Kullum osteomyelitis: haddasawa, cututtuka, ganewar asali, magani

Osteomyelitis ne wani mai kumburi cuta daga cikin kashi da kewaye taushi tsokoki, wanda ya auku a sakamakon rinjãyarsu da pyogenic kwayoyin. La'akari da ƙarin bayani game da rashin lafiya. Musamman da hankali za a bai wa wannan nau'i na cuta, kamar yadda kullum osteomyelitis. Mun koyi game da ta haddasawa, da hanyoyin da ganewar asali da kuma magani.

Osteomyelitis: cuta rarrabuwa

A kan tushen da daban-daban dalilai, akwai da dama sukayi fassara da cutar. Dangane da yanayin da ya faru da cutar, zai iya zama:

• farko (hematogenous).
• sakandare (post-traumatic).
• odontogenic.

Hematogenous osteomyelitis faruwa a sakamakon gabatarwar germs ta hanyar da jini a cikin kashi nama tare da surkin jini raunuka, abscesses, ko kumburi fata raunuka zuwa ciki gabobin. A mafi yawan lokuta, irin wannan cuta ke shafar yara. Hematogenous osteomyelitis fara kwatsam kuma a lokacin farko da 'yan kwanaki bi ta bayyanar cututtuka na maye: zazzabi, tashin zuciya da amai, janar wani rauni, ciwon kai. Bayan wani lokaci (har zuwa kwana biyu) akwai kumburi da ya shafa reshe, wanda yana tare da ciwo mai tsanani.

Posttraumatic osteomyelitis iya faruwa bayan tiyata gudanar da kasũsuwa, ashe, bude karaya ko wani raunin harbin bindigar. Wannan na faruwa a gaban karin dalilai, kamar, misali, babu ko ba daidai ba da rike m magani, gaban manyan hematomas ko waje jikinsu. su duk da taimako ga ci gaban kwayoyin cuta, kamar yadda suka hana al'ada waraka tsari.

Don ware da kungiyar yawa ana kira odontogenic osteomyelitis. Shi ne wani kumburi tsari a cikin maxillofacial yankin. Odontogenic osteomyelitis rinjayar da periodontal nama da hakori, don haka cutar da ake da nasaba, da kuma tare da Dentistry. Wannan irin cuta yana tare da ciwon kai, da zazzabi da kuma janar wani rauni na jiki. A da ci gaban na iya fuskanci wahala a hadiya, bayyanar halitosis, mucosal edema, plaque a kan harshen.

Wadannan siffofin osteomyelitis, wanda muka duba, dangane da yanayin da tafarkinsa:

• m.
• kullum.

Kullum, an fara Jiyya da a farko mataki na cutar. Amma in babu isasshen far daga m osteomyelitis zama na kullum.

Kadan na kowa ne cututtuka irin iri:

• Ollier ciwo.
• Brodie ta ƙurji.
• Garre ta cutar.

Saboda haka, da muka samu matsahi na saba da janar bayani game da osteomyelitis. Yana da lokaci zuwa la'akari da kullum fom in more daki-daki.

A Sanadin cutar

Don samun haddasawa na kullum osteomyelitis, ba bukatar da za su gudanar da wani m search. Sama da aka ambaci cewa cutar na faruwa a sakamakon rashin iya lura da ta m form.

A causative wakili na kullum osteomyelitis a mafi yawan lokuta shi ne staphylococcus aureus. Ko da yake akwai yanayi a lokacin da bayyanar da cutar zai iya tsokana Pseudomonas aeruginosa, naman gwari, Proteus, E. coli.

Saboda haka, babban Sanadin kullum osteomyelitis:

• Late ganewa na cuta pathogen.
• ba daidai ba magani daga m siffofin da cutar.
• gazawar su gane tushen kamuwa da cuta.

cututtuka

Ta yaya za ta ci gaba kullum osteomyelitis da fari ya dogara a kan hanya na yanayi, wuri da kuma ruwan dare na kumburi tsari. A mafi yawan lokuta, da kamuwa da cuta rinjayar wadanda tsokoki da suke kusa da mamaki.

