Zviratidzo infective endocarditis: svinga Osler

Chimiro masero kanganisika pamusoro ganda kuita zvirwere zvakawanda. Mune zvimwe zviitiko, nemicherechedzo havasi chiratidzo dermatological pathologies, uye nokuda mumwe zvinokonzera. Mumwe muenzaniso idzodzo akadaro ganda anoonekwa ri Osler. chaikosha Izvi zvinogona kuwanikwa vanhu vachitambura kubva refu infective endocarditis. Apo Osler nodes vanofanira firimu. Yeuka kuti kuzvidzora kurapwa chezvidhindo chete kunetesa chiratidzo ichi vanogona kuva paganda, asi regai kubvisa zvinokonzera chirwere. Naizvozvo, izvi zvinhu zviri chikonzero zvivabatsire kune nyanzvi.

Nodule Osler - chii?

Nodules inonzi chisimbiso dziri ganda pamusoro. Kazhinji, zvinowanika seri ruoko kana rutsoka, zvigunwe. Nodule Osler harimbowaniki vakazvimiririra, kureva pasina chikonzero. Ndiye chete chiratidzo chechimwe chirwere sezvo infective endocarditis. Hosha rinowanikwa mune vana uye vechidiki, dzinenge - mune vakwegura. Osler nodes zvinorwadza ganda chisimbiso. Vari anokonzerwa maronda ari vascular hurongwa. Color Simbiso neeSultan kubva Pink kuti Burgundy ruvara. On palpation pamusoro nodules zvinogona haachatauri. Kunowanzosanganisira kuonekwa pakarepo, imwe exacerbation chirwere chacho. Kazhinji, kuzvicheka-Simbiso kuiparadza, akasasiya chero. In chakakomba mwero endocarditis uye untreated nodules regai inonyangarika kwenguva refu (mavhiki, mwedzi). Kusiyanisa idzodzo izvi pamusoro chisimbiso anokonzerwa mamwe pathologies vanofanira ndiongororwe imwe cardiologist.

Chinokonzera nodules Osler

Osler nodule hwapedyo nokuda anogumbura infiltration pamusoro subcutaneous mafuta. Mhaka chiratidzo yakadaro kwemabhakitiriya yomuchipatara kubva vachipinda midziyo microvasculature uye kukundwa. chinhu ichi zvinoratidza kuti chirwere zvakwatanga kare uye kwaramba. Etiological zvinhu zviri infective endocarditis ndizvo zvinhu zvinotevera:

1. Rheumatic mwoyo kutadza. Most rinowanzoberekera pauduku uye kuyaruka. kazhinji zvokurwara ikabuda vanhu vachitambura nekuora kuzvimba tonsils (tonsillitis).
2. Atherosclerotic midziyo uye mwoyo.
3. Zvokuimba kushushikana (kunotevera) usachikanganisa mavharuvhu.

Zvikurukuru munguva infective endocarditis yomukati rukoko mwoyo. Zvadaro, muna kwacho kunosanganisira vharuvhu midziyo. Nokufamba kwenguva zvokurwara kwemabhakitiriya kana nemavhairasi nezvimedu kubva ropa rukova anoparadzirwa munyika muviri. Part utachiona tigadzirise pamusoro mudziyo pamadziro, zvichikonzera kuzvimba yavo. Saka akaumba Osler nodes.

Infective endocarditis: Zviratidzo

The kunotoda mufananidzo nezvirwere endocarditis pakutanga chirwere akafanana nevamwe zvinotapukira. Zviratidzo kuzvimba rokutanga kutanga. Idzi dzinosanganisira: fivha (dzimwe nguva kusvika 40 madhigirii), marwadzo ari mapfundo tsandanyama. Uyewo, varwere vanogona kanganisa zvisingafadzi nezvekufadza mumwoyo, tachycardia, achifunga kuti "tingling." In Mashoko septic endocarditis hwemukondombera zvinotora hunhu. Izvi zvinoreva kuti utachiona apinda muropa uye zvinogona kusvika nedzimwe nhengo. On vascular lesion anogona ichizotongwa Chiratidzo dzakadai kwaita nodules Osler. Vanoonekwa paganda tsoka uye maoko tsvuku uye zvishoma kurwadza pamusoro palpation. The kwakakura infiltrates izvi zvinogona kusvika kukura pizi. kunowanzosanganisira inonyangarika voga mukati memazuva 5-7.

Zvimwe zviratidzo zvinosanganisira mavara Roth. Kuti tiwane chikamu ichi, unofanira fundus ongororo. idzodzo ndidzo migove ropa retinal jekeso pamwe pakati pakati. Roth mavara anogona kuitika kwete chete kana endocarditis. Nokuda kwechikonzero ichi, havasi yakarurama chirwere chokuratidza.

How kubvisa nodules Osler?

Kurapa Osler nodules pamusoro emichindwe uye inotsika, zvinoda misoro kurapa. Pakutanga zvinofanira zvainanga tichipindura zvinokonzera chiratidzo ichi - infective endocarditis. Kuti vaite izvi, vanoshandisa tupukanana "Penicillin", "streptomycin yakawanikwa" kana cephalosporin zvinodhaka. Muzviitiko zvikuru valvular kuvhiya kunokosha. Nokuti kukamura uchishandisa dambudziko nodules Osler kushandisa mafuta pamwe celandine mushoma, uchi.