The periostitis ya dzino imakhudza periosteum (periosteum) ya nsagwada, yomwe ndi filimu yothandizira fupa lochokera pamwamba. Zotsatira za kutupa kwa minofu ya periosteal imadziwonetsera ngati chithunzi chodziwika bwino chachipatala ndipo imafuna chithandizo chokwanira pa nthawi yake.
Perioditis - zimayambitsa
Pustule imakhala ndi ntchito yofunika kwambiri, yomwe imayambitsa mapangidwe atsopano a mafupa, kupereka chakudya ku fupa chifukwa cha mitsempha yomwe imadutsamo ndikugwirana fupa ndi zina (minofu, mitsempha). Kawirikawiri, kutupa ndi dzino kumapangika kumbali kapena mkati mwa tsambalo, kenako njira yothetsera matenda imatha kusinthana ndi fupa la m'munsi kapena chapamwamba, lomwe ndilo lalikulu kwambiri.
Periostitis imayambitsa:
- chisonyezero cha dzino, chomwe chimakhudza enamel ndi dentin, osalandira chithandizo cham'tsogolo;
- pulpitis (kutupa kwa thumba la neuromuscular mkati mwa dzino);
- periodontitis - kutupa kwa minofu yolumikizana yomwe ili pakati pa fupa la dzenje ndi simenti la mizu ya dzino;
- parandontitis - zotupa m'matumbo a nthawi yomwe imayang'anizana ndi dzino ndi kusunga izo mu alveolus;
- Kuvulala koopsya komwe epithelium ya m'kamwa kumakhudzidwa (kuchotsa dzino, nsagwada, kupweteka pa tsaya kapena chinsalu, jekeseni);
- Matenda a malo omwe amapezeka m'thupi, kulowa mkati mwa minofu kudzera m'magazi kapena mitsempha yamatenda (tonsillitis, sinusitis , chifuwa chachikulu);
- Kuphulika kwakukulu kwa mano a nzeru (mano a retina).
Zovuta za periostitis
Kawirikawiri zimapezeka kuti zimakhala zovuta za periostitis za nsagwada, ndipo pakukula kwa matenda opatsirana opatsirana nthawi zambiri zimakhala ndi microflora, kuphatikizapo streptococci, staphylococci, mabakiteriya, ma gram-negative ndi Gram-positive. Matendawa amakula mofulumira, pamodzi ndi zizindikiro zodziwika.
Matenda a periostitis
Mtundu wodwala wa matenda, womwe umapezeka nthawi zambiri, umatchedwa wouma. Kufalikira kwatsopano kwa mawonekedwe osatha ndi periostitis ya nsagwada yapansi. Kukula kwa matenda kumatenga miyezi isanu ndi umodzi kufikira zaka zingapo, ndi zozizwitsa zowonongeka, nthawi zina ndi mawonetseredwe oonekera bwino. Maphunziro oterewa amatha kudziwika mwa anthu omwe ali ndi matenda osapatsa thupi.
Zizindikiro za Periostitis
Njira zotupa m'matumbo amayamba nthawi yomweyo chitatha kapena kuvulazidwa, pang'onopang'ono kumakhudza minofu yofewa yozungulira. Pachifukwa ichi, tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Pamene periostitis ya nsagwada ikukula, zizindikiro zimawonekera pa kafukufuku wamadzi wamba. Kawirikawiri mawonetseredwe otsatirawa alembedwa:
- Kufiira ndi kutupa kwa matenda kumadera okhudzidwa, pang'onopang'ono kumakhudza mkatikati mwa tsaya, milomo, chin (malingana ndi malo omwe akuyang'ana);
- zowawa zomwe zimawonjezeka pakatsegula kamwa, kudya, kulankhula, kuluma dzino zokhudzana ndi dzino, kugwiritsira ntchito, kumvetsera, maso, kachisi (kumatha kukhala phokoso, kupweteka, kutuluka);
- kupanga mapangidwe a abscess, kunja komwe kumaimira chithunzithunzi;
- kuyenda kwa dzino zowonongeka;
- kuwonongeka kwa umoyo wabwino, kufooka, malungo;
- kuwonjezeka kwa mitsempha yamimba ya chiberekero .
