Osteomyelitis ntawm tus me nyuam: ua, cov tsos mob, kev kho mob

Osteomyelitis - ib tug kab mob tshwm sim los ntawm kev kis mob. Nws manifested nyob rau hauv daim ntawv ntawm cov mob. Feem ntau cov feem ntau cuam tshuam yog cov qis ceg, hip, xub pwg cov pob txha, pob txha caj qaum thiab puab tsaig pob qij txha. Osteomyelitis - necrotic txheej txheem uas tsim nyob rau hauv lub hlwb pob txha thiab lwm tus nqaij mos mos. Feem ntau, tag nrho cov kab mob no tshwm sim nyob rau hauv txiv neej (2 lub sij hawm ntau tshaj li cov ntxhais) vim hais tias ntawm lub high school muaj, sib ntaus, kev raug mob, uas yuav ntog.

Yog vim li cas cov me nyuam osteomyelitis hais txog ib tug heev txaus ntshai kab mob?

Osteomyelitis nyob rau hauv cov me nyuam (yees duab sab nraud paub txog tus kab mob no yuav tsum tau pom nyob rau hauv no tsab xov xwm) yog hais txog kab mob txaus ntshai. Tus kab mob muaj feem xyuam rau cov hlwb pob txha. Kab mob tsom ncaj qha nyob rau hauv cov pob txha thiab zoo yuav luag tsis tshwm sim. Yog li ntawd, rau kev tshawb nrhiav tus kab mob nyob rau hauv cov me nyuam nyob rau ntawm ib thaum ntxov rau theem yog ib qhov nyuaj, vim lawv tsis meej piav qhia txog cov tsos mob thiab ncus. Yog hais tias mob osteomyelitis nyob rau hauv cov me nyuam tsis kho nyob rau hauv lub sij hawm, tus menyuam tus skeletal deformity zaum yuav tshwm sim. Tus kab mob no yuav ua tau ib tug ua tsis taus thiab mob txim.

ntaub ntawv ntawm osteomyelitis

Osteomyelitis yog muab faib ua ob cov ntaub ntawv. Thawj - meej. Qhov no yog ib theem kab mob uas yog tshwm sim los ntawm cov kab mob tom qab tuberculosis, syphilis los yog brucellosis. Tab sis nyob rau hauv cov me nyuam yuav tsis tshua muaj. Qhov thib ob daim ntawv - uas tsis yog-kev. Nws tshwm sim los ntawm lub purulent cocci thiab cov kab mob.

hom

Osteomyelitis, ib tug me nyuam tej zaum yuav muaj ob peb yam:

• Hematogenous. Nws provoked los ntawm micro-kab uas txeem mus rau hauv cov pob txha cov ntaub so ntswg ntawm cov hlab ntsha. Pom mob thiab ntev cov ntaub ntawv. Ob - thaum lub o kav ntau tshaj li plaub lub hlis. Cov mob daim ntawv no yuav muab faib ua ob subspecies. Primary osteomyelitis, nyob rau hauv uas muaj yog tsis muaj tseeb tsos mob. Thiab theem nrab - raws li ib tug rau txim ntawm lub mob hematogenous daim ntawv.
• Negematogenny (txwv tsis pub - exogenous los yog puas). Nws tshwm sim vim hais tias ntawm kev raug mob, cov pob txha lov, raug phom, o ntawm cov pob txha cov ntaub so ntswg.
• Odontogenic. Qhov no yog o ntawm lub pob txha ntawm lub puab tsaig. Tus kab mob no tshwm sim vim hais tias ntawm kev kho hniav kab mob. Cov me nyuam lub puab tsaig cov ntaub so ntswg permeated los ntawm heev cov hlab ntsha. Yog li ntawd, o kis nrog poj ceev. Tab sis cov ntaub so ntswg rov qab tom qab kev kho mob yog tsis tsawg sai. Qhov no hom ntawm osteomyelitis tshwm sim feem ntau nyob rau hauv cov me nyuam nruab nrab ntawm peb thiab kaum ob xyoos.
• Pin. Nws yog ib yam ntawm cov exogenous osteomyelitis. Nws tshwm sim thaum uas purulent o mus rau tus pob txha nrog cov nqaij mos mos uas nyob ib ncig nws.

