Osteomyelitis umntwana: oonobangela, iimpawu, unyango

Osteomyelitis - isifo okubangelwa usuleleko. Ebonakalisa ngokohlobo komtshiso oko. Amaninzi kakhulu ke umzantsi womlenze, hip, amathambo zamagxa, omqolo kunye namalungu umhlathi. Osteomyelitis - inkqubo necrotic ukuvela kwi umongo ezingqongileyo kwizihlunu ezithambileyo. Ngokuqhelekileyo, zonke izifo kwenzeka kumadoda (2 umphinda-kaninzi ngaphezu amantombazana) ngenxa yokuhamba, imilo, ukwenzakala, ukuwa.

Kutheni abantwana osteomyelitis libhekisela izifo eziyingozi kakhulu?

Osteomyelitis kubantwana (photo ezibonisa lwangaphandle sifo kunokubonwa kweli nqaku) sibhekisela izifo ezinobungozi. Esi sifo sichaphazela indlela umongo wethambo. Usulelo lujolise ngqo kwi amathambo kwaye ubuhle phantse lungenzeki. Ngoko ke, ukuba ukufumanisa esi sifo abantwana kusekwangoko kunzima, ekubeni ngokuchanileyo nga ukuchaza iimpawu kunye ukushukumisa. Ukuba osteomyelitis etsolo ebantwaneni singanyangwa ngexesha, ukukhubazeka umntwana skeletal esinokubakho. Esi sifo kuba ngunobangela yokukhubazeka kunye neziphumo ezibi.

iintlobo osteomyelitis

Osteomyelitis yahlulwe iifom ezimbini. Okokuqala - ezithile. Esi sisifo yesibini okubangelwe ziibhaktheriya emva sephepha, negcushuwa okanye neBrucellosis. Kodwa abantwana kunqabile. Ifom yesibini - non-specific. Oku kuvela cocci ubovu kunye iintsholongwane.

iintlobo

Osteomyelitis, umntwana abe iintlobo:

• Hematogenous. Waqokela ukumqumbisa yi micro-eziphilayo engena kwi inwebu ithambo nge egazini. Found Iifom oyingozi futhi ezigulo ezondeleyo. Okwesibini - xa ukudumba ihlala ngaphezulu kweenyanga ezine. Le fom ezingapheliyo yahlulwe ohlobo ezimbini. osteomyelitis Primary, apho akukho zimpawu ecacileyo. Ke zamabanga - ngenxa ifomu ahlekise hematogenous.
• Negematogenny (ngenye indlela - zithe zadala okanye izinto ezibuhlungu). Oku kuvela ngenxa yokwenzakala, kwizaphuko, amanxeba, ukudumba yethishyu ithambo.
• Odontogenic. Oku ukudumba ithambo kwemihlathi. Isifo kwenzeka ngenxa yezifo zamazinyo. Abantwana bemihlathi inyama luphokoke imithambo yegazi rhoqo. Ngoko ke, nangokurhala kwaqhenqetha ngesantya esikhulu. Kodwa angalulama inyama emva kokuba unyango ayikho ngaphantsi olukhawulezayo. Olu hlobo osteomyelitis lwenzeka kakhulu abantwana abaphakathi kweminyaka emithathu-nye linababini.
• Pin. It is a uhlobo osteomyelitis angaphandle. Oku kwenzeka xa ubovu ukudumba esiya ithambo kunye ancedisana athambileyo eziyijikelezileyo.

Izinto ezibangela Osteomyelitis

Eyona eziphambili ezibangela osteomyelitis kubantwana - igciwane ubovu nokulimala. isifo kubangela:

• media otitis;
• abrasions;
• pyelonephritis;
• impetigo;
• isha;
• waphuka;
• amanxeba.

Xa inani kwamagciwane efanayo Staphylococcus aureus. Efunyanwa kulo osteomyelitis ngo asibhozo ekhulwini amatyala. In asele amabini ekhulwini izigulane kwafunyaniswa iintonga ezahlukeneyo (Pfeiffer, E.), salmonella kunye iStreptococcus. osteomyelitis Acute odontogenic iqala ngenxa amazinyo abachatshazelwa yidityaniso. Ngumtyholwa - flora yayintsholongwane eyosulela yintsholongwane, leyo yintlama kunye periodontal.

Osteomyelitis kubantwana: iimpawu

Eyona engundoqo zesifo osteomyelitis:

• Ukugodola;
• kwamalunga kwemilenze;
• ukudumba kunye anozizi kwesiza inxeba;
• ubuthathaka kunye silale;
• ukubetha rapid;
• ukwandisa ubuhlungu bone;
• leukocytosis eliphezulu, leukopenia nenkcubeko igazi HIV;
• utshintsho radiographic ekuqaleni abakwazi ukubona, zivela kamva.

Iimpawu osteomyelitis kuxhomekeke kummandla ochaphazelekayo ngethambo kunye nobudala bomntwana. Usana - njengembi, luvo, ubunzima ngenxa ukungabi namdla wokutya, kuba ngumkhuhlane. Ngamanye amaxesha kukho ukugabha norhudo.

