Ọkpụkpụ anụ ahụ: bughi atụmatụ na ọrụ

Ọkpụkpụ anụ ahụ bụ dị iche iche kpọmkwem n'ibu Njirimara nke na-akwado na-akpa ákwà nke a na-ekewet nke ọkpụkpụ mkpụrụ ndụ na pụrụ iche n'etiti. Ọdịdị na-agụnye onye n'etiti collagen eriri (ọkpụkpụ matriks) na dị iche iche inorganic ogige. Ọzọkwa, ọkpụkpụ anụ ahụ nwere lacunary-canalicular usoro esịnede a netwọk nke microscopic lacunae na canaliculi na-enye intraosseous metabolism.

Ọkpụkpụ na mkpụrụ ndụ bụ nke atọ ụdị: osteoclasts, osteoblasts na osteocytes. Osteoclasts - a nnukwu multinucleated sel nke monocytic si, size nke nwere ike iru 190 microns. Ndị a na mkpụrụ ndụ na-aka na resorption (mbibi) nke ọkpụkpụ na cartilage. N'okpuru n'ahụ na reparative imu nke ọkpụkpụ resorption, osteoclasts ebu ya. Osteoclast ọrụ bụ kpọmkwem dabere na ego nke parathyroid hormone, ụba njikọ nke nke gụnyere ndị ebighị nke osteoclast ọrụ, na-eduga ná mbibi nke ọkpụkpụ.

Osteoblasts - na-eto eto polygonal cube ọkpụkpụ mkpụrụ ndụ aa na elu n'ígwé nke ọkpụkpụ na gburugburu a mkpa collagen microfibrils. Isi ọrụ nke osteoblasts bụ synthesize extracellular matriks mmiri - ọkpụkpụ collagen na inye iwu mineralization.

Osteocytes na-ndokwa na gaps bụ fusiform mnogootrostchatye tozuru okè ọkpụkpụ sel, inye iwu metabolism intraosseous.

E nwere ihe abụọ na ụdị nke ọkpụkpụ anụ ahụ: Ntụ-fibered na akwukwo. Okenye, ntụ-fibered ọkpụkpụ anụ ahụ dị na nkwonkwo nke okpokoro isi na ọkpụkpụ nke zones nke nkekọ akwara, nwere amorphous na disordered oké n'ùkwù n'ùkwù nke collagen emep uta eri. The mejupụtara nke lamellar ọkpụkpụ agụnye ọkpụkpụ efere nke a ọkpụrụkpụ nke 4-15 microns osteocytes, isi umi na mkpa collagen emep uta eri.

Ọkpụkpụ anụ ahụ, dị ka nke ọma dị ka ndị ọzọ na akụkụ nke ahụ mmadụ na-gụrụ dị iche iche inflammations, na ọrịa. Nje mbufụt nwere ike ẹkenam n'ime ya site n'ọbara, ie. E. The hematogenous ụzọ, na ihe omume na onye ọrịa nwere purulent hearth. Mbufụt nke ọkpụkpụ anụ ahụ na-akpọ osteomyelitis predisposing ihe nke nwere ike ịbụ beriberi, trauma, ike ọgwụgwụ, jụrụ na na na. Dabere na osisi ike na ọsọ osteomyelitis iche-adịghị ala ala, nnukwu na subacute forms nke ọrịa.

The N'ihi nke a ogologo mkpali ọkpụkpụ anụ ahụ bụ vaskụla mkpọchi na ogbenye mgbasa (thrombosis). Ya mere, ihe na-efunahụ nke oriri na-edozi ọkpụkpụ anụ ahụ na-amalite imebi ala mertvet na, dị ka a na ya pụta, e nwere necrosis (necrosis) na mbibi nke ndị na ọkpụkpụ anụ ahụ. Ke adianade do, e nwere a jụrụ necrotic ọkpụkpụ ebe na ọnwụ nke nkwurịta okwu na ike ọkpụkpụ anụ ahụ, guzobere na-akpọ sequesters.

Isi ihe mere eme osteomyelitis (mbufụt nke ọkpụkpụ anụ ahụ) na-pyogenic bacteria: streptococci, staphylococci na pneumococci, na nsia, ọrịa ịba nje na-akpata ndị ọzọ ụmụ nje. A dịgasị iche iche nke osteomyelitis atụle mkpali ọrịa ndị dị ka ụkwara nta, ọkpụkpụ felon na ọkpụkpụ.

Osteomyelitis ọgwụgwọ bụ ibibi ọrịa na ọgwụ nje, nke na-ahọrọ n'otu n'otu dabere na ụdị nke bacteria. Ọgwụ nje dịruru banyere ọnwa abụọ. N'ụbọchị ndị mbụ nke ọgwụ ọjọọ na-e na Erere ụdị, ma ọ bụrụ na ụbọchị anọ ọ dịghị mma na-hụrụ, ọgwụ na-ndinọ intravenously ma ọ bụ na aka iso ogologo n'ime etiti nke osteomyelitis.