Hlobaetsang rheumatic feberu

Feberu e hlalosoa ke litsebi e le hore na karabelo e sireletsang-etsehang. Kahoo, 'mele o arabela pathogenic le phello (kotsi, pathogenic) lintlha. Tsena li akarelletsa libaktheria, likokoana-hloko, mehahong boitshireletso, joalo-joalo). The liponahatso bohlokoa ka ho fetisisa feberu - agiwa seswa ga setheo thermoregulation. Ka lebaka leo, ho finyella litekanyetso tse ngata a tšehetsa boemo ba enthalpy le mocheso phahameng 'mele.

Hlobaetsang rheumatic feberu ke lefu le ea tsamaiso. bolwetse Sena ke a hlabang le ho ama le dinama tse nyenyane tse connective. Hlobaetsang rheumatic feberu hangata develops ka batho ba nang le predisposition liphatsa tsa lefutso ho lona ka mor'a libeke tse peli kapa tse 'nè ka mor'a ho fetiswa ha tšoaetso e streptococcal (hangata ke' metso). The causative moemeli ka tabeng ena ke beta-haemolytic sehlopha A.

Hlobaetsang rheumatic feberu le boloetse bo sa foleng rheumatic pelo kopantswe tlas'a se le seng lentsoe "rheumatism".

Phello ea predisposition liphatsa tsa lefutso ka ho hlaka e bontša ka ata phahameng tsa lefu malapeng a mang.

Hlobaetsang rheumatic feberu develops tlas'a tšusumetso ea mekgwa 'maloa. Ba bang ba bohlokoa ba ka 'na ba senngoa likarolo tse chefo infarction tlhaho. litla Pathogenic ha lopolla cardiotropic enzyme streptococcus (beta-haemolytic) A sehlopha. Leha ho le joalo, karolo e khethehileng bakeng sa ntshetsopele ya humoral le lisele ka karabelo 'mele.

Rheumatism akarelletsa ho ba bane sethaleng jwale ya tshebetso pathological amang lisele connective:

1. mucoid ruruha.

2. liphetoho fibrinoid ke mohato ka sitiswa etsolloa ya dinama tse nyenyane tse connective.

3. Karabelo proliferative. Ka lebaka la keketseho (neoplasm) lisele le dinama tse nyenyane tse necrosis ha thehoa 'mele Aschoff e. Ba akarelletsa ho kgolo basophilic diyuniti tsa motheo, sebopeho tsoeng. Hape ka granulomas ho kenyeletsa lero la mali 'me lymphoid le lisele tse polynuclear seqhenqha le hlahang ho yona eosinophilic cytoplasm miotsitarnogo. Ba leng teng, e le busa, ka endocardium, myocardium, cardiac perivascular connective dinama tse nyenyane tse.

4. sclerosis.

Tlhaku bolwetse nete hore o na le kamano e haufi le lilemo. Hlobaetsang rheumatic feberu ka bana ba fetang halofo ea linyeoe le ho ntshetsa pele ka mor'a libeke tse peli kapa tse tharo ka mor'a a utloa bohloko e le metso. E o ile a hlokomela keketseho ea tšohanyetso ka mocheso oa 'mele, ntshetsopele ya fallang (sa karolelano) bohloko manonyeletso kgolo (hangata lengole),' me ho na le lipontšo tsa carditis (dyspnea, pericardial sefubeng bohloko, palpitations, joalo-joalo). bakuli ba bang o ile a re nakong ea monosemeiotic. Ka tsela eo ho rena lipontšo tsa ramatiki kapa carditis.

Bakeng sa bacha ba le bakuli ba ka e monyenyane lilemo bath (mora oa liphallelo ea liponahatso tsa tleleniki ea angina) butle-butle qala ho - ka arthralgia manonyello kgolo, le tlaase-sehlopheng mocheso kapa matšoao a leka-lekaneng ea carditis. Khutlela mokhoeng (botjha ntshetsopeleng) ea feberu rheumatic ka hoo e batlang e le maemong 'ohle amahanngoa le tšoaetso e fetileng (strep) le bontša ka boeona e haholo-holo ho ntshetsa pele carditis.

E le busa, feberu lebaka e hlakileng khahlanong le semelo sa qala ho ea le matšoao kapa tšoaetso ea tse ling. Maemong a mangata, boemo e le tsitsisoa nosi. Leha ho le joalo, e feberu hlobaetsang ea etiology sa tsejoeng ho akarelletsa ho e eketsehileng a lebisa tlhokomelo ho ngaka, ho akarelletsa le ho hlahloba ka ho pheta-pheta ba mokuli (haholo-holo bana). screening kamehla e tla re thusa ho hlahloba matšoao a boloetse bo tebileng kapa ntshetsopeleng sokelang boemo.