Odwala odontogenic periostitis nthawi zambiri amagawanika mu magawo awiri (mawonekedwe):
- serous;
- purulent.
Serous periostitis
Mu mawonekedwe awa, acute periostitis ya nsagwada kapena kuwonjezereka kwa njira yachilendo ikhoza kuyamba. Pachifukwa ichi, mapangidwe ndi chisokonezo pakati pa periosteum ndi fupa la serous exudate zimaonedwa, madzi amadzimodzi ofanana ndi seramu ya magazi. Patapita kanthawi kochepa, kulowa mkati mwa pulogalamuyo kumapezeka, kuikidwa kwa minofu ndi serous madzi. Gawo ili likhoza kukhala masiku atatu, limodzi ndi chizindikiro chochepa.
Purulent periostitis
Mavuto aakulu kwambiri a purulent periostitis, omwe amagwirizanitsidwa ndi chitukukochi pa kutupa kwa mabakiteriya a pyogenic. Mphungu imayambitsa phokosoli, imayambitsa kuti ichotse mfupa, chifukwa cha kudya kwa mafupa osokoneza bongo kusokonezeka, pamwamba pa necrosis ikhoza kuchitika. Kuwonjezera apo, njirayi ikhoza kupangitsa kuti phokoso la fistula kapena kufalikira kwa minofu ya mafuta ndi chitukuko cha phlegmon. Ndi kumasulidwa kwadzidzidzi, zizindikiro zimatsika, ndipo mpumulo umabwera.
Periostitis - matenda
Pali zochitika pamene kuyang'anitsitsa maonekedwe a matenda, kukhazikitsidwa kwa digiri ndi malo omwe ali ndi vutoli sikokwanira. Chithunzi chokwanira kwambiri chingapezeke mwa kupanga x-ray, periostitis yomwe ikuwonetsedwa ngati kukulitsa kwa periosteum. Kuyezetsa uku kuyenera kuchitika osati kale kwambiri kuposa masabata awiri pambuyo pa kutukuka kwa chifuwa, kuyambira nthawi ino isanayambe, njira zowononga mafupa siziwoneka. Kuonjezerapo, kuyezetsa magazi kumatha kuuzidwa, zomwe, mu matenda, zidzasonyeza kuwerengeka kwa maselo oyera a magazi ndi kuwonjezeka kwayeso la ESR.
Kuchiza kwa periostitis ya dzino
Njira zomwe zimagwiritsidwa ntchito pochizira periostitis zimadalira zomwe zimayambitsa matenda, malo ake komanso kuopsa kwake. Pambuyo pofufuza momwe ziwalo zimagwirira ntchito, dokotala amatsimikiza kuti achotse kapena kuusunga mwa kuchita mankhwala oyenera. Ngati n'zotheka kupulumutsa dzino, nthawi zambiri amafunika kuyeretsa chingwe chomwe chimakhudzidwa ndi mitsempha yowonongeka, chiwonongeko, kuchotsa mitsempha ndi kusindikiza.
Ngati periostitis ya dzino imapezeka mu serous stage, nthawi yothandizira opaleshoni siyenela. Nthawi zina dokotala angaone kuti ndi kofunikira kuti adye chingwe chochotsera nthawi kuti athetse vutoli. Ndi njira yopanda purulent, njira zopaleshoni ndizofunikira kwambiri pa mankhwala ovuta. Pansi pa anesthesia wamba kapena wamba, chithandizo chotsitsimutsa, madzi ndi antiseptic cha abscess chimachitidwa, ndipo mucosa ndi periosteum zimafalitsa ponseponse mkati mwa kulowa. Pakuti kutuluka kwa purulent exudate, kabati yosambira ikuyambira kwa masiku 1-2.
