It cause myocarditises to organize the thick liquid fungus disease of afterbirth? 's treatment

It cause myocarditises to organize the thick liquid fungus disease of afterbirth? 's treatment
The treatment of the viral myocarditis myocarditis is directed against two respects: Virus infection and myocarditis. Can be divided into the following three kinds according to myocarditis of cause of disease:
(1) Infective disease the intersection of myocarditis and pathogenic pathogen their that take place can set up grams of body, spirillum or parasite, for bacterium, virus, mould in the course of disease. The bacterial infection is regarded diphtheria as, become one of this diseases, most serious complications; Myocarditis is not rare at the time of typhoid fever; The cardiac muscle receives the damage of the toxin of bacterium at the time of the bacterial infection. Membrane inflammation or myocarditis can prolong in the bacterial heart and cardiac muscle, the companion sends myocarditis, pathogen take staphylococcus, streptococcus or pneumonia coccus as the core, meningitis the intersection of coccus and bacteremia, the intersection of suppuration and malicious the intersection of blood and disease,etc. can infringe cardiac muscle and cause inflammation while being accidental. It can cause myocarditis to many kinds of mould such as actinomycetes, white bead fungus, song fungus, organize the afterbirth thick liquid fungus, latent coccus etc., but rare. Protozoacide myocarditis is mainly seen at South America awl worm's disease and bent blue and green the Worker's Stadium disease. There can also be myocarditis to set up each body disease such as typhus. Myocarditis of leptospirosis rare in spirillum infect with, can take place in the cardiac muscle at the syphilis the intersection of gum and kind swollen. In recent years, the morbidity of the viral myocarditis increases notably, is paid close attention to, the intersection of our country and most common myocarditis, mould, parasite, it sets up grams of body or myocarditis that spirillum causes to be far more rare than virus and bacterial myocarditis at present.
(2) Irritation or due to allergy myocarditis know morbidity of rheumatic fever may most large with allergy at present right away, rheumatism myocarditis belongs to this kind.
(3) Chemistry, physics or myocarditis chemical or medicine such as emetine, three prices antimony, A due to the medicines are mould and plain, etc, or electrolyte equilibrate lack proper care lack potassium or potassium when being too much, can cause the myocardium damage, there are inflammation nature changes on pathology; The heart district excessively radiates, can also cause the similar inflammation change.
The pathogenesis is observed from animal's experiment, clinic, virology, pathology, find that there is the following two mechanism:
(1) Can be with myocarditis after the virus acts on the experiment and injects the virus into the blood circulation directly. With acute issue, 9 day within get up disease mainly, patient or can isolate the virus in the cardiac muscle of animal, the virus fluorogenic antibody inspection result is positive, or find the virus particle when the electric mirror is checked. The virus produces and dissolves the cell material behind infecting myocardium cells, make cells dissolve.
(2) Immunoreaction experimental to get up 9 day after the disease already can't with the intersection of human body and viral myocarditis any more find virus in the cardiac muscling, but myocarditis changes and still goes on; Some the intersection of patient and other symptom that virus is infect with and myocarditis display rather serious; Some the intersection of patient and symptom of myocarditis the side appear until virus infect with other the intersection of symptom and some time at the beginning still; May find the antigenic antibody compound the body in some patients' cardiac muscle. The above is briefed on the existence of the immune mechanism. Experimental medium and small the intersection of mouse and myocardium cell infect the intersection of small quantity and strange virus Sa Ke, measure toxicity prominent cell its; If add and use the same kind of immune spleen cells, then cell toxicity is strengthened; If deal with immune spleen cells by resisting antibody of spleen of chest and complement in advance, then cell toxicity is not strengthened; Deal with immune the intersection of spleen and cell with strange the intersection of B and antibody and complement Sa Ke in advance, cell toxicity increase then; The experiment proves viral myocarditis has cells to lie between the immune mechanism led and exist. Study, brief on cell toxicity to lie between, lead by the intersection of T and lymphocyte mainly still. On clinic, viral myocarditis delays the persons who do not heal, E garland, lymphocyte conversion ratio, alexinic C are lower than normal people, resist the nuclear antibody, resist the myocardium antibody, resist the complement higher than normal people's detection rate, the immune function bows while explaining viral myocarditis. Vigor and interferon of the natural killer cell have been normal when finding viral myocarditis recently, interferon of is normal, also reflect it is out of control that there is cell immunity. Little mouse's experimental myocarditis gives immune inhibitor and is infected with to make the condition become more serious to increase with mortality in early days after surrounding the spore mould plain A, give medicine to make mortality reduce after infecting for one week.
The above-mentioned materials brief on viral myocarditis to rely mainly on the fact that the virus act on directly in early days, take immunoreaction as the core later.
Pathology changes pathological change in the range to come in different sizes, can be for the filling the air or limitation. Develop as being acute or chronic with the course of disease. The naked eye of the more seriously one of pathological change sees the cardiac muscle relax very much, gray or yellow, the heart is expanded. Pathological change has not found more than the lighter while checking on the whole, find and depend on diagnosing only under the microscope to some extent, and it must be in a plurality of position section that pathology is checked, and then make pathological change avoid omitting. Under microscope, can find cells are soaked in the connective tissue with the intersection of blood vessel and four Taxi among the myocardium fiber, take monocyte as the core. Myocardium cells can be changing the sex, dissolve or necrosis. Pathological change if the district can amalgamate pericarditis, become viral pericardium myocarditis under the pericardium. Can last cardiac muscle pathological change and among quality,can also involve not getting up to the rooms form, prop up room room bunch and bunch at room forming, room after fighting and conducting system such as sinus that heart, become the morbidity foundation of arrhythmia. The stronger the virulence of the virus is, the wider the pathological change range is. In experimental myocarditis, can see myocardium base organized by fiber and substituted after cudgelling one's brain.
Symptom displays extensive intensity and position which depends on pathological change. The heavy one can be to die suddenly, several of the lighter, without the symptom. Always young can have illness coming on, but apter to have illness coming on with young people. The man exceeds women.
(1) Symptom of symptom myocarditis may present in the symptom period or convalescence having illness coming on originally. Such as appearing in the symptom period having illness coming on originally, it behaves and can be had illness coming on originally and concealed. Most patients have symptom of generating heat, aching all over, swallowing and aching, suffering from diarrhoea etc. before having illness coming on, reflect the whole body virus is infected, light but not prominent symptom that but some patients have illness coming on originally too, must question carefully and then paid attention to, but myocarditis symptom is more prominent. The myocarditis patient often tells secret anguish, palpitation, weak, sick, dizzy in the district before the heart uncomfortable in chest. In myocarditis diagnosed on clinic, about 90% see symptom for the main suit or for the first time with the arrhythmia, among them a few patients can faint therefrom or A - Sri Lankan's syndrome. A few patients get up after being ill fast growingly, it is in heart failure that appear or heart source shock.
(2) Heart of the lighter of cardiac dilatation of physical sign is not expanded, there is temporary enlargement the same, resume. Cardiac dilatation reflects notably myocarditis is extensive and serious.
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