Osteomyelitis yog ib yam kab mob loj heev, nrog rau cov txheej txheem purulent inflammatory thiab tsim cov tsub zuj zuj ntawm cov voids ntawm cov pob txha cov ntaub so ntswg. Raws li kev kho mob txheeb cais, pathology tau pom tsuas yog hauv cov tub ntxhais hluas thiab cov neeg muaj hnub nyoog nruab nrab. Raws li cov kws tshaj lij tsim nyog, odontogenic osteomyelitis ntawm lub puab tsaig tuaj yeem txhim kho rau ntau yam laj thawj. Lawv yuav tau tham txog ntau yam ntxiv tom qab, tab sis cov neeg haus luam yeeb hnyav thiab cov neeg uas tsis txaus siab rau kev nyiam huv ntawm qhov ncauj yuav muaj kev pheej hmoo ntxiv. Tsis tas li ntawd, cov kab mob pathology tuaj yeem tshwm sim los ntawm kev tiv thaiv kab mob tsis ua haujlwm, vim tias cov txheej txheem tiv thaiv tsis pib ua haujlwm ntawm lub zog tag nrho thiab tsis tuaj yeem tiv thaiv kev ua haujlwm ntawm cov kab mob sib kis. Cia wb mus saib seb tus kab mob no yog dab tsi, yog vim li cas nws thiaj txaus ntshai thiab txoj kev kho zoo li cas niaj hnub no.
keeb kwm me ntsis
Thawj hais txogpurulent necrotic lesions ntawm lub puab tsaig yog pom nyob rau hauv kev tshawb fawb tej hauj lwm ntawm tus naas ej German kws phais neeg Erich Lexer, yos rov qab mus rau 1884, uas mob siab rau txog 12 xyoo ntawm nws lub neej rau txoj kev tshawb no ntawm cov kab mob ntawm kis etiology. Thoob plaws hauv tib neeg keeb kwm, tus kab mob odontogenic osteomyelitis tau tshwm sim ntau zaus. Feem ntau ntawm tag nrho cov, lawv raug kev txom nyem los ntawm nws nyob rau hauv Nruab Nrab Hnub nyoog, thaum tsis muaj tshuaj, xws li, thiab tu cev. Txawm li cas los xij, niaj hnub no, pathology kuj feem ntau kuaj los ntawm kws kho hniav.
Raws li tsim los ntawm E. Lexer, feem ntau ntawm cov neeg mob, cov txheej txheem purulent-necrotic hauv cov ntaub so ntswg pib los ntawm kev nkag mus ntawm cov kab mob tsis zoo rau hauv cov pob txha cov ntaub so ntswg los ntawm qhov tseem ceeb hauv cov hlab ntsha. Txawm li cas los xij, thaum pib ntawm lub xyoo pua 20th, qhov kev xav no tau raug thuam hnyav heev los ntawm xibfwb Genke, uas, nyob rau hauv ntau qhov kev sim, ua tsis tau tejyam simulate odontogenic osteomyelitis.
Qhov kev xav ntseeg siab tshaj plaws tau tsim los ntawm Lavxias tus kws tshawb fawb Sergei Martynovich Derizhanov. Nws qhia cov kab mob pathogenic microorganisms rau cov tsiaj, uas nws thiaj li coj mus rau txoj kev loj hlob ntawm ib tug nce nyob rau hauv lub cev rhiab heev rau irritants thiab tsub kom lub cev tiv thaiv kab mob. Tawm tsam qhov keeb kwm yav dhau los, tom qab ib ntus, cov txheej txheem inflammatory pib nyob rau hauv cov kev sim kawm, nrog rau purulent necrotic lesion ntawm cov ntaub so ntswg mos. Yog li, ua ke, cov kev xav tau piav qhia saum toj no tsim kev nkag siab niaj hnub ntawm cov kab mob no.
