I-Osteomyelitis isifo esibangeliso sokuvuvukala kwintsholongwane yesithambo okanye ematyeni esithambo, kunye neethambo ezizungezile. Usulelo lunokuchaphazela nayiphi na ithambo emzimbeni, kodwa ama-vertebrates, amathambo amathambo (amilenze), amathambo ezinyawo, iintlungu zintlungu zixhaphazeleka rhoqo. Oku kuyingozi kakhulu yokwehliswa kwezilwanyana, ezinokuthi zitshintshe zonke iinkqubo ezenzeka emzimbeni.
Izizathu ze-osteomyelitis
I-Osteomyelitis ibangelwa iintlobo ezahlukeneyo ze-bacteria ye-pathogenic kunye nefungi ezingenako ukungena kwithambo, kodwa kaninzi i-staphylococci kunye ne-streptococci. Kukho iindlela ezimbini ezibalulekileyo zokungena kwamagciwane okusuleleka:
- ezinokuphela (i-hematogenous) - kunye nokuphuma kwegazi ukusuka kwi-foci yokuvuvukala kwezinye izitho kunye nezicubu;
- ezingaqhelekanga (ezingezizo i-hematogenous) - ezivela kwindawo yangaphandle kunye nokulimala (i-fractures, amanxeba, ukungenelela kokuhlinzwa).
I-osteomyelitis enesifo esingaqhelekanga sinokubangelwa zizifo ezifana ne-otitis media, i-tonsillitis, i-furunculosis, i-pyoderma, i-pneumonia, isantya, njl.
Ezi zinto zilandelayo zifaka isandla ekuphuhlisweni kwesi sifo:
- i-arteriosclerosis yemithambo yegazi ;
- ukutshaya, ukusetyenziswa kakubi kotywala, ukusebenzisa iziyobisi;
- ukusulelwa rhoqo;
- isifo sikashukela ;
- umsebenzi wokuqhaqhaqhayisa, isibindi;
- izifo ezimbi, njl
Iimpawu eziphambili ze-bone bone osteomyelitis
Ukubonakaliswa kwesi sifo kuxhomekeke kuhlobo lwe-pathogen, iminyaka yesigulane, imeko ye-immunity yakhe, kunye nakwiindawo ezikhoyo kunye nokusasazeka kwenkqubo. Njengomthetho, inkqubo enzima yokugcina ayibonakali kwiintsuku zokuqala ezi-2 ukuya kwezi-4. Unokuziva nje kuphela u-malaise jikelele, ubuthathaka. Kwixesha elizayo, iimpawu ezilandelayo zivela:
- ukwandisa izinga lokushisa lomzimba (ngamanye amaxesha ukuya kuma-40 ° C);
- ukuphosa;
- ukwanda kwenani lentliziyo;
- intlungu ebuhlungu kwindawo echaphazelekayo yomzimba;
- ukuvuvukala kwezicubu ezithambileyo, ukubuyiswa kwesikhumba kwisiza sokuvuvukala.
Kwimeko ye-osteomyelitis engaqhelekanga, eyona nto ibhengezwayo yimiqondiso yendawo:
- ubukho besilonda esiswini okanye isigxina esikhatywayo;
- i-edema, ukubuyiswa kwakhona kwezicubu ezithambileyo;
- intlungu kwindawo yokulimala.
Iimpawu ze-osteomyelitis emva kokutsalwa kwezinyo
I-Osteomyelitis ingaba yinkxalabo emva kokususwa ngokuqhelekileyo okanye ukutywinwa kwezinyo, edla ngokubakho ngenxa yokusuleleka kwintsholongwane engenazixhobo ezinokungasebenzi kakuhle okanye unyango olungenabungozi. Kule meko, sithetha nge-odontogenic osteomyelitis yomhlathi, iimpawu zazo zilandelayo:
- i-edema kunye nobuhlungu obunzulu bezinsini;
- ukugqithiswa kwepus kwizinsini;
- iinyopho;
- intloko;
- umkhuhlane.
Isici somzimba kwi-osteomyelitis ephawulekayo ye-odontogenic yinto ephawulekayo yeVincent - ukuphulwa kobubele, ukunyanzelwa kwesikhumba kwindawo yomlomo kunye ne-chin.
Iimpawu ze-osteomyelitis
Olu hlobo lwe-osteomyelitis lunzima kakhulu. Kwakhona kubonakaliswe ngolu hlobo njengenyuka enkulu ebushushu bomzimba, nangona kwezinye iimeko iqondo lokushisa liyingqungquthela. Uphawu olusisiseko sisifo seentlungu, esekelwe kwimeko yendawo kwaye unokuzifanela ezinye izifo (umphunga womoya, pleurisy, paraproctitis, osteochondrosis, njl.).
Ukongezelela, kukho imiqondiso yesifo:
- ukuphosa;
- ukukhupha ebusuku;
- ukudinwa komzimba.
Iimpawu ze-Osteomyelitis engapheliyo
I-osteomyelitis enobuchule ingena kwisigaba esingasigxina, esichazwe ngamaxesha atshintsho wokuzikhukhumeza nokuphumla. Kule meko, intlungu iyancipha, imeko yesigulane iphucula ngandlela-thile, - izibonakaliso zokuxhatshazwa ziyabhubha, ukushisa komzimba kubume. I-fistula engatshatanga okanye emininzi kunye nokukhutshwa okuxhomekeke kwimihlaba emiselweyo yenziwa kwindawo ejolise kuyo, eyona nto ibonisa isifo esingapheliyo sesifo.
Ukugqithisa kwesifo esingapheliyo kwimbonakalo yayo kufana nokuqala kweqhinga, kodwa kwifomu echithwe. Ukuphindaphinda kuququzelelwe ukuvalwa kwe-fistula kunye nokuqokelela kwe-osteomyelitis, okubangela ukuba kuphazamiseke kwimeko yesigulane.