So w’akyi yaw no nyɛ ɔhaw bi kɛkɛ? Momma yensua eyi ho ade (Vertebral Osteomyelitis)!

So w’akyi yɛ wo yaw mpɛn pii? Ebia wubesusuw sɛ, "Oh, eyi yɛ ade a ɛfata, gye w'ahome kakra kɛkɛ na ɛbɛkɔ." Nanso ɛnyɛ akyi yaw nyinaa na ɛyɛ mmerɛw saa. Ɛnnɛ yɛbɛka ɔyareɛ bi a ɛntaa nsi nanso ɛyɛ hu paa a ɛka akyi berɛmo no ho asɛm. Wɔfrɛ eyi akyi berɛmo mu nnompe mu yare.

Dɛn ne Vertebral Osteomyelitis?

Sɛ yɛbɛka no tiawa a, Vertebral Osteomyelitis yɛ nnompe mu yare (osteomyelitis) a ɛba akyi berɛmo (dompe bi a ɛwɔ w’akyi berɛmo mu) mu . Susuw ho hwɛ, yɛn akyi berɛmo yɛ nnompe nketewa pii a wɔaka abom, a yɛfrɛ no akyi berɛmo. Nea ɛkɔ so wɔ eyi mu ne sɛ ɔyare mmoawa bi hyɛn saa akyi berɛmo no biako mu na ɛde ɔyare mmoawa ba.

Saa tebea yi betumi aba bere a obi apira akyi berɛmo no akyi anaasɛ oprehyɛn akyi. Ɛtɔ da bi a, ɔyare mmoawa bi a ɛwɔ nipadua no mu baabi foforo betumi atrɛw akɔ akyi berɛmo no mu. Wɔsan frɛ eyi akyi berɛmo mu nnompe mu yare , na nnipa binom frɛ no spondylodiskitis .

Nea ɛho hia sen biara ne sɛ sɛ wususuw sɛ wowɔ saa tebea yi a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara . Eyi betumi de nkwa ato asiane mu sɛ wɔansa no yiye a. Wɔ nnuru a wɔde sa ɔyare mmoawa no akyi no, wubehia ayaresa afoforo de adi wo sɛnkyerɛnne ne nsɛnnennen ho dwuma.

Wobɛyɛ dɛn ahu eyi ho sɛnkyerɛnne ahorow?

Vertebral Osteomyelitis ho sɛnkyerɛnne ahorow bi ne:

• Akyi yaw: Eyi ne sɛnkyerɛnne titiriw. Ɛyaw no kɔ soro titiriw bere a wokɔ baabiara anaa woreyɛ adwuma biara no. Saa ɛyaw yi ano brɛ ase wɔ ofie ayaresa a ɛnyɛ den mu (sɛ nhwɛso no, ngo bi a wɔde gu so, aduru a wɔde kum ɛyaw a wɔnom).
• Akwaa a ɛyɛ mmerɛw na ɛyɛ wo yaw: Ebia wobɛte nka sɛ wo ho ayɛ wo yaw afi w’akyi akosi wo nsa anaa wo nan bi so, anaasɛ wobɛte nka sɛ wo ho ayɛ wo yaw te sɛ ntɛtea a wotu mmirika di akɔneaba.
• Wo mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu: Sɛ wo mu duru so tew a ntease biara nnim a, ɛno nso betumi ayɛ eyi ho sɛnkyerɛnne.
• Mmerewa ho atenka (mmerɛwyɛ): Te nka kɛkɛ sɛ wunni ahoɔden anaa ahoɔden biara.

Akyi yaw betumi ayɛ localized ( localized pain) anaasɛ ebetumi atrɛw akɔ nipadua no afã afoforo ( radiating pain). Mpɛn pii no, wɔte ɛyaw yi nka wɔ akyi (akyi akyi berɛmo) .