Qhov laj thawj tseem ceeb
Cia peb saib kom ze rau qhov no. Raws li tau hais ua ntej, etiology ntawm odontogenicosteomyelitis tuaj yeem sib txawv. Cov kws kho mob hais tias nyob rau hauv yuav luag 90 feem pua ntawm cov neeg mob, pathology tshwm sim vim kev nkag mus ntawm cov kab mob tsis zoo rau hauv cov pob txha cov ntaub so ntswg nrog rau cov ntshav. Qee zaum, qhov ua rau ntawm qhov teeb meem yog cov kab mob fungal uas tuaj yeem nkag mus rau cov pob txha hauv ib txoj hauv kev hauv qab no:
- dhau ntawm tus hniav raug mob los ntawm lub tshuab muaj zog lossis puas los ntawm caries;
- dhau hlab ntsha;
- nyob rau hauv cov ntaub ntawv ntawm kev puas tsuaj rau cov ntaub so ntswg los ntawm ntau yam kab mob sib kis tshwm sim nyob rau hauv mob los yog mob ntev;
- pluag los tsis muaj qhov ncauj huv;
- ntau yam kab mob ntawm cov hniav xws li caries, granuloma, periodontitis, periostitis thiab ntau lwm tus;
- furunculosis ntawm lub ntsej muag;
- purulent otitis media;
- mob ntawm palatine tonsils;
- scarlet fever;
- purulent-septic inflammatory lesion ntawm epidermis ntawm navel;
Nws yog ib qho tseem ceeb heev los txiav txim seb qhov pathogenesis ntawm odontogenic osteomyelitis, vim kev xaiv cov tshuaj thiab lwm yam kev kho mob niaj hnub nyob ntawm qhov kev loj hlob ntawm cov txheej txheem inflammatory thiab purulent.
Ua rau kev loj hlob ntawm tus kab mob hauv menyuam yaus
Qhov no yuav tsum tau muab tshwj xeeb. Hom kab mob no hauv cov menyuam mos tau kuaj pom muaj tsawg heev, txawm li cas los xij, lawv kuj pom muaj nyob rau hauv kev kho hniav. Raws li txoj cai, odontogenic osteomyelitis ntawm lub puab tsaig nyob rau hauv cov me nyuam pib nyob rau hauv ib tug mob daim ntawv thiab yog nrog los ntawm pronounced soj ntsuam tshwm sim. Pathology yog heev txaus ntshai, vim hais tias nrogYog tias tsis kho rau lub sijhawm ntev, nws tuaj yeem ua rau lub cev qaug cawv, uas ua rau muaj kev hem thawj loj rau kev noj qab haus huv thiab lub neej ntawm tus menyuam. Qhov ua rau ntawm pathology tuaj yeem yog ob qho tib si anatomical thiab ua haujlwm. Ntawm cov kws kho mob feem ntau yog cov hauv qab no:
- siab rhiab heev rau cov kab mob pathogenic;
- kev loj hlob ntawm cov pob txha pob txha;
- deciduous thiab loj hlob ntawm cov molars tas mus li;
- kev txhim kho lub puab tsaig;
- daim hlau nyias nyias thiab dav tubular kab noj hniav;
- ntau dhau ceg ntawm capillaries.
Odontogenic mob osteomyelitis ntawm lub puab tsaig tsim los ntawm kev nkag mus ntawm cov kab mob microflora los ntawm cov hniav cuam tshuam los ntawm ntau yam kab mob, nrog rau los ntawm lwm cov foci nyob hauv ntau qhov chaw ntawm lub cev, vim tias cov kab mob nkag mus rau hauv lub cev. cov hlab ntsha thiab kis thoob plaws hauv lub cev.
kab mob
Cia saib qhov nam no kom ntxaws ntxiv. Yog li ntawd, tsis muaj kev faib tawm ntawm odontogenic osteomyelitis. Tab sis cov kws kho mob faib cov kab mob ua rau peb hom nyob ntawm theem thiab qhov hnyav ntawm cov tsos mob:
- ntsim;
- subacute;
- mob.
