Ke ʻeha nei kāu keiki i kahi maʻi iwi? E kamaʻilio kākou e pili ana i kēia (Osteomyelitis)!

Ke lohe ʻoe i ka inoa ʻo Osteomyelitis, makaʻu iki paha ʻoe, ʻeā? He mea ʻē paha kēlā huaʻōlelo, akā ʻo ia ka inoa a nā kauka e hāʻawi ai i kahi maʻi e kū mai ana i loko o nā iwi. I ka ʻōlelo maʻalahi, he pehu a he mumū koʻikoʻi paha e kū mai ana i loko o ka iwi. E like me ka hiki ke pala ka ʻeha ma ko kākou ʻili, hiki nō hoʻi ke kū mai i loko o ka iwi. ʻO ka hapa nui o ka manawa, ʻo ke kumu nui o kēia, ʻo ia ka komo ʻana o nā meaola liʻiliʻi i kapa ʻia he bacteria i loko o nā iwi a hoʻoulu i kahi maʻi. No laila, e kamaʻilio kākou e pili ana iā Osteomyelitis, he maʻi iwi, ma ke ʻano kikoʻī a me ke ʻano aloha? E wehewehe wau iā ia ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha nā hōʻailona o ka Osteomyelitis? Pehea ʻoe e ʻike ai inā loaʻa i kāu keiki kēia maʻi?

ʻO ke keiki me ka osteomyelitis e ʻike pinepine i ka ʻeha nui ma kahi o ka iwi i loaʻa i ka maʻi. Me kēia, hiki iā lākou ke ʻike i nā hōʻailona ʻē aʻe e like me:

• Loaʻa paha iā ʻoe ke kuni kiʻekiʻe , a i kekahi manawa hiki iā ʻoe ke anu a me ka haʻalulu.
• Ua luhi a make loa koʻu kino. I kekahi manawa ua luaʻi wau.
• Me he mea lā ua make ke keiki a maʻi.
• Hiki i ka ʻili ma luna o ka iwi i loaʻa i ka maʻi ke lilo i ʻulaʻula, pehu, a wela ke pā . He ʻeha loa ka wahi.

Ke hana ʻia kēia i nā keiki ʻōpio, ʻoiai nā pēpē hiki ʻole ke kamaʻilio, e hoʻōki paha lākou i ka hoʻohana ʻana i ka lima a i ʻole ka wāwae i hoʻopilikia ʻia. Eia kekahi laʻana, inā he wāwae ia, ʻaʻole lākou e waiho i lalo, a inā he lima ia, ʻaʻole lākou e hoʻoneʻe i ko lākou lima. E uē paha lākou inā hoʻāʻo kekahi e hoʻopā i kēlā ʻāpana. E uē nui paha lākou a hōʻike i ka nalowale o ka makemake. Me he mea lā e hoʻāʻo nei lākou e ʻōlelo, "Manaʻo wau he mea ʻino kēia."

ʻO nā keiki ʻelemakule, ʻo ia hoʻi, nā keiki ʻōpio, ʻoi aku ka nui o ka loaʻa ʻana o ka osteomyelitis ma hope o kahi ulia a ʻeha paha . I kekahi manawa, inā ho'ōla ka ʻeha a hoʻomaka hou ka ʻeha o ka wahi, hiki ke lilo i hōʻailona o ka osteomyelitis.

Eia kekahi laʻana, inā ua ʻeha ka wāwae o kāu keiki no kekahi mau lā, paʻakikī ke hele wāwae, a he kuni hoʻi, mai hoʻowahāwahā wale ʻoe he ʻeha wale nō ia. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka.

Pehea e ulu ai kēia maʻi iwi (osteomyelitis)? He aha nā kumu?

