Vincent Izindlela: Ihlahlubo

Zokwelapha, kuhlanganise incazelo pathologies temlomo Umbono ovamile uphawu Vincent. Kuyini lokhu isimo lapho ukuvuvukala kwenzeka Vincent uphawu nokuthi kuyinto evundile okungamila kuyo kwavela zokugula ezinjalo - zale mibuzo ngeke ukubhekana kulesi sihloko namuhla.

Hlobo luni izimpawu?

Vincent uphawu yisimo lapho umuntu ulahlekelwa ukuzwela endaweni kwesilevu - ngokunembile, endaweni udebe lwangezansi. Uphawu kuwumphumela isifo ezifundazweni ezihlukahlukene i umzimba ezifana osteomyelitis emhlathini futhi abukhali periodontitis apical. Lokhu zokugula ibizwa nangokuthi lapho angina pseudomembranous, isihloko owesibili kuyo - angina Simanovskiy - Vincent (izimpawu zezifo ngezindlela ezihlukahlukene).

Ake sicabangele ngayinye yalezi pathologies okuholela okubonakalisa uphawu ngenhla echazwe.

angina Pseudomembranous - isifo kuholela ukuvuvukala amalaka. Imbangela yale zokugula iyasebenza emzimbeni lokuphotha izinduku Plaut - Vincent kanye spirochaete Vincent. Lapho angina kwakhiwa ukususa isilonda isici off-luhlaza enamathela. Breath isiguli kuhambisana iphunga Putrid. Nokho, kumelwe kuthiwe amagciwane anjalo zihlale ekhona ingaphakathi emlonyeni umuntu enempilo, izinto ezihlukahlukene, njenge caries molars, khona kule ngomlomo ingaphakathi necrosis, kanye kuyadamba jikelele izilokazane ezincane amasosha omzimba ocushiwe futhi imiphumela yabo umsebenzi kakhulu ekuthuthukeni sokugembula kuzifunda.

ukutheleleka Vincent sika. Izimpawu kanye Ukwelashwa

angina Fusospirochetal owabonakaliswa isethi nobuntu izimpawu. Lezi zihlanganisa:

• Ukwanda abathintekayo idlala. Advantageously, lesi sifo sihlasela uhlangothi olulodwa.
• abagulela ukufa Ukwandiswa uphinde ungamele lesifunda zamanzi.

• Ezemfundo ku amalaka lwamafinyila lemicu empunga elinamathela othini-aphuzi-plaque, okungase kubangele kumiswa ebusweni maloboleznennyh izilonda gray phansi. Uma zokugula iqhubeka, izilonda kwenzeke kwezinye izingxenye pharynx, kanye izihlathi noma ushingamu. Ngezinye izikhathi izilonda kungase okuphulukisa umuntu ngaphandle obumba ngenkathi komnikelo.
• Iyasebenza, ukudla (i-ukugwinya) kubangela ubuhlungu, iziguli ezinemishini ukwanda ngokuphawulekayo amathe, halitosis.
• I lokushisa komzimba we zokugula akuvamile lidlula umkhawulo evamile, nakuba ngezinye izikhathi lesi sifo kungenzeka ziqale isimo lokushisa eliphezulu Ukugodola.
• Ukuba ndikindiki futhi ukulahlekelwa ukuzwa endaweni kwesilevu.

ukwelashwa zokugula okuhloswe ngalo ukuqeda emphinjeni lwamafinyila ulwelwesi ukuvuvukala. Ngokuvamile, otolaryngologists, odokotela linqume rinses noma Lubrication indawo ethintekayo. Esimeni inkambo isikhathi eside lesi sifo aye ayisebenzisa kaningi yokwelapha ngemithi elwa namagciwane. Iziguli angina pseudomembranous njalo isehlane, amafomu okunzima isifo - kuthiwa ungeniswe esibhedlela. Isimiso eyinhloko ekuvimbeleni izifo ukuqinisa imisebenzi okuvikela umzimba futhi amasosha omzimba.

