Osteomyelitis Chronic: oonobangela, iimpawu, isifo, unyango

Osteomyelitis i ukudumba isifo amathambo kunye ezingqonge izicwili ethambileyo, nto leyo kwenzeka ngenxa ukoyiswa kwabo iintsholongwane pyogenic. Cinga ulwazi olungaphezulu malunga nokugula. ingqalelo ekhethekileyo ziya kunikwa kule fomu yesi sifo, njengoko osteomyelitis esinganyangekiyo. Siza kufunda izinto zayo, iindlela loxilongo kunye nonyango.

Osteomyelitis: ngezigaba isifo

Ngenxa yeemeko ezahlukeneyo, kukho ukuhlelwa eziliqela zesi sifo. Ngokuxhomekeke kwiimeko ingenzeka esi sifo, kungaba:

• ephambili (hematogenous);
• lesibini (post-traumatic);
• odontogenic.

osteomyelitis Hematogenous kwenzeka ngenxa yokuba ukuqaliswa ziintsholongwane ngalo igazi kwezihlunu bone kunye amanxeba ubovu, amathumba, okanye kolusu yokukrala ezithweni zangaphakathi. Kwiimeko ezininzi, olu hlobo sifo sichaphazela abantwana. osteomyelitis Hematogenous iqala ngesiquphe kwaye ngexa leentsku ezimbalwa ilandelwe iimpawu kunxilwe: nangecesina, isicaphucaphu, ukugabha, ubuthathaka jikelele, intloko. Emva kwexesha (ukuya kwiintsuku ezimbini) kukho ukudumba alo mlenze ochaphazelekayo, nto leyo sikhatshwa ziintlungu kakhulu.

osteomyelitis Posttraumatic kunokwenzeka emva kotyando olwenziwa yi amathambo, ezinjengokwaphuka vula okanye inxeba emqaleni. Oku kwenzeka phambi tici, ezifana, ngokomzekelo, ukungabikho okanye ebambe ayilunganga unyango ngotyando, ubukho hematomas enkulu okanye amaqumrhu amazwe. bonke igalelo ekukhuleni iintsholongwane, njengoko ukuthintela inkqubo yokuphilisa yesiqhelo.

Ukwahlukanisa iqela ngokuqhelekileyo libhekisela osteomyelitis odontogenic. Yena yinkqubo yokukrala kummandla maxillofacial. osteomyelitis Odontogenic kuchaphazela inyama periodontal kunye izinyo, ngoko ke esi sifo inxulumene kunye bamazinyo. Olu hlobo lwesifo ihamba intloko ebuhlungu, ifiva kunye ubuthathaka jikelele umzimba. E phambili yayo ukuze afumane ubunzima igwinya, ukubonakala ungqinisiso, nokudumba mucosal, uqweqwe elwimini.

Ezi fom zilandelayo osteomyelitis, esinokucinga, ngokuxhomekeke kuhlobo ikhosi yayo;

• olunamandla;
• ezigulo ezondeleyo.

Ngokubanzi, unyango uqalwa kwinqanaba lokuqala lwesifo. Ke xa kungekho unyango ngokwaneleyo osteomyelitis etsolo iba ezingapheliyo.

eqhelekileyo Ngaphantsi izifo esixhoseni ezifana:

• syndrome Ollier;
• ithumba Brodie kaThixo;
• isifo Garre kaThixo.

Ngoko ke, siye ndaze eqhelene ulwazi ngokubanzi malunga osteomyelitis. Lifikile ixesha lokuba ingqalelo uhlobo yayo ezondeleyo iinkcukacha ezingaphezulu.

Ezibangela isifo

Ukuze ufumane ezibangela osteomyelitis ezingapheliyo, akukho mfuneko ukuba aqhube uphando olunzulu. Ngaphezu kuxeliwe ukuba esi sifo kwenzeka ngenxa yonyango ngokungafanelekanga uhlobo lwaso ahlekise.

Iarhente causative of osteomyelitis ezingapheliyo kwiimeko kakhulu Staphylococcus aureus. Nangona kukho iimeko xa imbonakalo sifo kungabangela Pseudomonas aeruginosa, ngundo, Proteus, E. coli.

Ngaloo ndlela, unobangela osteomyelitis ezigulo ezondeleyo:

• ubhaqo emva kwexesha lwegciwane isifo;
• impatho embi iintlobo zale sifo;
• Ukungaphumeleli ukuchonga umthombo usulelo.

iimpawu

ukuphuhlisa njani osteomyelitis ezingapheliyo kwindawo yokuqala kuxhomekeke kule khosi nature, indawo kunye ukuxhaphaka inkqubo arhabaxa. Kwiimeko ezininzi, usulelo ichaphazela ezo kwinyama ukuba nqa kufuphi.

osteomyelitis Chronic luphawulwa:

• isikhumba blanching;
• ukulahleka emnyama;
• zokulala;
• ukuvela namdla silale.

