Abscess of Brody: Izimbangela, Izimpawu kanye nezici zokwelapha

Ngokusho kwedatha ye-static, isifo esinjalo njengokwakheka kuka-Brodie, akuvamile emisebenzini yezokwelapha yanamuhla. Noma kunjalo, lezo zimo zihleliwe ngezikhathi ezithile, ngakho-ke kufanelekile ukwazi ukuthi siyini lesi sifo. Ngakho-ke, yiziphi izimpawu ezihambisana nesifo nokuthi ubani osemngciphekweni?

Kuyini ukukhubazeka?

I-absdy abscess iyindlela yokwehla osteomyelitis. Ngoba lesi sifo sibonakala ngokutholakala kwendawo esilinganiselwe yesikhumba sesithambo. Ngokumelene nesizinda saleso sifo kukhona ukuqoqwa kwamathambo omuntu womuntu, okuwumphumela we-necrosis wangaphambilini.

Kumele kuthiwa ngokushesha ukuthi lesi sifo sivame ukutholakala emadodeni aneminyaka engu-14 kuya kwengu-24. Inhlanhla kaBrady ezinganeni ezincane noma ezincane zasenkulisa nakho kungenzeka, kepha amacala anjalo abhalwe ngokungajwayelekile.

Ukugula, njengomthetho, kuthinta amathambo omzimba we-tubular, okungukuthi umnyango wabo we-meta-epiphyseal. Ukwenzeka kwe-abscess ku-diaphysis akuvamile. Ngokusho kwedatha, izibalo ezivame kakhulu ezigulini zitholwa nge-tibia Brodi abscess. Ngezinye izikhathi ukuxhaswa kubonakala ku-distal epiphysis yendawo. Kodwa kwezinye izingxenye ze-apparatus ukwesekwa, inqubo yokuvuvukala nokuxhaswa kubhekwa kuphela ezimweni ezithile.

Izimbangela eziyinhloko zokuthuthukiswa kwe-abscess

I-Abscess ye-Brodi iyisifo sokuvela kwamagciwane. Ezimweni eziningi, imbangela yenqubo yokuvuvukala yi-infection ye-staphylococcal, nakuba ngokuvamile emasimini e-purulent anquma ukuba khona kwamanye ama-microorganisms, kuhlanganise no-E. coli. Ezimweni eziningi, ukwakhiwa kwe-abscess kungumphumela we-osteomyelitis.

Ama-bacterium e-Pathogenic angangena emathisini ezithambo ngezindlela ezahlukene. Isibonelo, ama-microorganisms avame ukufaka izicubu ngegazi elivela kwelinye ukugxila kokugxila, ngakho-ke izinto eziyingozi zihlanganisa ukutholakala kwezifo ezithathelwanayo ezithathelwanayo esigulini. Futhi, amabhaktheriya angangena e-epiphysis emgodini we-cyst noma e-furuncle. Ngakolunye uhlangothi, ama-microorganisms e-pathogenic avame ukuvela emvelweni wangaphandle ngokulimala esikhumbeni, ukuphathwa kwezidakamizwa ngaphakathi noma ngaphansi (uma izindinganiso zokuhlanzeka zingafinyelelwanga). Ngezinye izikhathi i-abscess iqala esikhathini esilandelayo. Ngandlela-thile, cishe njalo ukuthuthukiswa kokutheleleka ngandlela-thile kubangelwa ukwehlisa amandla okuvikela omzimba.

I-Pathogenesis yesifo

I-absdy abscess inezici ezihlukile kakhulu. Ngokwemvelo yenkambiso ye-necrotic, i-oval evaliwe noma i-spherical cavity yenziwa emathanjeni amathambo, izindonga zayo zizinzile futhi zibushelelezi. Kuphakathi kwalesi sinyama futhi kuqoqa izixuku ezincane zokuhlunga. Ezimweni ezingavamile, ungathola uketshezi olubonakalayo olubonakalayo ngaphakathi kwe-abscess. Ngendlela, ububanzi bendawo, njengokubusa, yi-2-5 cm.

Uma kuyimfundo endala, udonga lwesikhumba luvame ukuhlanganiswa nezicubu ezinamafutha. Indawo engxenyeni ye-bone sclerosis iyakha nxazonke ze-abscess, futhi ukukhula kwe-periosteal kuvela kwi-periosteum.

Izimpawu nezibonakaliso zesifo: yini okufanele ubheke?

Abscess Brodie - isifo esingapheliyo. Kuvame ukukhula iminyaka noma amashumi eminyaka ngaphandle kokubangela izimpawu ezingathí sina (okungenani izibonakaliso zibuthakathaka kangangokuthi isiguli asinandaba nabo).

