Osteomyelitis vomwana: zvinokonzera, zviratidzo, kurapwa

Osteomyelitis - chirwere kunokonzerwa chirwere. It akaratidza muchimiro chokutsva. Kakawanda sei vari rezasi gumbo, hudyu, pamafudzi mapfupa, vertebrae uye shaya majoini. Osteomyelitis - necrotic muitiro kuti ikabuda mumwongo uye dzakapoteredza nyoro munyama. Kazhinji, chirwere zvose rinowanikwa mune varume (2 nguva kakawanda kupfuura vasikana) nokuti mukuru mufambo, kupesana, kukuvara, inowa.

Nei vana osteomyelitis zvinoreva zvirwere ine ngozi zvikuru?

Osteomyelitis muvana (mufananidzo kwokunze zvinoratidza chirwere chinogona kuonekwa ino) rinoreva zvirwere ngozi. The chirwere chinobata mumwongo. Chirwere rinonyanya zvakananga mapfupa uye anotarira anenge rikasaitika. Naizvozvo, rokuongorora chirwere muvana vachiri Danho kwakaoma, sezvo vasingagoni kutsanangura zvakarurama zviratidzo uye nezvekufadza. Kana chenjera osteomyelitis mune vana kurapwa kwenguva, mwana wacho skeletal wakarebesa zvingaitika. chirwere ichi chinogona kuva chikonzero yokuremara uye kwazvo nemigumisiro.

siyana osteomyelitis

Osteomyelitis rakakamurwa kaviri. First - dzakananga. Ichi chirwere yechipiri kuti zviri kukonzerwa utachiona mushure tibhii, njovhera kana brucellosis. Asi vana hariwanikwi. The chimiro chechipiri - non-chaicho. It zvauya kubva purulent cocci uye utachiona.

mhando

Osteomyelitis, mwana anogona kuva marudzi akawanda;

• Hematogenous. Iye kushatiriswa Micro-zvipenyu kupinda mumba pfupa rinenge vachishandisa muropa. Found chenjera uye chirwere siyana. Chechipiri - kana kuzvimba runogara mwedzi anopfuura mana. The chirwere chimiro rakakamurwa subspecies maviri. Primary osteomyelitis, umo hapana zviratidzo zvakajeka. Uye yechipiri - sezvo migumisiro chakasimba hematogenous chimiro.
• Negematogenny (zvimwe - exogenous kana zvinorwadza). It zvauya nokuda kukuvara, mitswe, vapfurwa maronda, kuzvimba mapfupa tishu.
• Odontogenic. Ichi kuzvimba pfupa rimwe shaya. The chirwere kunoitika pamusana mazino zvirwere. Vana shaya rinenge zvapararira ne kakawanda tsinga. Naizvozvo, kuzvimba rinopararira nokukurumidza kukuru. Asi zvinyama kupora pashure kurapwa haidereri nokukurumidza. Izvi mhando osteomyelitis kunoitika kunyanya vana vatatu uye gumi nemaviri pakati.
• Pin. Zviri rudzi exogenous osteomyelitis. It kunoitika apo purulent kuzvimba anoenda pfupa pamwe zvinyoronyoro munyama kuti inoikomba.

Zvinokonzera Osteomyelitis

The kukonzera osteomyelitis muvana - a purulent utachiona uye zvinokuvadza. chirwere kunowanzokonzera:

• otitis nhau;
• abrasions;
• pyelonephritis;
• impetigo;
• Unopisa;
• mitswe;
• maronda.

In dzinoverengeka nevakawanda utachiona vari anonzi Staphylococcus aureus. Rinowanikwa osteomyelitis muna makumi masere muzana Muzviitiko. In dzasara makumi maviri muzana varwere chirwere tsotso siyana (Pfeiffer, E.), salmonella uye streptococcus. Chenjera odontogenic osteomyelitis kunotanga nokuda mazino kukanganiswa caries. Chaikonzera - pathogenic kwemabhakitiriya kasvisto, riri pulp uye periodontal.

Osteomyelitis muvana: Zviratidzo

The chikuru zviratidzo osteomyelitis:

• chills;
• chearthritis richiripo;
• kuzvimba uye akatsvuka ronda nzvimbo;
• simba uye lethargy;
• nokukurumidza kufamba kweropa;
• kuwedzera marwadzo mapfupa;
• mukuru leukocytosis, leukopenia uye zvakanaka tsika ropa;
• radiographic kuchinja pakutanga havagoni kuona, vanoonekwa gare gare.

Zviratidzo osteomyelitis kunobva njodzi nzvimbo remafupa uye mwana zera. Achangobva - usimbe, huta, achitambura nokushayiwa kudya, vane nefivha yakasimba. Dzimwe nguva pane kurutsa uye manyoka.

Kana ukatarisa nembudzana, ipapo unogona kuona kuti mbudzana hanya muzvidimbu (hairevi kwaari nyaya uye ari kuedza kwete kufamba). The sei nzvimbo angava mutsvuku, dzimwe nguva ngapaonekwe edema. Mazuva mashoma gare gare vanokura. Kana nguva hakutangi kurapwa, ipapo kutanga kubereka vana purulent metastasis.