Ukongeza, ngexesha uphuhliso isifo kuvela fistulas ubovu. Ukuba ifuthe lazo inwebu zilurhangqile kunokwenzeka ukuyilwa mathumba, amathumba.

Ukuba osteomyelitis okondeleyo mandible wabethwa, kusenokubakho iindumbisa kwiindawo nkovu.

Ngaphandle konke oku, esi sifo ihamba ukonakala jikelele impilo, iimpawu ukunxila okanye efakwe kwi indawo ezonakeleyo emzimbeni: egxalabeni okanye femurs, omqolo, njalo-njalo.

lokufunyaniswa kwesifo

Ukuchonga osteomyelitis esinganyangekiyo babuyele lokuthuthuzela amaxhoba, utyando, zamathambo. Uxilongo iya kubandakanya uluhlu lwemisebenzi.

Esi sigulane asikwazi yabelwe:

• Le saveyi, ukuhlolwa, Ngokucofa.
• Ray. An X-ray nga bonisa utshintsho noshowo ithambo emva kweveki kuphela emva kokuqala kwesi sifo.
• Hormone ICBC ukuze kugqitywe rate neentlenge erythrocyte kunye ubukho okanye ukungabikho yomenzeli izifo.
• Cytological kunye noviwo bacteriological of osenyameni evela inxeba, fistula bone umongo.
• Ultrasound kwindawo eyonakeleyo. Kuyimfuneko ukuchonga ukugcwala fluid.
• Angiography. Kuliwa ukubhaqa iindawo evinjwa igazi.
• ukwenza umfanekiso intlokoma Imagnethi yomhlaba kunye Itomography ngekhompyutha. Luqhutywa ukufumana ulwazi kubungakanani, indawo, usasazo kunye nesimo utshintsho zophendlo lwezifo.
• izifundo iradionuclide ziyafuneka ukuze ubhaqo kwangethuba esi sifo, ngesidanga namandla aso nohlobo iinkqubo arhabaxa.

Kuyanconywa ukuba kudlula kuphela uhlolo olubonakalayo kwaye wenze X-ray, kodwa kwakhona ukufumana ixesha ubuninzi loxilongo, ekubeni kuphela kulo mzekelo kuya kuba lula ukuba ukhethe ukhetho ifanelekileyo unyango.

diagnosis umehluko

osteomyelitis Chronic kweempawu zalo kufana zezinye izifo. Ngoko ke kubaluleke kakhulu ukuphunyezwa kwesifo umahluko. Kuya kukunceda ukuba ukuseka uxilongo echanekileyo kunye nonyango olusebenzayo.

Kuba osteomyelitis inokuba efanayo:

• imbonakalo yamathumba kwi amathambo;
• tuberculosis wethambo;
• osteochondropathy;
• osteodysplasia fibrotic.

amayeza

Unyango wefom nokoyika esi sifo kubandakanya ukusetyenziswa ngamalungiselelo mlonyeni: sorbents, namafutha anti-ukudumba, iienzymes proteolytic kunye antibiotics.

Xa izilonda ezibuhlungu kunye nohlobo ngokubanzi lwe osteomyelitis kuyimfuneko ukuqhuba iintlobo ezininzi unyango:

• detoxification kunye nokufakwa saline, "reopoligljukin" kunye nezinye izinto;
• antibacterial usebenzisa ithambo-utshixelo ntshukumo antibiotics okanye amalungiselelo ezikhethekileyo kwimeko uhlobo arhente;
• ukuqaliswa ezithile zitofu omzimba toxoid staphylococcal autovaccine.

unyango ngotyando

Imfuneko yotyando ivela xa kukho imbonakalo inani elikhulu uxhuzula ukuba musa ukusombulula kunye nexesha. Oku kunganxulunyaniswa amatyala fistula ukubunjwa okanye ukuba ogulayo isifo sezintso kakhulu.

Xa sifo unyango ngotyando esingapheliyo osteomyelitis iquka iinkqubo ezininzi kwenziwe:

• ukususa inyama devitalized;
• nxeba kokuba unyango kunye nemithi;
• tissue zeplastiki soft and ithambo;
• kutsalwe inxeba;
• catheter ibe umthambo ekufuphi ezitshangubeni. Le mfuneko kulawulo olunye antibiotics therethrough.

ukuyifundisa

osteomyelitis kwesifo kufuna unyango kunye nezinto eziphathekayo. injongo yayo ephambili ekupheliseni nangokurhala, isebenze iinkqubo okungenisa, nokukhawulezisa ukuyilwa sokuwa, kunciphisa uvakalelo iintsholongwane, ukukhuthazwa yamajoni omzimba.

isigulane emiselweyo ukuba ukunciphisa umsebenzi arhabaxa:

• i laser infrared;
• UHF-therapy;
• yedosi erythematous of radiation EUV;
• Microwave therapy.

