Osteomyelitis kubantwana: inkcazo ezibangela, iimpawu kunye neempawu unyango

Kwiminyaka yakutshanje, kaninzi abantwana baqalisa ukufumanisa isifo, ezifana osteomyelitis. Le nkqubo necrotic zohlobo esosulelayo ukuvela kwi ithambo, ajikelezileyo izicwili ethambileyo, umongo wethambo. Khuphani le ngezifo iintsholongwane ezibangela ubomvu. Ukuba esi sifo kuba esinganyangekiyo, ngoko amathuba amathambo deformation bone umntwana ndiseyimbumba wakhe.

Osteomyelitis kubantwana amaninzi luchaphazela umzantsi womlenze, hip, amalungu umhlathi, ihumerus, vertebra. Ukukhusela umntwana evela iziphumo ezingalunganga kwesi sifo kufuneka kuphela izinto ezibangela le ngezifo.

oonobangela

Isifo ezithandwa kakhulu amakhwenkwe ngaphezu namantombazana. Oku kungenxa yokuba ziphatheka kakhulu ngakumbi. Ngaphezu koko, odontogenic osteomyelitis ebantwaneni ikwafunyanwa kakhulu into eyindoda, ukususela unobangela yokwenzakala zakhe imihlathi skeletal ukuba lingalungiswa imilo okanye uwe.

Lidla unobangela sifo abantwana nepokotho ezinjalo zosulelo ubovu ezifana impetigo, amajelo otitis, pyelonephritis, amathumba, ukutsha, amanxeba. Kwakhona kukhokelela kuphuhliso amathumba osteomyelitis, yidityaniso izinyo, ubovu tonsils, tonsils.

Ekubeni angena umzimba nge ulusu yonakele, isifo okanye isangqa pharyngeal lymphoid, usulelo uqalisa basasaze phakathi kwegazi. Amaninzi, i-arhente uthathwa osteomyelitis Staphylococcus aureus iintsholongwane, nto leyo ifumaneka 80% yamatyala. I-20% ezigulane kunye ngezifo ka iStreptococcus, E. coli, salmonella, eletha Pfeiffer. Kwiintsana Iintsholongwane umzimba ukungena inxeba yosana.

Akukho kuzo zonke iimeko, ithambo yayiliziko komtshiso oko. Gcobisa usulelo yakhe ungakwazi ukusuka amalungu ezingqonge okanye inyama ithambile. Yinto enokwenzeka, kwaye imeko umva, xa kuqala kukho ithambo ngumongo ukuzibandakanya, uze kuphela - esikule ezingqongileyo.

iimpawu

Le ngezifo kunokuzibonakalisa ngeendlela ezahlukeneyo ngokuxhomekeka kubudala komntwana, amajoni omzimba kunye lithambo kummandla ochaphazelekayo. Kwiintsana kunye nabantwana kancinane ezindala ngaphezu sifo kuchaphazela impilo yabo yonke. Lo mntwana uba ngababuthuntu, yena abe Mzoli luvo, ukungabi namdla, umkhuhlane omkhulu, livela luthuthu. Amaxesha amaninzi imeko yezifo lukhatshwa sorhudo kunye nokugabha.

Ukuba ubukela umntwana, sinako ukubona ukuba eqala ukuba anyamekele lekhosi yabo, zama ukuba akazukuyibamba okanye ukuhamba ngayo. Isikhumba ilunga ochaphazelekayo idla bubomvu. kwiintsuku ezimbalwa kamva, ububomvu kunye uqale ukudumba ukwandisa. Ukuba nje nina musani ukuqala unyango, apho kuya kubakho metastases ubovu wonke umzimba.

osteomyelitis hematogenous Acute kubantwana abadala ebonakaliswa luhlobo ucaca ngakumbi. uphuhliso yokukrala elicothayo kakhulu, kwaye bomvu kwaye ukudumba uqale ukuvela iveki kuphela emva kokuqala kwesi sifo. Ukuba ixesha na ukuqala unyango, kusenokubakho intra-izihlunu ithumba, okuthetha ukuba kukho ukwanda okuthe chu ukudumba ukuya engqongileyo inyama ithambile. Kulo mzekelo, uqhaqho ayinakuphepheka. Xa uphuculo phlegmon intermuscular kwi imeko yomntwana inokubonakalisa ekuqaleni, kodwa kuba elahlekisayo. Osteomyelitis ebantwaneni kunokubangela iingxaki ezinkulu ezifana samathambo suppurative kunye nokudumba.

Ifom zale sifo kubantwana emva kwethuba kuba ezingapheliyo, ukungabikho apho unyango ekhokelela ekufeni. Kubalulekile ke ngoko ukufumanisa le ngezifo kwaye uqale unyango lwakhe.

Iimpawu osteomyelitis odontogenic

Olu hlobo leengxaki uneempawu zawo. Iintsini esemfuleni iqala ubomvu, kunye kwizihlunu ezithambileyo kudumba ubuso. Isikhumba kunye inwebu yangaphakathi lipholi kwaye owomileyo, umkhuhlane omkhulu, kuthibaza, kwaye kukho ubuthathaka jikelele. Xa abantwana abaselula ziphawulwe amahlaba, ukugabha, ukungacoleki kokutya. Oku kubonisa ukuba inkqubo luvo uqala ku nyangatseka njengoko ukuphuhlisa ukunxila olomeleleyo. Odontogenic osteomyelitis kwemihlathi ngokubhekisele kubantwana elide.

