Vincent Zizindikiro: Matendawa

Mu yochizira matenda, pamodzi ndi kufotokoza pathologies m'kamwa wamba chiphunzitso cha chizindikiro Vincent. Kodi chikhalidwe ichi chimene kutupa amapezeka Vincent chizindikiro ndipo ndi lachonde pansi zikamera wa chotero kudwala - mafunso awa idzayankha m'nkhani ino lero.

Kodi mtundu wa zizindikiro?

Vincent chizindikiro ndi mkhalidwe umene munthu wotaya tilinazo m'dera chibwano - yeniyeni, m'dera la mlomo wa mmunsi. The chizindikiro chifukwa cha limati zosiyanasiyana matenda a chamoyo monga osteomyelitis cha pachibwano ndi lakuthwa periodontitis apical. kudwala Izi umatchedwanso pamene pseudomembranous angina, mutu wachiwiri umene - angina Simanovskiy - Vincent (zizindikiro matenda osiyanasiyana kwambiri).

Tiyeni tikambirane mfundo iliyonse ya pathologies wopita ku chiwonetsero cha chizindikiro pamwamba-anafotokoza.

Pseudomembranous angina - matenda yomwe imatsogolera ku kutupa tonsils lapansi. Chifukwa cha kudwala ndi achangu mu thupi la ndodo spindle Plaut - Vincent pamodzi ndi spirochaete Vincent. Pamene angina anapanga chilonda ndi ❖ kuyanika khalidwe kuchokera wobiriwira. Mpweya wa wodwalayo limodzi ndi fungo zosauma. Izo ziyenera kuti mabakiteriya oterowo ndi zopezeka mu M'mimbamo m'kamwa wathanzi munthu Komabe, zinthu zambiri, monga caries molars, kukhalapo mu m'kamwa zibowo zam'mano necrosis, komanso kufooka ambiri a tizilombo chitetezo chokwanira adamulowetsa ndi zotsatira zake ntchito mu chitukuko cha pathological states.

Vincent ndi matenda. Zizindikiro ndi Chithandizo

Fusospirochetal angina anaonetsa khalidwe ya zizindikiro. Njirazi ndi monga:

• Kuwonjezeka anakhudzidwa tonsil. Advantageously, matendawa amakhudza mbali umodzi.
• Kuchuluka odwala ndi zolimbitsa dera lymph mfundo.

• Maphunziro pa tonsils mucous grayish-chikasu zolengeza, yomwe INGATHE kuyambitsa mapangidwe maloboleznennyh zilonda pamwamba ndi imvi pansi. Ngati kudwala m'kati, zilonda zimachitika m'madera ena pharynx, komanso ngati masaya kapena chingamu. Nthawi zina zilonda akhoza kuchiritsa popanda kuchita pamene zopindika iliyonse.
• Mu ntchito, chakudya (kwa kumeza) chifukwa ululu, odwala ndi Amowabu kuwonjezeka salivation, halitosis.
• Kutentha thupi la kudwala ndi kawirikawiri wopyola malire zachilendo, ngakhale kuti nthawi zina matenda angayambe ndi boma mkulu kutentha ndi kuzizira.
• Dzanzi ndi imfa ya kumverera m'dera kuchigama.

kudwala chithandizo umalimbana kuthetsa pakhosi mucous nembanemba kutupa. Nthawi zambiri, otolaryngologists, madokotala mankhwala rinses kapena kondomu anakhudzidwa m'deralo. Mu chochitika cha njira yaitali matenda ayamba mankhwala opha tizilombo. Odwala angina pseudomembranous nthawi olekanitsidwa, m'njira choopsa cha matenda - kuchipatala. Mfundo zikuluzikulu zopewera matenda ndi kulimbikitsa ntchito zoteteza thupi ndi kuwonjezera chitetezo chokwanira.