Kullum osteomyelitis ne halin da:

• fata blanching.
• asarar ci.
• barci cuta.
• fitowan apathy da lethargy.

Bugu da kari, a lokacin da ci gaban da cutar sau da yawa bayyana surkin jini fistulas. Idan da tasiri a kan kewaye nama shi ne yiwu samuwar abscesses, abscesses.

Idan kullum osteomyelitis na kashin dadashinsu da aka buga, a can zai iya zama busa na Lymph nodes.

Bayan duk wannan, da kuma cutar tare da general tabarbarewar kiwon lafiya, alamun abin mãye da soreness a yankin na lalace sassa na jiki: kafada ko femurs, vertebrae, da sauransu.

ganewar asali da cutar

Don gane kullum osteomyelitis iya juya zuwa rauni, tiyata, orthopedics. Ganewar asali zai hada da kewayon ayyuka.

A haƙuri za a iya sanya:

• A binciken, dubawa, palpation.
• Radiography. An X-ray iya nuna tsarin canje-canje na kashi bayan kawai a mako bayan farko na cutar.
• Biochemical da CBC for kayyade erythrocyte sedimentation kudi da kuma gaban ko rashi na pathogenic wakili.
• Cytological da bacteriological jarrabawa na sallama daga rauni, fitsari da kuma bargo.
• Duban na lalace yankin. Wajibi ne a gano ruwa buildup.
• Angiography. Yana yana da za'ayi a gane wuraren hana jini wadata.
• Magnetic rawa Dabarar kuma lissafta tomography. An gudanar da su samu bayanai a kan size, wuri, da kuma rarraba hali na pathological canje-canje.
• Radionuclide nazarin da ake bukata domin dace ganewa na cuta, da mataki na ta mai tsanani da kuma yanayi na kumburi tafiyar matakai.

An shawarar da ba kawai wuce da gani dubawa da kuma yin wani X-ray, amma kuma sami lokaci domin a kalla ganewar asali, tun kawai a cikin wannan harka da shi zai yiwu a zabi mafi dace magani zaɓi.

bambanci ganewar asali

Kullum osteomyelitis na ta bayyanar cututtuka zai iya zama kama wasu sauran cututtuka. Saboda haka na bayar da muhimmanci shi ne aiwatar da bambanci ganewar asali. Yana zai taimaka wajen kafa mafi m bincike da kuma tasiri magani.

Domin osteomyelitis iya zama kama da:

• bayyanar marurai a cikin kashi.
• da tarin fuka da kashi;
• osteochondropathy.
• fibrotic osteodysplasia.

magani

Jiyya na wani m nau'i na cutar da ya shafi yin amfani da Topical shirye-shirye: sorbents, anti-kumburi man shafawa, proteolytic enzymes da kuma rigakafi.

A traumatic raunuka da kuma kowa yana da irin osteomyelitis wajibi ne a gudanar da dama iri far:

• detoxification da wani jiko na Saline, "reopoligljukin" da kuma sauran abubuwa.
• antibacterial yin amfani da kashi-Tropic mataki na maganin rigakafi ko musamman shirye-shirye a cikin hali na da irin wakili.
• gabatarwar takamaiman rigakafi Sera staphylococcal toxoid autovaccine.

m magani

Da bukatar tiyata taso idan akwai bayyanar da babban yawan seizures cewa ba warware tare da lokaci. Wannan ma za a iya dangana a lokuta da fitsari samuwar ko idan haƙuri yana da wani tsanani koda cuta.

Lokacin da cutar ne na kullum osteomyelitis m magani hada da dama m hanyoyin:

• cire devitalized nama.
• rauni magani magunguna iri iri da kuma maganin rigakafi.
• roba taushi da kuma kashi kyallen takarda.
• magudanun ruwa na rauni;
• catheter cikin wani jijiya wanda yake kusa da raunuka. Wannan bukatar kara gwamnati na maganin rigakafi therethrough.

physiotherapy

osteomyelitis da cutar na bukatar magani da kuma ta jiki dalilai. Su main nufi shi ne domin kawar da ciwon kumburi, kunna regenerative tafiyar matakai, accelerating da samuwar seizures, rage ji na ƙwarai to kwayoyin cuta, ruri na rigakafi da tsarin.

da haƙuri iya wajabta shi a rage kumburi aiki:

• wani infrared Laser.
• UHF-far.
• erythematous kashi na EUV radiation;
• Obin na lantarki far.

