Osteomyelitis chirwere chinoputira purulent necrotic process mu bone tissue kana mumapfupa emapfupa, pamwe chete mumatumbu akakomba. Utachiona hunogona kukanganisa chero pfupa riri mumuviri, asi mavara, mapfupa akareba (maziso), mapfupa emakumbo, maraya anotambura kakawanda. Icho chakakomba chinokonzerwa nehutachiona, izvo zvinogona kuchinja zvinokonzera zvose zvinoitika mumuviri.
Zvinokonzera osteomyelitis
Osteomyelitis inokonzerwa nemhando dzakasiyana-siyana dzepathogenic mabhakitiriya uye fungi dzinogona kupinda mufupa, asi kazhinji pacho staphylococci uye streptococci. Pane nzira mbiri dzekupindira kwezvirwere zvehutachiona hwehutachiona:
- kusagadzikana (hematogenous) - neropa rinoyerera kubva ku foci yekuputika mune dzimwe nhengo uye maviri;
- zvinonyanyisa (kwete-hematogenous) - kubva kumamiriro ekunze nekukuvadzwa (fractures, maronda, kupindira kwokuvhiya).
Hematogenous acute osteomyelitis inogona kuva chikonzero chezvirwere zvakadai seotitis media, tonsillitis, furunculosis, pyoderma, pneumonia, masero, nezvimwewo.
Izvi zvinotevera zvinobatsira mukurudzirwa kwechirwere ichi:
- arteriosclerosis yemidziyo yeropa ;
- kusvuta, kudhakwa, kushandisa zvinodhaka;
- kazhinji zvirwere;
- chirwere cheshuga mellitus ;
- akanganisa renal basa, chiropa;
- zvirwere zvakaipa, nezvimwewo.
Zvinonyanya zviratidzo zveacute bone osteomyelitis
Zviratidzo zvechirwere zvinoenderana nemhando yepathogen, zera remurwere, mamiriro ekudzivirirwa kwake, uyewo pane nzvimbo uye kupararira kwehutano. Sezvo mutemo, kugadzirisa kwekugadzirisa kwekusagadzikana hakuratidzi pachena pachavo mumazuva maviri - 4. Iwe unogona kunzwa kunzwa chete malaise, kushaya simba. Mune ramangwana, zviratidzo zvinotevera zvinowanikwa:
- kuwedzera kwekushisa kwemuviri (dzimwe nguva kusvika 40 ° C);
- chills;
- kuwedzera kwenhamba yemwoyo;
- kurwadziwa kwakanyanya munzvimbo yakakanganiswa yemuviri;
- kuvhara kwezvinyama zvinyoro, kuburitswa kweganda panzvimbo yekuvhiringidza.
Mumamiriro ehutano anonyanyisa osteomyelitis, inonyanya kuzivikanwa ndeye zviratidzo zvekuno:
- kuvapo kweronda re purulent kana kutengesa kushungurudzika;
- edema, reddening of soft tissues;
- kurwadziwa panzvimbo yekukuvara.
Zviratidzo zve osteomyelitis mushure mekudzirwa kwezino
Osteomyelitis inogonawo kuva chinhu chinokonzera mushure mekunyanya kusunungurwa kana kuiswa chisimbiso chezino, iyo inonyanya kuitika nokuda kwechirwere chekubatwa kwebhakitiriya kubva mumidziyo isina kuvezwa yakasvibiswa kana kuti kusaremara kwakakuvara maronda. Muchiitiko ichi, tiri kutaura nezveodontogenic osteomyelitis yejaya, zviratidzo zvaro zvinotevera:
- edema uye kushungurudzika kwakanyanya kwemasamu;
- kunyunyuta kwepus kubva kumadzimai;
- dinoti;
- headache;
- fever.
Unhu huri muhutu hweodontogenic osteomyelitis zvakare chiratidzo cheVincent - kutyora kwekunzwisisa, kupera kweganda munzvimbo ye miromo uye chin.
Zviratidzo zvepine osteomyelitis
Urwu hutachiona hwehutachiona hwakanyanya. Inoratidzwawo nechiratidzo chakadai sekuwedzera kukuru mukushisa kwemuviri, kunyange mune dzimwe nguva kutonhora kuri subfebrile. Chiratidzo chikuru chirwere chinorwadza, chinoenderana nekugara kwechiitiko chacho uye chinogona kutevedzera dzimwe zvirwere (pneumonia, pleurisy, paraproctitis, osteochondrosis, nezvimwewo).
Mukuwedzera, pane zviratidzo zvechirwere ichi:
- chills;
- kutuka usiku;
- kuneta kwemuviri.
Zviratidzo zveHistory Osteomyelitis
Acute osteomyelitis inogona kupinda muchigarire chisingagumi, chinoratidzwa nekugadzirisa nguva yekuwedzera uye kupumha. Muchiitiko ichi, kurwadziwa kunoderera, mamiriro ezvinhu emuurwere anowedzera zvishoma, - zviratidzo zvekudhakwa zvinonyangarika, kutonhora kwemuviri kunowedzera. Chirwere chisina kukwana kana chakawanda chinoshandiswa pakuchengetedza purulent chinoumbwa munzvimbo yakatarisa, iyo inoratidza chiratidzo chechimiro chisingaperi chechirwere chacho.
Kuwedzera kwechirwere chisingagumi mukuratidzwa kwacho kwakafanana nekutanga kwemazwi akaoma, asi mune fomu yakacheneswa. Kudzoka kunoshandiswa nekuvhara fistula uye kuunganidza pus mu osteomyelitis cavity, izvo zvinokonzera kuora kwakanyanya mumamiriro emurwere.