Osteomyelitis fupa - osati chiganizo

Osteomyelitis - aakulu necrotic matenda a m'mafupa. Iwo osati kumakhudzanso mafupa, koma fupa lonse wonse, ndi ndipo umasamutsidwa ku minofu ozungulira. Matenda amayamba ndi tizilombo kapena mycobacteria popanga mafinya.

Osteomyelitis fupa akhoza opatsirana m'njira zosiyanasiyana:

• kudzera m'magazi (hematogenous mitundu)

• kuchokera ku gwero la kutupa zina,

• mu ozama zilonda kapena athyoka (mtundu posttraumatic)

• Pa mankhwala mano kapena mano prosthesis unsembe (odontogenic mtundu).

Pambuyo kukhudzana ndi mabakiteriya mu chamoyo ikani masango awo atazungulira leukocytes kuti akufuna kuwononga matenda mubale michere amene adawononga fupa. Bone, fupa mafuta, zofewa, lint tendons ozungulira ndi kufa, ndipo unali ndi latsopano minofu fupa, kupanga malo analamula okhazikika matenda.

Kuyendera malo chofuna, mukhoza kudziwa mtundu wa osteomyelitis. Kungakhale kovuta kapena aakulu. Nayenso pachimake osteomyelitis, fupa amadziwikanso ogaŵikana mitundu, chifukwa zifukwa zosiyana ndi mosiyanasiyana zikuchitika.

Osteomyelitis mu akhanda amapezeka wachitatu wa ana. The matenda amakhudza mafupa yaitali, ndi Zikavuta kwambiri, pali zotupa angapo. kawirikawiri zimenezi zimathandiza kuti moyo wonse nyamakazi.

Pachimake osteomyelitis kungakhale septic piemicheskim, apakhungu kapena poizoni.

Zizindikiro za mtundu woyamba: lakuthwa mkulu malungo, ndi kuona zilubwelubwe, kusanza mobwerezabwereza, matenda a chikasu ndiyo imfa ya chikumbumtima.

Local fupa osteomyelitis akutukuka mofulumira kwambiri. Kwa masiku awiri, kapena auka kutentha, pali kutupa kwa khungu redness. ululu samasintha udindo wa nthambi anakhudzidwa, kuwapatsa amakakamizidwa zobwera malo. The finiteness kutaya amatha. Komabe, ambiri, boma la odwala zosavuta kuposa ndi septic piemicheskoy mawonekedwe.

mawonekedwe poizoni amapezeka ndi liwiro mphezi, koma kawirikawiri ndithu. Zizindikiro akukulira ngati snowball a. kwambiri malungo, ndi pachimake kuledzera. Iye limodzi ndi kusanza kwambiri, kukula zizindikiro za kakhosi. Pafupipafupi khunyu, zomwe m'malo adynamia pa umene munthu kuyenda. Kuthamanga akutsikira mlingo yovuta, angayambe mtima kumangidwa. Popeza zingakhale zovuta mosiyana ndi zina zizindikiro zosonyeza adzawonekera, osati mbali m'deralo, atakhala matenda zolondola.

Osteomyelitis maxilla chingachitike n'chiyani akuthamanga wa caries (odontogenic) kudutsira mu mwazi wa dzino kapena ena akhudzidwa limba (hematogenous) kukhala pa maziko a choipa chilichonse (zoopsa).

Odontogenic osteomyelitis zambiri amapezeka mu nsagwada m'munsi ndi chapamwamba anakhudzidwa yekha wachitatu milandu. Activators wa mtundu uwu ndi streptococci, staphylococci, anaerobes.

Gwero la matenda ndi hematogenous osteomyelitis la nsagwada mwina zilonda zapakhosi, fever, Nthenda yofanana ndi tayifodi, ndi zina matenda alionse opatsirana kapena purulent.

Zizindikiro za osteomyelitis cha pachibwano:

• kupweteka kwambiri mu dzino, poipa pamene liyimbidwa,

• Kubwerera kachilombo oyandikana mano,

• kutupa mkamwa, pakutchulidwa wa abscesses,

• kutupa lymph mfundo pakhosi,

• matenda a chikasu ndiyo,

• malungo,

• ulesi,

• lakuthwa kuthamanga fluctuation.

Pamene matenda a "osteomyelitis fupa" akapatsidwa ndi sitepe ndi sitepe mankhwala:

• kuchotsa minofu akhudzidwa. Ntchito imene;
• fupa kudzaza zinthu othandizira ndalama ndi oyera kwa zinthu zonse antigenic;
• zovuta chithandizo cha mankhwala, kuphatikizapo mankhwala.

Osteomyelitis mu mawonekedwe aakulu kumabweretsa mapangidwe a purulent fistula, nthawizina kusintha m'litali mwendo. Chikhululukiro ukhoza kwa zaka zambiri.