ọzọ aka na ọnụ, oghere ntụrụndụ, akụkụ respiratory na n'etiti ntị, nke na-esonyere ọbara ọgbụgba;
- na eriri afọ na ụbụrụ urological.