Vincent chiratidzo: kuongorora chirwere

In okurapa, pamwe tsanangudzo dzinogamuchidzanwa pathologies Pfungwa chiratidzo Vincent. Chii chiri mugariro ichi umo kuzvimba kunoitika Vincent chiratidzo uye kuti zviri yakaorera pasi kuti chidzoke imwe zvokurwara yakadai - mibvunzo iyi ichapindura munyaya ino nhasi.

Zvakadini nezviratidzo mhando?

Vincent chiratidzo chiri chirwere umo munhu anorasikirwa aikanganiswa munzvimbo chirebvu nzvimbo - chaipo, munzvimbo rezasi muromo. The chiratidzo mugumisiro siyana chirwere chinoti ane muviri akadai osteomyelitis pamusoro rushaya unopinza apical periodontitis. zvokurwara ichi Kunonziwo kana pseudomembranous angina, wechipiri rokuti iyo - angina Simanovskiy - Vincent (chirwere zviratidzo zvikuru-siyana).

Ngatikurukurei chimwe nechimwe chezvinhu pathologies inoenda nokuratidzwa chiratidzo-pamusoro apa.

Pseudomembranous angina - chirwere inotungamirira kuzvimba tonsils. The mhaka zvokurwara rinoshanda mumuviri chokurukisa tsvimbo Plaut - Vincent pamwe spirochaete Vincent. Kana angina akaumba urikanwi aine hunhu kure-nyoro unhani. Kufema murwere vaine chinonyangadza zvakanaka. Zvisinei, zvinofanira kutaurwa kuti utachiona vakadaro ruripo mhango zvomuromo utano hwomunhu, siyana zvinhu, zvakadai caries molars, kuvapo ari nemumuromo mhango necrosis, uyewo vakawanda kwakaderera ari kutapata tusingaoneki vari kusashanda uye basa ravo zvabuda kukura pathological inoti.

Vincent utachiwana. Zviratidzo neMarapirwo

Fusospirochetal angina kwakaratidzwa anozivikanwa vanochengeta zviratidzo. Idzi dzinosanganisira:

• The kuwedzera sei ndimbo. Advantageously, hosha kunokanganisa imwe divi.
• Inosimudzira hwevanhu vanorwara uye nepakati remunharaunda node nodes.

• Education pamusoro mucous tonsils grayish-yellow Dombo, izvo zvinogona kukonzera paumbwe pamusoro maloboleznennyh nemaronda pamwe vachena pasi. Kana zvokurwara mberi, nemaronda kuitika mune dzimwe pharynx, uyewo pamatama kana chingamu. Dzimwe nguva maronda anogona kuporesa pasina nokuumba apo kuremara.
• Kushandiswa, zvokudya (nokuti kumedza) varwadziwe, varwere nemuumbi kuwedzera salivation, halitosis.
• The muviri tembiricha yacho zvokurwara kazhinji kwazvo kuipa mwero, kunyange dzimwe nguva chirwere angatanga rurefu tembiricha nehurumende uye chills.
• Chiveve uye kurasikirwa manzwiro munharaunda yacho chirebvu.

zvokurwara kurapwa zvainanga kubvisa huro mucous Kamudzira kuzvimba. Kazhinji, otolaryngologists, vanachiremba akarayira rinses kana lubrication sei nharaunda. Panguva chiitiko munhu kwenguva refu kosi denda akarwawo asingaurayiwi kurapa. Varwere pseudomembranous angina nguva dzose dzoga, mune kwazvo marudzi chirwere - vari muchipatara. The chikuru musimboti muzvidzivirire zvirwere ndiko kusimbisa inodzivirira mashandiro anoita muviri uye kuwedzera kutapata.

