I-Diskitis

I-Diskitis ukuvuvukala (ukuvuvukala) nokucasuka kwesikhala phakathi kwamathambo omgogodla (isikhala sediski se-intervertebral).

I-Diskitis yisimo esingajwayelekile. Kuvame ukubonwa ezinganeni ezingaphansi kweminyaka eyi-10 nakubantu abadala abaneminyaka engaba ngu-50 ubudala. Abesilisa bathinteka kakhulu kunabesifazane.

I-Diskitis ingabangelwa ukutheleleka okuvela kubhaktheriya noma igciwane. Kungabangelwa ukuvuvukala, okufana nezifo ezizimele. Izifo zokuzivikela ngokuzenzakalela yizimo lapho amasosha omzimba ahlasela ngephutha amaseli athile emzimbeni.

Amadiski asentanyeni nasemhlane ophansi athinteka kakhulu.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Ubuhlungu besisu
• Ukuhlungu obusemhlane
• Kunzima ukusukuma nokuma
• Ukwehliswa okwengeziwe komhlane
• Ukuthukuthela
• Umkhuhlane osezingeni eliphansi (102 ° F noma u-38.9 ° C) noma ngaphansi
• Ukujuluka ebusuku
  
• Izimpawu zakamuva ezifana nemikhuhlane
• Ukwenqaba ukuhlala phansi, ukuma, noma ukuhamba (ingane encane)
• Ukuqina emuva

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu.

Ukuhlolwa okunga-oda kufaka noma yikuphi okulandelayo:

• Ukuskena kwamathambo
• Qedela ukubalwa kwegazi (CBC)
• I-ESR noma i-C-protein esebenzayo ukukala ukuvuvukala
• I-MRI yomgogodla
• I-X-ray yomgogodla

Umgomo ukwelapha imbangela yokuvuvukala noma ukutheleleka nokunciphisa izinhlungu. Ukwelashwa kungafaka noma yikuphi okulandelayo:

• Ama-antibiotic uma ukutheleleka kubangelwa amagciwane
• Imithi elwa nokuvuvukala uma imbangela isifo esizimele
• Imithi yezinhlungu efana nama-NSAID
• Ukuphumula kombhede noma ukuqinisa isibopho ukugcina umhlane unganyakazi
• Ukuhlinzwa uma ezinye izindlela zingasebenzi

Izingane ezinesifo kufanele zilulame ngokuphelele ngemuva kokwelashwa. Ezimweni ezingavamile, ubuhlungu obungapheli bokubuyela emuva buqhubeka.

Ezimweni zesifo esizimele, umphumela uncike esimweni esingaphansi. Lezi zivame ukugula okungalapheki okudinga ukunakekelwa kwesikhathi eside kwezokwelapha.

Izinkinga zingafaka:

• Ubuhlungu beqolo obuqhubekayo (obungavamile)
• Imiphumela emibi yemithi
• Ubuhlungu obukhulayo ngokundikindiki nobuthakathaka ezithweni zakho

Shayela umhlinzeki wakho uma ingane yakho inezinhlungu zasemhlane ezingapheli, noma izinkinga zokuma nokuhamba ezibonakala zingavamile ngeminyaka yengane.

Ukuvuvukala kwediski

• Umgogodla wamathambo
• Idiski ye-intervertebral

UCamillo FX. Ukutheleleka nezicubu zomgogodla. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 42.

Hong DK, Gutierrez K. Diskitis. Ku: Long S, Prober CG, Fischer M, eds. Izimiso kanye Nokuzijwayeza Kwezifo Ezithathelwanayo Zengane. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 78.