I-periostitis yezinyo ichaphazela i-periosteum (periosteum) yomhlathi, okuyifilimu ehambelana nesithambo esivela ngasentla. Ukugqabhuka okubangela ukuba izicubu ze-periosteal zibonakalisa njengesiganeko somfanekiso wesithombeni kwaye zifuna unyango olufanelekileyo ngexesha elifanelekileyo.
I-Perioditis - izizathu ze
I-pustule idlala indima ebalulekileyo yokusebenza, isebenza njengomthombo wokwakha amathambo amathambo amatsha, ukubonelela isondlo kwithambo ngenxa yemida yegazi ehamba kuyo kwaye idibanisa ithambo kunye nezinye izakhiwo (imisipha, iigaments). Ngokuphindaphindiweyo, ukuvuvukala ngezinyo zenkqubela kuvela kwinqanaba langaphandle okanye langaphakathi le-periosteum, emva koko inkqubo ye-pathological can change to the tissue tisses of the lower or upper jaw, elineyona nto ibaluleke nakakhulu.
I-Periostitis ibangela:
- isilonda esinyameko sezinyo, esichaphazela i-eamel kunye ne-dentin, ayifumananga unyango olufanelekileyo ngexesha elifanelekileyo;
- i-pulpitis (ukuvuvukala kwesikhwama se-neuromuscular ngaphakathi kwezinyo);
- i-periodontitis - ukuvuvukala kweethambo ezixubileyo eziphakathi kwethambo lomgodi kunye nesenti yeengcambu zedo;
- i-parandontitis - iinkqubo zokuvuvukala kwiimfucu zexesha elizungeze lezinyo nokuzigcina kwi-alveolus;
- ukulimala okuhlukahlukeneyo apho i-epithelium yomlomo ochaphazelekayo ichaphazelekayo (ukususwa kwezinyo, ukuphulwa komhlathi, impembelo kwisigama okanye kwindawo yesikhumba, iinjenge);
- ukusuleleka kweendawo ezahlukeneyo emzimbeni, ukungena kwiimpawu ze-periosteal ngegazi okanye i-lymphatic system (tonsillitis, sinusitis , isifo sofuba);
- ukuqubuka kwamanzi amazinyo (amazinyo e-retina).
I-periostitis enobuchule
Ngokuqhelekileyo i-periostitis ephawulekayo ye-jaostitis, kunye nokuphuhliswa kweenkqubo ezinokutshatyalaliswa kwiimeko ezininzi ezibandakanya i-microflora edibeneyo, kuquka i-streptococci, staphylococci, i-bacteria, i-gram-negative ne-Gram-positive rod. Esi sifo sikhula ngokukhawuleza, sihamba kunye neempawu ezibonakalisiweyo.
Periostitis engapheliyo
Ifomu engapheliyo yokugula, eyenzeka kwiimeko ezinqabileyo, kuthiwa ilukhuni. Indawo esasazekayo yefomu engapheliyo i-periostitis yomhlathi osezantsi. Ukuphuhliswa kwentsholongwane kuqhubeka kwiinyanga ezintandathu ukuya kwiminyaka emininzi, kunye nokuphazamiseka kwezibonakaliso, kunye nezibonakaliso ezicacileyo. Inkambo enjalo inokuqatshelwa kubantu abane-immunodeficiency states, emva kokuphumelela kwenkqubo epheleleyo.
Izimpawu zePeriostitis
Iinkqubo ezivuthayo kwi-periosteum ziqala ngokukhawuleza emva kokusulela isifo okanye ukulimala kabuhlungu, ngokuthe ngqo kuthintela izicubu ezincinci ezijikelezayo. Kule meko, ii-microorganisms ezinama-pathogen zenza umthi onobungozi kuwo wonke umzimba, kwaye usulelo luyakwazi ukusasazeka kwezinye iindawo ngegazi. Xa i-periostitis yomhlathi ikhula, iimpawu ziyabonakala ngexesha loviwo lwamazinyo oluqhelekileyo. Ngokuqhelekileyo ukubonakaliswa okulandelayo kubhalwe:
- ubomvu kunye nokuvuvukala kwezicubu kwiindawo ezichaphazelekayo, ngokuthe ngcembe kwathintela inxalenye yesigxina, imilomo, intshukumo (kuxhomekeke kwendawo yokugxila kuyo);
- ukuvakalelwa, ukuthetha, ukubetha izinyo ezichaphazelekayo nokubethelela kuyo, ukunika indlebe, amehlo, itempile (ingaba yomsindo, ukukhupha, ukutshatyalaliswa);
- ukubunjwa kwe-abscess, ngaphandle ukumela i-cylindrical protrusion;
- ukuhamba kwezinyo ezichaphazelekayo;
- ukuwohloka kweentlalo-ntle, ubuthathaka, umkhuhlane;
- ukwanda kwimilo yeclonical nodes .