Daim ntawv thawj thiab kawg yog cov tseem ceeb, thiab qhov thib ob yuav luag tsis tshwm sim hauv kev kho hniav. Nws yuav tsum raug sau tseg tias kev phais muaj nws qhov kev faib tawm ntawm osteomyelitis. Hauv cheeb tsam no ntawm tshuajPaub qhov txawv nws ntau yam:
- txwv - cov txheej txheem inflammatory tsis cuam tshuam rau tag nrho lub puab tsaig, tab sis tsuas yog ob peb molars;
- focal - muaj necrosis ntawm cov ntaub so ntswg mos ntawm alveolar ib feem ntawm lub cev pob txha;
- spilled - nws kim heev necrosis ntawm tag nrho lub sab los yog lub puab tsaig sab sauv, nrog los ntawm cov tsub zuj zuj ntawm ib tug loj tus naj npawb ntawm purulent accumulations.
Raws li kev txheeb cais, feem ntau hauv cov menyuam yaus thiab cov neeg laus muaj odontogenic osteomyelitis ntawm lub puab tsaig qis. Qhov no txuas nrog yog dab tsi tseem tsis paub, tab sis qhov tseeb tseem nyob. Yog hais tias tus neeg mob tsis mus rau lub tsev kho mob raws sij hawm, tab sis sim daws qhov teeb meem ntawm nws tus kheej, ces tus kab mob ntws mus rau hauv ib tug ntev daim ntawv, nyob rau hauv uas nws tsis yog tsuas yog ntau nyuaj rau kev kho mob, tab sis kuj muaj peev xwm rov tshwm sim raws sij hawm, thiab tseem cuam tshuam qhov zoo ntawm tus neeg lub neej niaj hnub, qhia nws ntau lub cev thiab kev puas siab puas ntsws inconveniences.
Kev kho mob tshwm sim
Kuv yuav tsum xyuam xim ua ntej ntawm tag nrho? Cov cim qhia ntawm odontogenic osteomyelitis nyob ntawm ntau yam, qhov tseem ceeb yog theem ntawm pathology, qhov hnyav ntawm necrosis ntawm lub puab tsaig, lub xeev ntawm kev tiv thaiv thiab kev ua haujlwm ntawm cov kab mob. Tsis tas li ntawd, cov tsos mob yuav qhia tau ntau dua thiab khaus yog tias cov kab mob tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov kab mob viral, hypersensitivity rau ntau yam tshuaj thiab lub paj hlwb.
coob leej ntau tus mus ntsib kws kho hniav vim qhov mob hnyav heev chob lub puab tsaig. Ua ntej nwslocalized nyob rau hauv cheeb tsam ntawm ib los yog ntau tshaj cov hniav, thiab ces maj mam kis thoob plaws hauv lub qhov ncauj kab noj hniav. Thaum lub sij hawm, cov neeg mob pib muaj kev tsis xis nyob nyob rau hauv lub tuam tsev cheeb tsam, lub puab pob ntseg, raws li zoo raws li lub frontal thiab occipital qhov chaw. Nrog ib tug muaj zog tsis saib xyuas ntawm tus kab mob, heev intoxication ntawm lub cev yog manifested. Hauv qhov no, muaj cov cim hauv zos ntawm tus mob odontogenic osteomyelitis xws li:
- pain;
- cov pos hniav o;
- pathological loosening ntawm cov hniav;
- -tawm paug ntawm palpation ntawm cov pos hniav.
x
Ntawm cov tsos mob tseem ceeb yog cov hauv qab no:
- malaise thiab qaug zog thoob plaws lub cev;
- nkees nkees thiab ntev nkees;
- txo qis hauv kev ua lub cev thiab muaj peev xwm ua haujlwm;
- tsis qab los;
- tsis hnov qab hauv daim di ncauj sab sauv;
- o thiab mob ntawm cov pos hniav thiab ntsej muag;
- txo qis mandibular mobility;
- tsis xis nyob thiab mob thaum zom;
- nyuaj nqos mov;
- txo qis articulatory muaj nuj nqi;
- ua tsis taus pa;
- tsis yeem ua rau lub ntsej muag ntawm lub ntsej muag cov leeg lub luag haujlwm rau zom cov haujlwm;
- nce qhov loj ntawm cov qog ntshav;
- pw tsis tsaug zog.
