I-periostitis yezinyo ithinta i-periosteum (periosteum) yomhlathi, okuyinto ifilimu ephathekayo ehlanganisa isikhumba esivela phezulu. Ukuvuvukala okubangelwa izicubu ze-periosteal kubonakala njengesithombe esitholakala emtholampilo futhi kudinga ukwelashwa okwanele okwesikhashana.
I-Perioditis - izimbangela ze
I-pustule idlala indima ebalulekile yokusebenza, isebenza njengomthombo wokwakha amathambo amathambo amasha, okuhlinzeka ukudla okunomsoco emthanjeni ngenxa yemithwalo yegazi edlula kuyo futhi ixhuma amathambo nezinye izakhiwo (imisipha, imigqa). Ngokuvamile, ukuvuvukala ngezinyosi ezithile kuvela ngaphakathi kwendwangu yangaphandle noma yangaphakathi ye-periosteum, emva kwalokho inqubo ye-pathological ingashintsha emathanjeni amathambo ehlathini eliphansi noma elingaphezulu, okuyinto engathí sina nakakhulu.
I-Periostitis ibangela:
- i-lesion carious yezinyo, ethinta u-koqweqwe lwawo ne-dentin, engatholakali ukwelashwa okufika ngesikhathi;
- i-pulpitis (ukuvuvukala kwesikhwama se-neuromuscular ngaphakathi kwezinyo);
- i-periodontitis - ukuvuvukala kwezicubu ezihlangene eziphakathi kwethambo lomgodi kanye nesimiso sezinyosi zamazinyo;
- i-parandontitis - izinqubo zokuvuvukala ezicukwaneni zesikhashana esizungezile izinyo nokuzigcina e-alveolus;
- ukulimala okuhlukahlukene lapho i-epithelium yesikhumba somlomo ishintshiwe (ukususa izinyo, ukuhlukumeza komhlathi, umthelela esihlathini noma insiza endaweni, imijovo);
- izifo ezitholakala endaweni ehlukene emzimbeni, zingena ezicubu ze-periosteal ngegazi noma isimiso se-lymphatic (tonsillitis, sinusitis , isifo sofuba);
- ukuqhuma okuyinkimbinkimbi kwamazinyo okuhlakanipha (amazinyo e-retina).
I-periostitis enamandla
Ngokuvamile i-periostitis ene-acute ye-jaw ephezulu, futhi ekuthuthukiseni izinqubo zokuvuvukala ezithathelwanayo ezimweni eziningi zibandakanya i-microflora ehlanganisiwe, kufaka phakathi i-streptococci, i-staphylococci, amabhaktheriya angenawo, ama-gram-negative nama-Gram-positive. Lesi sifo siphuthuma ngokushesha, sihambisana nezimpawu eziveziwe.
I-periostitis engapheli
Uhlobo olungapheli lwe-pathology, olwenzeka ezimweni ezingavamile, lubizwa ngokuthi luvila. Ukutholakala kwendawo ejwayelekile yifomu elingapheli yi-periostitis yomhlathi omncane. Ukuthuthukiswa kwe-pathology kuthatha kusukela ezinyangeni eziyisithupha kuya eminyakeni eminingana, ngokucindezeleka okuphawulekayo, okwenziwe ngezikhathi ngezibonakaliso ezicacile. Inkambo enjalo ingabonwa kubantu abane-immunodeficiency uthi, ngemuva kwenqubo ephelele ye-acute.
Izimpawu ze-Periostitis
Izinqubo zokuvuvukala ku-periosteum ziqala ngokushesha ngemuva kokutheleleka noma ukulimala okubuhlungu, kancane kancane kuthinta izicubu ezithambile ezizungezile. Kulokhu, ama-microorganisms e-pathogenic enza umphumela onobuthi kuwo wonke umzimba, futhi ukutheleleka kukwazi ukusabalalisa kwezinye izindawo ngokugeleza kwegazi. Uma i-periostitis yomhlathi iqala, izimpawu zibonakala ngesikhathi sokuhlolwa kwamazinyo avamile. Ngokuvamile ukubonakaliswa okulandelayo kubhaliwe:
- ukubomvu nokuvuvukala kwezicubu endaweni ethintekile, kancane kancane kuthinta ingxenye yangaphakathi yesigama, izindebe, izinyane (kuye ngokuthi indawo yendawo igxile ngayo);
- izinzwa ezibuhlungu ezikhulayo ngenkathi zivula umlomo, zidla, zikhuluma, zihlaba izinyo ezithintekile futhi zithinta, zibeka endlebeni, amehlo, ithempeli (kungaba umsindo, ukuqhuma, ukulinganisa);
- ukwakheka kwe-abscess, ngaphandle ukumelela i-cylindrical protrusion;
- ukuhamba kwezinyo ezithintekayo;
- ukuwohloka kwenhlalakahle jikelele, ubuthakathaka, umkhuhlane;
- ukwanda kwenzalo ye-lymph nervous .
