Zoyambitsa, zizindikiro ndi mankhwala a osteomyelitis wa mandible ndi

Otchedwa osteomyelitis kutupa fupa minofu ndi mafupa. wachitatu wa matenda onse pagulupo umenewu akunena osteomyelitis cha pachibwano. Pankhaniyi, kawiri nthawi anakhudzidwa nsagwada m'munsi. matenda angayambe pachimake, subacute ndi mitundu aakulu. Malinga ndi gwero la matenda akutali odontogenic, zoopsa, hematogenous ndi mtundu umodzi wokha. Komanso, osteomyelitis yochepa ndipo akakufunsani (akakufunsani); kuwala, sing'anga ndi adalemeradi; ndi mavuto ndipo popanda iwo.

Zimayambitsa osteomyelitis cha pachibwano

Matendawa akufotokozera chifukwa cha matenda a mafupa. Monga ulamuliro, nthumwi causative ndi Staphylococcus aureus ndi cocci zina, ndodo woboola pakati tizilombo toyambitsa matenda, n'zochepa.

Nthawi zambiri nawo pa zachipatala mchitidwe odontogenic osteomyelitis, mmene matendawo alowa fupa la dzino zamkati wodwala kudzera lymphatics kapena tubules fupa. Mu 70% milandu kumachitika kudzera lalikulu mano m'munsi zakwawoko.

Mantha osteomyelitis la nsagwada ya khateyo pa chakuti pachibwano chifukwa cha kulowa kwa tizilombo ku bala. kuwanda ake si oposa 25% milandu onse.

Pasanathe ambiri matenda hematogenous osteomyelitis, umene umachitika kulanda matenda ndi mwazi wa yotupa foci mu minofu fupa. Izi zingachitike ndi zilonda zapakhosi aakulu, pachimake komanso njira monga fever, diphtheria ndi ena. Pankhaniyi, poyamba pali fupa kuwonongeka, ndiyeno mano.

Osteomyelitis cha pachibwano. zizindikiro

Kuchuluka kutentha thupi anamuona pa nkhani ya ndondomeko pachimake. Odwala amadandaula malaise, ululu, kutupa, redness mu causal dzino sayenda anzathu. Amowabu kuchepa sayenda wa pachibwano chitukuko cha abscess ndi, kuchuluka ndiponso yopweteka khomo lachiberekero lymph mfundo.

Patapita mafinya kuchepetsa subacute mawonekedwe limapezeka. Kutupa ena kuzimiririka, koma kugwa fupa akupitiriza. Pa nthawi imeneyi, anapanga sequesters - malo a necrotic fupa. Sequesters angakhale osiyana mu mawonekedwe, angapo ndi umodzi, zazikulu ndi zazing'ono. Chifukwa kupunduka kapena sekvestralnye M'mimbamo alimbane ndi granulation minofu, analankhulana ndi mucosa ndi khungu ndime fistulous.

Matenda osteomyelitis amakhala pa yaitali - mpaka miyezi ingapo. Nthawi kuchepa m'malo exacerbations ndi mapangidwe fistula latsopano ndi womwetula kutali malo akufa fupa. Self-machiritso ali osowa.

Matenda a osteomyelitis cha pachibwano

Matendawa zachokera kumupima, madandaulo wodwalayo, X-ray, magazi mayeso. Masiyanidwe matenda ndi pachimake purulent periostitis ndi zotupa.

Zovuta za osteomyelitis cha pachibwano

Ngozi ya matenda ndi kuti si lilibe mavuto aakulu, monga abscesses, cellulitis, phlebitis nkhope mitsempha, sepsis.

Kuchiza ndi kupewa

Chithandizo Amakhala makamaka kuchotsa dzino wodwala. Komanso, periosteum ang'ambe thupilo kwa outflow wa madzimadzi - zakumwa, amene anapanga pa ndondomeko yotupa. Muzicheza kutsuka mafupa antiseptics Kwalamulidwa odana ndi yotupa, detoxification ndi mankhwala symptomatic. Kusonyeza physiotherapy: electrophoresis, UHF, ultrasound. Kaŵirikaŵiri amachita opaleshoni kuti achotse m'madera necrotic fupa. sequesters Small ikhoza kusankha paokha. Pambuyo kumaliseche kwawo, kapena kuchotsa opaleshoni ya lumikiza M'mimbamo amadzadza, ndiyeno fupa, pali amamuyambitsa timabala nkusani timapepala.

Kuteteza osteomyelitis cha pachibwano yafupika chithandizo yake ya caries, kuvulala chibwano, matenda pachimake ndi aakulu wa kapepalako chapamwamba kupuma.