Vincent chizindikiro mu mano. periodontitis

Periodontitis - kudwala kuti amayamba ndi matenda kulowa M'mimbamo mu minofu fupa mwa nsonga ya muzu. Matendawa amachititsa kutupa chipolopolo dzino mizu. Popeza periodontitis chithandizo akuwonetseredwa zizindikiro zosiyanasiyana, kuphatikizapo chizindikiro ndi Vincent. The reversibility cha matenda kumatengera zifukwa zambiri kupeza nthawi yake kwa chithandizo., Boma onse a thupi, etc. Taganizirani limagwirira wa kudwala lapansi.

cavities zozama kumabweretsa pulpitis - kutukusira kwa zamkati, umene ndi tizilombo kulowa periodontium kudzera m'njira mizu. Palinso njira zina za malowedwe a mabakiteriya mu minofu fupa, mwachitsanzo chifukwa choipa mu sepsis, koma guwa - chifukwa ambiri a kutupa mu fupa. Pamene kutupa amapezeka propotevanie madzimadzi, ndi periodontal - minofu maselo kulemera - Yankho zichuluke kuthamanga. Pamene kutupa izi amayambitsa kupweteka.

Mbali khalidwe la periodontitis ikukula ululu throbbing, amene mosamalitsa isanafalikire. Nthawi zina, pa kutseka mano ndi zovuta kupirira ululu, odwala sangathe kudya. Munthu wodwala chabe mphepete mwa dzino, amene amakhala m'manja, ndi m'kamwa padziko dzino, komanso mlomo ndipo tsaya kufufuma, kutentha thupi limatuluka zikuchepa. Concomitant chizindikiro cha periodontitis kungakhale chizindikiro cha Vincent. Zizindikiro ake ndaitchula: dzanzi ndi imfa ya kumverera mu minofu kuchigama.

mitundu ya periodontitis

Pali pachimake ndi aakulu periodontitis. Ngati madzi inakhazikitsidwa m'zaka kutupa chimafikira kudzera muzu ngalande za dzino, periodontitis amakhala aakulu. Ululu syndrome si kwambiri kutchulidwa ndi njira pathological mu pamwamba pa dzino kuyenderera pang'onopang'ono. Mabakiteriya chulukanani mu fupa akhudzidwa, secrete poizoni kuti "ululu" thupi la munthu ndipo zingapangitse kuti chitukuko cha matenda a machitidwe osiyanasiyana limba (mafupa, mtima, impso).

Apo ayi chitukuko amalandira mawonekedwe wokonda periodontitis omwe pa nthawi pakalibe mankhwalawa akhoza chitani mu purulent sitepe.

Tatchulawa mitundu ya periodontitis amafuna yaitali kwambiri aluso mankhwala. Cholinga chachikulu cha mankhwala - kupereka ngalande za mafinya kutupa kutanthauzira. Mankhwalawa ndondomeko yotupa koyamba atazikocheza, processing zina ikuchitika zamkati antiseptic ndi kuika kudzazidwa zosakhalitsa. Pa njira achire wotiyang'anira thanzi fupa ndi radiography.

chithandizo

Mankhwalawa periodontitis aakulu ntchito mankhwala mankhwala yotithandiza periodontal kubwezeretsedwa. mankhwala Concomitant akhale physiotherapy: electrophoresis, UHF, mayikirowevu, laser, maginito mankhwala. Nthawi zina, mankhwala odana ndi bakiteriya.

Mankhwala angagwiritsidwe ntchito timitu mu nkhani ya mapangidwe kwambiri periodontal matumba. Kusindikiza kwa ngalande muzu imagwiridwa zipangizo zimene amasankhidwa payekha lililonse.

Ngati kutupa amakhudza mbali yaikulu ya minofu, kapena mankhwala ndiwofatsa sichichititsa chifukwa choyenera, opaleshoni. Cholinga cha mpheto ndi resection wa pamwamba pa muzu dzino. Chingamu imagwiridwa ang'ambe thupilo kena kuti mwayi wolankhula ndi fupa. Kenako kuchotsa dongosolo akhudzidwa, nsonga ya njira wasindikizidwa. Bone Kusintha - njira yaitali. Ngati mankhwala sichichititsa anasinthira, dzino zikhoza kukhala kuchotsa.