Cov tsos mob thawj zaug tuaj yeem tshwm sim tsuas yog 24-72 teev tom qab qhov pib ntawm cov txheej txheem inflammatory. Yog tias qhov kev mus rau tus kws kho mob tau ncua sijhawm ntev, tom qab ob peb lub hlis mob odontogenic osteomyelitis tshwm sim. NtawmNyob rau hauv daim ntawv no ntawm pathology, lub cev kub nce, uas tuaj yeem nyob ntawm 38 degrees rau ob peb hnub. Qhov no yog vim qhov tseeb tias qhov kev tsis lees paub ntawm cov pob txha tuag pib. Qhov txaus ntshai ntawm theem no yog tias cov tsos mob tseem ceeb ntawm tus kab mob ploj mus, thiab tus neeg mob tau txais kev pom zoo ntawm kev noj qab haus huv. Yuav luag tag nrho ploj thiab mob, yog li cov neeg feem coob tsuas tig qhov muag tsis pom kev rau qhov teeb meem. Txawm li cas los xij, kev nce ntxiv ntawm odontogenic osteomyelitis txuas ntxiv mus. Sab laug tsis kho tuaj yeem ua rau muaj kev phom sij vim muaj kev pheej hmoo siab ntawm cov teeb meem loj.
Qhov tshwm sim ntawm pathology yog dab tsi
nam no yuav tsum tau nyeem ua ntej. Hauv cov neeg hluas thiab noj qab haus huv, lub cev tiv thaiv kab mob ua haujlwm zoo, yog li tsis pom muaj teeb meem ntau npaum li cas. Tab sis hauv cov menyuam yaus thiab cov neeg laus, lawv raug kuaj pom ntau dua. Qhov no yog vim hormonal tsis txaus thiab metabolic instability. Vim li no, mob odontogenic osteomyelitis ntawm lub puab tsaig yog qhov phem dua los ntawm cov neeg mob. Cov neeg laus raug kev txom nyem tshaj plaws, vim lawv muaj cov txheej txheem rov ua dua tshiab ntawm cov nqaij mos thiab pob txha.
Ntawm cov teeb meem tshwm sim yog cov hauv qab no:
- Kev tuag tag thiab kev tsis lees paub tom qab ntawm cov ntaub so ntswg thiab pob txha.
- Mob mob ntawm lub ntsej muag cov hlab ntsha thiab lawv cov thrombosis. Cov mob no yog qhov txaus ntshai heev thiab tuaj yeem dhau los uaua rau tuag taus, yog li txawm tias muaj qhov tsis txaus ntseeg me ntsis, koj yuav tsum tau teem sijhawm nrog kws kho hniav tam sim ntawd, vim tias qhov kev kho mob tsis pib ntev dua, qhov tshwm sim loj dua yuav tshwm sim.
- YSinusitis thiab sinusitis. Advanced odontogenic osteomyelitis ntawm lub puab tsaig sab sauv ua rau lub fact tias suppuration maj mam kis mus rau lub qhov ntswg thiab frontal sinuses, vim hais tias ntawm cov suppuration cov ntaub ntawv nyob rau hauv lawv.
- Kev mob qog nqaij hlav thiab kev puas tsuaj rau cov hlab ntsha. Cov chav kawm ntawm pathology thiab kev kho mob tshwm sim nyob ntawm qhov chaw ntawm cov kab mob pathogenic microflora.
- TMJ mob caj dab. Nrog rau qhov mob hnyav hauv lub tuam tsev thiab lub puab tsaig uas tshwm sim thaum noj mov thiab hais lus.
- Lub puab tsaig tawg. Kev puas tsuaj ntau rau cov pob txha tuaj yeem ua rau raug mob txawm tias muaj kev cuam tshuam lub cev me ntsis ntawm lub puab tsaig.
- Kev nkag mus ntawm cov kab mob pathogenic rau hauv cov hlab ntsha thiab kis kab mob thoob plaws lub cev. Nyob rau hauv cov ntaub ntawv no, kev kho mob ntawm odontogenic osteomyelitis yuav luag yeej tsis muab ib tug zoo tshwm sim, yog li ntawd tus neeg mob tuag.
