Dab tsi yog periostitis? Kev kho mob thiab cov ntaub ntawv tseem ceeb ntawm tus kab mob no yuav qhia hauv qab no. Koj tseem yuav kawm txog cov laj thawj vim li cas tus kab mob no tshwm sim, nws tshwm sim nws tus kheej li cas thiab kuaj tau.
Cov ntaub ntawv tseem ceeb
Dab tsi yog periostitis (kev kuaj mob, kev kho mob ntawm cov kab mob no yuav tham tom qab)? Hauv cov tshuaj niaj hnub no, lo lus no yog siv los hais txog cov txheej txheem inflammatory uas tshwm sim nyob rau hauv lub periosteum ntawm cov pob txha.
Raws li koj paub, periosteum yog cov ntaub so ntswg sib txuas hauv daim duab ntawm zaj duab xis, uas nyob ntawm tag nrho cov pob txha sab nrauv. Feem ntau, cov txheej txheem inflammatory pib nyob rau hauv lub puab los yog txheej txheej ntawm lub periosteum, tom qab uas nws nkag mus rau hauv nws thickness.
Vim txoj kev loj hlob
Vim li cas thiaj mob periostitis? Kev kho tus kab mob no yuav tsum pib tsuas yog tom qab qhov ua rau nws tshwm sim tau raug txheeb xyuas. Cov no suav nrog cov hauv qab no:
- Kev raug mob ntau yam, suav nrog kev tawg, nqaij tawv, pob txha pob txha, leeg pob txha thiab ruptures, raug mob.
- Kab mob ntawm cov ntaub so ntswg nyob ze, uas ua rau muaj kab mob ntawm periosteum.
- Tshwj xeeb ua rau - mob ntawm periosteumtshwm sim los ntawm cov kab mob xws li tuberculosis, actinomycosis, syphilis, thiab lwm yam.
- Cov tshuaj lom, uas yog cov nyhuv ntawm co toxins ntawm cov ntaub so ntswg periosteal.
- Ua xua lossis mob rheumatic - mob tshwm sim vim yog cov tshuaj tiv thaiv ntawm cov ntaub so ntswg periosteal rau cov tshuaj tsis haum uas tau nkag mus rau hauv nws.
Signs of disease
Tus kab mob periostitis tshwm sim li cas, kev kho mob uas tau piav qhia hauv qab no? Cov tsos mob ntawm tus kab mob no nyob ntawm nws hom. Xws li ib tug kab mob tuaj yeem nrog o ntawm qhov chaw ntawm qhov mob nrog mob hnyav, qhov kub thiab txias hauv cheeb tsam, kev ua haujlwm tsis zoo, kev txav ntawm daim tawv nqaij hla qhov txhab, nce mem tes thiab ua pa ntawm tus neeg mob, tsis qab los noj mov, tsis muaj zog, qaug zog thiab dav. kev nyuaj siab.
pob txha ntaus dab tsi?
Periostitis ntawm lub puab tsaig, ib daim duab uas koj tuaj yeem pom hauv kab lus no, yog cov txheej txheem inflammatory uas tshwm sim hauv thaj tsam alveolar ntawm lub puab tsaig qis lossis txheej txheem ntawm sab sauv.
Feem ntau tus kab mob no tshwm sim vim muaj kab mob ntawm cov hniav, suav nrog kev kuaj tsis tau lossis tsis tau kho cov kab mob los yog kab mob periodontitis. Tsis tas li, qhov mob tuaj yeem tshwm sim los ntawm kev kis kab mob hauv periosteum los ntawm lwm yam kabmob nrog rau cov qog ntshav lossis ntshav.
Yog tias kev kho tus kab mob no tsis ua raws sijhawm, ces periostitis yuav ua rau muaj kev loj hlob ntawm fistula ntawm cov pos hniav. Raws li qhov tshwm sim, purulent o tuaj yeem dhau mus dhau ntawm periosteum thiab nkag mus rau hauv cov ntaub so ntswg ib puag ncig, uas yuav ua rau muaj abscess lossis phlegmon.
