I-Symptom Vincent: ukuxilongwa

Xa yezonyango, kunye inkcazelo ezimbi yomlomo ingcamango eliqhelekileyo uphawu Vincent. Yintoni na le meko apho ukudumba kwenzeka Vincent inokuphumela oko umhlaba ochumileyo ukuvela ngezifo enjalo - le mibuzo iza kwenza kweli nqaku namhlanje.

Luni iimpawu?

Vincent uphawu yimeko apho umntu uphelelwa novakalelo kwindawo kwesilevu - ngakumbi ncam, kuloo ndawo zomlebe asezantsi. Uphawu kubangelwa ezahlukeneyo isifo ithi ze ephilayo ezifana osteomyelitis kwemihlathi kunye periodontitis ezibukhali apical. Le ngezifo likwabizwa xa angina pseudomembranous, isihloko yesibini apho - angina Simanovskiy - Vincent (iimpawu zesifo kakhulu ezahlukahlukeneyo).

Makhe sihlolisise nganye ezimbi ekhokelela ukubonakalalisa uphawu ezichazwe apha ngasentla.

angina Pseudomembranous - sisifo ekhokelela ukudumba tonsils. Unobangela leengxaki esebenzayo kumzimba kweentonga yokusonta Plaut - Vincent kunye spirochaete Vincent. Xa angina kwakheka isilonda iimpawu off-green ngeso lenyama. Umoya isigulane kunye livumba elinukayo. Kufuneka ke ukuba iintsholongwane ezinjalo usoloko ekhona kule em- emlonyeni onempilo Noko ke, izinto ezahlukeneyo, ezifana yidityaniso imihlathi, ubukho em- necrosis ngomlomo, ngokunjalo buthathaka jikelele kwala magciwane okukwazi luyasebenza kwaye iziphumo zazo umsebenzi kuphuhliso zophendlo lwezifo States.

usuleleko Vincent kaThixo. Iimpawu and Treatment

angina Fusospirochetal eyaboniswa iseti uphawu iimpawu. Ezi ziquka:

• Ukwanda ochaphazelekayo idlala. Advantageously, esi sifo sichaphazela icala elinye.
• lezifo Ukwanda kwaye ulungise iindawo nkovu lwengingqi.

• LeMfundo tonsils yangaphakathi nombala-yellow nebhodi, esinokubangela ukuyilwa komhlaba izilonda maloboleznennyh nge ngezansi gray. Ukuba ngezifo iqhubeka, izilonda kwenzeka kwezinye iindawo pharynx, kwakunye nemihlathi okanye intshungama. Ngamanye amaxesha izilonda amphilise ngaphandle kusekwe ngelixa naziphi na iziphene.
• Xa ukusetyenziswa, ukutya (ngokuba ligwinya) buhlungu, izigulane ezinophawu ukwanda izinkcwe, ungqinisiso.
• Iqondo lobushushu emzimbeni ngezifo azifane ngaphaya umda eziqhelekileyo, nangona ngamanye amaxesha sifo kuqala karhulumente lobushushu eliphezulu kunye Ukugodola.
• Ndindisholo kunye nelahleko koluvo kule ndawo kwesilevu.

unyango pathology ejoliswe ngokususa umqala uxakaxa ndizayo komtshiso oko. Amaxesha amaninzi, otolaryngologists, oogqirha amisele ezopulayo okanye ukuthambisa ajikeleze indawo abachaphazelekayo. Kwimeko ikhosi elide sifo asebenzise kuthomalaliso isibulala-zintsholongwane. Izigulane angina pseudomembranous usoloko zodwa, kwiintlobo kakhulu sisifo - esibhedlele. Umgaqo ephambili yothintelo sifo ukomeleza imisebenzi zokhuselo lomzimba omzimba.

