Endocarditis

General tsananguro yechirwere

Endocarditis inzira yekuzvimba inoitika mukati memukati memukati memwoyo (endocardium) uye inokanganisa zvishandiso zvevhavha uye maseru anoteedzera pamusoro pemidziyo iri padyo.

Muzviitiko zvakawanda, endocarditis chirwere chidiki chinoitika nekumusoro kwezvimwe zvirwere, nepo zera harinei nechirwere ichi (rinogona kukura chero pazera, nekuti masayendisiti anoona anopfuura 128 emhando dzehutachiona seanomiririra) .

Zvichienderana nekiriniki, etiological uye morphological zviratidzo, endocarditis inogona kuve:

  • Inotapukira (acute) - zvakare, inogona kunge iri bhakitiriya kana septic - inokanganisa kumhara kwemavharuvhu emoyo, ayo anogona kutungamira kukundikana kwemoyo, chirwere chemwoyo, arrhythmias, hypertrophy, uye kunyangwe kurwara kwemoyo.
  • Chisingaperi kana subacute (chakareba) - utachiona: pneumococci kana streptococci, zvinokanganisa myocardial mavharuvhu, pane iyo thrombotic deposits uye maronda. Nekosi refu, inokonzera kuvharika kwetsinga dzeropa, izvo zvinogona kutungamira pakurwara kwemoyo kwenhengo pakaitika kuvhara. Zvakare, iyo spleen inowedzera muhukuru, kune inokurumidza kufambira mberi anemia.
  • Parietal fibroplastic eosinophilic (kana zvisina kudaro inonzi Leffler's endocarditis) - kune zvirimo zvakawedzera zveeosinophils muropa uye fibrosis yeiyo parietal endocardium, nekuda kwekuti dzimba dzemwoyo dzinogona kusimbiswa kana, nekusiyana, kudzikira.

Leffler's endocarditis inowanikwa mumatanho matatu:

  1. 1 acute (necrotic) danho, iyo nguva yacho inosvika kumavhiki matanhatu. Iyo yekuzvimba maitiro inobata chikamu chepamusoro chemoyo mhasuru uye ma ventricles. Masero akafa anounganidza huwandu hwakawanda hweeosinophil, masero eplasma uye ma lymphocyte. Zviratidzo izvi zvinogona kupararira kumidziyo yenhengo dzemukati uye ganda.
  2. 2 thrombotic, panguva iyo pane kuumbwa kweropa rehurombo hwakasiyana siyana pane kuruboshwe ventricle ye endocardium, semhedzisiro iyo endocardium inorema uye nzvimbo ine huwandu hwakawanda hweropa uye midziyo inoumbwa. Izvo zvinofanirwa kucherechedzwa kuti panguva ino imwe tsandanyama fibers atrophy, nepo vamwe hypertrophy. Nekuda kweaya marongero, focal sclerosis inoitika uye nyowani (diki) inobatanidza materu inotanga kukura.
  3. 3 danho re fibrosis… Panguva ino, tsandanyama dzemwoyo dzakatetepa, tambo dzetsinga dzakapiswa (panguva ino hurema hwemwoyo hunogona kukura. Sclerosis inozivikanwa, pamwe nekukora kweiyo endocardium nemidziyo inosangana nayo. midziyo inopfuurira.
  • Isingatapurirane thromboendocarditis - inoitika nekuda kwekudhakwa kwemukati nekunze, ine senile marasmus uye nevanhu vane hutachiona husina simba. Iyo yekuruboshwe ventricle yeiyo endocarditis vharuvhu inokanganiswa, pamusoro payo panogona kuumbika mipumburu yetrombotic (zviratidzo zvekuvhiringidza zvingangotaridzika kana kuratidzwa zvisina basa muchimiro chekuunganidzwa kwefibroblasts, macrophages uye monocytes munzvimbo dzakakanganiswa).
  • Rheumatic - iyo honzeri hombe ndeye rheumatism, iyo inopararira kuzvimba kune tendon chords, iyo inobatanidza matissue emoyo mavharuvhu. Rudzi rwe endocarditis runogona kuenderera muchimiro che: kupararira (kuzvimba kwe endocarditis kunoonekwa, asi pasina kukuvara kune endothelial tishu; nekurapa kwakakodzera rheumatism, hapana mhedzisiro inomuka), acute warty (inotanga kana iyo endothelium yakakuvara zvakanyanya; on pamusoro, kubva parutivi rwekubuda kweropa, kukura kunoonekwa muchimiro brown tubercles - warts, ayo ane fibrin nemasero eropa), zvinodzokororwa warty (shanduko dzakafanana neidzo dzakapfuura, chete maronda anotooneka pamadziro e iyo vharuvhu inobatwa ne sclerosis) uye fibroplastic - fomu yepamusoro yezvose zviri pamusoro endocarditis, umo kufa kwetishu kunotanga, kune kuwanda kwemasero eropa, nekuda kwekuti kukanganisa kwevhavha (aortic uye mitral) kunogona kuitika.

