Brodie abscess: Zoyambitsa, zizindikiro ndi mbali chithandizo

Malinga deta malo amodzi, matenda monga abscess Brodie anapeza kuchita masiku ano madokotala n'chosoŵa. Komabe, Zikatero nthawi akadali zokhoma kwambiri kudziwa kuti ndi matenda, ndi ofunika. Chotero kodi zizindikiro ndi limodzi mwa malaise, ndi amene m'gulu la chiopsezo?

kudwala ndi chiyani?

Brodie Abscess ndi mtundu wa osteomyelitis hematogenous. Pakuti matenda amakhala ndi malo zikuchepa zochepa za chotupa fupa. Against maziko a matenda pali magulu mafinya mu pfupa la munthu, yomwe ndi chotsatira chake cha necrosis m'mbuyomu.

Iwo ayenera yomweyo kuti matenda amawapeza zambiri amuna zaka 14 ndi 24. Brodie abscess makanda kapena sukulu n'zothekanso, koma Zikatero kawirikawiri kulembedwa.

matenda zambiri zimakhudza mafupa yaitali, ndicho pambuyo-epiphyseal awo Dipatimenti. Nthawi ya abscess mu diaphysis osowa. Malinga ndi kafukufuku, nthawi zambiri odwala matenda abscess Brodie tibia. Nthawi zina abscess akupezeka epiphysis wapotalikira wa zozungulira fupa. Koma m'madera ena a zida akuthandiza kutupa ndi suppuration ali kokha milandu payekha.

zifukwa zazikulu chitukuko cha abscess ndi

matenda Brodie a - matenda chiyambi bakiteriya. Nthawi zambiri chifukwa cha ndondomeko yotupa ndi matenda staphylococcal, ngakhale kawirikawiri purulent misa kudziwa kupezeka ndi tizilombo tina, kuphatikizapo Escherichia coli. Nthawi zambiri, abscess mapangidwe chifukwa cha osteomyelitis.

tizilombo toyambitsa matenda amatha kulowa mu fupa minofu m'njira zosiyanasiyana. Mwachitsanzo, tizilombo nthawi zambiri anagwidwa minofu kudzera m'magazi kwa cholinga china yotupa Choncho, zinthu chiopsezo ndi kukhalapo mu mtima wa purulent ndi matenda opatsirana. Komanso, mabakiteriya amatha kulowa mu epiphysis wa M'mimbamo kapena cysts furuncle. Komano, tizilombo toyambitsa matenda nthawi zambiri anayambitsa ku malo akunja pamene kuonongeka khungu, mankhwala kutumikiridwa subcutaneously kapena m'nsinga (ngati miyezo ukhondo akhala anakumana). Nthawi zina abscess akufotokozera mu nthawi postoperative. Mwa njira, ndi pafupifupi nthawi zonse chilli mu njira ina kugwirizana ndi chifooke chitetezo m'thupi.

The pathogenesis matendawa

Abscess Brodie ali mbali kutchulidwa kwambiri. Pa maziko a necrotic mitundu ndondomeko M'mimbamo chatsekedwa chowulungika kapena ozungulira mawonekedwe mu minofu fupa mmene mpanda wa mmalo mwake kugonjetsedwa ndi yosalala. Ndi mkati M'mimbamo ndi kudziunjikira wandiweyani purulent misa. Nthawi zina zikhoza kuonedwa mu abscess viscous madzi mandala. Zodabwitsa ndizakuti, M'mimbamo awiri ndi amangoona 2-5 cm.

Pankhani mapangidwe akale, mpanda wa M'mimbamo zambiri Zipolopolo fibrous zimakhala. Kuzungulira bwalo chilonda anapanga concentric fupa ofoola ziwalo, ndi periosteum kuoneka periosteal kuchulukana.

Zizindikiro ndi zizindikiro za matenda: choti?

matenda Brodie a - matenda. Nthawi zambiri zimatenga zaka ndi zambiri popanda kuchititsa zizindikiro zilizonse kwambiri (osachepera makhalidwe ofotokozedwa ofooka kuti wodwalayo si chidwi).

