Koj tus menyuam puas muaj mob pob txha? Cia peb tham txog qhov no (Osteomyelitis)!

Thaum koj hnov ​​lub npe hu ua Osteomyelitis, tej zaum koj yuav ntshai me ntsis, puas yog? Lo lus ntawd yuav zoo li txawv me ntsis, tab sis nws yog lub npe uas cov kws kho mob muab rau kev kis kab mob uas tshwm sim hauv cov pob txha. Hais yooj yim xwb, nws yog kev o lossis mob hnyav uas tshwm sim hauv cov pob txha. Ib yam li qhov txhab ntawm peb daim tawv nqaij tuaj yeem lwj, nws kuj tuaj yeem tshwm sim hauv cov pob txha. Feem ntau, qhov laj thawj tseem ceeb rau qhov no yog tias cov kab mob me me hu ua cov kab mob nkag mus rau hauv cov pob txha thiab ua rau muaj kev kis kab mob. Yog li, cia peb tham txog Osteomyelitis, uas yog kev kis kab mob pob txha, kom meej me ntsis thiab yooj yim to taub? Kuv yuav piav qhia nws hauv txoj kev uas koj tuaj yeem nkag siab.

Cov tsos mob ntawm Osteomyelitis yog dab tsi? Koj yuav paub li cas yog tias koj tus menyuam muaj tus mob no?

Ib tug menyuam uas muaj mob pob txha osteomyelitis feem ntau yuav mob heev rau thaj tsam ntawm pob txha uas muaj kab mob. Nrog rau qhov no, lawv kuj tseem yuav muaj lwm cov tsos mob xws li:

• Koj yuav kub taub hau heev , thiab qee zaum koj yuav hnov ​​txias thiab tshee hnyo.
• Kuv lub cev tsis muaj sia thiab qaug zog heev. Qee zaum kuv xeev siab.
• Tus me nyuam zoo li tsis muaj sia thiab tsis mob.
• Daim tawv nqaij saum pob txha uas muaj kab mob yuav liab, o, thiab kub thaum kov . Thaj chaw ntawd mob heev.

Thaum qhov no tshwm sim rau cov menyuam yaus, tshwj xeeb tshaj yog cov menyuam mos uas tsis tuaj yeem hais lus, lawv yuav tsum tsis txhob siv tes lossis ceg uas raug mob. Piv txwv li, yog tias nws yog ib ceg, lawv yuav tsis tso nws tseg, thiab yog tias nws yog ib txhais tes, lawv yuav tsis txav lawv txhais tes. Lawv yuav quaj yog tias muaj ib tug neeg sim kov qhov ntawd. Lawv kuj tseem yuav quaj ntau heev thiab qhia tias lawv tsis xav noj mov. Zoo li lawv tab tom sim hais tias, "Kuv xav tias tsis zoo ntawm no."

Cov menyuam yaus uas loj dua, uas yog, cov menyuam yaus uas tseem hluas dua, yuav muaj feem mob pob txha osteomyelitis ntau dua tom qab muaj xwm txheej lossis raug mob . Qee zaum, yog tias qhov raug mob zoo thiab thaj chaw ntawd pib mob dua, nws tuaj yeem yog ib qho cim ntawm pob txha osteomyelitis.

Piv txwv li, yog tias koj tus menyuam mob ceg tau ob peb hnub lawm, nws nyuaj rau taug kev, thiab kub taub hau, tsis txhob xav tias nws tsuas yog mob me me xwb. Qhov zoo tshaj plaws yog mus ntsib kws kho mob.

Kab mob pob txha (osteomyelitis) no tshwm sim li cas? Dab tsi yog cov ua rau muaj?

