Ko te tohu o te endocarditis infective: he Osler paihere

Ko te ahua o ngā pūtau rerekē i runga i te kiri tahi maha mate. I roto i ētahi wā, e kore e he tohu o pathologies Dermatological kekeno, a ka he tika ki te tahi atu take. whakaaro Kotahi tauira o taua ngā i runga i te kiri e te kono Osler. Ka taea te kitea i tēnei huānga i roto i te iwi e mate ana i te wā roa- endocarditis infective. A, no te Me nga kōpuku Osler ki kia whakaaturanga. Kia mahara ki taua whaiaro maimoatanga-o hiri anake haaparuparu taea e tenei tohumate i runga i te kiri, otiia e kore e faaore i te take o te mate. Na reira, i enei āhuatanga ko te take, tirohia ki te mātanga.

Nodule Osler - he aha te mea te reira?

Nodules karangatia e hiri putanga i runga i te mata kiri. I roto i te nuinga o te wā, kei te kitea ratou ki runga ki te hoki o te ringa, te waewae ranei, matimati. kore Nodule Osler puta takitahi, arā, kahore he take. Ko ia he tohu anake o te mate rite endocarditis infective. Puta ana te mate i roto i ngā tamariki me te iwi taitamariki, i te iti rawa - i roto i te paari. Osler kōpuku he hiri kiri mamae. E meinga ratou e pāpaka o te pūnaha iaia. Tae taati awhe i te māwhero ki MAORI tae. I te palpation o nodules taea te neke. te tikanga puta ratou kitea rawatia ake, he exacerbation o te mate. I roto i te nuinga o te wā, whaiaro taatiraa-tareka, mahue kahore wahi. I roto i te tohu nui o te endocarditis me kāore nodules kahore e ngaro hoki te wa roa (wiki, marama). Hei te wehewehe i ēnei ngā i runga i te hiri meinga e te tahi atu pathologies me te uiui e te mafatu.

Ko te take o nodules Osler

whakawhanake Osler nodule tika ki kookuhutanga inflammatory o ngako subcutaneous. Ko te take o te tohumate taua ko te māngai kitakita i tomo ki roto ki te oko o te microvasculature me hinga. Tenei āhuatanga tohu e kua timata i mua i te mate, me te kua riro ma'i. āhuatanga Etiological o endocarditis infective ko nga tikanga e whai ake:

1. kore ngakau rūmātiki. Nuinga o ngā wā puta i roto i te kōhungahunga me te taiohi. te tikanga whakawhanake māuiuitanga i roto i te iwi e mate ana i mumura ma'i o te tonsils (tonsillitis).
2. oko atherosclerotic me te ngakau.
3. ahotea Mechanical (whētuki) hoko vaolo.

Matua pāngia i roto i te endocarditis infective kahu roto o te ngakau. Na, i roto i te tukanga, ka uru te taputapu takirere. I roto i te māuiuitanga roa e tohaina matūriki kitakita viral ranei i te awa toto, puta noa i te tinana. Wāhanga o te papapūata noho i runga i te taiepa oko, meinga ratou mumura. Ko te kupu i hanga Osler kōpuku.

endocarditis infective: tohumate

Ko te pikitia haumanu o endocarditis hopuhopu i te timatanga o te mate rite ki ētahi atu ngā mate hopuhopu. Ko te tohu tuatahi o te mumura whakawhanake. Ko ētahi o ēnei: kirika (i ētahi wā ki runga ki te 40 nga nekehanga), te mamae i roto i hononga me uaua. Hoki, kia whakakorikoria tūroro sensations kino i roto i te ngakau, tachycardia, ongo'i o "mania." I roto i te whakatö o mate endocarditis ero e huru. tikanga o tēnei e eke nga tukumate ki te bloodstream me taea tae atu whēkau. I te lesion iaia taea te whakawakia e tohumate pērā i te putanga o nodules Osler. puta ratou i runga i te kiri o nga waewae, me ringa e whero, me te paku mamae i runga i palpation. Ko te rahi o enei infiltrates taea tae te rahi o te pea. ratou te tikanga ngaro i runga i to ratou ake i roto i 5-7 ra.

Ētahi atu tohu ngā wahi Roth. Hei kitea i tēnei āhuatanga, me fundus koutou whakamātautau. Enei ngā Ko wahi pakaruhanga toto māramatanga tuaroa ki pokapū i roto i te waenganui. Ka taea e Roth wahi puta kore anake ina endocarditis. Hoki tenei take, e kore e ratou he paearu tātaritanga tika.

Ki te maka o nodules Osler?

Hei whakaora nodules Osler i runga i nga kapu me kapu, ka rapua e te therapy whānui. I roto i te wahi tuatahi kia hāngai ai ki te whakatutuki i te take o tenei tohu - endocarditis infective. Ki te mahi i tenei, te whakamahi i antimicrobials "rongoā paturopi", "streptomycin" ranei cephalosporin taero. I roto i te wā o nui pokanga valvular he tika. Hoki te maimoatanga wā o nodules Osler te tono wai ki celandine wāhanga, te honi.