Osteomyelitis i loko o na keiki: o ka hōʻike o nā kumu, a me ka symptoms lapaʻau hiʻona

Ma nā makahiki, pinepine i loko o nā kamaliʻi, hoomaka ae la e diagnose i ka maʻi, e like me osteomyelitis. Kēia necrotic kaʻina hana o ka infectious ano e hoʻomōhala ana i loko o ka iwi, o ka puni palupalu nā'aʻaʻa, iwi ka lolo. I keia pathology koʻohune i paka pus. Inā i kēia maʻi, e lilo ia i mea maʻi, alaila, i ka manawa o ka iwi iwi deformation unformed keiki ka.

Osteomyelitis i loko o nā kamaliʻi loa pinepine e loli ai i ka lalo wāwae, ke ki kala, iwi ami, humerus, vertebra. E mālama i ke kamaiki, mai adverse hopena o keia maʻi E e kaupalena 'ia nā kumumea i i keia pathology.

kumu o ka

I ka maʻi hou susceptible i nā keikikāne ma mua o kaikamahine. O ke kumu ho i ka mea i ka mea, ua ikaika nui ae lawe lima. Eia kekahi, odontogenic osteomyelitis i keiki ua kekahi i loaʻa ka hapanui i loko o kane, mai ke kumu o kona nā palapū i skeletal ā e e hoomakaukau hiki i loko o kēia ho'āla kaua paha, e hina ia.

Muli o kona kulana pinepine, i ke kumu o ka maʻi i loko o nā keiki i ia mauʻekeʻeke o ka purulent maʻiʻaʻai e like impetigo, otitis Media, pyelonephritis, maʻi hēhē,'ā, eha he nui. No hoi e alakai ai i ka hooulu ana o ka osteomyelitis abscesses, niho caries, purulent tonsillitis, tonsillitis.

Ua komo iloko o ke kino Via poinoʻili, mucosa a lymphoid pharyngeal ke komo lima, ka maʻiʻaʻai hoʻomaka e hoʻopulapula ma ka circulatory nenoaiu. Loa pinepine, i ka hope ua noʻonoʻo osteomyelitis Staphylococcus aureus koʻohune, a ua loaʻa i loko o 80% o ka hihia. Ke koe 20% o nā mea maʻi me ka pathology o Streptococcus, E. coli, salmonella, bacillus Pfeiffer. Ma na kamalii uuku kino koʻohune komo ma ka umbilical eha.

'Aʻole i loko o nā hihia a pau, o ka iwi o ka hotbed o ka li nui. Hohola ae la oia i kona maʻiʻaʻai ke mai ka a puni nā loko a pahee'aʻaʻa. He hiki, a me ka mea nana e hoole kulana, ka wā mua loaʻa ka iwi ka lolo komo, a wale laila - ka puni'aʻaʻa.

symptoms

Kēia pathology ke hoike mai ai ia ia iho i loko o Oko ke kaumaha ma muli makahiki i ke keiki i ka, ka'ōnaehana paleʻea nenoaia a me ka iwi o ka hoʻohuli ai i nā wahi. Ma na kamalii uuku a me na keiki he uuku mua ma mua o ka maʻi e loli ai i kā lākou mau nohona ola. Ke keiki i sluggish, oia ka mea, he ko mākou hopohopo restlessness, lilo o ka ikaika loa ka makemake, kiʻekiʻe kuni, ikeia haikea. Pinepine pathological ano ua pu ma ka diarrhea a me ka luaʻi.

Inā 'oe, e makaala oukou i ke keiki, ua hiki ke ike i ka mea, hoʻomaka e lawe malama o ko lākou mau papa, e ho'āʻo mai e hoopa ia paha hōʻoniʻoni ia. I ka ili o ka loli ana o ke ami hoi ua pinepine ka moana. Mau lā ma hope, redness a me ka haanou ana hoʻomaka 'ana i ka mahuahua. Inā 'oe wale mai i hoʻomaka lapaʻau, ma laila e e purulent metastases ma ke kino.

Huʻi hematogenous osteomyelitis i loko o nā keiki mua hoikea mai oia, i loko o ka oi hai palapala. hoʻoʻino ulu Ua nui ke kua'āina, a me ka redness a me ka haanou ana hoʻomaka e hōʻike wale nō i ka pule ma hope o ka hoouka kaua ana o ka maʻi. Inā manawa 'aʻole i hoʻomaka lapaʻau, ma laila i e ke kūʻai'-muscular abscess, a 'o ia hoʻi i ka mea, he gradual laha o ka li nui a hiki i ka puni pahee'aʻaʻa. Ma keia hihia,ʻoki kino He inevitable. I ka intermuscular phlegmon? Ienoai i ke ano o ka keiki ka hiki ke malama ma mua, akā, ia mea alakaʻi hewa. Osteomyelitis i na keiki ke i loa complications e like me suppurative arthritis a me ka sepsis.

Ka huʻi ano o ka maʻi i loko o nā keiki ma hope o ka wa i maʻi, i ka wa e kaawale aku o i ka iapaau ana hele aku ai i ka make. He nolaila, nui ke diagnose keia pathology, a hoʻomaka kona nohoʻana.

Hiʻona odontogenic osteomyelitis

Kēiaʻano o ka pathology i kona mau ano. Nui aʻe ana, a Canal hoʻomaka pus, a me ka pahee'aʻaʻa haanou ana maka. Skin a mucousʻili lahilahi pale a me ka maloo, kiʻekiʻe kuni, ole, a me he mea he mau nawaliwali. I na keiki opiopio i wae cramps, ka luaʻi, indigestion. Kēia Hōʻike i ka Central ko mākou hopohopo'ōnaehana hoʻomaka e kiʻi kūʻaki loa i ulu me ka ikaika intoxication. Odontogenic osteomyelitis o ka iwi ā i loko o keiki ua protracted.

