Osteomyelitis Okungalapheki: izimbangela, izimpawu, uphethwe, ukuphathwa

Osteomyelitis kuyinto ukuvuvukala isifo esihlasela amathambo futhi ezungezile kwezicubu ezithambile, okuyinto eyenzeka ngenxa kunqotshwa kwazo ngemagciwane pyogenic. Cabangela olunye ulwazi mayelana nokugula. Ngokukhethekile uzonikezwa kuleli fomu lesi sifo, njengoba osteomyelitis ezingamahlalakhona. Sifunda ngabaningi nezimbangela zayo, izindlela ukuxilongwa kanye nokwelashwa.

Osteomyelitis: isifo ngezigaba

Ngesisekelo izici ezihlukahlukene, kukhona ngeengaba eziningana lesi sifo. Kuye ngokuthi izimo nesenzakalo lesi sifo, kungaba:

• oyinhloko (hematogenous);
• yesibili (ukucindezeleka kwangemva kwenhlekelele);
• odontogenic.

osteomyelitis Hematogenous kwenzeka ngenxa isingeniso kwamagciwane ngegazi ku bone izicubu ne amanxeba purulent, abscesses, noma ukuvuvukala Izilonda ukuze izitho zangaphakathi. Ezimweni eziningi, lolu hlobo sifo izingane. osteomyelitis Hematogenous iqala ngokuzumayo futhi phakathi nezinsuku zokuqala ezimbalwa kulandele izimpawu zokudakwa: imfiva, isicanucanu, ukuhlanza, ubuthakathaka jikelele, ikhanda. Ngemva kwesikhathi esithile (kufika ezinsukwini ezimbili) kukhona ukuvuvukala esitho ethintekile, okuyinto kuhambisana sebuhlungwini obunzima.

osteomyelitis Posttraumatic kungenzeka emva kokuhlinzwa olwenziwa amathambo, ukwa evulekile noma inxeba lomuntu odutshuliwe. Lokhu kwenzeka ngo-khona kunomthelela, ezifana, isibonelo, ukungabi noma azilungile ubambe ukwelashwa kuhlinzwa, khona hematomas ezinkulu noma imigwamanda angaphandle. bona, konke kunengxenye ukukhula kwamagciwane, njengoba ukuvimbela inqubo evamile ukuphulukiswa.

Ukuze kuhlukaniswe iqembu ngokuvamile okubhekiselwa osteomyelitis odontogenic. He is an ukuvuvukala esifundeni maxillofacial. osteomyelitis Odontogenic kuthinta izicubu periodontal kanye izinyo, ukuze isifo kuhlobene kanye amazinyo. Lolu hlobo isifo kuhambisana ikhanda, imfiva kanye ubuthakathaka jikelele zomzimba. Ngezinye inchubekelembili kwalo kungase ubunzima ukugwinya, ukubukeka halitosis, edema mucosal, koqweqwe ulimi.

Lawa mafomu alandelayo ka osteomyelitis, okuyinto sicabanga, kuye ngokuthi uhlobo busebenze:

• acute;
• ezingelapheki.

Ngokuvamile, ukwelashwa waqala ngaso esigabeni sokuqala isifo. Kodwa ngenxa yokuntuleka kwezinhlelo ezibanzi yokwelapha ezanele osteomyelitis acute kuba amahlala khona.

Ngaphansi common izifo izinhlobo ezifana:

• Ollier syndrome;
• Ithumba Brodie sika;
• isifo Garre sika.

Ngakho, safike bajwayelane ulwazi olujwayelekile mayelana osteomyelitis. Sekuyisikhathi cabanga injalo ezingamahlalakhona kabanzi.

Izimbangela zesifo

Ukuze uthole izimbangela osteomyelitis okungamahlalakhona, akudingeki ukuba ukuqhuba nokupeqululwa. Ngenhla Ekuqaleni kuphawuliwe ukuthi lesi sifo kwenzeka ngenxa yokwelashwa engafanele injalo oyingozi.

I-ejenti causative of osteomyelitis ezingamahlalakhona ezimweni eziningi kuba Staphylococcus aureus. Nakuba zikhona izimo lapho ukubukeka sifo avuse Pseudomonas aeruginosa, ukhunta, Proteus, E. coli.

Ngakho, kwezimbangela eziyinhloko osteomyelitis okungamahlalakhona:

• Ukuthola sekwephuzile we lwegciwane lesifo;
• ukuphathwa okungalungile amafomu acute lesi sifo;
• ukuhluleka ukuhlonza umthombo ukutheleleka.

izimpawu

sizoba njani ngokuhamba kwesikhathi osteomyelitis ezingamahlalakhona kwasekuqaleni incike inkambo imvelo, indawo kugcwele ukuvuvukala. Ezimweni eziningi, ukutheleleka okuthinta ngayo labo nezicubu aseduze ngimangele.

osteomyelitis Okungalapheki libhekene:

• isikhumba blanching;
• ukungakuthandi ukudla;
• iziyaluyalu ubuthongo;
• ukuvela yokunganaki nokuphelelwa ukucobeka.