Komanso, periostitis ya dzino imachizidwa ndi njira zotsatirazi:
- kutenga mankhwala owopsa;
- Kugwiritsa ntchito compress ozizira - kuthetsa kutupa ndi kupweteka;
- Kutseka pakamwa pakamwa ndi mankhwala osokoneza bongo kapena mankhwala osokoneza bongo ndi antibacterial properties (Furacilin, Chlorhexidine , Miramistin, chamomile msuzi, calendula, sage);
- kutenga tizilombo toyambitsa matenda (Nurofen, Lornoxicam, Paracetamol, Nimesil, Diclofenac);
- njira yokhala ndi thupi (physiotherapeutic) pofuna kupititsa patsogolo kuthetsa kutupa ndi minofu yatsopano (laser therapy, ultrasound kapena alternating current, etc.);
- kusamalira zakudya zoperekera zakudya, kupatsa kukana zakudya zolimba, zolimba, zokometsera, zakuda komanso zamchere.
Maantibayotiki a periostitis
Periostitis m'mayendedwe opanga mano - imodzi mwa matenda, omwe nthawi zambiri, kuikidwa kwa maantibayotiki kwa mauthenga ovomerezeka. Mankhwalawa amagwiritsidwa ntchito, omwe amatha kuwonjezeka pamtundu wa nsagwada, zomwe zimakhudza tizilombo toyambitsa matenda. Chithandizo cha periostitis cha nsagwada chikhoza kuchitidwa mothandizidwa ndi imodzi mwa mankhwala otsatirawa:
- Amoxicillin;
- Tetracycline;
- Doxycycline;
- Tsiprolet ;
- Lincomycin;
- Macropean;
- Tsifran;
- Metronidazole kuphatikizapo Clindamycin ndi ena.
Periostite - mankhwala owerengeka
Ngati pali funso la momwe mungaperekere periostitis, simungadalire njira zodzipangira mankhwala komanso zosiyana siyana, mwinamwake zingayambitse kupweteka kwa matenda osokoneza bongo, kukula kwa mavuto. Njira zilizonse zapakhomo zingagwiritsidwe ntchito ngati wothandizira kuchipatala chimene adokotala adalonjeza, ndipo ndizovomerezeka. Tiyenera kukumbukira kuti ngati periostitis, kutenthedwa kwa malo okhudzidwa kumatsutsana. Mankhwala osungirako malo abwino kwambiri amatsuka ndikukonzekera zitsamba. Mwachitsanzo, mukhoza kukonzekera kulowetsedwa bwino.
Tsutsani Chinsinsi
Zosakaniza:
- luso - tebulo limodzi. supuni;
- oki makungwa - tebulo limodzi. supuni;
- Gombe la St. John's - 1 tebulo. supuni.
Kukonzekera ndi ntchito
- Sungani zitsamba, sakanizani.
- Tengani supuni ziwiri zopezera, kutsanulira madzi okwanira lita imodzi.
- Pitirizani kusamba madzi kwa theka la ora, kupsyinjika, kufika 25-27 ° C.
- Onetsetsani kuti muzimutsuka mphindi 40-60 iliyonse.
Kuchiza kwa periostitis pambuyo poizitsa dzino
Ngati mankhwala osamalidwa asapereke zotsatira, zotsatira za odontogenic periostitis zimachiritsidwa ndi opaleshoni kuchotsa dzino lopweteka. Chithandizo china chimatsimikiziridwa ndi dokotala, malinga ndi zomwe zikuchitika. Kawirikawiri njira zomwezo zimagwiritsidwa ntchito, zomwe zimasonyezedwa pambuyo pa kudzazidwa kwa dzino. Kupititsa patsogolo kumayembekezeredwa patapita masiku 2-3, kubwezeretsa - pa masiku 7-10.