Vincent uphawu amazinyo. periodontitis

Periodontitis - zokugula ukuthi kubangelwa amagciwane engena umgodi e bone izicubu ngokusebenzisa ichopho impande. Lesi sifo okubangela ukuvuvukala igobolondo izinyo impande. In the ukungabikho ukwelashwa periodontitis wabonakaliswa izimpawu ezihlukahlukene, kuhlanganise uphawu futhi Vincent. I reversibility lesi sifo kuxhomeke ezicini eziningi. Ukufinyelela Esifike Ngesikhathi ngokuphathelene nokunakekelwa ngokwezempilo, isimo jikelele zomzimba womuntu, njll Cabanga indlela leli egunjini lokuhlolwa kwezifo.

izimbotshana Deep kuholela pulpitis - ukuvuvukala uginindela, lapho izilokazane ezincane singene periodontium ngokusebenzisa komsele impande. Kukhona futhi ezinye izindlela Ukungena amagciwane ku bone izicubu, isibonelo, ngenxa yokulimala e sepsis, kodwa epulpiti - yimbangela ejwayelekile kakhulu ukuvuvukala e ithambo. Lapho ukuvuvukala kwenzeka uketshezi propotevanie, futhi periodontal - izicubu receptor ocebile - iphendula ukwanda ingcindezi. Uma lokhu ukuvuvukala esibangela izinhlungu.

Isici nobuntu periodontitis lukhula ubuhlungu throbbing, okuyinto akuvunyelwe zendawo. Ngezinye izikhathi, ngesikhathi sokuvalwa amazinyo kunzima ukubekezelela ubuhlungu, iziguli azikwazi ukudla. Umuntu ogulayo ngithinte emaphethelweni ngezinyo, okuyinto futhi siba ephathekayo, izinsini emhlabeni ngezinyo, kanye lip kanye esihlathini aluvuvukalanga lokushisa lomzimba liyaphuma ngokucijile. uphawu concomitant ka periodontitis kungase kube uphawu Vincent. Izimpawu zakhe kushiwo ngaphambili: ndikindiki futhi ukulahlekelwa ukuzwa ku izicubu we kwesilevu.

izinhlobo periodontitis

Kukhona periodontitis oyingozi futhi ezingalapheki. Uma uketshezi imiswe phakathi ukuvuvukala ubabonisa ngokusebenzisa komsele impande izinyo, periodontitis kuba amahlala khona. Ubuhlungu sifo hhayi kakhulu liphinyiselwe nezinqubo sokugembula e sokudlondlobala izinyo flow kancane. Ama-bacterium zande ithambo ethintekile, secrete wobuthi ukuthi "ushevu" umzimba womuntu futhi kuholele ukuthuthukiswa izifo isitho izinhlelo ezihlukahlukene (Amalunga, inhliziyo, izinso).

Kungenjalo ukuthuthukiswa uthola ifomu okukhulu periodontitis okuyinto ngokuhamba kwesikhathi ngenxa yokuntuleka kwezinhlelo ezibanzi ukwelashwa okufanelekile ungaqhubeka e ubovu isinyathelo.

Amafomu oshiwo ngenhla of periodontitis adinga ukwelashwa eside futhi onekhono kakhulu. Umgomo oyinhloko yokwelapha - ukuhlinzeka amanzi kobovu ukuvuvukala kwasendaweni. Ekwelapheni ukuvuvukala iqale sesehla kucutshungulwe wenziwa uginindela isinqandakuvunda is bese usetha ukugcwaliswa yesikhashana. Phakathi ezelaphayo ukugadwa amathambo wezempilo nge-X ray.

ukwelashwa

Ekwelapheni periodontitis ezingamahlalakhona ukusebenzisa imithi izidakamizwa ukufukula sokubuyiselwa periodontal. zokwelapha concomitant ingavuthi Physiotherapy: electrophoresis, UHF, microwave, laser, ukwelashwa kazibuthe. Kwezinye izimo, ukwelashwa anti-virus.

Imithi elwa namagciwane ingasetshenziswa ihlelwe ngokulandelana kwezihloko esimweni kumiswa emaphaketheni ezijulile periodontal. Ukubekwa uphawu kwabangu-canal impande wenziwa izinto okuyinto zikhethwa ngamunye esimweni ngasinye.

Uma ukuvuvukala kuthinta izindawo olubanzi izicubu noma ukwelashwa ngoludala aliholeli yalokho efanele, bahlinza. Injongo zokukhwabanisa iyona resection phezulu impande izinyo. Ushingamu wenziwa imbobo encane ukuze ukufinyelela ithambo. ukususa Landelayo isakhiwo ethintekile, ichopho isiteshi selinqunyiwe. Bone dor - inqubo eside. Uma impatho aliholeli ushintsho oluhle, izinyo kungenzeka isuswe.

