Periostitis ka umhlathi ongezansi: Izimbangela, Ihlahlubo, Izimpawu kanye Ukwelashwa

Ukuvuvukala ku periosteum has ukuhlolwa ngokwelashwa of ithumba ka umhlathi ongezansi. Ikhodi ye-ICD-10 K10.22 asihlobene futhi K10.23. Esimweni sokuqala yisishiso kuyinto ifomu sokuqala inombolo yesibili ibonisa ifomu njalo lesi sifo.

ICD 10 periostitis ka umhlathi ongezansi ihlukaniswe subgroups ezimbili, kodwa ifomu esiwusizo sokuba nezinto eziqondile ukuvuvukala babe izimo ezingcono kakhulu. Ngakho, ukwaba subclasses ngokuvumelana umthombo isimila, komqondo nezinga lokukhula kwengane, uhlobo izinkinga.

ukuthuthukiswa ithumba INGEMUVA

I ngalo ingaphakathi ngomlomo njalo kokuzwa imiphumela nezilwanyana ezincane eziyingozi. Ngaphambili they zuza khona ngenxa yezizathu ezilandelayo:

• ngokudla akwenele noma kabi kusetshenzwe;
• ngokusebenzisa izandla, kaningi kwenzeka abantwana;
• indlela yangaphakathi ngesikhathi yisihlungu noma awe izinyo emva kokukhipha kulo.

Ngokuvamile ukuvuvukala uya endaweni esihlathini, noma kwezinye izicubu cranial. Thina ukumela ithumba evamile umhlathi ongezansi, isithombe sibonisa lesion ezinkulu. Igama lichaza indlela yesifo ekwandeni amaseli enempilo ukutheleleka - ecucuza kubonisa avuzayo.

Periostitis mandible lingaphansi kuyingozi ukwedlula phezulu. Nokho, ningakwenqabi usizo lwezokwelapha lapho ukuthuthukiswa izimpawu eziyinhloko. Flux uyakwazi zanda ngokushesha ku izicubu zangaphakathi izinsini kubangele izihlathi edema. Ngaphezu kwalokho, inqubo isimila kumiswa periosteum zandise indlela asymptomatic.

Jwayelekile kwamazinyo kuholela yezinkinga ezinzima kakhulu. ukugeleza Amagcikwane medium wonke umzimba, okubangela ukuvuvukala ipheshana zokuphefumula, emaphashini, ze- bronchi. Heavy izimo ezithuthukisiwe lesi sifo kuholele izinguquko sokugembula emzimbeni. Ngakho indawo ukucasha ku koqweqwe lwawo kuyinkinga nodokotela ohlinzayo.

Izigaba kokuqala yokucucuza kungagwenywa ukuvakashelwa gqwa ukuze udokotela wamazinyo, kodwa abantu abaningi sidebeselele nokuvimbela periodontitis.

Izindlela eziyinhloko nesenzakalo

Ukuthuthukiswa isimila periosteum nomthelela izici ezimbili:

• Ukungena amagciwane ku izingqimba isilonda kwezicubu lapho kwakhiwa ngokuvamile emva ukukhishwa izinyo;
• ubovu izinqubo noma yangaphakathi izinyo izimpande ukusakaza ukutheleleka.

Penetration ngokusebenzisa mucosa enempilo kuyaqabukela konke okusemandleni kodwa uma izivikeli mzimba zibuthaka, amabhaktheriya ngokushesha agcinwayo phezu mucosa. Ukungabi bikho kwenhlanzeko yamazinyo ikhuthaza ukukhula nezilwanyana ezincane ezingabonakali umlomo. Lapho kuqala yangaphakathi izicubu isilonda ukutheleleka kwenzeka ngokuphazima kweso.

ukutheleleka Yangaphakathi avame ukubonakala ezinganeni ezincane, lapho umzimba iba buthakathaka ngokucacile ngokuhlaselwa okwakuhlelwe izifo ezingaziwa. Njengoba bekhula, izivikeli mzimba buyaqina hhayi zonke bacterium bakwazi ukunqoba embundwini nokuvikeleka. Nokho, umuntu konakalisa ngamabomu impilo yabo, nakuba ngingazazi izinto nemiphumela zini ezazimlindele. Ungakhetha trigger:

• utshwala nokubhema eziphula isimo mucosa, okuholela ome umlomo, okuyinto kusiza Ukungena izinhlobo ezihlukahlukene zezindwangu ezingaba izifo;
• kungekho wokuhlanza amazinyo ngemva kokudla, ngesikhathi sokulala ekuseni;
• ukungondleki kahle futhi ngendlela engaguquki wokuphila;
• izifo yangaphakathi ezingamahlalakhona;
• ezinye izifo, ezifana herpes simplex uhlobo zihlanganisa, ngezikhathi lapho emlonyeni avele Bubbles amagciwane.

