Cov txheej txheem mob hauv qhov ncauj yog qhov muaj xwm txheej zoo. Cov kua paug ntau ntau hauv thaj tsam ntawm cov hniav feem ntau hu ua flux. Ntau tus tau ntsib teeb meem zoo li no thiab nkag siab raws nraim li cas nws zoo li. Hauv tshuaj, tus mob no hu ua periostitis.
Purulent periostitis nyob rau hauv daim ntawv mob yog ib qho kab mob inflammatory nyob rau hauv lub periosteum. Cov kab mob txuas mus rau lub puab tsaig sab nraud, thiab qee zaum tshwm rau sab sauv. Tus mob no suav hais tias yog qhov txaus ntshai heev, nws yuav tsum tau sab laj nrog kws kho mob thiab teem caij kho kom raug.
Kev tsim kho yam ntxwv
Cov theem hauv qab no ntawm kev txhim kho tus kab mob no txawv:
- Kab mob los ntawm cov hniav kis mus rau hauv cov hauv paus thiab ntxiv mus rau cov pob txha.
- Serous exudate forms nyob rau hauv cov ntaub so ntswg.
- Los ntawm cov hlab ntsha thiab cov hlab ntsha, tus kab mob nkag mus rau hauv periosteum, exfoliating nws.
- Raws li cov txheej txheem inflammatory zuj zus, leukocytes tshwm nyob rau hauv cov serous exudate, thiab cov txheej txheem nws tus kheej ua purulent.
Raws li ICD 10, mob purulent periostitis ntawm lub puab tsaig sab sauv muaj code K10.2. Tus lej 10 qhia txog cov kab mob ntawm lub puab tsaig, thiab 2 - cov txheej txheem inflammatory hauv nws, uas yog, periostitis nyob rau hauv daim ntawv purulent.
Tus kab mob tseem ceeb
Periostitis nyob rau hauv tsawg zaus manifests nws tus kheej raws li ib tug nyias muaj nyias ib kab mob, feem ntau nws tshwm sim tawm tsam keeb kwm ntawm lwm yam pathological txheej txheem nyob rau hauv lub qhov ncauj kab noj hniav thiab larynx. Feem ntau qhov ua rau muaj tus kab mob no yog mob periodontitis nyob rau theem siab, nrog rau cov kab mob hauv lub cev, lub puab tsaig, lub puab tsaig, alveolitis thiab o ntawm cov hniav uas hu ua kev txawj ntse.
Ua rau muaj cov kua paug ntau, raws li txoj cai, thiab cov kab mob kab mob uas tiv thaiv keeb kwm ntawm otitis media, mob khaub thuas, tonsillitis, mob kis kab mob, qhua pias, thiab kub taub hau.
Tseem mob periostitis ntawm lub puab tsaig tuaj yeem tshwm sim thaum raug cov yam tsis zoo, uas suav nrog:
- teeb meem tshwm sim los ntawm kev rho tawm hniav;
- phais qhov ncauj;
- kev puas tsuaj rau lub puab tsaig ua rau muaj qhov txhab;
- pib ntawm cov txheej txheem inflammatory hauv cov ntaub so ntswg ntawm lub ntsej muag;
- hypothermia lossis, hloov pauv, kub dhau, kev tawm dag zog lub cev;
- hniav ntawm tus menyuam thawj cov hniav;
- kev kho hniav tsis raug;
- txo qis kev tiv thaiv.
Yog vim li cas rau qhov pom ntawm mob purulent periostitis ntawm lub puab tsaig tuaj yeem hais tau, hauv qhov norooj plaub, kuaj mob nws yuav yooj yim heev. Tab sis txhua yam yog qhov nyuaj dua thaum tsis pom cov tsos mob ntawm tus mob pathological.
