Osteomyelitis yog ib yam kab mob tshwm sim los ntawm kev kis kab mob. Manifested nyob rau hauv daim ntawv ntawm o. Cov ceg qis, ncej puab, lub xub pwg pob txha, vertebrae, thiab lub puab tsaig pob qij txha feem ntau cuam tshuam. Osteomyelitis yog cov txheej txheem purulent-necrotic uas tsim nyob rau hauv cov pob txha pob txha thiab ib puag ncig cov ntaub so ntswg. Feem ntau, tus kab mob no tshwm sim hauv cov tub hluas (2 zaug ntau dua li cov ntxhais) vim muaj kev txav siab, sib ntaus, raug mob, ntog.
Vim li cas osteomyelitis thaum yau yog ib yam kab mob txaus ntshai heev?
Osteomyelitis hauv cov menyuam yaus (daim duab ntawm qhov tshwm sim sab nraud ntawm tus kab mob tuaj yeem pom hauv kab lus no) yog kab mob txaus ntshai. Tus kab mob no cuam tshuam rau cov pob txha. Tus kab mob no yog concentrated ncaj qha rau hauv cov pob txha thiab yuav luag tsis tshwm sim outwardly. Yog li ntawd, kev kuaj mob rau cov menyuam yaus thaum ntxov yog qhov nyuaj heev, vim lawv tsis tuaj yeem piav qhia cov tsos mob thiab qhov xav tau. Yog hais tias mob osteomyelitis nyob rau hauv cov me nyuam tsis kho raws sij hawm, ces deformation ntawm tus me nyuam lub cev pob txha yuav tshwm sim. Tus kab mob no tuaj yeem ua tauua rau kev xiam oob qhab thiab qhov tshwm sim loj heev.
Forms of osteomyelitis
Osteomyelitis muab faib ua ob hom. Thawj yog qhov tshwj xeeb. Qhov no yog kab mob thib ob uas tshwm sim los ntawm cov kab mob tom qab tuberculosis, syphilis lossis brucellosis. Tab sis nws tsis tshua muaj nyob rau hauv cov me nyuam. Daim ntawv thib ob yog tsis yog tshwj xeeb. tshwm sim vim purulent cocci thiab microbes.
Views
Osteomyelitis hauv tus menyuam tuaj yeem muaj ntau hom:
- Hematogenous. Nws yog provoked los ntawm cov kab mob uas nkag mus rau cov pob txha cov ntaub so ntswg los ntawm cov hlab ntsha. Muaj daim ntawv mob hnyav thiab mob ntev. Qhov thib ob yog thaum qhov mob tshwm sim ntau tshaj plaub lub hlis. Daim ntawv ntev yog muab faib ua ob hom subspecies. Primary osteomyelitis, uas tsis muaj cov tsos mob pom tseeb. Thiab theem nrab - raws li qhov tshwm sim ntawm daim ntawv mob hematogenous.
- Non-hematogenous (lwm yam - exogenous lossis tom qab raug mob). Nws tshwm sim vim raug mob, pob txha, pob txha raug mob, pob txha o.
- Odontogenic. Qhov no yog ib qho mob ntawm lub puab tsaig pob txha. Tus kab mob no tshwm sim vim muaj kab mob hniav. Hauv cov menyuam yaus, cov ntaub so ntswg ntawm lub puab tsaig yog permeated nrog cov hlab ntsha nquag. Yog li ntawd, o tuaj ntawm kev kub ceev. Tab sis cov ntaub so ntswg rov qab los tom qab kev kho mob tsis yog sai sai. Hom osteomyelitis no feem ntau tshwm sim hauv cov menyuam yaus hnub nyoog ntawm peb thiab kaum ob.
- Hu rau. Qhov no yog ib hom exogenous osteomyelitis. tshwm sim thaum purulent mob kis mus rau cov pob txha los ntawm cov ntaub so ntswg uas nyob ib puag ncig nws.
