inflammation of the bone and its marrow is known as osteomyelitis. Cov kab mob sib txawv tuaj yeem ua rau cov kab mob lossis cov kab mob mus txog koj tus dev cov pob txha thiab ua rau cov txheej txheem, los ntawm kev kis kab mob hauv lub cev mus rau cov pob txha los ntawm cov ntshav, lossis los ntawm cov kab mob sab nraud uas tuaj txog los ntawm kev sib kis, kev raug mob lossis qhov txhab. Txawm li cas los xij, nws yog ib qho kab mob txaus ntshai thiab mobrau koj tus dev uas nws txoj kev kho mob feem ntau kav ntev li ob peb lub lis piam lossis ntau hli, nyob ntawm seb hom kab mob osteomyelitis thiab nws qhov hnyav.
cov pob txha ntev yog cov uas feem ntau cuam tshuam, xws li femur, humerus, tibia thiab ulna. Nws kuj tuaj yeem tshwm sim hauv tus txha caj qaum lossis ua rau dental osteomyelitis Hauv tsab xov xwm no peb yuav tham txog osteomyelitis hauv dev , nws cov tsos mob, kuaj mob thiab kho.
osteomyelitis hauv dev yog dab tsi?
Nov yog ib tug kab mob inflammatory kab mob ntawm cov pob txha thiab cov pob txha ntawm kis kab mob uas ua rau muaj kev loj hlob ntawm cov pob txha pob txha vim yog tuaj txog. ntawm cov kab mob hauv cov cheeb tsam no, ua rau inflammatory txheej txheem
Txawm hais tias cov pob txha nws tus kheej tiv thaiv kab mob, tus kab mob no ua rau cov ntshav tsis txaus vim yog cov enzymes uas tso cov kab mob uas ua rau cov pob txha ischemia thiab necrosis, nyiam lub cantonment ntawm cov kab mob thiab kev loj hlob ntawm cov kab mob. kab mob. Feem ntau, nws keeb kwm yog kab mob, thiab cov kab mob tuaj yeem tuaj yeem tshwm sim los ntawm kev tom, qhov txhab lossis pob txha, thiab lwm yam. Nws kuj tuaj yeem tshwm sim los ntawm tus kab mob fungal, tab sis feem ntau tshwm sim los ntawm cov kab mob fungal.
Ua rau osteomyelitis hauv dev
Raws li peb tau hais, feem ntau ntawm cov kab mob osteomyelitis cov keeb kwm yog kab mob. Raws li lawv qhov zaus, cov kab mob koom nrog hauv cov txheej txheem yog:
- Cov kab mob nquag: Staphylococcus aureus, lub luag haujlwm rau ntau dua 50% ntawm cov neeg mob osteomyelitis hauv dev.
- : streptococcus app., Enterococcus spp., Pseudomonas spp., Enterobacter spp., Proteus spp., Escherichia coli thiab Serratia spp.
- : Mycobacterium tuberculosis, Mycobacterium avium complex mycobacteria candida spp., Mycoplasma spp., Brucella spp., Salmonella spp. thiab Actinomyces.
Cov kab mob tshwm sim los ntawm cov kab mob fungi tshwm sim tsawg zaus thiab tshwm sim los ntawm kab mob fungal, xws li aspergillosis, blastomycosis lossis cryptococcosis.