Aia kekahi mau ala e hiki ai i ka bacteria ke komo i loko o ko kākou mau iwi a hoʻoulu i kahi maʻi. E nānā kākou i ko lākou ʻano:

• Hoʻolaha ma ke koko: I kekahi manawa hiki iā mākou ke loaʻa kahi maʻi bacteria ma kahi ʻē aʻe o ko mākou kino, no ka laʻana ma ka puʻu, ka ʻili, a i ʻole ke ala mimi. A laila hui mālie nā bacteria ma laila i ke koko a hele ma ke kino holoʻokoʻa me ke koko. E like me nā ʻenemi liʻiliʻi e neʻe ana ma ke kahe koko. I kekahi manawa hiki i kēia mau bacteria ke komo i loko o ka iwi a hoʻomaka i kahi maʻi hou ma laila. Kāhea nā kauka i kēia (Hematogenous osteomyelitis)Penei ka ulu pinepine ʻana o nā maʻi iwi i nā keiki ʻōpio.
• ʻO ka maʻi pololei: ʻO kekahi ala ʻē aʻe no ka bacteria e komo pololei i loko o ka iwi ma o kahi ʻeha. Hiki ke hana ʻia kēia ma hope o kahi ʻeha koʻikoʻi a i ʻole ke ʻoki kino. ʻO nā haki hāmama , kahi i haki ai ka iwi a ʻike ʻia ka ʻeha, he mea nui loa ia i ka loaʻa ʻana o ka osteomyelitis no ka mea hiki i ka bacteria ke komo maʻalahi i loko o ka iwi.
• Ka laha ʻana mai kahi kokoke: I kekahi manawa, inā ʻaʻole i mālama pono ʻia kahi maʻi ma kahi ʻē aʻe kokoke i ka iwi (e like me ka pehu nui ma ka ʻili, a i ʻole kahi maʻi ma kahi hono), hiki iā ia ke laha mālie i ka iwi kokoke.

ʻO ka Osteomyelitis, kahi maʻi iwi, ka mea maʻamau i nā keiki ma lalo o 5 mau makahiki. Eia nō naʻe, hiki ke loaʻa i kēlā me kēia makahiki. Ma ke ʻano helu, ʻelua ka nui o ka loaʻa ʻana o ke kūlana i nā keikikāne ma mua o nā kaikamahine.

Eia kekahi, ʻoi aku ka nui o ka pilikia o kekahi mau keiki i ka loaʻa ʻana o ka osteomyelitis ma mua o nā poʻe ʻē aʻe. Eia kekahi laʻana:

• Nā keiki me ka ʻōnaehana pale maʻi nāwaliwali .
• Nā keiki me nā maʻi mau e like me ka maʻi sickle cell .

He maʻi lele anei ka Osteomyelitis?

ʻAʻole, e hauʻoli paha ʻoe i ka lohe ʻana i kēia. ʻO nā maʻi iwi, i ʻike ʻia hoʻi ʻo osteomyelitis, ʻaʻole i laha pololei mai ke kanaka a i ke kanaka . ʻO ke ʻano kēia, inā ua loaʻa i kāu keiki ke ʻano, ʻaʻole hiki iā lākou ke hoʻoili iā ia i kahi keiki ʻē aʻe. Eia nō naʻe, hiki ke laha ʻia nā bacteria e hoʻoulu ai i ka osteomyelitis mai ke kanaka a i ke kanaka (no ka laʻana, ma o ka ʻū ʻana, ka ʻūhā ʻana, a i ʻole nā ​​​​lima lepo). ʻO ia ke kumu he mea nui e noho maʻemaʻe.

Pehea e ʻike pono ai nā kauka inā he Osteomyelitis kou? He aha nā hoʻokolohua a lākou e hana ai?

Inā loaʻa i kāu keiki ke kuni a me ka ʻeha o ka iwi, he mea nui e ʻimi koke i ke kōkua lapaʻau . Hiki i ka Osteomyelitis ke lilo koke i mea koʻikoʻi i loko o kekahi mau hola a i ʻole nā ​​​​lā, e ʻoi aku ka paʻakikī o ka mālama ʻana.

E nānā mua ke kauka i ke keiki. E nīnau pū ʻo ia e pili ana i nā ʻeha a i ʻole nā ​​ulia pōpilikia i loaʻa koke ma kahi i loaʻa ai ka ʻeha. A laila, hiki iā lākou ke hana i kekahi mau hoʻokolohua, e like me:

