Osteomyelitis ilmaha: sababaha, calaamadaha, daaweynta

Osteomyelitis - cudur uu keeno cudurka. Waxaa muujiyey qaab caabuq. Inta badan saameyn ku jira lugta hoose, hip, lafaha garabka, araxda iyo kala-goysyada daanka. Osteomyelitis - habka necrotic in uu yeesho dhuuxa lafta oo ku wareegsan unugyada jilicsan. Sida caadiga ah, cudurka oo dhan dhacdaa lab ah (2 jeer inta badan gabdhaha) sababta oo ah dhaqdhaqaaqa sare, dagaal, dhaawac, hoos u dhaco.

Maxaad carruurta osteomyelitis loola jeedaa a cudurada aad khatar u ah?

Osteomyelitis carruurta (photo daliilka dibadda ee cudurka loo arki karaa in this article) waxaa loola jeedaa cuduro halis ah. Cudurku waxa uu saameeyaa dhuuxa lafta. Cudurka diiradda si toos ah in lafaha iyo muuqda dhowaad ma dhici karto. Sidaa darteed, si loo baadho cudurka carruurta marxalad hore waa ay adag tahay, tan iyo markii ay ma si sax ah ku tilmaami karaa astaamaha iyo dareenka. Haddii osteomyelitis ba'an ee carruurta aan wakhti haboon lagu daaweynin, qaloocsan lafaha ilmaha laga yaabaa inuu dhaco. Cudurka Tani waxay noqon kartaa sabab u ah naafada iyo cawaaqib daran.

noocyada osteomyelitis

Osteomyelitis u qaybsan yahay laba nooc. First - gaar ah. Tani waa cudur sare in ay keento bakteeriyada loo kadib markii qaaxada, waraabowga ama brucellosis. Laakiin carruurta waa dhif. Foomka labaad - non-gaar ah. Waxaa soo baxdo ka cocci purulent iyo jeermiska.

noocyada

Osteomyelitis, ilmaha waxaa laga yaabaa in dhowr nooc:

• Hematogenous. Uu ka xanaajiyey by micro-organisms in dhex gelin galay unugyada lafta via dhiigga. Helay foomamka ba'an iyo chronic. Second - marka caabuq ku hayo in ka badan afar bilood. Nooca joogtada ah waxaa loo qaybiyaa laba dacawo. osteomyelitis Hoose, taas oo ay jirto wax calaamado cad. Iyo sare - sida natiijo ah oo qaab hematogenous ba'an.
• Negematogenny (haddii kale - exogenous ama argagaxa leh). Waxaa soo baxdo sababtoo ah waxaa dhaawac, jab, dhaawacyo xabadeed, barar unugyada lafuhu.
• Odontogenic. Tani waa caabuq lafta daanka. Cudurku wuxuu ku dhacaa, maxaa yeelay, cudurada ilkaha. unugyada Children daanka permeated by xididdada dhiigga soo noqnoqda. Sidaa darteed, caabuq ku fidaa la xawaaraha weyn. Laakiin dib u soo kabashada unugyada daaweynta ka dib waa in aan ka yareyn degdeg ah. Noocan ah osteomyelitis dhacdaa ugu horrayn ee caruurta u dhexaysa saddex iyo toban sannadood.
• Pin. Waa nooc ka mid ah osteomyelitis exogenous. Waxay dhacdaa marka caabuq purulent aado lafta leh unugyada jilicsan in ay isku wareejiyeen.

Sababaha Osteomyelitis

Sababaha ugu waaweyn ee osteomyelitis ciyaalka - caabuq purulent iyo dhaawac. cudurka inta badan sababa:

• otitis media,
• qaadmay,
• hurgumada kilyaha,
• impetigo,
• gubasho,
• jab;
• nabro.

In tiro ka mid ah wareer badan waa Staphylococcus aureus. Waxaa laga helaa osteomyelitis in siddeetan boqolkiiba kiisaska. In ka harsan labaatan boqolkiiba bukaannada cudurka ulaha kala duwan (Pfeiffer, E.), salmonella iyo streptococcus. osteomyelitis odontogenic Xiisad bilaabmaa ay sabab u tahay ilkaha suus by saameeyeen. Mujrimka meesha - flora pathogenic bakteeriyada, taas oo ah in ay qashir iyo cirridka.

Osteomyelitis carruurta: calaamadaha

Calaamadaha ugu muhiimsan ee osteomyelitis:

• qarqaryo,
• Addinka arthritis;
• barar iyo casaan ah kobta boogta ah;
• tabar iyo feejignaan xumo;
• garaaca wadnaha oo degdeg ah;
• sii kordhaya xanuun lafaha,
• leukocytosis sare, leukopenia iyo dhaqanka dhiig wanaagsan;
• isbedel radiographic hore ma arki karaan, waxay ka dib u muuqdaan.

Calaamadaha osteomyelitis ku xiran tahay meesha ay dhibaatadu saameysey ee lafaha iyo da'da ilmaha. Ilmaha dhashay - daalid, neerfaha, xanuunsado tan iyo rabitaan la'aan cunto, qabtid qandho sare. Mararka qaarkood waxaa jira matag iyo shuban.

