Osteomyelitis: kuyini, izimpawu kanye nokwelashwa

-Delile

• Izimbangela eziyinhloko
• Ungayibona kanjani
• Yelashwa kanjani
• Kudingeka nini ukunqunywa?
• Ezinye izindlela zokwelapha

I-Osteomyelitis yigama elinikezwe ukutheleleka kwamathambo, imvamisa okubangelwa amagciwane, kepha futhi elingabangelwa isikhunta noma amagciwane. Lokhu kutheleleka kwenzeka ngokungcoliswa ngqo kwethambo, ngokusikeka okujulile, ukuqhekeka noma ukufakelwa kwesitho sokufakelwa, kepha futhi kungafinyelela ethanjeni egazini, ngesikhathi sesifo esithathelwanayo, njenge-abscess, i-endocarditis noma isifo sofuba., isibonelo.

Noma ngubani angaba nalesi sifo, esingajwayelekile ukusuleleka sisuka komunye umuntu siye komunye, futhi izimpawu ezibangelwe kubandakanya ubuhlungu bendawo endaweni ethintekile, ukuvuvukala nokubomvu, kanye nomkhuhlane, isicanucanu nokukhathala. Ngaphezu kwalokho, i-osteomyelitis ingahlukaniswa ngokwesikhathi sokuvela, indlela yokutheleleka nokuphendula komzimba:

• Okuhle: lapho kutholakala emavikini amabili okuqala wesifo;
• Okuncane kakhulu: siyabonakala futhi sitholwe kungakapheli amasonto ayisithupha;
• Umlando: kwenzeka lapho ihlala ngaphezu kwamasonto ayisithupha noma lapho yakha ithumba, imvamisa ngoba ayibonwa futhi yelashwe ngokushesha, iguquke futhi yande kancane kancane nangokuqhubekayo, engaqhubeka izinyanga noma ngisho neminyaka.

I-Osteomyelitis inokwelashwa okunzima futhi okudla isikhathi, kufaka phakathi ukusetshenziswa kwezidakamizwa ukuqeda ama-microorganisms, njengama-antibiotic anezilinganiso eziphakeme futhi isikhathi eside. Ukuhlinzwa kungakhonjiswa futhi ezimweni ezinzima kakhulu, ukususa izicubu ezifile nokwenza lula ukululama.

Izimbangela eziyinhloko

Ezinye zezici eziyinhloko ezihambisana nokuthuthukiswa kwe-osteomyelitis yilezi:

• Amathumba esikhumba noma amazinyo;
• Izilonda zesikhumba, ezinjengokusikeka, amanxeba, i-cellulitis esithathelwanayo, imijovo, ukuhlinzwa noma ukufakelwa kokwenza into ethile;
• Ukuphuka kwamathambo, ezingozini;
• Ukufakelwa kokuhlanganiswa okuhlangene noma kwamathambo;
• Ukutheleleka okujwayelekile, njenge-endocarditis, isifo sofuba, i-brucellosis, i-aspergillosis noma i-candidiasis.

I-Osteomyelitis ingenzeka kunoma ngubani, kufaka phakathi abantu abadala nezingane. Kodwa-ke, abantu abanokukhubazeka okungatheleleki, njengalabo abanesifo sikashukela esibolile, abasebenzisa i-corticosteroids ngokungapheli noma abathola ukwelashwa ngamakhemikhali, ngokwesibonelo, kanye nabantu abanokukhubazeka kwegazi, abanezifo zemizwa noma abasanda kuhlinzwa. lolu hlobo lokutheleleka kalula, njengoba lezi kuyizimo ezibeka engozini ukugeleza kwegazi okunempilo ziye ethanjeni futhi zivune ukwanda kwamagciwane.

Ungayibona kanjani

Izimpawu eziyinhloko ze-osteomyelitis, zombili ezinzima futhi ezingapheli, zifaka:

• Ubuhlungu bendawo, obungaphikelela esigabeni esingapheli;
• Ukuvuvukala, ukubomvu nokushisa endaweni ethintekile;
• Imfiva, kusuka ku-38 kuye ku-39ºC;
• Ukugodola;
• Isicanucanu noma ukuhlanza;
• Kunzima ukuhambisa isifunda esithintekile;
• Ithumba noma i-fistula esikhunjeni.

Ukuxilongwa kwenziwa ngokuhlolwa komtholampilo kanye nokuhlolwa okuhambisanayo nokuhlolwa kwelabhorethri (ukubalwa kwegazi, i-ESR, i-PCR), kanye ne-radiography, i-tomography, i-magnetic resonance noma i-bone scintigraphy. Ucezu lwento enegciwane kufanele futhi lususwe ukukhomba i-microorganism ebhekene nokutheleleka, okwenza lula ukwelashwa.

Udokotela futhi uzonakekela ukwehlukanisa i-osteomyelitis kwezinye izifo ezingadala izimpawu ezifanayo, njenge-septic arthritis, isimila sika-Ewing, i-cellulite noma ithumba elijulile, isibonelo. Bheka ukuthi ungahlukanisa kanjani izimbangela eziyinhloko zobuhlungu bamathambo.

Yelashwa kanjani

Lapho kukhona i-osteomyelitis, ukwelashwa kudinga ukwenziwa ngokushesha okukhulu ukuvumela ukwelashwa, ngemithi enamandla enamandla asheshayo, eqondiswa udokotela wamathambo. Kuyadingeka ukuthi uhlale esibhedlela ukuqala ama-antibiotic emthanjeni, wenze izivivinyo ukukhomba i-microorganism ngisho nokuhlinzwa.

Uma kunokuthuthuka komtholampilo ngemithi, kungenzeka ukuqhubeka nokwelashwa ekhaya, ngemithi ngomlomo.

Kudingeka nini ukunqunywa?

Ukunqunywa kudingekile kuphela njengesinqumo sokugcina, lapho ukubandakanyeka kwamathambo kunzima kakhulu futhi kungakathuthuki ngokwelashwa noma ngokuhlinzwa, kuveza ingozi enkulu yokuphila yalowo muntu.

Ezinye izindlela zokwelapha

Alukho uhlobo lokwelashwa kwasekhaya okufanele luthathe indawo yemithi eqondiswe udokotela ukwelapha i-osteomyelitis, kepha indlela enhle yokusheshisa ukutakula ukuphumula, nokugcina ukudla okunomsoco nge-hydration enhle.

I-Physiotherapy akuyona ukwelashwa okusiza ukwelapha i-osteomyelitis, kepha kungasiza ngesikhathi noma ngemuva kokwelapha ukugcina ikhwalithi yempilo nokusiza ukululama.