Osteomyelitis wa mwana: zimayambitsa, zizindikiro, chithandizo

Osteomyelitis - matenda chifukwa cha matenda. Iwo anawonetseredwa mu mawonekedwe a kutupa. Nthawi zambiri anakhudzidwa ndi m'munsi mwendo, m'chiuno, mafupa phewa, vertebrae ndi mfundo pachibwano. Osteomyelitis - necrotic ndondomeko kuti akufotokozera mu m'mafupa ndi ozungulira zimakhala zofewa. Childs, matenda onse akupezeka amuna (2 nthawi zambiri kuposa atsikana) chifukwa cha kuyendayenda, mkulu, ndewu, kuvulala, kugwa.

Chifukwa ana osteomyelitis amatanthauza matenda loopsa kwambiri?

Osteomyelitis ana (chithunzi mawonetseredwe kunja matenda Tingaone m'nkhani ino) amatanthauza matenda oopsa. matendawa amakhudza mafupa. Infection tikunena mwachindunji mu mafupa, nayang'ana pafupifupi zimachokeradi. Choncho, matenda ndi matenda ana pa siteji oyambirira ndi zovuta, popeza iwo sangathe kudziwiratu kufotokoza zizindikiro ndi zomverera. Ngati pachimake osteomyelitis ana si ankachitira mu nthawi, mwanayo chigoba chilema angagwe. matenda Zimenezi zingakhale chifukwa cha kulumala ndi zovuta kwambiri.

mitundu ya osteomyelitis

Osteomyelitis lagawidwa pawiri. Choyamba - yeniyeni. Izi ndi matenda sekondale kuti kwachitika chifukwa cha bakiteriya chifuwa cha TB, chindoko kapena brucellosis. Koma ana ali osowa. Mawonekedwe chachiwiri - si yeniyeni. Vutolo limachitika ku purulent cocci ndi majeremusi.

mitundu

Osteomyelitis, mwana akhoza kukhala wa mitundu yambiri:

• Hematogenous. Iye anachititsa mwa-zamoyo yaying'ono kuti kudutsa mu minofu fupa kudzera m'magazi. Anapeza pachimake ndi aakulu mitundu. Chachiwiri - pamene kutupa kumatenga miyezi yoposa anayi. Mawonekedwe aakulu lagawidwa subspecies awiri. osteomyelitis chachikulu, imene palibe zizindikiro momveka. Ndipo sekondale - monga chotsatira cha hematogenous mawonekedwe pachimake.
• Negematogenny (ayi - exogenous kapena zoopsa). Vutolo limachitika chifukwa cha kuvulala, fractures, gunshot mabala, kutupa minofu fupa.
• Odontogenic. Ichi ndi kutukusira kwa fupa la pachibwano. Matendawa amapezeka chifukwa cha matenda mano. Ana nsagwada minofu chinamulowerera ndi ziwiya pafupipafupi magazi. Choncho, kutupa kufalikira ndi liwiro lalikulu. Koma minofu kuchira mankhwala si zochepa mofulumira. Mtundu wa osteomyelitis kumachitika makamaka ana pakati pa zaka zitatu ndi khumi ndi awiriwo.
• Pin. Ndi mtundu wa osteomyelitis exogenous. Kumachitika pamene purulent kutupa amapita ku fupa ndi zimakhala zofewa yozungulira izo.

Zimayambitsa Osteomyelitis

Zimayambitsa waukulu osteomyelitis ana - ndi purulent matenda ndi kuvulala. matenda zimayambitsa:

• otitis TV;
• abrasions;
• pyelonephritis;
• impetigo;
• amayaka;
• fractures;
• mabala.

Chiwerengero cha tizilombo toyambitsa matenda wamba ndi Staphylococcus aureus. Umapezeka osteomyelitis mu peresenti eyite ya milandu. Mu peresenti yotsalayo makumi awiri odwala matenda timitengo zosiyanasiyana (Pfeiffer, E.), nsomba ndi streptococcus. Pachimake odontogenic osteomyelitis amayamba chifukwa mano anakhudzidwa ndi caries. Makamaka - tizilombo toyambitsa zomera, umene uli zamkati ndi periodontal.

Osteomyelitis ana: zizindikiro

Zizindikiro zazikulu za osteomyelitis:

• kuzizira;
• nyamakazi nthambi;
• kutupa ndi redness wa bala malo;
• kufooka ndi ulesi;
• mofulumira kugunda;
• kuwonjezeka ululu fupa;
• mkulu leukocytosis, leukopenia ndi zabwino chikhalidwe magazi;
• kusintha radiographic poyamba sangathe kuona, iwo amaoneka ina.

Zizindikiro za osteomyelitis zimadalira zinkakhala m'dera la fupa ndi zaka mwanayo. Newborn - aulesi, mantha, kudwala kusafuna kudya, ndi malungo. Nthawi zina pali kusanza ndi kutsekula m'mimba.

