Zvinokonzera, zviratidzo uye nekuramba osteomyelitis of mandible

Akadana osteomyelitis kuzvimba pfupa rinenge uye mwongo. Imwe wechitatu zvirwere zvose muboka iri rinoreva osteomyelitis pakati shaya. Muchiitiko chino, kaviri sezvo kazhinji sei rezasi shaya. The chirwere munogona chakasimba, subacute uye chirwere siyana. Maererano kunobva utachiona ndiyo yoga odontogenic, zvinorwadza, hematogenous uye yakananga mhando. Uyezve, osteomyelitis ishoma uye diffuse (diffuse); chiedza, svikiro uye rinorema; pamwe nemamwe matambudziko uye pasina pavo.

The zvinokonzera osteomyelitis of rushaya

The chirwere kukura somugumisiro chirwere ari mafupa. Sezvo kutonga, causative mumiririri ndiye anonzi Staphylococcus aureus nemamwe cocci, mabhakitiriya tsvimbo serin'i, utachiona hadziwanzowaniki.

Most kazhinji vasangana mu okurapa odontogenic osteomyelitis, sezvamakaropafadzwa utachiona anopinda pfupa murwere zino pulp Via lymphatics kana pfupa tubules. Muna 70% kubva kacho zvinoitika kuburikidza huru dzakaderera mazino zvizvarwa.

Dzechimwe osteomyelitis of rushaya anogona kuva ari kwezana shaya somugumisiro hwomukova tusingaoneki kupinda ronda. Kuwanda kwayo hakuna kupfuura 25% vose nyaya.

Zvishoma kacho chirwere hematogenous osteomyelitis, kunoitika apo kutapurirana chirwere kubva paropa anogumbura foci mu mafupa tishu. Izvi zvinogona kuitika chete chisingaperi tonsillitis, chenjera uyewo pezvakaitwa zvakadai mutsvuku nefivha, diphtheria uye nevamwe. Muchiitiko chino, pakutanga pane zvakakanganisika pfupa, uye ipapo mazino.

Osteomyelitis pakati shaya. zviratidzo

Inosimudzira tembiricha muviri kuchengetwa nyaya rikwanise chichingoitwa. Varwere chokunyunyuta pamusoro zvakawanda zvive, marwadzo, kuzvimba, akatsvuka ari causal zino mufambo muvakidzani. Nemuumbi vasanyanye mufambo pakati shaya, kukura ane pute, wakawedzera uye chinorwadza remuromo node nodes.

Kana mushure pus Kuderedza subacute fomu kunoitika. Kuzvimba zvimwe mikukutu, asi pokuwa mafupa mberi. Panguva iyi, vakaumba sequesters - nzvimbo necrotic mapfupa. Sequesters zvingava zvakasiyana chimiro, kakawanda uye kuroorwa, zvikuru uye zviduku. The zvichiguma zvikanganiso kana sekvestralnye mhango mudungwe nokuda granulation rinenge akakurukura mucosa uye Epiderme e fistulous ndima.

Chirwere osteomyelitis kunoratidzwa pamusoro refu - kuti kwemwedzi yakawanda. Nguva yapera akatsiviwa exacerbations nokuumbwa fistula itsva iri kubvambura kubviswa akafa mapfupa nzvimbo. Self-kuporesa hariwanikwi.

Chirwere pakati osteomyelitis of rushaya

Chirwere kunobva kuongororwa, murwere zvichemo, X-ray, bvunzo ropa. Differential chirwere pamwe rikwanise purulent periostitis uye anomera.

Matambudziko osteomyelitis of rushaya

Ngozi chirwere kuti dziripowo kwazvo matambudziko, zvakadai abscesses, cellulitis, phlebitis chiso mutsinga, sepsis.

Mushonga uye Kudzivirira

Treatment ine kunyanya kubviswa zino murwere. Uyewo, periosteum incision kuti water drainage kuti Urume - mvura, iyo yakaumbwa mumakore kushoma. Pedzai kugeza mapfupa antiseptics ushandiswe Anti-anogumbura, detoxification uye symptomatic kurapwa. Kuratidza physiotherapy: electrophoresis, UHF, Ultrasound. Vanowanzova kushandisa kuvhiyiwa kubvisa necrotic pfupa nzvimbo. sequesters Small anogona kugadzirisa voga. Pashure okuyerera, kana kuvhiya nokubviswa coupling mhango anozadza, uye ipapo pfupa, ipapo scarring sinus maturakiti.

Kudzivirira osteomyelitis of rushaya ipfupi kuti nenguva mabatiro caries, shaya kukuvara, chenjera uye chisingaperi zvirwere vaikudzwa kufema turakiti.