Ingakumbi ifomu ezigulo ezondeleyo

Olu hlobo sifo lokuqala okanye ezenqanaba lesibini. Le yokugqibela luphawulwa Kwytskeldings kunye exacerbations, ngelinye ixesha phakathi kwabo. Ngexesha umntwana uxolelo kungakhathaliseki ukuba yintoni na ukukhalaza, kodwa xa eqalisa okubi, ukunyuka kwamaqondo obushushu emsebenzini, kukho iintlungu Ngokucofa. Mhlawumbi kuvulwa fistula lokusekwa ubofu. La maxesha ingahlala iminyaka, ukuba oku kuchaphazela izintso, isibindi nentliziyo.

osteomyelitis Chronic kubantwana lohlobo lokuqala lwenzeka ngaphandle kwisigaba etsolo kunye nasekuqaleni iimpawu sifo kufiphale kancinane. ubuhlungu okuncinane musa ukuba ezenziwa ngqo. Amaninzi, abazali bazisa abantwana babo esibhedlele apho kuphela ukuba lwakukhula iintlungu okanye kuvela iimpawu kakhulu.

ekuxilongweni

Kubalulekile ukuba ukuhlola ngokuchanekileyo esi sifo, ekubeni iimpawu zazo esifana kakhulu samathambo, ubovu samathambo, nee- Ewing kaThixo.

Kwasekuqaleni yophuhliso lwe osteomyelitis amathambo ebantwaneni uneempawu ukuba kunokubangela gqirha orhanela ukuyilwa losulelo amabi. Kuphela uphethwe yini kube lula unyango ofanelekileyo, eqinisekisa ngezinto ngempumelelo.

unyango lwesifo

Ukuba kukho ngezifo ezifana, njengoko osteomyelitis (abantwana), unyango kufuneka uthathe indawo inxaxheba udokotela, ray, kunye nezinye iingcali. Amaninzi amisele antibiotics le njongo kwaye enze lo msebenzi.

Antibiotics kufuneka zisetyenziswe ngokukhawuleza kangangoko kunokwenzeka. Okokuqala, kukho ukulayisha ithamo la mayeza kuvumela umntwana ukumisa komtshiso oko. Amaninzi ezi njongo ukumisela iziyobisi iqela penicillin. Kufuneka athathe imithi ixesha elide, maxa wambi unyango unokuthatha iinyanga ezintathu. Ithamo kufuneka licuthwa ngokucuthwa. Ngelo xesha umntwana kufuneka banikwe iziyobisi izilonda kuba antibiotics babulala microflora. Ngamanye amaxesha kufuneka ungenelelo yotyando. Kulo mzekelo autopsied ubofu ithumba isusiwe yaye wahlamba ijelo. Utyando lwenziwa ngokukhawuleza usebenzisa intlungu. Ngamanye amaxesha oogqirha wabeka umjelo yokususa ulwelo.

Owona unyango lwe osteomyelitis odontogenic - etyandwa, ezibandakanya ukususwa izinyo, leyo umthombo usulelo. Phantsi jikelele zomzimba subperiosteal amathumba asike imveliso. Isithethe lwenziwa ukufumanisa uvakalelo ezincinane antibiotics. Ngexesha kwegazi, inxeba amanzi, koko onyule unyango detoxication, antihistamines, imithi, amachiza calcium, iivitamini, kwakunye arhente immunomodulating nonspecific. Umntwana kufuneka ukuba anikwe ukuba usele amanzi kangangoko kwaye ukondla bakhe ukutya izityalo zobisi.

ukungaphili

Osteomyelitis ebantwaneni kunokubangela iingxaki ezahlukahlukeneyo. Kungaba:

• ukukhubazeka bone;
• kwamalunga kwemilenze;
• ngenxa ngozipho ye umnqonqo elimele inkqubo musculoskeletal;
• ukuba isifo wambetha joint ihleza okanye iinyawo zabantwana, kwiimeko advanced kukho immobilization epheleleyo;
• kukho Ukungazinzi kwamalunga;
• ukukhula bone othile;
• Uqala ukuphuhlisa osteomyelitis zasesekondari ezingapheliyo, nto leyo kamva kukhokelela ukuphazamiseka kokuma;
• kukho dislocation elimandundu;
• osteomyelitis le maxilla, nto leyo sivame ukuxilongwa emakhwenkweni, ebangela ukuyilwa meningitis, esizakukhokelela utshintsho emzimbeni.

isiphelo

Nangona isibakala sokuba osteomyelitis ebantwaneni kukho iingxaki ezinkulu kakhulu, iyeza namhlanje esinganyanga ngempumelelo esi sifo eyoyikekayo, ukuqinisekisa ukuba abantu abane kuFeliks. Ngokutsho manani, ukufa ekubeni ezincinane qho ngonyaka. Abazali kufuneka sinikele ingqalelo engakumbi impilo yabantwana babo, ukuze abone ukuba abazange ayilufumani zokugula ukulimala amanxeba, yaye ngokukhawuleza kufuna unyango.