So yɛtaa nya atiridii bere a yɛanya ɔyare mmoawa no? Nanso susuw ho hwɛ, ebia eyi rente saa wɔ Vertebral Osteomyelitis asɛm no mu. Sɛnea abenfo kyerɛ no, nnipa baasa biara a wɔwɔ saa yare yi mu biako pɛ na obenya atiridiinini a ɛda adi pefee. Enti ɛho hia sɛ yɛkae sɛ yare yi betumi aba hɔ sɛ atiridii biara nni hɔ mpo a.

Dɛn na ɛde eyi ba?

Nea ɛde akyi berɛmo mu nnompe mu yare ba titiriw ne ɔyare mmoawa a ɛka akyi berɛmo no nnompe. Mmoawa a wɔde nyarewa ba no na abu so sen biara , titiriw Staphylococcus aureus ne MRSA. Eyinom yɛ mmoawa ahorow a anibere wom yiye. Afei nso, ɛwom sɛ ɛntaa nsi koraa de, nanso fungal yare bi betumi de tebea yi aba.

Fa no sɛ woapira w’akyi berɛmo, anaasɛ wɔde nnuru a wɔde twitwiw w’akyi berɛmo mu, anaasɛ wɔayɛ w’akyi berɛmo oprehyɛn. Saa bere no, mmoawa betumi afa kuru bi a abue mu akɔ mu. Anaasɛ, ɔyare mmoawa bi a ɛwɔ nipadua no mu baabi foforo, te sɛ nsu mu yare betumi afa mogya no mu na atrɛw akɔ akyi berɛmo no mu.

Hena na ɔwɔ asiane kɛse mu sɛ obenya eyi?

Nokwarem no, obiara betumi anya saa yare yi. Nanso, ɛda adi sɛ nnipa binom benya bi. Ma yɛnhwɛ nnipa ko a wɔyɛ?

• Nnipa a wɔte mmeae a nnipa ahyɛ hɔ ma, te sɛ nkwakoraa ne mmerewa afie ne mmeae a wɔhwɛ wɔn a wɔbom hwɛ: Asiane a ɛwɔ hɔ sɛ ɔyare mmoawa bɛtrɛw no dɔɔso wɔ mmeae yi.
• Nnipa a wɔayɛ wɔn oprehyɛn esiane akwanhyia bi te sɛ dompe a abubu nti: Bere a wɔyɛ oprehyɛn no, asiane a ɛwɔ hɔ sɛ wobenya ɔyare mmoawa no ba.
• Nnipa a wɔde nnuru a wɔde twitwiw wɔn akyi berɛmo mu: Mmoawa nso tumi fa nnuru a wɔde twitwiw wɔn akyi, te sɛ steroid a wɔde ma akyi berɛmo mu tebea horow bi so.
• Nnipa a wɔayɛ wɔn oprehyɛn te sɛ nkwaa a wɔde besi ananmu.
• Nnipa a mpa so apirakuru anaasɛ nhyɛso apira: Nyarewa nso betumi afa saa akuru yi mu akɔ mu, na ɛba bere a wotra mpa so wɔ gyinabea koro no ara mu kyɛ no.
• Nnipa a wɔde nnubɔne a mmara mma ho kwan gu wɔn mu anaasɛ wɔne afoforo kyɛ nnade: Eyi yɛ adeyɛ a asiane wom yiye, efisɛ ɛnyɛ den sɛ wobenya ɔyare mmoawa a emu yɛ den denam eyi so.

Afei nso, sɛ wowɔ aduruyɛ mu tebea bi a ɛma wo nipadua mu tumi a ɛko tia nyarewa no yɛ mmerɛw, anaasɛ worefa ayaresa ahorow a ɛyɛ mmerɛw a, asiane a ɛwɔ hɔ no yɛ kɛse mpo . Nhwɛsoɔ:

• Asikreyare `(Asikreyare)`
• Sickle cell mogya a ɛtɔ kɔ nipadua mu
• Nnuru a ɛma nipadua no tumi ko tia nyarewa a wɔnom (e.g. chemotherapy anaa corticosteroids a wɔnom) .
• Nnipa a ɛsɛ sɛ wɔyɛ wɔn mogya mu nhwehwɛmu esiane asaabo a entumi nyɛ adwuma yiye nti.

