Ọrịa ogbu ogbu na nkwonkwo bụ otu n'ime ngosipụta nke rheumatic fever

N'etiti systemic connective anụ ahụ ọrịa na-enwe ihe mgbu akụrụngwa, rheumatic fever bụ kasị nkịtị. Ọrịa ogbu ogbu na nkwonkwo bụ otu onye nke na-ahụkarị n'obiọma. Ogbu carditis na Nchikota na a isi mgbaàmà nke rheumatism.

Na-akpata ọrịa na-enweghị nchịkwa na mgbanwe na-erukwa na ahu

Isi ihe kpatara nke ọrịa bụ beta-hemolytic streptococci nke otu A. E nwere àmà na-egosi na mmetụta nke nje. Ma ọtụtụ mmadụ na-arịa ọrịa nke malitere ịrịa na-efe efe, na ha adịghị ịzụlite systemic ọrịa. Ya mere, anyị nwere ike ikwubi na rheumatism na ọrịa ogbu ogbu na nkwonkwo na-enwe n'okpuru nduzi nke ndị ọzọ ihe. Ọ bụ mmetụta nke butere n'aka ihe, anya a chọpụtara na na ezinụlọ ụfọdụ, systemic ọrịa na ahụkarị. Bụghị dịghị ihe ọzọ na mkpa bụ mmasị na malfunction ọgụ. Infectious mmadụ, abụkwara ma ọ bụ nje virus, enye ịrị elu na ihe dịghịzi mbufụt nke obi, mgbe ahụ, e nwere autoantigens ma na-amalite autoimmune usoro.

Systemic mkpali mmeghachi omume na ahụ na-akpata mgbanwe ndị na-connective anụ ahụ. Ha ime na ọtụtụ nkebi, si mucoid ọkọ aa ruru ka mmiri njigide mucopolysaccharides na-agwụcha na fibrinoid necrosis. E nwere onye na ìgwè hyaluronic acid na hondroetinsulfatov. Ọzọ, e nwere ihe deposition nke fibrinoid na isi ihe na vaskụla mgbidi. The ọzọ ogbo bụ mmụba nke mkpụrụ ndụ, nke na-fibroblasts, plasmatic mkpụrụ ndụ na ndị ọzọ. The ikpeazụ nzọụkwụ bụ nzọụkwụ nke sclerotic mgbanwe.

Mgbe na-emepe emepe ọrịa ogbu ogbu na nkwonkwo? ọrịa mgbaàmà

A kpochapụwo ikpe bụ mmepe nke ọrịa adịghị anya mgbe rịaworo (banyere a ọnwa). Ọ bụrụ na ọrịa ogbu ogbu na nkwonkwo ọgụ bụ bụghị nke mbụ, oge a na-ebelata. E nwere otu ebe ogbu na nkwonkwo na-egosi ozugbo supercooling ma ọ bụ na mbụ nkebi nke ọrịa. Exacerbations nwere ike triggered site ọrịa ndị ọzọ, ike ọgwụgwụ, ruo ogologo oge ọrụ ahụ wdg

Ndị kasị ahụkarị ediyarade nke ọrịa bụ ọdịdị nke nnukwu, nke na-agbanwe ndị orunótu nke mbufụt nke nnukwu nkwonkwo. Mgbanwe ndị a na-reversible. Ọdịdị nke mbufụt ke nkwonkwo jikọtara na a siri ike carditis. The ọrịa amalite acutely. The phenomena nke ogbu na nkwonkwo na-enwe ọganihu ngwa ngwa, Bilie febrile okpomọkụ, oké sweating. Akpata oyi, na-emekarị bụghị hụrụ.

Ọrịa ogbu ogbu na nkwonkwo na-ji a nnọọ ike mgbu na nkwonkwo, nke enwekwu ọbụna mgbe obere mezuo iwu. Ire ọkụ ka nkwonkwo tọrọ, ọ na-egosi a ọnụ ọgụgụ buru ibu nke effusion. Skin n'ebe a hyperemic, na-ekpo ọkụ na aka. Movement na nkwonkwo bụ fọrọ nke nta agaghị ekwe omume. Abụkarị ọrịa na-emetụta ndị symmetrical nkwonkwo. Ọrịa ogbu ogbu na nkwonkwo na-ezo dị ka "obodo" n'ihi na nke ya ngwa ngwa mmalite na ụfọdụ nkwonkwo na dokwara ngwa subsidence nke mgbu ndị ọzọ. Mgbe abụọ na izu anọ mgbu na-aga, ọbụna ma ọ bụrụ na ha na-emeso ha. Nkà mmụta ọgwụ ọgbara, nwere oge a na ọgwụ ọjọọ, eliminates mgbu pụtara n'ụbọchị ndị mbụ. Nnukwu rheumatic fever na gosipụtara articular syndrome ọtụtụ mgbe.

nchọpụta nsogbu

Communication ọrịa na rịaworo nso nso kwagara na kpochapụwo mgbaàmà nke ọrịa ogbu ogbu na nkwonkwo na-adịghị eme ka ihe isi ike na nchoputa. Karịsịa ma ọ bụrụ na nke a abụghị nke mbụ agha. Na analysis of ọbara nwere ike hụrụ akara leukocytosis. antistreptococcal antibody ọdịnaya na-abawanye site na ọkà okwu. Na ọbara, e nwere C-reactive protein, ụba erythrocyte sedimentation ọnụego na fibrinogen.

ọgwụgwọ

Ọ bụrụ na chọpụtara na ọrịa ogbu ogbu na nkwonkwo, na ọgwụgwọ a rụrụ na profaịlụ ma ọ bụ ọgwụgwọ rheumatological n'ụlọ ọgwụ. Ọ dị mkpa iji chebe ọrịa nkịtị nchegbu na bed ike. Kenye homonụ (prednisolone), na-abụghị steroid mmiri ọgwụ na ọgwụ ọjọọ. Ọnụọgụ ọgwụ ahọrọ ndị dibịa-ewere n'ime akaụntụ na onye e ji mara onye ahụ na-arụ ọrụ nke usoro. Họpụtara ndị ogwu mgbochi ọgwụgwọ nke penicillin, nke mwute streptococcus. Ọzọkwa, ịbụ symptomatic ọgwụ, physiotherapy ọgwụgwọ otụk nkwonkwo, ọgwụgwọ na a sanatorium.

Prevention nke ọrịa na-ebelata ka oge nnyocha na ọgwụgwọ nke ala ala na-efe efe.