Vincent uphawu in bamazinyo. periodontitis

Periodontitis - ngezifo okubangelwe usulelo angene kwisisu kwi kwezihlunu ithambo nge ngencam ingcambu. Isifo ebangela ukudumba izinyo ingcambu iqokobhe. Xa engekho periodontitis unyango wabonisa iimpawu ezahlukeneyo, kuquka inokuphumela Vincent. Ukuyilungisa esi sifo kuxhomekeke kwizinto ezininzi. Ufikelelo ngexesha kukhathalelo lwezempilo, imeko jikelele umzimba womntu, njl Cinga indlela leli ngezifo.

ukuqanda anzongonzongo kukhokelela pulpitis - ukudumba yintlama, apho Cya singene periodontium nge ingcambu lomsele. Kukwakho nezinye iindlela elalana iintsholongwane zibe esiqwini ithambo, umzekelo ngenxa yokwenzakala kwi nokudumba, kodwa ipulpiti - nobangela uqhelekileyo ukudumba kwi ithambo. Xa ukudumba kwenzeka fluid propotevanie, kunye periodontal - zomzimba receptors zizityebi - iphendula ekunyukeni ingcinezelo. Xa oku komtshiso oko kubangela intlungu.

Eyona uphawu periodontitis olukhulayo iintlungu throbbing, nto leyo yenzelwe ngokungqongqo. Ngamanye amaxesha, ukuvalwa kwamazinyo kunzima ukunyamezela intlungu, izigulane azikwazi ukutya. Umntu ogulayo bachukumise nje ngohlangothi izinyo, nto leyo iba ezihambayo, iintsini ehlabathini izinyo, kwakunye ngomlebe kwaye esidleleni aludumbanga, ubushushu bomzimba liphuma kabukhali. uphawu ehamba periodontitis kungase kube uphawu lwe Vincent. Iimpawu zakhe ngaphambili ikhankanywe: ndindisholo kunye nelahleko koluvo kwi esikule lasesilevini.

iintlobo periodontitis

Kukho periodontitis oyingozi futhi ezigulo ezondeleyo. Ukuba ulwelo kuyilwa ngexesha ukudumba xhaxhe nge ingcambu enikelwe izinyo, periodontitis uba ezingapheliyo. Iintlungu syndrome ke sasingachazwa ngamandla kunye neenkqubo zophendlo lwezifo kwi njengezona izinyo flow ngokucotha. Iintsholongwane zande ithambo ochaphazelekayo, cell obuba- "ityhefu" umzimba womntu kwaye kungakhokelela ekubeni kuphuhliso kwezifo lweenkqubo ezahlukeneyo umbutho (Joints, intliziyo, izintso).

Kungenjalo uphuhliso ifumana uhlobo nokoyika periodontitis leyo ngokuhamba kwexesha xa engekho unyango olufanelekileyo ukuze uqhubeke kwi ubovu inyathelo.

Le fom zikhankanywe apha ngasentla periodontitis ifuna unyango elide kunye nabanezakhono kakhulu. Eyona njongo unyango - ukubonelela kutsalwe bubovu komtshiso zalapha. Xa yonyango inkqubo yokukrala kuqala ebekwe, kuqhutywe ikhutshwa yintlama kubola koko wabeka kuzaliswa okwethutyana. Ngexesha ungenelelo zonyango zibekw 'esweni ukuze impilo ithambo yi ray.

unyango

Xa unyango periodontitis ezingapheliyo usebenzisa iziyobisi amayeza ezivuselela kubuyiselwa periodontal. amayeza ebonakalayo abe physiotherapy: electrophoresis, UHF, microwave, laser, unyango ngemagnethi. Kwezinye iimeko, unyango anti-virus.

Antibiotics zingasetyenziswa ngokwemixholo kwimeko ukuyilwa ezipokothweni enzulu periodontal. Uphawu kwingcambu umsele eyenziwa ngezinto abanyuliweyo ngamnye kwimeko nganye.

Ukuba ukudumba kuchaphazela lwendawo kwithishyu, okanye unyango elondoloza ingakhokeleli yoko efanelekileyo, wenziwa utyando. Injongo yokuntlokothiswa na resection top nengcambu izinyo. I gum lwenziwa liqatywe namancinane ukuze bakwazi ukufikelela kwi-ithambo. Okulandelayo ukususa isakhiwo ochaphazelekayo, incam umjelo ivaliwe. Bone Regeneration - yinkqubo ethatha ixesha elide. Ukuba unyango ingakhokeleli nguqu zintle, izinyo ibe isuswe.

