I ruh hi a infect em? Osteomyelitis chungchang hi i zir dawn teh ang!

I taksa hmun dangah ruh pakhat chu a na mai mai, a hring chhuak ang maiin i inhria em? A nih loh leh, hliam tenau tak pawh hi natna kai na tak niin a lang em? Chûngte chu thil awlsam tak a ni lo mai thei. Vawiin hian ruh natna, a nasat deuh, mahse uluk taka enkawl a nih chuan tihdam theih a nih thu kan sawi dawn a ni. Hei hi osteomyelitis kan tih chu a ni.

Osteomyelitis hi eng nge ni?

A awlsam zawngin, osteomyelitis hi i ruh chhunga natna hrik awm a ni . Ngaihtuah teh, a chang chuan kan taksaah hliam kan neih a, a enkawl that loh chuan bacteria emaw fungi emaw an lut a, infection a thlen thin? Awle, he natna hi heng natna hrik te hi ruh thlenga an darh hian a lo awm thin. A bik takin, i ruh chhunga bone marrow an tih chu a nghawng a ni. Tichuan chu hmun chu a hring nasa hle a , a na tan ta a ni .

Taksa ruh eng pawhah a awm thei. Mahse, naupang tê têah chuan , ke emaw kut ruh sei takah a awm tam ber. In adults , a tlangpuiin vertebrae emaw hip bones of the spine ah a awm thin.

A pawimawh ber chu hei hi a hun taka enkawl a nih loh chuan ruhte a tichhe vek thei a, a chang chuan necrosis (tissue death) pawh a thlen thei bawk. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Osteomyelitis chi hrang hrangte chu engte nge ni?

Ni e, osteomyelitis hi chi hrang hrang a awm a. Eng nge an nih i en ang u.

• Acute osteomyelitis: Hei hi a tam ber a ni . Infection dang (vun hliam ang chi) i neih a, natna hrik chu ruh thlenga a darh chuan a thleng thin. A intan nghal thei.
• Vertebral osteomyelitis: A hming ang bawkin hei hi osteomyelitis a ni a, i ruhro (vertebrae) ruhte a nghawng a ni . A tlangpuiin hnungzang natna nen a rawn lang thin.
• Chronic osteomyelitis: Hei hi ngaihven deuh deuh chi a ni. A châng chuan, natna hmasa ber enkawl a nih hnuah pawh a dam kim lo thei a, taksaah a awm reng thei a, thla tam tak emaw, kum tam tak hnuah pawh a lo lang leh thei a ni . Chronic condition ang mai a ni. Chutiang laka invenna tha ber chu i doctor-in a pek damdawi chu enkawlna hun chhung zawnga ei hi a ni. Chutiang a nih loh chuan infection chu a bo vek lo mai thei.

He natna hi Osteomyelitis an tih hi engtiang chiahin nge a hluar?

Dik tak chuan hei hi mi zawng zawng tuar thei natna a ni lo. Zirchiangtute sawi dan chuan kum khatah mi 100,000-ah mi 25 aia tlem loin a nghawng a ni. Mahse, hetah hian danglamna tlem a awm. Damdawi in a tawp a, enkawlna dawngtu zingah hian .Hetiang dinhmun hi a tam zawk deuh. Zirna thenkhatah chuan damdawi ina admit mi 675 zinga 1 vel ah a awm tih an sawi.

Tunah chuan engvangin nge hetiang hi a awm tih i ngaihtuah mai thei, a dik em? Damdawi inah hian mi thenkhat chuan hriselna lama harsatna dang, hliam emaw, surgery emaw an nei a, chu chuan bacteria emaw fungi emaw chu an taksaah a lut a, an ruh thlengin a kal awlsam phah niin an ngai. Chumi awmzia chu heng natna chi hrang hrang lakah hian an hlauhawm zawk tihna a ni.

Osteomyelitis natna lan chhuahna chu engte nge ni?

Hei hi osteomyelitis i neih chi leh eng ruh nge i kai tih a zirin a symptoms hi a inang lo deuh thei a ni. Mahse, a lan chhuah dan tlangpui thenkhat a awm. Eng nge an nih i han thlir teh ang.

• Khawsik.
• Nunna nei lo, hrisel lo anga inhria. Damlo ang maiin.
• Ruh natna. Hei hi a symptom ber a ni. A natna hmun chu khawih duhin i inhria.
• I khawsik ang maia inhriatna (Chills).
• Thaw chhuak, a bik takin zanah.
• Nausea leh luak chhuak.
• Vun rawng a danglam. Infection awmna hmunah chuan vun a sen thei a, a rawng pawh a danglam thei bawk.
• Pun. A natna hmun chu a hring thei.
• Vun chu a lum hle tih a hriat. I kut i dah chuan a lum ang maiin a lang.
• Pus emaw tui dang emaw chhuah chhuah, a bik takin hliam emaw, surgery neihna hmun emaw vel a natna hrik a awm chuan.