Le nkqubo ingentla yenziwa kuphela xa zidityaniswe ne-zintsholongwane kunye nobukho nencindi kwisiqwenga fistula (ubovu).

Ukuze kukhawuleziswe iinkqubo recovery inyama kusetyenziswa:

• Unyango ultrasound;
• electrophoresis ithetha ukuba leliphi ukuphucula nethe iivithamini kunye nezinto;
• peloidotherapy;
• uqhagamshelwano lwetshiphu emsebenzi-frequency therapy magnetic;
• isicelo iparafini ozokerite.

Ngexesha osteomyelitis yezifo kuxolelwe le chloride electrophoresis calcium. Ukwandisa iimpahla kummandla ochaphazelekayo angasebenzisa vasodilators electrophoresis.

Ukuze kuphuculwe iinkqubo pathways kwi zomzimba nokuqina zifuneka:

• Unyango ultrasound;
• ukuvusa sombane percutaneous;
• radon kunye emanzini ehomereni ke;

Ngoxolelo osteomyelitis esingapheliyo isicelo peloidotherapy kunye nonyango njalo ukunciphisa umsebenzi kwenkqubo coagulation igazi.

Ukuze isebenze inkqubo omzimba isigulana sabelwe:

• heliotherapy;
• iziyobisi Electrophoresis echaphazela immunomodulation;
• uqhagamshelwano lwetshiphu emsebenzi-frequency sibubona thymus;
• yedosi suberythermal of radiation EUV;
• laser zokukhanya igazi.

Ukuphelisa ubuthi isigulane kufuneka kube kathathu ngemini ukusela sodium chloride yesoda amanzi bezimbiwa ( "Essentuki inombolo 4", "Borjomi", njalo njalo).

Ukuphucula unikezelo oxygen ancedisana abachaphazelekayo, ingasetyenziswa oksigenobaroterapiya okanye ozone iibhate.

Izimo for ukuyifundisa

Ngaphandle kwento yokuba unyango yeemeko emzimbeni kuzisa ezininzi iingenelo, kukho iimeko ezininzi apho akuvumelekanga ngokungqongqo. Ezi ziquka iimeko phambi umguli:

• umkhuhlane omkhulu;
• septicopyemia;
• ukunxila okanye kakhulu;
• amathumba engekho ubovu lokuphuma endleleni.

Imiphumo uhlobo ezingapheliyo zesi sifo

osteomyelitis Chronic uyakwazi ukwenza iqela nemiphumela emibi kakhulu futhi ezisongela ubomi. Isifo kungabangela dysplasia ezinezikhondo, nto leyo ikwazi ukumqumbisa imbonakalo yamathumba. Bone ke uba kukuqulungana, kwaye ubomvu eqala ukuba wayitwabulula ngaphaya kuyo. Ngeli thuba, mhlawumbi Ityhefu igazi, nto leyo ekhokelela ekufeni.

unyango kade isifo ukuze bandiqumbise osteomyelitis hematogenous. Lubonakala yi ukuvela uxhuzula ezinkulu kunye nenkqubo ubovu ebanzi. Konke oku sikhatshwa Ukudlulela kwi izibilini.

Ukongeza kule kubalulekile ukuphawula ukuba osteomyelitis kuchaphazela kuphela amathambo, kodwa amanye amalungu: kwesibindi, nezintso, inkqubo yonyango. Yokunqongophala konyango kwangexesha kungakhokelela ukusilela kwezintso kunye nokufa isigulane.

Amanyathelo othintelo lwe osteomyelitis ezingapheliyo

Sifunde ngale sifo, njengoko osteomyelitis. Classification, iimpawu kunye unyango kunokwenzeka ukuba ziqwalaselwe kweli nqaku. Kuhleli ukukhumbula ngenye imbambano ebalulekileyo. Ingaba zikhona iindlela lunokunceda ukuthintela isifo?

Uthintelo osteomyelitis esingapheliyo unyango ngexesha uhlobo yayo ahlekise. Sele uphawu lokuqala lwesifo kunokwenzeka kufuneka ukuba ufune uncedo abaqeqeshiweyo. Njengoko yaziwa, kulula ukuthintela ukwenzeka ingxaki ngaphezu bonke ubomi bakhe ukulwa nayo.