В условиях современной эпидемиологической обстановки туберкулез костей занимает четвертое место в структуре заболеваемости внелегочным туберкулезом.
Туберкулез костей характеристика заболевания
Если туберкулезная инфекция поражает позвоночник и костные суставы, то человеку ставится диагноз туберкулеза костей
Каждый десятый больной туберкулезом имеет костную форму болезни. Костный туберкулез начинается с попадания туберкулезной палочки в костный мозг. Она приносится из первичного очага туберкулеза с кровью. Начинается воспаление кости, приводящее к творожистому расплавлению кости. Далее часть погибающей от туберкулеза кости отделяется от основной кости — это называется секвестром. Потом палочка туберкулеза захватывает суставы.
Если туберкулезная инфекция затрагивает позвоночник и костные суставы, то человеку ставит диагноз туберкулез костей. Это заболевание переносится гематогенным путем из первичного очага поражения и чаще всего появляется у детей до десяти лет. В большинстве случаев туберкулез костей развивается в эпифизе суставного конца кости, где собственно и формируется очаг заражения. Затем инфекция переходит на синовиальную оболочку и суставные хрящи.
Отметим, что заболевание поражает различные части сустава, поэтому специалисты выделяют синовиальный и костный туберкулез костей.
Характерные особенности каждой формы:
Синовиальный туберкулез костей приводит к гиперемии и появлению множества бугорков, наполненных серозным эскудатом. Если лечение начато вовремя, то инфекционный процесс почти сразу же затихает с одновременным заживлением пораженных участков. Туберкулез костей, лечение которого не проводилось или проводилось неправильно, приводит к разрушению связочного аппарата и, в конце концов, полной дисфункции суставных концов костей.
Костный туберкулез протекает различно. Начинается болезнь либо с расплавления костного вещества кости, либо с омертвения значительных участков кожи, причем этот процесс со временем начинает распространяться на все большую и большую площадь. Независимо от первоначальных проявлений, костный туберкулез костей и суставов вызывает образование гнойного свища или полости, открывающейся наружу. Заметим, спустя несколько недель воспалительный процесс может стабилизироваться и у больного наступает стойкая ремиссия.
Фазы туберкулеза костей
Туберкулез костей имеет три фазы:
1 фаза — преартритическая: формирование очага деструкции в эпифизе;
2 фаза — артритическая: переход воспаления с кости на остальные ткани сустава с развитием вторичного артрита;
3 фаза — постартритическая: фаза последствий перенесённого остеомиелита;
Туберкулез костей симптомы
Наиболее характерные симптомы туберкулеза костей – это припухлость в области пораженного сустава, атрофия мягких тканей, скопление серозного или серозно — фибринозного экссудата, мышечная контрактура и ограничение подвижности суставной части. При рентгенологическом исследовании выявляются: ограниченные полости в кости, разрежение костного вещества и расширение или сужение суставной щели (зависит от наличия экссудата).
Этот вид туберкулеза характеризуется ощущениями боли в пораженных участках, а также нестабильностью, ограничением движения, патологическими переломами. Для этого вида туберкулеза очень важно своевременно отличить симптомы туберкулеза костей от других похожих болезней, связанных с опорно — двигательным аппаратом.
Больные туберкулезом костей жалуются на постоянную температуру
Сначала больные туберкулезом жалуются на постоянную, хотя и небольшую, температуру, утомляемость. Затем костный туберкулез вызывает боли при наклонах, движении. Часто страдает мускулатура — например, заметное истощение мышц одной ноги. На рентгеновских снимках при костно-суставном туберкулезе в концах костей видны светлые участки, похожие на сахар, тающий в воде. Это начальная стадия секвестров, еще не имеющих ясных границ. Признаков остеопороза нет. Щель между суставными поверхностями сначала увеличивается, а затем сокращается, поверхность хрящей в суставе неровная. Для костного туберкулеза характерно заражение от больного с открытой формой туберкулеза и медленное течение процесса. Кроме того, костный туберкулез сопровождается симптомами токсикоза, характерного для ранних стадий туберкулеза. Костному туберкулезу присуще образование гнойников, истощение мышц и укорочение одной из конечностей.
