Osteomyelitis wengane: izimbangela, izimpawu, ukwelashwa

Osteomyelitis - yisifo esibangwa igciwane. Kubonakaliswa ifomu ukuvuvukala. Ngokuvamile abathintekayo kukhona emlenzeni ephansi, hip, ehlombe amathambo, amathambo kanye imihlathi amalunga. Osteomyelitis - inqubo necrotic esakheka umnkantsha futhi ezizungezile kwezicubu ezithambile. Ngokuvamile, bonke isifo kwenzeka kwabesilisa (izikhathi 2 kaningi ngaphezu amantombazane) ngenxa ukuhamba okusezingeni eliphezulu, izimpi, ukulimala, uwela.

Kungani izingane osteomyelitis kubhekisela esenzakalweni esiyisimangaliso izifo eziyingozi kakhulu?

Osteomyelitis ezinganeni (isithombe ukubonakaliswa kwangaphandle isifo kungabonakala kulesi sihloko) libhekisela izifo eziyingozi. Lesi sifo umnkantsha. Ukutheleleka ibheka ngokuqondile amathambo kubukeka cishe ingekho. Ngakho-ke, ukuxilonga izifo izingane ngendlela efanele usaqala kunzima, ngoba azikwazi awuchaza ngokunembile izimpawu futhi emizweni. Uma osteomyelitis acute ezinganeni zingelashwa, deformity wengane lwamathambo kungenzeka. Lesi sifo kungaba imbangela ukukhubazeka kanye nemiphumela enqala.

izinhlobo osteomyelitis

Osteomyelitis ihlukaniswe izinhlobo ezimbili. Okokuqala - ethize. Lesi isifo yesibili ukuthi kubangelwa amagciwane silandela isifo sofuba, ugcunsula noma brucellosis. Kodwa ezinganeni ezingavamile. Eyesibili ifomu - non-ethize. It kuvela kusukela cocci ubovu bese amagciwane.

izinhlobo

Osteomyelitis, ingane ingase ibe ngezinhlobo eziningi:

• Hematogenous. Wavusa nge amagciwane ukuthi ukungena ithambo izicubu nge egazini. Found amafomu oyingozi futhi ezingalapheki. Okwesibili - nengivuvuke ihlala izinyanga ezingaphezu kuka ezine. Ifomu ezingamahlalakhona sehlukaniswe zenyathi ezimbili. osteomyelitis Primary, lapho kungekho zimpawu ezicacile. Futhi yesibili - ngenxa ifomu acute hematogenous.
• Negematogenny (kungenjalo - exogenous noma kuhlasimulise). It kuvela ngenxa yokulimala, waphuka, okudutshulwa, ukuvuvukala ithambo izicubu.
• Odontogenic. Lena ukuvuvukala ithambo emhlathini. Lesi sifo kwenzeka ngenxa izifo kwamazinyo. Izingane emhlathini izicubu ebuswa imithambo yegazi njalo. Ngakho-ke, ukuvuvukala zibhebhetheka ngesivinini esikhulu. Kodwa izicubu yokutakula emva kokwelashwa akuyona ngaphansi okusheshayo. Lolu hlobo osteomyelitis kwenzeka ikakhulukazi izingane eziphakathi kweminyaka emithathu nambili.
• Pin. Kuyinto uhlobo osteomyelitis exogenous. Kwenzeka lapho ubovu ukuvuvukala eya bone izicubu ezithambile ezisizungezile ke.

Izimbangela osteomyelitis

Ziyini izimbangela eziyinhloko zalokhu of osteomyelitis ezinganeni - igciwane purulent nokulimala. isifo ngokuvamile kubangela:

• abezindaba otitis;
• imihuzuko;
• pyelonephritis;
• impetigo;
• ukusha;
• Ngokuvamile abantu baphuka izinqulu,
• amanxeba.

Ngo eziningi Amagciwane common Staphylococcus aureus. Sitholakala osteomyelitis e amaphesenti amacala ayisishiyagalombili. Ngo amanye amaphesenti angu amabili eziguli kutholakala ukuthi uphethwe yini izinti ehlukahlukene (Pfeiffer, E.), salmonella futhi streptococcus. Acute osteomyelitis odontogenic iqala ngenxa namazinyo ehlaselwe caries. Yini eyayibangele lokho - pathogenic flora webhaktheriya, elisetendeni uginindela periodontal.

Osteomyelitis ezinganeni: izimpawu

Izimpawu eyinhloko osteomyelitis:

• Ukugodola;
• sokuqaqamba kwamalunga esitho;
• ukuvuvukala kanye ububomvu isayithi wamanxeba;
• ngobuthakathaka ukucobeka;
• ishayela okusheshayo;
• okwandisa ithambo ubuhlungu;
• leukocytosis okusezingeni eliphezulu, leukopenia futhi omuhle igazi isiko;
• izinguquko radiographic ekuqaleni abakwazi ukubona, zivela kamuva.

Izimpawu osteomyelitis incike Endaweni ethintekile amathambo yobudala kwengane. Newborn - evilaphayo, abakaze, zihlupheka ngenxa yokuntuleka esesuthi, babe ngomkhuhlane omkhulu. Ngezinye izikhathi kukhona ihlanze noma ikhishwe yisisu.

Uma ubuka lembuzi, khona-ke ungakwazi ukubona indlela ingane uyabakhathalela umlenze (asisebenzi izifundo zakhe futhi uzama ukunganyakazi). Indawo ethintekayo ezinye zingase zibe bomvu, ngezinye izikhathi avele edema. Ezinsukwini ezimbalwa kamuva zikhula. Uma isikhathi kungaqali ukwelashwa, ke ukuqala kabusha ubovu Ukudlulela.

