Osteomyelitis muvana: rondedzero zvinokonzera, zviratidzo uye kurapwa mamiriro

Mumakore achangopfuura, kazhinji vana vakatanga kuziva chirwere, akadai osteomyelitis. Izvi necrotic urongwa ane chirwere hunhu kuti ikabuda pfupa, yakapoteredza zvinyoronyoro munyama, mwongo. Kukonzera izvi zvokurwara bacteria zvinobereka pus. Kana chirwere ichi chichava kwaramba, ipapo mikana mapfupa deformation unformed womwana marangwanda.

Osteomyelitis muvana kazhinji kunokanganisa rezasi gumbo, hudyu, shaya majoini, humerus, vertebra. Kudzivirira mwana kubva migumisiro yakaipa chirwere ichi anofanira kungogumira zvinhu zvinokonzera zvokurwara ichi.

zvinokonzera

The chirwere zvakawanda kubatwa vakomana pane vasikana. Izvi imhaka yokuti vari zvakawanda famba. Uyezve, odontogenic osteomyelitis kuvana inowanikwawo zvikurukuru varume, sezvo mhosva akuvara ake skeletal shaya kuti inogona akagadzirira kurwa kana anowa.

Kazhinji, mhaka chirwere muvana vari kupfumisa purulent chirwere chakafanana impetigo, otitis nhau, pyelonephritis kwakadaro, mamota, kutsva, maronda. Uyewo kutungamirira kukudziri- osteomyelitis abscesses, zino caries, purulent tonsillitis, tonsillitis.

Zvaakanga kupinda muviri Via zvakakuvadza ganda, mucosa kana lymphoid pharyngeal mhete, utachiona anotanga kuparadzira kuburikidza kweropa hurongwa. Kakawanda, pomutumwa anoonekwa osteomyelitis anonzi Staphylococcus aureus utachiona, izvo zvinowanikwa 80% nyaya. The yasara 20% varwere zvokurwara pamusoro Streptococcus, E. coli, salmonella, bacillus Pfeiffer. In vacheche muviri Mabhakitiriya kupinda kuburikidza achiine rukuvhute ronda.

Kwete nguva dzose, pfupa riri nemadzinza ose kuzvimba. Akatambanudza utachiona anogona kubva akapoteredza nhengo kana nyoro tishu. Zvinokwanisika, uye neizvi mamiriro, apo pakutanga pane mwongo kubatanidzwa, uye chete ipapo - akapoteredza tishu.

zviratidzo

zvokurwara ichi kungazviratidza nenzira dzakasiyana zvichienderana nezera romwana, masoja emuviri uye pfupa njodzi yacho. In navana nevana kurei kupfuura chirwere chinobata utano hwadzo. Mwana anova usimbe, ane huta wokusagadzikana, kurasikirwa kudya, fivha, rinowanika zvacheneruka. Kazhinji pathological mamiriro ezvinhu achiperekedzwa manyoka uye kurutsa.

Kana ukatarisa mwana, tinogona kuona kuti anotanga kuzvitarisira dzavo Chokwadi, kwete kuedza kubata kana kuibvisa. Ganda njodzi joinhi kazhinji reddened. mazuva anoverengeka gare gare, akatsvuka uye kuzvimba kutanga kuwedzera. Kana iwe chete musatanga kurapwa, pachava purulent metastases rose muviri.

Chenjera hematogenous osteomyelitis nevana vakura richiratidzwa kupfuura raidudzwa chimiro. anogumbura budiriro iri nomumugwagwa kwaitora nguva zvikuru, uye akatsvuka uye kuzvimba kutanga kuoneka pavhiki chete pashure pakatanga chirwere. Kana nguva asingadi kutanga kurapwa, pangava intra-tsandanyama pute, izvo zvinoreva kuti pane zvishoma nezvishoma kupararira kuzvimba kuti dzakapoteredza nyoro tishu. Muchiitiko chino, kuvhiya hakudzivisiki. Kana intermuscular phlegmon kuvandudzika hwomwana nemamiriro anogona kuonekwa pakutanga, asi zviri kutsausa. Osteomyelitis muvana vanogona kukonzera kwazvo nemamwe matambudziko akadai suppurative chearthritis uye sepsis.

The chenjera chimiro chirwere muvana mushure mechinguva anova chirwere, kusavapo iyo kurapwa kunotungamirira kurufu. Saka zvinokosha rokuongorora zvokurwara ichi uye kutanga kurapwa wake.

Features odontogenic osteomyelitis

Izvi mhando zvokurwara ine maitiro ayo. Matadza uye migero kunotanga pus, uye munyoro zvinyama kuzvimba kumeso. Skin uye mucous Kamudzira hapana chakaoma, fivha, chills, uye pane vakawanda simba. In vana anozivikanwa chinyamunhari chinorwadza, kurutsa, fufune. Izvi zvinoratidza kuti nechepakati tsinga anotanga kuwana zvokugumbukira sezvo pakuva simba kudhaka. Odontogenic osteomyelitis of rushaya mune vana kuramba tichishanda.

