Vincent Calaamadaha: Cilad-

In dhaqanka caafimaad, oo ay la socdaan sharaxaad ku heley afka fikradda caadi ah calaamad Vincent. Waa maxay xaaladda this taas oo caabuq dhacdaa Vincent calaamad iyo in uu yahay dhul rays for ah ee cudurada noocan oo kale ah - su'aalahan in this article maanta ka qaban doonaa.

Waa maxay nooca calaamadaha?

Vincent calaamad waa xaalad taas oo qofka ka luma dareenka degaanka garka ah - dheeraad ah si hufan, degaanka ee dibinta hoose. Calaamadda waa natiijada dalalka kala duwan ee cudurka ee u shaqeeyo sida osteomyelitis daanka iyo periodontitis Boodaynin af badan. cudurada waxaa sidoo kale loo gudbiyaa marka angina pseudomembranous, horyaalka labaad ee taas - angina Simanovskiy - Vincent (astaamaha cudurka yihiin kuwo ku kala duwan).

Ha ka fikiro si aynu kasta oo heley taasoo keentay in muujinta calaamadaha kor ku tilmaamay.

angina Pseudomembranous - cudur keenta in caabuq qumanka ah. Sababta oo ah cudurada waa firfircoon ee jirka ka mid ah ulihii dunmiiqa Plaut - Vincent wada jir ah ula spirochaete Vincent. Marka angina sameeyay boog la daahan sifo off-cagaaran. Neefta bukaanka waxaa ku weheliyay caraf carow ah. Waa in la sheegay in bakteeriyada sida mar walba ay joogaan in saabka of qof caafimaad qaba afkiisa, si kastaba ha ahaatee, arrimo kala duwan, sida gowsaha suus, joogitaanka ee galleeyda ah saabka afka, iyo sidoo kale in daciifaan guud ee sheyga difaac waxaa firfircoonaan iyo natiijada hawl ay horumarinta bahal ah goboleedyada.

cudurka Vincent ee. Calaamadaha iyo Daaweynta

angina Fusospirochetal muujiyey by go'an caan ku calaamadaha. Kuwaas waxaa ka mid ah:

• Kororka saameeyeen quman. Advantageously, cudurka saamayn ku dhinac keli ah.
• cudurrada oo kordhay iyo qanjidhada gobolka dhexdhexaad ah.

• Waxbarashada ku qumanka axaleedka huurada grayish-jaalle ah, taasoo keeni karta in formation of boogaha maloboleznennyh dusha oo salka cawlan. Haddii cudurada uga sii darayo, boogaha ka dhacaan meelo kale oo dalqada ka, iyo sidoo kale dhabanka ama ciridka. Mararka qaarkood waxaa laga yaabaa in boogaha la bogsiiyo oo aan la xirrira halka iin lahayn.
• In la isticmaalo, cuntada, (waayo, liqidda) Jidka xanuun, bukaanka qaba dhareerka koror wayn, halitosis.
• Heerkulka jidhka ee cudurada ay si dhif ah xadgudba caadi ah, inkastoo mararka qaar cudurka bilaabi laga yaabaa in dawlad heerkulka sare iyo dhaxan.
• Kabuubyo iyo khasaaro of dareen degaanka ee garka ah.

daaweynta cudurada loogu talagalay baabi'inta caabuq xuubdheecaanka cunaha. Inta badan, otolaryngologists, dhakhaatiirta qori lagu luqluqdo ama meel sifaynta saameeyeen. Haddii ay dhacdo in dabcan dheer ee cudurka waxay billaabeen inay si therapy antibiotic. Bukaanka qaba angina pseudomembranous mar walba go'doonsan, in noocyada halista ah ee cudurka - waxaa isbitaal. mabda'a ugu weyn ee ka-hortagga cudurka waa in la xoojiyo hawlaha difaaca ee jirka iyo la kordhiyo difaaca jirka.

