Tsis ntev los no, cov menyuam yaus feem ntau raug kuaj pom muaj kab mob xws li osteomyelitis. Qhov no yog cov txheej txheem purulent-necrotic ntawm cov kab mob sib kis uas tshwm sim hauv cov pob txha, ib puag ncig cov ntaub so ntswg, thiab cov pob txha pob txha. Qhov no pathology yog tshwm sim los ntawm cov kab mob uas tsim cov kua paug. Yog tias tus kab mob no dhau mus ntev, ces muaj feem ntau ntawm cov pob txha deformity ntawm cov pob txha tsis zoo ntawm tus menyuam.
Osteomyelitis hauv cov menyuam feem ntau cuam tshuam rau sab ceg, ncej puab, puab tsaig pob qij txha, humerus, vertebrae. Txhawm rau tiv thaiv tus menyuam los ntawm qhov pib ntawm qhov tshwm sim tsis zoo ntawm tus kab mob no, nws yog ib qho tsim nyog yuav tsum txwv tsis pub muaj ntau yam uas ua rau muaj kab mob zoo li no.
Kev tshwm sim
Cov tub hluas muaj tus kab mob no ntau dua cov ntxhais. Qhov no yog vim lub fact tias lawv muaj ntau ntau mobile. Tsis tas li ntawd, odontogenic osteomyelitis nyob rau hauv cov me nyuam kuj tshwm sim tsuas yog nyob rau hauv cov tub hluas, vim yog vim li cas.nws txoj kev loj hlob yog kev raug mob ntawm lub puab tsaig lub puab tsaig, uas tuaj yeem tau txais hauv kev sib ntaus lossis thaum ntog.
Feem ntau ua rau tus kab mob hauv cov menyuam yaus yog cov foci ntawm cov kab mob purulent xws li impetigo, otitis media, pyelonephritis, boils, kub hnyiab, qhov txhab. Tsis tas li ntawd, abscesses, hniav caries, purulent tonsillitis, tonsillitis ua rau kev loj hlob ntawm osteomyelitis.
Tom qab nkag mus rau hauv lub cev los ntawm cov kab mob hauv daim tawv nqaij, mucous membrane lossis lymphoid pharyngeal nplhaib, tus kab mob pib kis los ntawm cov hlab ntsha. Feem ntau, tus kab mob osteomyelitis yog cov kab mob Staphylococcus aureus, uas pom nyob rau hauv 80% ntawm cov neeg mob. Hauv qhov seem 20% ntawm cov neeg mob, pathology yog tshwm sim los ntawm streptococci, E. coli, salmonella, Pfeiffer's bacillus. Cov kab mob nkag mus rau hauv lub cev ntawm cov me nyuam mos los ntawm lub qhov txhab mob.
Tsis yog nyob rau hauv txhua rooj plaub, pob txha yog tsom ntawm qhov mob. Tus kab mob tuaj yeem kis mus rau nws los ntawm cov kab mob nyob ib puag ncig lossis cov ntaub so ntswg. Qhov xwm txheej rov qab los kuj tseem ua tau, thaum xub thawj cov pob txha pob txha puas lawm, thiab tsuas yog tom qab ntawd cov ntaub so ntswg uas nyob ib sab ntawm nws.
Symptoms of disease
Cov kab mob no tuaj yeem tshwm sim nws tus kheej hauv ntau txoj hauv kev nyob ntawm lub hnub nyoog ntawm tus menyuam, nws txoj kev tiv thaiv kab mob thiab cov pob txha cuam tshuam. Hauv cov menyuam yug tshiab thiab menyuam yaus me ntsis, tus kab mob cuam tshuam rau lawv txoj kev noj qab haus huv. Tus me nyuam ua tsis taus pa, nws muaj kev ntxhov siab, qab los noj mov ploj, kub nce siab, pallor tshwm. Feem ntau pathologicalTus mob no nrog raws plab thiab ntuav.