I-periostitis eyi-odontogenic eqhelekileyo idlalwa ngamaqela amabini (iifom):
- serous;
- i-purulent.
Serous periostitis
Kule fomu, i-periostitis ephawulekayo yomhlathi okanye ukunyuka kweenkqubo ezingapheliyo zingaqalisa. Kule meko, ukubunjwa kunye nokudibanisa phakathi kwe-periosteum kunye nethambo le-serous exudate liyabonwa, umbane ufana ne-serum yegazi. Emva kwexesha elifutshane, ukungena kwe-periosteum kwenzeka, ukungeniswa kweethambo zesithambo kunye ne-serous fluid. Eli nqanaba linokugqibela ukuya kwiintsuku ezintathu, lihamba kunye neempawu zomoya.
Periostitis
I-periostitis eyingozi kakhulu enomdla, ehambelana nophuhliso ekugxileni kwebhakteria ye-pyogenic. I-Pus igxininisa i-periosteum, ibangela ukuba ichithe kwi-bone yangaphakathi, njengesiphumo sokutya kwesithambo samathambo kuphazamiseka, i-necrosis yomhlaba ingenzeka. Ukuqhubela phambili, inkqubo inokubangela ukuqhutyelwa kwe-fistula okanye ukusabalalisa i-tusual fat to the development of phlegmon. Ngokukhululwa ngokukhawuleza kwe-pus, iimpawu eziphazamisayo, kwaye uncedo luya.
Periostitis - ukuxilongwa
Kukho imeko xa ukuhlola okubonakalayo ukuxilongwa, ukusekwa kwesadi kunye nokwakhiwa kwesilonda akunakwanela. Umfanekiso opheleleyo ngakumbi unokufunyanwa ngokwenza i-ray-ray, i-periostitis ebonakaliswa njengento yokwanda kwe-periosteum. Oluviwo lufanele luqhutywe ngaphandle kweveki ezimbini emva kokuphuhliswa kwesibindi, ukususela ngaphambi kolu xeshanye, iinkqubo ze-pathological on tissue tissues azibonakali. Ukongezelela, ukuhlolwa kwegazi kunokumiselwa, okuya kuthi, kwi-pathology, iya kubonisa inani eliphezulu lamhlophe yegazi kunye nokwanda kwe-ESR.
Unyango lwe-periostitis yezinyo
Iindlela ezisetyenziselwa ukwelapha i-periostitis zixhomekeke kwizizathu zesifo, isigaba sayo kunye nobukhulu benkqubo. Emva kokuvavanya imeko esebenzayo yezinyo ezichaphazelekayo, ugqirha ugqiba ukuba uyakususa okanye uyigcine ngokuqhuba unyango olufanelekileyo. Xa kunokwenzeka ukugcina izinyo, kudla ngokucoca ukucoca umda wecala kwi-pulp echaphazelekayo, i-sanation, ukususwa kwenzwa kunye nokutywinwa.
Ukuba i-periostitis yezinyo ifunyenwe kwisigaba se-serous, ukunyanzeliswa kocwangco akusoloko kuyadingeka. Ngamanye amaxesha ugqirha unokujonga ukuba kuyimfuneko yokwenza i-periosteum ukukhawulela ukuxhatshazwa kwezicubu kwindawo yokuvuvukala. Ngeenkqubo ezingenanto, iindlela zokugqirha ziyingxenye yonyanzeliso yonyango olunzima. Ngaphantsi kwe-anesthesia yendawo okanye jikelele, ukuvula, ukucoca kunye nokunyangwa kwe-antiseptic ye-abscess kwenziwa, kunye ne-mucosa kunye ne-periosteum ukusabalalisa lonke ukungena. Ukuphuma kwe-purulent exudate, i-ribbon drainage ifakwe kwiintsuku ezingama-1-2.
