Ubovu samathambo: iimpawu, izinto, isifo kwaye afumane unyango

samathambo Suppurative - kukukrala izakhiwo edibeneyo, okubangelwa iintsholongwane izifo. Ngokuqhelekileyo, i "iqhawe ukuba imini leyo" streptococci kunye staphylococci, kodwa ngamanye amaxesha banamathele yi flora anaerobic. Iarhente causative kusichukumisa ukuya entlanganweni ngokusebenzisa inxeba, ahlabe yenaliti, kunye sicatshulwa igazi nkovu.

definition

Ubovu kwamalunga - zikhawulelwe etsolo ukudumba umyalezo ngeentsholongwane, zibe kwisisu ehlangeneyo. Ngexesha unyango abandulelayo okanye mgangathweni kunokubangela imiphumo ixesha elide kakhulu ezifana arthrosis kunye contracture. Ukongeza, ukusasazeka usulelo imida zithi emngciphekweni ukuvela amathumba kunye amathumba. Kwiimeko phambili septicemia kunokwenzeka kunye osteomyelitis.

Unyango lwesi sifo, njengoko umthetho, bazibandakanya kugqirha trauma. msebenzi zazo eziphambili - ukuvula kwisisu ngokudibeneyo kwaye asophise fluid eyosulelekileyo, aze awanike unyango eyaneleyo isibulala-zintsholongwane.

umyalezo weimeyile

samathambo Suppurative ingaqala ngokupheleleyo na joint, kodwa amaxesha amaninzi kuchaphazela emagxeni, idolo, iqatha kunye hip, njengoko kakhulu ukulimala umothuko kwaye bahlangabezana imithwalo enzima. Iimpawu ze isakhiwo philisi zinika nokwanda ixesha elide ubofu kungekho naziphi na iimpawu. Ngenxa yale ulwelo HIV buzane zonke izicwili joint, kuquka intlala bone. Oku koko kukhokelela kubunzima ezinzulu.

ukujikeleza Good igazi kunye nokutsalwa emithanjeni igalelo ukusasazeka ukudumba kwindawo ezingqongileyo, leyo esongela uphuhliso nokudumba kunye osteomyelitis suppurative kwixesha elizayo. Izinto zesi sifo kwiimeko ezininzi streptococci kunye staphylococci, gonococcus kancinane azixhaphakanga, coli Escherichia, Salmonella, Klebsiella kunye Proteus.

Phakathi ubungozi ziyakwazi ukuchongeka ungcoliseko kakhulu ukufota ukwenzakala amalungu, yimbali kwizaphuko ezivulekileyo, ukuncitshiswa sifo zasekuhlaleni kunye jikelele kunye kwamanani umzimba uphela.

iintlobo

Ubovu Arthritis kweentlobo ezimbini ngokuxhomekeke yintoni unobangela impendulo arhabaxa:

1. Non-traumatic.
2. Esibuhlungu.

Ukongeza, samathambo zizakubalulwa lixesha nasisihlo:

1. samathambo Primary, apho inkqubo ezosulelayo iqale ngqo kwi ndawo ibinomthwebeba ehlangeneyo. Oku kube ngenxa ngokwaphulwa, dislocation, ukwenzakala okanye umothuko.
2. samathambo Secondary. Kunokwenzeka xa kuthe ukuba unosulelo iye eyangena edibeneyo ukusuka kwindawo eyahlukileyo emzimbeni.

samathambo Suppurative kwegxalaba

kuvela kwimeko wajula ukwenzakala okanye ufumana usuleleko okanye indlela hematogenous lymphogenous Omartrit. Uphawu lokuqala isifo - ukuba buhlungu xa uhambisa, kunye polokachivanii dotragivanii kwi entlanganweni.

Ekuhambeni kwexesha, ubovu samathambo igxalaba uba buqapheleke ukuya ngeliso lenyama, njengoko ulwelo oluhlala kwi philisi ngokudibeneyo deforms kuyo. Phantsi iminwe yakhe ugqirha uziva ubovu igazi. Ukuba ulwelo luyakha kakhulu okuninzi, oko ziyanyibilika kwaye ingena namatyala philisi kwezihlunu, phantsi ifascia. Kulo mzekelo, bekuya kuba ukunyanga cellulitis egxalabeni kunye nentamo.