Yog koj saib ib tug me nyuam, koj pom tau tias nws pib tu nws ko taw, sim tsis kov nws los yog txav nws. Cov tawv nqaij ntawm qhov sib koom ua ke feem ntau reddened. Tom qab ob peb hnub, liab thiab o pib nce. Yog tias koj tsis pib kho tam sim ntawd, purulent metastases yuav tshwm sim thoob plaws hauv lub cev.
Tus mob hematogenous osteomyelitis hauv cov menyuam loj yog tshwm sim hauv daim ntawv tshaj tawm. Kev loj hlob ntawm o yog qeeb qeeb, thiab liab thiab o pib tshwm tsuas yog ib lub lis piam tom qab pib ntawm tus kab mob. Yog tias kev kho mob tsis pib raws sijhawm, intermuscular phlegmon tuaj yeem tshwm sim, uas txhais tau hais tias cov txheej txheem inflammatory maj mam kis mus rau cov ntaub so ntswg ib puag ncig. Hauv qhov no, kev cuam tshuam kev phais yog kev zam. Nrog intermuscular phlegmon, kev txhim kho ntawm tus menyuam tus mob yuav raug pom thaum xub thawj, tab sis nws yog kev dag ntxias. Osteomyelitis hauv cov menyuam yaus tuaj yeem ua rau muaj teeb meem loj xws li mob caj dab purulent thiab sepsis.
Tus mob ntawm tus kab mob hauv cov menyuam yaus tom qab qee lub sijhawm dhau los ua mob ntev, tsis muaj kev kho mob uas ua rau tuag. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tau kuaj xyuas tus kab mob no kom raws sijhawm thiab pib kho.
Txhim kho odontogenic osteomyelitis
Hom kab mob no muaj nws tus yam ntxwv. Los ntawm cov pos hniav thiab cov kwj dej ntawm cov hniav, cov kua paug pib tawm, thiab cov nqaij mos ntawm lub ntsej muag o. Daim tawv nqaij thiab mucous daim nyias nyias yog daj ntseg thiabqhuav, kub nce, txias thiab tsis muaj zog tshwm sim. Hauv cov menyuam yaus, convulsions, ntuav, thiab plab hnyuv tau sau tseg. Qhov no qhia tau hais tias lub hauv nruab nrab lub paj hlwb pib khaus, raws li intoxication ntawm lub cev loj hlob. Odontogenic osteomyelitis ntawm lub puab tsaig nyob rau hauv cov me nyuam yog ib tug protracted xwm.
Nthuav dav
daim ntawv no ntawm pathology yog thawj thiab theem nrab. Cov tom kawg yog tus cwj pwm los ntawm kev zam txim thiab exacerbations, alternating nrog ib leeg. Thaum lub sij hawm tshem tawm, tus me nyuam tsis yws txog dab tsi, tab sis thaum exacerbation pib, qhov kub thiab txias yog pom, qhov mob tshwm nyob rau hauv palpation. Nws muaj peev xwm qhib lub fistula nrog kev tsim cov kua paug. Lub sijhawm zoo li no tuaj yeem kav ntev xyoo, thiab lub raum, lub siab thiab lub plawv raug cuam tshuam.
mob osteomyelitis nyob rau hauv cov menyuam yaus ntawm thawj hom pib yam tsis muaj theem exacerbation, thiab qhov pib ntawm tus kab mob tau pom cov tsos mob tsis meej. Qhov mob me me tsis muaj qhov pom meej meej. Feem ntau, cov niam txiv coj lawv cov menyuam mus rau tsev kho mob tsuas yog thaum qhov mob nce lossis cov tsos mob hnyav tshwm sim.
Diagnosis
Nws yog ib qho tseem ceeb heev kom kuaj xyuas tus kab mob no kom raug, vim nws cov tsos mob zoo ib yam li mob rheumatism, purulent mob caj dab, Ewing's sarcoma.
Thaum pib ntawm nws txoj kev loj hlob, osteomyelitis ntawm cov pob txha hauv cov menyuam yaus muaj cov tsos mob uas tuaj yeem ua rau tus kws kho mob xav tias tsim cov kab mob phemkab mob. Tsuas yog ib qho kev kuaj mob kom raug ua rau muaj peev xwm kho tau, uas tau lees tias qhov kev kuaj pom tau zoo.