Vincent chiratidzo muna dentistry. periodontitis

Periodontitis - zvokurwara kuti zviri kukonzerwa chirwere kupinda mhango mu pfupa rinenge kuburikidza muromo mudzi. The chirwere hunokonzera kuzvimba zino mudzi deko. Pasina kurapwa periodontitis akaratidza zviratidzo zvakasiyana-siyana, kusanganisira chiratidzo uye Vincent. The reversibility chirwere anoenderana zvinhu zvakawanda. Rakakodzera nguva kuwana mishonga, mukuru mamiriro nezvimwewo womunhu muviri Funga mashandiro ari zvokurwara.

Deep in kunotungamirira pulpitis - kuzvimba pulp, mauri tusingaoneki kupinda periodontium kubudikidza mudzi Canal. Panewo dzimwe nzira kupinda mabhakitiriya kupinda pfupa rinenge Somuenzaniso nokuda zvinokuvadza ari sepsis, asi papurupiti - vakawanda kukonzera kuzvimba mu mafupa. Kana kuzvimba kunoitika propotevanie fluid uye periodontal - zvinyama vapfumi receptors - anopindura kufurirwa kuwedzera. Kana kuzvimba uku kunokonzera marwadzo.

A maitiro kuchiitwa periodontitis riri kukura throbbing marwadzo, iyo zvachose vemunyika. Dzimwe nguva, rava kuvharwa kwemeno kwakaoma kutsungirira marwadzo, varwere vanogona kudya. Munhu anorwara chete kubata pamucheto zino, iyo chavawo Mobile, kuti matadza vakakomba zino, uyewo muromo uye dama zvimba, tembiricha muviri rinobuda zvikuru. Concomitant chiratidzo periodontitis angava chiratidzo Vincent. Zviratidzo zvake yambotaurwa: chiveve uye kurasikirwa manzwiro ari zvinyama zviri chirebvu.

siyana periodontitis

Kune chenjera uye chisingaperi periodontitis. Kana mvura kuumbwa panguva kuzvimba Kunoguma mudzi Canal ari zino, periodontitis kunova chisingaperi. Marwadzo chirwere haina kutaurwa zvakasimba uye pathological pezvakaitwa ari chakaderedzwa mutengo pamusoro zino kuyerera zvishoma nezvishoma. Utachiona muwande muna nedambudziko pfupa, secrete muchetura kuti "muchetura" muviri womunhu uye kungaita kuti pave nezvirwere zvakasiyana siyana nenhengo dzawo (majoini, mwoyo, itsvo).

Zvikasadaro budiriro anogamuchira rikwanise muchimiro periodontitis izvo pamusoro nguva pasina kurapwa kunogona mberi mune purulent danho.

Pamusoro apa siyana periodontitis inoda refu uye unyanzvi zvikuru kurapwa. The chinangwa chikuru yokurapa - ichipa abudise kuti pus kuzvimba localization. In pakurapa kushoma iri kutanga yacho, mimwe kubudiswa rinoitwa akambozvishandisa kuuraya utachiona pulp iri ipapo kuisa duku zvekupfakira. Munguva kuchirapa kupindira vari kuongororwa kuti mapfupa utano maererano radiography.

mabatiro

In pakurapa chirwere periodontitis kushandisa mushonga mishonga inotokonya periodontal kudzorerwa. Concomitant dzokurapa kunogona kuva physiotherapy: electrophoresis, UHF, microwave, Laser, rinobva kurapa. Mune zvimwe zviitiko, imwe Anti-kwemabhakitiriya kurapwa.

Mishonga inogona kushandiswa topically panyaya inotungamirwa periodontal muhomwe zvakadzika. Kuiswa chisimbiso mudzi Canal rinoitwa zvinhu izvo vakasarudzwa nomumwe neimwe nyaya.

Kana kuzvimba zvakunoita zvikuru nzvimbo zvinyama, kana kuchinja kurapa haiiti kuti munhu akakodzera mugumisiro, akaita oparesheni. Chinangwa evanhu ndiyo resection ari pamusoro zino mudzi. The chingamu rinoitwa incision duku kuti kuwana mafupa. Next bvisa njodzi mamiriro, muromo chiteshi rakanamwa. Bone patsva - yakareba kwacho. Kana marapirwo haiiti kuti zvakanaka kuchinja, asi zino vangagara rokubvisa.

