Periostitis la nsagwada m'munsi: Zoyambitsa, Matendawa, Zizindikiro ndi Chithandizo

Kutupa mu periosteum ali ndi matenda mankhwala a abscess la nsagwada m'munsi. ICD kachidindo 10 sikuthandiza K10.22 ndi K10.23. Mbali yoyamba kutupa ndi mtundu woyambirira wa nambala wachiwiri limasonyeza mawonekedwe a matenda aakulu.

ICD 10 periostitis la nsagwada m'munsi lagawidwa subgroups awiri, koma zothandiza mawonekedwe a ndondomeko yotupa chikhale bwino. Choncho, kuonetsetsa subclasses mogwirizana ndi magwero a chotupa cha, siteji ya chitukuko, mtundu matendawo.

ANAKULIRA chitukuko abscess

M'mimbamo m'kamwa nthawi zonse mavuto obwera chifukwa cha tizilombo zoipa. Iwo amapita kunja pa zifukwa zotsatirazi:

• ndi chakudya kuchepa kapena bwino kukonzedwa;
• kudzera, nthawi zambiri amapezeka mu ana;
• njira mkati pa kutupa kapena dzino pambuyo kuchotsa izo.

Nthawi zambiri kutupa amapita ku malo tsaya, kapena ena cranial minofu. Tikuimira ndi abscess ankaikira nsagwada m'munsi chithunzi amasonyeza chotupa chachikulu. dzina anafotokoza njira ya matenda kuchuluka kwa wathanzi maselo matenda - kamwazi amasonyeza kutayikira.

Periostitis mandible si owopsa kuposa pamwamba. Komabe, musanyalanyaze mankhwala pamene chitukuko cha zizindikiro choyambirira. Kamwazi angathe kufalitsa mofulumira pa ziwalo za m'kamwa ndi chifukwa masaya edema. Komanso, ndondomeko chotupa mapangidwe periosteum angakhale okhudza njira asymptomatic.

Normal mano kumabweretsa mavuto aakulu. Bakiteriya otaya sing'anga thupi lonse, kuchititsa kutupa thirakiti kupuma, mapapo, ndi bronchi. Lolemera milandu zapamwamba za matenda kuyambitsa kusintha pathological mu thupi. Choncho inconspicuous osajambulidwa pa enamel ndi vuto la dokotala wa.

Magawo koyamba kwa kamwazi ndi angathe kupewedwa ndi maulendo zodziwitsa ndi mano, koma anthu ambiri amanyalanyaza kupewa periodontitis.

The njira yaikulu ya yatsoka

Kukula kwa chotupa periosteum bwanji zinthu ziwiri:

• malowedwe a mabakiteriya pabala zigawo minofu kudzera nthawi zambiri aumbike pambuyo dzino m'zigawo;
• purulent njira kapena mizu mkati dzino kufalitsa matenda.

Malowedwe kudzera mucosa thupi kawirikawiri zotheka, koma ngati chitetezo cha m'thupi amakhala wofooka, mabakiteriya yomweyo anapitiriza pa mucosa lapansi. Pakalibe ukhondo mano amalimbikitsa kukula kwa tizilombo pakamwa. Pamene woyamba mkati minofu bala matenda limapezeka nthawi yomweyo.

matenda Internal zambiri anawona ana, pamene thupi chinafoka kuukira kwa matenda osadziwika. Ndi zaka, chitetezo cha m'thupi umakhala wolimba ndi aliyense bakiteriya ndi wakutheker kugonjetsa chitetezo pakhomo. Komabe, mwadala munthu amawononga thanzi lawo, asakudziwa chomwe zotsatira akudikira iye. Mukhoza kusankha akapsa:

• mowa ndi kusuta kuphwanya boma mucosa, zikubweretsa ziume pakamwa, uyenera kuthandiza malowedwe a mitundu yosiyanasiyana ya matenda;
• palibe kukonza mano mukatha kudya, pogona, m'mawa;
• zakudya m'thupi ndi njira lokhazikika kwa moyo;
• matenda mkati aakulu;
• matenda ena, monga nsungu simplex mtundu monga, nthawi pamene mkamwa thovu bactericidal kuonekera.