I-periostitis ejwayelekile ye-odontogenic ivame ukuhlukaniswa ngezigaba ezimbili (amafomu):
- i-serous;
- i-purulent.
I-serous periostitis
Kule fomu, i-periostitis ephawulekayo yomhlathi noma ukukhushulwa kwenqubo engapheli ingaqala. Kulesi simo, ukubunjwa nokuxubana phakathi kwe-periosteum kanye nethambo le-serous exudate kubonakala, uketshezi olufana ne-serum yegazi. Ngemva kwesikhashana, ukungena kwe-periosteum kwenzeka, ukungeniswa kwamathanga amathambo ne-serous fluid. Lesi sigaba singahlala izinsuku ezintathu, sihambisana nezibonakaliso ezinobumnene.
I-periostitis ephuthumayo
I-periostitis eyingozi kakhulu enamandla kakhulu, ehambisana nokuthuthukiswa ekugxilweni kwebhaktheriya ye-pyogenic. I-Pus igxila i-periosteum, ibangela ukuthi ixoshe emathanjeni angaphansi, ngenxa yalokho ukudla okunomsoco wamathambo okuphazamiseka kuphazamiseka, i-surface necrosis ingenzeka. Ngaphezu kwalokho, le nqubo ingabangela ukuqhuma kwe-fustula noma ukusabalalisa izicubu ezinamafutha ngokuthuthukiswa kwe-phlegmon. Ngokukhululwa okuzenzekelayo kwe-pus, izimpawu ziyancipha, futhi kutholakala usizo.
I-Periostitis - ukuxilongwa
Kunezimo lapho ukuhlola okubukwayo ukuhlolwa, ukusungulwa kwezinga kanye nokwakhiwa kwesilonda akwanele. Isithombe esiphelele esitholakalayo singatholakala ngokwenza i-ray ray, i-periostitis esibhekwa ngayo njenge-thickening ye-periosteum. Lokhu kuhlolwa kufanele kwenziwe kungakapheli amasonto amabili emva kokuthuthukiswa kokuvuvukala, kusukela ngaphambi kwalesi sikhathi, izinqubo ze-pathological on tissue tissues azibonakali. Ngaphezu kwalokho, ukuhlolwa kwegazi kungabhalwa, okuyinto, ekuguleni, okuzobonisa inani eliphakeme elimhlophe legazi kanye nokwanda kwe-ESR.
Ukwelashwa kwe-periostitis yezinyo
Izindlela ezisetshenziselwa ukwelapha i-periostitis zixhomeke ezimbangela zesifo, isigaba saso kanye nobukhulu bezinqubo. Ngemuva kokuhlola isimo sokusebenza senyosi ethintekile, udokotela unquma ukuthi uyakususa noma awugcine ngokuqhuba ukwelashwa okufanele. Uma kungenzeka ukuba ulondoloze izinyo, kuvame ukudinga ukuhlanza umgudu we-canal kusuka ku-pulp ethintekile, isisindo, ukususwa kwezinzwa nokuvalwa.
Uma i-periostitis yezinyo itholakala esiteji se-serous, ukungenelela kokuhlinzwa akudingeki njalo. Ngesinye isikhathi udokotela angabheka ukuthi kuyadingeka ukwenza ukusika kwe-periosteum ukuze kunciphise ukuhlukumeza kwamathissi endaweni yokuvuvukala. Ngenqubo ehlanzekile, izindlela zokuhlinzwa ziyingxenye ephoqelekile yokwelashwa okunzima. Ngaphansi kwe-anesthesia yendawo noma ejwayelekile, ukwelashwa kwe-abscess, yokukhipha amanzi kanye nokwelapha isifo sofuba kwenziwa, kanti i-mucosa ne-periosteum ihlukanisa yonke indawo yokungenelela. Ukuphuma kwe-purulent exudate, i-ribbon drainage iqaliswa izinsuku ezingu-1-2.
