Maʻi osteomyelitis: mea, lalau mai, symptoms,ʻike, lapaʻau

Osteomyelitis mea he hoʻoʻino mai o ka iwi , a me ka puni palupalu nā'aʻaʻa, a ia lŘlŘ like me ka hopena o ko lākou pio ma pyogenic koʻohune. E hoomanao i 'ike hou aku e pili ana i ka maʻi. Mau noonoo, e hāʻawiʻia ana i keia ano o ka maʻi, e like me ka maʻi osteomyelitis. Mākou i aʻo e pili ana i kona kumu, nā kiʻina hana o kaʻike, a me ka lapaau.

Osteomyelitis: maʻi Mea Maluna

Ma ke kumu o ka likeʻole aʻe, loaʻa nō kekahi mau Mea Maluna o ka maʻi. Ke kaumaha ma muli o ka olelo o ka hanana o ka maʻi, e hiki ia:

• iniiaiie (hematogenous);
• kiʻekiʻe (kia-traumatic);
• odontogenic.

Hematogenous osteomyelitis ia lŘlŘ like me ka hopena o ka hoike ana o germs ma ke koko i loko o iwi'aʻaʻa me purulent palapu, abscesses, a hoʻoʻino ili lesions i na nā loko. Ma ka hapanui o hoopii, i kēia 'ano o ka maʻi e loli ai na keiki. Hematogenous osteomyelitis hoʻomaka koke, a ua hele pu me ia ma ka lā mua o ka symptoms o intoxication: ke kuni, nausea, ka luaʻi, mau nawaliwali, headaches. Ma hope o kekahi mau manawa (i ia mau lā), ma laila e haanou ana mai o ka loli ana o ka lala, a ua pu ma ka loa eha.

Posttraumatic osteomyelitis kānāwai ma hope oʻoki kino lawelawe 'ia e ka iwi, e wehe ae fracture paha he gunshot eha. Kēia ia lŘlŘ ma ke alo o ka hoʻopukaʻana aʻe, e like me, no kekahi laʻana, e kaawale aku a pololei ole paa anaʻoki lāʻau lapaʻau lapaʻau, i ka alo o ka nui hematomas a me na kino. ka mea, a pau he hoʻonui i ka ulu ana o koʻohune, e like me ka mea, pale aku i ka maʻamau e olaʻi kaʻina.

E hookaawale i ka pae ana i haawiia odontogenic osteomyelitis. He mea he hoʻoʻino kaʻina i loko o ka maxillofacial māhele 'āina. Odontogenic osteomyelitis e loli ai i ka periodontal'aʻaʻa, a me ka niho, no laila, i ka maʻi ua pili loa ua hoʻopili a me ka dentistry. Kēiaʻano o ka maʻi ua pu ma ka headache, kuni, a me ka nui nawaliwali o ke kino. Ma kona Holomua e ike 'ole i loko o moni' ia, i ke ano o ka halitosis, mucosal edema, plaque ma ke alelo.

ʻO kēia mau ano o ka osteomyelitis, a mākou noonoo, ke kaumaha ma muli o ka 'ano o kona papa.

• huʻi;
• maʻi.

Nui, lapaʻau ua hoʻomaka 'ana ma ke kahua mua o ka maʻi. Akā, i loko o ka wa e kaawale aku o ka pono Inc huʻi osteomyelitis i maʻi.

Emi, he pono ole, ua maʻi iaʻano likeʻole:

• Ollier maʻi pale;
• Brodie ka abscess;
• Garre ka maʻi.

No laila, ua ho'āpono ike lea me ka mau 'ike e pili ana i osteomyelitis. Ua ka manawa i noonoo kona maʻi ano i hou aku au mamuli.

Nā kumu o ka maʻi

E imi i na kumu o ka maʻi osteomyelitis, eʻaʻole pono e hoʻomaka i ka nui hulina. Ma luna o ka mea i olelo ia e ka maʻi ia lŘlŘ like me ka hopena o kūpono lapaʻau o kona huʻi palapala.

Ke causative Agena o ka maʻi osteomyelitis i loko o ka hapanui o na hihia o Staphylococcus aureus. 'Oiai, he mau wahi, i hiki i ka wa a ke ano o ka maʻi hiki hoʻonāukiuki Pseudomonas aeruginosa, fungus, Proteus, E. coli.

Ke'ī mai, i ka papa kuhikuhiE kumu o ka maʻi osteomyelitis:

• Late ka loaʻaʻana o ka maʻi pathogen;
• hewa lapaʻau o huʻi ano o ka maʻi;
• ole, e kuhikuhi i ke kumu o ka maʻiʻaʻai.

symptoms

Pehea e hoʻomōhala maʻi osteomyelitis ma ka wahi mua ia hilinaʻi nui ma luna o ka papa o ke ano, wahi a prevalence o hoʻoʻino kaʻina. Ma ka hapanui o na hihia, ka maʻiʻaʻai e loli ai ia mau nā'aʻaʻa i mea kokoke naau.

