Mía dometɔ akpa gãtɔ ƒe akɔta ve le míaƒe agbemeɣeyiɣi aɖe me. Ate ŋu atso agba kpekpewo kɔkɔ, anyinɔƒe si mesɔ o, alo ɖeɖiteameŋu ko gbɔ. Gake ne wò akɔtavea le sesẽm ɖe edzi gbesiagbe, eye nèse le ɖokuiwò me be asrã kple vuvɔ le ye ŋu la, mègaŋe aɖaba ƒu edzi be enye akɔtave si sɔ ko o. Elabena togbɔ be ƒã ŋutɔ hã la, ate ŋu anye aklãdɔléle ƒe dzesi. Esiawo ate ŋu anye afɔku gã aɖe, eyata mina míanɔ ŋudzɔ ɖe esia ŋu.
Nukawoe nye aklãdɔléle siawo?
Kpuie ko la, aklãdɔ nye dɔlékui alo fungi ƒe dɔléle si le aklã alo lãkusi siwo ƒo xlãe me. Míaƒe akɔta nye ƒu suesuesue siwo kplɔ wo nɔewo ɖo (siwo woyɔna be vertebrae) siwo ƒo ƒu ɖe wo nɔewo dzi. Dɔlékui sia ate ŋu agblẽ nu le akɔta ƒe ƒuwo, ƒuwo dome diskwo, alo lãkusi siwo ƒo xlã akɔta ŋu.
Tsɔe be dɔlékui aɖe le ŋuwò le teƒe si le wò akɔtaƒuwo dome. Àte ŋu ase akɔtave sesẽ, dzoxɔxɔ, lolo dzi ɖeɖe kpɔtɔ, kple aɖuɖɔtoe sesẽ. Esiawo nye nɔnɔme sesẽwo, eyata ne nane tsi dzi na wò la, ele vevie be nàkpɔ wò ɖɔkta enumake be woakpɔ dɔlélea nyuie. Ne menye nenema o la, àte ŋu ava gblẽ nu le wò akɔta kple xɔtunu siwo ƒo xlãe ŋu si womate ŋu atrɔ o.
Azɔ mina míalé ŋku ɖe dɔlékui siawo ƒomevi vevi aɖewo ŋu.
1. Ƒumeŋuɖui ƒe dɔléle
Esia nye aklãdɔ ƒomevi aɖe si bɔ ɖe ame tsitsiwo me. Woyɔa esia ɣeaɖewoɣi be `(Spondylodiscitis)`. Esiae nye esime dɔlékuiwo va le akɔta ƒe ƒu siwo woyɔna be vertebrae la me . Ate ŋu akaka ɖe ƒuawo dome (intervertebral discs) hã me.
Nukawoe nye susu siwo tae wòle alea ɖo?
Dɔlékuiwo, dɔlékuiwo, alo fungi siwo gena ɖe aklã me gbɔ ate ŋu atso nɔnɔme sia gbɔ. Mɔ vovovowo li siwo dzi dɔlékui siawo ate ŋu ato age ɖe eme:
- Amekoko: Le kpɔɖeŋu me, le amekoko vɔ megbe la, dɔlékui aɖe ate ŋu ato ga si wotsɔ de aklã me ɣemaɣi me age ɖe eme.
- Kaka tso lãkusi siwo ƒo xlãe me: Ne dɔlékui aɖe le lãkusi siwo ƒo xlã akɔta , ate ŋu akaka ɖe aklã me.
- Kaka to ʋu me: Dɔlékui aɖe si le ŋutilã ƒe akpa bubu (e.g., ŋutigbalẽ, lãkusi) ate ŋu ato ʋua me eye wòanɔ aklã me.
Nukawoe nye dzesiawo?
Esia ƒe dzesi vevitɔ kple ɣeaɖewoɣi koe nye akɔtave, si nu sẽna ɖe edzi le zã me eye meɖina ne wogbɔ ɖe eme kura o.Esia ƒe etɔxɛe nye vevesese sesẽa. Esesẽna wu ne èle agbagba dzem be yeadɔ alɔ̃ le zã me le dɔwɔwɔ ŋkeke bliboa megbe.
