Indlela Ye-Strep Throat Ingabangela Ukulimala Kwe-Heart Valve
Isifo senhliziyo yesifo se-rheumatic yisifo esibi kakhulu se- rheumatic fever . Libhekisela ekulimazeni okungavamile kwe-valve yenhliziyo okungathuthuka iminyaka ngemva kokuphelelwa ngumkhuhlane we-rheumatic, okuvame ukuholela ekuhlulekeni kwenhliziyo uma kushiywe kungalashwa.
Umkhuhlane we-Rheumatic isifo esivuvukalayo esisodwa esingathuthuka njengomphumela wokungahambisani kahle komswakama we-throp noma umfutho obomvu .
Uma lokhu kwenzeka, isimiso somzimba sokuzivikela siphendula ngendlela engavamile ngokuvuvukala okungapheli kanye nokufaka i-deposit kancane kancane kwamakhadi e-calcium ngaphakathi nangaseduze kwe-valve yenhliziyo.
I-rheumatic fever ivame kakhulu ezinganeni nasebancane. Nakuba i-strep throat ivame kakhulu e-United States, umkhuhlane we-rheumatic uthathwa njengesiqabile amazwe amaningi athuthukile.
Isizathu se-Rheumatic Heart Heart
Umkhuhlane we-rheumatic othomathikhi ungabangela ukuvuvukala kwenhliziyo, mhlawumbe ebusweni benhliziyo ( pericarditis ), ngaphakathi kwenhliziyo ( endocarditis ), noma okubandakanya isisu senhliziyo ngokwayo ( myocarditis ).
Kubantu abahlangabezana ne-endocarditis, impendulo yokuvuvukala ingabangela ukulimala okuqhubekayo komunye noma ngaphezulu kwezimpawu ezine zenhliziyo . Uma lohlobo lomonakalo lwenzeka, ngokuvamile lubuhlungu ngokuhamba kwesikhathi.
Isifo senhliziyo esishubile sithinta cishe isigamu sabo bonke abantu abaye banomkhuhlane we-rheumatic acute. Amacala amaningi atholakala eminyakeni engu-10 kuya kwengu-20 ngemva komcimbi wokuzidla.
Labo abaye babhekana nezinkinga eziningi basengozini enkulu.
Ukubonakaliswa kwezifo ze-Rheumatic Heart
Isifo senhliziyo esiyingozi se-Rheumatic singaveza ngezinkinga ezihlukahlukene kuye ngokuthi yiliphi i-valve elithintekayo nokuthi iyiphi i-valve eye yonakalisiwe.
Phakathi kwezinhlobo ezivame kakhulu zesifo se-rheumatic heart:
- Isifo se-Mitral valve sibhekisela kwidiphosium ngokweqile kwi-valveum mitral. I-valve ye-mitral yi-valve evumela ukuthi igazi ligele kusukela ku-atrium kwesobunxele kuya kwe-ventricle kwesokunxele. Ukuqoqwa kwe-calcium kungavimbela i-valve ukuthi ingavuli ngokuphelele ( mitral stenosis ) noma ivule nhlobo. Lokhu ekugcineni kuholela esigodini esivulekile, esivame ukubizwa ngokuthi i- mitral yokuvuselelwa .
- Isifo se-valorum se-aortic esisodwa lapho i-calcium deposits excessively ethinta khona i-aortic valve ehlukanisa i-ventricle kwesokunxele evela e-aorta. Lezi zimali zingabangela ukuthuthukiswa kwe- aortic stenosis , ukuvuselelwa kwe-aortic , noma kokubili.
- Ukuphindaphinda kwe-tricuspid kuhilela i-valve ye-tricuspid ehlukanisa i-atrium efanele ukusuka kwe-ventricle kwesokunxele. Isimo ngokuvamile sihambisana nesifo se-aortic nes / noma se-mitral.
- I-fibrillation ye-atrial , izinga elingenangqondo futhi elivame ukushaya kwenhliziyo elibangelwa ukugeleza kwegazi, ngokuvamile kuhlotshaniswa ne-mitral stenosis.
Ukwelapha Izifo Zezinhliziyo Ze-Rheumatic
Ngokusobala, indlela engcono kakhulu yokubhekana nesimo esinjenge-rheumatic heart disease ukuwuvimbela. Lokhu kudinga ukusetshenziselwa ukuhlukumeza kwama-antibiotics ukuphatha imfudu yomgogodla noma umfutho obomvu, kokubili okubangelwa amabhaktheriya eqembu le-streptococcal.
Uma umuntu esenomkhuhlane we-rheumatic, kubalulekile ukuvimbela iziqephu zesikhathi esizayo. Kubantu abanebufakazi besifo senhliziyo, ukuphathwa okuqhubekayo kwama-antibiotic kungasetshenziswa njengendlela yokwelashwa kwe- prophylactic (yokuvimbela) . Ukuze unciphise ukuvuvukala, i-aspirin, i-steroids, noma izidakamizwa ezingenayo i-non-steroidal ukuvuvukala (ama-NSAID) angahle anqunywe.
Abantu abaye babhekana nomkhuhlane we-rheumatic acute kufanele bahlole ukuhlolwa komzimba wonyaka ukuze bahlole ukukhathazeka kwenhliziyo noma noma yikuphi ukungajwayelekile kwenhliziyo.
Uma utholakala ngesifo senhliziyo, kubalulekile ukuba isimo sakho sihlolwe njalo nge- echocardiogram namanye amathuluzi okuxilonga. Njengoba izinkinga ze-valve yenhliziyo zivame ukwedlula isikhathi, lezi zivivinyo zemihlahlandlela zingasiza ekunqumeni ukuthi uma ukuhlinzeka ukuhlinzwa esikhundleni se-valve kuyadingeka yini nokuthi nini.
Isikhathi sokuhlinzwa ngokubaluleka kubalulekile ngoba ufuna ukuqhuba ukusebenza ngaphambi kokuba izinga lomuntu lidlulele kakhulu kodwa kungakabiphi ukubeka engcupheni umuntu ophila isikhathi eside isikhathi sokuphila kwe- valve ngokwayo.
> Imithombo:
> Rothenbühler, M .; U-O'Sullivan, uC .; Stortecky, S. et al. "Ukuqapha Ngokusebenzayo Kwezifo Zezinhliziyo Ze-Rheumatic Ezingxenyeni Eziphelile: Ukubuyekezwa Okuhlelekile Ne-Meta-Ukuhlaziywa Kwokweqile Phakathi Kwezingane Nezingane Ezisakhulayo." I-Lancet Glob Health. 2014; 2: e717. I-DOI: 10.1016 / S2214-109X (14) 70310-9.
> Watkins, D .; Johnson, C .; Colquhoun, S. et al. "I-Global, Regional and National Burden of Rheumatic Heart Disease, ngo-1990-2015." N Engl J Med . 2017; 377: 713. I-DOI: 10.1056 / NEJMoa1603693.
> Zühlke, L .; Engel, M .; I-Karthikeyan, G. et al. "Izinhlamvu, Izinkinga, kanye Nezikhala Emibhalweni Efakazela Ubufakazi E-Rheumatic Heart Disease: I-Global Rheumatic Heart Disease Registry (isifundo se-REMEDY)." I-Eur Heart J. 2015; 36: 1115. I-DOI: 10.1093 / eurheartj / ehu449.