Brodie pute: Zvinokonzera, zviratidzo uye kurapwa mamiriro

Maererano kunofambira mberi data, chirwere akadai pute Brodie zvinowanikwa ano okurapa iri dererei. Kunyange zvakadaro, nyaya dzakadaro nguva nenguva vachiri rakanyatsozarirwa, saka kungwarira kuti chirwere, zvinokosha. Saka chii Zviratidzo zviri pamwe chirwere uye vari pangozi?

Chii zvokurwara?

Brodie pute inzira hematogenous osteomyelitis. Nokuti chirwere ichi kunoratidzwa zvikuru shoma nzvimbo mafupa lesion. Tikafunga hosha pane dzakaunganidzwa pus ari pfupa romunhu, unova mugumisiro yapfuura necrosis.

Zvinofanira pakarepo kunzi maperembudzi chirwere kakawanda vanhurume vane makore 14 kusvika 24 makore. Brodie pute mu vacheche kana kuenda kukireshi Zvinogonekawo, asi nyaya dzakadaro chaizvo kashoma akanyorwa.

The chirwere Kazhinji kunokanganisa refu mapfupa, kureva avo Meta-epiphyseal Department. The panowanikwa imwe mota iri diaphysis isingawanzowanikwi. Maererano nenhamba, kazhinji pane varwere chirwere pute Brodie tibia. Dzimwe nguva pute rinowanikwa mune distal epiphysis pamusoro TOUR mapfupa. Asi mune dzimwe anotsigira midziyo yose kuzvimba uye suppuration zvinochengetwa chete nomumwe zviitiko.

The zvikonzero kuti kukura ane pute

Brodie nehosha - chirwere kwemabhakitiriya mavambo. Kazhinji, mhaka kushoma chinhu staphylococcal chirwere, kunyange kazhinji purulent makore kuziva kuvapo uye mamwe majemusi, kusanganisira Escherichia coli coli. Kazhinji, pute inotungamirwa mugumisiro osteomyelitis.

Pathogenic mabhakitiriya anogona kupindira zvakasiyana pfupa tishu. Naizvozvo, somuenzaniso, tusingaoneki zvinowanzotaurwa rwakabatwa zvinyama kuburikidza muropa neimwe anogumbura pfungwa, zvinhu pangozi vari kuvapo ari murwere ane purulent zvirwere zvinotapuriranwa. Uyewo, mabhakitiriya anogona kupinda mukati epiphysis pamusoro mhango kana cysts furuncle. Ukuwo, utachiona vari aiwanzotanga kubva kwokunze ezvinhu kana kukuvaradzwa ganda, zvinodhaka dzakabatwa subcutaneously kana nomutsinga (kana asina Utsanana mitemo kunge akasangana). Dzimwe nguva pute ikabuda iri postoperative munguva. Nenzira, zviri inenge nguva imwe chirwere nenzira imwe kana mumwe chokuita kwakaderera masoja kudzivirira.

The pathogenesis chirwere

Pute Brodie ane iziviswe chaizvo zvinhu. On pakanyorwa necrotic mutoo mhango siyana ane namahwindo denderedzwa kana idenderedzwa chimiro mu pfupa rinenge makavigwa masvingo panzvimbo nemishonga uye kumeso. It mukati mhango uye kuunganidza paukobvu purulent makore. Mune zvisingawanzoitiki kacho unogona kuonekwa mukati pute viscous segirazi zvokunwa. Sezvineiwo, mashoko mhango dhayamita iri yemanyorero 2-5 cm.

Kana totaura yakare maumbirwo, rusvingo mhango kazhinji kwepfuti fibrous munyama. Around ari urikanwi nzvimbo aumba concentric pfupa sclerosis, uye ari periosteum kuonekwa periosteal kuwanda.

Zviratidzo uye zviratidzo chirwere: chii kunotsvaka?

Brodie nehosha - chirwere chirwere. Kazhinji inokudziridza kwemakore uye kunyange emakore pasina kukonzera chero nezviratidzo zvakakomba (kanenge hunhu akaratidza zvokuti murwere hazviwirirani hanya navo).