Nsɛnnennen bɛn na eyi betumi de aba?

Vertebral Osteomyelitis nyɛ yare a ɛsɛ sɛ wobu no adewa. Sɛ wɔansa no yiye a, ebetumi de nsɛnnennen a emu yɛ den te sɛ:

• Akisikuru:Nyarewa a ɛwɔ akyi berɛmo mu no betumi de nneɛma te sɛ akisikuru a ɛyɛ yaw kɛse aba.
• Ntini mu owu (`Necrosis`): Sɛ ɔyare no trɛw fi nnompe mu kɔ ntini, honam ani, anaa akyi berɛmo mu a, ntini a atwa ho ahyia no betumi awu.
• Nnompe mu yare: Nyarewa a emu yɛ den anaasɛ wɔansa no betumi atwa mogya a ɛkɔ akyi berɛmo no mu, na ama nnompe no awu koraa. Eyi yɛ tebea a ɛyɛ hu paa.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi pɛpɛɛpɛ?

Sɛ wokɔ oduruyɛfo nkyɛn a, obedi kan ahwɛ wo. Bere a wɔrehwehwɛ w'akyi ne w'akyi berɛmo mu no, wobebisa wo nsɛm te sɛ: "Ɛyɛ dɛn na ɛyaw yi fii ase?", "Akɔ so bere tenten ahe?", "Bere bɛn na ɛyaw no mu yɛ den?", "So sɛnkyerɛnne afoforo bi wɔ hɔ?" Hwɛ hu sɛ wobɛka biribiara a wunim akyerɛ wɔn.

Ɛno akyi no, wobetumi ayɛ nhwehwɛmu pii de asi Vertebral Osteomyelitis tebea ne ɔyare mmoawa a ɛde bae no so dua:

• Mogya mu nhwehwɛmu: Sɛnea ɛbɛyɛ a wobehu sɛ ɔyare mmoawa bi wɔ hɔ ne sɛnea ɛte.
• Biopsy: Dompe anaa ntini a ɔyare no wɔ mu ketewaa bi a wɔfa de yɛ nhwehwɛmu.
• CT scan nhwehwɛmu.
• MRI (MRI) sɔhwɛ: Eyi betumi ama akyi berɛmo, akyi berɛmo, ne ntini a atwa ho ahyia no ho mfonini a emu da hɔ yiye.
• Akyi berɛmo mu X-ray nhwehwɛmu.

Dɛn ne ayaresa a wɔde sa eyi?

Nea eye sen biara ne sɛ, ayaresa ahorow wɔ hɔ a wɔde sa tebea yi. Wo duruyɛfo bɛkyerɛw nnuru a ɛbɛma ɔyare mmoawa no afi hɔ. Nnuru a ekum ɔyare mmoawa a wɔde nya ɔyare mmoawa, ne nnuru a ekum fungal a wɔde sa fungal yare .

Ɛho hia yiye sɛ wobɛnom aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ wɔ bere tenten a wɔde sa yare no nyinaa mu . Sɛ wo ho tɔ wo kakra mpo a, nnyae nom. Sɛ woyɛ saa a, mmoawa no renkum wɔn koraa. Ebia ɔyare mmoawa no bɛsan aba bio. Mpɛn pii no, nyarewa a ɛsan ba no mu yɛ den sen kan no na ɛda adi sɛ ɛde nsɛnnennen bɛba.