Izingane ezindadlana uhlangabezana izimpawu ezifanayo, kodwa evelele. Ukuvuvukala eba eside, futhi ububomvu nokuvuvukala kungabonwa kuphela ngesonto lapho kuqala lesi sifo.

Lapho osteomyelitis odontogenic ka imiselekazi impande kanye gum kulandela ubomvu. Amazinyo ukuthi sekuseduze ukuba abagulayo - mobile kakhulu. siqala:

• ukuvuvukala ebusweni;
• isikhumba kanye mucosal Blanch;
• umkhuhlane;
• kukhona imfiva kanye ubuthakathaka jikelele;
• izingane zingase zibhekane nesimo sokuquleka;
• ukuhlanza;
• ukuqunjelwa.

Lokhu kungenxa ukudakwa eqinile. osteomyelitis Primary njalo ingane ububonisa izimpawu nivame. Kukhona indawo ngeminjunju amancane, kodwa abanayo kwasendaweni eqondile.

Lapho zamabanga ezingamahlalakhona ukuthethelelwa futhi exacerbation elinye (ngezinye izikhathi eminyakeni). Esimweni sokuqala, ingane akanayo izikhalazo e ekuqaleni yesibili ka ubuhlungu palpation nomkhuhlane. Ingavula fistulas kuvuze ubomvu. Kuleli fomu lesi sifo sithinta isibindi, inhliziyo nezinso.

ukuhlola

Sitholakele isifo luyindida, njengoba osteomyelitis hematogenous ezinganeni kungenziwa kudidaniswe imfiva ye-rheumatism, ubovu sokuqaqamba kwamalunga noma Sarcoma Ewing sika, izimpawu ezifanayo. Ngezinye izikhathi kukhona izinsolo igciwane abulalayo lapho kuqubuka.

zokwelapha

Ukwelashwa nokuvikelwa osteomyelitis ezinganeni Kwenziwa izindlela ezithinta izilokazane ezincane imbangela isifo ngqo ithambo abathintekayo:

• immunotherapy;
• iqondiswa phansi kwesikhumba antifagin staphylococcal, toxoid, umgomo, futhi ukulahlekelwa bacteriophage ngenxa yokusabela i allergen;
• vitamin;
• Imithi elwa namagciwane ikhishwa;
• aqede ingcindezi umnkantsha kanye nezimpande zaso, nezitsha;
• zisuswe zokwakheka sokugembula okuyinto cindezela nezinzwa;
• endaweni ethintekile kulotshwe;
• ngacula ukuhlinzwa nge asike izidumbu zabantu we periosteum, nokuxebuka wengxenye avuvukele wethambo;
• abakhwabanisi efakwe sokukhipha ubomvu.

ukwelashwa

Osteomyelitis wengane iqala ukwelashwa ngemithi elwa namagciwane. Zibalulekile kusaqalwa lesi sifo ukumisa ukuvuvukala. Ngokuyinhloko ebekiwe izidakamizwa equkethe i-penicillin. Inkambo yokwelashwa - kusuka elilodwa kuya ezinyangeni ezintathu. Parallel ukuba linqume izidakamizwa kusukela imvubelo kusukela ngenxa nemithi siyabhubha microflora lomzimba kungabangela isifo.

Ngezinye izikhathi ukuhlinzwa kuyadingeka. Udokotela kuvula ithumba, izona imigudu ubomvu. Phakathi imisebenzi ka izinzwa wendawo. Lapho odontogenic ukwelashwa osteomyelitis eyinhloko - ukuhlinzwa. Phakathi izinyo lakhe ezidabukile isuswe, wavula abscesses nkinga amanxeba. Aqokwe:

• ukwelashwa dezintoktsionnaya;
• amalungiselelo equkethe calcium;
• antihistamine;
• imithi elwa namagciwane;
• Vitamin izakhiwo;
• immunomodulators nonspecific;
• Ukudla (yobisi ukudla isitshalo futhi amanzi amaningi).

Osteomyelitis wengane siqhubeke aphathwe nangemva esibhedlela. ukubhucungwa Ambulatory futhi Physiotherapy. nokuvuselelwa Ikhishwa izindawo kuthinteka futhi balneotherapy. Inpatient ukwelashwa ingane njalo kabili ngonyaka. Kule nkathi desensitizing, laser, kazibuthe, Vitamin yokwelapha. Immunomodulators esetshenziswa. Aqokwe electrophoresis nemithi elwa namagciwane. Njalo ngemva kwezinyanga eziyisithupha, kuba-X ray, bese ukulawula kanye ngonyaka iminyaka emithathu. Ingane ingase ithunyelwe ukwelashwa spa.

zokuvimbela

Ukuvimbela ukuthuthukiswa kwalesi sifo, udinga:

• sebenzisa sihlale siphapheme efanele futhi ubuthongo;
• silondoloze enempilo;
• ungakhathazeki;
• ukudla ngendlela efanele;
• ukuqinisa amasosha omzimba;
• ibhekane njalo wezokwelapha isheke-up.

Lapho zonke izinhlobo zokugula kumele uxhumane umtholampilo hhayi self-medicate. amaphesenti ayisishiyagalombili zonke izifo ingelapheka ngendlela efanele usaqala, into esemqoka - lokwenza ukuxilongwa ngesikhathi.