• Nā hoʻāʻo koko: Nānā kēia i ka piʻi ʻana o ka helu o nā keʻokeʻo koko keʻokeʻo (WBC) i loko o ke koko (he hōʻailona o ka maʻi), a me nā hōʻailona ʻē aʻe o ka mumū a i ʻole ka maʻi i loko o ke kino.
• X-ray: Hiki i kāu kauka ke kauoha i kahi X-ray. Eia nō naʻe, i nā pae mua o ka osteomyelitis, ʻaʻole paha e hōʻike mau nā X-ray i nā hōʻailona maopopo o ka maʻi.
• Ka nānā ʻana o ka iwi a i ʻole ka hoʻāʻo MRI:Inā pono ʻoe e ʻike i ka iwi me nā kikoʻī hou aku, hiki i kāu kauka ke ʻōlelo aku i kahi scan iwi a i ʻole MRI (Magnetic Resonance Imaging). Hiki i nā MRI ke hana i nā kiʻi ʻoi aku ka maopopo a me nā kikoʻī ma mua o nā kukuna X. ʻAʻole hiki i ka MRI ke kōkua wale i ka hoʻoholo ʻana inā he osteomyelitis kou, akā hiki nō hoʻi ke kōkua i ka hoʻoholo ʻana i ka lōʻihi o ka loaʻa ʻana o ka maʻi a pehea ka laha ʻana.

I kekahi manawa, pono paha ke kauka e lawe i kahi hāpana o ka iwi i loaʻa i ka maʻi e hoʻāʻo ai no ka bacteria. Ua kapa ʻia kēia he biopsy iwi. Inā loaʻa ka bacteria, hiki i kēia hoʻāʻo ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka bacteria a hoʻoholo i ka antibiotic maikaʻi loa no ka maʻi.

Pehea e mālama ʻia ai ka Osteomyelitis? E ola koke anei ke keiki?

ʻO ka mālama ʻana i ka osteomyelitis e pili ana i kekahi mau kumu:

• Ka makahiki a me ke olakino laulā o ke keiki.
• Pehea ka koʻikoʻi o ka maʻi.
• Inā he ʻoi ka maʻi (ʻo ia hoʻi, ua hoʻomaka koke ia) a i ʻole ka maʻi mau (ʻo ia hoʻi, ua lōʻihi ka manawa).

ʻO ka lāʻau lapaʻau nui e komo pū me nā antibiotics e hakakā i ka maʻi a me nā lāʻau ʻeha . Pono ka hapa nui o nā keiki me ka osteomyelitis e noho i ka haukapila no kekahi mau lā. Hana ʻia kēia ma ka hāʻawi ʻana iā lākou i nā antibiotics intravenous (IV) e hakakā koke i ka maʻi. Ke ʻoluʻolu kāu keiki, e hoʻokuʻu ke kauka iā ʻoe e hoʻi i ka home. Eia nō naʻe, pono paha ʻoe e hoʻomau i ka lawe ʻana i nā antibiotics, ma ke ʻano intravenous a i ʻole ma ka waha, no kekahi mau pule ma hope o kou hoʻi ʻana i ka home. He mea nui kēia no ka mea makemake ʻoe e hoʻopau loa i ka maʻi.

I kekahi mau hihia, pono paha i nā kauka ke hana i ke ʻoki kino e hoʻomaʻemaʻe i ka iwi i loaʻa i ka maʻi. Inā ua ulu ka lua i ka iwi i piha i ka pus (kahi wai i hana ʻia me nā bacteria a me nā keʻokeʻo koko), e hana ke kauka i kahi hana i kapa ʻia ʻo debridement . Pili kēia i ka hoʻomaʻemaʻe pono ʻana i ka ʻeha, ka wehe ʻana i nā ʻiʻo make, a me ka hoʻokahe ʻana i ka pus mai ka iwi. ʻAe kēia i ka iwi e ho'ōla pono.

Mai hopohopo, na nā kauka e hāʻawi i ka lāʻau lapaʻau maikaʻi loa no kāu keiki. ʻO kāu kuleana ke hahai pololei i nā ʻōlelo a ke kauka a kākoʻo i kāu keiki me ke aloha.

ʻEhia ka manawa e ho'ōla ai mai ka Osteomyelitis?

