Ka ho ruruha ha endocarditis ea sekhukhu se ka hare sa pelo - endocardium. Pokerardium e boloka likamore tsa pelo, ho fana ka boreleli le ho ruruha ha likamore tse ka hare. Hangata boloetse bona ha bo hlahe ka thōko, empa bo kopantsoe le myocarditis (ho ruruha ha lehare la pelo) kapa pericarditis (ho ruruha ha lerako la ka ntle la pelo). Hape hangata endocarditis e bakoa ke tse ling, tsa motheo, tsa mafu.
Kakaretso ea endocarditis
Endocarditis tšimolohong (etiology) e arotsoe ka lihlopha tse peli tse kholo:
- Ho tšoaetsanoa (septic) - ho bakoa ke ho senyeha ha khetla ea ka hare ea pelo ka likokoana-hloko tse fapa-fapaneng (baktheria, kokoana-hloko, fungal endocarditis, joalo-joalo).
- E sa tšoaetsanoang - e hlaha e le karabelo ea mathata a ts'oaetso, lefu la pelo kapa tsoelo-pele ea immunopathological (rheumatic endocarditis, endocarditis ka maloetse a maiketsetso, ho se nang baktheria ea endocarditis, Leffler's eosinophilic fibroelastic endocarditis, joalo-joalo).
Matšoao a endocarditis a simolohileng ka litsela tse sa tšoaneng
Nahana kamoo mefuta e meng e tloaelehileng ea lefu lena e iponahatsang kateng.
Tšoaetso ea lefuba
Matšoao (lipontšo) tsa baktheria endocarditis, e boetse e bitsoa sebactic septic, ha e fapane le matšoao a mofuta o tšoaetsanoang oa lefu lena le bakoang ke likokoana-hloko tse ling. Ka molao, li iponahatsa libeke tse peli ka mor'a tšoaetso. Ho qala ha lefu lena ho ka ba ntho e fapaneng kapa e hlakileng.
Ka makhetlo a mangata, lefu lena le hlaha ka ho eketseha ho hoholo ha mocheso oa 'mele ho 38.5 - 39.5 ° C, o tsamaeang le li-chill le ho eketseha ha ho fufuleloa. Joale ho na le lipontšo tse kang:
- bohloko bo kopaneng le ba mesifa ;
- bofokoli;
- boima ba 'mele bo theohile;
- ho hlobolisa letlalo (hangata le tete e bohlooho);
- ho phatloha ha letlalo;
- likokoana-hloko tse fokolang liphatseng tsa mantlha, joalo-joalo.
Nakong e tlang, nts'etsopele ea lefu lena e lebisa ponahalong ea matšoao a "tympanic" - li-phalanges tsa li-phalang tsa menoana le menoana ea monoana, ho fumana ponahalo ea lithupa tsa tympanic, le lipekere-likhalase tsa lirapa tsa matsoho.
Rheumatic endocarditis
Mofuta ona oa lefu, e le molao, o qala ho hlaha nakong ea tlhaselo ea pele kapa ea bobeli ea liketsahalo tsa articular le rheumatism. Litletlebo tse tloaelehileng ka ho fetisisa tse bontšang rheumatic endocarditis ke:
- lipillo tsa pelo;
- bohloko bo ka pelong ea boima bo fapaneng;
- kakaretso malaise;
- keketseho ea mocheso oa 'mele, nako e telele e tsitsitseng.
Leffler Endocarditis
Maemong a qalang, endocarditis ea Leffler ha e na mehlala ea kliniki. Mokuli a ka bona feela matšoao a lefu lena le ka sehloohong, e leng se bakang li-eosinophilia tse matla (mafu a mahlahahlaha a sebetsang, li-tumor, leukemias, joalo-joalo). Ha lefu lena le ntse le tsoela pele, matšoao a tloaelehileng ke a:
- tahlehelo ea boima ba 'mele;
- feberu;
- ho khohlela;
- ho phatloha ha letlalo.
Ha nako e ntse e feta, ho hloleha ha pelo ho sa feleng.
Tlhahlobo ea endocarditis
Ho thata ho tseba hore lefu la endocarditis le na le matšoao a sa tšoaneng a matšoao a lefu lena, le ho ba teng ha lipontšo tse seng tsa pelo. Tlhōrō ea litekanyo tsa ho hlahlojoa li akarelletsa: electrocardiography, echocardiography, liteko tsa mali (kakaretso, likokoana-hloko, immunological). Ho hlahlojoa ho nepahetseng ho nepahetseng ho etsoa ka ho nka litšoantšo tsa pelo ea pelo. Katleho ea phekolo e itšetlehile haholo ka lefu lena le nepahetseng (ho lemoha mofuta oa lefu lena).