Yu bak pen nɔto jɔs prɔblɛm? Lɛ wi lan bɔt dis (Vertebral Osteomyelitis)!

Bɔku tɛm yu kin gɛt bak pen? Yu kin tink se, "O, dis na nɔmal tin, jɔs rɛst smɔl ɛn i go go." Bɔt nɔto ɔl bak pen kin simpul so. Tide wi go tɔk bɔt wan rare bɔt rili siriɔs infɛkshɔn we kin afɛkt di spayna. dεn kכl dis vεrbral כstiomεlaytis.

Wetin na Vɛrbral Ɔstiɔmaylaytis?

Fɔ tɔk am simpul wan, Vɛrbral Ɔstiɔmaylaytis na bon infεkshɔn (ɔstiɔmaylaytis) we kin apin na vεrbra (wan bon na yu spayna) . Tink bɔt am, wi spayna gɛt bɔku smɔl smɔl bon dɛn we jɔyn togɛda, we wi kin kɔl vertebra. Wetin kin apin pan dis na we wan jεm kin go insay wan pan dεn vεrbra dεm de εn mek infεkshכn.

Dis kכndyushכn kin apin afta i gεt injuri na di spayna כ afta dεn כpεrayshכn. Sɔntɛnde, infεkshɔn ɔdasay na di bɔdi kin spre to di spayna. Dɛn kin kɔl dis bak spɛshal ɔstiɔmaylaytis , ɛn sɔm pipul dɛn kin kɔl am spondylodiskitis .

Di tin we impɔtant pas ɔl na dat if yu tink se yu gɛt dis sik, yu fɔ go to dɔktɔ wantɛm wantɛm . Dis kin mek pɔsin in layf de pan denja if dɛn nɔ trit am fayn. Apat frɔm mɛrɛsin fɔ trit di infekshɔn, yu go nid ɔda tritmɛnt fɔ manej yu simptom ɛn kɔmplikeshɔn dɛm.

Aw yu kin no di sayn dɛm fɔ dis?

Di sayn dɛm fɔ Vɛrbral Ɔstiomaylaytis na:

• Bak pen: Dis na di men sayn. De pen kin bɔrku mɔr lɛk wae yu de muv ɔr du ɛni wok. Dis pen nɔ kin stɔp wit simpul tritmɛnt na os (e.g., fɔ put sɔm ɔyl, tek pen kil).
• Yu kin gɛt swɛt ɛn swɛt na yu an ɛn fut dɛn: Yu kin gɛt swɛt frɔm yu bak to yu an ɔ yu leg, ɔ yu kin fil lɛk ant we de rɔn rawnd.
• We yu nɔr ɛksplen to yu wet: If yu lɔs yu wet fɔ natin, dat kin bi sayn bak fɔ dis.
• Fɔ fil se yu wik (wiknɛs): Na fɔ jɔs fil lɛk se yu nɔ gɛt ɛni ɛnaji ɔ trɛnk.

Bak pen kin bi lokaliz ( localized pain) ɔr i kin spre to ɔda pat dɛm na di bɔdi ( radiating pain). Bɔrku tɛm, dɛn kin fil dis pen na di ɔda pat na di bɔdi (lumbar spine) .

Wi kin gɛt fiva we wi gɛt infekshɔn? Bɔt tink bɔt am, dis nɔ kin bi di kayn tin we gɛt fɔ du wit Vɛrbral Ɔstiɔmaylaytis. Masta sabi bukman dɛn se na wan pan ɛvri tri pipul dɛn we gɛt dis sik go gɛt fiva we pɔsin go notis ɛn we i go si klia wan. So i impɔtant fɔ mɛmba se dis sik kin de pan ɔl we fiva nɔ de.

Wetin kin mek dis apin?

di men tin we de mek yu gεt vεrbral כsteomyelitis na infεkshכn we de afekt di bon dεm na di spayna. Baktri infεkshכn dεm na dεn wan dεm we kכmכn pas כl , spεshal wan Staphylococcus aureus εn MRSA. Dis na rili siriɔs kayn baktri dɛm. Dɔn bak, pan ɔl we i nɔ kin apin so ɔltɛm, sɔm fɛns infɛkshɔn kin mek pɔsin gɛt dis sik.

Imajin se yu gɛt injuri na yu spɛnal, ɔ yu dɔn gɛt injɛkshɔn na yu spɛnal, ɔ yu dɔn gɛt ɔpreshɔn pan yu spɛnal. Da tɛm de, jem dɛn kin go insay tru wan wund we opin. Ɔ, infεkshɔn ɔdasay na di bɔdi, lɛk infεkshɔn na di urinary tract infεkshɔn, kin travul tru di blɔd ɛn spre to di spaynal kɔd.