Vincent calaamad in ilkaha. periodontitis

Periodontitis - cudurada uu keeno caabuq soo galaan saabka in unugyada lafuhu ka dhex caaradda xididka. Cudurku wuxuu ku sababa caabuq qolof xidid iliga. Maqnaanshaha periodontitis daaweynta muujiyey calaamooyin kala duwan, oo ay ku jirto calaamad iyo Vincent. ytimaada cudurka xidhan tahay qodobo badan waqtiyeysan daryeel caafimaad u helaan., gobolka guud ee jidhka bini'aadamka, iwm ka fiirsada hab ay of cudurada ka.

godadka Deep keenaysaa in pulpitis - barar ah saxarka ah, ku dheehan yahay sheyga ugu galaan periodontium dhex mara kanaalka xididka. Waxa kale oo jira siyaabo kale oo lays bakteeriyada galay unugyada lafta, tusaale ahaan sababo la xiriira dhaawac ee sepsis, laakiin minbarka - sababta ugu badan oo ah caabuq ee lafta. Marka caabuq dhacdaa dheecaan propotevanie, iyo cirridka - unugyada receptors hodan - jawaab u kordhay cadaadiska. Marka caabuq this sababaa xanuun.

Muuqaalka caan ku periodontitis korayo dikaan wata xanuun, kaas oo si adag u kooban. Mararka qaarkood, at xiritaanka ee ilkaha waa ay adag tahay in xanuunka adkaysan, bukaan wax ma cuni karo. Nin buka keliya taabtaan, darafka iligga, kaas oo sidoo kale uu noqonayaa mobile, ciridka ku wareegsan iliga, iyo sidoo kale dibnaha iyo dhabanka bararin, heerkulka jidhka xad dhaaf ah u kacda. calaamad saameen ah periodontitis astaan u noqon kara ee Vincent. Calaamadaha uu hore u soo sheegnay, kabuubyo iyo khasaaro of dareen in unugyada ee garka ah.

noocyada periodontitis

Waxaa jira periodontitis ba'an iyo chronic. Haddii dareere sameeyay inta lagu guda jiro barar kordhiyay kanaalka xididka of iliga ah, periodontitis noqdo chronic. Xanuun syndrome waxaa si xoog leh oo aan kaga hadlay iyo geedi socodka bahal ee Cardiff ee iliga si tartiib ah qulquli. Bakteeriyada ku tarmeen lafta saameysey, qarsan sun "sun" jidhka bini'aadamka oo u wadin inuu soo horumarka cudurada nidaamyada kala duwan ee xubnaha (Laabatooyinka, wadnaha, kelyaha).

Haddii kale horumarinta helo foomka ba'an ee periodontitis oo muddo ay ka maqan yihiin daaweyn habboon sii wadi laga yaabaa in talaabo purulent.

The noocyada kor ku xusan ee periodontitis u baahan tahay daaweyn dheer oo xirfad sare leh. Ujeedada ugu weyn ee therapy - bixinta biyo mareenka deegaamaynta caabuq malax. In daaweynta ee geedi socodka bararka waxaa marka hore soo xirtey, processing dheeraad ah waa la fuliyay saxarka aalkolada markaa la sameeyaa buux ku meel gaar ah. Inta lagu jiro waxqabadyada-daweynta la socdo caafimaadka lafaha by raajada.

daaweynta

In daaweynta periodontitis chronic isticmaalka daroogada dawo kicin dib u soo celinta cirridka. daaweynta saameen noqon karaan daaweynta dabiiciga ah: electrophoresis, UHF, microwave, laser, therapy magnetic. Xaaladaha qaarkood, daawaynta ah anti-bakteeriyo.

Antibiyootikada loo isticmaali karaa laga dhayayo in ay dhacdo formation of meelo cirridka oo qoto dheer. Quwad ee kanaalka xididka lagu sameeyaa qalab kuwaas oo la doortay si gaar ah ay dhacdo kasta.

Haddii caabuq ku dhaca meelo ballaaran oo unug, ama therapy muxaafidka noqonin mid horseeda in natiijo sax ah, la sameeyaa qaliin. Ujeedada salaysayn khalkhalgelinta waa resection ee sare ee xididka iliga. xanjo ayaa waxaa la sameeyaa Jeexid yar si ay u helaan lafta. Next saar qaab-dhismeedka ay dhibaatadu saameysey, caaradda channel waxaa laga shaabadeeyey. Bone noolaynta - geedi socod dheer. Haddii daaweynta noqonin mid horseeda in isbedel wanaagsan, iliga laga yaabaa in ay ka saarida.