Futhi, ukwehla emzimbeni ithoni ikhuthaza ukukhula ngokushesha kwamagciwane. Kwakheka ubovu ithumba ka umhlathi ongezansi, uyakwazi ekuthumbeni izingxenye ezinkulu zendawo ebusweni.

Izimbangela izimo acute

Hlukanisa isici main ekuthuthukiseni ekucucuzeni - ukungabi khona ukubhujiswa esifike amagciwane ukuzalela on the amazinyo. Abantu inhlanzeko umlomo, ujabulela isimo futhi owayejwayele ukuvakashela udokotela wamazinyo, ungalokothi ukuthola periostitis we mandible. Izimpawu ekucucuzeni njalo nemiphumela ebuhlungu, kungcono ukuvimbela kuka ukubhekana ne yahlasela microorganism elimazayo.

I confluence izimo uhlaselwe ukukhula ngendathane amagciwane. Impendulo somzimba sokuzivikela kunomthelela ukugeleza fluid isayithi ukuvuvukala, ukudala bese kuba khona ukuvuvukala okukhulu kwezicubu. yezinkinga ezinjalo zingenzeka bedle yezizathu ezilandelayo:

• Ukuvuvukala nezicubu eziseduze ngenxa yesenzo amazinyo iqala periodontitis.
• Provocateur angasebenza sofuba.
• imbangela ezithathelwanayo kwenzeka ngaphansi eqinile ukunciphisa umzimba ozivikela ngayo.
• Ukulimala emhlathini, kulandele displacement we amathambo emhlathini.
• ukuvuvukala Allergic of izinsini.
• Ubuthi amakhemikhali.

izinhlobo akhona

Yokucucuza ehlukaniswa uhlobo ukuvuvukala, ukuma isimila, ngesikhathi kumiswa. Lolu lwazi luyadingeka ukuze ukhethe impatho efanele. Nazi uthi kungenzeka lesi sifo:

• Periostitis mandible izophela ukwakha ubomvu. Lezi Amafomu izimila esikhulu kakhulu ukuthi baphendukezele ukubukeka ebusweni. amafomu olunamandla zenzeka ezimeni kanzima immunocompromised ngesikhathi izigaba sokuqala ukuthuthukiswa ukuvuvukala virus.
• Ifomu ezingamahlalakhona lesi sifo eba isikhathi eside kungekho zimpawu zokugula. Kodwa ngaphansi kwezimo ezikahle, kukhona ukukhula webhaktheriya asebenzayo. Ukuvuvukala izinsini inyuka, esakaza ezicutshini ezizungezile. Lolu hlobo periodontitis kungathatha indawo noma nge ubomvu, futhi ngaphandle kwalo.
• Ukwabela uhlobo ukuthuthukiswa elula aseptic: kukhona ukubola kwezicubu ngaphandle ukwakheka izimpawu ukuvuvukala. Kulesi hlobo igazi zingavela zokuzikhukhumeza, ubuhlungu obuphatheka ngesandla.
• Ifomu ezingamahlalakhona uvame ukubizwa ngokuthi periostitis ossificans. Ngaphansi le ndlela, kukhona ukuthuthukiswa isimila ku umhlathi. Thola ushintsho kwesakhiwo kungaba kwenziwe nge-X-ray luhlolo. Esithombeni kuzobonakala spikes ukuqina.
• Uhlobo oluthile ukuvuvukala acute kuyinto periostitis serous we mandible. kwakhiwa Lesi sifo ngaphansi kwethonya periodontitis. Izimpawu ziyefana imfiva, ubuhlungu ngesikhathi ukuhlafuna ukudla, nokuvuvukala ihlule. Izinyo ku izinsini onesifo ngokuvamile isusiwe.
• Ushingamu Ushintshe kungathatha ifomu izicubu fibrous. Inqubo ukuvuvukala kuhileleke njengoba izinyo uqobo bese ithambo emhlathini. Lezi zinguquko zenzeka ngenxa okuphindaphindiwe umthelela mechanical ku ingxenye periosteum.

