ʻAʻole anei he pilikia wale nō kou ʻeha kua? E aʻo kākou e pili ana i kēia (Vertebral Osteomyelitis)!

Loaʻa pinepine iā ʻoe ka ʻeha o ke kua? Manaʻo paha ʻoe, "ʻAuē, he mea maʻamau kēia, e hoʻomaha iki a e nalowale ana ia." Akā, ʻaʻole maʻalahi nā ʻeha hope a pau. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi laha ʻole akā koʻikoʻi loa e hoʻopilikia ana i ka iwi kuamoʻo. Ua kapa ʻia kēia he vertebral osteomyelitis.

He aha ka Osteomyelitis Vertebral?

I ka ʻōlelo maʻalahi, ʻo ka Vertebral Osteomyelitis kahi maʻi iwi (osteomyelitis) e kū mai ana i loko o kahi vertebra (kahi iwi i loko o kou iwi kuamoʻo) . E noʻonoʻo e pili ana i ia mea, ua hana ʻia ko mākou iwi kuamoʻo me nā iwi liʻiliʻi he nui i hui pū ʻia, a mākou e kapa nei he vertebrae. ʻO ka mea e hana ʻia ana i loko o kēia, ʻo ia ke komo ʻana o kahi germ i kekahi o kēlā mau vertebrae a hoʻoulu i kahi maʻi.

Hiki ke hana ʻia kēia kūlana ma hope o ka hōʻeha ʻana i ka iwi kuamoʻo a i ʻole ma hope o ke ʻoki ʻana. I kekahi manawa, hiki i kahi maʻi ma kahi ʻē aʻe o ke kino ke laha i ka iwi kuamoʻo. Ua kapa ʻia kēia he spinal osteomyelitis , a kapa kekahi poʻe ia he spondylodiskitis .

ʻO ka mea nui loa, inā kānalua ʻoe he maʻi kou, pono ʻoe e ʻike koke i ke kauka . Hiki i kēia ke hoʻoweliweli i ke ola inā ʻaʻole mālama pono ʻia. Ma waho aʻe o ka lāʻau lapaʻau e mālama ai i ka maʻi, pono ʻoe i nā lāʻau ʻē aʻe e hoʻokele i kāu mau hōʻailona a me nā pilikia.

Pehea ʻoe e ʻike ai i nā hōʻailona o kēia?

ʻO nā hōʻailona o ka vertebral osteomyelitis e komo pū me:

• ʻEha kua: ʻO kēia ka hōʻailona nui. Hoʻonui ka ʻeha ke neʻe ʻoe a hana paha i kekahi hana. ʻAʻole e emi kēia ʻeha me nā lāʻau lapaʻau maʻalahi ma ka home (e.g., ke kau ʻana i kahi ʻaila, ka lawe ʻana i kahi lāʻau ʻeha).
• ʻO ka mae a me ke kani ʻana o nā lālā: Hiki iā ʻoe ke ʻike i ka mae mai kou kua a i ka lima a i ʻole ka wāwae, a i ʻole kahi manaʻo mae e like me nā ʻanuʻu e holo ana a puni.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Inā pohō kou kaumaha me ke kumu ʻole, hiki i kēlā ke lilo i hōʻailona o kēia.
• Manaʻo o ka nāwaliwali (nāwaliwali): Manaʻo wale me he mea lā ʻaʻohe ou ikehu a ikaika paha.

Hiki ke ʻeha kūloko ka ʻeha hope (ʻeha kūloko ) a i ʻole hiki ke laha i nā ʻāpana ʻē aʻe o ke kino (ʻeha radiating ). ʻO ka hapa pinepine, ʻike ʻia kēia ʻeha ma ke kua haʻahaʻa (lumbar spine) .

Loaʻa pinepine anei iā kākou ke kuni ke loaʻa iā kākou kahi maʻi? Akā e noʻonoʻo e pili ana i ia mea, ʻaʻole paha kēia ka hihia ma ka hihia o Vertebral Osteomyelitis. Wahi a nā loea, hoʻokahi wale nō o nā kānaka ʻekolu me kēia maʻi e loaʻa i kahi kuni i ʻike ʻia a maopopo. No laila, he mea nui e hoʻomanaʻo e hiki ke loaʻa kēia maʻi ʻoiai inā ʻaʻohe kuni.

He aha ke kumu o kēia?

ʻO ke kumu nui o ka vertebral osteomyelitis he maʻi e hoʻopilikia ana i nā iwi o ka iwi kuamoʻo. ʻO nā maʻi bacteria ka mea maʻamau , ʻoiai ʻo Staphylococcus aureus a me MRSA. He mau ʻano bacteria koʻikoʻi loa kēia. Eia kekahi, ʻoiai he mea kakaikahi loa, hiki i kekahi mau maʻi fungal ke hana i kēia maʻi.

