I-Osteomyelitis

I-Osteomyelitis yisifo sethambo. Kubangelwa ikakhulu amagciwane noma amanye amagciwane.

Ukutheleleka kwamathambo kuvame ukubangelwa amagciwane. Kodwa futhi kungabangelwa isikhunta noma amanye amagciwane. Lapho umuntu ene-osteomyelitis:

• Amagciwane noma amanye amagciwane angadlulela ethanjeni kusuka esikhunjeni, imisipha, noma imisipha ethambile eduze kwethambo. Lokhu kungenzeka ngaphansi kwesikhumba.
• Ukutheleleka kungaqala kwenye ingxenye yomzimba bese kusabalalela ethanjeni ngegazi.
• Ukutheleleka kungaqala futhi ngemuva kokuhlinzwa kwethambo. Lokhu kungenzeka kakhulu uma ukuhlinzwa kwenziwa ngemuva kokulimala noma uma kufakwa izinduku zensimbi noma amapuleti ethanjeni.

Ezinganeni, amathambo amade ezingalo noma emilenze ajwayele ukubandakanyeka. Kubantu abadala, izinyawo, amathambo omgogodla (i-vertebrae), kanye ne-hips (i-pelvis) kuthinteka kakhulu.

Izici zobungozi yilezi:

• Isifo sikashukela
• Ukuhlolwa kweHemodialysis
• Ukutholakala kwegazi okuncane
• Ukulimala kwakamuva
• Ukusetshenziswa kwezidakamizwa ezingekho emthethweni ezijojowe
• Ukuhlinzwa okubandakanya amathambo
• Amasosha omzimba abuthakathaka

Izimpawu ze-osteomyelitis azicacisiwe futhi ziyahluka ngokweminyaka. Izimpawu eziyinhloko zifaka:

• Ubuhlungu bamathambo
• Ukujuluka okweqile
• Umkhuhlane namakhaza
• Ukungakhululeki okuvamile, ukungakhululeki, noma ukugula (malaise)
• Ukuvuvukala kwendawo, ubomvu, nokufudumala
• Isilonda esivulekile esingaveza ubomvu
• Ubuhlungu endaweni yokutheleleka

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho. Ukuhlolwa kungakhombisa ukuthamba kwethambo nokuvuvukala okungenzeka kanye nokubomvu endaweni ezungeze ithambo.

Ukuhlolwa kungafaka:

• Amasiko egazi
• I-Bone biopsy (isampula ikhulisiwe futhi ihlolwe ngaphansi kwesibonakhulu)
• Ukuskena kwamathambo
• I-X-ray yethambo
• Qedela ukubalwa kwegazi (CBC)
• Amaprotheni asebenza ngoku-C (CRP)
• Izinga le-sedimentation ye-Erythrocyte (ESR)
• I-MRI yethambo
• Ukufiswa kwenaliti kwendawo yamathambo athintekile

Inhloso yokwelashwa ukuqeda ukutheleleka nokunciphisa ukulimala kwethambo nezicubu ezizungezile.

Ama-antibiotic anikezwa ukubhubhisa amabhaktheriya abangela ukutheleleka:

• Ungathola ama-antibiotic angaphezu kwelilodwa ngesikhathi.
• Ama-antibiotic athathwa okungenani amasonto ama-4 kuye kwayisithupha, imvamisa ekhaya nge-IV (ngemithambo, okusho ngomthambo).

Kungadingeka ukwelashwa ukuze kususwe izicubu zamathambo ezifile uma lezi zindlela ezingenhla zehluleka:

• Uma kukhona amapuleti ensimbi eduze kokutheleleka, kungadingeka ukuthi asuswe.
• Isikhala esivulekile esishiywe yizicubu zethambo ezisusiwe singagcwaliswa ngokuxhunyelelwa kwamathambo noma izinto zokupakisha. Lokhu kuthuthukisa ukuxazululwa kokutheleleka.

Ukutheleleka okwenzeka ngemuva kokufakwa esikhundleni ngokuhlanganyela kungadinga ukuhlinzwa. Lokhu kwenzelwa ukususa izicubu ezihlanganisiwe nezithelelekile endaweni. Kungafakwa i-prosthesis entsha ekusebenzeni okufanayo. Kaningi, odokotela balinda kuze kuphele inkambo yama-antibiotic bese ukutheleleka kungasekho.

Uma unesifo sikashukela, kuzodingeka silawulwe kahle. Uma kunezinkinga zokuphakelwa kwegazi endaweni enegciwane, njengonyawo, ukuhlinzwa kungadingeka ukuze kuthuthukiswe ukugeleza kwegazi ukuze kuqedwe ukutheleleka.

Ngokwelashwa, umphumela we-osteomyelitis oyingozi uvame ukuba muhle.

Isimo sibi kakhulu kulabo abane-osteomyelitis yesikhathi eside (esingapheli). Izimpawu zingafika zidlule iminyaka, ngisho nokuhlinzwa. Ukunqunywa kungadingeka, ikakhulukazi kubantu abanesifo sikashukela noma ukujikeleza kwegazi okungalungile.

Umbono wabantu abanegciwane lesifo sokufakelwa uncike kancane ku:

• Impilo yomuntu
• Uhlobo lokutheleleka
• Ukuthi isitho sokufakelwa esinegciwane singasuswa ngokuphepha

Shayela umhlinzeki wakho uma:

• Thuthukisa izimpawu ze-osteomyelitis
• Iba ne-osteomyelitis eqhubeka ngisho nokwelashwa

Ukutheleleka kwamathambo

• I-osteomyelitis - ukukhipha

• I-X-ray
• Amathambo
• I-Osteomyelitis
• Amagciwane

UMatteson EL, u-Osmon DR. Ukutheleleka kwama-bursae, amalunga, namathambo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 256.

URaukar NP, uZink BJ. Ukutheleleka kwamathambo namalunga. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 128.

UTande AJ, uSteckelberg JM, u-Osmon DR, uBerbari EF. I-Osteomyelitis. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 104.