I-Osteomyelitis ezinganeni

I-Osteomyelitis yisifo sethambo esibangelwa amagciwane noma amanye amagciwane.

Ukutheleleka kwamathambo kuvame ukubangelwa amagciwane. Kungabangelwa isikhunta noma amanye amagciwane. Ezinganeni, amathambo amade ezingalo noma emilenze ajwayele ukubandakanyeka.

Lapho ingane ine-osteomyelitis:

• Amagciwane noma amanye amagciwane angadlulela ethanjeni kusuka esikhunjeni, imisipha, noma imisipha ethambile eduze kwethambo. Lokhu kungenzeka ngaphansi kwesikhumba.
• Ukutheleleka kungaqala kwenye ingxenye yomzimba futhi kusabalale ngegazi kuye ethanjeni.
• Ukutheleleka kungabangelwa ukulimala okuphula isikhumba nethambo (ukuphuka okuvulekile). Amagciwane angangena esikhunjeni futhi athelele ithambo.
• Ukutheleleka kungaqala futhi ngemuva kokuhlinzwa kwethambo. Lokhu kungenzeka kakhulu uma ukuhlinzwa kwenziwa ngemuva kokulimala, noma uma kufakwa izinduku zensimbi noma amapuleti ethanjeni.

Ezinye izinto ezinobungozi zifaka:

• Izinkinga zokubeletha ngaphambi kwesikhathi noma zokubeletha ezinganeni ezisanda kuzalwa
• Isifo sikashukela
• Ukutholakala kwegazi okuncane
• Ukulimala kwakamuva
• Isifo se-Sickle cell
• Ukutheleleka ngenxa yomzimba wangaphandle
• Izilonda zengcindezi
• Ukulunywa kwabantu noma ukulunywa yizilwane
• Amasosha omzimba abuthakathaka

Izimpawu ze-Osteomyelitis zifaka:

• Ubuhlungu bamathambo
• Ukujuluka okweqile
• Umkhuhlane namakhaza
• Ukungakhululeki okuvamile, ukungakhululeki, noma ukugula (malaise)
• Ukuvuvukala kwendawo, ubomvu, nokufudumala
• Ubuhlungu esizeni sokutheleleka
• Ukuvuvukala kwamaqakala, izinyawo, nemilenze
• Ukwenqaba ukuhamba (lapho kuthinteka amathambo omlenze)

Izinsana ezine-osteomyelitis kungenzeka zingabi nomkhuhlane noma ezinye izimpawu zokugula. Bangakugwema ukuhambisa isitho esinegciwane ngenxa yobuhlungu.

Umhlinzeki wezokunakekelwa kwempilo yengane yakho uzokwenza ukuhlolwa komzimba futhi abuze ngezimpawu ingane yakho enazo.

Ukuhlolwa umhlinzeki wengane yakho angaku-oda kufaka:

• 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 ukunqanda ukutheleleka nokunciphisa ukulimala kwethambo nezicubu ezizungezile.

Ama-antibiotic anikezwa ukubhubhisa amabhaktheriya abangela ukutheleleka:

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

Kungadingeka ukuhlinzwa ukuze kususwe izicubu zamathambo ezifile uma ingane inesifo esingapheli.

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

Uma ingane yakho yelashwa esibhedlela i-osteomyelitis, qiniseka ukuthi ulandela imiyalo yomhlinzeki ngokuthi uyinakekela kanjani ingane yakho ekhaya.

Ngokwelashwa, umphumela we-acute osteomyelitis uvame ukuba muhle.

Isimo sibi kakhulu kulabo abane-osteomyelitis yesikhathi eside (esingapheli). Izimpawu zingafika zidlule iminyaka, ngisho nokuhlinzwa.

Xhumana nomhlinzeki wengane yakho uma:

• Ingane yakho iba nezimpawu ze-osteomyelitis
• Ingane yakho ine-osteomyelitis futhi izimpawu ziyaqhubeka, noma ngabe zelashwa

Ukutheleleka kwamathambo - izingane; Ukutheleleka - ithambo - izingane

• I-Osteomyelitis

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UKrogstad P. Osteomyelitis. Ku: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, abahleli. Incwadi kaFeigin neCherry's Pediatric Infectious Diseases. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 55.

URobinette E, Shah SS. I-Osteomyelitis. 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 704.