Kumu, symptoms a me ka hana ana o osteomyelitis o ka mandible

Kapa osteomyelitis li nui o ka iwi 'aʻaʻa a me ka iwi ka lolo. Kekahi hapakolu o nā mea a pau mai i loko o kēia hui pili i ka osteomyelitis o ka iwi ā. Ma keia hihia, palua like pinepine loli i ka lalo iwi ā. I ka maʻi ke hana i ka huʻi, subacute a me ka maʻi 'ano apau loa. E like me ke kumu o ka maʻiʻaʻai mea kaʻawale odontogenic, traumatic, hematogenous a me kekahi ano. Eia kekahi, osteomyelitis mea i kaupalena 'ia a me ka eiei? (Eiei?); malamalama, a me ka meakino kaumaha; me complications, a me ka ia.

Nā kumu o ka osteomyelitis o ka iwi

I ka maʻi e hoʻomōhala ana i like me ka hopena o ka maʻiʻaʻai i loko o ka iwi. E like me ka rula, o ka causative Agena o Staphylococcus aureus a me nā cocci, ke koʻokoʻo o-hoʻokino koʻohune, nā mea hoʻomaʻi mea pohihihi keia.

Ka hapanui pinepine pilikia ma ka 'inikua hoʻomaʻamaʻa odontogenic osteomyelitis, kahi o ka maʻiʻaʻai komo i loko o ka iwi o ka hoʻomanawanui ka nihoʻiʻo pepa Via lymphatics a me ka iwi tubules. I ka 70% o ka hihia e ia lŘlŘ ma ka nui 'ōiwi lalo niho.

Traumatic osteomyelitis o ka iwi ā i hoʻomōhala i ka huli ana o ka iwi ā i ka hopena o ke komo ana o microorganisms i loko o kaʻeha. Kona prevalence mea i oi aku mamua o 25% o na hihia a pau.

Emi mau diagnosed hematogenous osteomyelitis, a ia lŘlŘ ka wā o ka hoololiia ana o ka maʻiʻaʻai mai i ke koko o ka hoʻoʻino foci i loko o ka iwi'aʻaʻa. Kēia hiki hiki mai me ka maʻi tonsillitis, huʻi like hoʻi me keʻano o ka hanaʻana e like me nā kapaʻula kuni, diphtheria a me na mea e ae. Ma keia hihia, ma mua he mea iwi poino, a laila, na niho.

Osteomyelitis o ka iwi ā. symptoms

Mahuahua kino ka mahana ua ike ia ma ka hihia o ka huʻi kaʻina. E hoomanawanui i ohumu o malaise, eha, nani, redness i loko o ka causal niho ka hoʻoneʻe hoalauna. Na hiohiona emi ma ka ka hoʻoneʻe o ka iwi ā, i ka ulu ana o ka abscess, mahuahua, a ola cervical lymph aka wahi.

Ka wā ma hope o pus alleviating subacute palapala ia lŘlŘ. Li nui o kekahi hoopaa, akā, i ka'opi o ka iwi mau. Ma keia kahua, i hana sequesters - mau mea o necrotic iwi. Sequesters paha e okoa ma ka palapala, a me ka mau hoʻokahi, nui a me ka meaʻuʻuku. Na kūpono mā a me sekvestralnye lua hoalaala ia ma ka granulation'aʻaʻa, ho'ākāka akula me ka mucosa a epidermis fistulous ala.

Maʻi osteomyelitis ua wehewehe aku ma lōʻihi - mai i kekahi mau mahina. Manawa emi auou caiaiai exacerbations me ke kahua o ka hou fistula mea he kīhaeʻia aku o ka make iwi ioauoa. Pakiko-ho'ōla mea pohihihi keia.

ʻike, o osteomyelitis o ka iwi

ʻike, ua nānā 'ana i ka hookolokolo ana, i ke ahonui o ka hoopii, X-Ray, koko hōʻike. Palena pauʻike, me ka huʻi purulent periostitis a me ka hikoko.

Complications o osteomyelitis o ka iwi

'Ākena o ka maʻi mea i ka mea, ua ole ke hoʻokoe 'loa complications, e like me abscesses, cellulitis, phlebitis lehalehu t aa koko, sepsis.

Lapaau a me ka Kāohi

Iapaau ana he kuhikuhi ana ma ka wehe 'ana o ka niho o ka hoʻomanawanui. Eia hou, i ka periosteum incision no ka outflow o ka loli - ke kinowai, a ua hana i ka hoʻoʻino kaʻina. Pana aku au i holoi iwi antiseptics hoakaka ia Anati-hoʻoʻino, detoxification a me symptomatic lapaʻau. E hōʻike i physiotherapy: electrophoresis, UHF, ultrasound. Pinepine i ka Lani i kaʻoki kino, e wehe necrotic iwi mau mea. Small sequesters e noonoo ma luna o lākou iho. Ma hope o kā lākou hookuuia ana, aʻoki lāʻau lapaʻau ana o ka huina lua E hoopiha ae hoi, a laila, i ka iwi, malaila scarring sinus apana.

ua hoemiia Kāohi osteomyelitis o ka iwi ā, e 'eleu lapaʻau o caries, ā nā palapū, huʻi a me ka maʻi nā mea palahēhē o ke keena naehana'āpana.