Pofuna kupewa chitukuko cha matenda, ayenera kuyang'aniridwa kuti kutsuka mano. Zimenezi zimaphatikizapo dzino kuvomerezedwa kawiri tsiku kutsuka. Mu nkhani iyi, wamsuwachi ayenera kusinthidwa nthawi, scrupulous posankha mankhwala otsukira mano. Kamodzi pachaka kutsatira mano a katswiri ndondomeko kuchotsa zolengeza.

Unkafuna dentition kutsogolera chakuti mano otsala mkamwa kunyamula mtolo kuchuluka. Molars ali osatetezeka, m'kamwa yotupa ndondomeko kumachitika Izi zidzapangitsa kuti periodontitis m'tsogolo.

Periodontitis - matenda m'malo sioneka chifukwa amachititsa kwambiri matendawo, pakati pawo - aakulu sepsis, yotupa zofewa njira minofu ya nkhope, nsagwada osteomyelitis.

osteomyelitis ndi chiyani?

Chifukwa china Vincent chizindikiro amapezeka ndi osteomyelitis. kudwala, zilibe kanthu zimene anthu mafupa gawo kukuonetsedwa, uli ndi gulu la matenda a kutupa chikhalidwe.

Osteomyelitis la nsagwada amakhudza zimakhala onse: periosteum, thunthu fupa, ndi mafupa. The kudwala kumachitika makamaka anthu zosaposa zaka makumi anayi. Komabe, pali milandu matenda ana ndi okalamba. Izi zidalira pa mmene munthu anakhudzidwa ndi caries mano. Mofanana osteomyelitis kazivutitsa amuna ndi akazi. Zizindikiro Vincent osteomyelitis amakhudza dera chibwano, ndipo ichi ndi chifukwa makamaka chakuti kudwala kwambiri wamba mu nsagwada poyerekeza chapamwamba.

M'mbuyomo, kutsuka mano anali ananyalanyaza, osteomyelitis nsagwada wotanganidwa kudwala pakati pa mafupa ena okwana pafupifupi 40%. Osati kale litali, zinthu zasintha kwa bwino.

Lero, chifukwa ambiri anakonza konzanso wa M'mimbamo m'kamwa ndi ana ndi akuluakulu, kuchuluka kwa odwala ndi osteomyelitis cha pachibwano waponya, ndi kugwiritsa ntchito mankhwala walola kuti matenda zochepa kwambiri.

gulu la osteomyelitis

Nthawi zambiri, osteomyelitis la nsagwada ndi zotsatira za caries ndi periodontal matenda vuto. Izi kuitana gulu analandira osteomyelitis odontogenic (stomatogennymi). Matendawo afika mu dongosolo fupa mwa molars lawola. The foci kutupa azipereka microflora osiyanasiyana. Izi streptococcus ndi staphylococcus (woyera ndi golide), pneumococcus ndi mabakiteriya ena.

Contact osteomyelitis - kudwala lomwe likutuluka matenda a khungu kapena mucosa (mwachitsanzo, furuncle nkhope). Apa kuonetsetsa osteomyelitis chindunji:

• chifuwa chachikulu,
• chinzonono,
• actinomycotic.

Nthawi zina mafupa nsagwada amapezeka mabakiteriya kulowa m'magazi. chikhalidwe ichi zimagawidwa monga osteomyelitis hematogenous kuti zikadzatha matenda, monga fuluwenza, tayifodi, fever, chikuku.