Vimkho periostitis ntawm lub puab tsaig? Kev kho mob ntawm tus kab mob no yog ua raws nraim tib yam li kev kho mob ntawm lwm yam mob. Nws yuav tsum nco ntsoov tias periostitis tuaj yeem cuam tshuam rau hauv nruab nrog cev xws li:
- tooth;
- leg;
- shin;
- knee joint;
- ko taw;
- metatarsus;
- nose;
- qhov muag qhov muag thiab lwm yam.
Kev faib kab mob
Periostitis cais li cas? Kev kho tus kab mob no nyob ntawm nws hom thiab theem ntawm kev loj hlob. Hauv cov tshuaj niaj hnub no, muaj ntau hom kab mob hauv nqe lus nug. Lawv nyob ntawm qhov ua rau lawv tshwm sim thiab qhov xwm txheej ntawm cov txheej txheem inflammatory.
- Exudative periostitis, suav nrog serous, serous-fibrinous, fibrinous thiab purulent hom.
- Proliferative periostitis, uas suav nrog ossifying thiab fibrotic hom.
Nws yuav tsum tau muab sau tseg tias exudative periostitis tshwm sim sai thiab mob, thaum proliferative periostitis yog ntev.
Kuj tus kab mob hauv nqe lus nug tuaj yeem yog:
- simple;
- TB;
- syphilitic;
Raws li lub sijhawm kawm, 2 hom kab mob sib txawv no txawv:
- mob periostitis (kev kho mob yuav tsum tau muab tshuaj raws sijhawm kom cov txheej txheem tsis mus rau theem ntev);
- mob ntev (kho nyuaj).
Cov kab mob periostitis hauv qab no yog qhov txawv los ntawm kev koom tes hauv cov kab mob uas tshwm sim:
- Purulent (ua rau muaj kab mob hauv periosteum).
- Aseptic (ua rau raug mob ntawm cov pob txha tsis tiv thaiv los ntawm cov ntaub so ntswg mos).
Diagnosis
Kev kho mob ntawm purulent periostitis yuav tsum tau pib tsuas yog tom qab nws kuaj pom. Nws txoj kev sib txawv nyob ntawm daim ntawv ntawm chav kawm thiab hom kab mob.
Nyob hauv tus mob hnyav, kev nug thiab tshuaj xyuas tus neeg mob tau txais txiaj ntsig. Tsis tas li qhov tseem ceeb yog cov txiaj ntsig ntawm kev kuaj ntshav dav dav. Raws li kev kuaj X-ray, qhov no tsis muaj txiaj ntsig.
Nrog txoj kev loj hlob ntawm qhov ntswg periostitis, rhinoscopy feem ntau siv.
Tus kab mob periostitis yog kuaj los ntawm x-ray. Nrog kev pab los ntawm cov duab coj, nws muaj peev xwm txheeb xyuas tsis tau tsuas yog lub localization ntawm qhov txhab, tab sis kuj nws ciam teb, cov duab, qhov loj thiab qhov xwm ntawm cov txheej. Tsis tas li ntawd, txoj kev no yuav pab txheeb xyuas cov kev hloov necrotic hauv cov pob txha thiab cov qib ntawm kev nkag mus ntawm cov txheej txheem inflammatory rau hauv nws.
Differential Diagnosis
Cov txheej txheem no tsuas yog siv yog tias yuav tsum kuaj xyuas kom raug, vim tus neeg mob muaj cov tsos mob ntawm ntau yam kab mob zoo sib xws.
Yog tias muaj purulent thiab mob periostitis, nws yuav tsum tau muab cais tawm ntawm tus mob osteomyelitis, periodontitis, phlegmon thiab abscesses los ntawm lwm yam ua rau, nrog rau cov kab mob purulent ntawm cov qog nqaij hlav, qog qaub ncaug thiab lwm yam.
Nrog rau qhov tshwj xeeb, aseptic thiab mob periostitis, yuav tsum tau X-raykawm. Nws pab txheeb xyuas qhov kev loj hlob thiab thickenings ntawm cov pob txha, nrog rau cov pob txha neoplasms thiab cov kev hloov necrotic.
Nws tseem yuav tsum tau muab sau tseg tias qhov kev kuaj mob sib txawv ntawm tus kab mob ntev yuav tsum tau ua nrog kev kuaj pom cov qog nqaij hlav malignant thiab osteomyelitis.
Yog hais tias qhov kev kuaj X-ray muaj teeb meem loj nrog kev kuaj mob, ces qhov no, cov kws kho mob tshwj xeeb rau kev kuaj ntshav.