- ntsej muag asymmetry.
- Poob cov molars tas mus li.
- Inferior retrognathia.
- Pathological hloov pauv hauv cov qauv ntawm cov ntaub so ntswg thiab caws pliav.
- Kev ua txhaum ntawm kev txav ntawm lub puab tsaig pob qij txha.
- Cov kab mob hauv cov pob txha.
- mob hlwb thiab txha caj qaum.
- Septic shock.
- Kev mob qog noj ntshav.
- Kev nyuaj siab thiab kev nyuaj siab.
Nyob zoo osCov txiaj ntsig ntawm odontogenic osteomyelitis yog qhov hnyav heev thiab tuaj yeem ua rau muaj kev txhim kho ntawm cov xwm txheej tsis zoo, yog li nws tseem ceeb heev kom kuaj xyuas tus kab mob sai li sai tau thiab pib kho. Nyob rau tib lub sijhawm, nws yuav tsum nkag siab tias nws yuav ua rau muaj txiaj ntsig zoo tsuas yog nrog kev sib koom ua ke. Nws yuav tsis ua haujlwm kom kov yeej tus kab mob ntawm koj tus kheej hauv tsev nrog cov tshuaj pej xeem. Kev kho yuav tsum tau ua raws li tag nrho cov tshuaj ntawm kws kho hniav.
Basic diagnostic method
Nws tshwm sim li cas thiab nws qhov tshwj xeeb yog dab tsi? Thaum tus neeg mob tuaj txog hauv tsev kho mob, tus kws kho mob ua tiav kev kuaj mob thiab palpation ntawm qhov ncauj. Nyob rau tib lub sijhawm, tus kws tshaj lij profiled kos xim rau qhov muaj cov cim hauv qab no:
- cov ntaub so ntswg o;
- puas muaj kev txav ntawm cov hniav hauv thaj tsam ntawm qhov txhab mob;
- Ntxoov ntawm cov pos hniav thiab cov mem caj dab;
- lub xeev ntawm cov epidermis nyob rau hauv thaj tsam ntawm necrotic lesions;
- muaj qhov chaw sib sau ua ke ntawm cov kab mob purulent.
Ntxiv rau kev kuaj dav dav thiab kev ntsuas ntawm tus neeg mob tus mob, kev kuaj mob ntawm odontogenic osteomyelitis suav nrog kev kuaj x-ray. Txoj kev no yog suav tias yog ib qho ntawm cov txiaj ntsig zoo tshaj plaws, thiab tseem tso cai rau koj los ua cov duab qhia ntxaws ntxaws thiab kuaj pom cov cim tseem ceeb ntawm cov txheej txheem pathological hauv thawj theem ntawm nws cov chav kawm. Tsis tas li ntawd, nrog kev pab ntawm x-rays, tsim cov nodules thiab benign qog tuaj yeem kuaj pom. Txawm li cas los xij, x-rays tsis txaus los tsim kom muaj qhov tseebkuaj mob. Ib qho kev kawm yuav tsum yog kev kuaj ntshav dav dav. Cov cim hauv qab no qhia txog qhov pib ntawm txoj kev loj hlob ntawm cov txheej txheem purulent, nrog rau necrosis ntawm cov nqaij mos thiab pob txha:
- nce cov qe ntshav dawb;
- txo qis hauv erythrocyte sedimentation tus nqi;
- Hloov pauv hauv cov tshuaj muaj pes tsawg leeg ntawm cov ntshav, tshwj xeeb, nce qhov concentration ntawm C-reactive thiab yooj yim dej-soluble protein.
