Chenjera rheumatic fivha

Fever kunotsanangurwa nenyanzvi sezvo unodzivirira-adaptive mhinduro. Nokudaro, muviri anoonawo pathogenic zvazviri (zvinokuvadza, pathogenic) zvinhu. Izvi zvinosanganisira utachiona, nemavhairasi, masoja zvivako, etc.). The kuratidzwa kukosha fivha - kugadzirisa thermoregulation. Somugumisiro, vakawanda mitemo vaitsigira enthalpy pamwero uye refu muviri tembiricha.

Chenjera rheumatic fivha chirwere wegadziriro. zvokurwara Izvi anogumbura uye kunokanganisa ari connective tishu. Kazhinji chenjera rheumatic fivha ikabuda vanhu vane majini kubatwa nawo pashure maviri kana mana vhiki pashure kuchinjwa munhu streptococcal chirwere (kazhinji ihosha huro). The causative mumiririri mune iyi ndiyo Beta-hemolytic boka A.

Chenjera rheumatic nefivha uye chisingaperi rheumatic mwoyo chirwere vasanganiswa pasi chimwe rokuti "rheumatism".

Kuvhiringidzwa kwakaita masero kubatwa zvakajeka zvinoratidza refu hwakapararira chirwere mune dzimwe mhuri.

Chenjera rheumatic fivha hwapedyo pasi pokudzora zvigadziriswe anoverengeka. Vamwe kukosha zvinogona zvaparadzwa zvinhu muchetura hunhu infarction. Pathogenic migumisiro apo kununura cardiotropic makemikari streptococcus (Beta-hemolytic) boka A. Zvisinei, basa rinokosha kuti pave humoral uye cellular masoja norudaviro.

Rheumatism inosanganisira zvina kuitika pavaipfuura pathological kwacho kwaibatanidza connective tishu:

1. mucoid kuzvimba.

2. fibrinoid kuchinja uri danho iri kusingarapiki nokuvhiringidzirwa ari connective tishu.

3. proliferative mhinduro. Somugumisiro kuwanda (neoplasm) masero uye zvinyama necrosis kuumbwa muviri Aschoff vake. Zvinosanganisira guru basophilic zvokutanga dzakabatana, mugari chimiro. Uyewo ari granulomas zvinosanganisira yeplasma uye lymphoid uye polynuclear hofori masero pamwe eosinophilic cytoplasm miotsitarnogo mavambo. Ivo dziri, sezvo mutemo, muna endocardium, myocardium, cardiac perivascular connective tishu.

4. kuoma dzimwe nhengo dzomuviri.

Character zvokurwara kosi ine ukama hwepedyo zera. Chenjera rheumatic nefivhiri mune vana vanopfuura hafu nyaya kuva pashure maviri nhatu pashure kutambura ihosha huro. It rinozivikanwa pakarepo kuwedzera kupisa muviri, kuvandudzwa dzinotama (asymmetric) marwadzo huru mapfundo (kazhinji ibvi), uye pane zviratidzo carditis (dyspnea, pericardial muchipfuva marwadzo, palpitations, etc.). Other varwere vakacherechedza panguva monosemeiotic. Saka vakawanda zviratidzo yemajoini kana carditis.

For kuyaruka uye varwere panguva muduku maitiro (pashure zvakazorodza kunotoda kurapwa kuratidzirwa angina) zvishoma nezvishoma kutanga - pamwe arthralgia makuru mapfundo, tembiricha yakaderera wegiredhi kana nepakati zviratidzo carditis. Kuitazve (ré-kukura) of rheumatic nefivhiri munenge munyika dzose nyaya chokuita dzakamboitika chirwere (strep) hworatidza pacharo achinyanya kuva carditis.

Kazhinji, fivha inonyatsotijekera tikafunga kutanga zviratidzo kana zvimwe zvirwere. Muzviitiko zvizhinji, mamiriro ezvinhu kugadzikana tisingatungamirirwi. Zvisinei, imwe rikwanise fivha kuti asingazivikanwi etiology kunosanganisira kwakawedzera pfungwa chiremba, kusanganisira akadzokorora pakuongorora murwere (kunyanya vana). Kugara kuongorora kuchabatsira rokuongorora zviratidzo chirwere chakakomba kana kukura chirwere.