Ua rau osteomyelitis

Lub ntsiab ua rau osteomyelitis nyob rau hauv cov me nyuam - ib tug purulent kab mob thiab raug mob. kab mob feem ntau ua rau:

• otitis xov xwm;
• abrasions;
• pyelonephritis;
• impetigo;
• kub nyhiab;
• cov pob txha lov;
• qhov txhab.

Nyob rau hauv ib tug xov tooj ntawm ntau pathogens yog Staphylococcus aureus. Nws yog pom nyob rau hauv osteomyelitis nyob rau hauv yim caum feem pua ntawm cov neeg mob. Nyob rau hauv lub seem nees nkaum feem pua ntawm cov neeg mob thiaj paub hais tias ntau yam nrog (Pfeiffer, E.), tus kab mob salmonella thiab tus kab mob Streptococcus. Mob odontogenic osteomyelitis pib vim cov hniav cuam tshuam los ntawm caries. Lub culprit - pathogenic cov kab mob muaj, uas yog nyob rau hauv lub sis plawv hniav thiab ncig.

Osteomyelitis nyob rau hauv cov me nyuam: cov tsos mob

Lub ntsiab ntawm cov tsos mob osteomyelitis:

• ua daus no;
• mob caj dab povtseg;
• o thiab liab ntawm lub qhov txhab qhov chaw;
• tsis muaj zog thiab nkees;
• ceev ceev mem tes;
• ua mob pob txha;
• siab leukocytosis, leukopenia thiab zoo ntshav kab lis kev cai;
• radiographic hloov chiv yuav tsis pom, lawv tshwm sim tom qab.

Cov tsos mob ntawm osteomyelitis nyob rau hauv lub cheeb tsam cov pob txha thiab tus me nyuam lub hnub nyoog. Me nyuam mos - sluggish, lub paj hlwb, raug kev txom nyem los ntawm tsis muaj kev qab los noj mov, muaj ib tug kub taub hau. Tej zaum kuj muaj yog ntuav thiab raws plab.

Yog hais tias koj saib cov me nyuam yaus, ces koj yuav saib tau npaum li cas cov me nyuam yaus mob siab povtseg (tsis siv rau cov nws kawm thiab yog ua tsis tau tsiv mus nyob). Lub Cuam tshuam cheeb tsam tej zaum yuav liab, tej zaum yuav tshwm sim edema. Ob peb hnub tom qab ntawd lawv loj hlob. Yog hais tias lub sij hawm tsis pib kho mob, ces yuav pib lub tu tub tu kiv ntawm purulent metastasis.

Cov me nyuam loj muaj mob ib yam nkaus, tab sis nws yog ntau pronounced. O npaj lawm, thiab liab thiab o yuav pom tsuas yog ib lub lim tiam tom qab qhov pib ntawm tus kab mob no.

Thaum odontogenic osteomyelitis ntawm lub hauv paus canals thiab cov pos hniav raws li nram no kua paug. Cov hniav uas nyob ze rau cov neeg muaj mob - ib yam nkaus thiab mobile. pib:

• o ntawm lub ntsej muag;
• daim tawv nqaij thiab mucosal blanch;
• kub taub hau;
• muaj kub ib ce thiab kev tsis muaj zog;
• cov me nyuam tej zaum yuav muaj kev qaug dab peg;
• ntuav;
• kem plab.

Qhov no yog vim lub zog intoxication. Primary mob osteomyelitis ntawm tus me nyuam nws ua cov tsos mob lubricated. Muaj me me hauj sim, tab sis lawv tsis muaj leej localization.

Thaum ob-mob txoj kev zam txim thiab exacerbation lwm (tej zaum xyoo). Nyob rau hauv thawj cov ntaub ntawv, tus me nyuam twb tsis muaj kev tsis txaus siab nyob rau hauv lub thib ob pib ntawm qhov mob ntawm palpation thiab kub ib ce. Tej zaum qhib fistulas nrog kua paug. Nyob rau hauv daim ntawv no ntawm tus kab mob no muaj feem xyuam rau lub siab, lub plawv thiab ob lub raum.