Ngaphezu kwalokho, phakathi ukuthuthukiswa lesi sifo ngokuvamile babonakala fistulas ubovu. Uma umthelela nezicubu eziseduze kungenzeka ukwakheka abscesses, abscesses.

Uma osteomyelitis ezingamahlalakhona we mandible washaywa, kungase kube ukuvuvukala-lymph.

Ngaphandle kwakho konke lokhu, lesi sifo kuhambisana ukuwohloka jikelele impilo, izimpawu adakwe soreness endaweni zezitho ezilimele zomzimba: ehlombe noma femurs, amathambo, nokunye.

sitholakele isifo

Ukukhomba osteomyelitis ezingamahlalakhona ongaya ukuhlukumezeka, ukuhlinzwa, amathambo. Sifo izobandakanya ezehlukene zemisebenzi.

Isiguli angabelwa:

• Ucwaningo, ukuhlolwa, palpation.
• X ray. -X ray ongabonisa kwezinguquko wethambo ngemva kuphela ngesonto lapho kuqala lesi sifo.
• Kwamakhemikhali kanye CBC sokunquma erythrocyte sedimentation isilinganiso kanye khona noma ukungabi khona agent pathogenic.
• Cytological kanye luhlolo bacteriological ka osenyameni evela isilonda, fistula futhi umnkantsha.
• Ultrasound endaweni ezilimele. Kuyadingeka ukuba abone ukugcwala uketshezi.
• Angiography. It wenziwa ukuthola izindawo bancishwa liningi igazi.
• Magnetic resonance imaging futhi computed tomography. It is olwenziwa ukuthola ulwazi ubukhulu, indawo, ukusatshalaliswa nobunjalo izinguquko sokugembula.
• izifundo Radionuclide ezidingekayo ukuthola ngesikhathi esifanele lesi sifo, degree of namandla aso kanye nesimo izinqubo ukuvuvukala.

Kunconywa hhayi kuphela kudlule ukuhlolwa ezibukwayo futhi wenze-X ray, kodwa futhi ukuthola isikhathi for lungene uphethwe, njengoba nje kulokhu sizokwazi ukukhetha efaneleka kakhulu kukho ukwelashwa.

ukuxilongwa umehluko

osteomyelitis Okungalapheki izimpawu zayo kungaba okufanayo kwezinye izifo. Ngakho-ke kubaluleke kakhulu Kuyinto kuyinto ukuqaliswa ukuxilongwa umehluko. Kuyokusiza ukuba ukusungula ukusazi ngokunembile isifo esikuphethe kakhulu futhi ukwelashwa okuphumelelayo.

Ukuze osteomyelitis kungase kube khona ukufana:

• ukubukeka izimila e ithambo;
• sofuba wethambo;
• osteochondropathy;
• osteodysplasia fibrotic.

imithi

Ukwelashwa nokuvikelwa ifomu acute lesi sifo kuhilela ukusetshenziswa amalungiselelo nezokusigcoba: sorbents yokugcoba eqeda ukuvuvukala, ama-enzyme proteolytic nemithi elwa namagciwane.

Ngo izilonda kuhlasimulise kanye nohlobo generalized ka osteomyelitis kuyadingeka ukuze ukuqhuba izinhlobo eziningana yokwelapha:

• kobuthi egazini nge nekufakwa nosawoti, "reopoligljukin" kanye nezinye izinto;
• elwa namagciwane usebenzisa amathambo utho isinyathelo kwamaphilisi noma amalungiselelo akhethekile uma uhlobo ejenti;
• ukwethulwa ethize sera mzimba toxoid staphylococcal autovaccine.

ukwelashwa kuhlinzwa

Isidingo ukuhlinzwa kuphakama lapho kukhona ukubukeka inqwaba nokuquleka ukuthi musa ukuzixazulula isikhathi. Lokhu singasho sithi amacala fistula ukwakheka noma uma isiguli sine-sina nesifo sezinso.

Lapho lesi sifo esingelapheki osteomyelitis ukwelashwa kuhlinzwa kuhlanganisa izinqubo eziningana saziso:

• izicubu devitalized;
• nilimaza ukwelashwa antiseptics nemithi elwa namagciwane;
• plastic ethambile futhi bone izicubu;
• amanzi lenxeba;
• ipayipi zibe umthambo eseduze izilonda. Lokhu isidingo sokuqondisa okwengeziwe kwamaphilisi therethrough.