Ngaphezu kwalokho, i-periostitis yezinyo iphathwa ngezindlela ezilandelayo:
- ukuthatha ama-antibiotic ajwayelekile;
- Ukusebenzisa ukucindezeleka okubandayo - ukukhulula ukuvuvukala nobuhlungu;
- ukuhlanza emlonyeni ngezixazululo ze-antiseptic noma i-herbal infusions enezinto zokulwa namagciwane (Furacilin, Chlorhexidine , i-Miramistin, umhluzi we-chamomile, i-calendula, i-sage);
- ukuthatha ama-painkillers (i-Nurofen, i-Lornoxicam, iParacetamol, iNimesil, iDiclofenac);
- izinqubo ze-physiotherapeutic ukusheshisa ukuqedwa kokuvuvukala kanye nokuvuselelwa kwezicubu (i-laser therapy, i-ultrasound noma i-alternating current, njll);
- ukugcinwa kokudla okunciphisa, ukuhlinzekela ukwenqaba ukudla okunzima, okunzima, okubabayo, okumuncu nosawoti.
Ama-antibiotics we-periostitis
I-Periostitis kumazinyo omzimba - esinye sezifo, lapho kuningi khona, ukuqokwa kwama-antibiotics ukuphathwa komlomo. Kusetshenziselwa izidakamizwa eziningi, zikwazi ukuqoqa ngesamba esifanele emathangeni omhlathi, ezithinta i-microflora ye-pathogenic. Ukwelashwa kwe-periostitis yomhlathi kungenziwa ngosizo lomunye wemithi elandelayo:
- Amoxicillin;
- Tetracycline;
- I-Doxycycline;
- I-Tsiprolet ;
- Lincomycin;
- I-Macropean;
- I-Tsifran;
- I-Metronidazole ihlanganiswe noClindamycin nabanye.
Amakhambi we-Periostite - abantu
Uma kukhona umbuzo wokuthi ungaphatha kanjani i-periostitis, awukwazi ukuthembela ekuziphatheni ngemithi kanye nezindlela zomuntu, ngaphandle kwalokho kungaholela ekuhlaselweni kwezinqubo zokwelashwa, ukuthuthukiswa kwezinkinga. Noma yiziphi izindlela zasendlini zingasetshenziswa kuphela njengomsizi ekunakekelweni okuyisisekelo okushiwo udokotela, futhi ngempela ngemvume yakhe. Kumele kuqashelwe ukuthi uma kwenzeka i-periostitis, ukufudumala kwendawo ethintekile kuyaphikisana. Izindlela zokwelashwa zasemakhaya eziphephile zihlanza ngamalungiselelo emithi. Isibonelo, ungakwazi ukulungisa ukumnika okuphumelelayo.
Hlanganisa i-Recipe
Izithako:
- sage - ithebula eli-1. isipuni;
- i-oak bark - itafula eli-1. isipuni;
- I-wort St John's - itafula elingu-1. isipuni.
Ukulungiselela nokusebenzisa
- Xhuma ama-herbs, mix.
- Thatha izipuni ezimbili zeqoqo, uthele ilitha lamanzi abilayo.
- Ukugxila emanzini okugeza ngamaminithi amahora, ubunzima, ufike ku-25-27 ° C.
- Faka isicelo sokususa yonke imizuzu engu-40-60.
Ukwelashwa kwe-periostitis ngemuva kokukhipha izinyo
Uma ukwelashwa okulondoloziwe kunganikezi imiphumela elindelekile, i-odostgenic periostitis iphathwa ngokuhlinzwa ukuze isuse izinyo ezibalekayo. Ukwelashwa okuqhubekayo kunqunywa udokotela, ngokusekelwe esimweni. Ngokuvamile izindlela ezifanayo zisetshenzisiwe, eziboniswa ngemva kokugcwaliswa kwezinyo ezithintekile. Ukuthuthukiswa kufanele kulindeleke ngemuva kwezinsuku ezingu-2-3, ukubuyiselwa okugcwele - ezinsukwini ezingu-7-10.