No ka mea maʻi ano

Kēia palapala o ka maʻi mea iniiaiie paha kiʻekiʻe. Ka hope ua wehewehe aku ma remissions a me exacerbations, alternating ma waena o lākou. Ma ke kala keiki i mea mea, aole ia e hoohewa aku, akā, i ka wā i hoʻomaka ai ka aggravation, ka mea ulu ma ka wela ua malamaia, he mea eha ma palpation. Paha i ka weheʻana o ka fistula me ke kahua o ka pus. Mau manawa e mau no ka makahiki, ina keia e loli ai nā puʻupaʻa, ake a me ka naau.

Maʻi osteomyelitis i loko o nā mamo a iniiaiie type ia lŘlŘ me ka huʻi pae a me ka hoʻomaka o ka maʻi symptoms mea blurry. Hōʻemi ikiʻeha e ole i kūlike loa IIeEeAIEUAA. Loa pinepine, nā mākua lawe mai kā lākou mau keiki i ka haukapila wale ia malaila ua mahuahua ka eha, a me ka loa symptoms hōʻike.

lapaʻau '

He nui no ka pono diagnose i kēia maʻi, no ka mea, o ko lakou mau symptoms ikaika kohu rheumatic wela, purulent arthritis, Ewing ka sarcoma.

I ka loa hoʻomaka o ka hooulu ana o ka iwi osteomyelitis i loko o nā keiki he symptoms i hiki i ke kahuna lapaau e pono e manao i ke kahua o malignant maʻiʻaʻai. Wale i ka pololeiʻike, kōkua ai i nā kupono lapaʻau, a hōʻoiaʻiʻo i ka holomua Outlook.

lapaau ana i ka maʻi

Inā ua like me he pathology, me osteomyelitis (keiki), lapaʻau e lawe wahi me ke komo ana o ka pediatrician, radiologist, a me nā hoʻomalu. Loa pinepine i hoakaka ia antibiotics no keia mea, a lawe mai i ka hana.

Antibiotics E e hoʻohana i hikiwawe e loaa ana. Mua, he hoʻouka mahele lāʻau o kēia mau laau lapaau ae i ke keiki, e pau ana i ka li nui. Loa pinepine mau pahu hopu i koi 'ia ai' penicillin pae. E lawe antibiotics no ka lōʻihi manawa, i kekahi manawa i ka iapaau ana ke mau i na malama ekolu. E e hoemi ke kiʻekiʻe o ka mahele lāʻau. I ka Ia manawa i ke keiki e e haawiia mai ai 'no ka thrush no ka mea, antibiotics pepehi i ka microflora. I kekahi manawa ka mea e koiʻoki lāʻau lapaʻau 'uao. Ma keia hihia autopsied abscess pus wehe 'ia, a holoi iho la Kanal. Keʻoki kino Ua hana koke ka hoʻohana 'ana i ka kūloko anesthetic. I kekahi manawa kauka i ka moni loa no ka heleʻana i ka wai.

I ka papa kuhikuhiE lapaʻau no ka osteomyelitis odontogenic -ʻoki lāʻau lapaʻau kaʻina hana, i komo ai i ka wehe 'ana o ka niho, i ka ke kumu o ka maʻiʻaʻai. Ma lalo o kekahi mau anesthesia subperiosteal dissection hua abscesses. I ka moʻomeheu ua lawe mai, e hooholo i ka pā lonoaʻili o microorganisms i antibiotics. Maʻoki kino, i kaʻeha ua moni loa, alaila, koho detoxication Inc, antihistamines, antibiotics, kalipuna kumukanawai, nā wikamina, a me nonspecific immunomodulating konohiki. Ke keiki Ua koi 'ia e haawiia mai e inu i ka wai i nui a me ka hanai i kona mea kanu a me ka haleʻuwī waiū ai.

complications

Osteomyelitis i na keiki ke i likeʻole complications. Ua hiki e:

• iwi mā;
• arthritis lala;
• like me ka hopena o iniki o ka spinalʻaha hana ino iki mai musculoskeletal kahua;
• ina i ka maʻi hahau i ka Hip ami a me na wawae o na keiki i ka, ma ka holomua manawa he mea piha immobilization;
• he mea instability ma na ami;
• hoʻopōʻino iwi ulu ana;
• Ua hoʻomaka e hoʻomōhala kiʻekiʻe maʻi osteomyelitis, i a laila hele aku ai i ka pioloke o ka kulou;
• aia no he luku dislocation;
• osteomyelitis o ka maxilla, a ua pinepine diagnosed i keiki, ke kumu i ke kahua o ka meningitis, entailing hou i loko o ke kino.

ka hopena

I loko nō o ka mea i osteomyelitis i loko o nā kamaliʻi ka loa nui complications, laekahi lapaʻau hiki ana mai i kēia maʻi weliweli, kaulike ka loa maikaʻi prognosis. Wahi a ka 'ikepili helu, make mai ka noho uuku i kela makahiki. I nā mākua Pono e uku hou hoʻolohe i ke ola o kā lākou mau keiki, e ike i ka mea i i ole kiʻi i ka maʻiʻaʻai ma na nā palapū, aʻeha, a koke imi 'inikua noonoo.