Nika ngaphandle phambi izifo ngendlela ethile luphawu nexhoba. Uyabakhusela kwesebe, oko phantse ukusebenzisa ntoni, ezibeka emagxeni akhe ingalo ngokwayo babelwa ecaleni kwaye igotywe engqinibeni.

Arthritis namalungu alo mlenze elisezantsi

Suppurative samathambo idolo elifana eyenzeke emva kokuba bosulelwe iintsholongwane izifo emzimbeni. Asibhozo ekhulwini zonke usulelo lwe-HIV kwenzeka ngokusebenzisa tyala staphylococcus, meningococcus, okanye Pseudomonas aeruginosa. Izifo iqala wayibona, kunye ngokuvela lobushushu kunye ukunxila kakhulu. Kwedolo lidumbile, ukulolonga bonke emathambekeni komzimba kunye noqikelelo, maxa wambi kwasekwa fistulas ubovu kwiindawo olindelwe kwizihlunu.

Ubovu kwamalunga iqatha ngokuqhelekileyo ukuvela imvelaphi kwezifo ukudumba systemic ezifana lupus, sifo kunye ankylosing spondylitis. Ngokuba lo ngezifo luphawulwa ngokuvela lobushushu ekuhlaleni ngokubanzi, ukudumba edibeneyo, anozizi ulusu. Ngamanye amaxesha kubonakale amaphecana. Kwiimeko kakhulu ukudumba xhaxhe ezinyaweni, nokuphumelela zezilwanya wachuba iindawo ubomvu.

Ubovu samathambo welungu womlenze, okanye coke, zengqondo okubangela izifo samathambo, ukuphazamiseka yokucolwa of uric acid langoku emzimbeni yenkqubo esingapheliyo ukudumba, yaye ngenxa yoko overload ehlangeneyo. Kwi ngaphambili okunamandla ukunxila, ifiva, isicaphucaphu nokugabha, kunye neentlungu ngexesha intshukumo kwi ngokudibeneyo kwaye wachukumisa phambi kokuba, kububomvu nobuhlungu ulusu phezu entlanganweni.

iimpawu

samathambo Acute suppurative iqala bulula. Nkcwe joint achaphazelekayo, kuba ishushu xa uyibamba, isikhumba phezu kwayo hyperemic, eladlulayo ekhazimla. Kwangaxeshanye, isigulane uqalisa iintlungu xa uhambisa, leyo zaqiniswa kukuhamba kwexesha babe 'sokudubula "kwindalo. Nayiphi touch uba buhlungu, umntu akakwazi anxibe iingubo phezu kwesebe abachaphazelekayo. Ukuba senza nto, ngoko emva kweentsuku nje ezimbalwa, ehleliyo ekufukukeni apho uya ngaphezulu nangaphantsi entlanganweni.

Ukongeza zasekuhlaleni, kukho kwakhona iimpawu ezifanayo. Phakathi kwabo ukunxila ixhaphake, umkhuhlane omkhulu, kuthibaza, isicaphucaphu nokugabha. lutho kunokwenzeka, intloko. iyangongoza rhoqo, ukuphefumla nzulu kwaye inzima.

ekuxilongweni

Moshilongo ukongeza uhlolo kunye anamnesis kuyimfuneko ukuqhuba iimvavanyo elebhu. Kuhlalutyo igazi jikelele kubonisiwe umfanekiso yokukrala kuvamile: ukunyuka kweqondo erythrocyte neentlenge, uchebe leukocyte ukuya reticulocytes, kukho inani elikhulu neutrophils. Kukwacetyiswa kwakhona ukuba enze okuhlatywa ngokudibeneyo ulwelo kubangele ukuba ukunika kuphando ekuzakuqalwa. Mikroskopiruyut ubomvu, zidyojwe needayi aniline kwaye bahlwayelweyo kuwo umhlaba echumayo. kweentsuku ezintlanu, ugqirha ufumana ingxelo, leyo nyikele pathogen kunye novakalelo yayo olwa nawo.

izifundo Of instrumental ukumisela-X-reyi. Lo mfanekiso ubonisa ngokucacileyo iindumbisa ebonakalayo izicwili, ububanzi isithuba edibeneyo, ubukho erosions kwamathambo. Ukuba isifo sele uqalile nje, i-X-ray isenokungabi ulwazi. Kwiimeko ezinjalo, isigulane sithunyelwa ukuba ultrasound okanye CT scan. Ukongeza zonke ngasentla, kuyimfuneko ukuba amisele thethwano ugqirha sisifo esosulelayo ukuba ahlole a usulelo ngokubanzi.

