Qhov Tseem Ceeb - Kab Mob Rheumatic VS Infective Endocarditis
kab mob Rheumatic, uas yog ib qho teeb meem ntawm rheumatic fever, yog tus cwj pwm los ntawm deforming valvular fibrotic kab mob, feem ntau yog mitral valve. Ntawm qhov tod tes, kab mob endocarditis yog kab mob microbial ntawm lub plawv li qub los yog ntawm cov mural endocardium uas ua rau tsim cov nroj tsuag uas muaj cov kab mob thrombotic thiab cov kab mob uas feem ntau cuam tshuam nrog kev puas tsuaj ntawm cov ntaub so ntswg plawv. Qhov sib txawv tseem ceeb ntawm ob kab mob yog, tsis zoo li kab mob endocarditis, uas yog vim muaj kev sib kis, kab mob rheumatic muaj ib qho autoimmune tivthaiv hauv nws cov kab mob.
Kab mob Rheumatic Heart Disease yog dab tsi?
Rheumatic fever yog ib yam kab mob uas tshwm sim los ntawm kev kis kab mob ntawm pawg A streptococci uas feem ntau cuam tshuam rau menyuam yaus thiab cov neeg laus. Muaj ntau qhov kev koom tes nrog kev kho mob tseem ceeb hloov pauv tshwm sim hauv CNS, pob qij txha, thiab lub plawv.
Thaum pib, muaj tus kab mob pharyngeal los ntawm pawg A streptococci thiab qhov muaj ntawm lawv cov antigens ua rau muaj kev tiv thaiv kab mob autoimmune uas ua rau muaj cov txheej txheem kho mob uas peb txheeb xyuas tias ua npaws rheumatic. Tus kab mob no kis ncaj qha mus tsis muaj ib qho ntawm cov kab mob cuam tshuam.
kab mob Rheumatic, uas yog ib qho teeb meem ntawm rheumatic fever, yog tus cwj pwm los ntawm deforming valvular fibrotic kab mob, feem ntau yog lub mitral valve.
Cardinal morphological hloov pauv tshwm sim hauv mitral valve hauv kab mob rheumatic yog,
- Thickening of leaflets
- Kev sib koom ua ke thiab luv luv
x
Tshuaj Kho Mob
- Hloov lub siab lub suab tuaj yeem hnov thaum lub sijhawm auscultation
- S1 yog accentuated nyob rau hauv thaum ntxov kab mob
- P2 tseem accentuated
- Yuav txo qis ntawm kev sib cais ntawm S2
- Ib qho lus yws diastolic feem ntau hnov ntawm lub plawv apex
Kev tshawb nrhiav
- Antistreptolysin lossis titer
- ECG
- Echocardiogram
- lub hauv siab X-ray
Kev tswj hwm
kev kho mob rheumatic kub taub hau yog qhov tseem ceeb heev hauv kev tiv thaiv tus kab mob mus rau RHD.
- Tus kab mob streptococcal residual yuav tsum tau kho nrog qhov ncauj phenoxymethyl penicillin. Cov tshuaj tua kab mob no yuav tsum tau muab txawm tias cov txiaj ntsig kab lis kev cai tsis lees paub tias muaj pawg A streptococci.
- Txhua yam kab mob streptococcal uas tshwm sim yav tom ntej yuav tsum tau kho.
Daim duab 01: Kab mob Streptococcal ntawm caj pas
Txhawm rau tiv thaiv kev mob plawv, kev kho mob prophylactic tuaj yeem muab. Cov neeg mob uas muaj RHD yuav tsum tau txhaj koob tshuaj tiv thaiv kab mob ua ntej kev kho hniav txhawm rau tiv thaiv kab mob endocarditis thib ob. Hauv qee tus neeg mob, kev phais kho ntawm mitral stenosis yog qhov tsim nyog.
Tus kab mob endocarditis yog dab tsi?
Kab mob endocarditis yog kab mob microbial ntawm lub plawv li qub los yog mural endocardium. Nws ua rau kev tsim cov nroj tsuag uas muaj cov kab mob thrombotic thiab cov kab mob uas feem ntau cuam tshuam nrog kev puas tsuaj ntawm cov ntaub so ntswg hauv plawv. Cov kab mob yog cov kab mob uas tshwm sim ntau tshaj plaws ntawm cov kab mob endocarditis txawm tias nws muaj peev xwm ua tau los ntawm kev kis kab mob los ntawm lwm yam kab mob. Muaj ob yam tseem ceeb ntawm cov kab mob endocarditis ua mob thiab subacute endocarditis. Qhov kev faib tawm no yog tsim los ntawm kev ceev uas cov chaw kho mob tsim kho.
