I-Endocarditis

Incazelo jikelele yalesi sifo

I-Endocarditis yinqubo yokuvuvukala eyenzeka kulwelwesi lwangaphakathi lwenhliziyo (i-endocardium) futhi ithinta izinsiza ze-valve namaseli agudle ingaphezulu lemikhumbi eseduze.

Ezimweni eziningi, i-endocarditis yisifo esincane esenzeka ngemuva kwesizinda sezinye izifo, ngenkathi ubudala bungahlangene nakancane nalesi sifo (singakhula nganoma yisiphi isikhathi, ngoba ososayensi babheka izinhlobo ezingaphezu kuka-128 zama-microorganisms njengezimbangela zaso) .

Ngokuya ngezimpawu zomtholampilo, ze-etiological kanye ne-morphological, i-endocarditis ingaba:

  • Ukutheleleka (acute) - nakho, kungaba yi-bacterial noma septic - kuthinta ulwelwesi lwama-valve wenhliziyo, okungaholela ekwehlulekeni kwenhliziyo, isifo senhliziyo, i-arrhythmias, i-hypertrophy, kanye nokuhlaselwa yinhliziyo.
  • I-Chronic or subacute (protracted) - ama-pathogen: i-pneumococci noma i-streptococci, ithinta ama-valve e-myocardial, lapho kutholakala khona ama-thrombotic deposits kanye nezilonda. Ngenkambo ende, ibangela ukuvinjelwa kwemithambo yegazi, okungaholela ekuhlaselweni yinhliziyo kwesitho lapho kuvaleke khona. Futhi, ubende buyanda ngosayizi, kune-anemia eqhubeka ngokushesha.
  • I-Parietal fibroplastic eosinophilic (ngaphandle kwalokho ibizwa ngokuthi i-Leffler's endocarditis) - kukhona okuqukethwe okwandayo kwama-eosinophils egazini nase-fibrosis ye-parietal endocardium, ngenxa yokuthi amakamelo enhliziyo angaqina noma, ngakolunye uhlangothi, anciphise.

I-endocarditis kaLeffler yenzeka ngezigaba ezi-3:

  1. 1 i-acute (necrotic) isigaba, isikhathi saso esifinyelela emasontweni ayisithupha. Inqubo yokuvuvukala ithinta ingxenye engenhla yemisipha yenhliziyo nama-ventricles. Amaseli afile aqoqa inani elikhulu lama-eosinophil, amaseli e-plasma nama-lymphocyte. Lezi zibonakaliso zingasakazeka ezitsheni zezitho zangaphakathi nesikhumba.
  2. 2 i-thrombotic, lapho kwakhiwa khona amahlule egazi osayizi abahlukahlukene ku-ventricle yangakwesobunxele ye-endocardium, ngenxa yalokho i-endocardium iyajiya kanye nendawo enenombolo enkulu yamaseli egazi nemithambo. Kumele kuqashelwe ukuthi okwamanje abanye imicu imicu yoma, kuyilapho abanye hypertrophy. Ngenxa yalezi zinqubo, i-focal sclerosis yenzeka futhi izicubu ezintsha (ezincane) ezixhuma ziqala ukukhula.
  3. 3 isigaba se-fibrosis… Kulesi sigaba, imisipha yenhliziyo iyancipha, imisipha yamathambo iba nezibazi (ngalesi sikhathi kungavela ukukhubazeka kwenhliziyo. I-sclerosis iyaziwa, kanye nokuqina kwe-endocardium nemikhumbi ehlangene nayo. Inqubo yokuvuvukala ezindongeni ze izitsha ziyaqhubeka.
  • I-thromboendocarditis engathathelani - ivela ngenxa yokudakwa ngaphakathi nangaphandle, ne-senasm marasmus nakubantu abanamasosha omzimba abuthakathaka. I-ventricle yesobunxele ye-endocarditis valve ithintekile, lapho kungagqokiswa khona ukugqokiswa kwe-thrombotic (izimpawu zenqubo yokuvuvukala kungenzeka zingaveli noma zivezwe ngokungenamqondo ngesimo sokuqongelelwa kwama-fibroblast, ama-macrophage nama-monocyte ezindaweni ezithintekile).
  • I-rheumatic - imbangela enkulu yi-rheumatism, esabalalisa ukuvuvukala kuzinketho zemisipha, izicubu ezixhuma zama-valve wenhliziyo. Lolu hlobo lwe-endocarditis lungaqhubeka ngesimo se-: ukusabalalisa (ukuvuvukala kwe-endocarditis kuyabonakala, kepha ngaphandle kokulimala kwezicubu ze-endothelial; ngokwelashwa okufika ngesikhathi kwe-rheumatism, akukho miphumela evelayo), i-acute warty (iqala lapho i-endothelium yonakele kakhulu; ku ebusweni, ohlangothini lokuphuma kwegazi, iziqu zivela ngesimo sofuba onsundu - izinsumpa, eziqukethe i-fibrin namaseli egazi), ama-warty aphindaphindiwe (izinguquko ziyafana nezedlule, izinsumpa kuphela ezivele sezikhona ezindongeni i-valve ethinteka yi-sclerosis) kanye ne-fibroplastic - ifomu eliphambili layo yonke i-endocarditis engenhla, lapho kuqala khona izicubu, kuba nokutheleka kwamangqamuzana egazi, ngenxa yalokho okungaba khona ukukhubazeka kwe-valve (aortic ne-mitral).

