Brodie ithumba: Oonobangela, iimpawu kunye neempawu unyango

Ngokutsho data ezingashukumiyo, izifo ezifana ithumba Brodie efumaneka yezonyango mihla inqabile kakhulu. Noko ke, iimeko ezinjalo kumaxesha ngamaxesha lusatshixekile, ngoko uyazi ukuba sisifo, kubalulekile. Ngoko ke yintoni iimpawu zikhatshwa izifo abasemngciphekweni?

Yintoni zokugula?

Brodie ithumba luhlobo lwe osteomyelitis hematogenous. Kuba esi sifo luphawulwa indawo kabukhali elithile labantu sisilonda esidumbileyoesingaphakathi ithambo. Ngokuchasene yangasemva sifo kukho yingqokelela ubofu kwi lithambo lomntu, yona result necrosis odlulileyo.

Kufuneka ngoko nangoko ukuba uthi ukuba isifo eso kakhulu kumadoda abaneminyaka eyi-14 ukuya kuma-24. Brodie ithumba kwiintsana okanye kokuya esikolweni kwakhona kunokwenzeka, kodwa ke kwiimeko ezinjalo kubhalwe kunqabile kakhulu.

Kugula idla ichaphazela amathambo elide, oko kukuthi, iSebe wabo meta-epiphyseal. Livela kwe ithumba kwi diaphysis ezinqabileyo. Ngokutsho manani, ngokufuthi izigulane kwafunyaniswa ukuba ithumba Brodie lesiquluba. Ngamanye amaxesha ithumba kwenzeka epiphysis distal ithambo iphiramidi. Kodwa kwezinye iinxalenye izixhobo exhasayo nokudumba suppuration kuvandlakanywa kuphela kwiimeko ngamnye.

Izizathu eziphambili kuphuhliso ithumba

isifo Brodie kaThixo - sisifo imvelaphi yebhaktiriya. Kwiimeko ezininzi, unobangela inkqubo yokukrala kukho usuleleko staphylococcal, nangona kaninzi ubovu iingqimba ukuqinisekisa ubukho kunye namanye amagciwane, kuquka Escherichia coli. Kwiimeko ezininzi, ukubunjwa ithumba sisiphumo osteomyelitis.

iintsholongwane izifo ingangena ngokwahlukileyo zibe kwezihlunu ithambo. Umzekelo, angenziwa badla ezibanjiswe esikule egazini ukusuka komnye kugxilwe kwiintetho ezikralayo, ngoko, izinto olusemngciphekweni ubukho xa kukho ogulayo ubovu kwezifo ezosulelayo. Kwakhona, iintsholongwane kusichukumisa kungena epiphysis lwe lweHo- okanye cysts furuncle. Kwelinye icala, adala badla zivela kokusingqongileyo lwangaphandle xa yonakele eluswini, iziyobisi elawulwa kwesikhumba okanye butofelwe (ukuba imilinganiselo ucoceko zanelisiwe). Maxa wambi ithumba senzeka kwixesha postoperative. Hi ndlela leyi, kuza kusoloko kukho usulelo ngendlela enye okanye enye enxulumene ne buthathaka wokhuselo omzimba.

Le Pathogenesis kwesifo

Ithumba Brodie uye iimpawu kukubi kakhulu. Kwisiqalo iifom inkqubo kwisisu necrotic a okweqanda okanye ungqukuva imilo evaliweyo kwi inwebu ithambo apho iindonga kunokuba ukumelana kunye egudileyo. Kungenxa ngaphakathi lweHo- yaye inokuqokelelana iingqimba ubovu zamafu. Kwiimeko ezinqabe kakhulu ngayo zafunyanwa phakathi ulwelo ithumba eli viscous ngaphaya. Ke kaloku, ubukhulu kwisisu ongowona 2-5 cm.

Xa kufikwa ukuyilwa endala, udonga lweHo- ngokufuthi kuqhume kwizihlunu ezinezikhondo. Ehlabathini indawo kwethumba kwakhiwa ithambo concentric sclerosis, yaye periosteum kuvela ukwanda periosteal.

Iimpawu kunye kweempawu zesi sifo, yintoni na ayicingayo?

isifo Brodie kaThixo - sisifo esingapheliyo. Ngokufuthi uqala kwiminyaka kunye namashumi ngaphandle ebangela naziphi na iimpawu zesigulo (ubuncinane ezayame wavakalisa buthathaka kangangokuba isigulana nje ayihlawuli ingqalelo kubo).

