Me ka hope endocarditis o ka pū i loko o ka puʻuwai - endocardium. Hoʻopili ka endocardium i nā lumi o loko, e hāʻawi ana i kaʻoluʻolu a me ka elasticity o nā keʻena i loko. ʻO ka manawa pinepineʻole kēia maʻi ma kahi kaʻawale, akā ua hui pūʻia me ka myocarditis (ka mumū o ka membbra muscular o ka puʻuwai) aiʻole pericarditis (ka wela o ka paia o waho o ka puʻuwai). ʻO keʻano o endocarditis ke hana pinepineʻia ma muli o kekahi mea'ē aʻe, maʻi.
ʻO ke kūlana o endocarditis
Hoʻopauʻia ka Endocarditis i ka origine (etiology) iʻelua mau hui nui:
- ʻO nā maʻi (septic) - ke kumu e hōʻinoʻia ai ka pūpū o ka naʻau e nāʻano microorganisms (bacteria, viral, endocarditis fungal, etc.).
- ʻAʻohe maʻi - ka hopena e like me ka paneʻana i nā maʻi o ka maʻi, ka maʻiʻeha o ka naʻau, a me ke kākoʻoʻana o ka hana immunopathological (endocarditis rheumatic, endocarditis i nā maʻi o nā mea pili pū, endocarditis thrombotic non-bacterial, endocarditis eosinophilic fibroelastic, etc.).
Nā hōʻailona o endocarditis o nāʻano likeʻole
E noʻonoʻo i kaʻikeʻana o kekahi mauʻano likeʻole o ka maʻi.
ʻO endocarditis kino
ʻO nā hōʻailona (signs) o ka endocarditis bacterial, i kapaʻia hoʻi he hope septic,ʻaʻole eʻokoʻa i nā hōʻailona o ka maʻiʻeha o ka maʻi i hanaʻia e kekahi mauʻano microorganisms. Ma keʻano kūlana, hōʻike lākou iā lākou iho iʻelua mau pule ma hope o ka maʻi. ʻO ka hoʻomakaʻana o ka maʻi e hiki ke wehe a holoiʻia paha.
ʻO ka hapanui pinepine, loaʻa ka maʻi i ka piʻi nui i ka mahana o ke kino a 38.5 - 39.5 ° C, me nā'ōpiopio a me ka hoʻonuiʻana i ka wela. A laila aia nā hōʻailona like me:
- eha a me ke kaumaha ;
- nāwaliwali;
- hoʻemi i ke kaumaha o ke kino;
- ka uhiʻana o kaʻili (ʻokoʻa me ke oho hina);
- kaʻili o kaʻili;
- ka liʻiliʻi liʻiliʻi ma nā mīkini mucous, a pēlā aku.
I ka wā e hiki mai ana,ʻo ka hoʻouluʻana i kēia maʻi e alakaʻi ia i kaʻike o ka hōʻailona o "nā manamana lima" - ka paleʻana o ka manamana lima a me nā manamana wāwae, i kaʻike o nā lāʻau tympanic, a me nā kui - nā aniani o nā lima lima.
ʻO Rheumatic endocarditis
ʻO kēiaʻano maʻi, e like me keʻano o ka maʻi, ke hoʻomaka nei eʻike i ka wā o ka hoʻomaka mua aʻelua paha o nā hōʻailonaʻano me ka rumatika. ʻO nā hoʻopiʻi pinepine pinepine e hōʻike ana i ka endocarditis rheumatic:
- puʻuwai palpitations;
- eha i loko o ka naʻau o kaʻokoʻa o ka paʻakikī;
- Malaise;
- he piʻiʻana i ka mahana o ke kino, kahi lōʻihi lōʻihi.
Leffler Endocarditis
I ka pae mua,ʻaʻole loaʻa nā hopena o ka endocarditis o Leffler. Hiki i ka mea hoʻomamāwanui ke nānā wale i ka hōʻailona o ke maʻi ma lalo, ka mea i nui ai ka eosinophilia (nā maʻi pilikino pili pū, nā maʻi koko, leukemias, a me nā mea'ē aʻe). Ke holomua ka maʻi,ʻo kāna mau hōʻailona likeʻole:
- ka nui o ke kaumaha o ke kino;
- wela;
- moe;
- ʻeleʻeleʻili.
I ka manawa lōʻihi, e ulu ana ka naʻau pūpū mau loa.
Kaʻike o ka endocarditis
He paʻakikī ka Endocarditis no kaʻikeʻana i keʻano o nā hōʻailona mua o ka maʻi, ka nui o nā meaʻino i ka naʻau, a me kaʻike o nā hōʻailonaʻole. ʻO ka paʻakikī o nā mea eʻikeʻia ai:ʻo ka electrocardiography, ka echocardiography, nā hōʻikeʻana i nā koko (general, biochmical, immunological). Hoʻomaopopoʻia ke kuhi pololeiʻoi aʻe ma ka hoʻohanaʻana i ke kiʻiʻana o ka naʻau o ka naʻau. ʻO ka maikaʻi o nā lāʻau lapaʻau ma luna o ka hōʻailona pololei (ʻikeʻia o keʻano o ka maʻi).