Костный туберкулез отличается от других воспалений костей и суставов положительной пробой Манту, палочка туберкулеза обнаруживается при посевах гнойного содержимого абсцессов, в периферической крови резко увеличено количество лимфоцитов.
куколка
Being with wife and sons.
I just want to tell you that I am beginner to weblog and actually loved you’re web blog. Almost certainly I’m want to bookmark your blog . You really have impressive writings. Bless you for sharing with us your blog site.
I simply want to tell you that I am just very new to weblog and honestly savored you’re website. Most likely I’m planning to bookmark your site . You absolutely come with amazing articles and reviews. Thanks a bunch for sharing with us your web-site.
I simply want to mention I am all new to blogging and certainly savored you’re web-site. Likely I’m going to bookmark your site . You certainly have excellent well written articles. Appreciate it for revealing your web site.
Its like you read my mind! You appear to know a lot about this, like you wrote the book in it or something. I think that you could do with a few pics to drive the message home a bit, but instead of that, this is wonderful blog. An excellent read. I will certainly be back.
If you want to obtain a good deal from this post then you have to apply such techniques to your won weblog.|
A hungry man is an angry man.
I just want to mention I am newbie to blogging and site-building and certainly savored you’re web page. Likely I’m want to bookmark your blog . You absolutely have wonderful posts. With thanks for sharing your web site.
I simply want to mention I’m all new to blogging and certainly enjoyed you’re web page. Likely I’m likely to bookmark your blog post . You absolutely have fantastic writings. Kudos for sharing with us your web-site.
I just want to mention I am just beginner to weblog and certainly savored this web page. Likely I’m want to bookmark your website . You really have impressive stories. Cheers for revealing your blog.
I just want to say I’m new to blogs and seriously enjoyed this website. Most likely I’m planning to bookmark your blog post . You actually have very good articles and reviews. Bless you for revealing your web page.
I simply want to say I am just very new to blogs and seriously loved your blog site. Very likely I’m likely to bookmark your blog post . You amazingly have exceptional posts. Thanks a lot for revealing your website page.
I think other web site proprietors should take this web site as an model, very clean and excellent user genial style and design, let alone the content. You are an expert in this topic!
Somebody necessarily lend a hand to make seriously articles I would state. That is the first time I frequented your web page and up to now? I amazed with the analysis you made to make this actual put up amazing. Magnificent job!
Thanks a lot for giving everyone an exceptionally terrific possiblity to read articles and blog posts from this site. It is always so beneficial and as well , jam-packed with a good time for me and my office mates to visit your blog not less than 3 times in a week to learn the fresh issues you will have. And definitely, we’re always fascinated considering the striking advice served by you. Some two points in this post are rather the best we have all had.
I wish to show some appreciation to the writer for rescuing me from this particular setting. After surfing throughout the online world and coming across tricks which are not pleasant, I assumed my entire life was well over. Living without the presence of approaches to the issues you have sorted out all through your short post is a serious case, as well as the kind that would have negatively affected my career if I hadn’t come across your web site. Your own personal talents and kindness in touching all the details was priceless. I don’t know what I would have done if I had not discovered such a solution like this. It’s possible to at this moment look forward to my future. Thanks very much for the expert and effective guide. I won’t hesitate to recommend your web blog to any person who should get counselling about this problem.
I am really impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you modify it yourself? Anyway keep up the nice quality writing, it’s rare to see a nice blog like this one these days..
Thank you for the good writeup. It in fact was a amusement account it. Look advanced to more added agreeable from you! However, how could we communicate?
My brother suggested I might like this blog. He was totally right. This post truly made my day. You cann’t imagine simply how much time I had spent for this info! Thanks!
hello there and thank you for your information – I’ve definitely picked up something new from right here. I did however expertise several technical issues using this web site, as I experienced to reload the web site many times previous to I could get it to load correctly. I had been wondering if your hosting is OK? Not that I’m complaining, but sluggish loading instances times will often affect your placement in google and can damage your quality score if advertising and marketing with Adwords. Well I am adding this RSS to my email and could look out for much more of your respective exciting content. Make sure you update this again soon..