Komanso, kuchepa thupi kamvekedwe amalimbikitsa kukula mofulumira mabakiteriya. Anapanga purulent abscess la nsagwada m'munsi, waluso yolanda madera ambiri a m'dera nkhope.

Zimayambitsa mavuto pachimake

Kusiyanitsa chinthu chachikulu mu chitukuko cha kamwazi - ndi kupanda chiwonongeko yake mabakiteriya kuswana pa mano. Anthu ukhondo pakamwa, kusangalala conditioners ndi zonse kuyendera mano, konse kupeza periostitis wa mandible lapansi. Zizindikiro za kamwazi nthawi zonse zotsatira zoipa, ndi bwino kupewa kuposa kuthana ndi nthenda yaikulu tizilombo zoipa.

The confluence a zinthu zingakubweretsereni chigumukire kukula kwa mabakiteriya. Kuyankha m'thupi kumathandiza kuti otaya madzimadzi ku malo a kutupa, kulenga chotupa chachikulu cha zimakhala. mavuto amenewa zitheka mchikakamizo cha zifukwa zotsatirazi:

• Kutukusira kwa minofu ozungulira ndi zochita za mano ayamba periodontitis.
• Provocateur akhoza kuchita TB.
• Matenda chifukwa amapezeka pansi amphamvu kuchepetsa chitetezo cha mthupi.
• Ngozi ya pachibwano, kenako kusamutsidwa mafupa pachibwano.
• Matupi awo sagwirizana kutupa usinini.
• Poizoni mankhwala.

alipo a mitundu

The kamwazi kugawidwa ndi mtundu wa kutupa, mawonekedwe a chotupa, nthawi mapangidwe. Izi ndi zofunika kusankha mankhwala zolondola. Nawa limati zotheka matendawa:

• Periostitis mandible angaphunzitse kupanga mafinya. mitundu imeneyi ndi zotupa zazikulu kwambiri kuti molakwika maonekedwe a nkhope. mitundu pachimake zimachitika milandu kwambiri immunocompromised pa magawo yoyamba ya chitukuko cha kutupa bakiteriya.
• Mawonekedwe a matenda aakulu akufotokozera kwa nthawi yaitali popanda zizindikiro. Koma m'mikhalidwe yabwino, pali yogwira kukula bakiteriya. Kutupa kwa m'kamwa ukuwonjezeka, kufalikira kwa zimakhala ozungulira. Mtundu wa periodontitis zichitike kapena mafinya ndi popanda izo.
• Kuonetsetsa mtundu wa chitukuko yosavuta aseptic: pali kuwola minofu popanda mapangidwe zizindikiro za kutupa. Mu mtundu uwu wa magazi angaoneke kutupa, ululu ndi kuchisonyeza.
• Mawonekedwe aakulu mChipangano periostitis ossificans. Mu njira imeneyi, pali chitukuko cha chotupa pa fupa la. Kupeza kusintha structural angathe kuchitidwa ndi X-ray bwino. Mu chithunzi adzakhala kuonekera spikes thickening.
• A mtundu makamaka kutupa pachimake ndi periostitis serous wa mandible lapansi. matenda aumbike mchikakamizo cha periodontitis. Zizindikiro ndi malungo, kupweteka pa kutafuna chakudya, ndi kutupa kwa minofu. Dzino pa m'kamwa matenda zambiri kuchotsedwa.
• Chingamu kusinthidwa akhoza kutenga maonekedwe a minofu fibrous. The ndondomeko ya kutupa ndi mtsikana ngati dzino palokha ndipo fupa la pachibwano. Kusintha kumeneku kumachitika chifukwa cha mobwerezabwereza amadza makina chigawo cha periosteum lapansi.

