Ithumba le-Epidural

Ithumba elibizwa ngokuthi i-epidural abscess iqoqo lobofu (into ethelelekile) namagciwane phakathi kwesembozo sangaphandle sobuchopho nomgogodla namathambo ogebhezi noma umgogodla. Ithumba lidala ukuvuvukala endaweni.

Ithumba le-Epidural yisifo esingajwayelekile esidalwa ukutheleleka endaweni phakathi kwamathambo ogebhezi, noma umgogodla, nolwelwesi olumboze ubuchopho nomgogodla (meninges). Lokhu kutheleleka kubizwa ngokuthi yi-intracranial epidural abscess uma kungaphakathi kwendawo yogebhezi. Ibizwa ngokuthi ithumba lomgogodla lapho kutholakala endaweni yomgogodla. Iningi likhona emgogodleni.

Ukutheleleka komgogodla kuvame ukubangelwa ngamagciwane kepha kungabangelwa ukhunta. Kungabangelwa ezinye izifo emzimbeni (ikakhulukazi ukutheleleka komgudu womchamo), noma amagciwane asakazeka egazini. Kwabanye abantu, noma kunjalo, awutholakali omunye umthombo wokutheleleka.

Ithumba elingaphakathi kogebhezi libizwa ngokuthi ithumba le-epidural le-intracranial. Isizathu kungaba yinoma ikuphi kokulandelayo:

• Ukutheleleka okungapheli ezindlebeni
• I-sinusitis engapheli
• Ukulimala ekhanda
• Mastoiditis
• I-neurosurgery yakamuva

Ithumba lomgogodla libizwa ngokuthi ithumba lomgogodla. Kungabonakala kubantu abanokunye kwalokhu okulandelayo:

• Ngaba nokuhlinzwa emuva noma enye inqubo ehlaselayo ehilela umgogodla
• Ukutheleleka kwegazi
• Amathumba, ikakhulukazi ngemuva noma ekhanda
• Ukutheleleka kwamathambo komgogodla (i-vertebral osteomyelitis)

Abantu abajova izidakamizwa nabo basengozini enkulu.

Ithumba lesikhumba lomgogodla lingadala lezi zimpawu:

• Ukungahambelani kwamathumbu noma kwesisu
• Kunzima ukuchama (ukugcinwa komchamo)
• Imfiva nobuhlungu beqolo

I-intracranial epidural abscess ingadala lezi zimpawu:

• Imfiva
• Ubuhlungu bekhanda
• Imikhuba emibi
• Isicanucanu nokuhlanza
• Ubuhlungu esizeni sokuhlinzwa kwakamuva okuya ngokuya kuba kubi (ikakhulukazi uma umkhuhlane ukhona)

Izimpawu zesistimu ethusayo zincike endaweni yethumba futhi zingafaka:

• Ukwehla kwekhono lokuhambisa noma iyiphi ingxenye yomzimba
• Ukulahlekelwa umuzwa kunoma iyiphi indawo yomzimba, noma ushintsho olungavamile ekuzweleni
• Ubuthakathaka

Umhlinzeki wezokunakekelwa kwempilo uzokwenza isivivinyo somzimba ukuze abheke ukulahleka kwemisebenzi, njengokuhamba noma ukuzwa.

Ukuhlolwa okungenziwa kufaka phakathi:

• Amasiko egazi ukuhlola amagciwane egazini
• Qedela ukubalwa kwegazi (CBC)
• I-CT scan yekhanda noma umgogodla
• Ukukhipha ithumba nokuhlolwa kwendaba
• I-MRI yekhanda noma yomgogodla
• Ukuhlaziywa komchamo namasiko
  

Umgomo wokwelashwa ukwelapha ukutheleleka nokunciphisa ubungozi bokulimala unomphela. Ukwelashwa kuvame ukufaka ama-antibiotics nokuhlinzwa. Kwezinye izimo, kusetshenziswa ama-antibiotic kuphela.

Imithi elwa namagciwane ivame ukunikezwa ngomthambo (IV) okungenani amasonto amane kuya kwayisithupha. Abanye abantu badinga ukuwathatha isikhathi eside, kuya ngohlobo lwama-bacteria nokuthi isifo sinzima kangakanani.

Ukuhlinzwa kungadingeka ukukhipha noma ukususa ithumba. Ukuhlinzwa kuyadingeka kaningi ukunciphisa ingcindezi emgogodleni noma ebuchosheni, uma kunobuthakathaka noma ukulimala kwezinzwa.

Ukuxilongwa nokwelashwa kusenesikhathi kuthuthukisa kakhulu ithuba lomphumela omuhle. Lapho ushintsho lobuthakathaka, ukukhubazeka, noma ukuzwa kwenzeka, ithuba lokuthola umsebenzi olahlekile linciphile kakhulu. Ukulimala okungapheli kwesistimu yezinzwa noma ukufa kungenzeka.

Izinkinga zingafaka:

• Ithumba lobuchopho
• Ukulimala kobuchopho
• Ukutheleleka kwamathambo (i-osteomyelitis)
• Ubuhlungu obungapheli emuva
• I-Meningitis (ukutheleleka kolwelwesi olumboze ubuchopho nomgogodla)
• Ukulimala kwemizwa
• Ukubuyela kokutheleleka
• Ithumba lomgogodla

Ithumba elibizwa ngokuthi i-epidural abscess liyisimo esiphuthumayo sezokwelapha. Iya egumbini labezimo eziphuthumayo noma ushayele inombolo yendawo ephuthumayo (efana ne-911) uma unezimpawu zethumba lomgogodla.

Ukwelashwa kwezifo ezithile, njengokungenwa yizindlebe, i-sinusitis, kanye nokutheleleka kwegazi, kunganciphisa ingozi yethumba le-epidural. Ukuxilongwa nokwelashwa kusenesikhathi kubalulekile ukuvimbela izinkinga.

Ithumba - i-epidural; Ithumba lomgogodla

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.

I-Tunkel AR. I-empyema engaphansi, i-epidural abscess, ne-suppurative intracranial thrombophlebitis. Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases, uHlelo Olubuyekeziwe. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 93.