Ithumba lomgogodla

Ithumba lomgogodla ukuvuvukala nokucasula (ukuvuvukala) nokuqoqwa kwezinto ezinesifo (ubomvu) namagciwane ngaphakathi noma eduze komgogodla.

Ithumba lomgogodla libangelwa ukutheleleka ngaphakathi komgogodla. Ithumba lomgogodla uqobo lwalo akuvamile. Ithumba lomgogodla livame ukuvela njengenkinga yethumba le-epidural.

Amafomu we-Pus njengeqoqo le:

• Amaseli egazi amhlophe
• Uketshezi
• Ama-bacteria aphilayo futhi afile noma amanye ama-microorganisms
• Amaseli wezicubu abhujisiwe

Ubomvu buvame ukumbozwa ulwelwesi noma ulwelwesi olwakha emaphethelweni. Ukuqoqwa kobomvu kubangela ingcindezi entanjeni yomgogodla.

Ukutheleleka kuvame ukubangelwa amagciwane. Imvamisa kubangelwa ukutheleleka kwe-staphylococcus okusabalala ngomgogodla. Kungabangelwa isifo sofuba kwezinye izindawo zomhlaba, kodwa lokhu akuvamile namuhla njengoba kwakunjalo esikhathini esedlule. Ezimweni ezingavamile, ukutheleleka kungahle kube ngenxa yefungus.

Lokhu okulandelayo kwandisa ubungozi bethumba lomgogodla:

• Ukulimala emuva noma ukuhlukumezeka, kufaka phakathi okuncane
• Amathumba esikhunjeni, ikakhulukazi ngemuva noma ekhanda
• Ukuncintisana kokubhoboza i-lumbar noma ukuhlinzwa emuva
• Ukusabalala kwanoma yikuphi ukutheleleka ngegazi kusuka kwenye ingxenye yomzimba (bacteremia)
• Ukujova izidakamizwa

Ukutheleleka kuvame ukuqala ethanjeni (i-osteomyelitis). Ukutheleleka kwethambo kungadala ithumba le-epidural. Leli thumba liyakhula futhi licindezele umgogodla. Ukutheleleka kungasakazeka entanjeni uqobo.

Ithumba lomgogodla alivamile. Uma kwenzeka, kungasongela impilo.

Izimpawu zingafaka noma yikuphi okulandelayo:

• Umkhuhlane namakhaza.
• Ukulahlekelwa yisinye noma ukulawulwa kwamathumbu.
• Ukulahleka kokuhamba kwendawo yomzimba ngaphansi kwethumba.
• Ukulahlekelwa ukuzwa kwendawo yomzimba ngaphansi kwethumba.
• Ubuhlungu beqolo obuphansi, buvame ukuba buthambile, kepha buya buba bucayi, nobuhlungu buya enqulwini, emlenzeni noma ezinyaweni. Noma, ubuhlungu bungasakazeka ehlombe, ingalo, noma isandla.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa ngokomzimba futhi angathola okulandelayo:

• Ubumnene ngaphezu komgogodla
• Ukucindezelwa kwentambo yomgogodla
• Ukukhubazeka komzimba ongezansi (i-paraplegia) noma isiqu sonke, izingalo nemilenze (i-quadriplegia)
• Izinguquko ekuzizweleni ngaphansi kwendawo lapho kuthinteka umgogodla

Inani lokulahleka kwemizwa kuncike ekutheni ithumba litholakala kuphi emgogodleni nokuthi licindezela kangakanani intambo yomgogodla.

Ukuhlolwa okungenziwa kufaka phakathi:

• Qedela ukubalwa kwegazi
• I-CT scan yomgogodla
• Ukukhipha ithumba
• Ibala le-Gram namasiko ento ebonakalayo
• I-MRI yomgogodla

Izinhloso zokwelashwa ukunciphisa ingcindezi emgogodleni nokwelapha ukutheleleka.

Ukuhlinzwa kungenziwa ngaso leso sikhathi ukukhulula ingcindezi. Kubandakanya ukususa ingxenye yethambo lomgogodla nokukhipha ithumba. Kwesinye isikhathi akunakwenzeka ukukhipha ithumba ngokuphelele.

Ama-antibiotic asetshenziselwa ukwelapha ukutheleleka. Imvamisa zinikezwa ngomthambo (IV).

Umuntu wenza kahle kangakanani ngemuva kokwelashwa kuyehluka. Abanye abantu balulama ngokuphelele.

Ithumba lomgogodla elingalashiwe lingaholela ekucindezelweni kwentambo yomgogodla. Kungadala ukukhubazeka unomphela, okunzima nokulahleka kwemizwa. Kungasongela impilo.

Uma ithumba lingakhishwa ngokuphelele, lingabuya noma lidale isibazi entanjeni yomgogodla.

Ithumba lingalimaza intambo yomgogodla kusuka ekucindezelekeni okuqondile. Noma, inganqamula ukunikezwa kwegazi entanjeni yomgogodla.

Izinkinga zingafaka:

• Ukutheleleka kuyabuya
• Ubuhlungu beqolo besikhathi eside (esingapheli)
• Ukulahlekelwa ukulawula kwesinye / kwamathumbu
• Ukulahlekelwa umuzwa
• Ukungabi namandla kwabesilisa
• Ubuthakathaka, ukukhubazeka

Iya egumbini labezimo eziphuthumayo noma ushayele inombolo yendawo ephuthumayo (efana ne-911), uma unezimpawu zethumba lomgogodla.

Ukwelashwa okuphelele kwamathumba, isifo sofuba nezinye izifo kunciphisa ubungozi. Ukuxilongwa nokwelashwa kusenesikhathi kubalulekile ukuvimbela izinkinga.

Ithumba - umgogodla

• Vertebrae
• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

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.

Kusuma S, Klineberg EO. Ukutheleleka komgogodla: ukuxilongwa nokwelashwa kwe-discitis, i-osteomyelitis, ne-epidural abscess. Ku: Ilungu lePhalamende laseSteinmetz, iBenzel EC, ama-eds. Ukuhlinzwa Komgogodla weBenzel. Umhla wesi-4. IPhiladelphia, PA: Elsevier; I-2017: isahluko 122.