Muaj ntau txoj kev uas cov kab mob nkag mus rau hauv peb cov pob txha thiab ua rau muaj kev kis kab mob. Cia peb saib seb lawv yog dab tsi:

• Kis mus rau hauv cov ntshav: Qee zaum peb tuaj yeem muaj kab mob bacterial nyob rau lwm qhov chaw hauv peb lub cev, piv txwv li hauv caj pas, daim tawv nqaij, lossis txoj hlab zis. Tom qab ntawd cov kab mob nyob ntawd maj mam koom nrog cov ntshav thiab mus ncig thoob plaws lub cev nrog cov ntshav. Zoo li cov yeeb ncuab me me txav mus los ntawm cov ntshav. Qee zaum cov kab mob no tuaj yeem nkag mus rau hauv pob txha thiab pib muaj kab mob tshiab nyob ntawd. Cov kws kho mob hu qhov no (Hematogenous osteomyelitis)Nov yog li cas cov kab mob pob txha feem ntau tshwm sim rau cov menyuam yaus.
• Kev kis kab mob ncaj qha: Lwm txoj kev yog cov kab mob nkag mus rau hauv pob txha ncaj qha los ntawm qhov txhab. Qhov no tuaj yeem tshwm sim tom qab raug mob hnyav lossis phais. Cov pob txha tawg qhib , qhov twg pob txha tawg thiab qhov txhab pom tseeb, tshwj xeeb tshaj yog muaj feem yuav mob osteomyelitis vim tias cov kab mob tuaj yeem nkag mus rau hauv pob txha tau yooj yim.
• Kis los ntawm qhov chaw nyob ze: Qee zaum, yog tias muaj kev kis kab mob hauv lwm qhov chaw ze ntawm pob txha (piv txwv li, ib lub hlwv loj ntawm daim tawv nqaij, lossis kev kis kab mob hauv pob qij txha) tsis tau kho kom zoo, nws tuaj yeem maj mam kis mus rau pob txha nyob ze.

Kab mob pob txha Osteomyelitis, uas yog ib yam kab mob kis rau pob txha, feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 5 xyoos. Txawm li cas los xij, nws tuaj yeem tshwm sim rau txhua lub hnub nyoog. Raws li kev suav lej, cov tub hluas muaj feem yuav mob no ob npaug ntau dua li cov ntxhais.

Tsis tas li ntawd xwb, qee tus menyuam yaus muaj feem yuav mob pob txha ntau dua li lwm tus. Piv txwv li:

• Cov menyuam yaus uas muaj lub cev tiv thaiv kab mob tsis muaj zog .
• Cov menyuam yaus uas muaj cov kab mob ntev xws li kab mob ntshav qab zib sickle cell .

Puas yog Osteomyelitis yog ib qho kab mob sib kis tau?

Tsis yog, tej zaum koj yuav zoo siab hnov ​​qhov no. Cov kab mob pob txha, tseem hu ua osteomyelitis, tsis kis ncaj qha los ntawm ib tus neeg mus rau ib tus neeg . Qhov no txhais tau tias yog tias koj tus menyuam tau muaj tus mob no, lawv yuav tsis muaj peev xwm kis mus rau lwm tus menyuam. Txawm li cas los xij, cov kab mob uas ua rau osteomyelitis qee zaum tuaj yeem kis tau los ntawm ib tus neeg mus rau ib tus neeg (piv txwv li, los ntawm kev txham, hnoos, lossis tes qias neeg). Yog vim li cas nws thiaj li tseem ceeb kom nyob huv si.

Cov kws kho mob yuav paub tseeb li cas yog tias koj muaj mob Osteomyelitis? Lawv ua cov kev kuaj mob dab tsi?

Yog tias koj tus menyuam kub taub hau thiab mob pob txha, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd . Kab mob Osteomyelitis tuaj yeem loj hlob sai sai hauv ob peb teev lossis ob peb hnub, ua rau kev kho mob nyuaj dua.

