Tare da ƙwaƙwalwa na endocarditis na ciki na zuciya - endocardium. Endocardium yana shimfiɗa ɗakunan zuciya, yana samar da santsi da haɓaka na ɗakunan ciki. Sau da yawa wannan cuta ba ta faruwa a rabu da shi, amma an haɗa shi da myocarditis (kumburi na jikin ƙwayar zuciya) ko pericarditis (kumburi na bango na zuciya). Har ila yau, endocarditis sau da yawa yana aiki ne sakamakon wani, asali, cuta.
Ƙayyade na endocarditis
Endocarditis a asalin (etiology) ya kasu kashi biyu:
- Magunguna (septic) - yana lalacewa ta hanyar lalata zuciya ta ciki ta hanyar wasu kwayoyin microorganisms (kwayoyin cuta, maganin bidiyo mai zagaya yanar gizo da sauri, fungal endocarditis, da sauransu).
- Wadanda basu da cutar - taso ne a matsayin maganin cututtukan zuciya, cututtukan zuciya ko ci gaba da tsarin immunopathological (rheumatic endocarditis, endocarditis a cikin cututtuka na haɗuwa da juna, marasa cututtuka na thrombotic endocarditis, eosinophilic fibroelastic endocarditis, etc.).
Bayyanar cututtuka na endocarditis na asali daban-daban
Yi la'akari da yadda wasu siffofin da ke cikin kwayar cutar sun bayyana kansu.
M endocarditis
Kwayoyin cututtukan (bacteria) endocarditis, wanda ake kira subacute septic, ba su bambanta da bayyanar cututtukan cututtuka da cutar ta sauran kwayoyin halitta. A matsayin mulki, suna nuna kansu makonni biyu bayan kamuwa da cuta. Sakamakon cutar zai iya rarraba ko sharewa.
Mafi sau da yawa, cutar tana faruwa ne tare da karuwa mai yawa a jikin jiki zuwa 38.5 - 39.5 ° C, tare da ciwon sanyi da kuma karuwa. Daga nan akwai alamun kamar haka:
- haɗin gwiwa da ciwon tsoka ;
- rashin ƙarfi;
- rage jiki nauyi;
- blanching fata (yawanci tare da tinge launin toka);
- fata rash;
- kananan ƙananan jini a cikin mucous membranes, da dai sauransu.
A nan gaba, ci gaba da cutar zai haifar da bayyanar bayyanar "yatsun tsutsa" - ƙananan yatsun yatsun hannu da yatsun kafa sunyi girma, suna samo kamannin katako, da kuma kusoshi - gilashin wristwatches.
Rheumatic endocarditis
Irin wannan cuta, a matsayin mai mulkin, ya fara bayyana a lokacin ta farko ko karo na biyu na haɗakarwa da lakabi da rheumatism. Mafi yawan maganganun da ke nuna rheumatic endocarditis sune:
- Zuciyar zuciya;
- zafi a cikin zuciya da bambancin sauƙi;
- general malaise;
- karuwa a yanayin jiki, tsawon lokaci mai tsawo.
Leffler Endocarditis
A farkon matakai, endomarditis na Leffler ba shi da bayyanar asibiti. Mai haƙuri zai iya lura da bayyanar cututtukan da ke dauke da cutar, wanda ya haifar da cututtuka mai tsanani (ciwon kwakwalwa ta jiki, ciwon sukari, leukemias, da dai sauransu). Lokacin da cutar ta ci gaba, alamun alamun ita ce:
- asarar nauyin jiki;
- zazzabi;
- tari;
- fata rash.
Yawan lokaci, rashin ciwon zuciya ta ci gaba.
Sanin asali na endocarditis
Endocarditis yana da wuyar ganewa saboda iri-iri na farko na cututtukan da ke cikin cutar, da lalacewa iri iri a cikin zuciya, da kuma bayyanuwar wadanda ba na zuciya ba. Cikewar matakan da za a bincikar gwagwarmaya ya hada da: electrocardiography, echocardiography, gwajin jini (general, biochemical, immunological). Ana gano cikakkun ganewar asali ta hanyar amfani da hoton da ke ciki na zuciya. Amfanin magani yafi dogara ne akan ganewar asali (ganewa irin nau'in cutar).