Osteomyelitis nyob rau hauv dev feem ntau yog tshwm sim los ntawm sab nrauv ua rau (ntau tshaj 70% ntawm cov neeg mob), es tsis yog kis los ntawm cov ntshav, qhov no ua ntau zaus hauv menyuam dev. Ua li no, nyob ntawm qhov tuaj txog ntawm cov kab mob mus rau cov pob txha cuam tshuam, txoj kev nkag tuaj yeem yog plaub hom:
- Hematogenous: Osteomyelitis tsis tshua muaj tshwm sim los ntawm txoj kev no los ntawm kev kis kab mob kom deb ntawm cov pob txha, xws li hauv lub zais zis, ntsws lossis tawv nqaij, ua ntau zaus hauv cov menyuam dev hnub nyoog qis dua ib xyoos thiab hauv cov txiv neej dev ntawm cov tsiaj loj. Hauv cov menyuam mos yug tshiab, septicemia yog tsim los ntawm kev ua kom pom tseeb ntawm cov kab mob hauv plab uas tso cai rau cov kab mob nkag mus rau hauv cov hlab ntsha uas muab cov pob txha ntev, ua rau hauv cov hlab ntsha thiab cov hlab ntsha ntawm cov pob txha metaphysis (qhov nruab nrab ntawm cov pob txha).) nyob rau theem ntawm cov phaj epiphyseal (los yog cov phaj loj hlob), ua rau thrombi nrog cov ntshav tsis txaus thiab necrosis, kev tsiv teb tsaws ntawm leukocytes (cov hlwb dawb ntawm lub cev tiv thaiv kab mob) thiab cov kua paug hauv cov pob txha. Osteomyelitis los ntawm txoj kev no tuaj yeem raug coj mus rau qhov sib koom ua ke ze tshaj plaws, tsim cov kab mob septic (mob sib koom ua ke) uas yuav tsum tau kho sai. Cov pob txha tseem ceeb cuam tshuam yog femur, humerus thiab vertebrae (discospondylitis). Daim ntawv no feem ntau tshwm sim los ntawm Staphylococcus aureus, txawm tias nws tuaj yeem tshwm sim los ntawm E. coli, Proteus spp. thiab Streptococcus spp. Tsis tshua muaj, discospondylitis tuaj yeem tshwm sim los ntawm Brucella, ua rau muaj kev xav tsis thoob yog tias tus dev tuav kev sib cuag nrog cov tsiaj ruminant los yog ua liaj ua teb.
- Post-traumatic: vim yog kev puas tsuaj sab nraud xws li tom los ntawm lwm tus tsiaj, qhib pob txha, phom phom los yog pob qhov txhab.
- Tissue contiguity: xws li thaum muaj kab mob hauv tus dev lub qhov ncauj thiab nws kis mus rau cov hniav ua rau cov hniav osteomyelitis lossis kab mob ntawm daim tawv nqaij., xws li mob sib sib zog nqus pyoderma lossis otitis media.
- Iatrogenic: Vim kev kis kab mob los ntawm kev phais mob, vim tias thaum ib daim nqi raug phais tas lawm, cov implants uas muab tso rau hauv cov pob txha cuam tshuam yog tsom rau cov kab mob colonization yog tias asepsis tsis tau nruj, nrog rau yog tias qhib kev raug mob tau ua haujlwm qhov twg cov kab mob twb nkag mus rau hauv cov ntaub so ntswg.
Symptoms of osteomyelitis in dogs
Hauv osteomyelitis, cov pob txha pib teb los ntawm kev ua mob thiab cov ntaub so ntswg ib puag ncig yuav kub, liab, o thiab mob. Nyob ntawm nws cov chav kawm thiab keeb kwm, nws tuaj yeem mob hnyav nrog cov cim qhia lossis mob ntev yam tsis muaj kev hloov pauv hematological:
mob osteomyelitis hauv dev
Qhov kev nthuav qhia no yog qhov nquag tshaj plaws, qhov chaw kho mob hauv qab no tshwm sim:
- Ua npaws.
- Anorexy.
- Nyob.
- Nkauj kho siab heev.
- Cov qe ntshav dawb nce ntxiv (feem ntau yog neutrophils).
- Mob pob txha o vim kab mob purulent.
- Edema ntawm cov ntaub so ntswg ze ntawm qhov raug mob nrog mob ntawm palpation thiab txav ntawm cov ceg ceg.
- thrombosis (clots) hauv cov hlab ntsha me.
osteomyelitis hauv dev
daim ntawv kho mob no muaj kev kawm ntev dua, nrog cov tsos mob xws li:
- Secretion through fistulae at the site of raug mob.
- Muscular atrophy.
- Enlargement of near lymph nodes.
- Tsim cov pob txha sequestration (nqe ntawm cov pob txha tuag uas yog cais los ntawm cov pob txha nyob los ntawm cov ntaub so ntswg granulation).
- pob txha pob txha muaj kab mob tsis tu ncua.
Diagnosis of osteomyelitis in dogs
Kev kuaj mob ntawm tus kab mob no feem ntau yog ua los ntawm cov duab hluav taws xob, tab sis tus neeg mob keeb kwm, nrog rau kev kuaj xyuas ntawm thaj chaw thiab nws qhov kev tshuaj ntsuam, yog qhov qhia tau tias muaj kab mob pob txha. Yog li qhov kev kuaj mob uas koj tus kws kho tsiaj yuav tsim yuav yog chaw kho mob thiab hluav taws xob:
Clinical Diagnosis
Nws yog ua raws li nram no:
NATION NOJ QAB ZAUB MOM QAB, KHWV, LOS SIS, KEV NTSEEG …
Radiological diagnosis
X-ray yog qhov yooj yim tshaj plaws thiab pheej yig tshaj cov txheej txheem los kuaj tus kab mob no. Txawm li cas los xij, rau cov pob txha hloov pauv kom pom ntawm daim duab hluav taws xob, yuav tsum muaj 30-50% txo cov pob txha ntom ntom, uas tshwm sim (5 mus rau 10 hnub hauv cov menyuam dev). Cov leeg nqaij thiab cov nqaij mos uas nyob ze yog thawj zaug raug cuam tshuam. Cov kev hloov pauv hauv qab no tuaj yeem pom ntawm lub xov tooj cua:
- pob txha lysis (kev puas tsuaj pob txha vim kab mob).