mbali

Pa palpation zambiri kuonedwa yekha pachimake periostitis wa mandible lapansi. Zizindikiro za kutupa aakulu anafotokozedwa ndi limati zotsatirazi:

• The kuwonongeka kwa umoyo pa chikhalidwe zobisika za matenda. Nthawi zambiri kumachitika pamene kutentha limatuluka pamwamba madigiri 37.
• Ana, pali chinawonjezeka kulira, kugona wosakhazikika. Nthawi zambiri, ngakhale kukana kudya, mukufuna kutafuna.
• Palpation angazindikire thickening gingival zimakhala zomwe kuyankha soreness pamene anakhudza. Komanso, pali chotupa pang'ono masaya.
• Zizindikiro ndi poipa pa nthawi ya kuchepetsa chitetezo chokwanira. Wozizira kapena pachimake-kupuma mavuto yomweyo kuyankha ululu usinini.
• Pachimake periostitis mandible nthawi zonse chiopsezo cha lake lonse. Pa nthawi imeneyi pali chotupa mofulumira ndi masaya kapena khosi m'deralo. Tumescent minofu kuonekera pa usinini. Ululu pakhomo amakhala kulolerana apamwamba.
• Mafinya kuchokera m'kamwa amasonyeza udindo povuta wodwala. Mtundu amaliona yekha ndi opaleshoni kungafune dokotala pulasitiki. Chotero chikhalidwe kumachitika pamene abscess zachitika retromolar mandibular. Mavuto pamene zovuta anakalipa molars.

Onse siteji pachimake cha matenda limodzi ndi mfundo zikuluzikulu lymph.

mbali zimasiyanitsa kutupa pachimake

Aliyense pachimake purulent periostitis wa mandible kumachitika ndi zizindikiro zooneka. Iye akukhala chifukwa cha matenda ndi chofuna periodontal matenda. boma yodziwika ndi zizindikiro zotsatirazi: aakulu kutupa kwa masaya ndi m'kamwa, ululu kutafuna. Amowabu kuchepa bwino. Nkhope mawonekedwe zambiri kusinthidwa, koma mtundu wa khungu akanali yemweyo.

Nthawi zonse chizindikiro cha kutupa amakhala unakhuthala lymph mfundo m'dera la zosayembekezereka wa periodontitis. Akuthamanga sitepe anafotokoza mikhalidwe irreplaceable kwa mizu ya dzino anakhudzidwa. Izo ziyenera kuchotsedwa pa chithandizo. Koma kawirikawiri, dera lomwe linakhudzidwa mankhwala ndi njira antibacterial.

mano Multiroot si amenable cha mankhwala mano. Ngati iwo anachotsa, ndiye lymphadenitis kumachitika ndi pofuna kukwaniritsa kutupa. Kudzera ducts a dongosolo lymphatic chilengedwe bakiteriya izo kumwazikana thupi lonse, zikubweretsa kuwonongeka wa thanzi.

mbali zimasiyanitsa kutupa aakulu

Vuto la caries mano zambiri kukhala padera chifukwa cha kusowa nthawi, chuma kapena kungoti pakalibe chipatala pafupi. Kunyalanyaza thupi lanu zimabweretsa kutupa bakiteriya. Matenda periostitis wa mandible akufotokozera zizindikiro, zikhoza kuonedwa yekha mu ofesi mano.

Relapsing mawonekedwe kumachitika pamene chikhalidwe chimene wakhala kale abscess ndi abscess. Chifukwa cha mankhwala kapena kupanda izo kachiwiri chitukuko cha chilengedwe bakiteriya. Choncho, m'munsi nsagwada aumbike periostitis pambuyo m'zigawo, ngati M'mimbamo si kutsukidwa bwino.