Maʻi osteomyelitis ua wehewehe aku e:

• ili blanching;
• kahe o ka ikaika loa ka makemake;
• hiamoe kāna hana;
• ka muli o apathy a me ka lethargy.

Eia hou, i ka ulu ana o ka maʻi pinepine ikea purulent fistulas. Inā lākou hopena ma luna o ka puni'aʻaʻa ia mea hiki ke kahua o abscesses, abscesses.

Inā maʻi osteomyelitis o ka mandible i luku, ma laila e e haanou ana o ka lymph aka wahi.

Ma waho a pau i kēia, i ka maʻi ua pu e mau mea hōʻemi o ke ola, na hoailona o ka intoxication a me soreness i loko o ka wahi o ka poino māhele o ke kino: poʻohiwi a femurs, vertebrae, a no laila, ma luna o.

ʻike, no ka maʻi

E kuhikuhi i maʻi osteomyelitis hiki huli i ka trauma,ʻoki kino, orthopedics. ʻike, e loaʻa i ka laulā o ka hana.

Ke hoomanawanui hiki ke lanakila.

• Ke ana manaʻo, nana, palpation.
• Radiography. An X-Ray ke hōʻike i nā hoʻololi mall o ka iwi hope wale nō o ka pule ma hope o ka hoouka kaua ana o ka maʻi.
• Biochemical a CBC no ka hoomaopopo ana erythrocyte sedimentation ana a me ke alo a kaawale o ka pathogenic Agena.
• Cytological a bacteriological ninaninau o ka hookuuia mai o ka eha, fistula a me ka iwi ka lolo.
• Ultrasound o ka pōʻino, ua make wahi. He pono, e kuhikuhi i ka loli buildup.
• Angiography. Ua ua lawe mai, e huai ae mau mea nele o ke koko lako.
• ʻume mākenēki resonance kiʻi, a Me tomography. Ua Ua lawelawe 'ia e loaa' ike i ka nui, wahi, o ka makana a me ka ano o pathological hou.
• Radionuclide haʻawina i pono no ka mea 'eleu ka loaʻaʻana o ka maʻi, ke degere o kona oolea a me ka ano o ka hoʻoʻino keʻano o ka hanaʻana.

? Aeiiaiaiaaia e hele ole wale ka pilikia makapō nana, a e ka m-Ray, akā, i loaʻa manawa no ka i kā mākou iʻike, mai wale nō i loko o keia hihia ka mea, e hiki e koho i ka loa kūpono kanaka koho.

palena pauʻike,

Maʻi osteomyelitis o kona symptoms hiki e like me kekahi mau maʻi'ē aʻe. He nolaila, o ka nui o ka manaʻo o ka palena pauʻike. Ka mea, e kōkua e hookupaa i ka loa pololeiʻike, a me ka hoʻokō hana.

No ka osteomyelitis paha e like me:

• i ka helehelena o ka hikoko i loko o ka iwi;
• tuberculosis o ka iwi;
• osteochondropathy;
• fibrotic osteodysplasia.

ka lapaʻauʻia

Lapaʻau o ka huʻi ano o ka maʻi komo ai i ka hoʻohana 'ana o topical hoomakaukau: sorbents, Anati-hoʻoʻino me ka hinu, proteolytic nā'ūhū a me antibiotics.

Ma traumatic lesions a me generalizedʻano o ka osteomyelitis mea pono e hoʻomaka kekahi mauʻano o ka Inc:

• detoxification me ka infusion o ka Saline, "reopoligljukin" a me nā waiwai;
• antibacterial hoʻohana iwi-koaʻe ke hana o antibiotics paha kūikawā hoomakaukau i ka hihia o ke 'ano o ka hope;
• i ka hoike o ka papa'ōnaehana paleʻea sera staphylococcal toxoid autovaccine.

ʻoki lāʻau lapaʻau lapaʻau

Ka nele no kaʻoki kino aicieeaao ka wā ma laila mea i ka helehelena o ka helu nui o ke kāʻili 'ana e mai i noonoo me ka manawa. Kēia i hiki e wahi ana i na hihia o ka fistula ho okumu a ina o ka hoʻomanawanui i ka nui hakuʻala maʻi.

I ka wā o ka maʻi, he maʻi osteomyelitisʻoki lāʻau lapaʻau lapaʻau kikowaena kekahi mau OAXA kaʻina hana:

• wehe devitalized'aʻaʻa;
• 'ōwili lapaau antiseptics a me antibiotics;
• Ka lula ea Ke pahee a me ka iwi nā'aʻaʻa;
• nōkahea o kaʻeha;
• catheter i loko o kekahi artery a mea kokoke i ka lesions. Kēia e pono no ka hou hooponopono o antibiotics therethrough.

physiotherapy

osteomyelitis o ka maʻi koi lapaau a me physical aʻe. Lākou ka papa kuhikuhiE hana mea e hoʻopau li nui, ho'ā 'ia paha regenerative keʻano o ka hanaʻana, accelerating i ke kahua o ke kāʻili' ana, hoemi i ka pā lonoaʻili i ka koʻohune, stimulation o ka'ōnaehana paleʻea nenoaiu.

i ka hoʻomanawanui i ke hoakaka ia e ho'ēmi i hoʻoʻino ha awina:

• he welaʻula kukuna;
• UHF-Inc;
• erythematous mahele lāʻau o ka EUV pāhawewe;
• Hawewe Inc.