Cov txheej txheem inflammatory tuaj yeem tshwm sim los ntawm kev cuam tshuam rau qhov tsis zoo. Piv txwv li, tom qab kho cov kab mob caries, qhov txhab tsim nyob ze ntawm cov hauv paus hniav, uas, vim tsis muaj kev tiv thaiv kab mob, raug rau cov kab mob. Raws li qhov tshwm sim ntawm cov txheej txheem no, kev txhim kho mob purulent periostitis ntawm lub puab tsaig pib. Thaum mus ntsib kws kho mob, tus neeg mob yuav tsum muab tag nrho cov ntaub ntawv rau nws uas yuav pab txiav txim seb qhov ua rau mob. Hauv qhov no, kev kho mob yuav ua tau zoo thiab ua tiav.
Cov tsos mob ntawm periostitis
Daim duab kho mob tag nrho ntawm tus kab mob hauv txhua tus neeg mob yuav txawv nyob ntawm daim ntawv ntawm qhov txhab, theem ntawm kev loj hlob, tus yam ntxwv ntawm chav kawm, nrog rau tus kheej tus yam ntxwv ntawm tus neeg mob lub cev.
Daim ntawv mob ntev ntawm tus kab mob pib, raws li txoj cai, sluggishly, tsis muaj cov tsos mob tshwm sim. Daim ntawv mob hnyav ntawm tus kab mob tsis tuaj yeem raug saib xyuas, vim nws feem ntau nrog ib lossis ntau cov tsos mob uas yuav tsis tso cai rau tus neeg ua haujlwm thiab so ib txwm.
Tus mob periostitis ntawm lub puab tsaig sab sauv tuaj yeem tshwm sim nws tus kheej ua tus kab mob ywj pheej lossis tsim tawm tsam keeb kwm ntawm lwm yam kab mob ntawm lub qhov ncauj. Nws yog los ntawm qhov no uas cov tsos mob yuav nyob ntawm seb, uas yuav nce mus txhua hnub.
Cov kev tsis txaus siab feem ntau ntawm purulent periostitis ntawm cov kws kho mob lub puab tsaig sab sauv suav nrog:
- muaj zog thiab ntse, qee zaum mob hnyav rau ntawm ib sab, uas tawm mus rau pob ntseg, lub tuam tsev lossis caj dab;
- teeb meem nrog lub puab tsaig txav uas ua rau mob hnyav thaum qhib qhov ncauj;
- o thiab o ntawm ib feem ntawm lub ntsej muag nyob ntawm thaj tsam ntawm qhov mob, qee zaum muaj teeb meem ntawm lub ntsej muag;
- purulent abscess nyob ze cov hauv paus hniav ntawm cov hniav uas ua rau daj thiab dej tawm, qhov mob no tshwm sim ib ntus thiab tuaj yeem pab tau ib ntus;
- mob ntawm qhov ncauj mucosa, ua rau liab;
- ua npaws hauv qee tus neeg mob txog 38-39 degrees, ua tsis taus pa, nkees nkees, ua daus no;
- nce qhov loj ntawm cov qog ntshav qab zib submandibular, mob hnyav hauv lawv.
Cov tsos mob dab tsi yuav ua rau mob purulent periostitis ntawm lub puab tsaig sab sauv thiab qis, yuav ncaj qha nyob ntawm theem ntawm kev loj hlob ntawm tus kab mob thiab nws txoj kev loj hlob. Feem ntau, suppuration ntawm lub periosteum txuas mus rau cov hniav sab nraud, uas provokes hnyav o ntawm cheeb tsam submandibular thiab lub puab tsaig. Tau kawg, cov ntaub ntawv keeb kwm ntawm mob purulent periostitis ntawm lub puab tsaig qis yuav txawv rau txhua tus neeg mob.
Yog o tuaj rau ntawm lub puab tsaig sab sauv, ces cov ntaub so ntswg hyperemia tshwm sim ze ntawm daim di ncauj thiab qhov muag. Lub ntsej muag tau txais cov lus qhia tsis sib xws, muaj qhov o tuaj thiab xiav integuments.
Los ntawm qhov tsosthawj cov tsos mob ntawm qhov txhab ua ntej tsim ib qho abscess loj feem ntau yuav siv sij hawm ob peb hnub. Tom qab ntawd, qhov mob syndrome maj mam nce, thiab lub xeev ntawm kev noj qab haus huv tsuas yog zuj zus.
