Acute imfiva rheumatism

Fever kuchazwa ngochwepheshe njengoba impendulo zokuzivikela-oluhambelana. Ngakho, umzimba aphendvule Pathogenic umphumela (eziyingozi, pathogenic) izici. Lezi zihlanganisa amagciwane, izakhiwo mzimba, njll). I ukubonakaliswa ebaluleke kakhulu imfiva - kabusha thermoregulation. Ngenxa yalokho, amazinga ngaphezulu asekelwe ezingeni enthalpy kanye lokushisa lomzimba okusezingeni eliphezulu.

Acute imfiva rheumatism iyisifo kohlelo. Lokhu zokugula kuyinto ukuvuvukala futhi kuthinta le ezicutshini. Acute imfiva rheumatism ngokuvamile eba nabantu yofuzo kuso ngemva kwamasonto amabili noma amane ngemva ukudluliselwa igciwane streptococcal (ngokuvamile umphimbo obuhlungu). I-ejenti causative kulokhu beta-hemolytic iqembu A.

Acute imfiva rheumatism futhi isifo senhliziyo rheumatism ahlanganiswa ukuba abe ngaphansi ovamile elithi "rheumatism".

Umthelela yofuzo kukhombisa ngokusobala kokuziphatha yezifo eminye imikhaya.

Acute imfiva rheumatism eba ngaphansi kwethonya izindlela eziningana. Ezinye ukubaluleka seyonakele izakhi ezinobuthi imvelo infarction. imiphumela Pathogenic ngesikhathi ethula cardiotropic enzyme streptococcus (i-beta-hemolytic) Iqembu. Nokho, indima ekhethekile sokuthuthukiswa humoral kanye neselula amasosha omzimba.

Rheumatism kuhlanganisa esiteji ezine samanje inqubo sokugembula ezihilela ezicutshini:

1. ukuvuvukala mucoid.

2. izinguquko fibrinoid kukhona isinyathelo ukuphazamiseka engelapheki we ezicutshini.

3. Ukusabela proliferative. Ngenxa yalokho lwempi (neoplasm) amaseli bese izicubu necrosis kwakhiwa umzimba Aschoff sika. Zakhiwa amayunithi ezinkulu basophilic aphansi, ukuma okungajwayelekile. Futhi kule granulomas zihlanganisa plasma bese lymph kanye polynuclear giant amaseli nge imvelaphi cytoplasm eosinophilic miotsitarnogo. Basuke etholakala, njengoba umthetho, kule endocardium, myocardium, inhliziyo perivascular ezicutshini.

4. Sclerosis.

Uhlamvu zokugula Yiqiniso unobuhlobo obuseduze ubudala. Acute imfiva rheumatism ezinganeni ezingaphezu kwesigamu amacala ukuthuthukisa ngemva kwamasonto amabili kuya kwamathathu hlupheka umphimbo obuhlungu. Kuyaqapheleka ibe nokwenyuka kwezinga lokushisa komzimba, ukuthuthukiswa ezifudukayo (quin) ubuhlungu emalungeni ezinkulu (ngokuvamile kwedolo), futhi kukhona izimpawu carditis (dyspnea, pericardial ubuhlungu besifuba, palpitations, njll). Ezinye iziguli waphawula phakathi monosemeiotic. yibona Ngakho izimpawu zesifo sokuqaqamba kwamalunga noma carditis.

Ukuze intsha kanye iziguli intokazi engu isici (emva impumuzo ukubonakaliswa basemtholampilo angina) ukuqala kancane kancane - ne arthralgia amalunga esikhulu, ongaphakeme-ebangeni lokushisa noma izimpawu ngokulinganisela carditis. Ukushiyeka (kabusha nentuthuko) fever rheumatism cishe kuzo zonke izimo exhumene igciwane odlule (strep) futhi kubonakala ikakhulukazi ekuthuthukiseni carditis.

Njengomthetho, imfiva isizathu kuyacaca ngokumelene isizinda lapho kuqala izimpawu noma ezinye izifo. Ezimweni eziningi, lesi simo uhlaliseke ngokuzimela. Nokho, i-imfiva okukhulu omsakazo engaziwa kuhilela kunakwa udokotela, kuhlanganise luhlolo okuphindiwe nesineke (ikakhulukazi izingane). Ukuhlolwa njalo kuyosiza ukuhlola izimpawu zokugula okungathí sina noma ukuthuthukiswa isimo esisongela.