diagnostics

Mob ntawm tus kab mob no yog nyuab, raws li hematogenous osteomyelitis nyob rau hauv cov me nyuam yuav tsis meej pem nrog rheumatic fever, purulent mob caj dab los yog Ewing lub sarcoma, cov tsos mob zoo sib xws. Tej zaum kuj muaj yog ib tug suspicion ntawm ib tug phem kab mob ntawm thawj kos npe rau.

kev kho mob

Kev kho mob ntawm osteomyelitis nyob rau hauv cov me nyuam yog nqa tawm los ntawm txoj kev uas muaj feem xyuam rau cov kab mob ua mob ncaj qha mus rau lub cuam tshuam pob txha:

• immunotherapy;
• muab subcutaneously staphylococcal antifagin, toxoid, tshuaj tiv thaiv, thiab bacteriophage poob rau cov tshuaj tiv thaiv rau ib tug allergen;
• vitamin;
• Tshuaj tua kab mob yuav tawm;
• eliminates siab rau lub hlwb pob txha thiab nws cov keeb kwm, thiab cov hlab ntsha;
• muab tshem tawm pathological formations uas hlob qab haus huv;
• cov cheeb tsam no yog kaw;
• ua qhov phais nrog phais ntawm lub periosteum, thiab Zaubqhw ntawm lub kub lug yog ib feem ntawm tus pob txha;
• ntsia ntws mus ntws kua paug.

kev kho mob

Osteomyelitis ntawm tus me nyuam yuav pib nrog tshuaj tua kab mob kev kho mob. Lawv yog cov tseem ceeb nyob rau hauv thaum ntxov ua sawv ntawm tus kab mob kom txhob inflammatory txheej txheem. Yeej tshuaj tshuaj uas muaj penicillin. Hoob no ntawm kev kho mob - los ntawm ib mus rau peb lub hlis. Parallel mus muab cov tshuaj los ntawm cov poov xab vim vim tshuaj tua kab mob ntxhov microflora ntawm lub cev thiab yuav ua ib tug kab mob.

Tej zaum phais yog tsim nyog. Tus kws kho mob yuav qhib lub rwj, xyuas kom tseeb tias raws ntawm kua paug. Thaum lub sij hawm khiav hauj lwm ntawm lub zos tshuaj loog. Thaum odontogenic osteomyelitis thawj kev kho mob - phais. Thaum lub sij hawm nws mob tej hniav yog muab tshem tawm, qhib paug txhuav cov qhov txhab. Tsa los ntawm:

• dezintoktsionnaya txoj kev kho;
• npaj muaj calcium;
• antihistamines;
• tshuaj tua kab mob;
• vitamin complexes;
• nonspecific immunomodulators;
• noj cov zaub mov (khoom noj siv mis thiab cog cov khoom noj thiab haus dej kom ntau).

Osteomyelitis ntawm tus me nyuam tseem yuav kho tau thiab tom qab lub tsev kho mob. Ambulatory massages thiab physiotherapy. Ua kev ncaj ncees ntawm cuam tshuam qhov chaw thiab balneotherapy. Pw kho mob tus me nyuam yog tsis tu ncua ob zaug ib xyoos. Nyob rau hauv lub sij hawm no desensitizing, laser, magnetic, vitamin txoj kev kho. Immunomodulators siv. Tsa los ntawm electrophoresis thiab tshuaj tua kab mob. Txhua rau lub hlis, nws yog ib qho X-ray, thiab ces mus rau tswj ib xyoos ib zaug rau peb lub xyoos. Ib tug me nyuam yuav raug xa mus rau ib tug spa kev kho mob.

kev tiv thaiv

Yuav kom tiv thaiv cov kev loj hlob ntawm tus kab mob no, koj yuav tsum:

• soj ntsuam kom zoo wakefulness thiab pw tsaug zog;
• muaj ib tug noj qab nyob zoo txoj kev ua neej;
• tsis txhob txhawj;
• noj txoj cai;
• ntxiv dag zog rau lub cev;
• undergo ib txwm kho mob daim tshev-up.

Thaum tag nrho cov xaiv ntawm ailments yuav tsum hu mus rau lub tsev kho mob thiab tsis rau nws tus kheej-medicate. Eighty feem pua ntawm tag nrho cov kab mob muaj peev xwm kho tau zoo nyob rau ntawm ib thaum ntxov rau theem, lub tseem ceeb tshaj plaws - mus ua ib tug mob nyob rau hauv lub sij hawm.