Endocarditis vs Pericarditis
Lub plawv yog ib lub cev uas ua haujlwm zoo li ob lub twj tso kua mis ua ke. Nws muaj plaub chav. Ob lub atria qhib rau hauv ob lub ventricles. Sab laug yog sib cais los ntawm sab xis los ntawm inter-atrial thiab inter-ventricular septum. Lub plawv yog lined los ntawm ib txheej nyias ntawm cov hlwb thiab cov ntaub so ntswg sib txuas hu ua endocardium. Endocardium tsim cov li qub, cordea tendinea thiab cov txheej sab hauv uas yog nyob rau hauv kev sib cuag nrog cov ntshav. Cov leeg nqaij kuj tseem hu ua myocardium. Cov txheej txheem sab nraud yog pericardium. Lub pericardium muaj ob txheej. Cov txheej uas npog lub plawv adhered rau nws nruj nreem yog lub visceral pericardium. Cov txheej txheem ntawm lub hnab ntim fibrous pericardial yog lub parietal pericardium. Muaj qhov chaw muaj peev xwm uas muaj cov kua dej me me los ua kom lub plawv dhia. Kev mob ntawm cov khoom no nthuav tawm txawv, thiab tsab xov xwm no qhia txog qhov sib txawv ntawm endocarditis thiab pericarditis.
Endocarditis | Cov yam ntxwv kho mob, cov tsos mob thiab cov tsos mob, kev kuaj mob, kev kuaj mob, thiab kev kho mob
Endocarditis yog qhov mob ntawm txheej sab hauv ntawm lub plawv. Nws tuaj yeem yog vim muaj kab mob (mob endocarditis) thiab autoimmunity (Libmann Sacks endocarditis). Kab mob endocarditis tuaj yeem tshwm sim tom qab lub caj pas, kab mob ntawm daim tawv nqaij, thiab kev kho hniav. Qhov kev pheej hmoo siab yog tias tus neeg mob tau mob rheumatic kub taub hau thiab valve tsis zoo. Cov kab mob feem ntau yog lancefield pawg A beta hemolytic streptococcus. Hemophillus, actinobacillus, cardiobacterium, eichinella, thiab Kingella yog lwm yam kab mob uas paub txog kab mob.
Endocarditis tshwm sim nrog kub taub hau qis, mob hauv siab, thiab palpitations. Ntawm kev kuaj mob, kub taub hau, pallor, ntiv tes qws, tawg hemorrhages, Janeway lesions, Oslers nodes, thiab lub plawv yws yws tshiab. Ntshav kab lis kev cai yuav tsum tau coj mus rau peb qhov chaw, ntawm peb lub sijhawm sib txawv ntawm peb qhov kub taub hau. ESR, CRP, FBC, echocardiogram, X-ray hauv siab thiab ECG yog lwm yam kev tshawb nrhiav tsim nyog. Duke cov txheej txheem yog cov cuab yeej kuaj mob tam sim no siv los kuaj mob endocarditis. Muaj ob txoj hauv kev loj thiab tsib yam me me. Txhawm rau kuaj xyuas cov kab mob endocarditis, ob lub ntsiab lus tseem ceeb lossis ib qho tseem ceeb thiab ob yam me me yuav tsum ua kom tiav. Cov txheej txheem tseem ceeb yog kab lis kev cai ntshav zoo (cov kab mob ib txwm muaj nyob rau hauv ob kab lis kev cai ntawm cov ntshav sib txawv, cov kab lis kev cai ntawm cov ntshav zoo tsis tu ncua) thiab qhov txawv txav ntawm lub valve tseem ceeb (tshiab pom valvular regurgitation, calcification lossis cov nroj tsuag ntawm cov nplooj ntawv valve). Cov txheej txheem me me yog cov kab lis kev cai ntshav uas tsis poob rau hauv cov qauv tseem ceeb, cov kab mob valve uas tsis poob rau hauv cov qauv tseem ceeb, ua npaws, cov cim tiv thaiv kab mob, thiab tsa ESR / CRP.
Cov teeb meem ntawm cov kab mob endocarditis yog septic embolization, plawv tsis ua hauj lwm, arrhythmias, thiab septicemia. Tshuaj tua kab mob yog lub hauv paus ntawm kev kho mob.
Pericarditis | Cov yam ntxwv kho mob, cov tsos mob thiab cov tsos mob, kev kuaj mob, kev kuaj mob, thiab kev kho mob
Pericarditis yog qhov mob ntawm sab nraud ntawm lub plawv. Pericarditis tej zaum yuav yog vim muaj kab mob, malignant infiltration, thiab lub plawv tsis ua hauj lwm. Tus neeg mob muaj qhov mob hauv nruab nrab ntawm lub hauv siab, uas yog khoov los ntawm kev khoov rau pem hauv ntej. Tej zaum yuav muaj siab jugular venous siab, tsis tshua muaj mem tes ntim, muffled lub plawv suab. ECG tuaj yeem pom lub eeb zoo li ST ntu nce siab thiab qis amplitude R nthwv dej. Echocardiogram tuaj yeem pom cov kua dej hauv qhov chaw pericardial.
tshuaj tiv thaiv kab mob, tshuaj tua kab mob, thiab pericardiocentesis zoo nyob ntawm qhov ua rau. Cov teeb meem muaj xws li arrhythmias, plawv tsis ua hauj lwm thiab pericardial effusion.
Qhov txawv ntawm Endocarditis thiab Pericarditis yog dab tsi?
• Endocarditis yog qhov mob ntawm sab hauv ntawm lub plawv thaum pericarditis yog mob ntawm sab nrauv ntawm lub plawv.
• Endocarditis feem ntau tshwm sim nrog palpitation, kub taub hau ntawm lub hauv paus tsis paub, thiab mob hauv siab. Pericarditis tshwm sim nrog mob hauv siab uas txo qis nrog khoov rau pem hauv ntej.
• Pericarditis tuaj yeem tshwm sim hauv malignancies thaum nws tsis tshua muaj rau endocarditis tshwm sim vim malignant infiltration.
• Endocarditis yuav tsis pom qhov hloov pauv ECG thaum pericarditis ua rau muaj kev hloov pauv ECG.
• Cov txheej txheem kho hniav, kab mob ntawm daim tawv nqaij, thiab lwm yam septic foci tuaj yeem kis tau cov kab mob plawv tsis zoo li qub tau yooj yim.