Udat de pan big risk fɔ gɛt dis?

Fɔ tru, ɛnibɔdi kin gɛt dis sik. Bɔt sɔm pipul dɛn kin gɛt am mɔ. Lɛ wi si udat dɛn bi?

• Pipul dɛn we de liv na say dɛn we pipul dɛn kin ful-ɔp, lɛk say dɛn we dɛn kin kia fɔ ol pipul dɛn ɛn say dɛn we dɛn kin kia fɔ dɛn: Di risk fɔ mek di sik skata kin bɔku na dɛn say ya.
• Pipul dɛn we dɛn dɔn ɔpreshɔn bikɔs ɔf aksidɛnt, lɛk we dɛn bon brok: We dɛn du ɔpreshɔn, di risk fɔ gɛt di sik kin kam.
• Pipul dεm we de gεt spεnal injεkshכn: Jεm kin kam insay bak tru injεkshכn, lεk stεroyd dεm we dεn gi fכ sכm spεnal kכndyushכn dεm.
• Pipul dɛn we dɔn gɛt ɔpreshɔn lɛk fɔ chenj dɛn jɔyn.
• Pipul dεm wae gεt bed sכm כ prεshכn injury: Infεkshכn kin kכmכt bak tru dεn wund dεm ya, we kin apin we yu de na di sem posishכn na bed fכ lכng tεm.
• Pipul wae de injekt ilɛgal drɔgs ɔr de sheb nidul wit ɔda pipul dɛm: Dis na tin wae rili denja, bikɔs siriɔs infɛkshɔn kin izi fɔ pas tru dis.

Dɔn bak, if yu gɛt wan sik we de mek yu imyun sistɛm wik, ɔ yu de tek tritmɛnt dɛn we de du dat, yu risk go ivin bɔku . Fɔ ɛgzampul:

• Dayabitis `(Dayabetis Mɛlitus)`
• Siklɔs sɛl anemia
• Fɔ tek di imyun suprɛsant (e.g. kimotɛrapi ɔ ɔral kɔtikosterɔyd) .
• Pipul dɛn we dɔn gɛt fɔ du ɛmodayalis bikɔs dɛn kidni nɔ de wok fayn.

Us prɔblɛm dɛn dis kin mek?

Vertebral Osteomyelitis nɔto sik we pɔsin fɔ tek tɛm tink bɔt. If dɛn nɔ trit am fayn, i kin mek i gɛt siriɔs prɔblɛm dɛn lɛk:

• Absεs dεm:Infεkshכn na di spayna kin mek tin dεm lεk sist we fulכp wit pus. Dɛn tin ya kin rili mek pɔsin fil pen.
• di tisu dεm we de day (`Necrosis`): If di infεkshכn kכmכt frכm di bon dεm to di nεv dεm, di skin, כ di spεnal kכd, di tisu dεm we de rawnd kin day.
• Osteonecrosis: Infεkshכn we siriכs כ we dεn nכ trit kin kכt di bכdi we de go na di vεrbra, we kin mek di bon dεm day fכ כltεm. Dis na tin we rili denja.

Aw dɔktɔ dɛn kin no dis sik kɔrɛkt wan?

We yu go to dɔktɔ, i go chɛk yu fɔs. We dɛn de chɛk yu bak ɛn yu spayna, dɛn go aks yu kwɛstyɔn dɛn lɛk: "Aw dis pen bigin?", "Aw lɔng i dɔn de go?", "Ustɛm di pen kin wɔs?", "Ɛni ɔda sayn dɛn de?" Mek shɔ se yu tɛl dɛn ɔl wetin yu no.

Afta dat, dɛn kin du sɔm tɛst fɔ kɔnfɔm di kɔndishɔn fɔ Vɛbral Ɔstiɔmaylaytis ɛn di infɛkshɔn we mek i apin:

• Blɔd tɛst: Fɔ si if infɛkshɔn de ɛn aw i tan.
• Bayopsi: Fɔ tek smɔl sɛmpul pan bon ɔ tisu we gɛt di sik fɔ ɛgzamin.
• CT skan tɛst fɔ du am.
• MRI (MRI) tεst: Dis kin tek wan rili klia pikchכ fכ di spayna, di vεrbra, εn di tisu dεm we de rawnd.
• Spine X-ray egzamin.

Wetin na di tritmɛnt fɔ dis?