Kuitira kudzivisa kutanga chirwere ichi, inofanira nokungwarira kuongororwa kuti nomumukanwa utsanana. Izvi zvinosanganisira fanira kaviri-zuva zino Kukwesha. Panyaya iyi, iyo chikwesheso zvinofanira kuchinjwa nguva nenguva, vatevedzere pakusarudza mushonga wemazino. Kanenge kamwe pagore kushandisa kuti wemazino kuti nyanzvi muitiro achibvisa Dombo.

Anoshayiwa dentition achitungamirira chokwadi kuti mazino yasara iri mumuromo kutakura zvakawanda mutoro. Molars vari panjodzi, nemumuromo kushoma zvingaitika iyo ichaita kuti periodontitis mune ramangwana.

Periodontitis - a asi achinyengera chirwere nokuti hunokonzera yakawanda yematambudziko, pakati pavo - zvikuru sepsis, anogumbura nyoro zvinyama dzinotsanagura chiso, shaya osteomyelitis.

Chii osteomyelitis?

Chimwe chikonzero Vincent chiratidzo kunoitika ndiyo osteomyelitis. zvokurwara ichi, zvisinei umo marangwanda munhu chikamu kunoratidzwa, ndezvaiye boka zvirwere zviri anogumbura hunhu.

Osteomyelitis of rushaya zvakunoita zvose munyama: periosteum, pfupa fuma, mumwongo. The zvokurwara rinowanikwa kunyanya vanhu hapana mukuru kupfuura makore makumi mana. Zvisinei, pane zviitiko chirwere muvana uye vakwegura. Zvose zvinoenderana sei zvikuru munhu sei caries mazino. Zvakafanana osteomyelitis chichikusvota varume navakadzi. Chiratidzo Vincent osteomyelitis kunokanganisa chirebvu nzvimbo, uye ichi ndicho zvakafanira zvikurukuru ndechokuti zvokurwara zvikuru mune yepazasi rushaya pane rokumusoro.

Pakuvamba, kana nemumuromo utsanana rakaregeredzwa, osteomyelitis shaya inogarwa zvokurwara pakati dzimwe mapfupa vanenge 40%. Kasiri kare, mamiriro ezvinhu akachinja nani.

Nhasi, nemhaka kwakapararira vakaronga kunaya dzaiita zvokutaurwa mhango uye vana vari vakuru, kuti chikamu varwere osteomyelitis pakati shaya rakadonha, uye kushandiswa kwemishonga inorwisa mabhakitiriya akabvumira kuti chirwere zvishoma kwazvo.

kupatsanura pakati osteomyelitis

Kazhinji, osteomyelitis pamusoro rushaya ndiyo migumisiro caries uye periodontal chirwere kuomesa. Izvi boka runhare akagamuchira osteomyelitis odontogenic (stomatogennymi). Utachiona anopinda pfupa mamiriro kuburikidza raderera molars. The foci pamusoro kuzvimba kupa siyana microflora. streptococcus ichi uye anonzi Staphylococcus (chena uye goridhe), pneumococcus nezvimwe utachiona.

Contact osteomyelitis - zvokurwara iyo unovapo kubva chirwere ganda kana mucosa (semuenzaniso, furuncle chiso). Pano govera dzakananga osteomyelitis:

• tibhii,
• syphilitic,
• actinomycotic.

Dzimwe mumwongo shaya kunoitika nemabhakitiriya kupinda muropa. Izvi mamiriro ezvinhu semhosva hematogenous osteomyelitis kuti kunoitika pashure zvirwere, zvakadai yokuSpain, sefivha, nezvitsvuku fivha, gwirikwiti.

