Osteomyelitis yetsvina ndiyo chirwere umo utachiona uye kuputika kwejaya rejaya kunoitika pasi pesimba remukati kana kunze. Sharp acute, subacute uye zvisingaperi zvechirwere chechirwere, uyewo zvichienderana nekunzvimbo yehutachiona hwehutachiona - osteomyelitis yemashure ekumusoro uye ari pasi.
Zvinokonzera osteomyelitis yejaya
Osteomyelitis yepamusoro kana kumucheto wepamusoro inogona kukura nekuda kwezvikonzero zvinotevera:
- zvirwere zvemazino nemeno (odontogenic osteomyelitis yemashaya) - caries, pulpitis, periodontitis;
- zvirwere zvakanyanya zvinopararira (tonsillitis, diphtheria, scarlet fever );
- zvirwere zvisingaperi zvinopararira ( sinusitis , tonsillitis);
- kukuvadzwa kwemasana (fractures, injuries).
Inopinda mumuviri wefupa, utachiona hunoita kuti purulent-necrotic zvirongwa. Izvo zvinokonzera kukonzera chirwere chacho kakawanda kazhinji ma microorganisms se staphylococci, streptococci, kashoma - pneumococcus, E. coli, tsvimbo ye typhoid, nezvimwewo. Pathogenic microflora inopinda mumapfupa emapfupa kubva kumapfudze kubva kuhutachiona huri mune dzimwe nhengo dzomuviri kana kubva kumamiriro ekunze (semuenzaniso, kana uchishandisa zvigadzirwa zvisina kunaka zvemishonga).
Zviratidzo zvemajaya anorema osteomyelitis
Chirwere ichi chinotanga nezviratidzo zvinotevera:
- kurwadziwa kwakanyanya mumasaya akabatwa, kupenya kutemberi, nzeve, orbit;
- general malaise;
- kuwedzera mumuviri wekushisa kusvika 39-40 ° C;
- chills
Nguva pfupi gare gare, chiso chinoputika, kuwedzerwa kwemakirini emumutsipa mumutsipa, kukanganisa kwemuromo, kuvhuvhuta musoro, kurara nekushaiwa kwezvokudya zvinopindirana mune zviratidzo izvi. Iko kusingafadzi, kunhuwa kunobva mumuromo. Mumuviri we odontogenic osteomyelitis wejaya riri pasi, kushandiswa kwemuromo wakadzika uye chin (chiratidzo chaVincent), kusuruvara pakumedza kunoonekwa.
Zviratidzo zvekudzivirira hutachiona hwehuta
Ne subacute osteomyelitis, fistula inoumbwa uye kuputika kwezvokuvhiringidza mvura uye pus zvinogadzirwa. Murwere anonzwa kusunungurwa kwenguva pfupi, asi chirwere chekudzivirira hachiregi, kuparadzwa kwefupa kunopfuurira. Sezvo mutemo, subacute osteomyelitis yejaya inokura masvondo matatu mushure mokutanga kwechirwere.
Zviratidzo zvekusagadzikana kwehutano hwemajaya
Chikamu chisingagumi chechirwere chinoratidzwa nekanguva refu. Munguva yenguva yekuregererwa, kune humwe huri nani huripo huripo, kuderera kwekudzivirira, uye kuderera kwekutambudzika. Kana chirwere chisina kuchena chejaya pachiganda kana muchembera pamuromo, purulent fistulas nguva nenguva yakazaruka, mapfupa ehutano (akafa mapfupa zvimedu) anogona kupukunyuka.
Kurapa kwe osteomyelitis yejaya
Kana uchinge uchitarisana nehutachiona hwehaseomyelitis yomuseve, murwere anonyanya kutumirwa kune dhipatimendi rekurapa.
Kutanga pane zvose, kurapwa kwakagadzirirwa kubvisa purulent-kuvhiringidza kutarisa mumapfupa emapfupa uye mazamu akakomba. Nokuda kweizvi, nzira dzokuvhiya dzinoshandiswa. Kana iyo yakabva kune utachiona iino rinorwara, zvino rinobviswa. Muhupo hwe peri-jaw phlegmon uye mascesses, zvinyorwa zvinyoro zvakasanganiswa uye ronda rinodedzwa. Mukuwedzera, zviyero zviri kutorwa kugadzirisa mabasa anoshungurudzwa emuviri anokonzerwa nechirwere. Mukuwedzera kumushonga wokuvhiya, antibacterial uye anti-inflammatory drug therapy inorayirwa.
Kana zviitiko zve osteomyelitis zvichibatanidzwa nechimwe chirwere chinotapukira, ipapo kurapwa kunotungamirirwa pakubvisa izvozvi zvekupedzisira, izvo nzira mbiri dzekuchengetedza uye dzokuvhiya dzinoshandiswa. Pamusoro pezvo, detoxification uye remishonga yekudzorera inoitwa, zvakasiyana-siyana zvepodotherapeutic zvinorayirwa.