I-osteomyelitis yomhlathi iyisifo lapho ukutheleleka nokuvuvukala komhlathi wesifuba kwenzeka ngaphansi kwethonya lezinto zangaphakathi noma zangaphandle. Khipha ama-acute acute, ama-subacute nama-chronically of the disease, kanye nokuya kwendawo yokwelashwa kwe-pathological - osteomyelitis yamagqabha aphezulu naphansi.
Izimbangela ze-osteomyelitis emhlathini
I-osteomyelitis yomhlathi ophezulu noma ophansi ungathuthuka ngenxa yezici ezilandelayo:
- izifo zezinsini namazinyo (i-odontogenic osteomyelitis emihlathini) - i-caries, i-pulpitis, i-periodontitis;
- izifo ezithathelwanayo eziyingozi (i-tonsillitis, i-diphtheria, i- red fever );
- izifo ezithathelwanayo ezingapheli ( sinusitis , tonsillitis);
- ukulimala kwemihlathi (ukuhlukana, ukulimala).
Ukungena emathanjeni amathambo, ukutheleleka kubangela izinqubo ze-purulent-necrotic. Ama-causative agents of the lesi sifo ngokuvamile ama-microorganisms ezinjenge-staphylococci, streptococci, kaningi kangako - i-pneumococcus, i-E. coli, induku ye-typhoid, njll. I-microflora ye-Pathogenic ingena emathanjeni amathambo emisipha evela ku-foci yokutheleleka ekhona kwezinye izingxenye zomzimba noma emvelweni wangaphandle (isibonelo, uma usebenzisa imishini yezokwelapha engavumelekile).
Izimpawu zomshoshaphansi we-osteomyelitis
Lesi sifo siqala ngokubonakaliswa okulandelayo:
- ubuhlungu obunzima emhlathini obathintekile, okhanyisa ethempelini, endlebeni, noma nge-orbit;
- i-malaise jikelele;
- ukwanda kokushisa komzimba kuya ku-39-40 ° C;
- izikhukhula.
Ngemva kwesikhashana, ukuvuvukala ubuso, ukukhuliswa kwe-lymph nodes entanyeni, ukuvinjelwa kokuvulwa komlomo, ukuphathwa ikhanda, ukulala nokukhathazeka kokudla kujoyina kulezi zimpawu. Kukhona iphunga elimnandi, elifakwe emlonyeni. Nge-osteomyelitis enzima ye-osteomyelitis yomhlathi omncane, ukungafihli komlomo ophansi kanye nesiginci (uphawu lukaVincent), ukukhathazeka ngokugwinya kubonakala.
Izimpawu zokuhlukunyezwa kwe-osteomyelitis emhlathini
Njengoba i-osteomyelitis i-subacute, i-fistula isakhiwe futhi kuvela ukuphuma kwamanzi okuvuvukala kanye ne-pus. Isiguli sithola impumuzo yesikhashana, kodwa inqubo yokugula ayigodli, ukubhujiswa kwamathambo kuyaqhubeka. Njengomthetho, ukuhlukunyezwa kwe-osteomyelitis emhlathini kufaka amaviki 3-4 emva kokuqala kwesifo.
Izimpawu ze-osteomyelitis engapheli yomhlathi
Isigaba esingapheli sesifo sibonakala inkambo ende. Phakathi nenkathi yokukhululwa, kukhona ukuthuthuka esimweni esivamile, ukwehla kokuvuvukala, nokunciphisa ubuhlungu. Uma i-osteomyelitis engapheli yesikhumba esikhumbeni noma i-membrane emangcwabeni yomlomo, i-fistula ye-purulent ngezikhathi ezithile ivulekile, izicubu zesifuba (amafomu amathambo afile) angabalekela.
Ukwelashwa kwe-osteomyelitis emhlathini
Lapho uthola i-osteomyelitis enomhlathi emlonyeni, isiguli siyathunyelwa ngokushesha emnyangweni wezokwelapha.
Okokuqala, ukwelashwa kuhloswe ekuqedeni ukugxila okugxilwe emzimbeni emathanjeni ethambo kanye nezicubu ezithambile. Kulokhu, izindlela zokuhlinzwa zisetshenziswa. Uma umthombo wokutheleleka kuyinyosi egulayo, isuswe. Ngaphambi kokuba i-phlegmon ne-abscesses i-peri-jaw, izicubu ezithambile zisatshalaliswa futhi isilonda siphuliwe. Ngaphezu kwalokho, kuthathwa izinyathelo zokulungisa imisebenzi ephazamisayo yomzimba obangelwa yisifo. Ngaphandle kokwelapha okuhlinzekwa, ukwelashwa kwezidakamizwa zokulwa nokulwa nokuvuvukala kunqunywe.
Uma kwenzeka i-osteomyelitis ihlotshaniswa nesinye isifo esithathelwanayo, khona-ke ukwelashwa kuqondiswa ekuqedeni ukugcina, okwenziwa ngazo izindlela zombili zokwelapha ezisetshenziswayo. Ngaphezu kwalokho, ukuxilongwa kwe-detoxification kanye nokwelashwa okubuyiselayo kwenziwa, izinqubo ezahlukene ze-physiotherapeutic zibekiwe.