Si looga fogaado horumarinta cudurkan, waa in si taxadir leh loo socdo, waayo, nadaafadda afka. Tani waxay ku lug cadayashada ilkaha laba jeer-maalin walba khasab ah. Xaaladdan oo kale, cadayga waa in la xilliyo gaar bedelay, si toosa in doorashada lagu cadaydo. Ugu yaraan hal mar sanadkii si aad u dalbato in ilkaha ee nidaamka ka saareen huurada a professional.

Hulka dentition hogaanka xaqiiqada ah in ilkaha haray afka dhali load dheeraad ah. Gowsaha u nugul yihiin, habka bararka afka laga yaabaa inuu dhaco taasoo keeni doonta in periodontitis mustaqbalka.

Periodontitis - cudur halkii uga hornimaadno sababta oo ah waxa sababa badan oo dhibaatooyin, iyaga ka mid ah - sepsis daran, geeddi socodka bararka unug jilicsan wajiga, osteomyelitis daanka.

Waa maxay osteomyelitis?

Sabab kale oo loogu talagalay Vincent calaamad dhacdaa waa osteomyelitis. cudurada Tani, wax dhib ah maleh kaas oo qaybta lafaha aadanaha waxa muujiyay, waxaa iska leh koox ka mid ah cudurada faafa ee dabiiciga ah bararka.

Osteomyelitis daanka saameeyaa dhammaan unugyada ah: periosteum, walax lafta, dhuuxa lafta. cudurradana badanaa ku dhacda dadka ma ka wayn afartan sannadood. Si kastaba ha ahaatee, waxaa jira kiisas ah cudurka carruurta iyo dadka waayeelka ah. Waxaa oo dhan waxay ku xiran tahay inta ay le'eg tahay qofka by ilkaha suus saameeyeen. Sidoo kale osteomyelitis dhibayso rag iyo dumarba. Calaamadaha Vincent osteomyelitis saameeyaa aagga garka, iyo tani waa sabab ugu horrayn si ay xaqiiqada ah in cudurada ugu badan yahay ee daanka hoose ka badan tan sareba.

Horaantii, marka nadaafadda afka ahaa dayacay, daanka osteomyelitis qabsadeen cudurada ka mid ah lafaha kale ee ku saabsan 40%. Ma muddo dheer ka hor, xaaladda ayaa ka wanaagsan isku baddalay.

Maanta, si ay u dhaqan-qorsheeyay baahsan ee saabka afka iyo in carruurta iyo dadka waaweyn mahad, boqolkiiba bukaannada qaba osteomyelitis daanka soo dareeray, iyo isticmaalka antibiotics ayaa loo ogol yahay in la sameeyo cudurka yar daran.

dirka osteomyelitis

Xaaladaha intooda badan, osteomyelitis daanka waa natiijo ah oo ka suuska iyo dhibaatooyin cudurka cirridka. Kooxdan call osteomyelitis aqbalay odontogenic (stomatogennymi). Infekshanka uu helo galay qaab-dhismeedka lafta iyada oo gowsaha yaraaday. Axdigu ee caabuq soo bandhigaan microflora kala duwan. streptococcus iyo stafylokok (white iyo dahab), pneumococcus iyo bakteeriyada kale.

osteomyelitis Contact - cudurada oo cudurka maqaarka ama xabka (tus, wejigaaga furuncle) baxdo. Halkan qoondeeyo osteomyelitis gaar ah:

• qaaxada,
• syphilitic,
• actinomycotic.

Mararka qaarkood daamanka dhuuxa lafta dhacdaa bakteeriyada galaan wareegga dhiigga. Xaaladani waxay lagu tilmaamay inay tahay osteomyelitis hematogenous dhacda ka dib markii cudurada, sida hargabka, qandho tiifowga, qandho iyo casaan, jadeecada.

osteomyelitis koox gaar ah, taasoo keentay in dhaawac (jab, dhaawaca culus). Calaamadaha Vincent at jab, marka in dareenka dareemayaasha maskaxda iyo rabshaysan tahay bukaan la soco ah kabuubyo dibinta hoose dhacaa sabab u riixo ee dareemayaasha hoose alveolar, aasaasay in exudate caabuq.