Periostitis: kho
Tshuaj tua kab mob yeej tsis kho tus kab mob no.
Nyob rau hauv daim ntawv raug mob ntawm tus kab mob nyob rau hauv thawj theem ntawm kev loj hlob, ua tiav so yog ib qho kev ntsuas zoo. Ntau yam dej khov compresses thiab kho lub cev kuj tseem siv tau, suav nrog UHF, kev siv ozocerite, electrophoresis, hluav taws xob ultraviolet. Nrog rau daim ntawv no ntawm periostitis, tshuaj tua kab mob tsuas yog yog tias muaj kab mob ntawm qhov txhab raug mob.
Kev kho mob aseptic periostitis yog ua nrog kev siv lub cev kho mob. Ua li no, siv daim ntawv thov ntawm cov hlau nplaum ruaj khov, uas txo cov exudate. Nyob rau theem thib ob ntawm kev kho mob, STP lossis laser kho yog siv los kho cov qauv ntawm periosteum thiab daws nws cov thickenings.
Kev cuam tshuam kev phais yog qhia rau purulent periostitis, thaum lub sij hawm lub periosteum yog dissected, thiab cov kua paug uas twb muaj lawm raug tshem tawm.
Raws li rau daim ntawv mob periostitis, nws yuav tsum tsis yog tsuas yog kev ua haujlwm xwb, tab sis kuj tseem yuav tau teem sijhawm tshuaj tua kab mob, nrog rau cov tshuaj ntxiv dag zog,physiotherapeutic cov txheej txheem thiab tshuaj uas tshem tawm intoxication ntawm lub cev.
Nrog rau kev txhim kho ntawm cov kab mob periostitis, tus neeg mob tau txais kev qhia dav dav ntawm cov tshuaj ntxiv dag zog thiab tshuaj tua kab mob. Tsis tas li ntawd, nyob rau hauv kev kho mob ntawm daim ntawv no ntawm tus kab mob, physiotherapy yog qhia (laser therapy, paraffin therapy, iontophoresis nrog 5% poov tshuaj iodide), uas txhawb lub resorption ntawm kev loj hlob ntawm cov pob txha thiab pathological thickenings.
tiv thaiv kab mob
Puas muaj peev xwm tshem tau cov kab mob xws li periostitis ntawm koj tus kheej? Kev kho mob hauv tsev ntawm tus kab mob no yog qhov tsis xav tau. Qhov no yog vim qhov tseeb tias cov txheej txheem ib txwm ua rau cov kab mob no tsis muaj txiaj ntsig, thiab cov kab mob tsis saib xyuas tuaj yeem ua rau muaj kev hem thawj rau tus neeg mob lub neej.
Kev tiv thaiv ntawm qhov mob ntawm periosteum yog qhov kev tshem tawm raws sijhawm ntawm cov laj thawj uas ua rau muaj tus kab mob. Piv txwv li, periostitis ntawm lub puab tsaig lossis cov hniav tuaj yeem tiv thaiv tau los ntawm kev kho mob raws sij hawm ntawm pulpitis, caries thiab periodontitis.
Aseptic periostitis tshwm sim los ntawm tuberculosis, osteomyelitis lossis syphilis tuaj yeem tiv thaiv los ntawm kev kho tus kab mob hauv qab.
Kev mob thiab kev mob tom qab ntawm tus kab mob no tiv thaiv los ntawm kev kho tam sim ntawm cov ntaub so ntswg puas tsuaj nrog cov txheej txheem kho mob thiab kho lub cev.
kab mob prognosis
Kev kuaj mob ntawm periostitis nyob ntawm nws daim ntawv thiab hom, nrog rau kev kho raws sijhawm.
Feem ntau, cov neeg mob tswj kom tshem tau cov mob hnyav thiabHom kab mob raug mob.
Nrog purulent periostitis, tshwj xeeb tshaj yog nyob rau hauv cov neeg mob siab heev thiab nrog kev kho tsis raws sijhawm, qhov kev tshwm sim tsis zoo. Nyob rau hauv rooj plaub no, muaj teeb meem xws li o ntawm tag nrho cov pob txha cov ntaub so ntswg thiab qhov tshwm sim ntawm sepsis yuav tshwm sim.