Lesi sifo senza lukhuni, futhi izikhathi zokuhlala kahle zifakwa esikhundleni sokukhushulwa kwesikhashana, okuhambisana nezimpawu ezimbi kakhulu. Isibonelo, iziguli zivame ukukhuphuka kokushisa nokubuthakathaka jikelele. Izicubu ezungeze indawo ethintekile yethambo zivuvukala, isikhumba siphezulu. Uma ucindezela, umuntu uzizwa ebuhlungu, futhi isikhumba siyashisa.

Isithombe esitholakala emtholampilo ngesikhathi sokuthi "ukuzola" kubhaliswe. Iziguli ziphawula ngokungajabuli kuphela ngokuzikhandla ngokomzimba. Njengoba i-abscess ikhula, i-capsule ingase ibonakale ekuthinteni. Ngokuvamile kunciphisa ukuhamba kwesigungu, kanye nokushintsha kokuzwela kwezicubu.

Abscess of Brodie: X-ray nezinye izindlela zokuxilonga

Yiqiniso, kulokhu, ukuxilongwa okufanele kubaluleke kakhulu, ngoba uhlelo lwezokwelapha kanye nokuphumelela kokwelashwa kuxhomeke kulokhu. Ngemuva kokuzijwayeza izimpawu iziguli ezikhalazayo, kanye ne-palpation yendawo ethintekile, udokotela ukhetha isifundo esengeziwe.

Esinye sezivivinyo ezifundisayo kakhulu yi-radiography. Esitfombeni, udokotela angabona ukutholakala kwesakhiwo esingenalutho emathanjeni wethambo ethintekile. Ubukhulu be-abscess buyingcosana, futhi izindonga zayo zikhona.

Yiqiniso, kunezinye izifundo ezisiza ukuxilonga isifo esinjalo njengokwakheka kukaBrody. I-MRI (imaging magnontic resonance), isibonelo, inikeza ulwazi oluthe xaxa, futhi ibonisa nokuthi umgudu we-neoplasm ugcwele izixuku ezihlambulukile.

Ukuxilongwa okuhlukile kanye nezici zayo

Ukuxilongwa okuhlukile kulokhu kudingekile nje, ngoba izimpawu zalesi sifo zikhumbuza kancane isithombe somtholampilo se-ostitis esinobuhlungu. Imfundo emathanjeni amathambo ingaba i-granuloma eosinophilic noma i- osteoid osteoma, ngakho-ke ucwaningo olwengeziwe luyadingeka.

Isibonelo, ngezilonda ezinamahloni amathambo okugxilwe ngokucacile, ayikho isifo - lesi sici esihlukanisayo. Ama-Cysts, ngokungafani ne-abscess, abe nesakhiwo seselula. Ngezinye izikhathi, i- Wasserman ithinta i- syphilis ngokuthola ukuxilongwa okuqondile, ngoba lesi sifo sihambisana nokubunjwa okuthiwa i-gumm emathanjeni esiguli.

Abscess of Brody: ukwelashwa

Yiqiniso, lesi sifo kulula ukuphulukisa ngezigaba zokuqala - iziguli, njengoba umthetho, zinokwelashwa okwanele okwanele. Okokuqala, kuyadingeka ukukhawulela ukuhamba kwesigungu nge-bandage ye-plaster - kulokhu isiguli kufanele sichithe cishe amasonto amane. Ngalesi sikhathi, ama-antibiotic ajojowe nge-intramuscularly, akhethwe ngudokotela kuphela, eqondiswa ubuzwe obuncane bama-microorganisms.

Uma kunesisindo somzimba wokuvuvukala, iziguli zinqunywe futhi zithatha izidakamizwa ezilwa nokuvuvukala. Ezimweni ezimbi kakhulu, ukukhishwa kwesikhumba sogumbi ngokuphathwa okuqhubekayo nama-antiseptic agents kanye nokungeniswa kwe-penicillin (noma enye imithi elwa namagciwane) ngokuqondile ekutheni ukwakhiwa kwamathambo kuboniswa.

I-Physiotherapy nayo iyinto ephoqelekile - ukwelashwa kwe-UVH kubhekwa njengendlela ephumelela kakhulu. Ngokwemvelo, umuntu ogulayo kufanele aqaphele ukuthula, anqande umsebenzi wokuzivocavoca, adle kahle, enze konke ukuvuselela isimiso somzimba sokuzivikela.

Ukuhlinzwa kuboniswa ezimweni lapho ukwelashwa ngemithi kungenzi imiphumela ekulindelekile. Phakathi nenqubo, udokotela ususa isidumbu sikaBrody. Ngezinye izikhathi kufanele ususe futhi uyingxenye yamathambo esithambo - ezimweni ezinjalo zifakwa esikhundleni sokufakelwa. Ngendlela efanele, lesi sifo siphathwa ngaphandle kokucindezeleka okukhulu.