Nnukwu rheumatic fever

Ahụ ọkụ na a kọwara site ọkachamara dị ka na-echebe-agbanwe omume. N'ihi ya, ahụ na-eme pathogenic mmetụta (emerụ, pathogenic) ihe. Ndị a gụnyere nje bacteria, nje, dịghịzi okụre, wdg). Ihe kacha mkpa bụ ngosipụta nke fever - nhazigharị thermoregulation. Dị ka a N'ihi ya, ihe ụkpụrụ akwado enthalpy larịị na a elu ahu okpomọkụ.

Nnukwu rheumatic fever bụ a ọrịa nke usoro. Nke a daa ọrịa bụ mkpali na-emetụta ndị connective anụ ahụ. Nnukwu rheumatic fever na-emekarị na-amalite na ndị mmadụ na a mkpụrụ ndụ ihe nketa pụrụ ịrịa ya mgbe abụọ ma ọ bụ anọ izu mgbe nyefe nke a streptococcal ọrịa (mgbe a akpịrị). The causative gị n'ụlọnga na nke a bụ beta-hemolytic otu A.

Nnukwu rheumatic fever na-adịghị ala ala rheumatic ọrịa obi na ọrịa jikọtara n'okpuru a nkịtị okwu "rheumatism".

Mmetụta nke mkpụrụ ndụ ihe nketa pụrụ ịrịa n'ụzọ doro anya na-egosi a ọ karịrị akarị nke ọrịa na ezinụlọ ụfọdụ.

Nnukwu rheumatic fever amalite n'okpuru nduzi nke ọtụtụ usoro. Ụfọdụ dị mkpa nwere ike mebiri emebi ọcha na-egbu egbu ọdịdị infarction. Pathogenic mmetụta mgbe anapụta cardiotropic enzyme streptococcus (beta-hemolytic) A otu. Otú ọ dị, a ọrụ pụrụ iche maka mmepe nke humoral na cellular dịghịzi omume.

Rheumatism agụnye anọ ugbu a na ogbo nke enweghị nchịkwa usoro metụtara connective anụ ahụ:

1. mucoid ọzịza.

2. fibrinoid mgbanwe ndị a nzọụkwụ ke irreversible emeghasịkwa nke connective anụ ahụ.

3. The proliferative omume. Dị ka a n'ihi nke proliferation (neoplasm) mkpụrụ ndụ na anụ ahụ necrosis kpụrụ Aschoff ahu. Ha na-agụnye nnukwu basophilic elementrị nkeji, oge ufodu udi. Ọzọkwa na granulomas gụnyere plasma na lymphoid na polynuclear ibu mkpụrụ ndụ na eosinophilic cytoplasm miotsitarnogo malite. Ha na-emi odude, dị ka a na-achị, na endocardium, myocardium, gbasara obi perivascular connective anụ ahụ.

4. Sclerosis.

Agwa daa ọrịa N'ezie nwere mmekọrịta chiri anya n'etiti afọ. Nnukwu rheumatic fever na ụmụaka ihe karịrị ọkara nke ndị ikpe ịzụlite mgbe abụọ ka izu atọ mgbe ahụhụ a akpịrị. Ọ na-e kwuru na a na mberede na-abawanye na ahu okpomọkụ, mmepe nke migratory (akpàràkpà) mgbu na nnukwu nkwonkwo (na-emekarị ikpere), na e nwere ihe ịrịba ama nke carditis (dyspnea, pericardial obi mgbu, palpitations, wdg). Ndị ọrịa ndị ọzọ hụrụ n'oge monosemeiotic. N'ihi ya ebukarịghị ịrịba ama nke ogbu na nkwonkwo ma ọ bụ carditis.

N'ihi na-eto eto na ndị ọrịa na a na-eto eto ji mara (mgbe enyemaka nke na-adakarị ngosipụta nke rịaworo) gradual mmalite - na arthralgia nke nnukwu nkwonkwo, ala-ọkwa okpomọkụ ma ọ bụ agafeghị oke mgbaàmà nke carditis. Nlọghachi azụ (re-development) nke rheumatic fever na ọ fọrọ nke nta nile ikpe jikọrọ a gara aga ọrịa (strep) na-egosipụta onwe ya tumadi na-emepe emepe carditis.

Dị ka a na-achị, fever ihe mere na-aghọ doro anya megide ndabere nke mmalite nke mgbaàmà ma ọ bụ ndị ọzọ na-efe efe. N'ọtụtụ ọnọdụ, ọnọdụ a na-Nọsi'ike onwe ha. Otú ọ dị, nnukwu fever nke na-amaghị etiology agụnye ụba anya ka dọkịta, gụnyere ugboro ugboro nyochaa onye ọrịa (karịsịa ụmụ). Ịgachi echetakwa ga-enyere nchọpụta mgbaàmà nke a ọrịa ma ọ bụ mmepe na-eyi egwu ọnọdụ.