Separate boka osteomyelitis, zvichiguma pakukuvara (nokutyora, rinorema kukuvara). Chiratidzo Vincent pa mitswe, kana ari mupfungwa etsinga nehanya uye vachanetseka varwere cherechedza rezasi muromo chiveve kunoitika nokuda compression repasi alveolar etsinga, kuumbwa kuzvimba exudate.

chirwere

Course chirwere angava akasiyana, uye kazhinji napo mamiriro nhengo rose, kwakakura ropa kuparadzirwa Munzvimbo. Mune zvimwe zviitiko, mapfupa necrosis ari pamwero muduku, nokuda chikuru nzvimbo. Muzviitiko zvakadaro, tiri kutaura pamusoro shoma osteomyelitis. Kana chirwere mberi, chokutsva kuitwa hwakatamisirwa dzakapoteredza zvinyoronyoro zvinyama pakati shaya. ezvinhu akadaro vangapikisa sezvo periostitis, kana cellulitis. Cellulitis - kusachengeteka kukuru purulent kuzvimba magwanza (kazhinji nyoro zvinyama), ndiro yomumabhodhoro uye asina miganhu zvakajeka, zvakadai somunhu pute. Zviya, Vincent kazhinji chiratidzo kunogona kuitika chete cellulitis, varwere kucherechedza kurasikirwa manzwiro Munzvimbo.

Pakutanga mashoko pathological gadziriro mwongo kutoda kuzvimba inova shava, rima yakatsvuka. Gare gare vakaumba suppurating maronda kuti batanidza munzvimbo yose mhango. Urwa anopinda periosteum, ivo matadza uye anoita necrosis pakati shaya zvikamu. Akaumba sequesters. In duku midziyo ropa thrombi kuitika kuti vanosangana kubvunda. Mumunda repfupa necrosis kuonekwa pfupa, ropa rayo wedzerai zviri zvishoma shoma, zvichitungamirira nokuwedzera ndeyokuti necrosis pakati mafupa mamiriro. Dimensions Size pfari zvakakonzera thrombosed midziyo. In Muzviitiko zvakaipisisa zvingaitika necrosis yose shaya. ezvinhu akadaro chokuita diffuse (diffuse) osteomyelitis.

symptomatology

Pane zvakawanda siyana zvokurwara. Panguva subacute osteomyelitis kunoitika Yaunoti nomubato pakati pfupa utano uye akafa. Mune zvimwe zviitiko, pane resorption sequester. Pakuberekwa kutsva pezvakaitwa anogona kuitika - kumativi njodzi nzvimbo vakaumba pfupa itsva marongerwo. Zvikasadaro, pane kuramba pfari. Subacute fomu ndiwo muganhu pakati rikwanise osteomyelitis uye refu.

Munguva chenjera chimiro osteomyelitis une kukura kushoma. Varwere dzinoshuma kurwadziwa zvikuru shaya (hakunakidzi kupfura) kuti vave pamusoro pakanyorwa nefivha, chills, nokukurumidza kufema uye mwoyo unodiwa. Kuwedzera marwadzo ari rushaya anogona osiyana aikanganiswa repasi muromo - saka chiratidzo Vincent osteomyelitis. Pashure mashoma mazuva pakatanga chirwere mazino yakabatana nezino kurwara, wana mufambo.

Palpation inoratidza shaya kuzvimba uye pamwe anorwadza nezvekufadza. Pane kuzvimba uye mumatenhere matadza, matama kana zvimwe zvikamu chiso. Nguva chirwere chiri kuwedzera node nodes. Zvadaro, Zviratidzo izvi zvose angaperekedzwa lockjaw - kuvhenganisa rushaya tsandanyama, chiveve (Vincent chiratidzo). The reversibility chirwere kunobva nenguva zvokuongorora uye mberi kurapwa.

The vakawanda ezvinhu omurwere conventionally Classified kupinda munyoro, mwero uye yakanyanya. Zvinosuruvarisa dzimwe nguva chirwere zvinouraya apedza mu mazuva anoverengeka kubva pakutanga pathological muitiro.

