'O ka ma'i wela

Ua wehewehe'ia ka pa'i e nā mea lapa'au e like me ka hopena palekana. Pēlā, e pane ana ke kino i nā hopena o nā ma'i pathogenic (pilikia, pathogenic). 'O kēia mau mea he mau huamēmē, mau ma'i, nā pā'ani li'ili'i a me nā mea'ē a'e). 'O ka hō'ike nui o ka wela,'o ia ka ho'oula hou'ana i ka wela. 'O ka hopena, ua mālama'ia nā pae ki'eki'e o ka mea wela a me ka mahana wela o ke kino.

'O ka ma'i wela nui ka ma'i ma'amau. Kēia pathology He hoʻoʻino a e loli ai i ka connective'aʻaʻa. Huʻi rheumatic wela ana e hoʻomōhala ana i loko o kanaka me ka aaiaoe predisposition no ka mea, ma hope o nā eha paha pule ma hope o ka hoolilo ana o kekahi streptococcal maʻiʻaʻai (pinepine he nui puu). 'O ka mea nāna i hana i kēia hihia,'o ia ka microorganic beta-hemolytic o ka hui A.

Huʻi rheumatic kuni, a me ka maʻi rheumatic naau maʻi hui ma lalo o ka hoʻomaopopo like kau "rumatika".

'O ke'ano o ka predisposition genetic e hō'ike maopopo'ia ana e ka nui o ka pilikino i loko o kēlā me kēia'ohana.

Ke ulu nei ke kuni wela i ka mana o kekahi mau hana. Hiki paha i kekahi o nā waiwai ke hō'ino i nā mea'awa'awa o ka myocardium. Pathogenic 'ole ana ka hoopakele ana cardiotropic nā'ūhū streptococcus (Hoʻokolohua-hemolytic) A pae. Eia nō na'e, ke hā'awi'ia kekahi kuleana kūikawā i ka ho'omohala'ana i nā pane hana kūlohelohe a me ke kamepiula.

Hā'awi'ia ka Rheumatism i'ehā mau hanana o ka papahana hana pilikino e pili ana i nā mea pili:

1. Ho'oulu wai.

2.'O nā loli o ka Fibrinoid he pae o ka ho'okomo'ole'ana i loko o ka pilina pili o kahi'ano hiki'ole ke ho'ololi.

3. Ho'opa'i ho'onui. E like me ka hopena o ka hoʻonuiʻana (neoplasm) aeee a me 'aʻaʻa necrosis hana Aschoff ka kino. Aia i loko o lākou nā'eneke ha'awina basophilic nui, kūpono'ole i ke'ano. 'O nā granulomas kekahi pūpū me ka lymphoid, a me nā pūhui nui multinucleated me ka cyosophilic cytoplasm o ka myocyte hānau. Aia lākou, ma ke'ano he rula, ma ka endocardium, myocardium, ke'ano o ka pilina pili o ka na'au.

4. Sclerosis.

'O ke'ano o ka papa hana pilikino he pilina pili loa me nā makahiki o nā ma'i. Huʻi rheumatic wela i loko o nā keiki hou ma mua o ka hapalua o na hihia hoʻomōhala hope elua i ekolu pule ma hope e loaa ana i ka nui puu. Hiki ke ho'onui'ia ka mahana o ke kino, ka ulu'ana o ka'eha (likeymmetric) i loko o nā hui nui ('o ia ho'i ka wāwae), a me nā hō'ailona o ka carditis (dyspnea, ka'eha makehewa i loko o ka pahu, palpitation, a pēlā aku). I kekahi mau ma'i'ē a'e e mālama'ia ka monosymptomatic. Ma kēia'ano, he nui nā hō'ailona o ka carditis a me nā'āngō.

No nā po'e'ōpio a me nā ma'i i ka wā'ōpiopio i ke'ano (ma hope o ka ho'okahuli'ana i nā hō'ike hō'ailona o angina) i ka ho'omaka'ana o ka hō'ailona - me ka hō'ailona o nā hono nui, ka mahanahana subfebrile a me nā hō'ailona carditis. Ho'opiho hou'ia (ka hana hou) o ka ma'i wela i ka mea kokoke i nā hihia a pau e pili ana i kahi ma'i pipili (streptococcal) a ua hō'ike'ia e ka ulu'ana o ka ma'i diabetics.

'Oiai,'o ka kumu o ke kuni ke ho'omaopopo'ia i ke'ano o ke'ano o nā hō'ailona o kahi ma'i a ho'okahi paha. I nā kumu he nui, ua palekana ke'ano i kona iho. Eia na'e,'o ka ma'i nui loa o ka ma'i āpau e pili ana i ke kau'ana o ke kauka me ka nānā'ana i ka mea ma'i ('o ia paha ma ke keiki). E nānā i kēlā me kēia hihia i ka manawa e ho'omaopopo i kahi hō'ailona o kahi ma'i nui a i'ole ka ulu'ana o kahi mea ho'oweliweli.