Oonobangela, iimpawu kunye nonyango lwe osteomyelitis le mandible

Wabiza osteomyelitis ukudumba kwethambo inyama kunye umongo wethambo. Isinye esithathwini zonke izifo kweli qela ibhekisela osteomyelitis kwemihlathi. Kulo mzekelo, kabini ngokufuthi wathinta emhlathini asezantsi. Isifo angenzeka etsolo, subacute neefom ezingapheliyo. Ngokutsho umthombo isulelo odontogenic ekwanti, zonxinzelelo, hematogenous kunye nohlobo oluthile. Ukongezelela, osteomyelitis sinqongophele kwaye kwentamo (kwentamo); ukukhanya, aphakathi kunye enzima; kunye iingxaki kwaye ngaphandle kwazo.

Izinto ezibangela osteomyelitis kwemihlathi

Esi sifo senzeka ngenxa zokugula ithambo. Ngokuqhelekileyo, i-arhente causative yi Staphylococcus aureus kunye nezinye cocci, iintsholongwane intonga-ezimilise, iintsholongwane zinqabile.

Amaninzi awadibana nazo yezonyango osteomyelitis odontogenic, apho usuleleko Asikokungena thambo izinyo yintlama yomguli nge lymphatics okanye tubules ithambo. Ngowe-70% amatyala kwenzeka ngokusebenzisa amazinyo ezinkulu zemveli osezantsi.

osteomyelitis ebuhlungu emhlathini ukuze aphuhlise kwi Ekuveleni emhlathini ngenxa yokungena ezincinane enxebeni. Ubukho balo ayikho ngaphezu kwe-25% kuzo zonke iimeko.

Ngokuqhelekileyo bene osteomyelitis hematogenous, olwenzeka xa ukudluliselwa usulelo egazini nakujoliso olutsha yokukrala kwi ijwabu ithambo. Oku kwenzeke tonsils ezingapheliyo, etsolo kwakunye neenkqubo ezifana fever nebomvu, ukubola komqala kunye nabanye. Kulo mzekelo, ekuqaleni kukho umonakalo amathambo, waza ke amazinyo.

Osteomyelitis kwemihlathi. iimpawu

lobushushu emzimbeni Ukwanda liyasetyenziswa kwimeko yenkqubo ahlekise. Izigulane ezikhala oluthile, iintlungu, ehleliyo ekufukukeni apho: bomvu kwi kobude ummelwane izinyo ukuhamba. ukuncipha ko- ukuhamba kwemihlathi, uphuhliso ithumba, ukwanda kunye buhlungu iindawo nkovu wesibeleko.

Xa emva kwenzeka ubofu nokucutha ifomu subacute. Ukudumba ezithile buthuntu, kodwa ngokuwa ithambo iyaqhubeka. Kweli nqanaba, kwasekwa sequesters - iindawo ithambo necrotic. Sequesters inokuba nomahluko ekwimo, ezininzi nabangatshatanga, ezinkulu nezincinane. Le iziphene kuphumela okanye sekvestralnye kwisisu yokubhalela yi granulation izihlunu, wancokola isifo kwaye sangaphandle iindinyana fistulous.

osteomyelitis Chronic luphawulwa phezu elide - up to iinyanga eziliqela. Amaxesha etsha indawo exacerbations lokusekwa fistula litsha ukukrazula kude kweendawo ithambo efile. Self-ukuphiliswa kunqabile.

Uxilongo lwe osteomyelitis kwemihlathi

Uxilongo isekelwe phezu iimviwo, izikhalazo yesigulane, X-ray, uvavanyo lwegazi. diagnosis mahluko nge periostitis ubovu etsolo kunye nangezilonda.

Iingxaki osteomyelitis kwemihlathi

Umngcipheko sifo kukuba akukho nto ngaphandle iingxaki ezinzima, ezifana amathumba, cellulitis, phlebitis imithambo yobuso, nokudumba.

Treatment kunye nokuthintela

Unyango iqulathe kakhulu ukususwa izinyo isigulane. Ukongeza, ukuba liqatywe periosteum ukuba outflow of ulwelo - ezilulwelo, oluthi luqokelelane ngexesha lenkqubo arhabaxa. Chithani wokuhlamba amathambo ebulala ezimiselweyo anti-ukudumba, ezigulela kunye nonyango nomqondiso. ukuyifundisa Ukubonisa: electrophoresis, UHF, ultrasound. Amaxesha amaninzi kufuneka ukubhenela utyando ukuze ususe kwiindawo ithambo necrotic. sequesters Small ukuxazulula ngokwabo. Emva ukubhobhoza wabo, okanye ukususwa zoqhaqho nokuhlangana lenza kwisisu, kwaye ngoko ke ithambo, kukho umkrwelo amaphecana sinus.

Uthintelo osteomyelitis kwemihlathi liye lancitshiswa unyango kwangethuba yidityaniso, ukwenzakala umhlathi, izifo ezihlasela zosulele kunye okondeleyo phecana eliphezulu zemiphunga.