Txij lub sijhawm tus neeg mob tuaj yeem kho tau, qhov no yog qhov tshwm sim rau cov xwm txheej thaum lub qhov txhab qhib nws tus kheej. Tab sis qhov no tsis txhais hais tias koj tuaj yeem mus ntsib kws kho mob tsis tau, yog tias koj tsis pib kho kom raug thiab tsis ntxuav nws, cov kua qaub yuav nkag mus rau hauv qhov chaw cuam tshuam ntawm qhov ncauj kab noj hniav dua.
Leej twg cuam tshuam?
Purulent periostitis feem ntau cuam tshuam rau cov neeg laus, tab sis thaum lub sij hawm tawg ntawm thawj cov hniav lossis thaum raug mob, tus kab mob tuaj yeem loj hlob txawm tias thaum yau. Kev kuaj mob hauv qhov no tuaj yeem nyuaj heev vim qhov tseeb tias cov tsos mob ntawm tus kab mob zoo ib yam li osteomyelitis.
Txawm hais tias, tseem muaj cov cim qhia ntawm tus kab mob tau piav qhia: kev ntxhov siab ntawm tus menyuam, tus cwj pwm tsis zoo, quaj, pw tsaug zog, teeb liab ntawm cov pos hniav, o ntawm ib sab, mob hnyav thaum lub sijhawm kov cov kab mob. thiab kub nce siab heev.
Feem ntau, tus kab mob no tshwm sim rau cov menyuam yaus hnub nyoog 3-4 xyoos thiab yog tus cwj pwm los ntawm kev kawm hnyav. Nrhiav kev pab los ntawm kws kho mob sai li sai tau, yam tsis tau ncua kev kho mob ntawm tus mob purulent odontogenic periostitis, vim qhov no tuaj yeem ua rau muaj kev phom sij txaus ntshai.
hom kab mob tseem ceeb
Kev kuaj mob ntawm tus mob periostitis yog ua los ntawm kev sib piv cov tsos mob ntawm txhua hom kab mob. Kev sib piv pab txiav txim siab txog daim ntawv ntawm pathology, los ua ib qho nyuaj thiabkev kho mob zoo rau ib rooj plaub.
Raws li cov noob caj noob ces thiab kev faib tawm, cov txheej txheem inflammatory tau muab faib ua hom hauv qab no:
- odontogenic - tshwm sim los ntawm lwm yam kab mob ntawm lub qhov ncauj kab noj hniav;
- mob - provoked los ntawm kev puas tsuaj rau lub puab tsaig;
- lymphogenic - tus txheej txheem kis tau tus kab mob lymphatic;
- hematogenous - kis tau los ntawm cov hlab ntsha.
Cov kab mob feem ntau tshwm sim hauv tib neeg thaum raug odontogenic yam. Tab sis tsawg zaus, lwm hom kab mob kuj raug tsim, uas tau kho nyob ntawm qhov ua rau lawv tshwm sim.
Kev txhim kho kab mob
Nyob ntawm qhov mob hnyav ntawm cov tsos mob thiab qhov mob hnyav, cov kws kho hniav paub qhov mob thiab mob periostitis. Cov kab mob sib kis tau ntev heev, thiab nws cov tsos mob me me. Nrog xws li ib tug kab mob, ib tug neeg muaj ib tug proliferation ntawm pob txha cov ntaub so ntswg nyob rau hauv lub cheeb tsam ntawm lub puab tsaig, nrog rau kev loj hlob ossification. Cov txheej txheem no yuav luag irreversible thiab txaus ntshai heev. Tsuas yog tshawb xyuas lub sijhawm ntawm qhov mob ntawm periosteum yuav pab tiv thaiv cov teeb meem.
