Osteomyelitis na yaro: haddasawa, cututtuka, magani

Osteomyelitis - wata cuta lalacewa ta hanyar kamuwa da cuta. Yana bayyana a cikin nau'i na kumburi. Mafi sau da yawa shafi ne m kafa, hip, kafada kasusuwa, vertebrae da muƙamuƙi gidajen abinci. Osteomyelitis - necrotic aiwatar da cewa tasowa a cikin bargo da kuma kewaye taushi tsokoki. Yawanci, duk cuta yakan faru a cikin maza (2 sau fiye da sau da yawa fiye da 'yan mata) saboda high motsi, ta faɗa, raunin da ya faru, da dama.

Me yara osteomyelitis yana nufin mai matukar hatsari cututtuka?

Osteomyelitis a yara (photo waje manifestations da cutar za a iya gani a cikin wannan labarin) tana nufin hatsari cututtuka. Haka kuma cutar rinjayar da bargo. Kamuwa mayar da hankali kai tsaye a cikin kasusuwa da kuma dubi kusan ba ya faruwa. Saboda haka, don gane asali da cuta a cikin yara a wani wuri mataki ne da wuya, tun da suka iya ba daidai bayyana bayyanar cututtuka da majiyai. Idan m osteomyelitis a yara ba a bi a lokacin, da yaro ta kwarangwal deformity iya faruwa. Wannan cuta na iya zama wani dalili na tawaya , kuma mai tsanani sakamakon.

siffofin osteomyelitis

Osteomyelitis ne zuwa kashi biyu siffofin. Farko - musamman. Wannan shi ne na biyu cutar da cewa ne ya sa ta kwayoyin bayan da tarin fuka, syphilis ko brucellosis. Amma a yara ne rare. Na biyu tsari - maras musamman. Yana taso daga surkin jini cocci kuma germs.

iri

Osteomyelitis, yaro na iya zama na dama iri:

• Hematogenous. Ya tsokane ta micro-kwayoyin cewa, shiga cikin kashi nama via cikin jini. Found m kuma na kullum siffofin. Na biyu - a lokacin da kumburi yana fiye da watanni hudu. A kullum nau'i ne zuwa kashi biyu subspecies. Primary osteomyelitis, a cikin abin da babu wani sarari bayyanar cututtuka. Kuma sakandare - a matsayin sakamako na m hematogenous form.
• Negematogenny (in ba haka ba - exogenous ko traumatic). Yana taso saboda raunin da ya faru, samu karaya, harbin bindiga da raunuka, kumburi kashi nama.
• Odontogenic. Wannan shi ne kumburi daga cikin kashi na muƙamuƙi. Haka kuma cutar na faruwa saboda hakori cututtuka. Yara muƙamuƙi nama Ribar da m jini. Saboda haka, da ciwon kumburi shimfidawa da babban gudun. Amma nama dawo bayan lura shi ne ba kasa m. Wannan irin osteomyelitis faruwa musamman a yara tsakanin uku da goma sha biyu shekara.
• Fil. Yana da wani irin na exogenous osteomyelitis. Yana faruwa a lokacin surkin jini kumburi ke da kashi tare da m kyallen takarda cewa kewaye da shi.

Sanadin Osteomyelitis

Babban Sanadin osteomyelitis a yara - a surkin jini kamuwa da cuta da kuma rauni. cutar sau da yawa yana sa:

• otitis kafofin watsa labarai.
• abrasions.
• pyelonephritis.
• impetigo.
• konewa.
• samu karaya.
• raunuka.

A wani adadin na kowa pathogens ne staphylococcus aureus. An samu a osteomyelitis a tamanin cikin dari na lokuta. A sauran ashirin cikin dari na marasa lafiya bincikar lafiya daban-daban da sandunansu (Pfeiffer, E.), Salmonella da streptococcus. M odontogenic osteomyelitis fara saboda hakora shafi caries. The m - pathogenic kwayan Flora, wanda yake a cikin ɓangaren litattafan almara da kuma periodontal.

Osteomyelitis a yara: cututtuka

Babban bayyanar cututtuka na osteomyelitis:

• jin sanyi.
• amosanin gabbai reshe.
• kumburi da redness na rauni site.
• wani rauni da lethargy.
• m bugun jini.
• kara kashi zafi.
• high leukocytosis, leukopenia da kyau jini al'ada.
• radiographic canje-canje da farko ba zai iya gani, su bayyana daga baya.

Alamun osteomyelitis dogara a kan ya shafa yankin na kashi da yaron ta da shekaru. Jariri - kasãla, juyayi, fama da rashin ci, suna da wani babban zazzabi. Wani lokaci akwai amai da zawo.

