12 August

Non-rheumatic carditis - in children , treatment

cardio cardio - inflammation of the heart membranes of various localization and etiology.The disease can affect the epicardium, endocardium, myocardium, as well as the so-called pericardium - the pericardium.Currently, the general term "Card", as the disease can simultaneously hit several heart membranes.

Cardio: etiology and pathogenesis of the disease

leading role in the development of carditis belongs to infectious agents (viral carditis provoked Coxsackie enterovirus, herpes simplex virus, ECHO, cytomegalovirus, rubella, poliomyelitis, adenovirus).Also causes of carditis are bacterial, parasitic, fungal infections, allergic reactions.There are carditis idiopathic nature with unidentified causes of the inflammatory process.

pathogenesis of carditis is considered as follows: the pathogen goes directly into the tissue of the heart (endocardium, myocardium, epicardium and pericardium - the pericardium), penetrating into myocytes (a special type of cell that forms the basis of muscle tissue), where

it is replicated, namely, reproductionagents primarily due to the protein structures of the cell, which significantly disrupts the functioning of the host cell.In response to the infection of increased interferon production in the body, which prevents further damage to the heart tissue.Prolonged reaction to the introduction of the pathogen in the tissues of the heart is extremely rare.In such cases, it is a latent, persistent infestations.Typically, the agent is blocked and is eliminated in the near future.During the rehabilitation period in the affected tissues is observed active synthesis of collagen, which is sealed and transformed into fibrous tissue replaces the necrotic foci.

non-rheumatic carditis: classification, differentiation

non-rheumatic carditis - inflammation of the membranes of the heart caused by a variety of factors, with the exception of rheumatic fever and other systemic diseases.

Rheumatism - a systemic inflammatory process with the main focus of localization in the lining of the heart.Rheumatic heart disease - the main manifestation of rheumatic process in the body.

Non-rheumatic carditis diagnosed in patients of all age groups and gender.However, most carditis diagnosed at an early age.Boys are at greater risk for developing carditis.

In modern medical practice provides for the classification of non-rheumatic carditis over the period of occurrence, the pathogen type, severity and nature of the course, outcome.

In the period of occurrence of congenital and acquired distinguish carditis.Congenital carditis are the result of the mother transferred viral or bacterial infection.Early congenital carditis are the result of this illness by 4-7 weeks of pregnancy.Late congenital carditis develops as a result of infections during the third trimester of pregnancy.Acquired cardites the child are extremely rare and are the result of undergoing an acute infection (sepsis, influenza, pneumonia).

By type of flow cardites distinguished:

  • sharp - duration of the inflammatory process up to 3 months;
  • Subacute - carditis duration of 18 months;
  • Chronic - lasting more than 18 months.

the diagnosis of carditis in children must be differentiated with mitral stenosis, congenital heart disease, neoplastic processes in the heart, rheumatism, arrhythmias extracardiac origin.

cardio children: risks and complications

Exodus carditis in children depends on many factors, among which are genetic predisposition, overall health, the child's age at onset, immune status, timeliness and effectiveness of selected treatment.

carditis possible outcomes are:

  • Full recovery, which can be seen after 12-18 months from the onset of the disease.In chronic and subacute carditis a full recovery, usually does not occur;
  • Arrhythmia - a complication of carditis in children, characterized by persistent cardiac arrhythmias.Often, this complication is the cause of death in children with chronic forms of carditis;
  • Cardiosclerosis and myocardial hypertrophy - when such complications carditis in children characterized by a severe, often fatal;
  • Pulmonary hypertension - to change the pool of vessels of the pulmonary artery persistent character that worsens the prognosis of the disease.

cardio: the symptoms of different types of

When carditis symptoms will depend on the etiology of the disease, the time of its appearance and shape.

When acquired acute and subacute carditis symptoms initially may have noncardiac character (not due to cardiac dysfunction), which include:

  • Decreased appetite;
  • Lethargy, fatigue, irritability;
  • Nausea, vomiting.

Symptomatic complex carditis may be supplemented by signs of infection that caused the disease: skin redness and rash, orchitis, myalgia.During the development of disease carditis symptoms are supplemented by signs of heart failure (shortness of breath, tachycardia, arrhythmia).Children at an early age appears anxiety, cough.Pain in the heart, of which the child still can not tell, is determined by the child's reaction to his body movements (child reflexively avoid sudden movements, crying during movement), as well as shallow breathing (the movement of the chest during inspiration causes painful sensations that provokeschild significantly limit the depth of inhalation).In chronic carditis symptoms may not appear for a long time.The clinical picture is complemented by a suffocating cough, is amplified in a prone position, cyanosis purple cheeks, lips, palms and nails.

Cardio: treatment

disease carditis When treatment requires an integrated approach.His tactics will depend on the causes of carditis, disease duration, character and severity of carditis.In acute carditis treatment should be carried out in a hospital environment.When remissions carditis treated on an outpatient basis.The main medication drugs used in the treatment of carditis are cardiac glycosides, diuretics, hormones.When acute course of carditis patients shows a strict bed rest, restriction of fluids you drink (it should be less than the number of urine), a complete diet with restriction of salt and increase in the share of products containing potassium (potatoes, raisins, dried apricots).

physiotherapy is used often in periods of remission, on the contrary, exercise contraindicated (recommended exemption from physical education in school an extra day).

After suffering carditis preventive vaccination is contraindicated in the first 3 - 5 years.With early diagnosis and proper treatment tactics carditis favorable prognosis.

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