Haddii aad daawato waxarta, ka dibna aad ka arki kartaa sida ay kid ku dan addinka (ma khuseeyo maadooyinka iyada iyo waxa uu isku dayayaa in aan guuraan). Meesha ay saameeyeen waxaa laga yaabaa in casaan, mararka qaar u muuqdaan barar. ka dib A dhowr maalmood oo waxay ku koraan. Haddii waqti ma bilaabaan daaweynta, ka dibna u bilaabaan taranka ee metastasis purulent.

Carruurta waaweyn la kulma calaamado la mid ah, laakiin waa inta badan sameysa. Caabuq uu yeesho muddo dheer, iyo casaan iyo barar waxaa lagu arki karaa oo kaliya toddobaadkii ka dib bilawga ah ee cudurka.

Marka osteomyelitis odontogenic kanaallada xididka iyo xanjo socota malax. Ilkaha in ku dhow in ay jiran yihiin - aad mobile. bilowday:

• barar wajiga,
• maqaarka iyo xuubka blanch;
• qandho,
• waxaa jira qandho iyo tabar guud,
• kids la kulmi karaan qalal,
• matag,
• saxarada.

Tan waxa u sabab ah wanataas xoog leh. osteomyelitis Primary chronic ee ilmaha teedu calaamadaha lubricated. Waxaa jira xanuun yar, laakiin iyaga oo aan haysan deegaamaynta saxda ah.

Marka dembidhaaf oo sii daridda beddelka ah ee sare-chronic (mararka qaarkood sano). Xaaladda hore, ilmuhu leeyahay wax cabasho ah ee bilowga labaad ee xanuunka on taataabasho iyo qandho. waxay furan karaan furma malax. In foomkan cudurka ku dhaca beerka, wadnaha iyo kelyaha.

Baadhista xanuunada

Cilad cudurka waa u adag, sida osteomyelitis hematogenous carruurta waxaa lagu khaldaa qandho rheumatic, arthritis purulent ama sarcoma Ewing ee, calaamado la mid yihiin. Mararka qaarkood waxaa jira shaki ah cudur malignant at calaamadaha ugu horreeya.

daaweynta

Daaweynta osteomyelitis ee carruurta waxaa lagu fuliyaa by hababka in saameyn sheyga ugu sababta cudurka si toos ah u lafta saameeyeen:

• immunotherapy;
• maamula subcutant antifagin staphylococcal, toxoid, tallaalka, iyo khasaaro bacteriophage for dareen-celinta xasaasiyadda keena;
• vitamin,
• Antibiyootig ayaa soo saaray;
• meesha cadaadis on dhuuxa lafta iyo xididdadiisa, iyo weelasha,
• saaray qaababka bahal oo cadaadin dareemayaasha,
• meesha ay dhibaatadu saameysey ayaa la diiwaangeliyey;
• qaliin la dissection of periosteum ah, iyo qolof ah qayb ka mid ah barar of lafta,
• godka ku rakiban si daadi malax.

daaweynta

Osteomyelitis ilmaha bilaabmaa daaweynta antibiotic. Waxay muhiim ah in marxaladaha hore ee cudurka si loo joojiyo geedi socodka bararka jira. Asal ahaan qoro dawooyinka ka kooban penicillin. koorsada daawada - hal ilaa saddex bilood. Barbaro ah in ay daawo ka khamiir tan iyo markii ay sabab u tahay antibiotics dhibtay microflora ee jirka iyo waxay keeni kartaa cudur.

Mararka qaarkood qalliin loo baahan yahay. Dhakhtarku waxa uu ka furmay malax, xashiyihii channels of malax. Inta lagu guda jiro howlaha suuxdinta maxaliga ah. Marka odontogenic daaweynta aasaasiga ah osteomyelitis - qaliin. Intii lagu guda jiray iyada iliga murqo waa lagaa saarayaa, furay bax dheecaan ka nabarrada. Magacaabay:

• therapy dezintoktsionnaya;
• diyaarinta ka kooban calcium,
• xasaasiyadda,
• antibiotics,
• kaxeynayo vitamin,
• immunomodulators nonspecific;
• cunto (caanaha iyo cuntooyinka dhirta oo barwaaqadii oo la cabbo oo biyo ah).

Osteomyelitis ilmaha ay sii wadi in la daweeyo iyo ka dib markii isbitaalka. duugitaanka bukaan iyo daaweynta dabiiciga ah. baxnaaninta soo saaray aagagga ay saameeyeen iyo balneotherapy. ilmaha daaweynta bukaan-jiifka si joogto ah waa sannadkii laba jeer. In this desensitizing muddo, laser, magnetic, vitamin therapy. Immunomodulators isticmaalo. Magacaabay electrophoresis iyo antibiotics. lixdii bilood ee kasta, waa X-ray, ka dibna mar xakameeyo sano ah oo muddo saddex sano ah. ilmaha A loo soo diri karaa daaweynta HBS ah.

ka hortagga

Si looga hortago horumarinta cudurka this, waxaad u baahan tahay:

• dhawrtaan xillo sax ah iyo hurdo,
• ilaaliyaan hab nololeed caafimaad leh,
• ha ka welwelin,
• xaq u cunaan;
• la xoojiyo nidaamka difaaca jirka,
• mari joogto ah caafimaadka jeeg-up.

Marka jiray cayn kasta oo nno waa la xiriir rugta caafimaadka iyo in aan la is-Dawada. Siddeetan boqolkiiba cudurrada oo dhan waa la daaweyn karaa marxalad hore, waxa ugu muhiimsan - si ay u sameeyaan ogaanshaha in waqti.