cudurka

Course cudurka waxaa laga yaabaa kala duwan, oo inta badan ay ku xiran tahay gobolka ee u shaqeeyo guud ahaan, baaxadda wareegga dhiigga ee meesha ay dhibaatadu saameysey. Xaaladaha qaarkood, galleeyda laf ka mid ah baaxadda yar, ay sabab u tahay goob hoose. Xaaladaha noocaas ah, waxaan ka hadleynaa osteomyelitis kooban. Haddii cudurku uga sii darayo, caabuq la wareejiyo wareegsan unug jilicsan oo daanka. xaaladda noocan oo kale ah muujin karaa sida periostitis, ama Cellulitis. Cellulitis - ba'an caabuq purulent oo ka mid ah meelaha (inta badan unugyada jilicsan), taas oo ah dhalooyinka iyo ma laha xuduud cad, sida malax ah. By habka, Vincent badanaa astaan u ah waxaa laga yaabaa in la Cellulitis dhacaan, bukaanka aragto khasaare ah oo dareen in meesha ay dhibaatadu saameysey.

Bilowga habka bahal ah ee dhuuxa lafaha meesha ugu of caabuq uu noqonayaa brown, midab guduud mugdi. Later sameeyay -sidii lesions in milmaan galay saabka oo dhan. Malax galaa periosteum ah, cirridka iyo sababa galleeyda qaybaha daanka ah. sequesters asaasay. In xididdada dhiigga yar thrombi dhacaan in mari barafka. In berrinkii galleeyda lafta muuqan lafaha, dhiigga ay waxaa si tartiib ah hoos, taasoo keentay in la kordhiyo baaxadda galleeyda ka mid ah qaab-dhismeedka lafta. Cabirka qiimee suuxdinta ay keento weelashii thrombosed. Xaaladaha daran ayaa dhici kara galleeyda daanka oo dhan. Xaaladaha noocan oo kale ah ee la xidhiidha waajihi (waajihi) osteomyelitis.

symptomatology

Waxa jira noocyo dhowr ah cudurada. Inta lagu guda jiro osteomyelitis subacute ku dhacdaa usheeda dhexe ah wax-u dhexeeya lafaha caafimaad iyo kuwa dhintayba. Xaaladaha qaarkood, waxaa jira kala wareego resorption. hababka nadiifinta dhalashadii labaad ay dhici karaan - hareeraha meesha ay dhibaatadu saameysey sameeyay qaab-dhismeedka lafta oo cusub. Haddii kale, waxaa jira diidmada qalal. foomka Subacute waa xadka u dhexeeya osteomyelitis ba'an iyo chronic.

Inta lagu guda jiro foomka ba'an ee osteomyelitis waa horumarinta firfircoon ee geedi socodka bararka. Bukaan-socodka sheegaan xanuun aad u daran ee daanka (toogashada lagu caajiso) in la horumariyo ku saabsan asalka ah, qandho sare, qarqaryo, neefsasho degdeg ah iyo garaaca wadnaha. Waxa intaa dheer in xanuun daanka wuxuu soo daadiyaa laga yaabaa in dareen ee dibinta hoose - sidaas calaamad Vincent osteomyelitis ah. dhowr maalmood ah ee bilawga ah ee cudurka ilkaha ku xiga si ay ilig jiran Ka dib, u hesho dhaqdhaqaaqa.

Taataabasho waxyooday daanka barar iyo Ulasocto dareenka daran. Waxaa jira barar iyo barar ciridka, dhabannada ama qaybaha kale ee wajiga. Muddada cudurka waa in la kordhiyo qanjidhada ah. Ka dibna, calaamadaha oo dhan waxaa la socon kara by daaman - muruqyada daanka la isku qasin, kabuubyo (Vincent calaamad). ytimaada ee cudurka waxay ku xiran tahay cudurka waqtiga iyo daaweyn dheeraad ah.

xaaladda guud ee bukaan-socodka conventionally tilmaamay galay oo khafiif ah, dhexdhexaad ah oo aad u daran. Nasiib darro, mararka qaarkood cudur dilaa ah dhameeyo in muddo dhowr maalmood tan iyo bilowgii geedi socodka bahal ah.

Waxaa la og yahay in bukaanka hore muuqan kara faraxsan, laakiin ugu dhakhsaha badan siinaysaa si ay xaalad ah sujuudda rayn leh dhibic fiiqan ee cadaadiska dhiigga iyo garaaca wadnaha oo kordhay. muuqaalka kore ee qofka u xuub-badala.