E noʻonoʻo ua loaʻa iā ʻoe kahi ʻeha o ke kuamoʻo, a i ʻole ua loaʻa iā ʻoe nā inikini kuamoʻo, a i ʻole ua loaʻa iā ʻoe ke ʻoki kuamoʻo. I kēlā manawa, hiki i nā germs ke komo ma o kahi ʻeha hāmama. A i ʻole, hiki i kahi maʻi ma kahi ʻē aʻe o ke kino, e like me ka maʻi urinary tract, ke hele ma ke kahe koko a laha i ke kaula kuamoʻo.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kēia maʻi. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o kekahi poʻe. E nānā kākou ʻo wai lākou?

• ʻO ka poʻe e noho ana ma nā wahi piha kanaka, e like me nā hale mālama hānai a me nā hale mālama like: ʻOi aku ka nui o ka pilikia o ka laha ʻana o ka maʻi ma kēia mau wahi.
• ʻO ka poʻe i hana ʻia i ke ʻoki kino ma muli o kahi ulia, e like me ka iwi haki: Me ke ʻoki kino e hele mai ai ka pilikia o ka maʻi.
• ʻO ka poʻe i loaʻa nā inikini iwi kuamoʻo: Hiki i nā germs ke komo ma o nā inikini, e like me nā steroids i hāʻawi ʻia no kekahi mau maʻi iwi kuamoʻo.
• ʻO ka poʻe i hana i nā ʻoki kino e like me ke pani ʻana o ka hui.
• ʻO nā kānaka me nā ʻeha moe a i ʻole nā ​​​​ʻeha i ke kaomi ʻia: Hiki i nā maʻi ke komo ma o kēia mau ʻeha, e kū mai ana ke noho ʻoe ma ke kūlana like ma kahi moe no ka manawa lōʻihi.
• ʻO ka poʻe e hoʻokomo i nā lāʻau lapaʻau kū ʻole i ke kānāwai a kaʻana like paha i nā nila me nā poʻe ʻē aʻe: He hana weliweli loa kēia, no ka mea, hiki ke laha maʻalahi nā maʻi koʻikoʻi ma o kēia.

Eia kekahi, inā loaʻa iā ʻoe kahi maʻi e hoʻonāwaliwali ai i kou ʻōnaehana pale, a i ʻole ke lawe nei ʻoe i nā lāʻau lapaʻau e hana pēlā, ʻoi aku ka kiʻekiʻe o kou pilikia . Eia kekahi laʻana:

• ʻO ka maʻi diabetes (Diabetes Mellitus)
• ʻAʻai anemia cell sickle
• ʻO ka lawe ʻana i nā immunosuppressants (e.g. chemotherapy a i ʻole corticosteroids waha)
• ʻO nā kānaka i hana ʻia ka hemodialysis ma muli o ka hāʻule ʻana o ka puʻupaʻa.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻAʻole he maʻi ka Vertebral Osteomyelitis e hoʻohenehene ʻia. Inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi e like me:

• Nā ʻōpū:Hiki i nā maʻi ma ka iwi kuamoʻo ke hana i nā mea e like me nā cysts i piha i ka pus. He mea ʻeha loa kēia.
• Make ʻana o nā ʻiʻo (`Necrosis`): Inā pālahalaha ka maʻi mai nā iwi a i nā aʻalolo, ka ʻili, a i ʻole ke kaula kuamoʻo, hiki i nā ʻiʻo a puni ke make.
• Osteonecrosis: Hiki i nā maʻi koʻikoʻi a i ʻole i mālama ʻole ʻia ke ʻoki i ke kahe koko i nā vertebrae, e make mau ai nā iwi. He kūlana weliweli loa kēia.

Pehea e ʻike pololei ai nā kauka i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka, e nānā mua ʻo ia iā ʻoe. I kou nānā ʻana i kou kua a me kou iwi kuamoʻo, e nīnau lākou iā ʻoe i nā nīnau e like me: "Pehea i hoʻomaka ai kēia ʻeha?", "Pehea ka lōʻihi o kona hele ʻana?", "I ka manawa hea e ʻoi aku ai ka ʻino o ka ʻeha?", "Aia kekahi mau hōʻailona ʻē aʻe?" E hōʻoia e haʻi iā lākou i nā mea āpau āu i ʻike ai.

Ma hope o kēlā, hiki ke hana ʻia kekahi mau hoʻokolohua e hōʻoia i ke kūlana o Vertebral Osteomyelitis a me ka maʻi i hoʻokumu ai:

• Nā hoʻāʻo koko: No ka ʻike inā he maʻi a pehea kona ʻano.
• Biopsy: Ke lawe ʻana i kahi hāpana liʻiliʻi o ka iwi a i ʻole nā ​​​​ʻiʻo i loaʻa i ka maʻi no ka hoʻokolokolo ʻana.
• Hoʻāʻo scan CT.
• Hoʻāʻo MRI (MRI): Hiki i kēia ke kiʻi i kahi kiʻi maopopo loa o ka iwi kuamoʻo, vertebrae, a me nā ʻiʻo a puni.
• Ka hoʻokolokolo ʻana o ke kuamoʻo X-ray.

He aha ka lāʻau lapaʻau no kēia?