Tsis tas li, tus neeg mob yuav tsum tso zis rau kev tshuaj xyuas dav dav. Yog hais tias cov ntsiab lus ntawm cov qe ntshav liab thiab cov protein nyob rau hauv cov zis muaj ntau tshaj li tus qauv, ces qhov no yog ib tug paub tseeb cim ntawm ib tug inflammatory txheej txheem nyob rau hauv lub cev. Thaum kuaj pom tseeb, tus kws kho mob xa tus neeg mob mus rau kab lis kev cai bacteriological, uas tau coj los ntawm qhov chaw ntawm qhov chaw mob necrotic. Qhov no yog qhov tsim nyog txhawm rau txhawm rau tsim hom thiab pab pawg ntawm cov kab mob pathogenic microorganisms, vim qhov mob odontogenic osteomyelitis ntawm lub puab tsaig qis pib tsim. Tag nrho cov kev tshawb fawb no tso cai kom tau txais cov ncauj lus qhia ntxaws txog tus neeg mob txoj kev noj qab haus huv thiab suav nrog cov ncauj lus qhia ntxaws ntxaws, nrog rau kev tshem tawm qhov muaj peev xwm ntawm lwm cov kab mob hniav uas muaj cov tsos mob zoo sib xws kom tus neeg mob tsis tau txais kev kho mob tsis tsim nyog. Kev siv cov tshuaj tsis tsim nyog tuaj yeem ua rau nyuaj rau kev kho mob thiab ua kom cov txheej txheem kho kom zoo.
Cia peb saib kom ze rau qhov no. Niaj hnub no rau kev kho mob ntawm odontogenic osteomyelitisLub puab tsaig siv ntau tus qauv txhawb nqa ntawm kev txhim kho cov kab mob pathogenic thiab necrosis ntawm cov pob txha mos thiab ua kom cov txheej txheem ua kom zoo dua qub. Txoj kev kho mob yuav tsum raug xaiv los ntawm ib tus kws kho mob tshwj xeeb nkaus xwb raws li cov txiaj ntsig ntawm kev sim. Tsuas yog ib qho kev sib koom ua ke yuav ua tiav qhov txiaj ntsig zoo thiab txo qhov kev pheej hmoo ntawm cov teeb meem loj.
Qhov kev kho mob raug xaiv nyob ntawm qhov ua rau kev loj hlob thiab theem ntawm tus kab mob. Kev kho mob yuav tsum tau ua tshwj xeeb hauv kev saib xyuas ntawm tus kws kho mob uas tsim nyog kom nws tuaj yeem saib xyuas tus neeg mob tus mob. Yog hais tias tus txheej txheem inflammatory tshwm sim nyob rau hauv ib tug mob daim ntawv, nrog rau cov tsos mob ntawm pronounced, ces ib tug phais kev kho mob yog muab. Tus kws kho hniav ua rau ib qho me me ntawm cov pos hniav nyob rau hauv thaj tsam ntawm cov abscess localization thiab nruab ib lub qhov dej uas ua kom muaj kev tshem tawm ntawm cov purulent accumulations. Tsis tas li ntawd, txhawm rau kho odontogenic osteomyelitis ntawm lub puab tsaig sai sai, yuav tsum tau kawm txog kev kho tshuaj. Feem ntau, cov tshuaj hauv qab no tau sau tseg:
- tshuaj tua kab mob;
- painkillers;
- tshuaj uas txo cov permeability ntawm cov hlab ntsha phab ntsa;
- tshuaj ntawm pab pawg vasoactive, pab txhawb rau normalization ntawm cov txheej txheem metabolic ntawm qib cellular.
Ntxiv rau tag nrho cov saum toj no, tus neeg mob tau qhia kom tshem tawm lossis tsawg kawg txo qis kev tawm dag zog lub cev thiab sim ntau li ntau tauso. Yog hais tias ib tug neeg thov kev pab kho mob lig dhau lawm, vim hais tias tus kab mob no tau mus ntev, ces yuav tsum tau kho mob odontogenic osteomyelitis loj dua nyob rau hauv cov ntaub ntawv no. Tus neeg mob yuav tsum tau ua raws li lub txaj pw nruj thiab noj cov tshuaj uas tau teev tseg saum toj no raws li qhov ntau npaum li cas los ntawm tus kws kho mob. Tsis tas li ntawd, txoj kev kho mob suav nrog cov tshuaj uas normalize ntshav ncig thiab tiv thaiv kev kis tus kab mob ntxiv. Vim qhov no, sequesters raug tso tawm, uas tom qab ntawd tshem tawm phais. Tom qab kev ua haujlwm, tus neeg xav tau kev so zoo thiab kev noj cov vitamin complexes thiab cov tshuaj uas pab txhawb kev tiv thaiv kab mob. Tsis tas li ntawd, yuav tsum tau kuaj xyuas ib ntus ntawm lub chaw kho hniav.
