Nyamakazi ndi chimodzi cha mawonetseredwe malungo enaake ophwanya

Pakati zokhudza zonse matenda connective minofu kukhala ndi chigawo yotupa, enaake ophwanya m'thupi ndi ambiri. Nyamakazi ndi imodzi mwa mawonetseredwe ake lililonse. Nyamakazi carditis osakaniza ndi yaikulu chizindikiro cha vuto la misempha.

The zimayambitsa matenda ndi kusintha pathological zimene zimachitika mu thupi

Chifukwa chachikulu cha matenda ndi beta-hemolytic streptococci wa gulu A. Pali umboni pa zotsatira za mavairasi. Koma anthu ambiri wodwala nthenda za tizilombo ndi matenda, ndipo iwo alibe kukhala matenda zokhudza zonse. Choncho, tinganene kuti vuto la misempha ndi nyamakazi Zingabukenso mchikakamizo cha zinthu zina. Analidi chikoka cha chibadwa, kale anaona kuti mabanja ena, matenda zokhudza zonse ndi ofala. Mosalephera wofunika amamangiriridwa wonongeka chitetezo chokwanira. wothandizila opatsirana, antigens kapena mavairasi kungadzutse kutukusira chitetezo cha mu mtima, ndiye pali autoantigens ndipo akufotokozera ndondomeko autoimmune.

Zokhudza zonse yotupa anachita mu thupi amachititsa kusintha minofu connective. Zidzachitika mu magawo angapo, kuchokera mucoid kutupa zikuchitika chifukwa mucopolysaccharides madzi posungira kutsiriza ndi necrosis fibrinoid. Pali kudzikundikira asidi hyaluronic ndi hondroetinsulfatov. Kenako, ndi mafunsidwe a fibrinoid m'nkhaniyo m'munsi ndi khoma mtima. Siteji yotsatira ndi kuchuluka kwa maselo, amene fibroblasts, maselo plasmatic ndi ena. Chinthu otsiriza sitepe ya kusintha sclerotic.

Polemba nyamakazi? zizindikiro matenda

Nkhani tingachipeze powerenga ndi chitukuko cha matenda atangochoka angina (pafupi mwezi). Ngati rheumatoid kuukira nyamakazi si nthawi yoyamba; nthawi iyi yafupika. Pali milandu kumene nyamakazi limapezeka nthawi yomweyo pambuyo supercooling kapena magawo koyamba matenda. Exacerbations amayamba ndi matenda ena, kutopa, yaitali thupi ntchito etc.

Mawonetseredwe kwambiri mmene matenda ndi maonekedwe a pachimake, chimene chimasintha kutanthauzira kutupa kwa mfundo zazikulu. zosintha zimenezi zili kusintha. Maonekedwe a kutupa mu mafupa pamodzi ndi carditis amphamvu. Matendawa amayamba bwinobwino. The chododometsa nyamakazi patsogolo mofulumira, limodzi ndi febrile kutentha, amaika thukuta. Kuzizira, kawirikawiri mwaonapo.

Nyamakazi amakhala ndi ululu kalikiliki malo, amene kumawonjezera ngakhale pamene mwaulesi yaing'ono. Chofuna kutupikana olowa, zikuoneka ambiri effusion. Khungu izi hyperemic malo, otentha kukhudza. Movement mu olowa kuli kovuta. Kawirikawiri matendawa amakhudza mfundo symmetrical. Nyamakazi amatchulidwa kuti "oyaka" chifukwa cha isanayambike ake mofulumira ena zimfundo ndi subsidence mofanana mofulumira ululu ena. Patapita masabata awiri kapena anayi ululu chitadutsa, ngakhale iwo ankachitira. mankhwala amakono, okhala mankhwala amakono, kumatha ululu anaonekera m'masiku oyamba. Pachimake enaake ophwanya malungo akuwonekera syndrome articular nthawi zambiri.

diagnostics

matenda kulankhulana ndi angina posachedwapa anasamukira ndi zizindikiro tingachipeze powerenga za nyamakazi sayambitsa mavuto matenda. Makamaka ngati izi siziri woyamba kuukira. Mu kusanthula magazi Tingaone amalembedwa leukocytosis. antistreptococcal oteteza ukuwonjezeka zili kwa wolankhulayo. M'magazi, pali C-zotakasika mapuloteni, kuchuluka erythrocyte mlingo sedimentation ndi fibrinogen.

chithandizo

Ngati matenda ndi nyamakazi, mankhwala ikuchitika mu mbiri kapena achire rheumatological kuchipatala kuchipatala. Nkofunika kuteteza wodwalayo nkhawa thupi ndi zina bedi. Perekani mahomoni (prednisolone), si-steroid m'thupi mankhwala. Mlingo amasankha dokotala kutenga nkhani makhalidwe munthu wa munthu ndi ntchito ndondomekoyi. Zoikidwa ndi mankhwala a penicillin, kumene tcheru streptococcus. Komanso, kukhala mankhwala symptomatic, physiotherapy mankhwala zimfundo akhudzidwa, chithandizo chipatala chaching'ono ndi.

Kupewa matenda yafupika anayendera zodziwitsa ndi mankhwala a matenda aakulu.