Zi geɖe la, esesẽna be woakpɔ dɔléle sia elabena zi geɖe la, vevesese koe wòtena ɖe edzi. Gake ne dɔlékuia te ɖe aklãa ŋu , ate ŋu ahe kuxiwo abe abɔ kple afɔwo ʋuʋu sesẽ kple abɔ kple afɔwo ƒe ʋuʋu kple lãmetutudɔ ene vɛ.
Atikewɔwɔ kple dɔlélea didi
Ne wò ɖɔkta susui be nɔnɔme sia le ŋuwò la, ate ŋu aɖe gbe be woawɔ dodokpɔ siwo gbɔna.
| Dodokpɔ | Nuka kpɔm nèle? (Taɖodzi) |
|---|---|
| Ʋudodokpɔwo | Kpɔe ɖa be dɔlékui le ŋutilãa me hã (ʋumenugbagbevi ɣiwo ƒe xexlẽme). |
| X-ray, CT-dɔdamɔnu, MRI-dɔdamɔnu | Kpɔe ɖa be afikae dɔlékuia kaka ɖo, nenye be abi aɖe do, kple ne ƒuwo gblẽ hã. |
Wonɔa te ɖe dodokpɔ siawo me tsonu dzi nyaa atikewɔwɔ. Zi geɖe la, woate ŋu atsɔ dɔlékuiwutikewo zazã ɣeyiɣi didi aɖe ada esia. Gake ne kuxi bubuwo, abe aklã ƒe malikenyenye ene, li la, ate ŋu ahiã be woawɔ dɔ nɛ.
2. Discitis ƒe dɔléle
Le akɔtaƒu eve siwo ŋu meƒo nu tsoe va yi dome la, teƒe aɖe le abe jelly ene. Míeyɔa esia be intervertebral disc. Ele abe ʋu ƒe ʋuʋudedi ene, eye woxɔa nyaƒoɖeamenu si le akɔta. Discitis nye ne dɔlékui le disk ma me eye wòvuvu. Ðɔkta aɖewo xɔe se be Osteomyelitis kple Discitis nye dɔléle ɖeka ƒe akpa eve .
Susu siwo tae
Esia hã nye dɔlékui si ate ŋu adzɔ le amekoko vɔ megbe alo le eɖokui si. Dɔlékui si nye `Staphylococcus aureus` gbɔe wòtsona koŋ. Gakpe ɖe eŋu la, dɔlékui ƒomevi bubuwo abe `Streptococcus` hã ateŋu anye nusi gbɔ wòtso.
Tsɔe be aɖuɖɔtoedɔ alo aklãdɔ le ame aɖe ŋu. Dɔlékui siawo ate ŋu ato ʋukawo me eye woanɔ ta ƒe megbe. Nɔnɔme sia ate ŋu adzɔ ɖe amesiwo ŋu dɔléle bubuwo le, abe suklidɔ ene, dzi wu.
Dzesiwo kple kuxi siwo dona tso eme
Ame si ŋu discitis le ate ŋu akpɔ dzesiwo abe dzoxɔxɔ, vuvɔ, kple vevesese ne ele eƒe akɔta ʋuʋum, si ate ŋu akeke ɖe ŋutilã ƒe akpa bubuwo (abe afɔwo ene). Nɔnɔme sia ate ŋu adzɔ le vidzĩwo kple ɖevi suewo hã me. Ate ŋu ahe aklã ƒe dɔmawɔmawɔ nyuie kple ahɔhɔ̃mekawo ƒe kuxiwo hã vɛ.
Dᴐyᴐyᴐ
Wotsɔa dɔlékuiwutikewo kple ɣeaɖewoɣi aklã ƒe akɔtaɖonu hã daa esia. Ne dɔlékuia nu sẽ la, ate ŋu ahiã be woawɔ dɔ nɛ. Amekoko sia lɔ nane si woyɔna be debridement ɖe eme. Esia fia be woawɔ amekoko atsɔ aɖe lãkusi si ŋu dɔlélea le la ɖa ahakɔ wo ŋu.