Zvinozivikanwa kuti varwere vanogona Pakutanga sokuti anofara, asi nokukurumidza anopa nzira kumamiriro ezvinhu euphoria prostration unopinza ichidonhedzera BP uye kwakawedzera kwemwoyo. The pakuonekwa munhu anochinja zvinoshamisa.

In diffuse osteomyelitis, pane zvishoma nezvishoma arasikirwa pfupa kuzvimba nzvimbo itsva. Murwere nemamiriro zvinogona anozivikanwa sezvo isina, pamwe kwenguva kuvandudzika uye Kuipa utano, tembiricha muviri anogona kutanga kudzokera zvakajairika panguva iyo, uye ipapo kumuka zvakare uye kuti pamwe nekorasi chills. Pavaipfuura chenjera diffuse osteomyelitis hunogara kusvika masvondo mana. Saka pane rakapinza kuderera muropa lymphocytes (kusvika 15% -18%), puroteni aripo pakati weti.

The chirwere chimiro chirwere pasina remedial matanho kunogona kutora mwedzi uye dzimwe nguva kwemakore uye kutungamirira chimiro siyana yematambudziko: zvemapapu abscesses, paumbwe imwe suppuration cranial sinuses, chenjera uye chirwere renal maronda.

Kuongorora chirwere uye kurapwa

Radiography ndeimwe nzira iri nechirwere pakati osteomyelitis uye kunobatsira kuona kukura nokuparadzwa repfupa zvivako. Zvisinei, kutanga kuchinja mapfupa anogona kufunga chete 7-10 zuva kubva nokutambudzika chirwere. Chokutanga, sezvo pakutsvaga mufananidzo, - a Vacuum mumunda mapfupa zvivako. Uyezve, kana hosha hakutadzisi, X-ray anobudisa siyana muganhu pakati utano uye akafa tishu. By kukura muganhu kuti vafunga pamusoro kukura uye nzvimbo pfari. Kuwedzera X-ray diffraction kuziva chirwere kunobatsira zvizere mamiriro nomuviri womunhu uye kuongorora ukama zviratidzo, kusanganisira Vincent chiratidzo.

Osteomyelitis Treatment kunosanganisira Integrated kushandiswa inorwisa mabhakitiriya uye kuvhiyiwa. Kazhinji sezvo kuchinja kurapwa ushandiswe jekiseni kuti penicillin, streptomycin yakawanikwa kana mutambo biomitsin. Kana inorwisa mabhakitiriya kurapa Zvisinei, zvinokosha kuti tirambe tichifunga mano utachiona muropa nezvinodhaka.

Drug kurapwa kunokosha kuramba kwemazuva 7-10, kunyange pashure achideredza tembiricha kuti kwomuzvarirwo tsika. Zvikasadaro, chirwere kuchaitika yakavanzwa. Kazhinji, njodzi zino, iyo kwamuka nokuda chirwere kuzvimba, ane basa rakasiyana nemamwe mhinduro - anofanira kubviswa. Kunyange paine kunze kune mutemo.

The pedyo meno kuedza kuchengetedza, nokudzosa functionality yavo. Kushandisa bhazi rino waya, iyo akatasva rose dentition. Mukuwedzera, kuzvimba pulp iri mazino uye kubvisa kure sezvinobvira. Chinjwa sequesters pasi kuvhiya kubviswa, iro rinoitwa kwete kwokutanga pane 4-6 mavhiki pashure kutanga chirwere. Izvi imhaka zvikurukuru kuti chete pashure yakati nguva sequestration miganhu anonyatsooneka distinguishable.

Saka, Vincent chiratidzo ndeimwe chikuru zviratidzo kukura muvanhu zvokuva anogumbura zvirwere, kusanganisira osteomyelitis, periodontitis, tonsillitis Simanovsky-Vincent (zviratidzo chimiro ichi chirwere distinguishable kubva chakajairika chiratidzo angina yakafanira zviratidzo Vincent).