Tus kws kho mob yuav xub kuaj tus menyuam. Nws kuj tseem yuav nug txog tej kev raug mob lossis xwm txheej tsis ntev los no hauv thaj chaw uas mob. Tom qab ntawd, lawv yuav ua ntau yam kev kuaj, xws li:

• Kev kuaj ntshav: Cov no kuaj seb puas muaj cov qe ntshav dawb (WBC) ntau ntxiv hauv cov ntshav (ib qho cim qhia txog kev kis kab mob), nrog rau lwm cov cim qhia txog kev o lossis kev kis kab mob hauv lub cev.
• X-ray: Koj tus kws kho mob yuav hais kom koj thaij duab X-ray. Txawm li cas los xij, thaum pib mob pob txha, cov duab X-ray yuav tsis qhia meej tias muaj kab mob.
• Kev kuaj pob txha los yog MRI:Yog tias koj xav pom pob txha kom meej dua, koj tus kws kho mob yuav pom zoo kom kuaj pob txha lossis MRI (Magnetic Resonance Imaging). MRI tuaj yeem tsim cov duab meej dua thiab ntxaws dua li X-rays. MRI tsis yog tsuas yog pab txiav txim siab seb koj puas muaj osteomyelitis xwb, tab sis nws kuj tseem tuaj yeem pab txiav txim siab tias tus kab mob tau muaj ntev npaum li cas thiab nws kis mus rau lwm qhov npaum li cas.

Qee zaum, tus kws kho mob yuav tsum tau coj ib qho qauv ntawm cov pob txha uas muaj kab mob mus kuaj seb puas muaj kab mob. Qhov no hu ua kev kuaj pob txha. Yog tias pom muaj kab mob, qhov kev kuaj no tuaj yeem pab txiav txim siab seb nws yog hom kab mob dab tsi thiab txiav txim siab seb yuav siv tshuaj tua kab mob zoo tshaj plaws rau kev kis kab mob.

Yuav kho tus mob Osteomyelitis li cas? Tus me nyuam puas yuav zoo sai sai?

Kev kho mob osteomyelitis nyob ntawm ntau yam:

• Tus menyuam lub hnub nyoog thiab kev noj qab haus huv dav dav .
• Tus kab mob hnyav npaum li cas .
• Seb tus kab mob ntawd yog mob hnyav (txhais tau tias nws nyuam qhuav pib mob) lossis mob ntev (txhais tau tias nws tau muaj ntev lawm).

Kev kho mob feem ntau suav nrog cov tshuaj tua kab mob los tua kab mob thiab tshuaj tua mob . Feem ntau cov menyuam yaus uas muaj osteomyelitis yuav tsum tau nyob hauv tsev kho mob ob peb hnub. Qhov no ua tiav los ntawm kev muab cov tshuaj tua kab mob rau hauv cov hlab ntsha (IV) kom tua kab mob sai sai. Thaum koj tus menyuam zoo dua, tus kws kho mob yuav cia koj mus tsev. Txawm li cas los xij, koj yuav tsum tau noj cov tshuaj tua kab mob ntxiv, txawm tias yog hauv cov hlab ntsha lossis ntawm qhov ncauj, rau ob peb lub lis piam tom qab koj mus tsev. Qhov no tseem ceeb vim tias koj xav tshem tawm cov kab mob tag nrho.

Muaj tej lub sij hawm, cov kws kho mob yuav tau phais kom ntxuav cov pob txha uas muaj kab mob tawm. Yog tias cov pob txha muaj qhov uas muaj kua paug (cov kua uas muaj cov kab mob thiab cov qe ntshav dawb), tus kws kho mob yuav ua ib txoj kev kho mob hu ua debridement . Qhov no suav nrog kev ntxuav qhov txhab kom huv si, tshem cov nqaij tuag tawm, thiab rho cov kua paug tawm ntawm cov pob txha. Qhov no ua rau cov pob txha kho tau zoo.

Tsis txhob txhawj, cov kws kho mob yuav muab kev kho mob zoo tshaj plaws rau koj tus menyuam. Koj lub luag haujlwm yog ua raws li cov lus qhia ntawm tus kws kho mob thiab txhawb nqa koj tus menyuam nrog kev hlub.

Yuav siv sijhawm ntev npaum li cas los kho tus mob Osteomyelitis?

