Matenda osteomyelitis: zimayambitsa, zizindikiro, matenda, mankhwala

Osteomyelitis ndi yotupa matenda a fupa ndi ozungulira zimakhala zofewa, kumene kumachitika chifukwa cha kugonjetsedwa awo mabakiteriya pyogenic. Mfundo zambiri za matendawo. chidwi zidzaonjezedwa kwa mawonekedwe ya matenda, monga osteomyelitis aakulu. Timaphunzira za zimayambitsa, njira ya matenda ndi mankhwala.

Osteomyelitis: matenda gulu

Pamaziko a zinthu zosiyanasiyana, pali classifications angapo matenda. Malinga ndi zikhalidwe za yatsoka matenda, zikhoza kukhala:

• chachikulu (hematogenous);
• sekondale (chokumbukira zoopsa);
• odontogenic.

Hematogenous osteomyelitis kumachitika chifukwa cha kumayambiriro majeremusi mwa mwazi wa mu fupa minofu ndi purulent mabala, abscesses, kapena zotupa yotupa khungu kwa ziwalo. Nthawi zambiri, mtundu wa matenda imagwira ana. Hematogenous osteomyelitis umayamba mwadzidzidzi ndi masiku ochepa oyambirira anatsatira mwa zizindikiro za kuledzera: malungo, nseru, kusanza, kufooka ambiri, mutu. Patapita nthawi (masiku awiri) pali kutupa nthambi akhudzidwa, amene anatsagana ndi ululu.

Posttraumatic osteomyelitis angagwe pambuyo opaleshoni wochitidwa ndi mafupa, lotseguka wovulala kapena bala gunshot. Izi zimachitika mu kukhalapo kwa zinthu chinapangitsa, monga Mwachitsanzo, pakalibe kapena pachithunzichi akugwira mankhwala opaleshoni, pamaso pa hematomas lalikulu kapena matupi yachilendo. iwo onse ukule mabakiteriya, monga iwo kuletsa yachibadwa machiritso ndondomeko.

Kupatukana gulu nthawi zambiri amanena odontogenic osteomyelitis. Iye ndi yotupa ndondomeko m'dera maxillofacial. Odontogenic osteomyelitis amakhudza minofu periodontal ndi dzino, kotero matenda kumagwirizana ndi mano. Mtundu wa matenda limodzi ndi mutu, malungo ndi ambiri kufooka kwa thupi. Pa kupitilira ake angakhale nayo vuto kumeza maonekedwe a halitosis, mucosal edema, zolengeza pa lilime.

Mitundu zotsatirazi osteomyelitis, amene tikambirana malingana ndi chikhalidwe kumene ake:

• pachimake;
• aakulu.

Nthawi zambiri, chithandizo ndi inayamba pa gawo loyamba la matenda. Koma sitili pa mankhwala okwanira a osteomyelitis pachimake amakhala aakulu.

Pasanathe zofanana matenda mitundu amenewa:

• Ollier syndrome;
• abscess Brodie ndi;
• matenda Garre a.

Choncho, tinachita bwino zambiri za osteomyelitis. Ndi bwino kuganizira maonekedwe ake aakulu mwatsatanetsatane.

Zimayambitsa matenda

Kupeza zimene zimayambitsa osteomyelitis aakulu, safuna kuti kuchititsa kufufuza kwambiri. Pamwamba anatchulidwa kuti matenda kumachitika chifukwa cha mankhwala molakwika mawonekedwe ake pachimake.

The causative wothandizila wa osteomyelitis aakulu nthawi zambiri ndi Staphylococcus aureus. Ngakhale pali zochitika pamene maonekedwe a matenda imfayo Pseudomonas aeruginosa, bowa, Proteus, E. coli.

Choncho, chikuchititsa mavuto a osteomyelitis aakulu:

• Mochedwa kudziwika kwa matenda;
• mankhwala olakwika a mitundu pachimake cha matenda;
• kulephera kuzindikira gwero la matenda.

zizindikiro

Kodi kukhazikitsa osteomyelitis aakulu mu malo oyamba zimatengera pa njira ya chilengedwe, malo ndi kuchuluka kwa yotupa ndondomeko. Nthawi zambiri, matenda amakhudza zimakhala iwo amene ali pafupi anadabwa.

Matenda osteomyelitis amakhala ndi:

• khungu blanching;
• kusafuna kudya;
• matenda tulo;
• zikamera wa mphwayi ndi ulesi.