Vana vakura vari kuona chete zviratidzo, asi zviri zvikuru raidudzwa. Kuzvimba hwapedyo refu, uye akatsvuka uye kuzvimba anogona kuona vhiki chete pashure pakatanga chirwere.

Kana odontogenic osteomyelitis pamudzi migero uye chingamu kunotevera pus. Meno kuti vari pedyo vanorwara - zvakare Mobile. kunotangira:

• kuzvimba kumeso;
• ganda uye mucosal blanch;
• fivhiri;
• pane nefivha uye vakawanda simba;
• vana tinganetseka pfari;
• kurutsa;
• fufune.

Izvi imhaka simba kudhaka. Primary chisingaperi osteomyelitis pakati mwana pachena zviratidzo lubricated. Kune marwadzo diki, asi havana chaiwo localization.

Kana yechipiri-chisingaperi kuregererwa uye exacerbation chinjana (dzimwe nguva kwemakore). Muchiitiko chokutanga, mwana haana kunyunyuta pakutanga yechipiri marwadzo pamusoro palpation uye fivha. Kumbopota fistulas pamwe pus. In chimiro ichi chirwere kunokanganisa pechiropa, mwoyo neitsvo.

Diagnostics

Chirwere chirwere chacho chiri yakaoma, sezvo hematogenous osteomyelitis muvana inogona kuvhiringidzwa rheumatic nefivha, purulent yemajoini kana Ewing kuti sarcoma, zviratidzo zvakafanana. Dzimwe nguva pane fungidziro ane akaipa chirwere pakutanga chiratidzo.

kurapwa

Mabatirwo osteomyelitis mune vana kuitwa nzira chokuita tusingaoneki chikonzero chirwere zvakananga kwakakanganisa pfupa:

• immunotherapy;
• raitongwa subcutaneously staphylococcal antifagin, toxoid, mushonga, uye bacteriophage kurasikirwa nokuda maitiro kuti allergen;
• vhitamini;
• Mishonga inorwisa utachiona rakapa;
• anobvisa kumanikidza mumwongo uye ayo nemidzi, nemidziyo;
• akabvisa pathological idzodzo izvo tsonyera tsinga;
• Munzvimbo iyi zvakanyorwa;
• akaita kuvhiyiwa pamwe kwetsinga pamusoro periosteum, uye peeling pamusoro zvomoto chikamu pfupa;
• akagadzawo Drain kubudisa pus.

mabatiro

Osteomyelitis vomwana kunotanga asingaurayiwi kurapwa. Vanokosha mukutanga nzendo chirwere kumisa kushoma. Kumboda ushandiswe mishonga ine penicillin. Yawapiwa - kubva imwe mwedzi mitatu. Parallel kuti taurira zvinodhaka kubva mbiriso kubva nokuda mishonga vakanetseka microflora muviri uye unogona kukonzera chirwere.

Dzimwe nguva Kuvhiya kunokosha. Chiremba rinovhura pute, crow dzokuwana pus. Munguva kushanda zveko yokutindivadza. Kana odontogenic osteomyelitis chepuraimari kurapwa - kuvhiyiwa. Panguva yake vachirwadziwa zino hwaputswa, akazarura abscesses zvikasabudiswa maronda. Vakagadzwa:

• dezintoktsionnaya kurapa;
• gadziriro ane karusiyamu;
• antihistamines;
• mishonga;
• vhitamini zvivako;
• nonspecific immunomodulators;
• Zvokudya (dheri uye chirimwa zvokudya uye kunwa mvura yakawanda).

Osteomyelitis mwana kuramba kubatwa uye pashure kuchipatara. Ambulatory kukwizwa uye physiotherapy. Yakabudiswa kunaya vawirwa nenjodzi uye balneotherapy. Inpatient kurapwa mwana ari kugara kaviri pagore. In iyi desensitizing, Laser, rinobva, vhitamini kurapa. Immunomodulators kushandiswa. Akagadzwa electrophoresis uye mishonga inorwisa mabhakitiriya. mwedzi mitanhatu ose, chiri X-ray, uye ipapo kudzora kamwe pagore kwemakore matatu. Mwana anogona kutumwa kune Spa kurapwa.

dziviriro

Kudzivirira kukura chirwere ichi, unofanira:

• chengetai takamuka kwakakodzera uye hope;
• kuchengetedza utano hwakanaka;
• kwete kunetseka;
• mudye zvakanaka;
• kusimbisa rokuzvidzivirira;
• achindireverera dzose kuongororwa nachiremba kumusoro.

Apo vanhu vemarudzi ose zvirwere vanofanira kutaura kiriniki uye kwete nokuzvidzora medicate. Makumi masere muzana zvirwere zvose zvinogona kurapwa vachiri danho, chinhu chikuru - kuti chirwere munguva.