Osteomyelitis o ke keiki: kumu, symptoms, lapaʻau

Osteomyelitis - he maʻi, kena ae la ma ka maʻiʻaʻai. Ua hoikeia mai ma ka palapala o ka li nui. Loa pinepine loli i ka lalo wāwae, ke ki kala, poʻohiwi iwi, vertebrae a me ka iwi ami. Osteomyelitis - necrotic kaʻina e hoʻomōhala ana i loko o ka iwi lolo a me ka puni pahee nā'aʻaʻa. Nō kāu, maʻi a pau ia lŘlŘ ma kāne (2 manawa hou pinepine ma mua o kaikamahine) no ka mea, o ka ka hoʻoneʻe kiʻekiʻe, kēia ho'āla kaua, nā palapū, e hina ia.

No ke aha la keiki osteomyelitis pili ia i kekahi mea pepehi weliweli loa maʻi?

Osteomyelitis i loko o nā keiki (Hawaii photo mawaho hoike ana mai o ka maʻi hiki ke ike i loko o kēia 'atikala) pili i ka pilikia maʻi. I ka maʻi e loli ai ka iwi lolo. Maʻiʻaʻai e kālele 'ana i loko o ka iwi, a nānā kokoke mea i kānāwai. Nolaila, e diagnose i ka maʻi i loko o nā keiki ma kekahi kakahiaka nui ke kahua me ka pilikia, no ka mea, hiki ole pololei hōʻike i nā symptoms a me ka waiʻona ma ke. Inā huʻi osteomyelitis i loko o nā keiki,ʻaʻole ia i ka manawa, i ke keiki ka skeletal deformity ke kānāwai. Kēia maʻi hiki e ke kumu o ke kīnā o ke kino a me ka loa hopena.

ano o ka osteomyelitis

Osteomyelitis ua maheleia i mau 'ano apau loa. Mua - kekahi. He He haumāna maʻi i ua kena ae la ia e koʻohune ma hope o tuberculosis, syphilis paha brucellosis. Akā, ma nā keiki mea pohihihi keia. Ka lua o ka palapala - 'ole-kekahi. Ua kupu mai ka purulent cocci a me germs.

ano

Osteomyelitis, he keiki paha o kekahi mau ano:

• Hematogenous. He hoʻonāukiuki ma anakahi iki-meaola i komo i loko o ka iwi'aʻaʻa Via ke koko. Loaʻa huʻi a me ka maʻi 'ano apau loa. Lua - ka wā o ka li nui mau mahina hou aku eha. Ka maʻi palapala Ua maheleia i mau subspecies. Helu osteomyelitis, ma i ka mea, aohe maopopo symptoms. A ua kiʻekiʻe - like me kaʻilihune o ka huʻi hematogenous palapala.
• Negematogenny (i ole ia - exogenous ole traumatic). Ua kupu ana no o nā palapū, fractures, gunshot palapu, li nui o ka iwi'aʻaʻa.
• Odontogenic. He li nui o ka iwi o ka iwi ā. Ka maʻi ia lŘlŘ no ka kahua niho ka maʻi. Children iwi'aʻaʻa permeated ma pinepine na moku koko. Nolaila, aat i hohola me ka māmā nui. Akā,'aʻaʻa loaa ma hope o lapaʻau mea i emi kokololio. Kēiaʻano o ka osteomyelitis ia lŘlŘ kuhikuhi i na keiki ma waena o ekolu a me ka umikumamalua makahiki.
• Pin. He Heʻano o exogenous osteomyelitis. Ua lŘlŘ ka wā purulent li nui hele i ka iwi a me ka pahee nā'aʻaʻa i puni ia.

Kumu o ka Osteomyelitis

I ka papa kuhikuhiE kumu o ka osteomyelitis i keiki - he purulent maʻiʻaʻai a me ka eha. maʻi pinepine ke kumu no:

• otitis Media;
• abrasions;
• pyelonephritis;
• impetigo;
• 'ā;
• fractures;
• eha.

Ma ka helu ana o na pathogens i Staphylococcus aureus. Ua ua loaʻa i loko o osteomyelitis i kanawalu pakeneka o ka hihia. I ka i koe he iwakalua pakeneka o nā mea maʻi diagnosed likeʻole ka wahie, (Pfeiffer, E.), salmonella a me ka streptococcus. Huʻi odontogenic osteomyelitis hoʻomaka 'ana i ka niho loli ana ma caries. Ka culprit - pathogenic mea koʻohune flora, i mea i loko o kaʻiʻo pepa a me ka periodontal.

Osteomyelitis i na keiki: symptoms

I ka papa kuhikuhiE symptoms o osteomyelitis:

• ole;
• arthritis lala;
• haanou ana a me ka redness o kaʻeha paena;
• nawaliwali, a me ka lethargy;
• kokololio pāpaʻa;
• e māhuahua iwi eha;
• kiʻekiʻe leukocytosis, leukopenia a me ka maikaʻi koko moʻomeheu;
• radiographic loli initially hiki ole ike, ka mea, hōʻike hope.

Symptoms o osteomyelitis hilinaʻi nui ma luna o ka loli ana o wahi o ka iwi a me ka makahiki o ke keiki ka. Keiki - sluggish, ko mākou hopohopo, e ae mai ka nele o ka ikaika loa ka makemake, i ke kiʻekiʻe mai kuni. I kekahi manawa, he mea ka luaʻi a me ka diarrhea.

