Osteomyelitis emhlathini - izimpawu

Osteomyelitis emhlathini - kuyinto ezithathelwanayo bamathambo. Umhlathi ongezansi kuthintwa kaningi ngaphezu phezulu, kabili. Kuye imbangela osteomyelitis kungaba: odontogenic, kuyashaqisa, hematogenous.

Obungapheli osteomyelitis emhlathini kwenzeka uma ukutheleleka ingena izicubu ithambo at waphuka noma okudutshulwa.

osteomyelitis Hematogenous emhlathini eba uma udlulisa ukutheleleka nge igazi lesion e ithambo. Lokhu kungavuka namathansela okungamahlalakhona, izimo acute ezifana scarlet fever, idiphtheria. Leli fomu zesifo - into ezingavamile. Hematogenous osteomyelitis, izimpawu zazo zahlukahlukene, kunzima ukuxilonga kusaqalwa.

Uhlobo oluvame kakhulu odontogenic, isigamu akha kuzo zonke osteomyelitis emhlathini. Lesi sifo ucala kutfutfukisa nabo amagciwane kusukela izinyo lesiguli e ithambo nobuchopho ndaba. I-ejenti causative kungaba Staphylococcus, Streptococcus, anaerobic amagciwane. ngokuvamile Lokhu kwenzeka ngesikhathi exacerbation of periodontitis, izinhlumba, granulomas, caries kuyinkimbinkimbi. Kukhona acute, subacute futhi ezingalapheki osteomyelitis odontogenic.

Ifomu acute libhekene ubuthakathaka, ukucobeka, izinhlungu zekhanda. Sizonyuka lokushisa, futhi ubuthongo ompofu. isimo wesiguli kungaba imnene, ngokulinganisela futhi ezinzima. Ekuqaleni umuntu ekhononda ka ubuhlungu izinyo. edema Kubhekiwe, abampofu ukuhamba mandible, ububomvu nesisa we ulwelwesi lwamafinyila emhlabeni ngezinyo, ubuhlungu acute lapho athephwe. Lymph node entanyeni kukhona lakhulisiwe futhi okubuhlungu palpation. Mhlawumbe ukuthuthukiswa ithumba. Sengathi isiguli isikhumba evilaphayo has a luhlaza lemicu empunga elinamathela othini, umfutho wegazi zingancishiswa noma ukwanda kwemithwalo, yellowness ikani iso sclera. Ekuqaleni kuka-isifo uphethwe kunzima ngenxa predominance zezimpawu ezivamile.

Subacute osteomyelitis emhlathini eba ngemva kokukhululwa kwe-ubomvu kusukela ingxenye avuvukele ithambo lapho isiguli uza for impumuzo. Kulesi sigaba, ezindaweni efile akhiwa amathambo fistulas. Ukuvuvukala is abathuntubezwe, kodwa ingabe usekhona. Bone uyaqhubeka ukuze ugoqe.

osteomyelitis Okungalapheki we mandible senzeka ngemva kwezinyanga ezimbalwa. nezikhathi Ngakho exacerbation, phakathi kwesikhathi lapho kumiswa fistula entsha bese efile izicubu izifunda - sequesters, kulandele izikhathi lapho yokutakula sobala. Ezingavamile self-ukuphulukiswa engenzeka.

Ukuxilonga osteomyelitis ukuziphatha-X-ray luhlolo, igazi sathathwa ukuze uthole ukuhlaziya, ziqondiswa idatha nokuhlolwa komlando.

ukwelashwa osteomyelitis ukususa izinyo kuyiphi yisishiso uqalile. sebeziqhumbuza ayeba we periosteum ukuqinisekisa ukukhululwa kwe-uketshezi ukuvuvukala. Antibiotic ngomlomo futhi baqonde izinto ezenzekayo lavage ithambo izixazululo isinqandakuvunda. Ezimweni ezimbi kakhulu, ukuhlinzwa wenziwa ukususa izingxenye amathambo abafileyo futhi emhlathini plastic.

Ukwehluleka aphathe osteomyelitis kungaholela eziyingozi, ezifana abscesses, cellulitis, ukwa sokugembula kule emhlathini, angahlali elilinganiselwe umhlathi ongezansi, ushevu egazini.

Ukuze ugweme osteomyelitis we mandible, kubalulekile ukuba sihlale njalo siqaphele wamazinyo temlomo njalo ukukhuculula indle. Kuyinto esifike aphathe zonke iziguli amazinyo akabashiyi izimbotshana unhealed. Kuyadingeka ukuba bahlanganyele inhlanzeko yomlomo bese uzama ukugwema ukulimala emhlathini nobuso. Prophylaxis ka osteomyelitis liqukethe ukwelashwa esifike ngesikhathi izifo eziningi, ikakhulukazi engenhla ipheshana zokuphefumula.