Ngati inu muyang'ane mwana, ndiye inu mukhoza kuwona momwe mwana amasamala nthambi (siligwira ntchito kwa nzika iye ndipo kuyesera kuti kusuntha). Malo anakhudzidwa chofiira, nthawi zina kuoneka edema. Patapita masiku angapo iwo kukula. Ngati nthawi sayamba mankhwala, ndiye kuyamba kubalana a purulent metastasis.

Ana okulirapo timavutika zizindikiro zomwezo, koma ndi yapadera kwambiri. Kutupa akufotokozera kochepa, redness ndi kutupa Tingaone kokha sabata pambuyo isanayambike matenda.

Pamene odontogenic osteomyelitis chidwi muzu ndi chingamu motere mafinya. Mano kuti ali pafupi odwala - kwambiri yam'manja. kumayamba:

• kutupa nkhope;
• khungu ndi mucosal blanch;
• malungo;
• pali thupi ndi zofooka ambiri;
• ana akhoza kuona kukomoka;
• kusanza;
• kudzimbidwa.

Izi ndi chifukwa kuledzera amphamvu. Pulayimale aakulu osteomyelitis wa mwana kuwonetsera zizindikiro afewetsedwa. Pali ululu kakang'ono, koma iwo alibe kutanthauzira yeniyeni.

Pamene sekondale-aakulu chikhululukiro ndi exacerbation ina (nthawizina zaka). Mbali yoyamba, mwana alibe madandaulo mu kuyamba yachiwiri ululu pa palpation ndi malungo. Atitsegulire fistulas mafinya. Mu mawonekedwe a matendawa amakhudza chiwindi, mtima ndi impso.

diagnostics

Matenda a matenda ndi zovuta, monga hematogenous osteomyelitis ana akhoza kusokonezedwa ndi matenda enaake ophwanya m'thupi, purulent nyamakazi kapena sarcoma Ewing ndi zizindikiro ofanana. Nthawi zina pali kukayikitsa matenda oopsa poyamba chizindikiro.

zochiritsira

Chithandizo cha osteomyelitis ana ikuchitika mwa njira zokhudza tizilombo chifukwa matenda mwachindunji fupa anakhudzidwa:

• immunotherapy;
• kutumikiridwa subcutaneously staphylococcal antifagin, toxoid, katemera, ndipo bacteriophage chitayiko chifukwa cha anachita allergen ndi;
• vitamini;
• Maantibayotiki chikalata;
• kumatha kukakamiza m'mafupa ndi mizu yake, ndi zotengera;
• kuchotsedwa formations pathological amene compress misempha;
• zinkakhala m'dera wolembedwa;
• anachita opaleshoni ndi kung'ambika wa periosteum, ndi khungu kwa gawo chofuna la fupa;
• anaika kuda kukhetsa mafinya.

chithandizo

Osteomyelitis wa mwana umayamba ndi mankhwala. Ofunika kwambiri mu magawo oyambirira a matenda kuti kulepheretsanso yotupa. Kwenikweni Kwalamulidwa mankhwala okhala ndi penicillin. The njira ya mankhwala - kuchokera umodzi mpaka miyezi itatu. Likufanana ndi mankhwala mankhwala kwa yisiti kuyambira chifukwa mankhwala kusokonezedwa microflora thupi ndi zingachititse matenda.

Nthawi zina opaleshoni m'pofunika. dokotala umatsegula abscess, umatsuka njira ya mafinya. Pa ntchito ya mankhwala oletsa ululu pamalopo. Pamene odontogenic osteomyelitis chachikulu mankhwala - opaleshoni. Pa dzino lake kupweteka chikutha anatsegula abscesses kukhetsa mabala. Kuikidwa ndi:

• dezintoktsionnaya mankhwala;
• kukonzekera munali kashiamu;
• mankhwala;
• mankhwala;
• vitamini maofesi;
• nonspecific immunomodulators;
• zakudya (mkaka ndi zakudya zomera ndi kumwa madzi ambiri).

Osteomyelitis wa mwana kupitiriza kuchitiridwa ndipo pambuyo chipatala. zofikisa Ambulatory ndi physiotherapy. Yopangidwa konzanso m'madera anakhudzidwa ndi balneotherapy. Inpatient chithandizo mwana nthaŵi zonse, kawiri pa chaka. Mu imeneyi zakupha chikumbumtima, laser, maginito, vitamini mankhwala. Immunomodulators ntchito. Kuikidwa ndi electrophoresis ndi mankhwala. Miyezi sikisi iliyonse, ndi X-ray, kenako kulamulira kamodzi pachaka kwa zaka zitatu. mwana A zikhoza kutumizidwa ku spa chithandizo.

kupewa

Pofuna kupewa chitukuko cha matenda, muyenera:

• kusunga maso yake ndi tulo;
• ndi moyo wathanzi;
• kuti musadandaule
• kudya bwino;
• kulimbikitsa chitetezo cha m'thupi;
• kukumana ndi zonse zachipatala kukayezedwa.

Pamene onse a matenda lankhulani ndi a chipatala osati kudzimvera medicate. peresenti makumi asanu ndi atatu a matenda onse angathe kuchiritsidwa pa siteji oyambirira, chinthu chachikulu - kupanga matenda nthawi.