Ukwenzela ukuphepha uphuhliso kwesi sifo, kufuneka esweni ngenyameko nakwezempilo ngomlomo. Oku kubandakanya umyalelo kabini-ngemihla izinyo ukukama. Kulo mzekelo, i ibhrashi kufuneka itshintshwe rhoqo, zihlabane ekukhetheni intlama. Ubuncinane kanye ngonyaka isicelo wamazinyo inkqubo ukususa nebhodi yobungcali.

తీసివేయి Susa kukhokelela Koswele yokuba emazinyweni ezishiyekileyo emlonyeni athwale i umthwalo ukwanda. Imihlathi zisengozini, inkqubo ngomlomo ukudumba Inokwenzeka leyo eya kukhokelela periodontitis kwixesha elizayo.

Periodontitis - isifo kunokuba singanyangekiyo kuba ebangela ezininzi iingxaki, phakathi kwabo - nokudumba kakhulu, iinkqubo kwizihlunu ezithambileyo yokukrala ebusweni, umhlathi osteomyelitis.

Yintoni osteomyelitis?

Esinye isizathu sokuba Vincent uphawu kwenzeka into osteomyelitis. Le ngezifo, akukho nto apho icandelo skeleton yabantu kuboniswa, kokwabo iqela kwezifo ezosulelayo zendalo arhabaxa.

Osteomyelitis kwemihlathi kuchaphazela zonke izicwili: periosteum, iziyobisi ithambo, wamathambo. Le leengxaki kwenzeka ubukhulu becala kubantu akukho abadala ngaphezu iminyaka emashumi mane. Nangona kunjalo, kukho iimeko zesi sifo abantwana kunye nabantu abadala. konke kuxhomekeke kwindlela umntu eninzi abachatshazelwa yidityaniso amazinyo. Ngokulinganayo osteomyelitis ekukhathaza amadoda kwanabafazi. Uphawu Vincent osteomyelitis kuchaphazela kwindawo isilevu, kwaye oku kubangelwa ikakhulu yokuba i ngezifo ixhaphake kakhulu emhlathini gangqa eliphezulu.

Ngaphambili, xa ucoceko yomlomo zangasiwa so, osteomyelitis umhlathi ahlala ngezifo phakathi kwezinye amathambo ezimalunga nama-40%. Kutshanje, le meko iye yatshintsha ukuba ngcono.

Namhlanje, ngenxa kwisimo okucwangcisiweyo yenkohlakalo kwisisu ngomlomo kwaye abantwana kunye nabantu abadala, ipesenti kwezigulane osteomyelitis kwemihlathi lehla, kunye nokusebenzisa imithi kuye ukuba enze esi sifo kakhulu kangako.

ngezigaba osteomyelitis

Kwiimeko ezininzi, osteomyelitis kwemihlathi kukho ngenxa yidityaniso kunye ingxaki isifo periodontal. Le umnxeba iqela osteomyelitis yamkelwe odontogenic (stomatogennymi). Usuleleko lingena amathambo ngokusebenzisa imihlathi wabola. Le nakujoliso olutsha of ukudumba niyinikele microflora ezahlukeneyo. Le iStreptococcus staphylococcus (white negolide), pneumococcus kunye nezinye iintsholongwane.

Iinkcukacha osteomyelitis - ngezifo obuvela usulelo kwesikhumba okanye isifo (umz, ubuso furuncle). Apha ukwaba osteomyelitis ezithile:

• sisifo sephepha,
• syphilitic,
• actinomycotic.

Ngamanye amaxesha imihlathi lomongo wethambo kwenzeka iintsholongwane abangena egazini. Le meko zicalulwa njenge-osteomyelitis hematogenous ukuba kwenzeka emva izifo, ezifana influenza, yicesina, ifiva nebomvu, yimasisi.

osteomyelitis Ndahluleleni iqela, evela kukwenzakala (ngokwaphulwa, ukwenzakala enzima). Uphawu Vincent e kwizaphuko, xa lo luvo uvakalelo engqondweni baze baphazamiseke izigulane uqaphele umlebe antsi ephantsi kwenzeka ngenxa ucinezelo le luvo esezantsi alveolar, kwasekwa ukudumba exudate.

