Isifo samathambo

I-arthritis ye-Septic ukuvuvukala kokujoyina ngenxa yokutheleleka kwebhaktheriya noma kwefungal. Isifo sokuqaqamba kwamalunga emzimbeni okubangelwa amagciwane abangela i-gonorrhea sinezimpawu ezihlukile futhi sibizwa ngokuthi yi-gonococcal arthritis.

Isifo sokuqaqamba kwamalunga omzimba sikhula lapho amabhaktheriya noma ezinye izinto ezincane ezibanga izifo (ama-microorganisms) zisakazeka egazini ziye kwilunga. Kungenzeka futhi ukuthi ukujoyina kutheleleke ngqo nge-microorganism kusuka ekulimaleni noma ngesikhathi sokuhlinzwa. Amalunga athinteka kakhulu amadolo nesinqe.

Izimo eziningi ze-arthritis ebucayi ye-septic zibangelwa yi-staphylococcus noma i-streptococcus bacteria.

Isifo samathambo esingapheli (esingajwayelekile kakhulu) sidalwa yizinto eziphilayo ezibandakanya Isifo sofuba iMycobacterium futhi AmaCandida albicans.

Izimo ezilandelayo zandisa ubungozi be-septic arthritis:

• Izimila ezihlangene zokufakelwa
• Ukutheleleka kwamagciwane kwenye indawo emzimbeni wakho
• Ubukhona bama-bacteria egazini lakho
• Ukugula okungalapheki noma isifo (njengesifo sikashukela, isifo samathambo, nesifo sesele)
• I-intravenous (IV) noma umjovo wokusetshenziswa kwezidakamizwa
• Imithi ecindezela amasosha akho omzimba
• Ukulimala kwamalungu kwakamuva
• I-arthroscopy yakamuva ehlangene noma okunye ukuhlinzwa

I-arthritis ye-Septic ingabonakala kunoma yikuphi ubudala. Ezinganeni, kwenzeka kakhulu kulabo abangaphansi kweminyaka emithathu. Isinqe ngokuvamile siyindawo yokutheleleka ezinganeni. Izimo eziningi zibangelwa iqembu le-B streptococcus. Enye imbangela ejwayelekile yile Umkhuhlane we-Haemophilus, ikakhulukazi uma ingane ingakagonyelwe leli gciwane.

Izimpawu zivame ukufika ngokushesha. Kukhona umkhuhlane nokuvuvukala okuhlangene okuvame ukuba sejoyini elilodwa nje. Kukhona nobuhlungu obukhulu bamalunga, obubi kakhulu ngokuhamba.

Izimpawu ezinganeni ezisanda kuzalwa noma ezinsaneni:

• Ukukhala lapho ukuhlanganiswa kwegciwane kuhanjiswa (isibonelo, ngesikhathi sokushintshwa kwe-diaper)
• Imfiva
• Ayikwazi ukuhambisa isitho ngejoyinti elinegciwane (pseudoparalysis)
• Ukuxokozela

Izimpawu ezinganeni nakubantu abadala:

• Ayikwazi ukuhambisa isitho ngejoyinti elinegciwane (pseudoparalysis)
• Ubuhlungu obuhlangene obukhulu
• Ukuvuvukala okuhlangene
• Ububomvu obuhlangene
• Imfiva

Ukugodola kungahle kwenzeke, kepha akuvamile.

Umhlinzeki wezokunakekelwa kwempilo uzohlola ukujoyina abuze ngezimpawu.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukufuthwa kuketshezi oluhlangene lokubalwa kwamaseli, ukuhlolwa kwamakristalu ngaphansi kwemicroscope, ibala legramu namasiko
• Isiko legazi
• I-X-ray yejoyinti elithintekile

Ama-antibiotic asetshenziselwa ukwelapha ukutheleleka.

Ukuphumula, ukukhulisa ukujoyina ngenhla kwenhliziyo, nokusebenzisa ukucindezela okupholile kungasiza ekunciphiseni ubuhlungu. Ngemuva kokuthi ilunga liqale ukululama, ukuzivocavoca kungasiza ekululameni ngokushesha.

Uma i-joint (synovial) fluid yakha ngokushesha ngenxa yokutheleleka, inaliti ingafakwa ejoyintini ukukhipha (aspirate) uketshezi. Amacala abucayi angadinga ukuhlinzwa ukukhipha uketshezi oluhlangene olunegciwane futhi unisele (ukugeza) ilunga.

Ukululama kuhle ngokwelashwa okusheshayo kwama-antibiotic. Uma ukwelashwa kubambezeleka, kungalimala unomphela ngokuhlanganyela.

Shayela i-aphoyintimenti nomhlinzeki wakho uma uba nezimpawu zesifo sokuqaqamba kwamalunga.

Ama-antibiotic wokuvimbela (prophylactic) angasiza abantu abasengozini enkulu.

Isifo samathambo; Isifo samathambo esingeyona i-gonococcal arthritis

• Amagciwane

Ukupheka i-PP, iSiraj DS. Isifo samathambo. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, abahleli. Incwadi kaKelly noFirestein yeRheumatology. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2017: isahluko 109.

URobinette E, Shah SS. Isifo samathambo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 705.