Nea ɛka ho no, wo duruyɛfo betumi akyerɛ wo ayaresa afoforo te sɛ:

• Nnuru a wɔde kum ɛyaw a wɔde siw ɛyaw ano: Sɛ nhwɛso no, NSAIDs (NSAIDs) anaa paracetamol (acetaminophen).
• Needle aspiration: Sɛnea ɛbɛyɛ a wobeyi akisikuru anaa nsu afi akyi berɛmo no mu.
• Oprehyɛn: Sɛnea ɛbɛyɛ a wobeyi akisikuru anaasɛ wɔasiesie akyi berɛmo no. Nanso, wɔntaa nyɛ eyi.
• Akyi aduru a wode hyɛ: Boa w’akyi berɛmo kosi sɛ ɛbɛsa.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Esiane sɛ akyi yaw abu so nti, ebetumi ayɛ den kakra sɛ wobehu akyi berɛmo mu nnompe mu yare ho sɛnkyerɛnne ahorow no mfiase no. Ebia wubesusuw sɛ, "Eyi yɛ akyi yaw a ɛyɛ daa ara kwa."

Nanso, sɛ w’akyi yaw a ɛtra hɔ bɛboro nna kakraa bi, titiriw sɛ ɛnkɔ bere a woagye w’ahome awie anaasɛ wode ofie aduru a ɛnyɛ den di dwuma a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn . Afei nso, sɛ wuhu nsakrae bi wɔ nkate anaa tumi a wode tu wo nipadua no fã biara te sɛ akisikuru anaa mmerɛwyɛ mu a, ka kyerɛ wo duruyɛfo ntɛm ara.

Vertebral Osteomyelitis yɛ aniberesɛm dɛn?

Eyi yɛ ɔyare mmoawa a emu yɛ den ankasa, na ɛtɔ mmere bi a ebetumi akum obi .

Nanso, sɛ wosa wo yare yiye a, wubetumi ho atɔ wo wɔ adapɛn anan kosi asia ntam. Nanso, ebetumi agye asram asia ansa na ne ho atɔ no koraa.

Sɛ wɔansa a, ebetumi ama akyi berɛmo asɛe kɛse anaasɛ mogya mu awuduru (septiceemia). Nea ɛyɛ awerɛhow sen biara ne sɛ, sɛnea abenfo kyerɛ no, sɛ wohu yare no, wɔsa no yare, na wɔsa mpo a, nnipa du biara a wɔwɔ yare no mu bɛyɛ biako bewu wɔ afe biako mu . Eyi kyerɛ sɛnea tebea yi mu yɛ den fa.

Awiei koraa no, ɛsɛ sɛ meka kyerɛ wo... (Take-Home Message)

Adwene a ɛfa akyi berɛmo mu yare te sɛ akyi berɛmo mu nnompe mu yare ho no betumi ayɛ hu. Nanso kae sɛ eyi yɛ yare a wotumi sa . Enti, sɛ wote nka sɛ biribi anyɛ yiye anaasɛ ɛyɛ soronko a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn, sen sɛ wobɛpow sɛ "asɛm a ɛbae ara kwa."

Fa wo ho to wo gut so, gye nea wo nipadua reka akyerɛ wo no di. Sɛ wote biribi te sɛ ɛyaw, mmerɛwyɛ, akisikuru, anaa biribi a ɛma wususuw sɛ, "Eyi nteɛ" nka a, ebia ɛte saa. Dodow a oduruyɛfo hu saa tebea yi ntɛm na ofi ayaresa ase no, dodow no ara na eye ma wo. Ayaresa a wodi ntɛm betumi aboa wo ma woakwati nsɛnnennen a emu yɛ den na wo ho atɔ wo ntɛmntɛm. Enti, hwɛ wo nipadua no yiye, na sɛ wuhu biribi soronko bi a, yɛ ho biribi ntɛm ara!

` Akyi yareɛ, akyi berɛmo mu yareɛ, akyi yaw, nnompe mu yareɛ, spondylodiscitis, vertebral osteomyelitis, akyi yaw