isifo

Ikhosi ye sifo zinokuba nomahluko, yaye ngokufuthi kuxhomekeke kwimeko nenyama xa iyonke, ubuninzi kwegazi kummandla ochaphazelekayo. Kwezinye iimeko, ithambo necrosis koluhlu encinane, ngenxa kwisayithi primary. Kwiimeko ezinjalo, sithetha malunga osteomyelitis elilinganiselweyo. Ukuba sifo, kukukrala edluliselwa kwimimandla inyama ithambile kwemihlathi. Loo imeko inokuba ibonakale njengoba periostitis, okanye cellulitis. Cellulitis - yayiyazi ubovu ukudumba izithuba (rhoqo kwizihlunu ezithambileyo), nto leyo zesiselo kwaye akukho imida ecacileyo, ezifana ithumba. Hi ndlela leyi, Vincent ukuba uphawu zingenzeka kunye cellulitis, izigulane unokuphawula ilahleko koluvo kummandla ochaphazelekayo.

Ekuqaleni kwenkqubo zophendlo lwezifo ezinomongo wethambo kwindawo ukudumba uba brown umbala, ebumnyameni obomvu. Kamva kwakheka suppurating izitshanguba ukuba bahlanganisane ukuze yonke ibinomthwebeba. Ubomvu lingena periosteum, iintsini, Nokubengezelisa necrosis kumacandelo kwemihlathi. sequesters senziwe. Xa imithambo yegazi kwenzeka thrombi ezilandela zinyibilike. Entsimini necrosis ithambo kubonakala ithambo, ubonelelo layo igazi kancane kancane, kukhokelela ekwandeni kwisikali necrosis ngesakhiwo ithambo. Imilinganiselo ubungakanani ukuxhuzula yabangela izitya thrombosed. Kwiimeko kakhulu Inokwenzeka necrosis yonke imihlathi. iimeko ezinjalo ezinxulumene kwentamo (kwentamo) osteomyelitis.

symptomatology

Kukho iintlobo ezininzi ngezifo. Ngexesha osteomyelitis subacute livela ebizwa ngokuba yi-shaft phakathi ithambo esempilweni kunye ufile. Kwezinye iimeko, kukho resorption sequester. iinkqubo ngokutsha kunokwenzeka - jikelele kummandla ochaphazelekayo kwakhiwa isakhiwo esitsha ithambo. Kungenjalo, kukho ukungahambisani ukuxhuzula. ifomu Subacute lowo umda phakathi osteomyelitis etsolo kunye ezigulo ezondeleyo.

Ngexesha uhlobo nokoyika osteomyelitis yi uphuhliso esebenzayo inkqubo arhabaxa. Izigulane ingxelo buhlungu kakhulu kwi emhlathini (ukudubula uyadika) ephuhlisa kwisiqalo umkhuhlane omkhulu, kuthibaza, ukuphefumla ngokukhawuleza kunye nezinga intliziyo. Ukongeza intlungu emhlathini lingehla uvakalelo lwanjengodini ephantsi - ngoko ke uphawu Vincent osteomyelitis. Emva kweentsuku nje ezimbalwa ekuqaleni kwesi sifo amazinyo ezikufutshane ukuya izinyo ogulayo, ukufumana ukushukumiseka.

Ngokucofa utyhila umhlathi ukudumba ekhatshwa ubuhlungu. Kukho nokudumba ekweneni iintsini, izidlele okanye kwezinye iindawo ebusweni. Ixesha esi sifo ukwanda kwiindawo nkovu. Emva koko, zonke ezi mpawu kufuneka ikhatshwe lockjaw - ngokuxuba izihlunu yemihlathi, antsi (Vincent uphawu). Ukuyilungisa esi sifo ixhomekeke uxilongo ngexesha unyango olungaphezulu.

Imeko jikelele isigulana ngokuqhelekileyo ihlelwa inobulali, aphakathi kunye kakhulu. Ngelishwa, ngamanye amaxesha isifo esibulalayo akugqiba kwisithuba seentsuku ezininzi ukusuka ekuqaleni kwenkqubo yezifo.