Matenda atuluka sluggishly, ndi wachibale bwino m'malo mwa kanthawi wa exacerbation, amene anatsagana ndi zizindikiro kwambiri. Mwachitsanzo, odwala amanena malungo ndi kufooka ambiri. Minofu kuzungulira zinkakhala m'dera fupa pathupi, ndi reddens khungu. Anzanga tcheru munthu amamva ululu, ndi khungu akuona otentha.

Chithunzi matenda pa "bata" nthawi wothira mafuta. Odwala lipoti ena kusapeza okha pa zochita okwera thupi. Monga abscess kukula kapisozi akhoza maganizo kukhudza. Kawirikawiri kuchepa sayenda a nthambi, komanso kusintha tilinazo, zimakhala ndi.

Brodie abscess: X-ray ndi njira zina matenda

Kumene, mu nkhani iyi, matenda lolondola ndi zofunika kwambiri, chifukwa zimakhudza bwino chithandizo chakudya ndi mankhwala. Pambuyo kudziwana ndi zizindikiro zimene odwala adandaula ndi palpation wa zinkakhala m'dera, dokotala n'kukulemberani kuphunzira zina.

Chimodzi mwa ziyeso kwambiri nkhani - X-ray. Pa cithunzithunzi dokotala aone pamaso pa mapangidwe dzenje mu minofu ya fupa akhudzidwa. Makulidwe a abscess ang'ono, ndi mpanda wake yosalala.

Kumene, pali maphunziro ena kuthandiza oterewa matenda monga abscess Brodie. Kujambula (kulingalira maginito kumveka) Mwachitsanzo, lili ndi mfundo zolondola kwambiri, komanso limasonyeza kuti patsekeke ladzala ndi purulent zotupa misa.

Masiyanidwe matenda ndi zochititsa

Masiyanidwe matenda Pankhaniyi n'kofunika kwambiri, chifukwa zizindikiro za matenda pang'ono amatikumbutsa chithunzi matenda a ostite tuberculous. Maphunziro fupa kungakhale eosinophilic granuloma kapena osteoid osteoma, kotero kufufuza zambiri n'kofunika.

Mwachitsanzo, pamene tuberculous zotupa bwino chotupa mafupa kumeneko - ndi chizindikiro. Cysts, mosiyana ndi abscess ndi dongosolo ma. Nthawi zina imachitika kwa matenda zolondola Wasserman anachita kwa chindoko, chifukwa matenda limodzi ndi mapangidwe fupa la wodwalayo otchedwa gummas.

Brodie abscess: chithandizo

Kumene, matenda ndi zosavuta kuchiza mu magawo oyambirira - odwala zambiri ndiwofatsa ndithu mankhwala. Choyamba muyenera asagwiritse sayenda ya nthambi ndi kuponya - mu chikhalidwe choterocho wodwala ayenera amathera maola 4 masabata. Panthawi imeneyi, maantibayotiki kutumikiridwa intramuscularly, koma dokotala amene amanyamula motsogozedwa tilinazo tizilombo toyambitsa matenda enieni.

Ngati pali akuchuluka za ndondomeko yotupa, ndi kutumikiridwa odwala kulandira mankhwala odana ndi yotupa. Zikavuta kwambiri wasonyeza kuchipala abscess M'mimbamo ndi antiseptic processing zina ndi utsogoleli wa penicillin (kapena maantibayotiki ena) mwachindunji mapangidwe fupa.

Amafotokozera ndi kuvomerezedwa ndi physiotherapy - imatengedwa zotsogola kwambiri UHF chithandizo. Mwachibadwa, munthu kudwala chiyenera kuchitika bata, chepetsani olimbitsa thupi, kudya bwino, kuchita chilichonse kuti yambitsa chitetezo cha m'thupi.

Kugwira Ntchito alowererepo zikusonyezedwa milandu kumene chithandizo ndi mankhwala sangathe kupereka zotsatira kuyembekezera. Pa ndondomeko, dokotala amachotsa abscess Brodie. Nthawi zina tiyenera kuchotsa mbali ya mafupa ndi minofu - mu Zikatero, iwo m'malo mwa analili ndi. Ndi njira yoyenera, matenda amaliona ndi mavuto zoopsa.