Inā 'oe e kiai i ka kao keiki, alaila oe e ike pehea i ke kao keiki manaʻo lala (aole i pili i kona mau kanaka, a ua ho'āʻo anaʻaʻole e neʻe). Ka loli ana i wahi e e ulaula, i kekahi manawa hōʻike edema. A mau lā ma hope e ulu ana. Inā manawa 'aʻole i hoʻomaka lapaʻau, a laila, e hoʻomaka i ka'ōlelo o ka purulent metastasis.

Mua na keiki iʻike piʻi i ka ia symptoms, akā, ia mea oi hai. Li nui e hoʻomōhala ai hou, a ua hiki ke ike redness a me ka nani wale ka pule ma hope o ka hoouka kaua ana o ka maʻi.

Ka wā odontogenic osteomyelitis o ke kumu Canal a me ka nui aʻe ana penei pus. Niho i e kokoke ana i ka maʻi - oi lawe lima. Ka hoʻomaka 'ana:

• haanou ana o ka maka;
• ili a me ka mucosal blanch;
• kuni;
• aia no he kuni a me ka nui nawaliwali;
• keiki i 'ike ke kāʻili' ana;
• ka luaʻi;
• indigestion.

O ke kumu ho i ka intoxication ikaika. N maʻi osteomyelitis o ke keiki hoike mai ai ia symptoms lubricated. Aia ua uuku na eha, akā, ka mea e mai i kūlike loa IIeEeAIEUAA.

A hiki aku ka mea kiʻekiʻe-maʻi kala a me ka exacerbation 'ē aʻe (i kekahi manawa makahiki). Ma ka hihia mua, i ke keikiʻaʻohe hoopii i loko o ka lua o ka hoʻomaka 'ana o ka eha ma palpation a me ka mai kuni. Ke wehe fistulas me pus. Ma keia palapala ana o ka maʻi e loli ai ke ake, a me ka naau puʻupaʻa.

lapaʻau '

ʻike, o ka mea maʻi, ua huikau, like hematogenous osteomyelitis i loko o na keiki hiki ke pioloke me rheumatic kuni, purulent arthritis a Ewing ka sarcoma, symptoms i like. I kekahi manawa, he mea i hoʻohuoiʻia no ka malignant maʻiʻaʻai ma ka hoailona mua.

therapies

Lapaʻau o osteomyelitis i keiki ua lawe mai ma kāu kiʻina hana i aloha ia na microorganisms mea maʻi 'ana i ka iwi loli:

• immunotherapy;
• lawelawe subcutaneously staphylococcal antifagin, toxoid, laʻau koʻokoʻo, a me bacteriophage poho no ka naoh i ka allergen;
• wikamina;
• Antibiotics i hoopukaia;
• eliminates puʻe ma luna o ka iwi lolo a me kona aʻa, a me nā kīʻaha;
• wehe pathological me ka ho okumu i oOeEIAOO nā aʻalolo;
• hoʻohuli ai i nā 'āpana ua palapala;
• hoʻokō i kaʻoki kino me ka dissection o ka periosteum, a me ka ihi o ka wela ai hapa o ka iwi;
• hoʻouka kekahi moni loa e omo pus.

lapaʻau

Osteomyelitis o ke keiki hoʻomaka me antibiotic lapaau. Ka mea, e nui i loko o nā kuʻina kakahiaka o ka maʻi, e pau ana i ka hoʻoʻino kaʻina. Holo nōhie hoakaka ai 'i loaʻa penicillin. I ka papa o ka lapaʻau - mai kekahi a hiki i na malama ekolu. Ia laua, e koi 'ia ai' mai ka hū, mai ka manawa ku pono i ka antibiotics nee microflora o ke kino, a hiki i ka maʻi.

I kekahi manawa,ʻoki kino Ua pono. Ke Kauka wehe i ka abscess, washes kaha o ka pus. Iloko o na hana o kūloko anesthesia. I ka odontogenic osteomyelitis iniiaiie lapaʻau -ʻoki kino. I loko o kona aching niho ua wehe ', wehe abscesses ninini eha he nui. Hoonohoia ma:

• dezintoktsionnaya Inc;
• hoomakaukau i loaʻa kalipuna;
• antihistamines;
• antibiotics;
• wikamina pono;
• nonspecific immunomodulators;
• ʻai (haleʻuwī waiū a me ka kanuʻai a me ka inu ole i ka nui o ka wai).

hoʻomau Osteomyelitis o ke keiki e e hana, a ma hope o ka haukapila. Ambulatory massages a me physiotherapy. Hua mai la i hoʻopulapula o ka loli wahi a me balneotherapy. Inpatient lapaʻau keiki mea mau manawa elua o ka makahiki. I keia wā desensitizing, kukuna,ʻume mākenēki, wikamina Inc. Immunomodulators i hoʻohana. I hoonoho ia ma ka electrophoresis a me antibiotics. Kela a me keia eono mahina, ia mea he X-Ray, a laila, e kū koke ka makahiki no ka makahiki ekolu. hiki ke hoʻouna i kekahi Spa lapaʻau A keiki.

Kāohi

E pale aku i ka ulu ana o keia maʻi, e pono e:

• malama pono wakefulness a me ka hiamoe;
• malama i ke ola i ke Aloha Hawaii;
• ole e hopohopo;
• ai'ākau;
• hooikaika i ka'ōnaehana paleʻea oihana;
• undergo regular 'inikua ponopono-mai.

Ka wā a pau hoʻouka o ka maʻi puʻuwai e leka uila i ka? Aaieou, aʻaʻole i ka pakiko-lapaʻau. Kanawalu pakeneka o nā mea a pau mai ke ke hoola iho la oia i ka i kakahiaka nui ke kahua, na ka papa kuhikuhiE mea - i e kaʻike, i ka manawa.