Idan ka duba da yaro, sa'an nan za ka iya ganin yadda yaro kula reshe (Bai shafi ta batutuwa da yake ƙoƙarin ba su matsa). A shafi yanki iya zama ja, wani lokacin bayyana edema. A 'yan kwanaki daga baya suka girma. Idan lokaci ba ya fara magani, sa'an nan kuma fara da haifuwa na surkin jini metastasis.

Mazan yara suna fuskantar wannan bayyanar cututtuka, amma shi ya fi pronounced. Kumburi tasowa ya fi tsayi, kuma redness da kuma kumburi za a iya gani kawai a mako bayan farko na cutar.

Lokacin da odontogenic osteomyelitis na tushen canals da kuma danko haka ruɓaɓɓen jini. Hakora da suke kusa da marasa lafiya - ma hannu. yana farawa:

• kumburi da fuska.
• fata da kuma mucosal blanch.
• zazzabi.
• akwai wani zazzabi da kuma janar rauni.
• yara iya samun seizures.
• amai.
• bacin.

Wannan shi ne saboda da karfi maye. Primary kullum osteomyelitis na da yaro bayyana bayyanar cututtuka lubricated. Akwai kananan sha raɗaɗin, amma ba su sami daidai sarrafawa.

Lokacin da na biyu-na kullum gafarta musu kuma exacerbation m (wani lokacin shekaru). A farkon yanayin, da yaro yana da wani gunaguni a karo na biyu farkon zafi a kan palpation da kuma zazzabi. Iya bude fistulas da ruɓaɓɓen jini. A wannan nau'i na cutar rinjayar da hanta, zuciya da kuma kodan.

bincikowa da

Ganewar asali da cuta ne rikitarwa, kamar yadda hematogenous osteomyelitis a yara za a iya rikita batun tare da rheumatic zazzabi, surkin jini amosanin gabbai ko Ewing ta sarcoma, cututtuka su ne irin wannan. Wani lokaci akwai tuhuma da wani m kamuwa da cuta a farko alama.

kwantar da hankali

Jiyya na osteomyelitis a yara ne da za'ayi ta hanyoyin da shafi kwayoyin cuta dalili kai tsaye da ya shafi kashi:

• immunotherapy.
• gudanar subcutaneously staphylococcal antifagin, toxoid, maganin, da kuma bacteriophage naƙasa dauki zuwa wani allergen.
• bitamin.
• Maganin rigakafi aka bayar.
• gusar matsa lamba a kan bargo da saiwoyinsa, da kwanoni.
• cire pathological tsarin wanda damfara jijiyoyi.
• shafa yankin da aka rubuta.
• yi tiyata da dissection na periosteum, kuma peeling na inflamed ɓangare na kashi.
• shigar magudana zuwa lambatu ruɓaɓɓen jini.

magani

Osteomyelitis na yaro zai fara da kwayoyin magani. Su ne masu muhimmanci a farkon matakai da cutar ta dakatar da kumburi tsari. M wajabta kwayoyi dauke da penicillin. A hanya na lura - daga daya zuwa watanni uku. Layi daya ga rubũta kwayoyi daga yisti tun saboda maganin rigakafi gaji da damuwa da microflora na jiki da kuma na iya haifar da wata cuta.

Wani lokaci tiyata zama dole. Likita yana buɗewa da ƙurji, wanke tashoshi na ruɓaɓɓen jini. A lokacin da ake gudanar da maganin sa barci. Lokacin da odontogenic osteomyelitis farko magani - tiyata. A lokacin da ta aching hakori an cire, ya bude abscesses draining raunuka. Nada by:

• dezintoktsionnaya far.
• shirye-shirye dauke da alli.
• antihistamines.
• maganin rigakafi.
• bitamin gidaje.
• nonspecific immunomodulators.
• rage cin abinci (kiwo da kuma shuka abinci da kuma shan yalwa na ruwa).

Osteomyelitis na yaro ci gaba da za a bi da kuma bayan asibiti. Ambulatory massages da physiotherapy. Samar fi na shafa yankunan da balneotherapy. Inpatient magani yaro ne kai a kai sau biyu a shekara. A wannan lokaci desensitizing, Laser, Magnetic, bitamin far. Immunomodulators amfani. Nada ta electrophoresis da kuma maganin rigakafi. Kowane watanni shida, shi ne wani X-ray, sa'an nan don sarrafa sau ɗaya a shekara na shekaru uku. A yaro za a iya aika zuwa wurin dima jiki magani.

rigakafin

Don hana ci gaban da wannan cuta, kana bukatar ka:

• tsayar da wakefulness da kuma barci.
• kula da lafiya salon.
• ba su damu;
• ci dama.
• ƙarfafa tsarin na rigakafi.
• sha yau da kullum da kiwon lafiya rajistan-up.

Lokacin da dukan ailments kamata tuntube asibitin da ba a kai-medicate. Tamanin bisa dari na duka cututtuka za a iya warke a wani wuri mataki, babban abu - yi a ganewar asali a cikin lokaci.