izici

On palpation ngokuvamile kungatholakala kuphela periostitis ngokujulile mandible. Izimpawu ukuvuvukala ezingamahlalakhona esachazwa uthi ezilandelayo:

• Ukuwohloka nempilo jikelele ngesikhathi imvelo ezifihliwe lesi sifo. Ngokuvamile, kuthatha indawo njengoba izinga lokushisa likhuphuka ngenhla 37 degrees.
• Ezinganeni, kukhulile okhalayo, ubuthongo ukubuyisa. Ngokuvamile, baze akudle, ufuna ukuhlafuna.
• Palpation kungathola ukuqina gingival kwezicubu okuyinto aphendule soreness lapho wathinta. Futhi, kukhona ukuvuvukala kancane izihlathi.
• Izimpawu zimbi ngesikhathi nokwehlisa amasosha omzimba. yezinkinga Cold noma sibi-zokuphefumula ngokushesha ubuhlungu ezinsinini.
• Acute periostitis mandible njalo kunengozi wonke umzimba. Kuleli qophelo kukhona ukuvuvukala okusheshayo izihlathi noma entanyeni ndawo. izicubu Tumescent kubonakala ku izinsini. Ubuhlungu embundwini iba ukubekezelelana ephakeme.
• Ubovu osenyameni evela izinsini abonisa isikhundla kunzima kakhulu isiguli. Lolu hlobo kuphela selashwe ukuhlinzwa kungadinga ohlinzayo plastic. isimo esinjalo kwenzeka uma ithumba isungule mandibular retromolar. kuphakama izinkinga lapho kunzima iqhuma molars.

Zonke esiteji acute lesi sifo ahambisana lakhulisiwe zamanzi.

Izici ezilihlukanisayo ukuvuvukala acute

Noma yimuphi acute ubovu periostitis we mandible kwenzeka nge izimpawu ebonakalayo. Uba ngenxa yobunzima kusukela isifo avuvukele periodontal. Lesi simo libhekene zimpawu ezilandelayo: ukuvuvukala okunzima izihlathi kanye izinsini, ubuhlungu ngesikhathi nut. ukwehla emakiwe e inhlalakahle. Ubuso ukuma ngokuvamile Ushintshe, kodwa umbala kwesikhumba ayiguquki.

Njalo uphawu ukuvuvukala kuba uqweqwe izindlala zamanzi endaweni okwenziwe periodontitis. Isinyathelo Running wachaza izimo Irreplaceable ngoba izimpande izinyo abathintekayo. It has zisuswe ngesikhatsi ukwelashwa. Kodwa ngokuvamile, endaweni ethintekile ziphathwe izixazululo elwa namagciwane.

namazinyo Multiroot akuzona amenable zokwelashwa kwamazinyo. Uma kungukuthi isuswe ke lymphadenitis kungenzeka nge ukuqhubeka ukuvuvukala. Through the Amapayipi kohlelo lymph imvelo webhaktheriya ke ayohlakazeka wonke umzimba, okuholela Ukuwohloka impilo.

Izici ezilihlukanisayo ukuvuvukala okungamahlalakhona

Inkinga caries zamazinyo ngokuvamile ahlale ziyasibona ngenxa yokungabi nesikhathi esanele, izinsiza noma umane ukungabi khona emtholampilo oseduze. Ukunganakwa zomzimba wakho kuholela ukuvuvukala virus. periostitis Okungalapheki we mandible eba nezimpawu, ke kungatholakala kuphela ehhovisi kwamazinyo.

Relapsing ifomu kwenzeka uma isimo ukuthi bekulokhu ngaphambilini ithumba ne ukusika ithumba. Ngenxa yalokho yokwelashwa noma ukungabi nayo ibizwa kabusha nentuthuko ka-imvelo virus. Ngakho, kwakheka umhlathi ongezansi is periostitis ngemva isizinda, uma ingaphakathi akuyona bahlanza kahle.

