Osteomyelitis: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zoyambitsa zazikulu
• Momwe mungadziwire
• Momwe mankhwalawa amachitikira
• Kodi kudula kumafunika nthawi yanji?
• Mankhwala ena

Osteomyelitis ndi dzina lomwe limaperekedwa kumatenda a mafupa, omwe nthawi zambiri amayambitsidwa ndi mabakiteriya, koma omwe amathanso kuyambitsidwa ndi bowa kapena mavairasi. Matendawa amadza chifukwa chodetsa fupa, kudzera pakucheka kwambiri, kuthyoka kapena kuyika kwa prosthesis, koma amathanso kufikira fupa kudzera m'magazi, panthawi yamatenda opatsirana, monga abscess, endocarditis kapena chifuwa chachikulu. Mwachitsanzo.

Aliyense atha kukhala ndi matendawa, omwe nthawi zambiri samakhala opatsirana kuchokera kwa munthu wina kupita kwina, ndipo zomwe zimayambitsa zimaphatikizaponso ululu wakomweko mdera lomwe lakhudzidwa, kutupa ndi kufiira, komanso malungo, nseru ndi kutopa. Kuphatikiza apo, osteomyelitis imatha kugawidwa molingana ndi nthawi ya chisinthiko, momwe matendawo amagwirira ntchito komanso kuyankha kwa chamoyo:

• Chovuta: ikapezeka m'masabata awiri oyamba a matendawa;
• Zovuta kwambiri: amadziwika ndikupezeka mkati mwa milungu isanu ndi umodzi;
• Mbiri: zimachitika pakakhala milungu yopitilira 6 kapena ikapanga chotupa, nthawi zambiri chifukwa sichizindikirika ndikuchiritsidwa mwachangu, ikusintha ndikukula pang'onopang'ono komanso mosalekeza, komwe kumatha kupitilira miyezi kapena zaka.

Osteomyelitis imakhala ndi mankhwala ovuta komanso odyera nthawi, kuphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo kuti athetse tizilombo toyambitsa matenda, monga maantibayotiki omwe ali ndi mlingo waukulu komanso kwa nthawi yayitali. Kuchita opaleshoni kumatha kuwonetsedwa pamavuto akulu, kuchotsa minofu yakufa ndikuthandizira kuchira.

Zoyambitsa zazikulu

Zina mwazinthu zazikulu zomwe zimakhudzana ndikukula kwa osteomyelitis ndi:

• Ziphuphu zakhungu kapena mano;
• Zilonda pakhungu, monga mabala, mabala, cellulitis, jakisoni, maopaleshoni kapena kukhazikika kwa chida;
• Kuphulika kwa mafupa, pangozi;
• Kukhazikika kwa mafupa olumikizana kapena mafupa;
• Matenda opatsirana, monga endocarditis, chifuwa chachikulu, brucellosis, aspergillosis kapena candidiasis.

Osteomyelitis imatha kupezeka mwa aliyense, kuphatikiza achikulire ndi ana. Komabe, anthu omwe ali ndi chitetezo chokwanira, monga omwe ali ndi matenda a shuga, omwe amagwiritsa ntchito corticosteroids mosalekeza kapena omwe amalandira chemotherapy, mwachitsanzo, komanso anthu omwe ali ndi vuto loyenda magazi, omwe ali ndi matenda amitsempha kapena omwe achita opaleshoni pachiwopsezo chachikulu chotheka Matenda amtunduwu mosavuta, chifukwa izi ndi zomwe zimasokoneza kuyendetsa magazi kwabwino mpaka m'mafupa ndikukonda kuchuluka kwa tizilombo.

Momwe mungadziwire

Zizindikiro zazikulu za osteomyelitis, zonse zovuta komanso zopitilira muyeso, zimaphatikizapo:

• Kupweteka kwanuko, komwe kumatha kupitilirabe mu gawo losatha;
• Kutupa, kufiira ndi kutentha m'deralo;
• Fever, kuyambira 38 mpaka 39ºC;
• Kuzizira;
• Nseru kapena kusanza;
• Zovuta kusuntha dera lomwe lakhudzidwa;
• Abscess kapena fistula pakhungu.

Matendawa amapangidwa kudzera pakuwunika kwamankhwala komanso mayeso owonjezera ndi mayeso a labotale (kuchuluka kwa magazi, ESR, PCR), komanso ma radiography, tomography, magnetic resonance kapena bone scintigraphy. Chidutswa cha zinthu zomwe zili ndi kachilombo chiyeneranso kuchotsedwa kuti chizindikire tizilombo toyambitsa matenda, kuthandizira chithandizo.

Dokotala azisamalira kusiyanitsa osteomyelitis ndi matenda ena omwe angayambitse zizindikiro zofananira, monga septic arthritis, chotupa cha Ewing, cellulite kapena abscess yakuya, mwachitsanzo. Onani momwe mungasiyanitsire zomwe zimayambitsa kupweteka kwa mafupa.

Momwe mankhwalawa amachitikira

Pamaso pa osteomyelitis, chithandizo chikuyenera kuchitidwa mwachangu posachedwa kuti machiritso, ndi mankhwala amphamvu omwe ali ndi zotsatira zachangu, motsogozedwa ndi a orthopedist. Ndikofunikira kukhalabe mchipatala kuyambitsa maantibayotiki mumtsempha, kuyesa mayeso kuti mudziwe tizilombo toyambitsa matenda komanso ngakhale opaleshoni.

Ngati pali kusintha kwamankhwala ndi mankhwala, ndizotheka kupitiliza chithandizo kunyumba, ndi mankhwala pakamwa.

Kodi kudula kumafunika nthawi yanji?

Kudulidwa kumangofunika ngati njira yomaliza, pomwe mafupa amakhudzidwa kwambiri ndipo sanasinthe ndi chithandizo chamankhwala kapena opareshoni, kuwonetsa chiopsezo chachikulu cha moyo wa munthuyo.

Mankhwala ena

Palibe mtundu uliwonse wamankhwala anyumba womwe uyenera kulowa m'malo mwa mankhwala omwe dokotala wamuwuza kuti achiritse osteomyelitis, koma njira yabwino yothamangitsira kuchira ndikupumula, ndikukhala ndi chakudya chamagulu ndi hydration yabwino.

Physiotherapy si mankhwala omwe amathandiza kuchiza osteomyelitis, koma itha kukhala yothandiza mukamalandira chithandizo kapena mutalandira chithandizo kuti mukhale ndi moyo wabwino ndikuthandizanso kuchira.