Matenda a nyamakazi

Matenda a nyamakazi ndi kutupa kwa cholumikizira chifukwa cha matenda a bakiteriya kapena fungal. Matenda am'magazi omwe amayamba chifukwa cha mabakiteriya omwe amayambitsa chinzonono ali ndi zizindikilo zosiyana ndipo amatchedwa nyamakazi ya gonococcal.

Matenda am'magazi amayamba mabakiteriya kapena tizilombo tina tating'onoting'ono tomwe timayambitsa matenda timafalikira m'magazi mpaka olowa. Zitha kuchitika pomwe olowa ali ndi kachilombo koyambitsa kachilomboka kuchokera kuvulala kapena panthawi yopanga opaleshoni. Mafupa omwe amakhudzidwa kwambiri ndi bondo ndi mchiuno.

Matenda ambiri am'mimba amayamba chifukwa cha staphylococcus kapena streptococcus bacteria.

Matenda am'mimba am'mimba (omwe samadziwika bwino) amayamba chifukwa cha zinthu kuphatikizapo Mycobacterium chifuwa chachikulu ndipo Candida albicans.

Zinthu zotsatirazi zimawonjezera chiopsezo chanu cha nyamakazi ya septic:

• Amadzala olumikizira mafakitale
• Matenda a bakiteriya kwinakwake mthupi lanu
• Pamakhala mabakiteriya m'magazi anu
• Matenda osatha kapena matenda (monga matenda ashuga, nyamakazi, ndi matenda a chikwakwa)
• Kulowetsa mtsempha (IV) kapena kugwiritsa ntchito mankhwala osokoneza bongo
• Mankhwala omwe amaletsa chitetezo chanu chamthupi
• Kuvulala kwaposachedwa
• Posachedwapa arthroscopy yolumikizana kapena opaleshoni ina

Matenda a nyamakazi amatha kuwonekera msinkhu uliwonse. Kwa ana, zimachitika kawirikawiri kwa iwo ochepera zaka zitatu. Mchiuno nthawi zambiri ndimomwe mumakhala kachilombo kwa makanda. Nthawi zambiri zimayambitsidwa ndi gulu la mabakiteriya a B streptococcus. Chifukwa china chofala Fuluwenza Haemophilus, makamaka ngati mwanayo sanalandire katemera wa bakiteriya ameneyu.

Zizindikiro nthawi zambiri zimabwera mwachangu. Pali malungo ndi kutupa kolumikizana komwe nthawi zambiri kumakhala mgulu limodzi. Palinso kupweteka kwamalumikizidwe, komwe kumawonjezeka poyenda.

Zizindikiro mwa ana akhanda kapena makanda:

• Kulira pamene olowa ali ndi kachilombo amasunthidwa (mwachitsanzo, pakusintha kwa thewera)
• Malungo
• Simungathe kusuntha chiwalo ndi olowa nawo (pseudoparalysis)
• Kukangana

Zizindikiro mwa ana ndi akulu:

• Simungathe kusuntha chiwalo ndi olowa nawo (pseudoparalysis)
• Kupweteka kwambiri kwamalumikizidwe
• Kutupa pamodzi
• Kufiira kophatikizana
• Malungo

Kuzizira kumatha kuchitika, koma si kwachilendo.

Wothandizira zaumoyo awunika mgwirizanowu ndikufunsa za zisonyezo.

Mayeso omwe angachitike ndi awa:

• Kulakalaka kwamadzimadzi olumikizana ndi kuchuluka kwama cell, kuyesa makhiristo pansi pa microscope, banga la magalamu, ndi chikhalidwe
• Chikhalidwe chamagazi
• X-ray ya olowa bwanji

Maantibayotiki amagwiritsidwa ntchito pochiza matendawa.

Kupuma, kukweza cholumikizira pamwambapa pamtima, ndikugwiritsa ntchito ma compress ozizira kungathandize kuchepetsa ululu. Olowa atayamba kuchira, kuwachita kumatha kuthandiza kuchira msanga.

Ngati olowa (synovial) madzi amayamba msanga chifukwa cha matendawa, singano imatha kulowetsedwa mu cholumikizira kuti muchotse (aspirate) madziwo. Milandu yayikulu ingafune kuchitidwa opaleshoni kukhetsa madzi olowa omwe ali ndi kachilomboka ndikuthirira (kutsuka) cholumikizacho.

Kubwezeretsa kuli bwino ndikuthandizira maantibayotiki mwachangu. Ngati mankhwala akuchedwa, kuwonongeka kosagwirizana kumatha kubwera.

Funsani nthawi yokumana ndi omwe amakupatsani ngati mutayamba kukhala ndi vuto la nyamakazi.

Mankhwala opewera (prophylactic) atha kukhala othandiza kwa anthu omwe ali pachiwopsezo chachikulu.

Nyamakazi ya bakiteriya; Matenda a nyamakazi osakhala a gonococcal

• Mabakiteriya

Cook PP, Siraj DS. Matenda a nyamakazi. Mu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, olemba. Kelly ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 109.

Robinette E, Shah SS. Matenda a nyamakazi. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 705.