Ukuze ugweme ukuthuthukiswa kwalesi sifo, kufanele ngokucophelela ziqashwe inhlanzeko yomlomo. Lokhu kuhilela saziso kabili-nsuku zonke izinyo ukuxubha. Kulokhu, lo isixubho kufanele zishintshwe ngezikhathi ezithile, ngobuqotho ekukhetheni wokuxubha. Okungenani kanye ngonyaka isicelo wamazinyo a professional inqubo nokususa uqweqwe.

Igebe dentition phambili yokuthi amazinyo ezisele umlomo athwale i umthwalo anda. Molars kusengozini, ngomlomo ukuvuvukala kungenzeka okuyoholela periodontitis esikhathini esizayo.

Periodontitis - isifo kunalokho esikhohlisayo ngoba kubangela eziningi izinkinga ngemva kokuhlinzwa, phakathi kwawo - sepsis ezinzima, ukuvuvukala ezithambile izicubu izinqubo ebusweni, emhlathini osteomyelitis.

Kuyini osteomyelitis?

Esinye isizathu sokuba Vincent uphawu kwenzeka kuba osteomyelitis. Lokhu zokugula, kungakhathaliseki lapho abantu skeleton kwesigaba kuboniswa, uyilungu leqembu kwezifo ezithathelwanayo bemvelo ukuvuvukala.

Osteomyelitis emhlathini sithinta bonke kwezicubu: periosteum, ithambo izidakamizwa, umnkantsha. I zokugula kwenzeka ikakhulukazi abantu engu-iminyaka engamashumi amane. Nokho, kukhona amacala sifo izingane kwasebekhulile. Konke kuncike kangakanani umuntu ehlaselwe caries kwamazinyo. Ngokulinganayo osteomyelitis ekukhathaza kokubili amadoda nabesifazane. Uphawu Vincent osteomyelitis kuthinta endaweni kwesilevu, bese lokhu kungenxa ngokuyinhloko iqiniso lokuthi zokugula landile umhlathi ongezansi kuka elingenhla.

Ngaphambili, lapho inhlanzeko ophuzwayo dengwane, osteomyelitis emhlathini matasa zokugula phakathi kwezinye amathambo mayelana 40%. Esikhathini esingeside ngaphambili, isimo sesishintshile zibe ngcono.

Namuhla, sibonga nokuvuselelwa okwandile kuhlelwe we ngalo ingaphakathi ngomlomo futhi izingane futhi abadala, iphesenti kweziguli osteomyelitis emhlathini lehla, futhi ukusetshenziswa kwemithi elwa namagciwane kuye avunyelwe ukwenza isifo kancane ezinzima.

Ukwahlukaniswa osteomyelitis

Ezimweni eziningi, osteomyelitis emhlathini is phetho caries futhi periodontal isifo inkinga. Le kholi iqembu wamukela osteomyelitis odontogenic (stomatogennymi). Lesifo singena isakhiwo ithambo ngokusebenzisa molars sesibolile. I foci ukuvuvukala ukwethula microflora ahlukahlukene. Lokhu streptococcus futhi Staphylococcus (white negolide), pneumococcus nezinye amagciwane.

Imininingwane osteomyelitis - zokugula obuvela isifo esikhumbeni noma mucosa (isib ubuso furuncle). Lapha ukwaba osteomyelitis ethize:

• isifo sofuba,
• syphilitic,
• actinomycotic.

Ngezinye izikhathi nemihlathi umnkantsha kwenzeka amagciwane engena egazini. Lesi simo libhekwa njengoba osteomyelitis hematogenous okwenzeka ngemva izifo, ezinjengomkhuhlane, i-typhoid fever, scarlet fever, isimungumungwana.