Ugula aqhubeke sluggishly, kwaye isihlobo kakuhle zithathelwa indawo ixesha elifutshane exacerbation, nto leyo sikhatshwa iimpawu kakhulu ngakumbi. Umzekelo, izigulane badla ndithi umkhuhlane kunye ubuthathaka jikelele. Tissue emhlabeni achaphazelekayo ithambo ndawo aludumbanga, nesikhumba reddens. Ingcinezelo-sensitive umntu uziva iintlungu, nokuba ulusu uba shushu.

I zonyango umfanekiso ngexesha i "umoya" isithuba amafutha. Izigulane ingxelo ezinye kabi kuphela umsebenzi ephakamileyo emzimbeni. Njengoko ukukhula philisi ithumba enokuphathwa ngokuthinta. Ngokufuthi, ukuhla nokushukumisa imilenze, ngokunjalo ekutshintsheni Uvakalelo emzimbeni.

Brodie ithumba:-X-reyi kunye nezinye iindlela zokuxilonga

Kambe ke, kulo mzekelo, oluchanekileyo uphethwe kakhulu kubaluleke, kuba kuchaphazela impumelelo yonyango rejimeni kwaye nonyango. Emva kokuba baqhelane iimpawu apho izigulane akhalaze, kunye Ngokucofa kummandla ochaphazelekayo, ugqirha ubeka uphononongo olongezelelweyo.

Enye iimvavanyo ezininzi ulwazi --X-reyi. Kulo mfanekiso ugqirha uyakwazi ukubona ubukho lokusekwa umngxuma esikule wethambo achaphazelekayo. Amacala ithumba encinane, nasezindongeni zayo kakuhle.

Kakade ke, zikho nezinye izifundo gciwane nesifo njengoko ithumba Brodie. MRI (magnetic livakale umfanekiso), umzekelo, ibonelela ngolwazi oluchanekileyo ngakumbi, kodwa ibonisa ukuba lweHo- uzele ubovu nangezilonda iindimbane.

sifo umahluko kunye neempawu zayo

diagnosis mahluko kulo mzekelo nakanjani kuyimfuneko, kuba iimpawu zesi sifo kusikhumbuza kancinane umfanekiso bezonyango belo ostite tuberculous. WeMfundo ithambo kunokuba eosinophilic granuloma okanye osteoid osteoma, ngoko uphando ngakumbi kubalulekile.

Ngokomzekelo, xa izilonda tuberculous sisilonda esidumbileyoesingaphakathi ngokucacileyo amathambo apho - kuba okuluphawu. Cysts, ngokuchaseneyo ukuba ithumba babe isakhiwo zeselula. Ngamanye amaxesha kuqhutywa ukuxilongwa Wasserman reaction ngenxa negcushuwa, ngenxa yokuba esi sifo sikhatshwa nokusekwa ithambo isigulane ekuthiwa gummas.

Brodie ithumba: unyango

Kakade, esi sifo kulula kakhulu ukuba kunyanga kwi nisaqala - izigulana jikelele unyango kakhulu endala. Okokuqala kufuneka kuthintelwe ukuhamba okanye isixa salo kunye uphose - zikwimeko isigulane kufuneka achithe malunga 4 iiveki. Ngeli xesha, amachiza zoshwankathelo zilawulwe intramuscularly, kuphela ugqirha othatha okhokelwa ubuntununtunu kwamagciwane ezithile.

Ukuba kukho zisiba yenkqubo kwiintetho ezikralayo, neziqhutywa ukuba izigulane abafumana anti-ukudumba. Kwiimeko kakhulu ngakumbi eboniswe sisusa kwisisu ithumba processing kubola phambili kunye nolawulo penicillin (okanye omnye zintsholongwane) ngqo kwi ukuyilwa ithambo.

Isiqalelo inyanzelekile kunye physiotherapy - ithathwa unyango UHF isebenzayo. Ngokuqhelekileyo, umntu uyagula kufuneka babonwe uzolile, anciphise umsebenzi ngokwasemzimbeni, nidle okulungileyo, benze yonke into ukuze isebenze amajoni omzimba.

ungenelelo operative kuboniswa kwezo meko apho unyango kunye amayeza hayi ukunika iziphumo ezilindelekileyo. Ngexesha inkqubo, ugqirha lususa ithumba Brodie. Ngamanye amaxesha kufuneka ukususa yinxalenye amathambo kunye zomzimba - kwiimeko ezinjalo, ukuba indawo i kweyodwa. Kunye nenqubo eyiyo, esi sifo iphathwa ngaphandle iingxaki ezinzulu.