Nge-endocarditis ukuvuvukala kwesigobungelo sangaphakathi senhliziyo-endocardium. I-endocardium ibeka iigumbi zentliziyo, ukubonelela nokunyaniseka kwamagumbi angaphakathi. Ngokuqhelekileyo esi sifo asikho kwedwa, kodwa sidibene ne-myocarditis (ukuvuvukala kwesibindi se-muscular) okanye i-pericarditis (ukuvuvuka kwodonga lwangaphandle lwentliziyo). Kwakhona i-endocarditis idla ngokusebenza kwesinye, isiseko, isifo.
Ukwahlulelwa kwe-endocarditis
I-endocarditis kwimvelaphi (i-etiology) ihlukaniswe ngamaqela amakhulu amabini:
- Izifo ezithintekayo (i-septic) - kubangelwa umonakalo kwiqoqo elingaphakathi lentliziyo ngama-microorganism (i-bacterial, viral, endocarditis ye-fungal, njl.).
- Ukungabalulekiyo- kuvela njengendlela yokusabela kwiingxaki zokuxilonga, ukukhathazeka komzimba okanye ukuphuhliswa kwenkqubo ye-immunopathological (i-rheumatic endocarditis, i-endocarditis kwizifo eziphathekayo, i-endocarditis ye-thrombotic, i-Leffler's eosinophilic fibroelastic endocarditis, njl.
Iimpawu ze-endocarditis zemvelaphi eyahlukeneyo
Cinga indlela ezinye iintlobo eziqhelekileyo zesifo ezibonakalisa ngayo.
I-endocarditis yokuphelela
Iimpawu (imiqondiso) ye-endocarditis yebhakteria, ebizwa ngokuba yi-sebatic septic, ayifani neempawu zesifo esithathelwanayo esibangelwa ezinye izilwanyana ezincinci. Njengomthetho, bazibonakalisa beveki ezimbini emva kokusuleleka. Ukuqala kwesi sifo kungabonwa okanye kupheliswe.
Ngokuqhelekileyo, eso sifo senziwa ngokunyuka okuthe kratya kumzimba we-38.5 ukuya ku-39.5 ° C, kunye ne-chills kunye nokunyuka okukhulu. Emva koko kukho imiqondiso enje:
- intlungu kunye kunye neentlungu ;
- buthathaka;
- ukunyuka komzimba;
- i-blanching yesikhumba (ngokuqhelekileyo nge-gray tinge);
- ukugqithisa isikhumba;
- iimbumba ezincinci kwiimbumba ezinqabileyo, njl
Kwixesha elizayo, ukuphuhliswa kwesi sifo kubangela ukubonakala kweempawu "zeminwe ye-tympanic" - iiphalanges zokuphela kweminwe kunye neenzwane zokukhafula, ukufumana ukubonakala kweentonga ze-tympanic, kunye nezipikili - iziglasi ze-crystal.
I-rheumatic endocarditis
Olu hlobo lwesifo, njengomthetho, luqala ukuvela ngexesha lokuqala kokuqala okanye kokuhlaselwa kwesibili kwezinto ezichasene ne-rheumatism. Izikhalazo eziqhelekileyo ezibonisa ukuphela kwe-rheumatic endocarditis zi:
- ntliziyo;
- intlungu entliziyweni yokuhluka kancinci;
- malaise jikelele;
- ukwanda kwindleko yomzimba, ixesha elide eliqhubekayo.
Leffler Endocarditis
Kwizigaba zokuqala, i-Leffler's endocarditis ayikho imbonakalo yekliniki. Isigulane sinokuzibona kuphela iimpawu zesifo esisisigxina, esibangele i-eosinophilia enamandla (izifo ezixhamlayo zezifo zesisu, izicubu, i-leukemi, njl). Xa eso sifo siqhubeka, iimpawu zayo ziyiyo:
- ukulahleka komzimba;
- umkhuhlane;
- ukukhwehlela;
- ukugqithisa kwesikhumba.
Emva kwexesha, ukungaphumeleli kwintliziyo kungapheliyo.
Ukuxilongwa kwe-endocarditis
I-Endocarditis kunzima ukuyixilonga ngenxa yeemeko zokuqala zezifo, iintlobo ezahlukeneyo zomonakalo kwiisisu zentliziyo, kunye nokubonakala kwezinto ezingenayo i-cardiac manifestations. Ubunzima bemilinganiselo yokuxilongwa kubandakanya: i-electrocardiography, i-echocardiography, iimvavanyo zegazi (jikelele, i-biochemical, immunological). Ukuxilongwa ngokuchanekileyo kunokwenziwa ngokucatshulwa kwamaginethi okukhumbuza intliziyo. Ukusebenza konyango kuncike kakhulu kwi-diagnostic eyiyo (ukufumanisa uhlobo lwesifo).