Ka mea ma luna o ke kaʻina hana i lawe mai wale i loko o ka hui pu ana me ka antibiotic a me ke alo o ka outflow'āpana o ka fistula (pus).

E hōʻeleu i'aʻaʻa loaa keʻano o ka hanaʻana i hoʻohana:

• ultrasound Inc;
• electrophoresis 'o ia hoʻi, i hoonui ae i ke kūkaʻi nā wikamina a me ka waiwai;
• peloidotherapy;
• kiʻekiʻe-alapine (frequency)ʻume mākenēki Inc;
• noi o ka paraffin a me ka ozokerite.

Ma maʻi osteomyelitis ma ke kala ana i ka electrophoresis kalipuna koloriside. E hoʻonui i ka moku ma ka hoʻohuli ai i nā wahi e hoʻohana vasodilators electrophoresis.

I mea e hoʻoikaika 'i ka metabolic keʻano o ka hanaʻana i loko o ka connective'aʻaʻa i pono:

• ultrasound Inc;
• percutaneous uila stimulation;
• radon a me ka hydrogen sulfide bato;

Ke kala ana o ka maʻi osteomyelitis pili peloidotherapy a me ka hana 'Inc e emi i ka ha awina o ke koko coagulation nenoaiu.

E haʻalele i ka'ōnaehana paleʻea'ōnaehana o ka hoʻomanawanui i ia:

• heliotherapy;
• Electrophoresis ai 'ka hoohuoi ana immunomodulation;
• kiʻekiʻe-alapine (frequency)ʻume mākenēki kahua ma ka thymus;
• suberythermal mahele lāʻau o ka EUV pāhawewe;
• kukuna irradiation o ke koko.

E pakele o toxins mai ka hoʻomanawanui,ʻekolu manawa i ka lā pono e, e inu i ka paʻakai koloriside bicarbonate mea pōhaku wai ( "Essentuki helu 4", "Borjomi" a no laila, ma luna).

E hoʻoikaika i ka hoolako ana o oxygen i na nā'aʻaʻa loli, oksigenobaroterapiya a'okikene kolu bato hiki ke hoʻohana.

Contraindications no ka physiotherapy

I loko nō o ka mea i ka iapaau ana o physical aʻe lawe i ka hailona o ia e pōmaikaʻi ai, ma laila i kekahi mau wahi, i hiki i kahi e ua pololei ole. O nā hihia o ke alo aku o ka hoʻomanawanui.

• kiʻekiʻe kuni;
• septicopyemia;
• loa intoxication;
• abscesses i loko o ka wa e kaawale aku o ka pus outflow alanui.

Ka hopena o ka maʻi ano o ka maʻi

Maʻi osteomyelitis mea hiki ia i ka helu o ke kaumaha a me ke ola-hooweliweli hopena. Maʻi hiki i fibrous dysplasia, a ma ka huli Ua hiki no e hoʻonāukiuki i ka helehelena o ka hikoko. Iwi laila, i ka me ka makaʻu no, a me ka pus e hoʻomaka ana e hohola ma'ō aku ia. Iloko o keia manawa, o hiki mai ke koko kaʻapu kōheoheo, i alakai i ka make.

Late lapaʻau o ka maʻi i hoʻonāukiuki hematogenous osteomyelitis. Ua Ua wehewehe aku ma ka muli o ka nui kāʻili 'ana a me ka nui purulent kaʻina. A pau keia ua pu ma metastasis i loko o ka na nā loko.

Ma waho aʻeo i keia mea, o ke kumukuai 'ana i kumumanaʻo i osteomyelitis e loli ai ole wale na iwi, akā, no hoi i nā nā loko: ake, puupaa, endocrine nenoaiu. Ka nele o ka 'eleu lapaʻau ke alakai i ka hakuʻala ka hoʻokō' ole a me ka make ana o ka hoʻomanawanui.

Ana no ka Kāohiʻana o ka maʻi osteomyelitis

Mākou aʻo e pili ana i kēia maʻi, me osteomyelitis. Mea Maluna, symptoms a hiki kūlana kanaka i ua noʻonoʻo ma ka pauku. Ua koe, e hoole ana i kekahi kahe nui. He loaʻa 'ano i hiki kōkua pale maʻi?

Kāohiʻana o ka maʻi osteomyelitis mea he 'eleu lapaʻau o kona huʻi palapala. Ua ma ka hoailona mua o ka hiki maʻi Pono e imi palapala hōʻoia no kōkua. E like me ua ikeia, ka mea hiki ke pale aku i ka hanana o ka pilikia ma mua o ke koena o kona ola, e kaua aku ia.