Di bɛst tin na dat, tritmɛnt dɛn de fɔ dis sik. Yu dɔktɔ go gi yu mɛrɛsin fɔ klin di infekshɔn. Antibayɔtik fɔ wan baktriyal infɛkshɔn, ɛn antifɔngal fɔ wan fungal infɛkshɔn .

I rili impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ di ful tɛm we yu de tek di tritmɛnt . Nɔ stɔp fɔ tek am ilɛksɛf yu fil fayn smɔl. If yu du dat, di jem dɛn nɔ go kil ɔl. Di infekshɔn kin kam bak. Bɔku tɛm, di infɛkshɔn we kin kam bak kin tranga pas aw i bin de bifo ɛn i kin mek i gɛt prɔblɛm.

Apat frɔm dat, yu dɔktɔ kin tɛl yu ɔda tritmɛnt dɛn lɛk:

• Di mɛrɛsin dɛn we de mek pɔsin fil pen fɔ kɔntrol di pen: Fɔ ɛgzampul, NSAID (NSAID) ɔ paracetamol (asetaminophen).
• Nidul aspireshɔn: Fɔ pul di pus ɔ wata we de kɔmɔt na di spɛshal kɔd.
• Ɔpreshɔn: Fɔ pul di pus ɔ fɔ mek di spayna fayn. Bɔt, dɛn nɔ kin du dis.
• We yu wɛr bak bres: Sɔpɔt yu spayna te i wɛl.

Ustɛm a fɔ go to dɔktɔ?

Bikɔs bak pen kin bɔku, di sayn dɛm fɔ vertebral osteomyelitis kin at fɔ no smɔl fɔs. Yu kin tink se, "Dis na jɔs nɔmal bak-ak."

Bɔt if yu gɛt bak pen we kin las fɔ pas sɔm dez, mɔ if i nɔ kin go afta yu dɔn rɛst ɔ wit simpul mɛrɛsin dɛn we yu kin yuz na os, yu fɔ rili go to dɔktɔ . Dɔn bak, if yu notis ɛni chenj na yu sɛns ɔ yu ebul fɔ muv ɛni pat na yu bɔdi, lɛk we yu nɔ gɛt maynd ɔ we yu wik, tɛl yu dɔktɔ wantɛm wantɛm.

Aw siriɔs Vɛrbral Ɔstiɔmaylaytis de?

Dis na rili siriɔs infɛkshɔn, ɛn sɔntɛnde i kin kil pɔsin .

Bɔt if yu gɛt di rayt tritmɛnt, yu kin wɛl insay 4 to 6 wiks. Bɔt i kin tek siks mɔnt fɔ mek i wɛl ɔl.

If dɛn nɔ trit am, i kin mek di spaynal kɔd pwɛl bad bad wan ɔ blɔd pɔyzin (septicemia). Di tin we rili sɔri na dat, masta sabi bukman dɛn se ilɛksɛf dɛn no di sik, trit am, ɛn mɛn am, na lɛk wan pan ɛvri tɛn pipul dɛn we gɛt dis sik go day insay wan ia . Dis de sho aw dis sik siriɔs.

Fɔ dɔn, a fɔ tɛl una... (Tek-Home Message)

We yu tink bɔt wan spɛshal infɛkshɔn, lɛk we yu de tink bɔt di ɔstiɔmaylaytis we de na yu bɔdi, dat kin mek yu fred. Bɔt mɛmba se dis na sik we pɔsin kin mɛn . So, if yu fil se sɔntin nɔ rayt ɔ nɔ kɔmɔn, nɔ shek fɔ go to dɔktɔ, pas fɔ dismis am as "just a fluke."

Trust yu gut, trost wetin yu bodi de tel yu. If yu fil sɔmtin lɛk pen, wik, swɛt, ɔr sɔmtin wae de mek yu tink se, "Dis nɔr rayt," i go mɔs bi se na so i bi. Di kwik we dɔktɔ no bɔt dis sik ɛn bigin fɔ trit am, na di mɔ i go fayn fɔ yu. If yu trit yu kwik kwik wan, dat kin ɛp yu fɔ avɔyd siriɔs prɔblɛm dɛn ɛn fɔ wɛl kwik kwik wan. So, pe atɛnshɔn to yu bɔdi, ɛn if yu notis ɛni ɔda tin, du sɔntin wantɛm wantɛm!

` Bak infεkshכn, spεnal infεkshכn, bak pen, bon infεkshכn, spondylodiscitis, vεrbral כsteomyelitis, bak pen