Zvinogona kuitika endocarditis zviratidzo:

  1. 1 fivhiri inoperekedzwa nekuwedzera kudikitira uye kutonhora (chimwe chezviratidzo zvekutanga);
  2. 2 tembiricha (akasiyana mamiriro anogona: unogona kutambura kwemwedzi yakati wandei kubva pakakwirira tembiricha, kana iwe unogona kubata yakanyanya tembiricha kwemazuva akati wandei, wozodzokera kune yakajairwa, asi yemukati yekuzvimba maitiro ichaenderera);
  3. 3 myocardial ruzha;
  4. 4 kushaya simba, kutemwa nemusoro kwakakomba;
  5. 5 iko kuonekera kwechiedza cheyero yeganda toni, mavara pane trunk, tsoka nemichindwe;
  6. 6 kuvepo kweye diki-poindi yekubuda ropa pane iyo mucous membranes;
  7. 7 zvigunwe zvemunwe uye phalanges zvinogona kutora chimiro chemidziyo;
  8. 8 exudative kana yakaoma pericarditis;
  9. 9 yakawedzera lymph node;
  10. 10 itsvo infarction, nephritis;
  11. 11 kukuvara kwenzvimbo yepakati yetsinga uye vharafu (mitral kana aortic);
  12. 12 kutadza kwemoyo.

Zvimwe zvezviratidzo izvi zvichave zviripo kana paine tsananguro yakajeka yekiriniki. Zvingave kuti chirwere chichaenderera chisina zviratidzo. Nemhando dzakasiyana-siyana dzezviratidzo, inogona kutadza kuzivikanwa - iyi ndiyo njodzi huru nekunyengera kwe endocarditis.

Zvishandiso zvinobatsira zve endocarditis

  • mhuka yakabva: hove dzine mafuta, hove dzegungwa uye zvigadzirwa zvemukaka;
  • miriwo mavambo: michero nemabriji (pomegranate, avocado, cherry, ese macitrus michero, currants, gooseberries, apricots, mapichisi, maapuro, plums, chokeberry), miriwo (beet, karoti, madomasi, bhero mhiripiri, manhanga), miriwo (sipinashi, celery, dhiri neparsley, hanyanisi, gariki), nzungu uye mbeu yefilakisi, mafuta asina kunatsiridzwa (maorivhi, linseed, manhanga, sunflower), zviyo zvese, zvakamera zviyo zvegorosi.

Zvakare, huchi pamwe nekuwedzeredzwa kwenzungu nemaapurikoti akaomeswa anobatsira kwazvo. Panguva yekurwara, zvirinani kurega masobho akabikwa munyama uye howa muto, zvirinani kupa zvaunofarira kune zvinodhaka zvezvinomera.

Chinyakare mushonga we endocarditis

Kuti uwedzere kushomeka kwemuviri kumhando dzakasiyana dzehutachiona uye hutachiona, kunatsiridza moyo basa, zvakafanira kunwa decoctions kubva ku:

  • mashizha emamawort, goldenrod, St. John's wort, nhema currant, balm yemoni, mint;
  • mabhasikiti eArnica, chamomile;
  • viburnum uye willow kuhukura;
  • valerian midzi, licorice, soapwort;
  • michero ye elderberry, rasipiberi, rosehip, hawthorn;
  • maruva e-meadowsweet, linden, mullein, mvura yemaruva;
  • hop makoni.

Izvi zvinomera zvinobatsira zvinogona kusanganiswa uye kugadzirwa kubva muunganidzwa. Kuti uite izvi, tora magiramu makumi maviri echinhu chimwe nechimwe, sanganisa kwazvo uye udururire mamirilita mazana maviri emvura inopisa. Simbisa kwemaminetsi gumi nemashanu, tora tii mushure mekudya (unogona kuwedzera huchi kutapira). Izvo zvakakosha kuti urangarire kuti iyo Gungano haifanire kunge iine zvinopfuura zvikamu zvishanu.

Zvakare, hydrotherapy ine maitiro akanaka, ayo anosanganisira kutora mabhati anodziya (zvinokwanisika nemafuta akakosha kana ne decoction yemakwenzi ari pamusoro) kana kudiridza nemvura inodziya yemuviri wese.

Izvo zvinobatsira kuti murwere afambe mumhepo nyowani munguva inotonhorera yemamiriro ekunze. Hapana mamiriro, panguva yekuwedzera, munhu haafanire kuzvinyanyisa (kana murwere ane endocarditis ari kurwara, saka panzvimbo pekufamba anogona kurara munzira mumumvuri).

Iwe unofanirwa kusiya zvachose tsika dzakaipa!

Chikafu chine njodzi uye chinokuvadza che endocarditis

  • keke;
  • mafuta, zvinonhuwira, zvinonhuwira, munyu, ndiro dzakapfungaira;
  • chikafu chinokurumidza uye chikafu chakakangwa zvakanyanya;
  • chitoro chikafu chakakangwa, masoseji, masoseji;
  • tii yakasimba nekofi;
  • confectionery uye shuga zvakawandisa (zviri nani kudya chimedu chokoreti);
  • kabhoni uye zvinwiwa zvinodhaka;
  • fodya.

Chenjerera!

Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!

Chikafu cheimwe hosha:

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