Mob odontogenic osteomyelitis hauv cov menyuam yaus raug kho ntau yam zoo ib yam li cov neeg laus, tab sis muaj qee qhov sib txawv. Lub luag haujlwm tseem ceeb ntawm kev kho yog tshem tawm qhov ua kom pom tseeb ntawm cov kab mob purulent-necrotic thiab kev kho kom rov zoo tag nrho cov haujlwm tsis zoo. Txawm li cas los xij, txhua tus niam txiv yuav tsum paub tias kev kho mob osteomyelitis hauv cov menyuam yaus hauv tsev yog txwv nruj. Qhov no yog vim qhov tseeb tias lawv lub cev tiv thaiv kab mob tseem tsis zoo, yog li lub cev tiv thaiv kab mob thiab kab mob ntau dua. Yog tias koj pom koj tus menyuam muaj cov tsos mob uas tau teev tseg saum toj no, koj yuav tsum coj nws mus rau tsev kho mob tam sim ntawd lossis hu rau lub tsheb thauj neeg mob.
Qhov kev phais sai dua, txoj hauv kev zoo dua qubtus me nyuam tsis muaj teeb meem loj lossis tsis muaj teeb meem. Radical therapy muaj nyob rau hauv rub tawm ib tug mob hniav, vim hais tias ib tug inflammatory txheej txheem pib nyob rau hauv tus me nyuam. Ntxiv rau nws, cov molars ib ntus koom nrog hauv kev tsim cov tom yuav raug tshem tawm. Cov hniav tas mus li yuav cawm tau ntau zaus. Raws li txoj cai, kev kho mob ntawm odontogenic osteomyelitis ntawm mandible nyob rau hauv cov me nyuam tsis xav tau lub installation ntawm ib tug ntws, vim purulent masses feem ntau tawm los ntawm lub qhov sab laug tom qab tshem tawm cov molar. Tab sis yog tias lawv khaws cia rau hauv qhov chaw medullary, tom qab ntawd cov kws kho hniav yuav tsum tau ua haujlwm hnyav los ua kev tu kom zoo.
Txhawm rau txo qhov kev pheej hmoo ntawm kev txhim kho abscesses, nws yog ib qho tsim nyog yuav tsum tau txiav tawm ntawm lub periosteum, ntxuav cov kab mob purulent, thiab kho qhov txhab nrog tshuaj tua kab mob thiab cov tshuaj tua kab mob tshwj xeeb. Tom qab tawm hauv tsev, tus menyuam yuav tsum tau kawm txog kev kho tshuaj raws li kev noj cov tshuaj uas muaj kev nyuaj siab ntawm cov kab mob microflora, ntxiv dag zog rau kev tiv thaiv thiab txo qhov mob.
Yog tias tus neeg mob tau kuaj pom tias muaj mob odontogenic osteomyelitis, ces kev kho mob tuaj yeem tshwm sim hauv tsev. Tab sis qhov no, tus neeg mob yuav tsum mus ntsib kws kho mob ib ntus kom nws tuaj yeem saib xyuas tus neeg mob txoj kev noj qab haus huv, nrog rau kev hloov kho tsim nyog rau kev kho mob, uas suav nrog cov hauv qab no:
- noj tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob;
- kev ntxiv dag zog thiab kev kho immunostimulating;
- kho lub cev;
- laser kho;
- kev kho mob ntau zaus.