Kev kho mob
Yog tias muaj kab mob xws li osteomyelitis (cov menyuam yaus) tau tshwm sim, kev kho mob yuav tsum tau ua nrog kev koom tes ntawm tus kws kho mob menyuam yaus, kws kho mob hluav taws xob thiab lwm tus kws tshaj lij. Feem ntau, cov tshuaj tua kab mob tau muab rau qhov no thiab kev phais yog ua.
Tshuaj tua kab mob yuav tsum tau siv sai li sai tau. Ua ntej, ib qho kev thauj khoom ntawm cov tshuaj no tau muab rau tus menyuam txhawm rau txhawm rau tiv thaiv qhov mob. Feem ntau, cov tshuaj ntawm cov pab pawg neeg penicillin tau muab rau cov hom phiaj no. Cov tshuaj tua kab mob yuav tsum tau noj rau lub sijhawm ntev, qee zaum kev kho mob tuaj yeem kav peb lub hlis. Cov koob tshuaj yuav tsum maj mam txo. Nyob rau tib lub sijhawm, tus menyuam yuav tsum tau muab tshuaj rau thrush, vim tias cov tshuaj tua kab mob ua rau cov microflora. Qee zaum yuav tsum tau phais. Nyob rau hauv cov ntaub ntawv no, lub abscess yog qhib, cov kua paug tawm thiab cov kwj dej yog ntxuav. Kev ua haujlwm tau nrawm nrawm nrog kev siv tshuaj loog hauv zos. Cov kws kho mob qee zaum muab tso rau hauv lub qhov dej kom tshem tawm cov kua dej.
Kev kho mob tseem ceeb rau odontogenic osteomyelitis yog kev phais, uas cuam tshuam nrog kev tshem tawm cov hniav uas yog qhov chaw ntawm tus kab mob. Raws li kev siv tshuaj loog, subperiosteal abscesses qhib. Nqa tawm cov kua txiv hmab txiv ntoo los txiav txim siab qhov rhiab ntawm microflora rau cov tshuaj tua kab mob. Thaum lub sij hawm phais, lub qhov txhab yog drained, tom qab uas detoxification txoj kev kho, antihistamines, tshuaj tua kab mob, calcium npaj, vitamins thiabCov tshuaj immunomodulators tsis tshwj xeeb. Tus me nyuam yuav tsum tau haus dej kom ntau li ntau tau thiab pub zaub mov rau nws cog thiab noj.
Kev nyuaj siab
Osteomyelitis hauv menyuam yaus tuaj yeem ua rau muaj teeb meem ntau yam. Cov no tuaj yeem yog:
- pob txha;
- mob caj dab;
- musculoskeletal system raug mob vim yog tus txha caj qaum pinching;
- yog tias tus kab mob tau cuam tshuam rau lub duav pob qij txha lossis cov menyuam ob txhais ceg, nyob rau hauv cov xwm txheej siab heev, ua tiav immobilization tshwm sim;
- kev tsis sib haum xeeb tshwm sim;
- pob txha loj hlob;
- mob osteomyelitis theem nrab pib tsim, uas tom qab ntawd ua rau kev ua txhaum ntawm lub cev;
- destructive dislocation tshwm sim;
- Osteomyelitis ntawm lub puab tsaig sab sauv, uas feem ntau kuaj pom hauv cov tub, ua rau tsim cov kab mob meningitis, uas ua rau muaj kev hloov pauv thoob plaws hauv lub cev.
Zoo kawg
Txawm hais tias qhov tseeb tias osteomyelitis hauv cov menyuam yaus ua rau muaj teeb meem loj heev, cov tshuaj niaj hnub no muaj peev xwm kho tau tus kab mob loj no, lav qhov kev pom zoo tshaj plaws. Raws li kev txheeb cais, kev tuag tau txo qis txhua xyoo. Cov niam txiv yuav tsum ua tib zoo saib xyuas lawv cov menyuam kom noj qab haus huv, xyuas kom cov kev raug mob thiab qhov txhab tsis kis tus kab mob, thiab sab laj nrog kws kho mob raws sijhawm.