Pretty section of content. I just stumbled upon your blog and in accession capital to assert that I acquire in fact enjoyed account your blog posts. Anyway I will be subscribing to your augment and even I achievement you access consistently quickly.
I like the valuable information you provide in your articles. I’ll bookmark your weblog and check again here regularly. I’m quite certain I will learn many new stuff right here! Best of luck for the next!
Hello.This article was really interesting, especially because I was browsing for thoughts on this issue last couple of days.
I have been exploring for a little for any high quality articles or weblog posts in this sort of space . Exploring in Yahoo I finally stumbled upon this site. Reading this information So i?¦m glad to show that I’ve an incredibly excellent uncanny feeling I discovered just what I needed. I such a lot undoubtedly will make sure to do not forget this site and give it a look on a constant basis.
Attractive section of content. I just stumbled upon your web site and in accession capital to assert that I acquire in fact enjoyed account your blog posts. Anyway I will be subscribing to your feeds and even I achievement you access consistently rapidly.
Good web site! I really love how it is easy on my eyes and the data are well written. I am wondering how I might be notified when a new post has been made. I have subscribed to your RSS feed which must do the trick! Have a great day!
Well I truly enjoyed reading it. This tip provided by you is very helpful for accurate planning.
Definitely, what a splendid blog and revealing posts, I will bookmark your blog.Best Regards!
Great post. I was checking continuously this blog and I’m impressed! Extremely helpful information particularly the last part
I care for such info much. I was looking for this particular information for a very long time. Thank you and good luck.
Hey, you used to write fantastic, but the last few posts have been kinda boring?K I miss your tremendous writings. Past several posts are just a little bit out of track! come on!
I would like to thank you for the efforts you’ve put in writing this site. I’m hoping the same high-grade website post from you in the upcoming also. Actually your creative writing skills has encouraged me to get my own website now. Actually the blogging is spreading its wings rapidly. Your write up is a good example of it.
I really wanted to post a quick comment to be able to appreciate you for the marvelous points you are posting on this site. My long internet research has now been honored with high-quality facts and techniques to talk about with my relatives. I ‘d tell you that many of us visitors are very endowed to be in a perfect network with so many wonderful professionals with insightful opinions. I feel rather privileged to have used your entire web site and look forward to so many more excellent minutes reading here. Thank you again for all the details.
Excellent blog here! Additionally your website so much up very fast! What host are you the usage of? Can I get your affiliate hyperlink in your host? I want my site loaded up as quickly as yours lol
I’m extremely impressed with your writing skills as well as with the layout on your weblog. Is this a paid theme or did you customize it yourself? Either way keep up the nice quality writing, it is rare to see a great blog like this one nowadays..
Just wish to say your article is as amazing. The clarity in your post is simply nice and i can assume you’re an expert on this subject. Fine with your permission let me to grab your RSS feed to keep updated with forthcoming post. Thanks a million and please carry on the gratifying work.
Excellent blog here! Also your web site loads up very fast! What host are you using? Can I get your affiliate link to your host? I wish my web site loaded up as quickly as yours lol
I have been browsing on-line more than 3 hours these days, but I by no means found any interesting article like yours. It?¦s beautiful price sufficient for me. In my opinion, if all website owners and bloggers made excellent content as you did, the internet can be much more useful than ever before.
certainly like your web site but you need to check the spelling on several of your posts. Several of them are rife with spelling issues and I find it very bothersome to tell the reality then again I?¦ll definitely come back again.
Thanks for sharing superb informations. Your site is so cool. I’m impressed by the details that you have on this site. It reveals how nicely you perceive this subject. Bookmarked this web page, will come back for extra articles. You, my friend, ROCK! I found just the info I already searched everywhere and simply could not come across. What a perfect site.
Great amazing issues here. I?¦m very satisfied to look your article. Thanks a lot and i’m taking a look forward to touch you. Will you kindly drop me a e-mail?
magnificent points altogether, you just won a brand new reader. What would you suggest about your submit that you just made some days ago? Any sure?