Chu bâkah, vertebral osteomyelitis vei te chuan an hnungzang hnuai lam natna nasa tak an nei tlangpui bawk . A châng chuan, chronic osteomyelitis vei te hian symptom engmah an nei lo thei. Chu chu a hlauhawm deuh chu a ni.

Osteomyelitis thlentu ber chu eng nge ni?

A awlsam zawngin, hei hi a chhan ber chu i ruh thlenga natna hrik kai a ni . A tam zawkah chuan i vun chunglam – sawi ta ila, hliam i neihna hmunah emaw, operation i neihna hmunah emaw – natna hrik te chu i thisenah a lut a, thisen kaltlangin i ruh chhunga awm ruhro (bone marrow) thlengin a kal a ni. Hmelma rawn luhchilh ang mai a ni.

Tute nge osteomyelitis vei theihna chance sang zawk?

Tu chungah pawh a thleng thei tak tak. Amaherawhchu, mi thenkhat chuan an nei tam zawk. Tute nge an nih hi han thlir ila:

• Kum 20 hnuai lam leh kum 50 chunglam te, heng kum hnih te hi an hlauhawmna a sang deuh hlek a ni.
• Hliam emaw accident emaw hnua hliam inhawng nei te. Hliam lian tak hi han mitthla teh, a khar tha lo a nih chuan awlsam takin natna hrik a lut thei a ni lawm ni?
• Tun hnaia operation nei tawh, a bik takin ruh thlak (Arthroplasty - ruh thlak) , ruh tliak chhunga wire emaw pin emaw dah tawhte chu an hlauhawm hle. Hei hi a chhan chu instrument dah luh hmang hian natna hrik pawh a lut thei a ni.
• Puncture hliam tuar tawhte. I vun chu needle emaw, nail emaw ang chi thilin a rawn hliam a nih chuan, a thuk tawk a, chu chu hrik chuan ruh thlengin a thleng thei ang tih han ngaihtuah teh.
• Pressure injury emaw bedsores nei te. Rei tak i awmna hmuna i awm chuan hmun thenkhat chu pressure sores a lo ni ta a ni. Chutiang hliam hmang chuan natna hrik a awm thei bawk.

Tin, hriselna lama harsatna thenkhat nei leh taksa hriselna tichak lo thei damdawi ei thinte pawhin osteomyelitis an vei tam zawk bawk. Entirna tlemte chu hetiang hi a ni:

• Thisen natna nei sickle cell anemia an tih te .
• Zunthlum vei te. Hetiang hlauhawmna hi zunthlum kaihhnawih ke ulcer nei tan chuan a sang hle.
• Mite’n immunosuppressant an ei thin. Heng damdawi te hi natna thenkhat tan emaw, taksa peng thlak hnuah emaw pek thin a ni.
• Hemodialysis nei mekte. Chu chu, an kal (kidney) a thawk tha lo vanga thisen tihthianghlim tura enkawl mekte tihna a ni.

Osteomyelitis vang hian eng harsatna dang nge awm thei?

Ni e, hei hian a hun taka enkawl loh chuan harsatna engemaw zat a thlen thei a ni. Eng nge an nih i en ang u:

• Abscesses: Ruh natna hian pus a khawlkhawm a, abscesses a siam thei a, chu chu a chang chuan vun chhungah a puak darh thei bawk. Heng abscesses enkawl hian, chu chu pus draining a ngai a, chu chu a tlem hle a, vun cancer vei theihna a sang deuh niin an sawi.
• Osteonecrosis (bone death): Ruh pakhata thisen kalna chu Infection avanga a hring chhuak avanga a tawp chuan ruh chu a thi thei a ni. Hei hi a tlem hle . Mahse, a lo thleng a nih chuan mi thenkhat chuan ruh chu surgery hmanga lakchhuah (amputation) a ngai mai thei.
• Growth retardation: Naupang tê tête hian osteomyelitis an vei chuan an ruh ṭhang chu a pangngai aia a slow thei a ni. Chumi awmzia chu height gain leh limb lengthening ang chi thil hi a tlai thei tihna a ni.

Engtin nge doctor hian osteomyelitis hi a hriat theih ang?

Heng symptoms te hi i neih chuan doctor i pan hunah physical exam an ti hmasa ang . Tichuan, i natna lan chhuah dân te, engtik aṭanga an lo chhuah ṭan nge tih ang chi te chu an zawt ang che . Tun hnaia operation i neih emaw, hliam i neih emaw, natna dang damdawi thar i ei tan emaw a nih chuan, chu zawng zawng chu a pawimawh vek ang.Doctor hnenah ka hrilh a ngai . A pawimawh hle mai.