A bisa hanyoyin suna da za'ayi kawai a hade tare da kwayoyin da ke gaban outflow fili na fitsari (ruɓaɓɓen jini).

Don hanzarta nama dawo da matakai amfani:

• duban dan tayi far.
• electrophoresis nufin wanda inganta metabolism bitamin da kuma abubuwa.
• peloidotherapy.
• high-mita Magnetic far.
• aikace-aikace na paraffin da ozokerite.

A lokacin kullum osteomyelitis a gafarta musu da electrophoresis alli chloride. Don fadada kayayyakin a shafa yankin iya amfani da vasodilators electrophoresis.

Domin inganta tafiyar matakai na rayuwa a cikin connective nama da ake bukata:

• duban dan tayi far.
• percutaneous lantarki ruri.
• Radon da hydrogen sulfide baho.

A gafarar kullum osteomyelitis tambaya peloidotherapy da low mita far don rage aiki na jini coagulation tsarin.

Don kunna tsarin na rigakafi na haƙuri an sanya:

• heliotherapy.
• Electrophoresis kwayoyi shafi immunomodulation.
• high-mita Magnetic filin a cikin thymus.
• suberythermal kashi na EUV radiation;
• Laser sakawa a iska mai guba na jini.

Don rabu da gubobi daga haƙuri dole sau uku a rana sha sodium chloride bicarbonate ma'adinai ruwa ( "Essentuki yawan 4", "Borjomi" da sauransu).

Don inganta samar da oxygen zuwa kyallen takarda shafa, oksigenobaroterapiya ko lemar sararin samaniya baho za a iya amfani da su.

Contraindications for physiotherapy

Duk da cewa jiyya na jiki dalilai kawo amfani mai yawa, akwai da dama yanayi inda shi ne tsananin haramta. Wadannan sun hada da lokuta na gaban haƙuri:

• zazzabi.
• septicopyemia.
• m maye.
• abscesses in babu ruɓaɓɓen jini outflow hanya.

A sakamakon da kullum nau'i na cutar

Kullum osteomyelitis ne iya haifar da wani yawan gaske da kuma rayuwa-barazanar sakamakon. Cuta iya sa fibrous dysplasia, wanda bi da bi ne iya sa bayyanar siffofin maruran. Kashi to, ya zama na tabo, kuma da ruɓaɓɓen jini fara yada fiye da shi. A wannan lokacin, yiwu jini guba, wanda kai ga mutuwa.

Late lura da wani cuta na iya tsokana hematogenous osteomyelitis. An halin da zargin manyan seizures da kuma m surkin jini tsari. Duk wannan yana tare da metastasis a cikin kayan ciki.

Bugu da kari wannan shi ne ya kamata a lura da cewa osteomyelitis rinjayar ba kawai da ƙasũsuwa, amma kuma ga sauran gabobin: hanta, kodan, endocrine tsarin. Rashin dace magani iya kai wa ga koda gazawar da kuma mutuwa daga mãsu haƙuri.

Matakan domin rigakafin na kullum osteomyelitis

Mun koya game da wannan cuta, kamar yadda osteomyelitis. Rarrabuwa, cututtuka da kuma zai yiwu jiyya da aka dauke a cikin labarin. Ya zauna a tuna game da wani muhimmanci. Akwai hanyoyi da za a iya taimakawa wajen hana cuta?

Rigakafin kullum osteomyelitis ne dace magani daga ta m form. Riga a farkon alamar yiwu cuta bukatar neman m taimako. Kamar yadda aka sani, shi ne sauki su hana abin da ya faru na da matsala fiye da sauran ransa domin yaki da shi.