3. Meningitis - ahɔhɔ̃ ƒe dɔdzẽ
Taɖuame, alo abe alesi mí katã míenyae ene la, taɖuame, nye dɔléle si ate ŋu anye afɔku gã aɖe ne womedae nyuie o. Enye ametakpɔnu siwo ƒo xlã ahɔhɔ̃ kple aklã ƒe dɔdzẽ. Ate ŋu akaka kabakaba ŋutɔ.
Susu siwo tae
Menye dɔlékuiwo ɖeɖeko gbɔe wòtsona o. Ate ŋu atso atike aɖewo kple atikewɔwɔ ƒe nɔnɔme aɖewo hã gbɔ. Gake dɔlékui alo dɔlékuiwo ƒe dɔléle gbɔe wòtsona wu. Nuka kee wòɖatso o, taɖuame nye dɔléle sesẽ aɖe si gblẽa nu le ahɔhɔ̃a ŋu.
Dɔléle dzesi
Abe alesi wòle le dɔlékui ƒe dɔléle ɖesiaɖe si bɔ gome ene la, dzoxɔxɔ kple ŋutilã ƒe vevesese (myalgias) ate ŋu adzɔ gbã. Emegbe, dzesi siwo bɔ ɖe taɖuame ƒe dɔléle ŋu la dzena.
| Tagbɔdɔléle ƒe dzesiwo | |
|---|---|
| Nu vevi siwo le eme | |
| |
| Ne ahɔhɔ̃a ŋue wògblẽ nu le (eƒe nɔnɔme sesẽ) . | |
|
Dɔlélea didi kple edada
Be ɖɔktaa nanya esia la, awɔ ʋudodokpɔ kple ŋɔti me ʋuʋu. Gake dodokpɔ vevitɔ kekeakee nye ahɔhɔ̃mekawo me tsi (CSF) me dzodzro. Esia bia be nàɖe tsi sue aɖe le wò akɔta (si woyɔna be akɔta ƒe ʋuʋu) eye nàdoe kpɔ be protein, sukli, kple lãmenugbagbeviwo ƒe xexlẽme le eme hã. Esia ate ŋu akpe ɖe ame ŋu wòanya nusi gbɔ dɔlélea tso (eɖanye dɔlékui alo dɔlékui o).
Dɔlékuiwo ƒe taɖuame nye atikewɔwɔ kpata! Ele be woaxɔ dɔnɔa ɖe kɔdzi enumake eye woana dɔlékuiwutikewo kple corticosteroids. Zi geɖe la, dɔlékui ƒe taɖuame nu yina le eɖokui si le kwasiɖa ʋɛ aɖewo megbe. Wonaa dɔlékuiwutikewo tsɔ daa dɔlélea ƒe dzesiwo eye ne ehiã la, wotsɔ daa dɔlékuia.
Gbedasi si Wotsɔ Yi Aƒeme
- Mègaŋe aɖaba ƒu akɔtave si mele abe akɔtave si sɔ ene o, gake dzesiwo abe dzoxɔxɔ, vuvɔ, kple lolo dzi ɖeɖe kpɔtɔ kpe ɖe eŋu dzi gbeɖe o .
- Togbɔ be ƒã hafi aklãdɔlélewo mebɔ o hã la, ate ŋu anye nu sesẽ ŋutɔ.
- Ƒumeŋuɖui, Discitis, kple Meningitis nye ƒomevi veviawo dometɔ aɖewo. Wo dometɔ ɖesiaɖe ƒe dzesiwo ate ŋu ato vovo.
- Ðɔkta yiyi kaba kple dɔlélea didi nyuie nye mɔ nyuitɔ si dzi woato axe mɔ ɖe nusiwo agblẽ nu tegbee nu.
- Mègayi atikewɔƒe le ɖokuiwò si gbeɖe o. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi ɣesiaɣi.
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