Akpata, mgbaàmà na ọgwụgwọ nke osteomyelitis nke mandible

A na-akpọ osteomyelitis mbufụt nke ọkpụkpụ anụ ahụ na ụmị ọkpụkpụ. Otu ụzọ n'ụzọ atọ nke ọrịa nile na otu a na-ezo aka osteomyelitis nke ihe n'agba. Na nke a, ugboro abụọ dị ka mgbe na-emetụta ala agha. The ọrịa nwere ike ime na nnukwu, subacute na-adịghị ala ala iche-iche. Dị ka isi iyi nke ọrịa bụ ndị dịpụrụ adịpụ odontogenic,-akpasasị uche, hematogenous na kpọmkwem ụdị. Ọzọkwa, osteomyelitis ókè na asị ibe (agbasa); ìhè, ọkara na arọ; na nsogbu na-enweghị ka ha.

Na-akpata osteomyelitis nke n'agba

The ọrịa amalite dị ka a n'ihi nke ọrịa na ọkpụkpụ. Dị ka a na-achị, ndị causative gị n'ụlọnga bụ Staphylococcus aureus na ndị ọzọ na cocci, mkpanaka ekara bacteria, nje dị ụkọ.

Ọtụtụ mgbe okosobode ke ọgwụ na ahụ ike omume odontogenic osteomyelitis, nke na ọrịa na-abanyekwa n'ime ọkpụkpụ onye ọrịa ezé pulp via lymphatics ma ọ bụ ọkpụkpụ tubules. Na 70% nke ikpe ya emee site nnukwu amaala ala ezé.

Akpasasị uche osteomyelitis nke n'agba nwere ike ịzụlite na uzo nke n'agba dị ka a n'ihi nke ntinye nke microorganisms n'ime ọnya. Ya njupụta bụ karịa 25% nke ihe nile ikpe.

Naa na-chọpụtara hematogenous osteomyelitis, nke na-adị mgbe nyefe nke ibute ọrịa site n'ọbara nke mkpali foci na ọkpụkpụ anụ ahụ. Nke a nwere ike ime eme na-adịghị ala ala tonsillitis, nnukwu nakwa dị ka Filiks dị ka uhie uhie ahụ ọkụ, diphtheria na ndị ọzọ. Na nke a, na mbụ e nwere ọkpụkpụ mmebi, na mgbe ahụ ezé.

Osteomyelitis nke ihe n'agba. mgbaàmà

Mụbara ahu okpomọkụ a hụrụ na ihe banyere nnukwu usoro. Ọrịa mkpesa nke malaise, ihe mgbu, ọzịza, nācha ọbara-ọbara na causal nha nha agagharị onye agbata obi. Omume ya ọnụ ke agagharị nke n'agba, mmepe nke etuto, ụba na-egbu mgbu cervical Lymph.

Mgbe mgbe abu n'ịkwụsị subacute ụdị emee. Mbufụt nke ụfọdụ dull, ma ida nke ọkpụkpụ na-aga n'ihu. Mgbe a na ogbo, guzobere sequesters - ebe nke necrotic ọkpụkpụ. Sequesters nwere ike dị iche iche dị na ụdị, multiple na otu, nnukwu na obere. Ihe ntụpọ ma ọ bụ sekvestralnye oghere agbakọta site granulation anụ ahụ, gwa ha ihe mucosa na epidermis fistulous amaokwu.

Adịghị ala ala osteomyelitis e ji n'elu ogologo - ruo ọtụtụ ọnwa. Oge talatara dochie exacerbations na guzobere ọhụrụ fistula bụ a na-adọgbu adọgbu pụọ nke ndị nwụrụ anwụ ọkpụkpụ saịtị. Self-agwọ ọrịa bụ obere.

Diagnosis nke osteomyelitis nke n'agba

Diagnosis dabeere na nnyocha, ọrịa na-mkpesa, X-ray, ọbara ule. Esi nchoputa na nnukwu purulent periostitis na etuto ahụ.

Nsogbu nke osteomyelitis nke n'agba

Ize ndụ nke ọrịa bụ na ọ na-adịghị ekwe oké nsogbu, ndị dị ka ahụ etuto, cellulitis, phlebitis ọdịdị ihu veins, sepsis.

Ọgwụgwọ na mgbochi

Ọgwụgwọ mejupụtara isi na mwepụ nke a eze nke onye ọrịa. Ke adianade do, periosteum mbepụ maka outflow nke ọmụmụ - mmiri mmiri, nke na-kpụrụ n'oge aza. Wepụta saa ọkpụkpụ antiseptics kenyere mgbochi mkpali, detoxification na symptomatic ọgwụgwọ. Igosipụta physiotherapy: electrophoresis, UHF, ultrasound. Ọtụtụ mgbe na-amalite ịwa ahụ iji wepụ necrotic ọkpụkpụ ebe. Obere sequesters nwere ike idozi na ha onwe ha. Mgbe ha n'ahụ nke, ma ọ bụ ịwa ahụ mwepụ nke njikọ oghere jupụtara n'ime, mgbe ahụ, ọkpụkpụ, e n'ichihịa imi traktị.

Prevention osteomyelitis nke n'agba na-ebelata ka adọ ọgwụgwọ nke caries, n'agba unan, nnukwu na-adịghị ala ala na-efe efe nke elu akụkụ okuku ume na tract.