Komanso, pa chitukuko cha matenda nthawi zambiri ndimaoneka purulent fistulas. Ngati zimakhudza awo pa minofu ozungulira n'zotheka mapangidwe abscesses, abscesses.

Ngati osteomyelitis wa mandible ndi aakulu anagwidwa, pangakhale kutupa kwa mwanabele.

Pamwamba pa izi, matenda limodzi ndi kuwonongeka ambiri a thanzi, zizindikiro za kuledzera ndi soreness m'dera la magawo kuonongeka kwa thupi: phewa kapena femurs, vertebrae, ndi zina zotero.

matenda a matenda

Kudziwa osteomyelitis aakulu angapatutse kuti asataye opaleshoni, zamafupa. Matendawa adzaphatikizapo osiyanasiyana ntchito.

Wodwala awerenge:

• The kafukufuku, kufufuza, palpation.
• Radiography. An X-ray tingasonyeze kusintha structural la fupa patangopita sabata pambuyo isanayambike matenda.
• Amuzolengedwa ndi malamulowa kwa kudziwa erythrocyte mlingo sedimentation ndi kukhalapo kapena kusapezeka kwa nthumwi tizilombo.
• Cytological ndi bacteriological Kupenda kumaliseche ku bala, fistula ndi mafupa.
• Ultrasound m'dera zowonongeka. M'pofunika kudziwa buildup madzimadzi.
• Angiography. Iwo ikuchitika kudziwa malo mosatsata kotunga magazi.
• Maginito kumveka kulingalira ndi yopangidwa tomography. Iwo wochititsidwa kuti mudziwe pa kukula, malo, kugawa ndi khalidwe la kusintha pathological.
• maphunziro Radionuclide ndi zofunika kudziwika yake ya matenda, mlingo wa ukulu wake ndi chikhalidwe cha njira yotupa.

Ndi bwino osati pochitika anayendera zithunzi ndi kupanga X-ray, komanso kupeza nthawi pazipita matenda, kuyambira yekha mu nkhani iyi kudzakhala kotheka kusankha yoyenera kwambiri mankhwala njira.

matenda masiyanidwe

Matenda osteomyelitis zizindikiro zake zingakhale zofanana ndi zina matenda ena. Choncho chofunika kwambiri ndi ndi kukhazikitsa matenda masiyanidwe. Zikuthandizani kukhazikitsa matenda zolondola kwambiri ndi mankhwala.

Pakuti osteomyelitis zikhoza kukhala zofanana ndi:

• maonekedwe a zotupa mu fupa;
• TB ya fupa;
• osteochondropathy;
• fibrotic osteodysplasia.

mankhwala

Chithandizo cha maonekedwe pachimake cha matenda zimaphatikizapo kugwiritsa ntchito yokonzekera apakhungu: sorbents, mafuta odana ndi yotupa, michere proteolytic ndi mankhwala.

Mu zotupa zoopsa ndi mtundu zowombetsa mkota wa osteomyelitis n'kofunika kuchita mitundu ingapo ya mankhwala:

• detoxification ndi kulowetsedwa wa saline, "reopoligljukin" ndi zinthu zina;
• antibacterial ntchito mafupa lotentha kanthu za mankhwala kapena kukonzekera mwapadera mu nkhani ya mtundu wa wothandizila;
• kumayambiriro yeniyeni m'thupi Sera staphylococcal toxoid autovaccine.

chithandizo opaleshoni

Kufunika kwa opaleshoni n'lakuti pamene pali maonekedwe ambiri khunyu kuti sindikufuna kuthetsa ndi nthawi. Ichinso akhoza zimachitika milandu fistula mapangidwe kapena ngati wodwalayo ali ndi matenda a impso.

Pamene matenda ndi aakulu osteomyelitis chithandizo opaleshoni zikuphatikizapo njira zingapo kuvomerezedwa:

• kuchotsa minofu devitalized;
• namkulunga antiseptics chithandizo ndi mankhwala;
• pulasitiki zofewa ndi fupa zimakhala;
• ngalande za chilonda;
• catheter mu mtsempha wamagazi umene uli pafupi ndi zotupa pa. Izi kufunika makonzedwe zina za mankhwala therethrough.

physiotherapy

osteomyelitis matenda amafuna chithandizo ndi zinthu zakuthupi. cholinga chawo chachikulu ndicho kuthetsa kutupa, mphamvu zako regenerative, mofulumira mapangidwe khunyu, kuchepetsa kudziwa mabakiteriya, kukondoweza kwa chitetezo cha m'thupi.

wodwalayo mwina mankhwala kuchepetsa ntchito yotupa:

• ndi laser infuraredi;
• UHF-mankhwala;
• erythematous mlingo wa poizoni EUV;
• Mayikirowevu mankhwala.