ʻO ka mea maikaʻi loa, aia nā lāʻau lapaʻau no kēia ʻano. E kuhikuhi kāu kauka i ka lāʻau lapaʻau e hoʻomaʻemaʻe i ka maʻi. Nā lāʻau antibiotic no ka maʻi bacteria, a me nā antifungal no ka maʻi fungal .

He mea nui loa ka lawe ʻana i ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka no ka lōʻihi o ka lāʻau lapaʻau . Mai hoʻōki i ka lawe ʻana iā ia ʻoiai inā ʻoe e manaʻo nei ua ʻoi aku ka maikaʻi. Inā ʻoe e hana pēlā, ʻaʻole e make loa nā germs. Hiki ke hoʻi hou mai ka maʻi. ʻOi aku ka ʻino o nā maʻi e hoʻi hou mai ana ma mua o ka wā ma mua a ʻoi aku ka nui o ka hiki ke hoʻoulu i nā pilikia.

Eia kekahi, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe, e like me:

• Nā lāʻau hoʻopau ʻeha e kāohi i ka ʻeha: No ka laʻana, nā NSAID (NSAID) a i ʻole paracetamol (acetaminophen).
• ʻUmi ʻana i ke kui: No ka wehe ʻana i ka pus a i ʻole ke wai mai ke kaula kuamoʻo.
• ʻO ke ʻoki kino: No ka hoʻokahe ʻana i ka pus a hoʻoponopono paha i ka iwi kuamoʻo. Eia naʻe, ʻaʻole hana pinepine ʻia kēia.
• Ke kau nei i kahi kākoʻo hope: E kākoʻo i kou iwi kuamoʻo a hiki i kona ho'ōla ʻana.

Āhea wau e ʻike ai i ke kauka?

Ma muli o ka maʻamau o ka ʻeha o ke kua, hiki ke paʻakikī iki ka ʻike ʻana i nā hōʻailona o ka vertebral osteomyelitis i ka wā mua. Manaʻo paha ʻoe, "He ʻeha kua maʻamau wale nō kēia."

Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha kua e mau ana ma mua o kekahi mau lā, ʻoiai inā ʻaʻole ia e nalo ma hope o ka hoʻomaha ʻana a i ʻole me nā lāʻau lapaʻau maʻalahi ma ka home, pono ʻoe e ʻike i ke kauka . Eia kekahi, inā ʻike ʻoe i kekahi mau loli i ka manaʻo a i ʻole ka hiki ke hoʻoneʻe i kekahi ʻāpana o kou kino, e like me ka maneʻo a nāwaliwali paha, e haʻi koke i kāu kauka.

Pehea ke koʻikoʻi o ka Vertebral Osteomyelitis?

He maʻi koʻikoʻi loa kēia, a i kekahi manawa hiki ke make .

Eia nō naʻe, me ka mālama kūpono, hiki iā ʻoe ke hoʻōla i loko o ʻehā a ʻeono pule. Eia nō naʻe, hiki ke hala a hiki i ʻeono mahina e hoʻōla piha ai.

Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka hōʻino nui ʻana o ke kaula kuamoʻo a i ʻole ka lāʻau make koko (septicemia). ʻO ka mea kaumaha loa, e like me ka ʻōlelo a nā loea, ʻoiai inā ua ʻike ʻia ka maʻi, mālama ʻia, a hoʻōla ʻia, e make ana ma kahi o hoʻokahi o ka ʻumi poʻe me ka maʻi i loko o hoʻokahi makahiki . Hōʻike kēia i ke koʻikoʻi o kēia ʻano.

ʻO ka mea hope loa, pono wau e haʻi aku iā ʻoe... (Leka Lawe-Home)

ʻO ka manaʻo o kahi maʻi iwi kuamoʻo, e like me ka vertebral osteomyelitis, hiki ke hoʻoweliweli. Akā e hoʻomanaʻo, he maʻi hiki ke mālama ʻia kēia . No laila, inā manaʻo ʻoe he hewa a he mea ʻē paha kekahi mea, mai kānalua e ʻike i ke kauka, ma mua o ka hoʻokuʻu ʻana iā ia he "fluke wale nō."

E hilinaʻi i kou ʻōpū, e hilinaʻi i ka mea a kou kino e haʻi aku nei iā ʻoe. Inā manaʻo ʻoe i kahi mea e like me ka ʻeha, ka nāwaliwali, ka mae ʻole, a i ʻole kekahi mea e manaʻo ai ʻoe, "ʻAʻole pololei kēia," ʻoiaʻiʻo nō paha. ʻO ka wikiwiki o ka ʻike ʻana o ke kauka i kēia kūlana a hoʻomaka i ka mālama ʻana, ʻoi aku ka maikaʻi nou. Hiki i ka mālama mua ke kōkua iā ʻoe e pale i nā pilikia koʻikoʻi a hoʻōla koke. No laila, e makaʻala i kou kino, a inā ʻike ʻoe i kekahi mea ʻē aʻe, e hana koke!

ʻO ka maʻi kua, ka maʻi iwi kuamoʻo, ʻeha kua, ka maʻi iwi, spondylodiscitis, vertebral osteomyelitis, ʻeha kua