Ukuba ubukela itakane, ngoko ungabona indlela itakane ukhathalele umlenze (asisebenzi kwizifundo zakhe yaye uzama ukuba ukususa). Le ndawo abachaphazelekayo ukuze ebomvu, maxa wambi kuvela nokudumba. Kwiintsuku ezimbalwa kamva bekhula. Ukuba ayenzi uqale unyango, ngoko ukuqala lokwanda ubovu Ukudlulela.

abantwana abadala siyabandezeleka iimpawu ezifanayo, kodwa ucaca ngakumbi. Ukudumba luphuhlisa ixesha elide, kwaye bomvu kunye ukudumba kunokubonwa kwiveki kuphela emva kokuqala kwesi sifo.

Xa osteomyelitis odontogenic kwale misele iingcambu kunye seentsini lulandelayo ubomvu. Amazinyo ukuba basondele abagulayo - mobile kakhulu. iqala:

• iindumbisa ebusweni;
• isikhumba kunye mucosal blanch;
• umkhuhlane;
• kukho nefiva kwaye ubuthathaka jikelele;
• abantwana bangase uhlaselwe;
• ukuphalaza;
• ukuqunjelwa.

Oku kungenxa ukunxila olomeleleyo. osteomyelitis Primary ezingapheliyo ye umntwana ubonisa iimpawu lubricated. Kukho iintlungu ezincinane, kodwa babe bengenazo ezenziwa ngqo.

Xa lelwa kunye exacerbation enye lesibini-chronic (maxa wambi iminyaka). Kwimeko yokuqala, umntwana lowo akukho zikhalazo kwi ekuqaleni yesibini intlungu kwi Ngokucofa kunye nomkhuhlane. Ngamana ukuvula fistulas ubomvu. Kule fomu kwesi sifo sichaphazela isibindi, intliziyo kunye nezintso.

ekuxilongweni

Lokufunyaniswa kwesifo inzima, njengoko osteomyelitis hematogenous ebantwaneni kungenziwa kubhidaniswe samathambo, ubovu samathambo okanye nee- Ewing kaThixo, iimpawu ezifanayo. Maxa wambi kukho urhano kukho usulelo esibulalayo kwi ngumqondiso wokuqala.

ayini

Unyango lwe osteomyelitis ebantwaneni ikhutshwa phandle ngeendlela echaphazela microorganisms ezidala izifo ngqo bone abachaphazelekayo:

• immunotherapy;
• Administrator kwesikhumba antifagin staphylococcal, toxoid, isitofu sokugonya, kwaye ilahleko bacteriophage ukuba indlela ukuba allergen;
• vitamin;
• Antibiotics zikhutshwa;
• ishenxisa uxinzelelo lomongo wethambo kunye iingcambu zawo, neempahla;
• isuswe Iziseko yezifo leyo compress luvo;
• indawo ochaphazelekayo kubhaliwe;
• wenziwa utyando kunye asike le periosteum, nokuxobuka kwenxalenye asha wethambo;
• idreyini efakiweyo some ubomvu.

unyango

Osteomyelitis umntwana iqala unyango isibulala-zintsholongwane. Zibalulekile nisaqala esi sifo ukumisa inkqubo arhabaxa. Ngokomthetho emiselweyo neziyobisi penicillin. Ikhosi ye unyango - ukusuka kwelinye ukuya kwiinyanga ezintathu. Okunxuseneyo ukuba amisele iziyobisi igwele ukususela ngenxa antibiotics kuphazanyiswa microflora umzimba kwaye kunokubangela isifo.

Ngamanye amaxesha uqhaqho kuyimfuneko. Ugqirha ivula ithumba, ageze ngemijelo ubomvu. Ngexesha imisebenzi Ukubulawa yasekuhlaleni. Xa odontogenic unyango osteomyelitis zaseprayimari - uqhaqho. Ngexesha izinyo sakhe sikhathazekile isusiwe, wavula amathumba ekufunxeni amanxeba. Bemiswe ngu:

• Unyango dezintoktsionnaya;
• amalungiselelo eziqulathe calcium;
• antihistamines;
• antibiotics;
• izakhiwo vitamin;
• immunomodulators nonspecific;
• ukutya (yobisi kunye nokutya zezityalo kunye nokusela amanzi amaninzi).

Osteomyelitis umntwana kuqhubeka ukuphathwa nasemva esibhedlele. Ukolulwa Ambulatory kunye ukuyifundisa. kwimo eveliswayo kwiindawo kunye balneotherapy abachaphazelekayo. umntwana unyango izigulane njalo kabini ngonyaka. Kweli xesha desensitizing, laser, owahluke ngokwemvelo, novithamini unyango. Immunomodulators ezisetyenzisiweyo. Otyunjwe electrophoresis kunye antibiotics. Rhoqo emva kweenyanga ezintandathu, yinto X-reyi, kwaye emva koko ukulawula kanye ngonyaka kangangeminyaka emithathu. Umntwana zingathunyelwa unyango yokuzivavanya.

ukuvimbela

Ukuthintela ukunwenwa kwesi sifo, kufuneka:

• bagcine kuvukwe olululo, ndalala ubuthongo;
• agcine ngendlela enempilo;
• ukuba ungakhathazeki;
• nidle okulungileyo;
• ukuqinisa amajoni omzimba;
• yaliwe rhoqo medical kuhlolwa-up.

Xa zonke iintlobo zezifo kufuneka uqhagamshelane ekliniki kwaye ukuba self-medicate. Asibhozo ekhulwini zonke izifo iyanyangeka kusekwangoko, eyona nto ibalulekileyo - ukwenza isifo ngexesha.