Osteomyelitis ana

Osteomyelitis ndi matenda am'mafupa omwe amayamba chifukwa cha bakiteriya kapena majeremusi ena.

Matenda a mafupa nthawi zambiri amayamba chifukwa cha mabakiteriya. Ikhozanso kuyambitsidwa ndi bowa kapena majeremusi ena. Kwa ana, mafupa aatali a mikono kapena miyendo nthawi zambiri amatenga nawo mbali.

Mwana akakhala ndi matenda a osteomyelitis:

• Bakiteriya kapena majeremusi ena amatha kufalikira mpaka pafupa kuchokera pakhungu, minofu, kapena tendon yomwe ili pafupi ndi fupa. Izi zikhoza kuchitika pansi pa khungu.
• Matendawa amatha kuyamba mbali ina ya thupi ndikufalikira kudzera m'magazi mpaka fupa.
• Matendawa amatha chifukwa cha kuvulala komwe kumaswa khungu ndi fupa (kutseguka kotseguka). Mabakiteriya amatha kulowa pakhungu ndikupatsira fupa.
• Matendawa amathanso kuyamba pambuyo pochita opaleshoni ya mafupa. Izi ndizotheka ngati opareshoniyo yachitika pambuyo povulala, kapena ngati ndodo zachitsulo kapena mbale zimayikidwa mufupa.

Zina mwaziwopsezo ndizo:

• Matenda a kubadwa msanga kapena kubereka asanabadwe
• Matenda a shuga
• Magazi osauka
• Kuvulala kwaposachedwa
• Matenda a khungu
• Kutenga chifukwa cha thupi lachilendo
• Zilonda zamagetsi
• Kuluma kwa anthu kapena kulumidwa ndi nyama
• Chitetezo chofooka

Zizindikiro za Osteomyelitis ndi monga:

• Kupweteka kwa mafupa
• Kutuluka thukuta kwambiri
• Malungo ndi kuzizira
• Kusapeza bwino, kusakhazikika, kapena kudwala (malaise)
• Kutupa kwanuko, kufiira, ndi kutentha
• Ululu pamalo opatsirana
• Kutupa kwa akakolo, mapazi, ndi miyendo
• Kukana kuyenda (pomwe pali mafupa amiyendo)

Makanda omwe ali ndi osteomyelitis sangakhale ndi malungo kapena zizindikilo zina zakudwala. Angapewe kusuntha chiwalo chomwe chili ndi kachilomboka chifukwa cha ululu.

Wosamalira mwana wanu amamuyesa ndikufunsa za zomwe mwana wanu ali nazo.

Mayeso omwe wothandizila mwana wanu angathe kuyitanitsa ndi awa:

• Zikhalidwe zamagazi
• Bops biopsy (chitsanzocho chimakulitsidwa ndikuyesedwa pansi pa microscope)
• Kujambula mafupa
• X-ray ya mafupa
• Kuwerengera kwathunthu kwa magazi (CBC)
• Mapuloteni othandizira C (CRP)
• Mlingo wa sedimentation wa erythrocyte (ESR)
• MRI ya fupa
• Kukhumba kwa singano mdera la mafupa omwe akhudzidwa

Cholinga cha chithandizo ndikuletsa matenda ndikuchepetsa kuwonongeka kwa mafupa ndi ziwalo zina.

Maantibayotiki amaperekedwa kuti awononge mabakiteriya omwe akuyambitsa matendawa:

• Mwana wanu atha kulandira maantibayotiki opitilira kamodzi.
• Maantibayotiki amatengedwa kwa milungu yosachepera 4 mpaka 6, nthawi zambiri kunyumba kudzera mu IV (kudzera m'mitsempha, kutanthauza kudzera mumitsempha).

Kuchita opaleshoni kungafunike kuchotsa minofu yakufa ngati mwanayo ali ndi matenda omwe samatha.

• Ngati pali mbale zachitsulo pafupi ndi kachilomboka, zimafunika kuchotsedwa.
• Malo otseguka otsala ndi mafupa omwe achotsedwa atha kudzazidwa ndi zomenyera mafupa kapena zinthu zonyamula. Izi zimalimbikitsa kukula kwa minofu yatsopano ya mafupa.

Ngati mwana wanu anathandizidwa kuchipatala chifukwa cha matenda a osteomyelitis, onetsetsani kuti mukutsatira malangizo a omwe amakupatsani momwe mungasamalire mwana wanu kunyumba.

Ndi chithandizo, zotsatira za osteomyelitis yovuta nthawi zambiri zimakhala zabwino.

Maganizo ndi oyipa kwambiri kwa iwo omwe ali ndi matenda a osteomyelitis okhalitsa. Zizindikiro zimatha kupitilira zaka, ngakhale zitachitidwa opaleshoni.

Lumikizanani ndi omwe amakupatsani mwana ngati:

• Mwana wanu amakhala ndi matenda a osteomyelitis
• Mwana wanu ali ndi matenda a osteomyelitis ndipo zizindikirazo zimapitilira, ngakhale atalandira chithandizo

Matenda a mafupa - ana; Matenda - fupa - ana

• Osteomyelitis

Dabov GD. Osteomyelitis. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 14th. Philadelphia, PA: Elsevier; 2021: mutu 21.

Krogstad P. Osteomyelitis. Mu: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, olemba. Feigin ndi Cherry's Bookbook of Pediatric Infectious Diseases. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 55.

Robinette E, Shah SS. Osteomyelitis. 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 704.