I-Osteomyelitis yisifo esiwumphumela wokuvuvukala kwe-necrotic ovuvukalayo emathanjeni amathambo noma emangeni, kanye nasezikhungeni ezithambile eziseduze. Ukutheleleka kungathinta noma yiliphi ithambo emzimbeni, kodwa ama-vertebrates, amathambo amade (izingalo), amathambo ezinyaweni, amahlombe ahlupheka kaningi. Lokhu kuyisifo esingathí sina esinamandla, esingathinta kakhulu zonke izinqubo ezenzeka emzimbeni.
Izimbangela ze-osteomyelitis
I-osteomyelitis ibangelwa izinhlobo ezihlukahlukene zamabhaktheriya we-pathogenic kanye nesifungumungwane esingangena emthanjeni, kodwa kaningi kakhulu i-staphylococci ne-streptococci. Kunezindlela ezimbili eziyinhloko zokungena kwamagciwane okutheleleka:
- okungajwayelekile (okuyindilinga) - ngegazi lokuphuma kwe-foci yokuvuvukala kwezinye izitho nezicubu;
- okungajwayelekile (okungewona ugesi) - kusuka endaweni yangaphandle ngokulimala (amafractures, amanxeba, ukungenelela kokuhlinzwa).
I-osteomyelitis engavamile enomzimba ingabangela izifo ezifana ne-otitis media, i-tonsillitis, i-furunculosis, i-pyoderma, i-pneumonia, isingqimba, njll.
Izinto ezilandelayo zifaka isandla ekuthuthukiseni lesi sifo:
- i-arteriosclerosis yemithwalo yegazi ;
- ukubhema, ukusetshenziswa kabi kotshwala, ukusebenzisa izidakamizwa;
- ukutheleleka okuvamile;
- isifo sikashukela mellitus ;
- umsebenzi ongenalutho wokuqothula, isibindi;
- izifo ezimbi, njll
Izimpawu ezisemqoka ze-bone bone osteomyelitis
Ukubonakaliswa kwalesi sifo kuxhomeke kuhlobo lwe-pathogen, iminyaka yesiguli, isimo sesimo sakhe sokuzivikela, kanye nokwaziswa kwendawo kanye nokusabalalisa kwenqubo. Njengomthetho, inqubo eyingozi yokugcina ayizibonakali ezinsukwini ezimbili zokuqala ezingu-4. Ungase uzizwe nje u-malaise jikelele, ubuthakathaka. Esikhathini esizayo, izimpawu ezilandelayo zivela:
- ukushisa komzimba okwandisiwe (ngezinye izikhathi kuya ku-40 ° C);
- izikhukhula;
- ukwanda kwentando yenhliziyo;
- ubuhlungu obukhulu ezindaweni ezithintekile zomzimba;
- ukuvuvukala kwezicubu ezithambile, ukukhishwa kwesikhumba endaweni yokuvuvukala.
Endabeni ye-osteomyelitis engavamile, okushiwo yizimpawu zendawo:
- ukutholakala kwesilonda esiswini noma ukuhlukunyezwa okudlulisiwe;
- i-edema, ukubuyiswa kwezicubu ezithambile;
- ubuhlungu endaweni yokulimala.
Izimpawu ze-osteomyelitis ngemuva kokukhipha izinyo
I-Osteomyelitis ingase ibe yinkimbinkimbi emva kokususwa okujwayelekile noma ukuganywa kwezinyo, okuvame ukwanda ngenxa yokutheleleka kwebhaktheriya kusuka ekusebenziseni okungenakulungiswa noma ukwelashwa kwezinga eliphansi. Kulokhu, sikhuluma nge-odontogenic osteomyelitis yomhlathi, izimpawu zazo zilandelayo:
- i-edema nobuhlungu obukhulu bezinsini;
- ukuphela kwamapulisi kusuka ezinsini;
- amazinyo;
- ikhanda;
- umkhuhlane.
Isici sokwemvelo e-osteomyelitis e-odontogenic ephawulekayo futhi sibonakaliswa nguVincent - ukwephulwa kobuzwe, ukuphazamiseka kwesikhumba esifundeni sezindebe kanye nesikhumba.
Izimpawu ze-osteomyelitis yomgogodla
Lolu hlobo lwe-osteomyelitis lunzima kakhulu. Ibuye ibonakale ngesibonakaliso esinjengokunyuka okuphawulekayo ekushiseni komzimba, nakuba kwezinye izimo izinga lokushisa liyi-subfebrile. Isibonakaliso esiyinhloko yisifo sobuhlungu, esithinta indawo yendawo futhi singalingisa ezinye izifo (pneumonia, pleurisy, paraproctitis, osteochondrosis, njll).
Ngaphezu kwalokho, kunezibonakaliso zesifo:
- izikhukhula;
- ukuthuka ebusuku;
- ukukhathala komzimba.
Izimpawu Ze-Osteomyelitis Esingahleliwe
I-osteomyelitis enamandla ingangena esiteji esingapheli, esibonakala ngezikhathi zokushintsha nokuphumula. Kulesi simo, ubuhlungu buyancipha, isimo sesiguli sithuthukisa kancane, - izibonakaliso zokudakwa zidlula, ukushisa komzimba kudlula. I-fistula engashadile noma eminingi ene-purulent excharge emisiwe yenziwa endaweni okugxilwe kuyo, okuyiyona ndlela ecacile yesimo esingapheli sesifo.
Ukukhushulwa kwesifo esingapheliyo ekubonakalweni kwayo kufana nokuqala kwe-acute, kodwa kufomu elikhishiwe. Ukuphindaphinda kutholakala ngokuvalwa kwe-fistula nokuqoqwa kwe-pus in the osteomyelitis cavity, okudala ukuwohloka okubuhlungu esimweni sesiguli.