In osteomyelitis waajihi, waxaa jira khasaare tartiib ah caabuq laf ka mid ah goobaha cusub. xaaladda bukaanka ee la garan karo sida aan degganayn, oo leh horumar ku meel gaar ah oo sii daraysa ee caafimaadka, inta lagu guda jiro kuwaas oo heerkulka jidhka inuu horta yimaado waxaa laga yaabaa in dib u caadi ah, ka dibna uu soo sara kaco oo uu la socdaa qarqaryo soo noqnoqda. Stage of osteomyelitis waajihi ba'an socon karaa ilaa afar todobaad. Haddaba waxaa jira hoos u dhac af ee limfosaytis dhiigga (ilaa 15% -18%), protein waa la joogo in kaadida.

Foomka chronic cudurka ay ka maqan yihiin tallaabooyin sixid ah qaadan kartaa bilood iyo mararka qaarkood sano oo u wadin inuu soo muuqaalka kore ee dhibaatooyin kala duwan, soo bax sambabada, formation of a suppuration JQSHM cranial, lesions kelyaha ee daran ama dabadheeraad.

Cilad-iyo daaweynta

Raajada waa mid ka mid ah hababka in cudurka of osteomyelitis iyo waxay ka caawisaa si loo ogaado heerka uu gaarsiisan yahay burburinta dhismayaasha lafaha. Si kastaba ha ahaatee, isbedelka hore ee lafaha ka fiirsan karaa oo keliya 7-10 maalinta tan iyo markii uu dillaacay cudurka. First, sida uu go'aamiyey sawirka, - vacuum ah oo duurka ku ah qaab-dhismeedka lafta. Dheeraad ah, haddii cudurku ku dhaco si ay u joojiyaan, X-ray foomamka ayaa shaaca ka qaaday xadka u dhexeeya unugyada caafimaadka qaba iyo kuwa dhintayba. By size of soohdintu waxay u gebagebo ku saabsan size iyo goobta qalal. Waxa intaa dheer in diffraction X-ray si loo ogaado cudurka waxay ka caawisaa sawirka guud ee gobolka ee jirka aadanaha iyo falanqaynta calaamadaha la xiriira, oo ay ku jiraan Vincent calaamad.

Osteomyelitis Daaweynta ku lug leedahay isticmaalka isku dhafan ee antibiotics iyo qalliin. Inta badan sida daaweynta qoray penicillin duro muxaafidka, streptomycin ama biomitsin soo dhaweynta. Marka therapy antibiotic, si kastaba ha ahaatee, waxaa muhiim ah in aad maskaxda ku hayso awood u bakteeriyada in qabatinka daroogooyinka.

daaweynta daroogada waxaa muhiim ah in ay sii wadaan for 7-10 maalmood, xitaa ka dib markii hoos u heer-kulka in qiimaha caadiga ah. Haddii kale, cudurka dhici doonaa qarsoon. Inta badan, qaddar ee iliga, taas oo ka dhalatay ay sabab u tahay barar xanuun, ayaa xal u gaar ah - Isaga waa in laga saaro. Inkastoo ay jiraan reeban xeerka.

The ilkaha ku xiga ay isku dayayaan in nafo la, soo celiyo ay ka shaqeynayaan. Si aad u codsato silig baska this, kaas oo la dhajinta on dentition oo dhan. Intaa waxaa dheer, caabuq of saxarka ah ee ilkaha iyo baabi'iyo intii suurtogal ah. sequesters dhaqaajin karo xiran saarista qalliinka, oo waxaa lagu fuliyaa ma hore ka badan 4-6 toddobaad kadib bilowga jirrada. Tan waxa u sabab ugu horrayn si ay xaqiiqada ah in kaliya ka dib markii muddo la cayimay oo ah xuduudaha sequestration yihiin si cad u garan.

Sayidka, Vincent calaamad waa mid ka mid ah calaamadaha ugu muhiimsan ee horumarka ee aadanuhu cudurada halista bararka, oo ay ku jiraan osteomyelitis, periodontitis, qumanka Simanovsky-Vincent (calaamadaha foomkan cudurka waa garan calaamad caadiga ah ee angina calaamadaha sabab Vincent).