Nws yog ib qho tsim nyog sau cia tias tom qab ua tiav qhov kev kho mob, tus neeg mob yuav tsum tau txais kev kho mob. Nws yuav txo qhov yuav tshwm sim ntawm ntau yam teeb meem thiab ua kom cov txheej txheem kho qhov txhab. Tsis tas li ntawd, cov menyuam yaus thiab cov neeg laus yuav muaj peev xwm rov qab zom cov haujlwm zom zaub mov sai dua, tshem tawm txhua yam kev kho kom zoo nkauj thiab rov qab mus rau lawv txoj kev ua neej li qub. Txoj kev kho kom rov zoo tuaj yeem suav nrog cov haujlwm hauv qab no:
- surgery;
- kev phais yas;
- thaum cov hniav poob, cov kws kho hniav muab cov hniav tso rau hauv lawv qhov chaw;
- kev tawm dag zog tshwj xeeb txhawm rau txhim kho kev txav ntawm lub puab tsaig.
Cov menyuam yaus hnub nyoog qis dua 16 xyoo tau sau npe los ntawm kws kho mob hauv lub tsev kho mob, uas suav nrog kev kuaj hniav yam tsawg ib zaug txhua 6 lub hlis.
Tiv thaiv kab mob
Nws zoo li cas? Odontogenic osteomyelitis yog ib qho ntawm cov kab mob loj tshaj plaws hauv kev kho hniav, uas tuaj yeem ua tsis tau tsuas yog rau kev loj hlob ntawm ntau yam teeb meem, tab sis kuj ua rau tuag taus. Yog tias thawj qhov kev tsis txaus siab ntawm cov kab mob no tshwm sim, nws raug nquahu kom hu rau lub chaw kho hniav sai li sai tau mus kuaj mob, thiab, yog tias tsim nyog, pib kho. Tab sis, raws li cov kws tshaj lij uas tsim nyog, nws yooj yim dua kom zam kev txhim kho osteomyelitis dua li kho nws tom qab. Txhawm rau ua qhov no, koj tsuas yog xav tauua raws li ob peb lub tswv yim los ntawm cov kws kho hniav uas muaj kev paub dhau los uas yuav tiv thaiv kev loj hlob ntawm tus kab mob. Cov tseem ceeb yog raws li nram no:
- kho qhov ncauj kom raug;
- ntsuas ntsuas txhawm rau txhim kho lub cev tag nrho;
- mus ntsib kws kho hniav tsis tu ncua;
- nruj raws li txhua tus kws kho mob cov tshuaj;
- rejection of harmful foods and cwj pwm.
Cov lus qhia yooj yim no yuav pab txo qis kev pheej hmoo ntawm kev tsim osteomyelitis. Raws li kev xyaum qhia, yog tias ib tug neeg txhuam nws cov hniav ob zaug ib hnub twg, noj kom raug thiab tsis koom nrog kev ua kis las cuam tshuam nrog kev raug mob, ces nws yuav tsis muaj teeb meem ntawm qhov ncauj.
Zoo kawg
Txawm hais tias mob osteomyelitis hnyav heev, ua tsaug rau cov qib siab ntawm kev txhim kho cov tshuaj niaj hnub, tus kab mob tuaj yeem kho tau yooj yim thiab kho sai. Raws li kws kho hniav, yog tias tus neeg mob mus rau hauv tsev kho mob raws sij hawm, thaum cov txheej txheem purulent-necrotic tseem tsis tau tswj kom muaj kev cuam tshuam loj ntawm cov nqaij mos thiab pob txha, tus kab mob teb sai thiab zoo rau kev kho mob. Nyob rau tib lub sijhawm, tsis muaj teeb meem loj uas tuaj yeem cuam tshuam rau tib neeg lub neej zoo. Yog li ntawd, yog tias koj xav tias koj muaj osteomyelitis, tsis txhob nkim sij hawm sim tshem tawm nrog kev pab los ntawm pej xeem cov tshuaj, vim hais tias lawv tsis zoo nyob rau hauv cov ntaub ntawv no. Qhov sai dua koj ua qhov no, qhov zoo dua koj txoj hauv kev kom rov zoo tag nrho. Tsis txhob pheej hmoo rau koj noj qab haus huv, sau npe tam sim nomus ntsib kws kho hniav.