Osiyana gulu osteomyelitis, chifukwa choipa (wovulala, kuvulala lolemera). Zizindikiro Vincent pa fractures, pamene mu maganizo mitsempha tilinazo ndi okhumudwa odwala onani m'munsi mlomo dzanzi kumachitika chifukwa psinjika za mitsempha m'munsi alveolar, aumbike mwa kutupa exudate.

matenda

Njira ya matenda angakhale osiyana, ndipo nthawi zambiri zimatengera pa boma la chamoyo wonse, kukula kwa magazi mu zinkakhala m'dera. Nthawi zina, fupa necrosis wa pokha, chifukwa malo chachikulu. Zikatero, tikulankhula za osteomyelitis zochepa. Ngati matenda ili m'kati, kutupa kuti azikatumikira ku ozungulira minofu zofewa cha pachibwano. Chotero chikhalidwe akhoza kusonyeza kuti periostitis, kapena cellulitis. Cellulitis - ndi pachimake purulent kutupa kwa malo (zambiri zofewa minofu), chimene chiri waikidwa ndipo alibe omveka bwino monga abscess ndi. Mwa njira, Vincent zambiri chizindikiro kumachitika ndi cellulitis, odwala muzindikire imfa ya kumverera mu zinkakhala m'dera.

Pa chiyambi cha ndondomeko pathological a mafupa pa nsonga ya kutupa amakhala zofiirira, mdima wofiira mtundu. Kenako anapanga suppurating zotupa kuti kuphatikiza mu M'mimbamo lonse. Mafinya limalowera mu periosteum, ndi m'kamwa ndi amachititsa necrosis zigawo pachibwano. Anapanga sequesters. M'zotengera ka magazi thrombi zimachitika kuti alandire kusungunuka. M'munda wa fupa necrosis kuoneka fupa kuwonjezera magazi ake pang'ono ndi pang'ono yafupika, zikubweretsa kuwonjezeka mu lonse necrosis dongosolo fupa. Makulidwe kukula khunyu anachititsa ziwiya thrombosed. Zikavuta kumachitika necrosis a nsagwada lonse. wotere kugwirizana ndi akakufunsani (akakufunsani) osteomyelitis.

symptomatology

Pali njira zosiyanasiyana za kudwala. Pa subacute osteomyelitis limapezeka otchedwa kutsinde pakati fupa wathanzi ndi akufa. Nthawi zina, pali resorption sequester. njira kusinthika angayambe - kuzungulira dera lomwe linakhudzidwa anapanga latsopano dongosolo fupa. Apo ayi, pali kukana khunyu. Subacute mawonekedwe ndi m'malire osteomyelitis pachimake ndi aakulu.

Pa mawonekedwe wokonda osteomyelitis ndi yogwira kukula kwa mchitidwe yotupa. Odwala lipoti kupweteka kwambiri nsagwada (wotopetsa kuwombera) kuti kukhala pa maziko a malungo, kuzizira, kupuma mofulumira ndi mlingo mtima. Kuwonjezera ululu pachibwano akhoza kusiya tilinazo mlomo wa mmunsi - kotero chizindikiro Vincent osteomyelitis. Patapita masiku ochepa a isanayambike matenda mano pafupi ndi dzino wodwala, kutenga kuyenda.

Palpation limasonyeza nsagwada kutupa ndi limodzi ndi zomverera chopweteka. Pali kutupa ndi kutupa kwa m'kamwa, masaya kapena mbali zina za nkhope. Nthawi ya matenda ndi kuwonjezeka mu mwanabele. Kenako, zizindikiro zonse akhozanso kukopeka ndi lockjaw - kusakaniza nsagwada minofu dzanzi (Vincent chizindikiro). The reversibility matendawa zimadalira matenda yake ndi chithandizo zina.

The chikhalidwe ambiri wodwala conventionally zimagawidwa m'magulu wofatsa, lochepa kwambiri. Mwatsoka, nthawi zina matenda oopsa akumaliza mu masiku angapo kuchokera pachiyambi cha ndondomeko pathological.