Uhlelo lokubhalwa kohlelo yisishiso periosteum

Izigaba sokuqala ekuthuthukiseni lesi sifo yilabo imperceptible ukuba abantu. ukuthuthukiswa Slow ukuvuvukala ivumela amagciwane ukuze uthole isizinda kuleli kwezicubu gingival. Izimpawu yokuqala periodontitis zingatholakala ku ukuqaleka emlonyeni. Ulimi waqaphela induration okuncane ngaphansi amazinyo.

Isigaba esilandelayo sokuthuthuka kuhambisana ubuhlungu ngesikhathi ukuhlafuna. Khona-ke ububomvu kwakheka izimpande amazinyo. izinsini sifiso, okuholela edema anda. I wesimethri ebusweni sinqamukile, kungabonwa ngeso lenyama.

Nge ukuqhubeka edema, abavusa enyameni ezungezile. ububomvu Ibonakala izihlathi. Uma iyekwa ingelashwa isikhathi eside, ukwakha izilonda. Ngemva kwesikhathi esithile basuke ivulekile. Ukopha exutshwe imvelo webhaktheriya, it buyingozi ingozi yangaphakathi isitho izinhlelo.

I foci ukuvuvukala bangaba imbangela ukutheleleka lymph, okuyinto sidlula wonke umzimba. Uma kungelashwa periodontitis isinyathelo kungaholela ekulahlekelweni okukhulu amazinyo, Ngakho-ke, lapho kuqubuka of ubuhlungu kufanele uvakashele udokotela wamazinyo.

yokwelapha izinhlobo Yiqiniso

isifo Periodontal cishe njalo eveza isifo: Ithumba emhlathini ephansi. Ukwelashwa Kwenziwa ngokushesha ehhovisi wamazinyo. Ukuze afeze kwanoma iyiphi indlela yokwelapha isetshenziswa izinzwa wendawo. Ubovu periostitis izilonda kungaholela ekususweni mnogokorennyh amazinyo ingaphakathi asalile is kahle wageza izixazululo. ukwelashwa okungafanele kuholela ukuvuvukala okuphindiwe periosteum.

Lapho periostitis namazinyo periosteum olulodwa-ibangelwa ngokuvamile ukwenza ngaphandle ukususwa izicubu evuvukele ezivuliwe futhi isiteshi isixazululo yokuhlanza. ukwelashwa esifike ngesikhathi kungasiza ugcine Canine ukusebenza. Esikhathini esiyiminyaka kwezicubu ukulungisa esimisiwe izidakamizwa ukuvuvukala futhi elwa namagciwane.

Lapho ubuhlungu obukhulu kuvunyelwe ukusebenzisa imithi yokubulala izinzwa ukulibopha wendawo. izindlela kabanzi ezakhelwe ukucekelwa phansi kwemvelo webhaktheriya isicelo. Lezi zihlanganisa ultra-violet ngemisebe, laser kanye therapy ukukhanya.

izinyathelo

Wokuhlola ngezikhathi at udokotela wamazinyo ugwema izimo ukuvuvukala hhayi kuphela, kodwa futhi silondoloza amazinyo enempilo. Le nqubo yokwelapha ithatha isikhathi esincane, kodwa ukumamatheka enhle Ungagcina kuze kufike Esegugile. Ukuze alondoloze isidingo samanzi emzimbeni ukuze uhlanzeke siqu, Ukudla, kanye nokuqapha ukuthuthukiswa nezifo ezingamahlala khona.

Ukuze aphebeze lokho amagciwane kudingeka silondoloze amavithamini umzimba, ukusebenzisa liquid uhlambulule umlomo. Lapho ekwelapheni izifo ezithathelwanayo of isilonda emlonyeni antiseptics ekhethekile. On the amazinyo kubathinta kabi amaswidi: caramel, ushokoledi kanye neminye imikhiqizo confectionery.

Iqembu ingozi kuhlanganisa abantu abathintekayo kwezemidlalo yingozi. Ngenxa yezikhathi emhlathini ukuhlukumezeka, umzimba ozuza nezici ezithile ukuthuthukisa yokucucuza. Running esiteji i ukuvuvukala inqubo okuholela ukwakheka kobovu zanqwabelana for unhlangothi. Isimo ithumba iqhubeka isikhathi eside futhi kabuhlungu. Kungcono ukuvimbela kuka ukubhekana yezinkinga edabukisayo.