Osler nodes - menene wannan? Sanadin pathogenesis, magani

Endocarditis - wani kumburi daga cikin endocardium, ciki rufi na zuciya. Yana iya sa cuta a cikin da yawa gabobin da kuma tsarin na jikin mutum rauni, hypercoagulable da kuma sauran wadanda ba dauke da kwayar cutar haddasawa. Saboda haka kanta endocarditis ne kawai su bayyanar cututtuka, gaban wanda Roth spots, Osler nodes da sauran halayyar rash a jiki ba ya bayyana. Marasa lafiya na iya ba ji da rashin jin daɗi, kuma da wuya koka game da wani zuciya gunaguni, da zazzaɓi. Kuma kawai idan endocardial kumburi sa parasitic micro-kwayoyin a cikin jini, shi ya zama mai raba cuta kira dauke da kwayar cutar, bacteriological ko kwayan endocarditis. Osler nodes - daya daga cikin waje ãyõyi. Bayyana su a cikin 1885, a na ƙwarai Canadian likita William Osler. Infective endocarditis - mai matukar hatsari cutar da take kaiwa zuwa komowar nakasawa daga cikin zuciya, don haka yana da muhimmanci mu san abin da shi ne da kuma yadda shi bayyana kanta.

Features na infective endocarditis

Wannan cuta ne ya sa ta kusan duk pathogenic kwayoyin cuta da kuma fungi, da kuma wani lokacin har da ƙwayoyin cuta da kuma protozoa ne a cikin jini na mutum. Shiga cikin endocardium yiwu a dauke da kwayar cutar numfashi cututtuka, rheumatism, periodontitis, tonsillitis, da tarin fuka, urethral catheterization, hakori kau da sauran jan. Osler nodes ne mai haske alama cewa ba tamkar cuta wahala - infective endocarditis. A mafi yawan lokuta, domin fara parasitic aiki na kwayoyin a cikin zuciya ya kamata a lalace a kowace hanya:

- venous catheters.

- auna bugun zuciya.

- jijiyoyin bugun gini prostheses ko zuciya bawuloli.

- daban-daban zuciya lahani.

- microtrauma.

- tiyata.

Wani lokaci da kwayoyin shiga cikin endocardium kuma ba tare da kafin nama lalacewa. Sa'an nan a kafa abscesses, fistulas da sauran lahani.

cututtuka

Infective endocarditis iya bayyana kansu a fili da sosai, da kuma iya a farko damemu kawai gajiya, zuciya murmurs, janar wani rauni, kuma mafi karaya cututtuka kara hankali. Wadannan sun hada da:

- zazzabi.

- jin sanyi.

- profuse gumi.

- m tsokoki da kuma gidajen abinci.

- nauyi asara.

- canje-canje a cikin fata launi (zama grayish, dan kadan yellowish).

- wani kurji a kan mucous membranes.

Osler nodes bayyana bayan sama da bayyanar cututtuka. Wasu masana la'akari da su, su zama rarrabe da ba makawa alama na infective endocarditis, yayin da wasu suke gwada da rare bayyanuwar shi, a cikin abin da cuta ne a cikin subacute form.

Osler nodes, pathogenesis

Wadannan Tsarin bayyana a hannuwansu, cikin sauki, feet saboda kumburi lalacewa ta hanyar kamuwa da cuta da kananan jini da kuma wakiltar infiltrate. Histological nazarin kullin a su nuna waye, venules da arterioles. Suna wani lokacin gauraye da wani rashin lafiyan kurji ko kwamin na tara purpura. Ta yaya ne nodules Osler, photo nuna quite a fili. Shi ne convex, girman wani fis ko kadan kasa mobile samuwar ja ko shunayya ya dafa, wani lokacin m, wani lokacin ba. Da suka ci gaba da sauri bace da kansu, ba su raba cuta, haka magani kwayoyi ko man shafawa ba ya bukatar. Amma idan wani mutum ya lura a wannan kullin, ya kamata nan da nan tuntubar likita domin ƙarin dakin gwaje-gwaje da kuma na asibiti karatu.

Roth ta spots

Bugu da kari ga nodules Osler, a infective endocarditis iya faruwa rash hemorrhagic hali a tarnaƙi kuma kafafu, zub da jini a karkashin ƙusa farantin, da aibobi Zhaneve tasowa, kazalika da Osler nodes, a kan dabĩnai da soles. Amma, da bambanci ga nodules, wadannan aibobi ne cikakken m, ba ya kama da wani fis da kuma ne sakamakon wani kara na jini ga capillaries.

A infective endocarditis, ban da fata, da idanu da kuma za a iya shafi. Daya daga cikin na kowa ãyõyin a dauki kumburi ne spots Roth. Ya bayyana su Swiss likita Roth. Roth spots wakiltar microbleeds a cikin ido duka. A form su ne m, ko zagaye da fari dot a tsakiyar. A marasa lafiya, wadannan tsarin zai iya sa ta rage hangen nesa, wanda, bayan da magani daga tamkar cuta ne a mayar.

Roth spots ne mai alama ba kawai na infective endocarditis, amma kuma anemia, connective nama cuta. Saboda haka, don yin bincike da wajibi ne a gudanar da ƙarin karatu.

Sauran cututtuka na infective endocarditis

Akwai game da dozin cututtuka suggestive na kumburi da endocardium saboda da gabatarwar kamuwa da cuta.

Osler nodes, Lukin spots (ko dama-alama Lukin Liebman), da bayyanar cututtuka na Rock, Dmitrienko, Janeway da sauran taimakon likitoci gane asali, musamman a lokuta idan wasu hankula ãyõyi da cutar ne mara kyau ko ba ya nan.

Alama Lukin-Liebmann ne bayyanar petechiae nufi da whitish cibiyar a kan folds na eyelids da kuma conjunctiva.

Sun alama bayyana kanta a fadada daga cikin almajiri na hagu ido.

Alama Janeway - shi erythematous ilimi, kazalika da aibobi Roth, mukaddashin a kan dabĩnai da tafin kafa, amma a cikin wannan hali suna cikin kananan size.

Alama Dmitrienko kunshi a softening da sautin farar I, wanda shi ne dalilin da ya sa shi kuma ake kira "karammiski sautin." Mu lura da wannan alama a farkon matakai na cutar.

magani

Don tsayar da dalilin da wani musamman alama iya zama likita. Yawanci, wannan na bukatar awon jini gwaje-gwaje, ECG, echocardiography. Shi ne m da wani sashe bakposev jini don gano cututtuka wakili. Idan gwaje-gwaje sun nuna gaban infective endocarditis a wani haƙuri, an kwayoyin da aka wajabta da ya dace kungiyar. A tsanani lokuta, tiyata da aka yi (roba,} afar roba zuciya bawul).

Tare dace daidai ganewar asali da kuma dace fara jiyya 50-90% da marasa lafiya rayuwa fiye da shekaru 5. Domin ya hana abin da ya faru na infective endocarditis ɓullo da wani musamman dabara domin mutane a hadarin. Yana yana da dama halaye na rigakafin, dangane da liyafar da magunguna a zaba yanayi dabara.