Hlukanisa iqembu osteomyelitis, okuholela ekulimaleni (ukwa, ukulimala esindayo). Uphawu Vincent at waphuka, lapho obusengqondweni emsipheni ukuzwela ziphazamiseke iziguli uqaphele ephansi lip ndikindiki kwenzeka ngenxa yokucinana we ephansi emsipheni alveolar, kwakheka ukuvuvukala exudate.

lesi sifo

Inkambo isifo zingase zihluke, futhi ngokuvamile incike isimo umzimba iyonke, ubukhulu bale kwegazi igazi endaweni ethintekile. Kwezinye izimo, ithambo necrosis we ngezinga elincane, ngenxa primary site. Ezimweni ezinjalo, sikhuluma a osteomyelitis elinganiselwe. Uma isifo siqhubeka, yisishiso adluliselwa ezungezile izicubu zomzimba ezithambile emhlathini. isimo esinjalo bangase balwisane njengoba periostitis, noma cellulitis. Cellulitis - i-acute ubovu ukuvuvukala izikhala (izicubu zomzimba ezithambile ngokuvamile), okuyinto asemabhodleleni futhi alinaso imingcele ecacile, ezifana ithumba. By the way, Vincent ngokuvamile uphawu kungenzeka nge cellulitis, iziguli uqaphele ukulahlekelwa ukuzwa endaweni ethintekile.

Ekuqaleni inqubo zokucabanga okubangelwa isifo umnkantsha ngilungele ukuvuvukala iba nsundu, umbala omnyama abomvu. Kamuva kwakhiwa suppurating izilonda ukuthi ihlangana zibe lonke ingaphakathi. Ubomvu singena periosteum, izinsini futhi kubangela necrosis izingxenye emhlathini. sequesters Kwakheka. Ezitsheni ezincane igazi thrombi kuyothi ibhekane encibilika. Emkhakheni wezingalo ithambo necrosis avele ithambo, igazi layo ukunikezela kancane kancane, okuholela ekwandeni izinga necrosis isakhiwo ithambo. Ubukhulu Usayizi nokuquleka okubangelwa izitsha thrombosed. Ezimweni ezimbi kakhulu kungenzeka necrosis of lonke emhlathini. Izimo ezinjalo elihlobene ne ehlasela umzimba (ehlasela umzimba) osteomyelitis.

symptomatology

Kukhona izinhlobo eziningana egunjini lokuhlolwa kwezifo. Phakathi osteomyelitis subacute kwenzeka okuthiwa kushaft phakathi amathambo enempilo futhi efile. Kwezinye izimo, kukhona resorption sequester. Dor izinqubo singenzeka - emhlabeni endaweni ethintekile kwakhiwa isakhiwo esisha ithambo. Kungenjalo, kukhona ukungahambisani nokuquleka. ifomu Subacute liwumngcele phakathi osteomyelitis oyingozi futhi ezingalapheki.

Phakathi ifomu okukhulu osteomyelitis kuyinto ukuthuthukiswa esebenzayo ye ukuvuvukala. Iziguli ukubika nobuhlungu obukhulu umhlathi (sokudubula isidina) ukuthi ukuthuthukisa ku isizinda eshisa ngokweqile, Ukugodola, ukuphefumula okusheshayo nokushaya kwenhliziyo. Ngaphezu ubuhlungu emhlathini lingase lehle nozwela udebe lwangezansi - ngakho uphawu Vincent osteomyelitis. Ngemva kwezinsuku ezimbalwa ukuqala isifo amazinyo ezakhelene izinyo ogulayo, uthole ukuhamba.

Palpation lembula emhlathini ukuvuvukala kanye ephelezelwa emizweni ezibuhlungu. Kukhona ukuvuvukala nokuvuvukala kwezinsini, izihlathi noma ezinye izingxenye ebusweni. Isikhathi lesi sifo kuwukwanda e-lymph. Ngemva kwalokho, angase zonke lezi zimpawu ephelezelwa lockjaw - ukuxuba Imisipha yemihlathi, ukuba ndikindiki (Vincent uphawu). I reversibility lesi sifo incike uphethwe esifike ngesikhathi futhi okunye ukwelashwa.

Isimo jikelele isiguli evamile oluthathwa zibe imnene, ngokulinganisela futhi ezinzima. Ngeshwa, ngezinye izikhathi isifo esibulalayo siqede inkathi izinsuku ezimbalwa kusukela ekuqaleni kwenqubo sokugembula.