Feem ntau cov menyuam yaus pib zoo dua thiab tsis mob ntau hauv ob peb hnub tom qab pib kho mob. Cov tshuaj tua kab mob uas muab rau hauv cov hlab ntsha (IV) feem ntau hloov mus rau cov tshuaj tua kab mob hauv qhov ncauj tom qab li 5 txog 10 hnub. Cov menyuam yaus yuav tsum noj tshuaj tua kab mob tsawg kawg yog ib hlis.Tej zaum yuav xav tau tshuaj tua kab mob. Qee zaum, nyob ntawm cov tsos mob thiab cov txiaj ntsig ntawm kev kuaj ntshav, koj yuav raug hais kom noj tshuaj ntev dua. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum noj tshuaj kom tag nrho raws li koj tus kws kho mob tau hais.

Peb ua tau dab tsi los tiv thaiv kev loj hlob ntawm Osteomyelitis?

Muaj ob peb txoj hauv kev yooj yim los tiv thaiv kev loj hlob ntawm osteomyelitis. Nws yog ib qho tseem ceeb heev uas yuav tsum ua kom peb daim tawv nqaij huv si.

• Khaws cov qhov txhab kom huv: Txhua qhov txiav, khawb, lossis qhov txhab, loj lossis me , yuav tsum tau ntxuav kom huv si sai li sai tau thaum nws tshwm sim. Tshwj xeeb tshaj yog rau cov qhov txhab tob, tuav nws hauv qab dej ntws thiab ntxuav nws kom huv si nrog xab npum tsawg kawg 5 feeb. Qhov no yuav ntxuav cov kab mob uas yuav nyob hauv qhov txhab.
• Tom qab ntxuav qhov txhab tas, npog nws. Npog nws nrog ib daim ntaub gauze huv si lossis ib daim ntaub huv si. Koj tuaj yeem siv tshuaj pleev tua kab mob uas koj tuaj yeem yuav tau ntawm lub tsev muag tshuaj. Tab sis, qhov tseem ceeb tshaj plaws yog kom qhov txhab huv si .
• Qhov txhab yuav tsum pib zoo hauv 24 teev thiab yuav tsum zoo tag nrho hauv ib lub lim tiam. Yog tias qhov txhab siv sijhawm ntev dua los kho, lossis yog tias muaj mob hnyav heev, nco ntsoov mus ntsib kws kho mob .
• Ntxuav Tes: Ua niam txiv, peb thiab peb cov menyuam tuaj yeem ua tau ntau yam los tiv thaiv kev kis tus kab mob los ntawm kev ntxuav peb txhais tes ntau zaus thiab kom huv si.
• Kev Txhaj Tshuaj Tiv Thaiv Kab Mob: Xyuas kom koj cov menyuam tau txhaj tshuaj tiv thaiv kab mob raws sijhawm. Cov tshuaj tiv thaiv kab mob no tuaj yeem pab tiv thaiv qee yam kab mob bacterial.

Cov lus qhia tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov txog yog:

Zoo, yog li peb tau tham ntau txog Osteomyelitis, puas yog? Kuv xav tias koj nkag siab zoo txog qhov no. Thaum kawg, nco ntsoov cov ntsiab lus no:

• Osteomyelitis yog ib qho kab mob bacterial uas kis rau pob txha.
• Yog koj kub taub hau tam sim ntawd nrog rau mob pob txha , tsis txhob tsis quav ntsej. Nrhiav kev pab kho mob tam sim ntawd.
• Cov tshuaj tua kab mob yog muab los kho. Tej zaum yuav tau mus pw hauv tsev kho mob thiab phais.
• Nws yog ib qho tseem ceeb heev uas yuav tsum noj tshuaj tua kab mob kom tag nrho raws li tus kws kho mob tau sau tseg. Qhov no yuav pab kom tus kab mob zoo tag nrho.
• Kev ua kom cov qhov txhab huv thiab ua raws li kev coj ua huv si zoo tuaj yeem txo qhov kev pheej hmoo ntawm kev mob osteomyelitis.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob ntshai nug koj tus kws kho mob hauv tsev neeg. Lawv yuav pab tau koj ntxiv. Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai, kom muaj cov ntaub ntawv raug, thiab muab kev saib xyuas rau tus menyuam uas lawv xav tau.

Kab mob pob txha, kab mob pob txha, cov kab mob rau menyuam yaus, kab mob bacterial, mob pob txha, tshuaj tua kab mob, kev noj qab haus huv ntawm menyuam yaus