Tus mob periostitis yog tus cwj pwm los ntawm cov tsos mob hnyav, yog li, raws li tau hais lawm, nws yooj yim tsis tuaj yeem pom tus kab mob. Nws muaj ib tug purulent thiab serous daim ntawv ntawm lub pathology. Nrog serous periostitis, ib co kua serous accumulates nyob rau hauv qhov chaw ntawm lub qhov ncauj. Rau ib hom kab mob purulent, ib qho abscess nyob rau hauv lub periosteum yog suav hais tias yog yam ntxwv. Ob hom pathology no tsis raug lossisKev kho tsis raws sijhawm tuaj yeem hloov mus rau qhov mob hnyav sai sai.
Degrees of disease
Conventionally, tus kab mob, nyob ntawm thaj tsam ntawm kev faib tawm, hauv kev kho hniav muab faib ua diffuse thiab organic degrees.
Cov tom kawg yog qhov mob ntawm 1-3 cov hniav, thaum muaj qhov txhab tawg tuaj yeem kis mus rau tag nrho lub puab tsaig. Hauv kev kho hniav, daim ntawv diffuse ntawm pathology yog qhov tsawg heev thiab yog qhov txawv ntawm nws qhov tsis muaj tseeb.
Qhov kev faib tawm ntawm periostitis pab tus kws kho mob tshwj xeeb kom kuaj xyuas qhov tseeb, thiab tom qab ntawd sau ntawv kho mob zoo thiab ua tiav ntawm cov kab mob.
Txoj Kev Kho Mob
Kev kho tus kab mob yuav tsum muaj kev dav. Thaum cov tsos mob thawj zaug ntawm lub puab tsaig tshwm sim, nws yog ib qho tseem ceeb kom nrhiav kev pab tam sim ntawm tus kws kho mob. Nws yuav ua qhov kev soj ntsuam pom, uas yuav nthuav tawm thaj tsam ntawm qhov txhab. Txhawm rau kom paub meej qhov kev kuaj mob, nws yog ib qho tseem ceeb uas yuav tau kuaj ntshav hauv chav kuaj. Nrog rau txoj kev loj hlob ntawm cov txheej txheem purulent, qib ntawm leukocytes thiab ESR yuav siab.
Qhov kev kuaj mob zoo tshaj plaws yog thermography, uas siv hluav taws xob infrared. Nrog nws txoj kev pab, tus kws kho mob tshwj xeeb tswj xyuas cov txheej txheem inflammatory thiab qhov chaw ntawm nws kis. Tsis tas li ntawd, tus kws kho mob ua X-ray ntawm cov hniav uas muaj kab mob thiab txiav txim siab txhua yam kab mob ntxiv.
Kho mob purulent periostitis yog ua los ntawm kev phais. Nyob rau hauv txhua rooj plaub, nws yog ib qho tseem ceeb kom qhib lub abscess tsis poob, thiab ces tshem tawm txhua yam ntawm nwscov ntsiab lus.
Ua li no, tus kws kho mob ua ib qho kev phais me me hauv thaj tsam ntawm cov pos hniav cuam tshuam, tshem tawm cov kab mob thiab txhim kho cov kua dej tshwj xeeb rau cov kua paug tawm. Qhov chaw ua haujlwm yuav tsum xub muab tshuaj loog nrog trimecaine lossis lidocaine.
Thaum thawj theem ntawm kev txhim kho tus kab mob, nws yog ib txwm ua los ntawm kev siv cov pos hniav, hauv cov xwm txheej nyuaj, siv tshuaj loog hauv zos. Nws yog txwv tsis pub qhib qhov flux ntawm koj tus kheej, vim qhov no tsuas tuaj yeem ua rau qhov xwm txheej tsis zoo.
Muaj feem cuam tshuam
Nrog sijhawm mus ntsib kws kho hniav, cov hniav tuaj yeem cawm tau. Nws raug kho, thiab tom qab ntawd kaw. Hauv cov mob hnyav heev, cov txheej txheem inflammatory tau nthuav dav heev uas tus kws kho mob yuav tsum tshem cov hniav.