Chu bâkah, i doctor chuan natna i kai tih finfiah nân leh i ruhte dinhmun enfiah nân test engemaw zât a nei thei a, chungte chu:

• Thisen test: Hengte hian taksaah natna hrik a awm leh awm loh a enfiah thei.
• X-ray: Ruh ah danglamna a awm em tih en nan.
• MRI scan (Magnetic Resonance Imaging - MRI): Hei hian ruh, ruhro leh a chhehvel tissue te chiang zawkin a la thei a ni.
• CT scan (Computed Tomography - CT scan): Hei hian ruh chipchiar taka thlalak lak nan a pui bawk.
• Ultrasound scan: Hei hi a chang chuan a hring emaw, a hring emaw a awm leh awm loh enfiah nan an hmang thin.
• Bone scan: Hei hian ruh natna hmun chu a finfiah thei a ni.
• Bone marrow biopsy: A châng chuan, ruh emaw, ruhro emaw tê tê lak a, test a, natna thlentu dik tak hriat theih a ni.

Osteomyelitis hi engtin nge enkawl a nih?

I doctor chuan natna hrik tihfai nan leh i ruh chhiatna awm reng tur venna atan enkawlna a pe ang che . Enkawlna lian ber berte chu:

• Antibiotics: Infection hi bacteria avanga lo awm a nih chuan a enkawl nan antibiotics pek i ni ang. Kar tlemte chhung chu intravenous (IV) antibiotics pek i ni thei a, chumi hnuah oral antibiotics kar tlemte pek leh i ni thei bawk. Hei hian hun engemaw chen a la ngai dawn a ni.
• Antifungals: Infection hi fungus atanga lo chhuak a nih chuan antifungal damdawi an pe thin. Hengte hi thla engemaw zat chhung chu ka hmanga ei a ni tlangpui.
• Painkillers: Natna leh hliam tihziaawmna turin over-the-counter painkillers paracetamol emaw, doctor-in a pek non-steroidal anti-inflammatory drugs (NSAIDs) dang emaw i ei thei a ni. Mahse, i doctor-in ei tur a tih zat chauh ei hi a tha ber em?
• Needle aspiration: Pus chu abscesses angin a lo awm tawh a nih chuan doctor chuan needle hmangin pus emaw fluid emaw chu a la chhuak thei a ni.
• Surgery: Infection a nasat emaw, complication awm theihna a sang emaw a nih chuan , operation i mamawh mai thei. A bik takin vertebral osteomyelitis vei te hian operation an mamawh hle.

Enkawlna ka tan hnuah eng chen nge ka dam leh thuai ang?

Osteomyelitis hi a dam theih nan hun rei tak a ngai a ni .Thla engemaw zat chhung chu antibiotics emaw antifungals emaw i ei a ngai mai thei. Mahse, damdawi i ei tan chuan natna chu a thunun ang a, natna hrik te chu a thi tan ang a, zawi zawiin i rilru a hahdam tan ang Mahse, damna famkim i neih theih nan i dawhtheih a ngai a ni.

Osteomyelitis ka vei chuan eng nge ka beisei ang?

Osteomyelitis vei tam zawk chu enkawl \ha an nih chuan hun rei tak chhung harsatna nei lovin an dam leh \hin . Mahse a pawimawh ber chu natna kai hi hriat hmasak a , a rang thei ang bera enkawl tan hi a ni . Infection chhinchhiahna i neih chuan doctor pan nghal tur a ni.

He osteomyelitis hi eng chen nge a awm theih?

Osteomyelitis hian rei tak a daih thei . Thla engemaw zat chhung chu natna hrik a bo vek hma loh chuan enkawl a ngai mai thei. Chuvangin i doctor emaw surgeon emaw hnenah eng nge i beisei tih zawt rawh.

Engtin nge he osteomyelitis hi kan pumpelh theih ang?

Dik tak chuan, chutiang laka invenna atana i tih theih pawimawh ber chu hliam thar, hliam thar, leh hliam tharte chu thianghlim taka vawn leh surgery hmunte chu sterile-a awm reng hi a ni . Hengte hi ruh natna laka invenna tha ber berte an ni.

• I kut chu sahbawn hmangin uluk takin silfai fo ang che.
• Scrape emaw cut emaw a awm veleh sahbawn leh tui lum hmangin silfai thin ang che. Hliam te te chu lian zawkah siam suh.
• Deep cut, puncture wound, emaw accident lian tak i neih chuan emergency room-ah kal nghal rawh.
• Eng surgery pawh i tih zawh chuan i doctor hnenah hliam thianghlim dan tur dik tak zawt thin ang che. Chu thupekte chu zawm a pawimawh hle.

