I-Osteomyelitis yomhlathi iyisifo apho usulelo kunye nokuvuvukala kwethambo lomhlathi lwenzeka phantsi kwefuthe lezinto zangaphakathi okanye zangaphandle. I-Sharp acute, i-subacute kunye nezifo ezingapheliyo zesifo, kunye nokuxhomekeka kwendawo yokusebenza kwe-pathological - osteomyelitis yamagqabi angaphezulu nangaphantsi.
Iimbangela ze-osteomyelitis yomhlathi
I-Osteomyelitis yomhlathi ophezulu okanye ophantsi ungakhula ngenxa yezi zinto zilandelayo:
- izifo zentsholongwane namazinyo (odontogenic osteomyelitis yemisipha) - i-caries, i-pulpitis, i-periodontitis;
- Izifo ezithathelwanayo ezinzulu (i-tonsillitis, i-diphtheria, i- red fever );
- izifo ezithathelwanayo ezigugu ( sinusitis , tonsillitis);
- ukulimala kwimihlathi (amaqhekeza, ukulimala).
Ukungena emathanjeni amathambo, intsholongwane ibangela i-purulent-necrotic processes. Iziganeko zokubangela izifo zezi zihlandlo zihlala zinjalo njenge-staphylococci, i-streptococci, ubuncinci - i-pneumococcus, i-E. coli, intonga ye-typhoid, njl njl. I-microflora ye-Pathogenic ingena emathanjeni esithambo semisipha evela kwi-foci yentsholongwane ekhona kwezinye iindawo zomzimba okanye kwimeko yangaphandle (umzekelo, xa usebenzisa izixhobo zonyango ezingenayo inkunkuma).
Iimpawu zesifo somhlathi we-osteomyelitis
Isifo siqala ngokubonakaliswa okulandelayo:
- ubuhlungu obunzima kumhlathi ochaphazelekayo, ukhanyisa kwithempeli, indlebe, i-orbit;
- malaise jikelele;
- ukwanda kwinqempa yomzimba ukuya kwi-39-40 ° C;
- bhinqa.
Emva kancinci, ukuvuvukala ubuso, ukukhulisa i-lymph nodes entanyeni, ukunciphisa ukuvula umlomo, intloko yesifo, ukulala nokukhathazeka kwesondlo kujoyina kule mpawu. Kukho ukungcola, ukuvumba kwamanzi emlonyeni. Kwi-osteomyelitis ephezulu ye-odontogenic yomhlathi osezantsi, ukugungqa komlomo ophantsi kunye ne-chin (uphawu luka-Vincent), ukukhathazeka ngokugwinya kuyaphawulwa.
Iimpawu zokuhlukumeza i-osteomyelitis yomhlathi
Ngokuxhatshazwa kwe-osteomyelitis, i-fistula yenziwa kwaye i-outflow ye-inflammatory fluid ne-pus idalwe. Isigulane sinomuzwa wokuphucula okwethutyana, kodwa inqubo yokukhubazeka ayigodli, ukutshatyalaliswa kwethambo kuyaqhubeka. Njengomthetho, ukuxhatshazwa kwe-osteomyelitis yomhlathi kuvela kwiiveki ezi-3-4 emva kokuqala kwesi sifo.
Iimpawu ze-ostomyelitis engapheliyo yomhlathi
Isigaba esingapheliyo sesifo sibonakaliswa yinkqubo eqhubekayo. Ngethuba lexesha lokuxolelwa, kukho ukuphucula imeko jikelele, ukunciphisa ukuvuvukala, nokunciphisa intlungu. Xa i-osteomyelitis engapheliyo emhlanjeni elukhumbeni okanye emlonyeni womlenze womlomo, i-fultula ye-purulent evulekile ngezikhathi ezithile, iintlobano zesini (amathambo eswelekile) angasinda.
Unyango lwe-osteomyelitis yomhlathi
Xa ufumanisa i-osteomyelitis enzima yomhlathi, isigulane siyathunyelwa ngokukhawuleza kwisebe elingenasifo.
Okokuqala, unyango lujoliswe ekupheliseni ukugxilwa kwe-purulent-inflammatory in tishu zamathambo kunye nama-tissue adibeneyo. Kule ndlela, kusetyenziswa iindlela zokugqirha. Ukuba umthombo wentsholongwane yinyithi egulayo, isuswe. Ekubeni kwimeko yomhlathi we-phlegmon kunye nama-abscesses, izicubu ezithambileyo zitshatyalaliswa kwaye isilonda sidliwe. Ukongezelela, amanyathelo athatyathwa ukulungisa imisebenzi ephazamisekileyo yomzimba obangelwa sisifo. Ukongeza kwonyango oluchangekileyo, unyango lwe-antibacterial and anti-inflammatory drugs.
Ukuba kwenzeka ukuba i-osteomyelitis inxulumene nesinye isifo esithathelwanayo, ngoko unyango lujoliswe ekupheliseni le ndlela yokugqibela, apho kukho iindlela zombini zonyango kunye nolugqirha. Ukongezelela, i-detoxification kunye neyonyango yokubuyisela, i-procedure ye-physiotherapeutic iyachongwa.