Osteomyelitis ana: ikulongosola za vutoli, zizindikiro ndi mbali chithandizo

M'zaka zaposachedwapa, nthawi zambiri ana anayamba matenda, monga osteomyelitis. Izi ndondomeko necrotic ya chikhalidwe opatsirana kuti akufotokozera mu fupa, ozungulira zimakhala zofewa mafupa. Chifukwa ili kudwala mabakiteriya yotulutsa mafinya. Ngati matenda adzakhala aakulu, ndiye mwayi wa mafupa fupa mapindikidwe unformed mwanayo.

Osteomyelitis ana nthawi zambiri zimakhudza mwendo m'munsi, m'chiuno, nsagwada mafupa, humerus, linkawonongeka. Kuteteza mwana ku mavuto aakulu chifukwa cha matenda ayenera okha chimene chimachititsa kudwala izi.

zimayambitsa

Matendawa kuti atengeke anyamata kuposa atsikana. Ichi ndi chifukwa chakuti iwo nthawi zambiri yam'manja. Komanso, odontogenic osteomyelitis ana nawonso anapeza makamaka amuna, kuyambira chifukwa cha kuvulala ake nsagwada chigoba kuti angathe kukonzekera ndewu kapena kugwa.

Nthawi zambiri chifukwa cha matenda ana ndi matumba amenewa a purulent matenda ngati impetigo, otitis TV, pyelonephritis, zithupsa, zilonda zamoto, mabala. Komanso kungathandize kuti apange wa abscesses osteomyelitis, caries dzino, purulent zilonda zapakhosi, zilonda zapakhosi.

Popeza atagonjetsa thupi kudzera pakhungu owonongeka mucosa kapena lymphoid pharyngeal mphete, matenda ayamba kufalitsa kudzera m'thupi. Nthawi zambiri, wothandizila ndi imatengedwa osteomyelitis Staphylococcus aureus mabakiteriya, lomwe likupezeka mu 80% ya milandu. Otsala 20% odwala ndi kudwala kwa Streptococcus, E. coli, nsomba, Bacillus Pfeiffer. Makanda thupi Mabakiteriya alowa bala umbilical.

Osati milandu onse, fupa kukuchitika kutupa. Matenda ake mungathe kuchokera ku ziwalo ozungulira kapena minofu zofewa. N'zotheka, ndi zinthu n'zosiyana poyamba pali mafupa okhudzidwa, ndi pamenepo pokha - minofu ozungulira.

zizindikiro

kudwala Izi zikhoza kuonekera m'njira osiyanasiyana malingana ndi msinkhu wa mwanayo, chitetezo cha m'thupi ndi fupa la pa zinkakhala m'dera. Makanda ndi ana okulirapo pang'ono kuposa matendawa amakhudza umoyo wawo wonse. Mwana amakhala aulesi, iye ali m'chikaiko chowakaikitsa mantha, kusowa chilakolako cha malungo, zikuoneka wotumbululuka. Nthawi zambiri chikhalidwe pathological limodzi ndi kutsekula ndi kusanza.

Ngati inu muyang'ane mwana, tikuona kuti wayamba kusamalira kumene awo, yesani asakhudze kapena kusuntha izo. Khungu la olowa akhudzidwa kawirikawiri reddened. Patapita masiku angapo, redness ndi kutupa kuyamba kuwonjezera. Ngati inu basi musayambe chithandizo, kudzakhala purulent metastases thupi lonse.

Pachimake hematogenous osteomyelitis ana wamkulu atawonetseredwa mu mawonekedwe yapadera kwambiri. yotupa chitukuko msanga kwambiri, ndi redness ndi kutupa kuonekere yekha sabata pambuyo isanayambike matenda. Ngati nthawi n'kuyamba chithandizo, pangakhale kwapakati pa-akulu abscess, kutanthauza kuti pali kufalikira pang'onopang'ono kutupa kwa ozungulira minofu zofewa. Pankhaniyi, opaleshoni mosalephera. Pamene intermuscular phlegmon kusintha chikhalidwe mwana zingaoneke poyamba, koma wonyenga. Osteomyelitis ana zingachititse mavuto aakulu monga suppurative nyamakazi ndi sepsis.

Mawonekedwe pachimake cha matenda ana patapita kanthawi amakhala aakulu, pakalibe zomwe mankhwala limadzetsa imfa. Choncho n'kofunika matenda kudwala ichi ndi kuyamba mankhwala ake.

Features odontogenic osteomyelitis

Mtundu wa kudwala ali makhalidwe yake. M'kamwa ndi ngalande akuyamba mafinya ndi minofu zofewa kutupa nkhope. Khungu ndi Kakhungu mucous wotumbululuka ndi youma, mkulu malungo, kuzizira, ndipo pali kufooka ambiri. Ana amalembedwa omangana, kusanza, kudzimbidwa. Zimenezi zikusonyeza kuti chapakati mantha dongosolo likuyamba sakumvetsa monga kukhala ndi kuledzera amphamvu. Odontogenic osteomyelitis la nsagwada ana ndi protracted.