Yog vim li castshwm sim ntawm osteomyelitis
Qhov laj thawj tseem ceeb ntawm osteomyelitis hauv cov menyuam yaus yog cov kab mob purulent thiab raug mob. Feem ntau tus kab mob no tshwm sim los ntawm:
- otitis media;
- furunculosis;
- Ypyelonephritis;
- impetigo;
- burns;
- tawg;
- mob.
Staphylococcus aureus muaj nyob hauv ntau tus kab mob. Nws pom muaj nyob rau hauv osteomyelitis hauv yim caum feem pua ntawm cov neeg mob. Hauv seem nees nkaum feem pua, cov neeg mob tau kuaj pom muaj ntau yam sticks (Pfeiffer, plab hnyuv), salmonella thiab streptococcus. Mob odontogenic osteomyelitis pib vim muaj kab mob caries. Tus neeg ua txhaum yog cov kab mob kab mob uas muaj nyob hauv cov tawv nqaij thiab cov kab mob.
Osteomyelitis hauv menyuam yaus: cov tsos mob ntawm tus kab mob
Cov tsos mob tseem ceeb ntawm osteomyelitis:
- mob caj dab;
- o thiab liab ntawm qhov txhab;
- qaug zog thiab qaug zog;
- nrawm nrawm;
- nce pob txha mob;
- siab leukocytosis, zoo ntshav kab lis kev cai thiab leukopenia;
- Kev hloov pauv yuav tsis pom thawj zaug ntawm x-rays, lawv tshwm sim tom qab.
Cov tsos mob ntawm osteomyelitis nyob ntawm qhov chaw cuam tshuam ntawm cov pob txha thiab lub hnub nyoog ntawm tus menyuam. Cov menyuam mos liab yog qaug zog, tshee, raug kev txom nyem los ntawm kev tsis qab los noj mov, lawv muaj qhov kub thiab txias. Qee zaum ntuav thiab raws plab.
Yog koj saib tus me nyuam, koj pom tau tias tus me nyuam saib xyuas li cas (tsis txhob kov nwskhoom thiab sim tsis txav). Qhov chaw cuam tshuam tuaj yeem tig liab, qee zaum o tshwm. Tom qab ob peb hnub lawv nce. Yog tias kev kho mob tsis tau pib raws sijhawm, ces purulent metastases yuav pib ntau.
Cov menyuam yaus muaj cov tsos mob zoo ib yam, tab sis lawv hais tau ntau dua. Kev mob tshwm sim yuav siv sij hawm ntev dua, thiab qhov liab thiab o tuaj yeem pom tsuas yog ib lub lis piam tom qab pib tus kab mob.
Nyob hauv odontogenic osteomyelitis, cov kua paug ntws tawm ntawm cov kwj hniav thiab cov pos hniav. Cov hniav uas nyob ib sab ntawm tus neeg mob yog mobile heev. Pib:
- ntsej muag o;
- daim tawv nqaij thiab cov mucous hloov daj;
- kub nce;
- chiv thiab qaug zog;
- menyuam mos tuaj yeem ua rau qaug dab peg;
- ntua;
- plab hnyuv.
Qhov no yog vim kev qaug cawv ntawm lub cev. Thawj tus mob osteomyelitis nyob rau hauv tus me nyuam yog tshwm sim los ntawm qhov muag plooj. Muaj qhov mob me me, tab sis lawv tsis muaj qhov chaw pom tseeb.
Nyob rau hauv daim ntawv mob thib ob, kev zam txim thiab exacerbations alternate (qee zaum rau xyoo). Hauv thawj kis, tus menyuam tsis muaj kev tsis txaus siab, hauv qhov thib ob, qhov mob ntawm palpation thiab kub taub hau pib. Fistulas tuaj yeem qhib nrog kev tso kua paug. Nrog rau hom kab mob no, lub siab, lub plawv thiab lub raum raug cuam tshuam.