Yinto eyaziwayo ukuba izigulane ekuqaleni babebonakala bechwayitile, kodwa kungekudala unika indlela kwimeko imincili prostration kunye nokwehla okukhulu uxinzelelo lwegazi kunye nokwanda izinga intliziyo. Ukubonakala umntu omnye etshintsha kakhulu.

Xa osteomyelitis ehlasela, kukho ilahleko okuthe ukudumba lithambo kwiziza ezitsha. imeko yomguli ingachazwa njengento ukutshabalala, kunye nokuphuculwa okwethutyana kunye ukonakala impilo, ngexesha apho ubushushu bomzimba eze kuqala zibuyele esiqhelweni, uze avuke sikhatshwe yi okuvela Ukugodola. Inqanaba ahlekise kwentamo osteomyelitis elinokuthatha ukuya kuma kwiiveki ezine. Ngoko ke kukho ukuhla okukhulu lymphocyte egazini (ukuya kwi-15% -18%), neprothini ekhona nomchamo.

Ifom ezingapheliyo kwesi sifo xa engekho amanyathelo okulungisa ingathatha iinyanga kwaye ngamanye amaxesha neminyaka kwaye kungakhokelela yimbonakalo iingxaki ezahlukeneyo: amathumba umphunga, ukubunjwa suppuration sinuses cranial, izilonda etsolo kunye ezingapheliyo sezintso.

Isifo kwaye afumane unyango

Ray yenye yeendlela kwi lokufunyaniswa osteomyelitis kwaye kuyanceda ukuba ukujonga ubungakanani ukutshatyalaliswa izakhiwo ithambo. Nakuba kunjalo, utshintsho zokuqala kwi amathambo ukuze ayijonge ngosuku 7-10 kuphela ukususela kokuqhambuka kwesi sifo. Okokuqala, njengoko kumiselwe yi-mfanekiso, - emoyeni entsimini izakhiwo ithambo. Ngokubhekele phaya, ukuba isifo uyasilela ukuyeka, X-ray utyhila iifom umda phakathi ephilile ne efile. Ngu ubungakanani umda ukuze bafikelele kwizigqibo malunga ubungakanani kunye nendawo ukuxhuzula. Ukongezelela X-ray diffraction ukuchonga esi sifo inceda umfanekiso ngokubanzi isimo umzimba womntu uhlalutyo iimpawu ezinxulumene, kuquka Vincent uphawu.

Osteomyelitis Treatment ibandakanya ukusetyenziswa ehlangeneyo antibiotics kunye notyando. Amaninzi kangangoko ngokonga unyango emiselweyo isitofu penicillin, streptomycin okanye reception biomitsin. Xa unyango zintsholongwane, Noko ke, kubalulekile ukuba sikhumbule isakhono iintsholongwane ukuba likhoboka kwiziyobisi.

unyango Drug kubalulekile ukuqhubeka iintsuku 7-10, nasemva ukuthoba iqondo lobushushu kumaxabiso yesiqhelo. Kungenjalo, isifo liya kwenzeka ezifihliweyo. Ngokufuthi, bayahlelwa izinyo, nto leyo iye yakhula ngenxa yokukrala yokugula, na isisombululo ekhethekileyo - yena ukuba isuswe. Nangona kukho iimeko umthetho.

Amazinyo omelene bazama ukulondoloza, ukubuyisela ukusebenza kwazo. Ukuze usebenzise le ucingo ibhasi, leyo zixhonywe yonke తీసివేయి Susa. Ukongeza, ukudumba Ipete emazinyweni nokuphelisa kangangoko kunokwenzeka. sequesters ezinokususwa ngokuxhomekeka kokususa, oluqhutywa kwiiveki hayi ngaphambi kwe 4-6 emva kokuqala zokugula. Oku kubangelwa ubukhulu becala ngenxa yenyaniso yokuba kuphela emva kwexesha elibekiweyo imida esiya kuba distinguishable ngokucacileyo.

Ngenxa yoko, Vincent uphawu yenye iimpawu eziphambili kuphuhliso kubantu kwezifo ukudumba, kuquka osteomyelitis, periodontitis, tonsils Simanovsky-Vincent (iimpawu kwale ndlela sifo distinguishable ukusuka uphawu eliqhelekileyo angina iimpawu ngenxa Vincent).