Chirwere anobuda sluggishly, uye hama zvakanaka kuitwa ne pfupi exacerbation, iro pamwe zvikuru zviratidzo. Somuenzaniso, varwere kazhinji kutaura nefivha uye zvayo neutera. Zvinyama akapoteredza zvakakanganisa mapfupa nzvimbo kuzvimba, ganda reddens. Nevamwe-inonyatsoziva munhu ndinonzwa marwadzo, uye ganda ndinonzwa inopisa.

The kunotoda mufananidzo panguva "kudzikama" nguva wezvakakora. Varwere yakashuma vamwe kusagadzikana chete panguva yakakwirira kurovedza muviri. With kukura pute Kamudzira inogona kunoitwa ikabatwa. Kazhinji vasanyanye mufambo maoko nemakumbo, uyewo kusandura wanda pakati munyama.

Brodie pute: maekisirei uye dzimwe chirwere nzira

Zvechokwadi, muchiitiko ichi, kwakarurama chirwere zvinokosha zvikuru, nekuti zvinokanganisawo kubudirira mishonga zvaiitwa uye kurapa. Pashure muchizadzwa Kuziva zviratidzo iro varwere vanotsutsumwa, uye palpation pamusoro ane nzvimbo, chiremba prescribes chimwezve kudzidza.

Chimwe chezvinhu anodzidzisa nemiedzo - X-ray. Mumufananidzo chiremba anogona kuona pamberi pamhango inotungamirwa iri rinenge riri zvakakanganisa mapfupa. Kukura pute diki, uye masvingo sandarara ake.

Chokwadi, pane dzimwe ongororo kubatsira rokuongorora chirwere sezvo pute Brodie. MRI (rinobva resonance kuri) Somuenzaniso, rinopa mashoko neyakarurama, asi rinoratidzawo kuti mhango izere purulent anomera vakawanda.

Differential chirwere uye mamiriro ayo

Differential chirwere ichi nyaya kunokosha, nekuti zviratidzo chirwere ichi zvishoma nowenyika ari kurapwa mufananidzo tuberculous ostite. Education in pfupa zvinogona eosinophilic granuloma kana osteoid osteoma, saka mamwe tsvakurudzo kunokosha.

Somuenzaniso, apo tuberculous maronda zvakajeka lesion mapfupa ikoko - ndiyo pakuva. Cysts, mukusiyana kuti pute vane cellular yakarongeka. Dzimwe nguva kuitwa nokuti yakarurama chirwere Wasserman maitiro nokuda njovhera, nekuti chirwere ichi pamwe nokuumbwa bvupa murwere ainzi gummas.

Brodie pute: kurapwa

Chokwadi, chirwere nyore zvikuru kurapa mukutanga mumatanho - varwere Kazhinji chaizvo kuchinja kurapa. First unofanira kurambidza mufambo negumbo kana ruoko ine chakakandirwa - mumugariro murwere vanofanira kupedza mavhiki anenge 4. Panguva ino, mishonga vari dzakabatwa intramuscularly, chete chiremba unotakura anotungamirirwa aikanganiswa nezvevamwe utachiona.

Kana paine chiri exacerbation pakati kushoma, varwere vari ndishandise Anti-anogumbura zvinodhaka uye mabiko. Muzviitiko zvakaipisisa kuratidzwa tichibvisa pute mhango pamwe akambozvishandisa kuuraya utachiona mberi kubudiswa uye kwokubatsira kuti penicillin (kana mumwe mushonga) zvakananga kupinda pfupa inotungamirwa.

Eremendi mutemo unoti uye physiotherapy - anonzi kupfuura vakarongeka UHF kurapwa. Sezvingatarisirwa, zvakaipa munhu anofanira kuchengetwa vakadzikama, kukutadzisa kurovedza muviri, kudya zvakanaka, kuita zvose kuti Activate dziviriro yezvirwere mumuviri.

Kuvhiya kupindira zvinoratidzwa muzviitiko apo kurapwa pamwe mishonga haapi aitarisirwa nemigumisiro. Munguva nzira, chiremba anobvisa pute Brodie. Dzimwe nguva tinofanira kubvisa chikamu mapfupa uye zvinyama - mune nyaya dzakadaro, vari ne imwe kudyara. With rworudyi kusvika, chirwere ikarapwa pasina matambudziko akakura.