Kuyaziwa ukuthi iziguli okungenzeka ekuqaleni babebonakala bejabule, kodwa ngokushesha usuthathelwa isimo yenjabulo prostration nge iconsi elibukhali blood pressure kanye kwenhliziyo. Ukubukeka umuntu eshintsha kakhulu.

Ngo osteomyelitis ehlasela umzimba wonke, kukhona ukulahleka kancane kancane amathambo ukuvuvukala amasayithi amasha. isimo wesiguli kungenziwa kwachazwa ngokuthi engazinzile, nokuba ngcono lesikhashana Ukuwohloka impilo, phakathi kwesikhathi lapho izinga lokushisa lomzimba kungenzeka lokuqala nibuyele evamile, bese livuke futhi kuhambisane okuvela Ukugodola. Stage acute ngokukhukhumala kwentamo osteomyelitis kungathatha amasonto amane. Ngakho kukhona ukwehla elibukhali igazi lymphocyte (kufika ku-15% -18%), amaprotheni elikhona umchamo.

Ifomu ezingamahlalakhona lesi sifo ngenxa yokuntuleka kwezinhlelo ezibanzi izinyathelo zokulungisa kungathatha izinyanga futhi ngezinye izikhathi eminyakeni futhi kuholele ukubukeka yezinkinga ezihlukahlukene: wamaphaphu abscesses, ekwakhekeni suppuration sinuses cranial, izilonda oyingozi futhi ezingalapheki kwezinso.

Ukuxilongwa kanye nokwelashwa

Radiography ingenye yezindlela e sitholakele osteomyelitis futhi kuyasiza kutholakale umsuka wendaba yesihluku ukubhujiswa ithambo izakhiwo. Nokho, izinguquko sokuqala amathambo angase acabangele kuphela ngosuku 7-10 kusukela kudlula lesifo. Okokuqala, njengoba kunqunywe ukucinga indikimba yendaba, - a cleaner emkhakheni ithambo izakhiwo. Ngaphezu kwalokho, uma isifo ehluleka ukuyeka, X-ray lembula amafomu nomngcele ophakathi izicubu onempilo kanye efile. Ngu ubukhulu umngcele sifinyelela iziphetho mayelana ubukhulu nendawo nokuquleka. Ngaphezu-X-ray umumo womsebenzi ukuhlonza isifo kusiza isithombe mazombe seragelo isimo umzimba womuntu kanti ukuhlaziywa izimpawu ezihlobene, kuhlanganise Vincent uphawu.

Osteomyelitis Ukwelashwa kuhilela ukusetshenziswa okuhlangene kwamaphilisi kanye nokuhlinzwa. Ngokuvamile njengoba olandelanayo ukwelashwa ebekiwe umjovo penicillin akuzange kusize, streptomycin noma reception biomitsin. Lapho ukwelashwa ngemithi elwa namagciwane, Nokho, kubalulekile khumbula ikhono bacterium ukuba ukugembula umlutha wezidakamizwa.

ukwelashwa izidakamizwa kubalulekile ukuqhubeka izinsuku 7-10, ngisho nangemva ukwehlisa izinga lokushisa kumanani evamile. Kungenjalo, isifo kuzokwenzeka ezifihliwe. Ngokuvamile, isiphetho ngezinyo, esiqubukile ngenxa yokugula ukuvuvukala, onesixazululo eyingqayizivele - nguye zisuswe. Nakuba zikhona kilomlayo.

Amazinyo eduze ozama ukulondoloza, ukubuyisela ukusebenza kwabo. Ukuze ufake lesi wire ibhasi, ogibele lonke dentition. Ngaphezu kwalokho, ukuvuvukala uginindela emazinyweni nekugwema ngangokunokwenzeka. sequesters ezithathekayo nokususwa kuhlinzwa, okuyinto eyenziwa ngaphambili kuka 4-6 amasonto emva ukuqala yokugula. Lokhu kungenxa ngokuyinhloko yokuthi nje kuphela ngemva kwenkathi elicacisiwe enkantolo imingcele ngokucacile akachazeki.

Ngakho, Vincent uphawu ingenye izimpawu eziyinhloko nokuthuthuka abantu izifo sina ukuvuvukala, kuhlanganise osteomyelitis, periodontitis, namathansela Simanovsky-Vincent (izimpawu zaleli fomu izifo distinguishable nga uphawu ezivamile angina izimpawu ngenxa Vincent).