Risk Factors
- Kev siv tshuaj yeeb hauv lub cev
- Kev kho hniav tsis zoo
- Intravascular cannulae
- cov ntaub so ntswg mos
- Kev phais mob plawv thiab cov pacemakers mus tas li
Kev kho mob zoo ib yam nrog ob hom kab mob endocarditis
- New valve lesion / regurgitant yws
- Embolic xwm txheej tsis paub keeb kwm
- Sepsis ntawm tsis paub keeb kwm
- Hematuria, glomerulonephritis thiab raum infarctions
- Peripheral abscesses ntawm tsis paub keeb kwm
Hloov kho Duke Cov Cai rau kev kuaj mob ntawm Kab Mob Endocarditis
Yam tseem ceeb
- Ntshav kab lis kev cai / qhov zoo rau tus yam ntxwv kab mob los yog pheej ua zoo rau cov kab mob txawv txawv
- Echocardiographic pov thawj lees paub qhov mob ntawm lub plab
- New valvular regurgitation
Yam Me Me
- Predisposing heart lesions or intravenous drug use
- Cov pov thawj Microbiological suav nrog ib kab lis kev cai zoo rau cov kab mob txawv txawv
- Cov kab mob vascular xws li Janeway lesions thiab splinter haemorrhages
Kev tshawb nrhiav
- kab lis kev cai ntshav
- Echocardiogram
Kev tswj hwm
Kev kho tshuaj tua kab mob yuav tsum tau pib sai li sai tau. Ua ntej pib cov tshuaj tua kab mob empirical yuav tsum tau coj mus kuaj ntshav thiab xa mus rau kab lis kev cai. Kev kho tshuaj tua kab mob yuav tsum tau txuas ntxiv rau 4-6 lub lis piam. Tus neeg mob yuav tsum teb rau cov tshuaj tua kab mob hauv thawj 48 teev ntawm lawv cov thawj coj. Qhov kev daws teeb meem ntawm kub taub hau, poob qis hauv qib ntawm cov ntshav cov cim ntawm kev kis tus kab mob thiab txo cov tsos mob ntawm cov kab mob hauv lub cev yuav qhia txog qhov ua tau zoo ntawm kev kho mob. Kev phais yog tsim nyog thaum tus neeg mob tsis teb cov tshuaj tua kab mob.
Daim duab 02: Kab mob Endocarditis
Subacute endocarditis yog vim muaj kab mob ntawm cov kab mob plawv yav dhau los los ntawm cov kab mob qis qis xws li Viridans streptococci. Tsuas muaj tsawg kawg nkaus kev puas tsuaj ntawm lub plawv li qub. Cov tsos mob ntawm cov tsos mob uas tau hais los saum toj no feem ntau tuaj yeem tshwm sim ob peb lub lis piam tom qab pib kis kab mob. Subacute endocarditis tuaj yeem kho nrog tshuaj tua kab mob nkaus xwb.
Dab tsi yog qhov zoo sib xws ntawm Rheumatic Heart Disease thiab Infective Endocarditis?
Ob kab mob no yog mob plawv nrog keeb kwm kis
Qhov txawv ntawm Kab Mob Rheumatic Heart Disease thiab Infective Endocarditis yog dab tsi?
