Osteomyelitis yog hu ua mob ntawm cov pob txha thiab pob txha pob txha. Ib feem peb ntawm tag nrho cov kab mob hauv pawg no yog hais txog osteomyelitis ntawm lub puab tsaig. Hauv qhov no, lub puab tsaig sab hauv yog cuam tshuam ob zaug ntau zaus. Tus kab mob tuaj yeem tshwm sim hauv cov mob hnyav, subacute thiab mob ntev. Raws li lub hauv paus ntawm tus kab mob, odontogenic, traumatic, hematogenous thiab tej hom yog txawv. Tsis tas li ntawd, osteomyelitis yog txwv thiab diffuse (diffuse); lub teeb, nruab nrab thiab hnyav; nrog thiab tsis muaj teeb meem.
Ua rau osteomyelitis ntawm lub puab tsaig
Tus kab mob no tshwm sim los ntawm kev kis kab mob hauv cov pob txha. Raws li txoj cai, tus neeg sawv cev ua rau yog Staphylococcus aureus, nrog rau lwm cov kab mob cocci, cov kab mob zoo li tus kab mob, tsis tshua muaj kab mob.
Feem ntau hauv kev kho mob muaj odontogenic osteomyelitis, nyob rau hauv uas tus kab mob nkag mus rau hauv cov pob txha los ntawm cov nqaij mos ntawm tus hniav mob los ntawm cov hlab ntsha lymphatic los yog cov pob txha tubules. Hauv 70% ntawm cov neeg mob, qhov no tshwm sim los ntawm cov molars loj ntawm cov hniav qis.
Taumatic osteomyelitis ntawm lub puab tsaig tuaj yeem txhim kho thaum lub puab tsaig tawg vim muaj cov kab mob nkag mus rau hauv lub qhov txhab. Nws qhov kev nthuav dav yog tsawg dua 25%los ntawm txhua kis.
Hematogenous osteomyelitis yog qhov kuaj pom tsawg tshaj plaws, uas tshwm sim thaum tus kab mob kis los ntawm foci ntawm qhov mob mus rau cov pob txha cov ntshav. Qhov no tuaj yeem tshwm sim nrog mob tonsillitis, nrog rau cov txheej txheem mob xws li kub taub hau, kab mob diphtheria thiab lwm yam. Hauv qhov no, pob txha raug cuam tshuam thawj zaug, thiab tom qab ntawd cov hniav.
Osteomyelitis ntawm lub puab tsaig. Symptoms
Nyob rau hauv rooj plaub ntawm tus txheej txheem mob, qhov kub ntawm lub cev tau pom. Cov neeg mob yws yws ntawm kev mob plab, mob, o, liab ntawm lub mucosa nyob rau hauv qhov chaw ntawm tus hniav causative, kev txav ntawm cov neeg nyob sib ze. Muaj qhov txo qis hauv lub puab tsaig txav, kev loj hlob ntawm cov kab mob abscess, nce thiab mob ntawm lub ncauj tsev menyuam qog.
Nrog kev pab tom qab tso cov kua paug, ib daim ntawv subacute tshwm sim. Cov o yog me ntsis dulled, tab sis qhov lwj ntawm cov pob txha cov ntaub so ntswg txuas ntxiv. Nyob rau theem no, sequesters raug tsim - thaj chaw ntawm cov pob txha necrotic. Sequesters tuaj yeem sib txawv hauv daim ntawv, ntau yam thiab ib leeg, me thiab loj. Tsim cov teeb meem los yog kab noj hniav nyob rau hauv kab nrog granulation ntaub so ntswg sib txuas lus nrog cov mucous daim nyias nyias thiab daim tawv nqaij nyob rau hauv fistulous tracts.
mob osteomyelitis yog yam ntxwv los ntawm kev kawm ntev - mus txog ob peb lub hlis. Lub sij hawm ntawm kev poob qis yog hloov los ntawm exacerbations nrog kev tsim ntawm fistulas tshiab, muaj kev tsis lees paub ntawm qhov chaw tuag ntawm cov pob txha. Kev kho tus kheej tsis tshua muaj.
Kev kuaj mob osteomyelitis ntawm lub puab tsaig
Kev kuaj mob yog nyob ntawm kev kuaj mob, cov neeg mob tsis txaus siab,X-ray kuaj, kuaj ntshav. Kev kuaj mob sib txawv nrog tus mob purulent periostitis thiab qog nqaij hlav.
Cov teeb meem ntawm osteomyelitis ntawm lub puab tsaig
Kev phom sij ntawm tus kab mob yog qhov tseeb tias cov teeb meem hnyav tsis suav nrog, xws li abscess, phlegmon, phlebitis ntawm lub ntsej muag leeg, sepsis.
Kev kho thiab tiv thaiv
Kev kho mob feem ntau yog tshem tawm cov hniav uas muaj kab mob. Tsis tas li ntawd, ib qho kev phais yog ua nyob rau hauv lub periosteum rau lub outflow ntawm exudate - ib tug kua uas yog tsim thaum lub sij hawm inflammatory txheej txheem. Cov pob txha yog ntxuav nrog tshuaj tua kab mob, tshuaj tiv thaiv kab mob, detoxification thiab kho cov tsos mob. Physiotherapy yog qhia: electrophoresis, UHF, ultrasound. Feem ntau nws yog ib qho tsim nyog yuav tsum tau mus rau kev phais mob kom tshem tawm qhov chaw tuag ntawm cov pob txha. Cov sequesters me tuaj yeem daws lawv tus kheej. Tom qab lawv tso tawm lossis phais tshem tawm, cov kab noj hniav tau ntim nrog cov kab sib txuas, thiab tom qab ntawd cov ntaub so ntswg, thiab caws pliav ntawm fistulous passages tshwm sim.
Kev tiv thaiv ntawm osteomyelitis ntawm lub puab tsaig los ntawm kev kho mob raws sij hawm ntawm caries, kev raug mob ntawm lub puab tsaig, mob hnyav thiab mob ntev ntawm txoj hlab pa sab sauv.
