Nechipocarditis kuvhiringidzika kwemukati gomba remoyo - endocardium. Iyo endocardium inoisa makamuri emwoyo, ichipa kusvibiswa uye kuwedzera kwekamuri dzomukati. Kazhinji chirwere ichi hachiitiki muga woga, asi chinosanganiswa ne myocarditis (kuputika kwemuviri wechipfuva wemwoyo) kana pericarditis (kuputika kwerusvingo rwomukati rwemoyo). Uyewo endocarditis inowanzoita sechikonzero cheimwe, chinotangira, chirwere.
Urongwa hwe endocarditis
Endocarditis mumavambo (etiology) yakakamurwa kuva mapoka makuru maviri:
- Zvirwere zvinotapukira (septic) - zvinokonzerwa nekuvhiringidzika mukati mekombe yemoyo nema microorganisms akasiyana-siyana (bakteria, viral, fungal endocarditis, nezvimwewo).
- Kwete - inotapukira - inosvika senzira yekuita zvinetso zvemagetsi, kushungurudzika kwepfungwa kana kukura kwehutachiona hwema immunopathological (rheumatic endocarditis, endocarditis mune zvirwere zvinogadzikana, zvirwere zvisingaiti mabhakitiriya endocarditis, Leffler's eosinophilic fibroelastic endocarditis, nezvimwewo).
Zviratidzo zve endocarditis yakabva zvakasiyana-siyana
Funga kuti dzimwe nzira dzakasiyana dzechirwere zvinoratidza sei.
Infective endocarditis
Zviratidzo (zviratidzo) zvebhakitiriya endocarditis, iyo inonziwo sebacute septic, haisi yakasiyana nezviratidzo zvechirwere chinotapukira chechirwere chinokonzerwa nemamwe mishonga. Semitemo, vanozviratidza pachavo vhiki mbiri mushure moutachiona. Kutanga kwechirwere ichi kunogona kunge chakasiyana kana kucheneswa.
Kazhinji kacho, chirwere ichi chinowedzera nekuwedzera kwakanyanya kwekushisa kwemuviri kusvika 38.5 - 39.5 ° C, pamwe chete nechills uye kuwedzerwa kutuka. Zvadaro pane zviratidzo zvakadai sokuti:
- kubatana uye kurwadziwa kwemisonda ;
- kushaya simba;
- kuyerwa kwemuviri;
- blanching yeganda (kazhinji ine grey tinge);
- ruvara rweganda;
- zvishoma kuderedza zvirwere mu mucous membrane, nezvimwewo.
Mune ramangwana, kukura kwechirwere kunounza kuonekwa kwechiratidzo che "tympanic minwe" - iyo maponta phalanges eminwe nezvigunwe zvekudya, kuwana maitiro etimpanic, uye zvipikiri-magirasi ewristchi.
Rheumatic endocarditis
Icho chirwere chechirwere, sekutonga, chinotanga kuonekwa munguva yekutanga kana yechipiri kurwiswa kwemashoko anonyanya kuitika ne rheumatism. Kunyunyuta kunowanzoitwa kuratidza rheumatic endocarditis nde:
- moyo palpitations;
- kurwadziwa mukati memwoyo wekusiyana kwakasiyana;
- general malaise;
- kuwedzera kwekushisa kwemuviri, nguva yakareba kwenguva refu.
Leffler Endocarditis
Mune matanho ekutanga, endocarditis yaLeffler haina kliniki zviratidzo. Murwere anogona kungoona zviratidzo zvehutachiona hwechirwere, izvo zvinokonzera zvakanyanya eosinophilia (systemic zvinogadzirisa zvirwere zvemapfupa, matumire, leukemias, nezvimwewo). Apo chirwere ichi chinopfuurira, zviratidzo zvaro zvinowanzo:
- kurasikirwa kwekurema kwemuviri;
- fever;
- chifuva;
- ganda rinopisa.
Nokufamba kwenguva, kusagadzikana kwemoyo kunokonzera.
Kuongororwa kwe endocarditis
Endocarditis yakaoma kuongororwa nekuda kwekusiyana kwezviratidzo zvekutanga zvechirwere, zvakasiyana-siyana zvekuvhiringidza kumeso emwoyo, uye kuvapo kwekusava nemararamiro emwoyo. Iyo yakaoma yezviyero zvekuongororwa inosanganisira: electrocardiography, echocardiography, kuongororwa kweropa (zvinowanzo, biochemical, immunological). Kunyanya kuongororwa kwakaitwa kunoitwa uchishandisa magnetic resonance imaging yemwoyo. Kubudirira kwemishonga kunowanzoenderana nehutachiwana hunogadziriswa (kuonekwa kwechimiro chechirwere).