Ubovu samathambo: unyango

Kwiimeko of kuyakrokreleka suppurative kwamalunga kufuneka uqiniseke ukuba uye esibhedlele. Ngoko nangoko, ngaphandle kokulinda ukuba iziphumo zeemvavanyo elebhu, unyango reseach elwa unikwe Uluhlu olubanzi lwemisebenzi ukugquma zonke kwamagciwane kunokwenzeka. Le ndlela ithintela iingxaki ezinzulu.

Ekuqaleni bayamenywa ukuba uzame unyango endala. Ukuba isixa ubofu kangako okanye namnye konke konke, kwesebe lisetyenziswa udaka ukulungisa oko kwindawo enye, ngoko intra-alawulwa antibiotics.

Ukuba kukho isingxobo okanye empyema kungabonwa ngeliso lenyama ukuba joint sele efunde eninzi ulwelo, kulo mzekelo ubonisa arthrotomy ngoko nangoko kunye drainages zokusingatha. Kwi yokwamkelwa nomonde angena amanxeba ukuba amalungu ekuqaleni kubanjwa unyango ephambili zoqhaqho icandelo umonakalo, esusa ukungcola kunye namaqumrhu angaphandle, kunye ukhumbuzo lwe konke nepokotho wachuba iindawo yaye emva kuphela ukuba umbhobho idreyini ibekwa.

ukuvimbela

Ukuze siphephe, kucetyiswa samathambo suppurative ngendlela ngexesha ukwenza utyando ukuze osteomyelitis, ngexesha ukuvula ithumba kunye cellulitis, lwenzeke kwiindawo yokwenzakala. Kwakhona, qiniseka ukuba ukuthobela imiqathango unyango lwezifo ezosulelayo kwaye kuyo nayiphi na imeko hayi ngaphezulu self-amayeza. Oku kunokubangela ukungawi kwaziwe ngakumbi nzima unyango.

Ukuba ndinokuthi ndenzakale, kufuneka ahlambe inxeba ngokupheleleyo, ukuze aphathe kwegqabi iodine okanye ipeyinti eluhlaza kunye nokusebenzisa umhlabelo, uhlambulukile. Kakade kufuneka irekhodi olungileyo ngale ndlela ukuya uncedo lonyango. Oku kuya kulungiselela umsebenzi kugqirha kwaye kunceda elinye nokuqala kwe komtshiso oko.

ukungaphili

Oyilwayo ngokuqatha samathambo suppurative ithathwa njenge nokudumba. Le meko, nezwi kusongela ubomi babantu, njengoko kunokuba yingozi. Kodwa ke, ngaphandle kokuba usulelo ngokubanzi, kukho inani izifo ezinxulumene nale ngezifo.

Ukuqokelelana ubofu kwi philisi joint kungabangela yokunyibilika kwaye ukuyilwa mathumba, fistulas kunye wachuba iindawo exudate arhabaxa. Ngaphezu koko, zinyibilikile ngeke kwizihlunu ezithambileyo kodwa ithambo kunye samathambo le zibangelwa deformation kunye yesiqephu defiguratsii. Contractures, ezo akhiwa ngenxa ukubuyisela kwindawo ngenkani, kwiimeko ezininzi kakhulu kungakhokelela ekulahlekeni umsebenzi kunye nokukhubazeka.

Ngoko ke, kubalulekile ukuba ngokukhawuleza ufune uncedo lonyango. Musa ukuzama ukunyamezela intlungu okanye asina iindlela zemveli. Oku zingangunobangela kuphela meko. Enoba sinexhala unokuba nayo kwi emehlweni umntu ngenaliti okanye incakuba, kwimeko izifo ezihlasela zosulele ukudumba kubhetele ukuba balibazise unyango.