Izimpawu ze-endocarditis ezingaba khona:

  1. Imfiva engu-1 ephelezelwa ukujuluka nokubandayo (esinye sezibonakaliso zokuqala);
  2. Ukushisa oku-2 (izimo ezahlukahlukene zingenzeka: ungahlupheka izinyanga ezimbalwa kusuka ekushiseni okuphezulu, noma ungabamba ukushisa okuphezulu izinsuku ezimbalwa, bese ubuyela kokujwayelekile, kepha inqubo yokuvuvukala yangaphakathi izoqhubeka);
  3. 3 myocardial umsindo;
  4. 4 ubuthakathaka, ikhanda elibuhlungu;
  5. 5 ukuvela kwethoni yesikhumba ephuzi ekhanyayo, amabala esiqwini, ezinyaweni nasezintendeni zezandla;
  6. 6 ukutholakala kwegazi elinamaphuzu amancane ezinhlakeni zomlomo;
  7. Izipikili zeminwe eziyi-7 nama-phalanges kungathatha ukwakheka kwezinti zezigubhu;
  8. I-pericarditis exudative noma eyomile;
  9. Ama-lymph node akhulisiwe ama-9;
  10. 10 izinso infarction, nephritis;
  11. 11 ukulimala kwesistimu yezinzwa ephakathi ne-valve (mitral noma i-aortic);
  12. 12 ukwehluleka kwenhliziyo.

Ezinye zalezi zimpawu zizobe zikhona uma kubhekwa isithombe somtholampilo esinemininingwane. Kungenzeka ukuthi lesi sifo sizoqhubeka ngaphandle kwezimpawu. Ngezimpawu ezahlukahlukene kangaka, kungatholwa ngendlela engeyiyo - lokhu kuyingozi enkulu nokukhohlisa kwe-endocarditis.

Ukudla okuwusizo kwe-endocarditis

  • imvelaphi yezilwane: izinhlanzi ezinamafutha, ukudla kwasolwandle kanye nemikhiqizo yobisi;
  • Umsuka wemifino: izithelo namajikijolo (ipomegranati, ukwatapheya, i-cherry, zonke izithelo ezisawolintshi, ama-currants, ama-gooseberries, amabhilikosi, amapentshisi, ama-apula, ama-plums, i-chokeberry), imifino (ama-beet, izaqathe, utamatisi, i-bell pepper, ithanga), amakhambi (isipinashi, isilimo esidliwayo esinamagatsha anamanzi, idile neparsley, u-anyanisi, ugarlic), amantongomane nembewu yefilakisi, uwoyela ongacoliswanga (umnqumo, ilinisi, ithanga, ujongilanga), konke okusanhlamvu, kuhlume okusanhlamvu kakolweni.

Futhi, uju ngokufakwa kwamantongomane namabhilikosi omisiwe kuyasiza kakhulu. Ngesikhathi sokugula, kungcono ukuyeka isobho eliphekwe enyameni nasemhluzweni wamakhowe, kungcono ukukhetha izobho zemifino.

Imithi yendabuko ye-endocarditis

Ukukhulisa ukumelana komzimba nezinhlobo ezahlukahlukene zezifo kanye namagciwane, ukuthuthukisa ukusebenza kwenhliziyo, kubalulekile ukuphuza ama-decoctions kusuka:

  • amaqabunga e-motherwort, i-goldenrod, iSt John's wort, i-currant emnyama, i-lemon balm, i-mint;
  • obhasikidi be-arnica, chamomile;
  • i-viburnum ne-willow bark;
  • izimpande ze-valerian, i-licorice, i-soapwort;
  • izithelo ze-elderberry, okusajingijolo, i-rosehip, i-hawthorn;
  • izimbali ze-meadowsweet, linden, mullein, iminduze yamanzi;
  • Izigaxa ze-hop.

Lezi zitshalo eziwusizo zingahlanganiswa futhi zenziwe ngeqoqo. Ukuze wenze lokhu, thatha amagremu angama-20 entwana ngayinye, uhlanganise kahle uthele ama-milliliters angama-200 amanzi ashisayo. Faka imizuzu eyi-10-15, thatha njengetiyi ngemuva kokudla (ungangeza uju ukuze wenze ubumnandi). Kubalulekile ukukhumbula ukuthi umhlangano akufanele ube nezinto ezingaphezu kwezingu-5.

Futhi, i-hydrotherapy inomphumela omuhle, okubandakanya ukugeza okufudumele (kungenzeka ngamafutha abalulekile noma nge-decoction yamakhambi angenhla) noma ukuchelela ngamanzi afudumele omzimba wonke.

Kuyasiza ukuthi isiguli sihambe emoyeni omusha esimweni sezulu esipholile. Akunasimo, ngesikhathi sokuqina, umuntu akufanele azikhandle ngokweqile (uma isiguli esine-endocarditis sigula, esikhundleni sokuhamba singalala emgwaqweni emthunzini).

Kufanele ulahle ngokuphelele imikhuba emibi!

Ukudla okuyingozi nokulimazayo kwe-endocarditis

  • khekhe;
  • okunamafutha, okubabayo, okubabayo, okunosawoti, izitsha ezibhemayo;
  • ukudla okusheshayo nokudla okuthosiwe okujulile;
  • gcina ukudla okusemathinini, amasoseji, amasoseji;
  • itiye nekhofi elimnyama elinamandla;
  • i-confectionery noshukela ngokweqile (kungcono ukudla ucezu lukashokoledi);
  • iziphuzo ezinekhabhoni nezidakayo;
  • ugwayi.

Qaphela!

Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!

Ukudla okunomsoco kwezinye izifo:

shiya impendulo