Makamaka mawonekedwe aakulu

Izi mawonekedwe a matenda ndi yaikulu kapena sekondale. Yotsirizira amakhala ndi kuchotsedwa ndi exacerbations, akakwera iwo. Pa chikhululukiro mwana ziribe kanthu chimene si kudandaula, koma pamene akuyamba aggravation, kuwonjezeka kutentha zimawonedwa, pali ululu pa palpation. Mwina kutsegula kwa fistula ndi mapangidwe mafinya. nthawi awa akhoza mzaka, ngati izi zimakhudza impso, chiwindi ndi mtima.

Matenda osteomyelitis ana a mtundu chachikulu sikuchita gawo pachimake ndi chiyambi cha zizindikiro matenda sawona bwinobwino. ululu pang'ono alibe kutanthauzira yeniyeni. Nthawi zambiri makolo ndi ana awo kuchipatala zokha pamene pali chinawonjezeka ululu kapena matenda kuonekera.

diagnostics

Nkofunika molondola matenda imeneyi ndi zizindikiro zawo mwamphamvu akufanana enaake ophwanya malungo, purulent nyamakazi, sarcoma Ewing a.

Pa chiyambi cha kukula kwa fupa osteomyelitis ana ali ndi zizindikiro zimene zingachititse dokotala kuganiza mapangidwe matenda oopsa. Only kumwa mankhwala enaake facilitates mankhwala woyenera, amene amaonetsetsa zinthu bwino.

mankhwala a matenda

Ngati panali kudwala, monganso osteomyelitis (ana), mankhwala ayenera kutenga malo ndi nawo dokotala, radiologist, ndi akatswiri ena. Nthawi zambiri mankhwala opha Mwaichi ndi kugwira ntchito.

Mankhwala ayenera kugwiritsidwa ntchito posachedwapa. Choyamba, Mumakonda mlingo wa mankhwala awa kuti mwana kuletsa kutupa. Nthawi zambiri zolinga mankhwala mankhwala a penicillin gulu. Kodi kutenga mankhwala kwa nthawi yaitali, nthawi mankhwala ukhoza kwa miyezi itatu. mlingo ayenera kuchepetsedwa pang'onopang'ono. Pa nthawi yomweyo mwanayo apatsidwe mankhwala thrush chifukwa mankhwala kupha microflora. Nthawi zina kungafunikire alowererepo pa opaleshoni. Pankhaniyi aipitsidwa abscess mafinya kuchotsedwa kukasamba njira. opaleshoni The imagwiridwa msanga ntchito mankhwala ochititsa m'deralo. Nthawi zina madokotala kuika kuda kwa kuchotsa madzi.

Mankhwalawa chachikulu osteomyelitis odontogenic - opaleshoni, imene imakhudza kuchotsa dzino, ndilo gwero la matenda. Mu ambiri ochititsa dzanzi subperiosteal kung'ambika zokolola abscesses. chikhalidwe ikuchitika kudziwa tilinazo tizilombo opha tizilombo. Pa opaleshoni, chilonda chatsanulidwa, ndiye anaika detoxication mankhwala mankhwala, mankhwala zowonjezera calcium, mavitamini, ndi wothandizila nonspecific immunomodulating. mwana ali wofunikila kupatsidwa kumwa madzi mochuluka ndiponso kudyetsa zomera ndi mkaka wake chakudya.

zosokonezeka

Osteomyelitis ana zingachititse mavuto osiyanasiyana. Zimakhala:

• fupa zophophonya;
• nyamakazi nthambi;
• chifukwa cha kukanikiza pakati pa chingwe msana anavulala dongosolo minofu ndi mafupa;
• ngati matenda anakantha m'chiuno olowa kapena mapazi ana milandu patsogolo pali wathunthu immobilization;
• pali Kusakhazikika mu malo;
• mkhutu kukula fupa;
• Umayamba kukhala sekondale aakulu osteomyelitis, amene kenako kumabweretsa zoopsa wa kaimidwe;
• pali dislocation zowononga;
• osteomyelitis wa maxilla, amene nthawi zambiri matenda anyamata, amachititsa mapangidwe meninjaitisi, entailing kusintha mu thupi.

Pomaliza

Ngakhale kuti osteomyelitis ana ndi mavuto aakulu kwambiri, mankhwala amakono angathe kuchiza matenda oopsa, kuonetsetsa kuti madokotala ananena zawo zabwino kwambiri. Malinga ndi kafukufuku, anthu ofa chikuchepa chaka chilichonse. Makolo ayenera kumvetsera kwambiri thanzi la ana awo, kuona kuti sanapeze matenda mu kuvulala ndi mabala, mwamsanga kuchipatala.