Kev kho mob tuaj yeem txuas ntxiv rau ob peb lub hlis. Qee qhov xwm txheej, vim qhov mob hnyav ntawm tus neeg mob, tus mob abscess yog thawj zaug kho thiab tsuas yog tom qab ntawd tus kws kho hniav pib kho cov hniav lawv tus kheej. Lub sijhawm kho yuav ncaj qha nyob ntawm theem ntawm tus kab mob, qhov loj ntawm thaj chaw cuam tshuam thiab cov yam ntxwv ntawm cov txheej txheem pathological.
Thaum theem thib ob ntawm kev kho mob, tus kws kho mob tau sau cov tshuaj uas pab kho. Txhawm rau ua qhov no, siv cov tshuaj tua kab mob thiab ntxuav kom huv nrog dej sov ntawm poov tshuaj permanganate lossis dej qab zib. Feem ntau, tus kws kho mob sau tshuaj tua kab mob kom tshem tawm cov kab mob. Rau qhov mob hnyav, siv tshuaj tua kab mob. Tus kws kho mob tshwj xeeb kuj yuav sau ntawvAnti-inflammatory, antihistamines, vitamins thiab minerals.
Thaum lub sijhawm kho, tus neeg mob tau txais kev kho lub cev: UHF, neon irradiation, laser kho, thiab ultrasound. Txhawm rau txhim kho cov leeg nqaij ntawm lub ntsej muag, koj yuav tsum tau siv cov kev kho mob tshwj xeeb.
Kev kho mob ntawm tus mob periostitis thaum pib ntawm nws txoj kev loj hlob tsuas yog 3-5 hnub, suav nrog kev phais thiab kho tus neeg mob. Yog hais tias tag nrho cov lus qhia ntawm tus kws kho mob tau ua raws li, tus neeg tau tshem ntawm qhov teeb meem tag nrho thiab txuas ntxiv mus ua lub neej tag nrho.
Nyob rau theem siab ntawm txoj kev loj hlob ntawm tus kab mob, yuav tsum muaj kev kho mob ntev dua thiab nyuaj dua. Kev hloov ntawm pathology mus rau hauv daim ntawv ntev provokes irreversible hloov nyob rau hauv cov ntaub so ntswg ntawm lub periosteum thiab tsis tu ncua relapses. Hauv qhov no, tus kws kho mob yuav tsum saib xyuas tus neeg mob tas li thiab muab tshuaj kho raws sijhawm.
Cov neeg mob hauv kev tshuaj xyuas hais tias koj yuav tsum tsis txhob ntshai mus ntsib kws kho mob. Cov kab mob kho tau yuav pab txhim kho lub xeev kev noj qab haus huv yam tsis muaj nqi nyiaj txiag loj. Tab sis koj yuav tsum tsis txhob kho qhov kev puas tsuaj rau lub qhov ncauj ntawm koj tus kheej, vim qhov no tsuas yog ua rau tus mob hnyav zuj zus thiab ua rau muaj teeb meem tsis zoo.
Cov txiaj ntsig yuav nyob ntawm tus neeg mob tus kheej keeb kwm ntawm mob suppurative periostitis ntawm maxilla.
Kev tshuaj xyuas cov neeg mob
Cov neeg mob nco ntsoov tias kev kho mob ntawm thawj theem ntawm nws txoj kev loj hlob yuav xav tau li ntawm 660 rubles (qhib qhov abscess). Cov nqi ntxiv yog xav tau rau kev kho mob ntawm cov teeb meem tom qab periodontitis lossis pulpitis uas tau tshwm simnrog kev mob periostitis. Cov hniav rho tawm yuav raug nqi 1500-2000 rubles.
Cov nuj nqis ntxiv suav nrog x-rays, tshuaj loog thiab tshuaj tua kab mob, qee zaum tshuaj hormonal. Nrog rau kev kho mob nyuaj, tus neeg mob yuav xav tau txog 5,000 rubles, thiab qee zaum ntau dua. Yog li ntawd, cov neeg uas tau mob periostitis yog qhia kom tsis txhob ncua mus ntsib kws kho hniav.