Rheumatic Heart Disease vs Infective Endocarditis |
|
| kab mob Rheumatic, uas yog ib qho teeb meem ntawm rheumatic fever, yog tus cwj pwm los ntawm deforming valvular fibrotic kab mob, feem ntau yog lub mitral valve. | Cov kab mob endocarditis yog kab mob microbial ntawm lub plawv li qub lossis cov mural endocardium uas ua rau tsim cov nroj tsuag uas muaj cov kab mob thrombotic thiab cov kab mob feem ntau cuam tshuam nrog kev puas tsuaj ntawm cov ntaub so ntswg hauv plawv. |
| kab mob | |
| RHD yog ib qho mob autoimmune | Kab mob endocarditis tsis muaj keeb kwm autoimmune. |
| Risk Factors | |
| Tus kab mob streptococcal yav dhau los yog qhov tseem ceeb txaus ntshai rau RHD |
Risk yam yog, · Kev siv tshuaj yeeb hauv lub cev · Kev kho hniav tsis zoo · Intravascular cannulae · Soft tissue infections · Kev phais plawv thiab cov pacemakers mus tas li |
| Tshuaj kho mob | |
|
Hloov lub siab lub suab tuaj yeem hnov thaum lub sijhawm auscultation S1 yog accentuated nyob rau hauv thaum ntxov kab mob P2 tseem accentuated Yuav txo qis ntawm kev sib cais ntawm S2 Ib qho lus yws diastolic feem ntau hnov ntawm lub plawv apex |
Ua raws li kev kho mob zoo ib yam nrog ob hom kab mob endocarditis · New valve lesion / regurgitant yws · Embolic xwm txheej uas tsis paub keeb kwm · Sepsis of unknown origin · Hematuria, glomerulonephritis thiab raum infarctions · Kub · Peripheral abscesses ntawm tsis paub keeb kwm |
| Kev tshawb nrhiav | |
|
Kev tshawb nrhiav suav nrog · Antistreptolysin lossis titer · ECG · Echocardiogram · Chest X-ray |
Cov kab mob endocarditis raug kuaj pom nrog kev pab los ntawm kev tshawb nrhiav hauv qab no · Ntshav kab lis kev cai · Echocardiogram |
|
kev kho mob rheumatic kub taub hau yog qhov tseem ceeb heev hauv kev tiv thaiv tus kab mob mus rau RHD. · Tus kab mob streptococcal residual yuav tsum tau kho nrog qhov ncauj phenoxymethylpenicillin. Cov tshuaj tua kab mob no yuav tsum tau muab txawm tias cov txiaj ntsig kab lis kev cai tsis lees paub tias muaj pawg A streptococci. · Ib qho kab mob streptococcal uas tshwm sim yav tom ntej yuav tsum tau kho tam sim. Txhawm rau tiv thaiv kev mob plawv, kev kho mob prophylactic tuaj yeem muab. Cov neeg mob uas muaj RHD yuav tsum tau txhaj koob tshuaj tiv thaiv kab mob ua ntej cov txheej txheem kho hniav txhawm rau tiv thaiv cov kab mob endocarditis thib ob. Hauv qee tus neeg mob, kev phais kho ntawm mitral stenosis yog qhov tsim nyog. |
· kev kho tshuaj tua kab mob yuav tsum pib sai li sai tau thiab yuav tsum tau txuas ntxiv rau 4-6 lub lis piam. Tus neeg mob yuav tsum teb rau cov tshuaj tua kab mob hauv thawj 48 teev ntawm kev tswj hwm. Kev ua tau zoo ntawm txoj kev kho yog pom los ntawm kev daws teeb meem kub taub hau, poob qis hauv qib ntawm cov kab mob ntshav qab zib thiab txo cov tsos mob ntawm lub cev. · Kev phais yog tsim nyog thaum tus neeg mob tsis teb cov tshuaj tua kab mob. |
Summary – Rheumatic Heart Disease vs Infective Endocarditis
kab mob Rheumatic mob plawv, uas yog ib qho teeb meem ntawm rheumatic fever, yog tus cwj pwm los ntawm deforming valvular fibrotic kab mob, feem ntau cov mitral valve whereas kab mob endocarditis yog ib tug kab mob microbial ntawm lub plawv li qub los yog mural endocardium thiab nws ua rau tsim. ntawm cov nroj tsuag uas muaj cov kab mob thrombotic thiab cov kab mob feem ntau cuam tshuam nrog kev puas tsuaj ntawm cov ntaub so ntswg hauv plawv. Cov txheej txheem autoimmune pab txhawb qhov tshwm sim ntawm RHD tab sis tsis yog rau qhov tshwm sim ntawm cov kab mob endocarditis. Nov yog lub hauv paus ntsiab lus sib txawv ntawm ob qhov kev tsis sib haum xeeb.
Download the PDF Rheumatic Heart Disease vs Infective Endocarditis
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Rheumatic Heart Disease thiab Infective Endocarditis
