Diskitis

Diskitis ndikutupa (kutupa) ndi mkwiyo wa malo pakati pa mafupa a msana (intervertebral disk space).

Diskitis ndizofala. Nthawi zambiri zimawoneka mwa ana ochepera zaka 10 komanso akuluakulu azaka pafupifupi 50. Amuna amakhudzidwa kwambiri kuposa akazi.

Diskitis imatha kuyambitsidwa ndi matenda ochokera kubakiteriya kapena kachilombo. Ikhozanso kuyambitsidwa ndi kutupa, monga matenda amthupi okha. Matenda omwe amadzichotsera okha ndi mikhalidwe momwe chitetezo chamthupi chimalowerera molakwika maselo ena mthupi.

Ma disks m'khosi ndi kumbuyo kwenikweni amakhudzidwa kwambiri.

Zizindikiro zimatha kuphatikizira izi:

• Kupweteka m'mimba
• Ululu wammbuyo
• Zovuta kudzuka ndikuyimirira
• Kuchuluka kokhotakhota kumbuyo
• Kukwiya
• Malungo ochepa (102 ° F kapena 38.9 ° C) kapena kutsika
• Kutuluka thukuta usiku
  
• Zizindikiro zaposachedwa ngati chimfine
• Kukana kukhala pansi, kuimirira, kapena kuyenda (mwana wamng'ono)
• Kuuma kumbuyo

Wothandizira zaumoyo adzayesa thupi ndikufunsa za zizindikiro.

Mayeso omwe atha kulamulidwa ndi awa:

• Kujambula mafupa
• Kuwerengera kwathunthu kwa magazi (CBC)
• Mapuloteni a ESR kapena C-othandizira kuti ayese kutupa
• MRI ya msana
• X-ray ya msana

Cholinga ndikuthetsa zomwe zimayambitsa kutupa kapena matenda ndikuchepetsa ululu. Chithandizo chitha kuphatikizira izi:

• Maantibayotiki ngati matendawa amayamba chifukwa cha bakiteriya
• Mankhwala oletsa kutupa ngati chifukwa chake ndimatenda amthupi okha
• Mankhwala opweteka monga ma NSAID
• Kupuma pogona kapena kulimba mtima kuti msana usayende
• Opaleshoni ngati njira zina sizigwira ntchito

Ana omwe ali ndi matendawa ayenera kuchira atachiritsidwa. Nthawi zambiri, kupweteka kwakumbuyo kosatha kumakhalapobe.

Pakakhala matenda amthupi mokha, zotsatira zake zimadalira momwe zimakhalira. Izi nthawi zambiri zimakhala matenda osowa omwe amafunikira chithandizo chanthawi yayitali.

Zovuta zingaphatikizepo:

• Kupweteka kwakumbuyo kosalekeza (kosowa)
• Zotsatira zoyipa za mankhwala
• Kukulitsa ululu ndi dzanzi ndi kufooka m'miyendo yanu

Itanani omwe akukuthandizani ngati mwana wanu ali ndi ululu wam'mbuyo wosatha, kapena mavuto ndi kuyimirira ndikuyenda zomwe zimawoneka zachilendo pamsinkhu wa mwanayo.

Kutupa kwa Disk

• Mafupa msana
• Diski ya intervertebral

Camillo FX. Matenda ndi zotupa za msana. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 42.

Hong DK, Gutierrez K. Diskitis. Mu: Long S, Prober CG, Fischer M, olemba. Mfundo ndi Zochita za Matenda Opatsirana a Ana. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 78.