Ukongeza, i-periostitis yezinyo iphathwa ngeendlela ezilandelayo:
- kuthatha i-antibiotic;
- Ukusebenzisa i-compress cold - ukukhulula ukuvuvukala nentlungu;
- Umlomo uhlambulule ngezisombululo zokutshatyalaliswa kwamanzi okanye izilwanyana ezithintekayo ngamagciwane okulwa ne-antibacterial properties (Furacilin, Chlorhexidine , i-Miramistin, i-chamomile broth, calendula, i-sage);
- ukuthatha i-painkillers (i-Nurofen, iLornoxicam, iParacetamol, i-Nimesil, iDiclofenac);
- iinkqubo ze-physiotherapeutic zokukhawuleza ukupheliswa kwesibindi kunye nokuvuselelwa kwamathambo (unyango lwe-laser, i-ultrasound okanye i-current alternating, njl.);
- ukugcinwa kokutya okuncinci, ukubonelela ukwenqaba kokutya okunzima, okunzima, okuvumba, okumanzi kunye nosawoti.
Antibiotics kwi-periostitis
I-Periostitis kumayeza omzimba - enye yezinto ezifunyanisiweyo, apho kukho amaninzi amaninzi, ukuqeshwa kwamayeza okulwa nomlomo. Izidakamizwa eziqhelekileyo zisetyenzisiwe, ziyakwazi ukuqokelela kwisixa esifanelekileyo kumathambo omhlathi, ezichaphazela i-microflora ye-pathogenic. Unyango lwe-periostitis yomhlathi ungenziwa ngoncedo lenye yamayeza alandelayo:
- Amoxicillin;
- Tetracycline;
- Doxycycline;
- Tsiprolet ;
- Lincomycin;
- Macropean;
- Tsifran;
- I-Metronidazole inxulumene neClindamycin nabanye.
Iiperiostite - izilwanyana zomntu
Ukuba kukho umbuzo wendlela yokuphatha i-periostitis, awukwazi ukuxhomekeka kwiyeza kunye neendlela eziqhelekileyo, kungenjalo kungakhokelela ekuqhubekeni kweenkqubo zentsholongwane, ukuphuhliswa kweengxaki. Naliphi na iindlela zesekhaya zingasetyenziselwa nje ukuba uncedise unyango olusisiseko olunqunywe ngugqirha, kwaye ngokuqinisekileyo kunye nemvume yakhe. Kufuneka kuqatshelwe ukuba xa kwenzeka i-periostitis, ukufudumala kwendawo echaphazelekayo kuyaphikisana. Iinkqubo zokuphepha zasemakhaya zikhuselekile ngokucoca ngamalungiselelo omzimba. Ngokomzekelo, unokulungiselela ukumnika okusebenzayo.
Rinse Recipe
Izithako:
- inceba - itafile e-1. isipuni;
- i-oak bark - itafile e-1. isipuni;
- I-St. John's wort - 1 itafile. isipuni.
Ukulungiselela nokusetyenziswa
- Xhuma iirebe, xuba.
- Thatha iipunipoji ezi-2 zokuqokelela, uthele ilitha lamanzi abilayo.
- Ukugxininisa kwindawo yokuhlambela ngamanzi kwisiqingatha seyure, ubunzima, ukupholisa ukuya kuma-25-27 ° C.
- Faka isicelo sokususa yonke imizuzu engama-40-60.
Unyango lwe-periostitis emva kokukhipha izinyo
Ukuba unyango olulondolozayo aluniki iziphumo ezilindelekileyo, i-odostgenic periostitis iphathwa ngokusebenza ukuze kususwe izinyo ezithintekayo. Uphando olongezelelweyo lugqitywe ngugqirha, ngokusekelwe kwimeko. Ngokuqhelekileyo kusetyenziswa iindlela ezifanayo, eziboniswa emva kokuzaliswa kwezinyo ezichaphazelekayo. Ukuphuculwa kufuneka kulindeleke emva kweentsuku ezingama-2-3, ukubuyisela ngokupheleleyo - kwiintsuku ezingama-7-10.