Ua, cov tsos mob thiab kev kho mob ntawm osteomyelitis ntawm lub mandible

Hu osteomyelitis o ntawm lub pob txha cov ntaub so ntswg thiab hlwb pob txha. Ib feem peb ntawm tag nrho cov kab mob nyob rau hauv pab pawg neeg no yog hais txog osteomyelitis ntawm lub puab tsaig. Nyob rau hauv cov ntaub ntawv no, ob zaug raws li feem ntau cuam tshuam rau sab puab tsaig. Tus kab mob yuav tshwm sim nyob rau hauv mob, subacute thiab mob cov ntaub ntawv. Raws li mus rau qhov chaw ntawm tus kab mob yog raug rho tawm odontogenic, puas, hematogenous thiab kev zoo. Tsis tas li ntawd, osteomyelitis yog txwv thiab diffuse (diffuse); teeb, medium thiab hnyav; nrog teeb meem thiab tsis tau lawv.

Cov ua rau osteomyelitis ntawm lub puab tsaig

Tus kab mob muaj raws li ib tug tshwm sim ntawm kis kab mob nyob rau hauv lub pob txha. Raws li ib tug txoj cai, lub causative tus neeg saib xyuas yog Staphylococcus aureus thiab lwm yam cocci, pas nrig-zoo li tus kab mob, cov kab mob tsis tshua muaj.

Feem ntau cov feem ntau ces yuav tsum nyob rau hauv kev kho mob xyaum odontogenic osteomyelitis, wherein tus kab mob nkag mus rau rau hauv cov pob txha ntawm tus neeg mob lub hniav sis plawv hniav ntawm lymphatics los yog pob txha tubules. Nyob rau hauv 70% ntawm cov neeg nws tshwm sim los ntawm cov loj hauv paus txawm qis hniav.

Traumatic osteomyelitis ntawm lub puab tsaig tej zaum yuav loj hlob lub lem ntawm lub puab tsaig raws li ib tug tshwm sim ntawm nkag teb chaws ntawm kab mob mus rau hauv lub qhov txhab. Nws loj heev yog tsis ntau tshaj li 25% ntawm txhua tus neeg mob.

Tsawg zaus thiaj paub hais tias hematogenous osteomyelitis, uas tshwm sim thaum qhov kev hloov ntawm kab mob los ntawm cov ntshav ntawm inflammatory foci nyob rau hauv cov pob txha cov ntaub so ntswg. Qhov no yuav tshwm sim rau mob tonsillitis, mob raws li dab xws li kub taub hau, mob qa hawj foob thiab lwm cov neeg. Nyob rau hauv cov ntaub ntawv no, thaum xub thawj yog cov pob txha puas, thiab ces tus hniav.

Osteomyelitis ntawm lub puab tsaig. cov tsos mob

Nce lub cev kub yog pom nyob rau hauv cov ntaub ntawv ntawm ib tug mob txheej txheem. Cov neeg mob tsis txaus siab ntawm tsis xis nyob, mob, o, lossis puas liab liab nyob rau hauv lub causal hniav muaj neeg nyob ze. Ntaus cim txo nyob rau hauv lub muaj ntawm lub puab tsaig, txoj kev loj hlob ntawm ib tug rwj, nce thiab mob lub tsev me nyuam cov qog ntshav hauv.

Thaum tom qab kua paug alleviating subacute daim ntawv no tshwm sim. O ntawm ib co npub, tab sis lub cev qhuav dej ntawm cov pob txha tseem. Rau ntawm no theem, tsim sequesters - qhov chaw ntawm necrotic pob txha. Sequesters tej zaum yuav txawv nyob rau hauv daim ntawv no, ntau yam thiab xwb, loj thiab me me. Cov uas ua tsis xws luag los yog sekvestralnye kab noj hniav hlua los ntawm Granulation ntaub so ntswg, tshwm nrog lub mucosa thiab epidermis fistulous nqe vaj lug kub.

Mob osteomyelitis yog yus tshaj ntev - txog li ob peb lub hlis. Sij hawm subsided hloov exacerbations nrog lub tsim ntawm tshiab fistula yog ib tug tearing deb ntawm tuag pob txha qhov chaw. Self-zoo yog tsawg.

Mob ntawm osteomyelitis ntawm lub puab tsaig

Kuaj raws li nyob rau hauv qhov kev xeem, tus neeg mob kev tsis txaus siab, X-ray, mus kuaj ntshav. Differential mob mob purulent periostitis thiab hlav.

Teeb meem ntawm osteomyelitis ntawm lub puab tsaig

Risk ntawm tus kab mob yog hais tias nws yog tsis cais mob, xws li ua paug, cellulitis, phlebitis lub ntsej muag leeg, sepsis.

Kev kho mob thiab kev tiv thaiv

Kev kho mob muaj feem nyob rau hauv qhov kev tshem tawm ntawm ib tug hniav ntawm tus neeg mob. Nyob rau hauv tas li ntawd, lub periosteum incision rau outflow ntawm dej - kua, uas yog tsim nyob rau thaum lub sij hawm lub inflammatory txheej txheem. Siv ntxuav cov pob txha antiseptics tshuaj anti-inflammatory, detoxification thiab symptomatic kev kho mob. Piav txog kev physiotherapy: electrophoresis, UHF, ultrasound. Feem ntau muaj mus rau chaw uasi rau kev phais kom tshem tawm necrotic pob txha chaw. Me sequesters yuav daws lawv tus kheej. Tom qab lawv paug, los yog phais tshem tawm ntawm lub coupling kab noj hniav nyob, thiab ces tus pob txha, muaj caws pliav qhov ntswg tracts.

Kev tiv thaiv osteomyelitis ntawm lub puab tsaig yog txo mus rau raws sij hawm kev kho mob ntawm caries, puab tsaig kev raug mob, mob thiab ntev kab mob ntawm lub Upper pa ib ntsuj av.