Njira pamwamba akutsatiridwa yekha osakaniza ndi maantibayotiki ndi kukhalapo kwa outflow thirakiti wa fistula (mafinya).

Kuti imathandizira minofu kuchira ndondomeko ntchito:

• ultrasound mankhwala;
• electrophoresis njira yomwe kusintha kagayidwe wa mavitamini ndi zinthu;
• peloidotherapy;
• mkulu-pafupipafupi maginito mankhwala;
• ntchito paraffin ndi ozokerite.

Pa osteomyelitis aakulu mu chikhululukiro cha electrophoresis kashiamu mankhwala enaake. Kukuza ziwiya mu zinkakhala m'dera angagwiritse ntchito vasodilators electrophoresis.

Pofuna kukonza ndondomeko kagayidwe kachakudya mu minofu connective zofunika:

• ultrasound mankhwala;
• percutaneous magetsi kukondoweza;
• radon ndi sulfide wa hydrogen osambira;

Chikhululukiro cha osteomyelitis aakulu ntchito peloidotherapy ndi mankhwala otsika pafupipafupi kuchepetsa ntchito ya dongosolo la mwazi coagulation.

Kuti yambitsa chitetezo cha m'thupi la wodwalayo amapatsidwa:

• heliotherapy;
• mankhwala Electrophoresis zokhudza kuwonongeka kwa chitetezo chathupi;
• mkulu-pafupipafupi maginito mu thymus ya;
• suberythermal mlingo wa poizoni EUV;
• laser walitsa magazi.

Kuchotsa poizoni kwa wodwala ayenera kukhala katatu patsiku kumwa sodium kolorayidi bicarbonate mchere madzi ( "Essentuki nambala 4", "Borjomi" ndi zina zotero).

Kuonjezera kotunga mpweya zimakhala bwanji, oksigenobaroterapiya kapena Mpweya umene osambira angagwiritsidwe ntchito.

Contraindications kwa physiotherapy

Ngakhale kuti mankhwala a zinthu thupi kumabweretsa kwambiri phindu, pali zinthu zingapo kumene koletsedwa. Zikuphatikizapo milandu pamaso pa mtima:

• mkulu malungo;
• septicopyemia;
• aakulu kuledzera;
• abscesses, pakalibe mafinya outflow njira.

Zotsatira za mawonekedwe aakulu a matenda

Matenda osteomyelitis amatha kuyambitsa angapo mavuto aakulu ndi moyo pachiswe. Disease zingachititse fibrous dysplasia, womwe angathe n'zothandiza maonekedwe a zotupa. Bone ndiye wobwezera chilonda, ndi mafinya kuyambira kufalitsa kupitirira. Nthawi imeneyi, mwina magazi poizoni, zimene zimachititsa imfa.

Mochedwa mankhwala a matenda imfayo hematogenous osteomyelitis. Iwo amakhala ndi zikamera wa khunyu lalikulu ndi yaikulu purulent ndondomeko. Zonsezi limodzi ndi metastasis mu ziwalo mkati.

Powonjezera ndi Dziwani kuti osteomyelitis zimakhudza mafupa, komanso kuti ziwalo zina: chiwindi, impso, endocrine dongosolo. Kupanda chithandizo yake kungachititse kuti kulephera impso ndi imfa ya wodwala.

Mulinso njira kupewa osteomyelitis aakulu

Tinaphunzira za matenda, monga osteomyelitis. Gawo, zizindikiro ndi mankhwala akhala m'nkhani. Mpaka anafotokoza za nkhani ina yofunika. Kodi pali njira zomwe zingathandize kupewa matenda?

Kupewa osteomyelitis aakulu ndi chithandizo yake wa mawonekedwe ake pachimake. Kale poyamba chizindikiro cha matenda zotheka ayenera kupempha thandizo oyenerera. Monga amadziwika, n'kosavuta kuteteza zosayembekezereka vuto kuposa masiku onse a moyo wake kulimbana nacho.