Lovely site! I am loving it!! Will come back again. I am bookmarking your feeds also
Great ?V I should definitely pronounce, impressed with your web site. I had no trouble navigating through all tabs and related info ended up being truly simple to do to access. I recently found what I hoped for before you know it in the least. Quite unusual. Is likely to appreciate it for those who add forums or anything, website theme . a tones way for your client to communicate. Nice task..
I do not even know how I ended up here, but I thought this post was good. I do not know who you are but certainly you are going to a famous blogger if you are not already
Cheers!
I?¦m not sure the place you’re getting your info, however good topic. I needs to spend a while studying more or understanding more. Thank you for fantastic information I was on the lookout for this information for my mission.
Pretty nice post. I just stumbled upon your weblog and wished to say that I have really enjoyed surfing around your blog posts. In any case I’ll be subscribing to your feed and I hope you write again soon!
hello there and thank you for your info – I’ve certainly picked up anything new from right here. I did however expertise some technical issues using this site, since I experienced to reload the website a lot of times previous to I could get it to load properly. I had been wondering if your web hosting is OK? Not that I’m complaining, but sluggish loading instances times will very frequently affect your placement in google and could damage your high-quality score if advertising and marketing with Adwords. Anyway I am adding this RSS to my email and can look out for much more of your respective intriguing content. Make sure you update this again very soon..
A person essentially lend a hand to make severely articles I might state. This is the very first time I frequented your website page and thus far? I surprised with the analysis you made to create this particular post amazing. Fantastic job!
What i do not understood is in fact how you are not actually much more well-favored than you may be now. You are very intelligent. You already know thus considerably in the case of this subject, produced me in my opinion consider it from numerous varied angles. Its like men and women aren’t fascinated until it is something to do with Lady gaga! Your personal stuffs nice. All the time deal with it up!
Thank you a lot for sharing this with all folks you actually realize what you are speaking approximately! Bookmarked. Kindly also talk over with my website =). We may have a hyperlink trade arrangement among us!
Its like you read my mind! You appear to know a lot about this, like you wrote the book in it or something. I think that you can do with a few pics to drive the message home a little bit, but instead of that, this is excellent blog. A fantastic read. I’ll certainly be back.
I have recently started a blog, the info you provide on this website has helped me tremendously. Thanks for all of your time & work.
It?¦s actually a great and useful piece of info. I?¦m satisfied that you simply shared this helpful info with us. Please stay us informed like this. Thanks for sharing.
I have been examinating out some of your articles and i must say nice stuff. I will make sure to bookmark your website.
I have been checking out many of your stories and i must say pretty good stuff. I will definitely bookmark your website.
I’m so happy to read this. This is the type of manual that needs to be given and not the random misinformation that is at the other blogs. Appreciate your sharing this greatest doc.
I enjoy, lead to I discovered exactly what I was having a look for. You have ended my 4 day long hunt! God Bless you man. Have a great day. Bye
I have recently started a blog, the information you provide on this site has helped me greatly. Thank you for all of your time & work.
Thanks for the sensible critique. Me & my neighbor were just preparing to do some research on this. We got a grab a book from our local library but I think I learned more from this post. I am very glad to see such great information being shared freely out there.
Thank you for sharing superb informations. Your website is very cool. I’m impressed by the details that you have on this blog. It reveals how nicely you understand this subject. Bookmarked this web page, will come back for more articles. You, my friend, ROCK! I found just the info I already searched all over the place and just couldn’t come across. What an ideal web-site.
We’re a group of volunteers and starting a new scheme in our community. Your web site offered us with valuable info to work on. You’ve done an impressive job and our whole community will be thankful to you.
Great awesome things here. I am very happy to look your post. Thank you a lot and i’m looking ahead to touch you. Will you please drop me a mail?
Whats Happening i am new to this, I stumbled upon this I’ve discovered It absolutely useful and it has aided me out loads. I hope to give a contribution & help other customers like its aided me. Great job.
Wow, fantastic blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your site is magnificent, as well as the content!
whoah this weblog is wonderful i really like studying your articles. Stay up the good paintings! You know, many people are looking around for this information, you can aid them greatly.
Excellent read, I just passed this onto a friend who was doing some research on that. And he just bought me lunch because I found it for him smile So let me rephrase that: Thanks for lunch!