Amadziwika kuti odwala poyamba amaoneka mokondwera, koma posakhalitsa agonjera ku mkhalidwe euphoria prostration ndi dontho lakuthwa magazi ndi kuchuluka kugunda kwa mtima. Maonekedwe a munthu wasintha kwambiri.

Mu osteomyelitis akakufunsani, pali imfa pang'onopang'ono mafupa kutupa malo atsopano. alili akhoza yodziwika monga wosakhazikika, ndi kusintha kwa kanthawi ndi kuwonongeka kwa thanzi, imene thupi kutentha choyamba kubwerera mwakale, ndiyeno adzaukanso ndipo kutsatana kumatchula kuzizira. Gawo la pachimake akakufunsani osteomyelitis ukhoza mpaka milungu inayi. Choncho pali kuchepa lakuthwa mu lymphocytes magazi (15% -18%), mapuloteni alipo mu mkodzo.

Mawonekedwe a matenda, pakalibe miyeso kukonza aakulu akhoza kutenga miyezi ndi zaka zina ndi kuyambitsa maonekedwe a mavuto osiyanasiyana: m'mapapo abscesses, mapangidwe suppuration sinuses cranial, pachimake ndi aakulu zotupa aimpso.

Matendawa ndi mankhwala

Radiography ndi imodzi mwa njira ku matenda a osteomyelitis ndi chimathandiza kuona mmene chiwonongeko cha nyumba fupa. Komabe, kusintha koyamba mafupa amawaona kokha tsiku 7-10 kuyambira inayamba matenda. Choyamba, monga anatsimikiza mtima cithunzithunzi, - wosatsogoleredwa m'munda wa nyumba fupa. Komanso, ngati matenda akulephera kusiya, X-ray limasonyeza mitundu malire pakati minofu wathanzi ndi akufa. Ndi kukula kwa malire kudzatunga mfundo za kukula ndi malo khunyu. Kuwonjezera X-ray mapindidwe akuwala kudziwa matenda kumathandiza chithunzithunzi chonse cha mkhalidwe wa thupi la munthu ndi kusanthula zizindikiro zokhudzana, kuphatikizapo Vincent chizindikiro.

Osteomyelitis Chithandizo kumafuna ntchito Integrated antibayotiki ndi opaleshoni. Nthawi zambiri monga ndiwofatsa mankhwala zotchulidwa Penicillin jekeseni, streptomycin kapena phwando biomitsin. Pamene mankhwala opha tizilombo, Komabe, nkofunika kukumbukira luso mabakiteriya kwa mankhwala mankhwala.

mankhwala kuli kofunikira kupitirizabe kwa masiku 7-10, ngakhale pambuyo kutsitsa kutentha ndi mfundo yachibadwa. Apo ayi, matenda kudzachitika chobisika. Nthawi zambiri, tsogolo la dzino, amene zayamba chifukwa kutupa matenda, ali ndi njira yapadera - ayenera kuchotsedwa. Ngakhale pali kuchotserapo kuti lamulo.

Mano pafupi akuyesetsa kusunga, kubwezeretsa magwiridwe awo. Kuziyika izi waya basi, imene yaikidwa pa dentition lonse. Komanso, kutupa zamkati mano ndi kuthetsa kutali zedi. sequesters makina phunziro kwa kuchotsa opaleshoni, yomwe ikuchitika osati kale kuposa 4-6 masabata pambuyo isanayambike matenda. Ichi ndi chifukwa makamaka chakuti okha patapita nthawi inayake malire sequestration ali bwino distinguishable.

Choncho, Vincent chizindikiro ndi chimodzi cha zizindikiro zazikulu za chitukuko anthu a matenda aakulu yotupa, kuphatikizapo osteomyelitis, periodontitis, zilonda zapakhosi Simanovsky-Vincent (zizindikiro za mawonekedwe matenda distinguishable kuchokera chizindikiro wamba angina chifukwa zizindikiro Vincent).