Ciwon ciki

Janar bayanin cutar

Endocarditis tsari ne mai kumburi wanda ke faruwa a cikin rufin ciki na zuciya (endocardium) kuma yana shafar kayan aikin bawul da ƙwayoyin da ke layin farfajiyar jiragen ruwan da ke kusa.

A mafi yawan lokuta, endocarditis wata karamar cuta ce da ke faruwa a bayan wasu cututtukan, yayin da shekaru ba shi da wata alaƙa da cutar (tana iya haɓaka a kowane zamani, tunda masana kimiyya suna ɗaukar fiye da nau'ikan nau'ikan 128 na ƙwayoyin cuta don zama wakili mai haddasa ta) .

Dogaro da asibiti, alamun ilimin halittar jiki da na ɗan adam, endocarditis na iya zama:

• Cutar (mai saurin kamuwa) - bi da bi, yana iya zama na kwayan cuta ne ko na sihiri - yana shafar rufin bawul na zuciya, wanda zai iya haifar da gazawar zuciya, cututtukan zuciya, arrhythmias, hauhawar jini, har ma da ciwon zuciya.
• Na yau da kullum ko subacute (protracted) - pathogens: pneumococci ko streptococci, shafi myocardial bawuloli, a kan abin da thrombotic adibas da ulcers faruwa. Tare da doguwar hanya, yana haifar da toshewar jijiyoyin jini, wanda zai iya haifar da bugun zuciya ga sashin jikin da toshewar ta faru. Hakanan, saifa yana kara girma, akwai karancin jini mai saurin ci gaba.
• Posetal fibroplastic eosinophilic (in ba haka ba ana kiransa endocarditis na Leffler) - akwai ƙarin abun ciki na eosinophils a cikin jini da fibrosis na parietal endocardium, sabili da abin da ɗakunan zuciya ke iya yin kauri ko, akasin haka, taƙaita.

Endocarditis na Leffler yana faruwa a cikin matakai 3:

1. 1 m (necrotic) mataki, tsawon lokacinsa ya kai makonni 6. Tsarin kumburi yana shafar ɓangaren sama na ƙwayar tsoka da ƙwanƙwasa. Kwayoyin da suka mutu suna tara adadi mai yawa na eosinophils, ƙwayoyin plasma da lymphocytes. Wadannan bayyanuwar zasu iya yadawa zuwa tasoshin gabobin ciki da fata.
2. 2 damfara, a lokacinda akwai samuwar daskararrun jini masu girma dabam dabam a gefen hagu na endocardium, sakamakon haka ne endocardium ya yi kauri da kuma yankin da ke da adadi mai yawa na sel da jini. Ya kamata a lura cewa a wannan lokacin wasu ƙwayoyin ƙwayoyin tsoka suna atrophy, yayin da wasu hypertrophy. Saboda wadannan matakai, cutar sikandila (sccalrosis) tana faruwa kuma sabon abu mai hade (nama) ya fara girma.
3. 3 mataki na fibrosis… A wannan matakin, an murkushe tsokoki na zuciya, an ga alamar jijiyoyin jiki (a wannan lokacin ana iya samun nakasar zuciya. An lura da cutar sikeli, da kuma kaurin endocardium da jiragen da ke kusa da shi. Hanyar kumburi a bangon tasoshin suna ci gaba.

• Tromboendocarditis mara yaduwa - yana faruwa ne saboda maye na ciki da na waje, tare da marasmus mai sanyi da kuma cikin mutane masu rauni na rigakafi. Affectedarfin hagu na endocarditis bawul yana da tasiri, a saman abin da thrombotic overlays zai iya samarwa (alamun tsarin mai kumburi bazai bayyana ba ko kuma a nuna shi ba da kima ba a cikin yanayin tarin fibroblasts, macrophages da monocytes a cikin yankunan da abin ya shafa).
• Rheumatic - babban dalilin shine rheumatism, wanda ke watsa kumburi zuwa gaɓoɓi na jijiya, kayan haɗi na bawul na zuciya. Wannan nau'ikan endocarditis na iya ci gaba ta hanyar: yaɗuwa (kumburin endocarditis ana lura da shi, amma ba tare da lalacewar abin da ke jikin endothelial ba; tare da maganin rheumatism a kan lokaci, babu wani sakamako da zai taso), mai tsananin warty (yana farawa lokacin da endothelium ya lalace sosai; a kan farfajiya, daga gefen fitowar jini, ci gaban ya bayyana a cikin sigar ruwan kasa tarin fuka - warts, wanda ya kunshi fibrin da kwayoyin jini), maimaita warty (canje-canje sun yi kama da na baya, kawai warts ne ya riga ya bayyana a bangon bawul din da sclerosis ya shafa) da kuma fibroplastic - sigar ci gaba ce ta dukkanin endocarditis da ke sama, a inda ake fara mutuwar nama, akwai kwararar kwayoyin halittar jini, wanda a dalilin hakan lamuran bawul din (aortic da mitral) na iya faruwa.

Matsaloli da ka iya kawo karshen cututtukan endocarditis:

1. 1 zazzabi tare da ƙara gumi da sanyi (ɗayan alamun farko);
2. 2 zafin jiki (yanayi daban-daban mai yuwuwa: zaka iya shan wahala tsawon watanni daga zafin jiki mai ɗaukaka, ko kuma zaka iya riƙe zazzabi mai ƙarfi na kwanaki da yawa, sa'annan ka koma yadda yake, amma tsarin kumburi na ciki zai ci gaba);
3. 3 amo na motsa jiki;
4. 4 rauni, tsananin ciwon kai;
5. 5 bayyanar launin fata mai launin rawaya mai haske, tabo a akwati, ƙafa da tafukan hannu;
6. 6 kasancewar zubar jini mai ƙananan-maki akan ƙwayoyin mucous;
7. Tian yatsu 7 da yatsu suna iya ɗaukar fasalin dunƙun duwatsu;
8. 8 exudative ko bushe pericarditis;
9. 9 kara girman lymph nodes;
10. 10 cututtukan koda, nephritis;
11. 11 lalacewa ga tsarin juyayi na tsakiya da bawul (mitral ko aortic);
12. 12 ciwon zuciya.

Wasu daga cikin wadannan alamun zasu kasance idan aka lura da cikakken hoto na asibiti. Yana iya zama cewa cutar zata ci gaba ba tare da alamun bayyanar ba. Tare da irin wannan tarin alamomin, ana iya ganewa - wannan shine mafi girman haɗari da ɓoye na endocarditis.

Hankali!

Gwamnati ba ta da alhakin kowane yunƙuri na amfani da bayanin da aka bayar, kuma ba ta da tabbacin cewa ba zai cutar da kai da kanka ba. Ba za a iya amfani da kayan don wajabta magani da yin ganewar asali ba. Koyaushe tuntuɓi likitan ku!