It?¦s actually a nice and useful piece of info. I?¦m happy that you simply shared this helpful information with us. Please keep us informed like this. Thank you for sharing.
Great work! That is the kind of information that are meant to be shared around the internet. Shame on Google for no longer positioning this publish higher! Come on over and consult with my website . Thanks =)
I in addition to my buddies ended up reading the excellent information and facts on your site and so instantly I got a horrible feeling I never thanked the site owner for those strategies. The young men happened to be as a result thrilled to learn them and now have clearly been taking advantage of these things. Thanks for being considerably helpful as well as for making a choice on varieties of perfect useful guides most people are really needing to be informed on. Our honest regret for not expressing gratitude to sooner.
Very efficiently written article. It will be valuable to everyone who usess it, as well as myself. Keep up the good work — can’r wait to read more posts.
I would like to thnkx for the efforts you’ve put in writing this site. I am hoping the same high-grade blog post from you in the upcoming as well. In fact your creative writing skills has encouraged me to get my own site now. Really the blogging is spreading its wings rapidly. Your write up is a great example of it.
We’re a group of volunteers and opening a new scheme in our community. Your web site provided us with valuable info to work on. You have done an impressive job and our whole community will be grateful to you.
Thank you for some other wonderful post. The place else may just anybody get that kind of info in such an ideal means of writing? I’ve a presentation subsequent week, and I’m at the look for such info.
Thank you for every other informative blog. The place else could I am getting that type of information written in such a perfect method? I’ve a undertaking that I am simply now running on, and I’ve been at the look out for such information.
You made a few fine points there. I did a search on the subject and found nearly all persons will agree with your blog.
Great amazing things here. I?¦m very glad to look your article. Thanks a lot and i am taking a look forward to contact you. Will you kindly drop me a mail?
I enjoy you because of your own hard work on this blog. My niece delights in making time for investigations and it is obvious why. We all notice all about the dynamic form you give worthwhile information by means of your web blog and therefore inspire contribution from some other people on this matter plus my simple princess is really becoming educated so much. Have fun with the rest of the new year. Your carrying out a dazzling job.
Normally I don’t read post on blogs, but I wish to say that this write-up very forced me to try and do so! Your writing style has been surprised me. Thanks, very nice post.
Thank you for some other excellent post. The place else could anybody get that kind of information in such a perfect way of writing? I have a presentation next week, and I’m at the search for such information.
I’m still learning from you, but I’m improving myself. I definitely enjoy reading everything that is posted on your site.Keep the aarticles coming. I enjoyed it!
I was suggested this website by my cousin. I’m not sure whether this post is written by him as no one else know such detailed about my trouble. You’re wonderful! Thanks!
Thank you for the auspicious writeup. It in fact was a amusement account it. Look advanced to far added agreeable from you! By the way, how can we communicate?
Hello, i think that i saw you visited my weblog thus i came to “return the favor”.I’m attempting to find things to enhance my website!I suppose its ok to use a few of your ideas!!
You made some decent points there. I did a search on the subject and found most individuals will approve with your site.
I loved as much as you will receive carried out right here. The sketch is attractive, your authored subject matter stylish. nonetheless, you command get got an nervousness over that you wish be delivering the following. unwell unquestionably come more formerly again since exactly the same nearly very often inside case you shield this increase.
Heya i’m for the first time here. I found this board and I find It truly useful & it helped me out a lot. I hope to give something back and help others like you helped me.
Unquestionably believe that which you stated. Your favorite reason appeared to be on the internet the easiest thing to be aware of. I say to you, I certainly get annoyed while people consider worries that they plainly don’t know about. You managed to hit the nail upon the top and defined out the whole thing without having side effect , people could take a signal. Will probably be back to get more. Thanks
naturally like your web-site but you need to test the spelling on quite a few of your posts. Many of them are rife with spelling problems and I in finding it very bothersome to inform the truth however I?¦ll definitely come back again.
excellent submit, very informative. I wonder why the other specialists of this sector don’t realize this. You should proceed your writing. I am sure, you’ve a huge readers’ base already!
Keep functioning ,splendid job!