Diagnosis
Kev kuaj mob ntawm tus kab mob yog qhov nyuaj, txij li hematogenous osteomyelitis hauv cov menyuam yaus tuaj yeem tsis meej pem nrog rheumatism, purulent mob caj dab lossis Ewing's sarcoma, cov tsos mob zoo sib xws. Qee zaum ntawm thawj kos npexav tias muaj tus kab mob malignant.
txoj kev kho
Kev kho mob osteomyelitis hauv cov menyuam yaus yog ua los ntawm cov txheej txheem uas cuam tshuam rau cov kab mob uas ua rau tus kab mob thiab ncaj qha rau cov pob txha cuam tshuam:
- immunotherapy;
- staphylococcal antiphagin, toxoid, tshuaj tiv thaiv thiab kab mob bacteriophage raug txhaj rau hauv qab ntawm daim tawv nqaij kom plam cov tshuaj tiv thaiv kab mob;
- vitamin kho;
- tshuaj tua kab mob;
- siab ntawm cov pob txha, nws cov hauv paus hniav thiab cov hlab ntsha raug tshem tawm;
- pathological formations uas compress cov hlab ntsha raug tshem tawm;
- thaj chaw cuam tshuam raug kho;
- kev phais mob yog ua nrog kev phais ntawm lub periosteum thiab tshem tawm ntawm qhov mob ntawm pob txha;
- tso dej tawm kom ntws tawm.
Kev kho mob
Osteomyelitis hauv tus menyuam pib nrog kev kho tshuaj tua kab mob. Lawv yog ib qho tseem ceeb nyob rau theem pib ntawm tus kab mob kom tsis txhob muaj cov txheej txheem inflammatory. Feem ntau cov tshuaj muaj cov tshuaj penicillin. Cov kev kho mob yog los ntawm ib mus rau peb lub hlis. Tib lub sijhawm, cov tshuaj rau thrush tau raug sau tseg, vim tias microflora ntawm lub cev cuam tshuam vim yog tshuaj tua kab mob thiab tus kab mob no tuaj yeem tshwm sim.
Qee zaum yuav tsum tau phais. Tus kws kho mob qhib abscesses, yaug cov kwj dej ntawm cov kua dej. Cov tshuaj loog hauv zos yog siv thaum ua haujlwm. Nrog odontogenic osteomyelitis, kev kho mob tseem ceeb yog kev phais. Thaum lub sij hawm nws, ib tug kab mob raug tshem tawm, abscesses yog qhib, qhov txhab yog drained. Tsim los ntawm:
- kev kho mob tsis zoo;
- npaj muaj calcium;
- tshuaj tiv thaiv kab mob;
- tshuaj tua kab mob;
- vitamin complexes;
- tsis yog cov tshuaj immunomodulators;
- kev noj haus (cov khoom noj mis nyuj thiab cog zaub thiab haus dej kom ntau).
Osteomyelitis hauv tus menyuam tseem raug kho tom qab tsev kho mob. Massage thiab physiotherapy ce yog ua los ntawm tus neeg mob sab nraud. Kev huv huv ntawm thaj chaw cuam tshuam thiab balneotherapy yog ua tiav. Tus menyuam tau txais kev kho mob hauv tsev tsis tu ncua ob zaug hauv ib xyoos. Thaum lub sij hawm no, desensitizing, laser, sib nqus, vitamin kho yog nqa tawm. Immunomodulators yog siv. Electrophoresis thiab tshuaj tua kab mob tau sau tseg. Ib zaug txhua rau lub hlis, x-ray raug coj mus rau kev tswj hwm ib xyoos ib zaug rau peb xyoos. Tus me nyuam yuav raug xa mus rau kev kho mob spa.
Kev Tiv Thaiv
Txhawm rau tiv thaiv tus kab mob no, koj yuav tsum:
- saib hom kom yog ntawm kev tsaug zog thiab pw tsaug zog;
- kho kom noj qab nyob zoo;
- tsis txhob ntshai;
- eat right;
- txhawb kev tiv thaiv;
- mus kuaj mob tsis tu ncua.
Txhua yam mob, koj yuav tsum tiv tauj lub tsev kho mob thiab tsis txhob noj tshuaj rau tus kheej. Yim caum feem pua ntawm tag nrho cov kab mob tuaj yeem kho tau thaum ntxov, qhov tseem ceeb yog txhawm rau kuaj xyuas lub sijhawm.