Physiotherapy

osteomyelitis zesifo zidinga ukwelashwa kanye izici ezingokomzimba. injongo yabo eyinhloko ukushabalalisa ukuvuvukala, isebenze izinqubo okuzivuselela, kuyashesha kumiswa sokuwa ekunciphiseni nokuzwela amagciwane, ukukhuthazwa izivikeli mzimba.

isiguli ezingahle zinqunywe ukunciphisa umsebenzi ukuvuvukala:

• i-laser infrared;
• UHF-therapy;
• umthamo erythematous EUV emisebeni ye;
• ukwelashwa Microwave.

Izinqubo ngenhla eyenziwa kuphela lihambisana lo muthi futhi khona leli pheshana outflow we fistula (ubomvu).

Ukuze luhambe ngokushesha uhlelo izicubu izinqubo zokutakula esetshenziswa:

• ukwelashwa ultrasound;
• electrophoresis izindlela okuyinto ngcono umzimba amavithamini izinto;
• peloidotherapy;
• ephezulu imvamisa yokwelapha kazibuthe;
• isicelo kaphala- ozokerite.

Phakathi osteomyelitis okungalapheki ukuthethelelwa the chloride electrophoresis calcium. Ukuze sandise izitsha endaweni ethintekile zingasebenzisa vasodilators electrophoresis.

Ukuze uthuthukise izinqubo umzimba ku ezicutshini kudingeka:

• ukwelashwa ultrasound;
• percutaneous ukushukuma kagesi;
• Radon ne-hydrogen sulfide zokugeza;

Athethelelwe osteomyelitis ezingamahlalakhona isicelo peloidotherapy futhi ongaphakeme imvamisa yokwelapha ukunciphisa umsebenzi kohlelo igazi coagulation.

Ukuze wenze amasosha omzimba isiguli abelwa:

• heliotherapy;
• Electrophoresis izidakamizwa ezithinta kwesimiso somzimba sokuzivikela;
• ephezulu imvamisa kazibuthe e thymus;
• umthamo suberythermal EUV emisebeni ye;
• laser ngemisebe kwegazi.

Ukuqeda ubuthi isiguli kumele kube kathathu ngosuku ukuphuza i-sodium chloride Bicarbonate amaminerali amanzi ( "Essentuki inombolo 4", "Borjomi" nokunye).

Ukuze uthuthukise umoya-mpilo ezicutshini abathintekayo, oksigenobaroterapiya noma i-ozone zokugeza ingasetshenziswa.

Izimo for Physiotherapy

Naphezu kweqiniso lokuthi ekwelapheni izici ezingokomzimba uletha eningi izinzuzo, kunezimo eziningana lapho akuvunyelwe nakancane. Lezi zihlanganisa amacala khona isiguli:

• imfiva;
• septicopyemia;
• ukudakwa ezinzima;
• abscesses ngokungabi bikho ubomvu outflow endleleni.

Imiphumela ifomu njalo lesi sifo

osteomyelitis Okungalapheki uyakwazi ukubangela eziningi nemiphumela engathi sína futhi ezisongela ukuphila. Izifo kungabangela dysplasia lunemicu nakho uyakwazi ingqondo ukubukeka izimila. Bone uba isibanda, futhi ubomvu ukuqala ukusakaza ukudlula lokho. Phakathi nale nkathi, mhlawumbe ushevu egazini, okuholela ekufeni.

ukwelashwa Late yesifo angase avuse osteomyelitis hematogenous. It libhekene ukuvela nokuquleka esikhulu ubovu inqubo ebanzi. Konke lokhu kuhambisana Ukudlulela esikhathini izitho zangaphakathi.

Ngaphezu kwalokhu-ke Kuyaphawuleka ukuthi osteomyelitis sithinta amathambo hhayi kuphela, kodwa futhi kwezinye izitho: isibindi, izinso, endocrine uhlelo. Ukungabi ukwelashwa okufika ngesikhathi kungaholela nokwehluleka ukusebenza kwezinso nokufa isiguli.

Izinyathelo nokuvimbela osteomyelitis okungamahlalakhona

Safunda ngalesi sifo, njengoba osteomyelitis. Ukwahlukanisa, izimpawu kanye imithi kungenzeka ziye ngani esihlokweni. It uhlala kokukhumbula ngomunye lwempikiswano ebalulekile. Ingabe zikhona izindlela zingasiza ekuvimbeleni izifo?

Ukuvimbela osteomyelitis okungalapheki kuyindaba ukwelashwa esifike ngesikhathi wesimo sawo oyingozi. Kakade ngesikhathi izimpawu zokuqala kungenzeka wayethole isifo esithile kudingeke ufune usizo kumuntu ofanelekayo. Njengoba yaziwa, kulula ukuvimbela okuvela kuyo inkinga kunaloyo lotfolwa ngibo bonkhe ukuphila kwakhe ukuze kulwiwe nakho.