Hoʻomaka ka hapa nui o nā keiki e ʻoluʻolu a emi iki ka maʻi i loko o kekahi mau lā o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Hoʻololi pinepine ʻia nā antibiotics i hāʻawi ʻia ma ke ʻano intravenous (IV) i nā antibiotics waha ma hope o 5 a 10 mau lā. Pono nā keiki e lawe i nā antibiotics no hoʻokahi mahina.Pono paha nā lāʻau antibiotic. I kekahi manawa, ma muli o nā hōʻailona a me nā hopena o nā hoʻāʻo koko, hiki ke noi ʻia ʻoe e lawe i ka lāʻau no kahi manawa lōʻihi. No laila, he mea nui loa ka lawe ʻana i ka lāʻau no ka manawa piha i kuhikuhi ʻia e kāu kauka.

He aha kā mākou e hana ai e pale aku i ka hoʻomohala ʻana o ka osteomyelitis?

Aia kekahi mau ala maʻalahi e pale aku ai i ka ulu ʻana o ka osteomyelitis. He mea nui loa ia e mālama i ko kākou ʻili i ka maʻemaʻe.

• Ka mālama ʻana i nā ʻeha maʻemaʻe: ʻO kēlā me kēia ʻoki, ʻōpala, a ʻeha paha, nui a liʻiliʻi paha , pono e hoʻomaʻemaʻe pono ʻia i ka wā e puka mai ai. ʻOi aku hoʻi no nā ʻeha hohonu, e paʻa ma lalo o ka wai e kahe ana a holoi pono me ke kopa no 5 mau minuke ma ka liʻiliʻi. E holoi kēia i nā huakini i loko o ka ʻeha.
• Ma hope o ka hoʻomaʻemaʻe ʻana i ka ʻeha, e uhi iā ia. E uhi iā ia me kahi ʻāpana gauze maʻemaʻe a i ʻole kahi lole maʻemaʻe. Hiki iā ʻoe ke hoʻopili i kahi kirīmi antibiotic hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau. Akā, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i ka ʻeha i maʻemaʻe .
• Pono e hoʻomaka ka ʻeha e ho'ōla i loko o 24 mau hola a pono e ho'ōla loa ʻia i loko o hoʻokahi pule. Inā lōʻihi ka manawa e ho'ōla ai i kahi ʻeha, a inā he ʻeha hiki ʻole ke hoʻomanawanui, e ʻike pono i ke kauka .
• Ka holoi lima: Ma ke ʻano he mau mākua, hiki iā kākou a me kā kākou mau keiki ke pale aku i ka laha ʻana o nā germs ma ka holoi pinepine ʻana i ko kākou mau lima me ka holoi pono.
• Nā Pale ʻAna: E hōʻoia i ka loaʻa ʻana o kāu mau keiki i kā lākou mau pale āpau i ka manawa kūpono. Hiki i kēia mau pale ke kōkua i ka pale ʻana i kekahi mau maʻi bacteria.

ʻO nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

ʻAe, ua kamaʻilio nui kākou e pili ana i ka Osteomyelitis, ʻeā? Manaʻo wau ua maopopo iā ʻoe kēia. ʻO ka mea hope loa, e hoʻomanaʻo i kēia mau manaʻo:

• ʻO ka Osteomyelitis kahi maʻi bacteria o ka iwi.
• Inā loaʻa koke iā ʻoe ke kuni me ka ʻeha o ka iwi , mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau.
• Hāʻawi ʻia nā lāʻau antibiotic ma ke ʻano he lāʻau lapaʻau. Pono paha ka hoʻokipa ʻana i ka haukapila a me ke ʻoki ʻana.
• He mea nui e lawe i nā lāʻau antibiotic no ka manawa piha i kuhikuhi ʻia e ke kauka. E kōkua kēia i ka ho'ōla piha ʻana o ka maʻi.
• ʻO ka mālama ʻana i nā ʻeha i maʻemaʻe a me ka hahai ʻana i nā hana hoʻomaʻemaʻe maikaʻi e hiki ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka osteomyelitis.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai makaʻu e nīnau i kāu kauka ʻohana. E hiki iā lākou ke kōkua hou aku iā ʻoe. ʻO ka mea nui loa, ʻaʻole e hopohopo, e loaʻa ka ʻike kūpono, a e hāʻawi i ke keiki i ka mālama e pono ai lākou.

ʻOsteomyelitis , maʻi iwi, nā maʻi o nā keiki, nā maʻi bacteria, ʻeha iwi, nā lāʻau antibiotic, olakino keiki