The ndondomeko moti kutupa periosteum ndi

Magawo koyamba kudwala matenda ndi imperceptible anthu. Pang'onopang'ono chitukuko cha kutupa amalola mabakiteriya kuti apeze kufalikira mu zimakhala gingival. Zizindikiro zoyambirira za periodontitis angapezeke pa kusapeza pakamwa. Language anaona induration pang'ono pansi mano.

Siteji yotsatira chitukuko limodzi ndi ululu kutafuna. Ndiye redness aumbike mwa mizu ya mano. Chofuna m'kamwa, imbaenda chinawonjezeka edema. The chosokonekera wa nkhope wasweka, izo Tingaone ndi apoyera.

Ndi pofuna kukwaniritsa edema, kuvutika ozungulira minofu. Looneka redness mu masaya. Ngati sanalandire chithandizo kwa nthawi yaitali, kupanga zilonda. Patapita nthawi iwo atsegulidwa. Magazi wosanganiza ndi chilengedwe bakiteriya, izo chimaika pangozi kachitidwe mkati limba.

The foci kutupa angakhale chifukwa cha matenda lymph wakupambana thupi lonse. Popanda kuchitapo kanthu periodontitis sitepe zingachititse kuti ataya mano Choncho, poyamba chizindikiro cha ululu ayenera kukaona dotolo wamano.

Mitundu Inde mankhwala

matenda Periodontal ndi pafupifupi nthawi zonse kumabweretsa matenda: abscess la nsagwada m'munsi. Chithandizo ikuchitika yomweyo mu ofesi ya dokotala wamano. Kuchita mtundu uliwonse wa mankhwala ntchito mankhwala oletsa ululu pamalopo. Purulent periostitis zotupa kuyambitsa kuchotsa mnogokorennyh mano ndi yotsalira M'mimbamo bwinobwino osambitsidwa ndi mavutowo. mankhwala molakwika kumabweretsa periostitis mobwerezabwereza.

Pamene periostitis periosteum umodzi mizu mano amachita popanda kuchotsa kutupa minofu atsegulidwa ndi njira ya kuyeretsa yankho. mankhwala panthawi yake kungathandize kusunga canine ntchito. Mu nthawi ya minofu kukonza yoikidwiratu mankhwala yotupa ndi antibacterial.

Pamene ululu ndi chovomerezeka ntchito mankhwala opha compresses m'deralo. njira ambiri achire chiwonongeko chilengedwe bakiteriya ntchito. Zikuphatikizapo kopitilira muyeso-violet poizoni laser ndi mankhwala kuwala.

zodzitetezera

Zodziwitsa anayendera pa mano a amapewa zinthu yotupa, komanso amapulumutsa mano wathanzi. Mankhwalawa zimatenga nthawi pang'ono, koma kumwetulira wokongola angatipulumutse ku m'badwo kucha akale. Pofuna kukhala kufunika thupi kuti akhalebe bwino munthu ukhondo, zakudya, komanso kuwunika chitukuko cha matenda aakulu.

Kutsutsa mabakiteriya ayenera kukhala mavitamini thupi, kugwiritsa ntchito madzi kwa rinsing mkamwa. Popereka chithandizo cha matenda opatsirana a bala mkamwa antiseptics wapadera. Pa mano limakhudza anthu maswiti: caramel, chocolate ndi mankhwala ena Confectionery.

Gulu chiopsezo zikuphatikizapo anthu kuchita nawo masewera osiyanasiyana oopsa. Chifukwa nthawi nsagwada zoopsa, thupi amapeza kumakhala kutengera kukhala kamwazi. Akuthamanga siteji ya yotupa ndondomeko zikubweretsa mapangidwe mafinya anapeza kuti sitiroko. Momwe abscess amalimbikira yaitali ndiponso yopweteka kwambiri. Ndi bwino kupewa kuposa kuthana ndi mavuto zosasangalatsa.