- Periosteal proliferation (cov pob txha tshiab).
- pob txha resorption (pob txha decalcification).
Tshuaj kho mob osteomyelitis
Kev kho mob osteomyelitis hauv dev yog ua raws li kev phais ib qho ntawm ob qho tib si mob thiab mob ntev thiab ntawm kev kho mob nrog tshuaj tua kab mob lossis tshuaj tua kab mob, nyob ntawm seb qhov ua rau nws tshwm sim.
Kev kho mob osteomyelitis
Lub hom phiaj kis mob yuav tsum tau muab tshem tawm los ntawm kev tshem tawm cov ntaub so ntswg tuag, puas thiab muaj kab mob thiab ntxuav nws ntau. Yog hais tias qhov teeb meem yog tias nws tau kis tus kab mob vim yog cog, nws yuav tsum tau muab tshem tawm, stabilizing lub pob txha tawg nrog cov fixators sab nraud uas tsis hla qhov tseem ceeb ntawm cov pob txha kab mob.
Lub hom phiaj yog tshem tawm cov pob txha sequestrations, kho thaj chaw thiab ua tib zoo ntxuav kom tshem tawm tag nrho cov av. Yog hais tias nws yog ib qho tsis sib sau ua ke thiab cov kev cog hniav tsis zoo, lawv yuav tsum tau sab laug tab sis nquag saib xyuas los ntawm X-rays ntawm cheeb tsam thiab tshem tawm thaum raug mob sib sau ua ke. Kev txiav tawm ntawm tus ceg ceg raug mob yog pom zoo tsuas yog nyob rau hauv cov mob hnyav tshaj plaws.
Tshuaj tua kab mob rau dev osteomyelitis
Antibiotherapy yog ib qho yuav tsum tau kho rau canine osteomyelitis ntawm cov kab mob keeb kwm. Cov tshuaj tua kab mob xaiv yuav yog ib qho qhia los ntawm cov tshuaj tua kab mob, tab sis raws li txoj cai dav dav rau cov kab mob xws li Staphylococcus, Streptococcus, Enterococcus, Actinomyces lossis Mycoplasmas, tshuaj tua kab mob xws li amoxicillin feem ntau pab tau -clavulanate lossis ampicillin. Piv txwv li, nyob rau hauv cov kab mob xws li Pseudomonas spp., Serratia spp., E. coli, Salmonella spp., Brucella thiab Proteus spp., ciprofloxacin los yog thib peb tiam cephalosporins muaj ntau dua.
Cov tshuaj tua kab mob qhia los ntawm cov tshuaj tua kab mob feem ntau yog apply punctured thawj lub lim tiam thiab ces koj tus dev yuav coj mus rau hais lus rau 4 lossis 5 lub lis piam ntau dua hauv cov mob hnyav; nyob rau hauv cov mob ntev nws yuav kav mus txog rau lub hlis.
Yog tias koj tus dev muaj teeb meem noj nws cov tshuaj, peb xav kom koj nyeem lwm tsab xov xwm ntawm Tricks muab tshuaj rau dev.
Kev mob osteomyelitis hauv dev
Nws yuav nyob ntawm qhov ua rau nws tshwm sim, qhov hnyav, yog tias nws yog vim qhov tawg uas yuav tsum tau ua haujlwm los ntawm kev tso ib qho cog rau nws ruaj khov thiab cov lus teb ntawm txhua tus dev. Qhov zoo tshaj plaws uas koj tuaj yeem ua rau koj tus dev kom rov zoo sai li sai tau yog Keep nws hauv qhov chaw ntsiag to, kom deb ntawm kev ntxhov siab, tsis sib haum xeeb nrog tib neeg lossis lwm yam tsiaj, thiab noj kom zoo thiab hydrated thiab ua raws li cov txheej txheem kho mob qhia los ntawm lub chaw kho tsiaj.