Kunyanya chisingaperi chimiro

chimiro ichi Chirwere chikuru kana yechipiri. The yokupedzisira kunoratidzwa remissions uye exacerbations, rakatumbuka pakati pavo. Panguva kuregererwa mwana pasinei asingadi kunyunyuta, asi kana rinotanga kusemburwa, kuwedzera tembiricha iri kuchengetwa, pane marwadzo pamusoro palpation. Zvichida Huro fistula nokuumbwa pus. Idzi nguva anogona kwemakore, kana ichi chinobata itsvo, chiropa uye mwoyo.

Chirwere osteomyelitis mune vana chikuru mhando kunoitika pasina rikwanise chokutambudzika uye kutanga chirwere zviratidzo zviri blurry. Zvishomanana marwadzo havana chaiwo localization. Kakawanda, vabereki kuunza vana vavo kuna kuchipatara chete kana paine ichiwedzerwa marwadzo kana zvakakomba zviratidzo kuoneka.

Diagnostics

Zvakakosha kuti zvakarurama rokuongorora chirwere ichi, sezvo zviratidzo zvavo afanane zvakasimba rheumatic fivha, purulent arthritis, Ewing kuti sarcoma.

Panguva chaipo kukura repfupa osteomyelitis muvana ane zviratidzo kuti angaita chiremba kufungidzira paumbwe akaipa noutachiona. yakarurama zvokuongorora chete hwezvekukurukurirana nomazvo kurapwa, iyo kunovimbisa akabudirira maonero.

pakurapa chirwere

Kana paiva zvokurwara yakadai, sezvo osteomyelitis (vana), kurapwa vanofanira kutora nzvimbo chete chikamu ari chiremba, radiologist, uye dzimwe nyanzvi. Kakawanda mishonga inorwisa mabhakitiriya kuti chinangwa ichi uye tichiita oparesheni.

Mishonga inofanira kushandiswa nokukurumidza sezvinobvira. Chokutanga, mumwe vachizvitakudza dose mishonga izvi kubvumira mwana kumisa chokutsva. Kakawanda zvinangwa izvi varayire zvinodhaka kuti penicillin boka. Vanofanira kutora mishonga kwenguva refu, dzimwe nguva mishonga inogona kugara kwemwedzi mitatu. The dose anofanira kuderedzwa zvishoma nezvishoma. Panguva iyo mwana anofanira kupiwa mishonga kuti thrush nekuti nemishonga kuuraya microflora. Dzimwe nguva zvingada kuvhiya kupindira. Muchiitiko ichi autopsied pute pus kubviswa uye ndikandoshamba mugero. The Kuvhiya rinoitwa kukurumidza kushandisa munharaunda rufimbi. Dzimwe nguva vanachiremba akaisa zvaimutambisira chokubvisa mvura.

Mukuru pakurapa osteomyelitis odontogenic - kuvhiya, unosanganisira kubviswa zino, inova tsime chirwere. Under vakawanda yokutindivadza subperiosteal kwetsinga zvibereko abscesses. Netsika rinoitwa kuziva aikanganiswa zvigare nemishonga. Pakuvhiya, kuti ronda vakapedzwa, ipapo gadzai detoxication kurapa, antihistamines, nemishonga, karusiyamu zvokuwedzera, mavhitaminzi, uye nonspecific immunomodulating nevamiririri. Mwana anofanira kupiwa kunwa mvura yakawanda uye kufudza chirimwa uye dheri yake zvokudya.

yematambudziko

Osteomyelitis muvana inogona kukonzera matambudziko akasiyana-siyana. Zvinogona kuva:

• pfupa kuremara;
• chearthritis richiripo;
• somugumisiro kusunga pamusoro musana vakakuvara zvetsandanyama nemapfupa hurongwa;
• kana hosha akarova hudyu vadyi kana tsoka vana, mune yepamusoro kacho pane immobilization wakakwana;
• pane Kusagadzikana majoini;
• havachanyatsogoni pfupa kukura;
• It kachitanga yechipiri chisingaperi osteomyelitis, vakazochinja inotungamirira kuvhiringidza mamiriro;
• pane kuparadza dislocation;
• osteomyelitis of maxilla, iyo kazhinji chirwere muna vakomana, hunokonzera paumbwe yomumuzongoza, entailing kuchinja mumuviri.

mhedziso

Pasinei chokwadi kuti osteomyelitis muvana rakanyatsojeka zvakakomba matambudziko, mushonga ano unogona kubudirira kubata chirwere ichi unotyisa, kuona kupfuura zvakanaka fungidziro. Maererano nenhamba, nzufu kubva ichiderera ose gore. Vabereki vanofanira kunyatsoteerera utano vana vavo, kuti vaone kuti havana kuwana chinhu chirwere ari kukuvara uye maronda, uye kukurumidza kwachiremba.