Engtin nge ka in enkawl ang, hetiang dinhmunah hian?

Hei hi a pawimawh hle. I doctor-in antibiotics emaw antifungals emaw a pek chuan hun bituk chhung zawng i ei tur a ni a, ni khat pawh tlai lovin i ei tur a ni. Tlem a dam deuh pawh nise damdawi ei kha bansan suh . Course kimchang chu i zo tur a ni. Chutiang a nih loh chuan damdawi i chawlhsan hma chuan natna chu a dam kim lo mai thei. Hei hian chronic osteomyelitis leh harsatna dang a thlen theihna a tipung a ni .

Operation i tih zawh chuan i surgeon hnenah incisions te chu engtin nge i tihfai ang tih zawt rawh . Engtikah nge inbual tur leh hliam sil tur te, hliam tihfai dan tur te, eng sahbawn nge hman tur tih te a hrilh vek ang che.

A pawimawh ber chu, natna hrik i hmuh chuan – a bik takin operation na hmunah – i doctor emaw surgeon emaw hnenah hriattir nghal rawh .

Engtikah nge doctor ka hmuh ngei ang?

Infection chhinchhiahna i hmuh chuanHliam emaw, surgery tihna hmun emaw atanga pus emaw fluid emaw chhuak i hmuh chuan i doctor emaw surgeon emaw pan nghal la, tihkhawtlai lohvin . Hetiang hunah hian hmanhmawh a tha ber.

Doctor hnenah zawhna pawimawh tak tak ka zawh tur chu engte nge ni?

Doctor hmu tura i kal hian hetiang zawhna thenkhat hi zawh a tha. Chutiang chuan natna chungchang chu i hrethiam zawk ang.

• Eng ang chiah nge osteomyelitis ka neih?
• Eng thilin nge he ruh natna hi a thlen?
• Eng ang enkawlna nge ka mamawh?
• Eng chen nge antibiotics emaw antifungals emaw ka ei tur?
• Ka surgical site emaw ka hliam emaw tihfai dan tur tha ber chu eng nge ni ang?

He natna hi engtiang chiahin nge osteomyelitis an tih?

Osteomyelitis hi natna khirh tak a ni a , enkawl vat a ngai a ni . Thu lawmawm tak chu a tam zawkah chuan enkawlna a dawng tha hle tih hi a ni . Amaherawhchu, harsatna lian tham kan tawh loh nan a rang thei ang bera enkawl tan a pawimawh. Chuvangin, hlau suh, symptom i neih chuan doctor pan rawh.

He osteomyelitis hi a mah chauhin a dam leh dawn em ni?

Ni lo, a ni lo tak zet. Osteomyelitis hi a mah chauhin a bo lo. Doctor pan a, a natna hmuhchhuah leh enkawl a pawimawh hle . I taksa immune system hian natna hrik a do thin tih hi a dik a, thilmak a ti thin. Mahse, osteomyelitis thlentu natna hrik paih chhuah nan chuan antibiotics emaw antifungals emaw i mamawh ngei ang .

Hliam chhehvela natna hrik i hmuh chuan ngaihthah ngai suh , a bik takin tun hnaia operation i neih tawh chuan. I surgical site-a inthlak danglamna i hmuh chuan i doctor emaw surgeon emaw hnenah hriattir nghal rawh. Zawhna engmah zawh loh ai chuan zawhna zawh hi a tha zawk fo thin . I tana dik lo nia i hriat emaw, i hmuh emaw chuan chhui chian a phu hle.

In lama hruai tur thuchah pawimawh ber

Okay, chuti a nih chuan, vawiin a kan sawi tak osteomyelitis hi ruh natna a ni a, chu chu bacteria emaw fungi emaw i ruhroah a darh a ni. Hei hi a pawi tak zet thei a, i ruhte pawh a tichhe vek thei bawk . Mahse, ni engemaw zat chhunga enkawlna i tan chuan, chu chu rang taka enkawl i tan chuan a tam zawk chu control theih a ni a, tihdam pawh a ni thei .

Infection chhinchhiahna, khawsik, natna hmuna lum, zun, emaw, tui luang chhuak emaw i neih chuan doctor pan nghal rawh.

I incisions te chu fai taka vawn reng a pawimawh hle a, a bik takin operation i neih tawh chuan . I surgeon chuan an tihfai dan tur chiang takin a hrilh ang che.Zawhna zawh hreh suh. I doctor te chu him leh hrisel taka awm theih nan an awm reng a ni. Thil danglam taka i hrilhfiah emaw, i tih tur dik tak i hrilh emaw avangin an thinrim ngai lo vang che. A pawimawh ber chu mahni hriselna enkawl hi a ni!