Kodi fupa lanu lili ndi kachilombo? Tiyeni tiphunzire za osteomyelitis!

Kodi nthawi zina mumamva ngati fupa kwinakwake m'thupi mwanu likungopweteka, likumva kutupa? Kapena ngakhale bala laling'ono likuoneka kuti ladwala kwambiri? Izi sizingakhale zinthu zosavuta. Lero tikambirana za matenda a mafupa omwe ndi oopsa pang'ono, koma amatha kuchiritsidwa ngati atachiritsidwa bwino. Ichi ndi chomwe timachitcha osteomyelitis.

Kodi Osteomyelitis ndi chiyani?

Mwachidule, osteomyelitis ndi matenda omwe amapezeka m'mafupa anu . Taganizirani izi, nthawi zina tikakhala ndi bala m'thupi mwathu ndipo silikusamalidwa bwino, mabakiteriya kapena bowa amalowa ndi kuyambitsa matenda? Vutoli limachitika pamene majeremusiwa amafalikira ku mafupa. Makamaka, zimakhudza gawo lomwe lili mkati mwa mafupa anu lotchedwa bone morrow . Kenako dera limenelo limatupa kwambiri ndikuyamba kupweteka .

Zitha kuchitika m'fupa lililonse m'thupi. Komabe, mwa ana aang'ono , nthawi zambiri zimapezeka m'mafupa ataliatali a miyendo kapena manja. Kwa akuluakulu , nthawi zambiri zimapezeka m'mafupa a msana kapena m'chiuno.

Chofunika kwambiri ndichakuti ngati izi sizikuthandizidwa bwino pakapita nthawi , zitha kuwononga mafupa kwamuyaya, ndipo nthawi zina zimatha kupha minofu. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.

Kodi mitundu ikuluikulu ya osteomyelitis ndi iti?

Inde, pali mitundu ikuluikulu ingapo ya osteomyelitis. Tiyeni tiwone zomwe zili.

• Matenda a osteomyelitis owopsa: Uwu ndi mtundu wofala kwambiri . Umachitika mukakhala ndi matenda ena (monga bala la pakhungu) ndipo majeremusi amafalikira mpaka ku mafupa. Umayamba mwadzidzidzi.
• Matenda a msana: Monga momwe dzinalo likusonyezera, iyi ndi matenda a msana omwe amakhudza mafupa a msana wanu (vertebrae) . Nthawi zambiri amawonetsa kupweteka kwa msana.
• Matenda a osteomyelitis osatha: Uwu ndi mtundu womwe umafuna chisamaliro. Nthawi zina, matenda oyamba atachiritsidwa, sangachiritsidwe kwathunthu ndipo amakhalabe m'thupi, ndipo amatha kubwereranso miyezi ingapo kapena zaka pambuyo pake . Zili ngati matenda osatha. Njira yabwino yopewera izi ndikumwa mankhwala omwe dokotala wanu wakupatsani kwa nthawi yonse ya chithandizo. Kupanda kutero, matendawa sangatheretu.

Kodi matenda otchedwa Osteomyelitis ndi ofala bwanji?

Ndipotu, uwu si matenda omwe amakhudza aliyense. Malinga ndi ofufuza, umakhudza anthu osakwana 25 pa anthu 100,000 aliwonse pachaka. Komabe, pali kusiyana pang'ono apa. Pakati pa omwe amathera kuchipatala ndikulandira chithandizo,Matendawa ndi ofala kwambiri. Kafukufuku wina akusonyeza kuti amapezeka mwa munthu m'modzi pa anthu 675 aliwonse omwe amalowa m'chipatala.

Tsopano mwina mukudabwa chifukwa chake izi zimachitika, sichoncho? Akatswiri amakhulupirira kuti anthu ena m'chipatala ali ndi mavuto ena azaumoyo, kuvulala, kapena opaleshoni zomwe zimapangitsa kuti mabakiteriya kapena bowa alowe m'thupi lawo mosavuta ndikupita ku mafupa awo. Izi zikutanthauza kuti ali pachiwopsezo chachikulu cha matenda amtunduwu.

Kodi zizindikiro za osteomyelitis ndi ziti?

Zizindikiro za izi zimatha kusiyana pang'ono kutengera mtundu wa osteomyelitis yomwe muli nayo komanso fupa lomwe lili ndi kachilomboka. Komabe, pali zizindikiro zina zodziwika bwino. Tiyeni tiwone zomwe zili.

• Malungo.
• Kumva ngati wopanda moyo, wosasangalala. Kungokhala ngati kudwala.
• Kupweteka kwa mafupa. Ichi ndiye chizindikiro chachikulu. Mumamva ngati mukufuna kukhudza malo omwe akupweteka.
• Kumva ngati ukuzizira (Chills).
• Kutuluka thukuta, makamaka usiku.
• Kusanza ndi kusanza.
• Kusintha mtundu wa khungu. Khungu likhoza kufiira ndikusintha mtundu pamene pali matenda.
• Kutupa. Malo omwe ali ndi kachilomboka akhoza kutupa.
• Khungu limamva kutentha. Mukayika dzanja lanu pa ilo, limamva ngati likutentha.
• Kutulutsa mafinya kapena madzi ena, makamaka ngati pali matenda ozungulira bala kapena malo ochitira opaleshoni.

Kuphatikiza apo, anthu omwe ali ndi vertebral osteomyelitis nthawi zambiri amamva kupweteka kwambiri m'munsi mwa msana . Nthawi zina, anthu omwe ali ndi osteomyelitis yosatha sangakhale ndi zizindikiro zilizonse. Ndicho chomwe chimawopsa pang'ono.

Kodi chifukwa chachikulu cha osteomyelitis ndi chiyani?

Mwachidule, chifukwa chachikulu cha izi ndi matenda omwe afalikira mpaka m'mafupa anu . Nthawi zambiri, matenda omwe ali pamwamba pa khungu lanu - mwachitsanzo, komwe muli ndi bala kapena komwe mudachitidwa opaleshoni - amachititsa kuti majeremusi alowe m'magazi mwanu ndikuyenda kudzera m'magazi kupita ku mafupa, omwe ali mkati mwa mafupa anu. Zili ngati mdani amene akulowa mozemba.

Ndani ali pachiwopsezo chachikulu chotenga matenda a osteomyelitis?

Zingachitikedi kwa aliyense. Komabe, anthu ena amakhala ndi vutoli. Tiyeni tiwone omwe ali:

• Anthu osakwana zaka 20 ndi anthu opitirira zaka 50. Magulu awiriwa ali pachiwopsezo chachikulu.
• Anthu omwe ali ndi mabala otseguka atavulala kapena ngozi. Tangoganizirani bala lalikulu, ndipo ngati silinatsekedwe bwino, majeremusi amatha kulowa mosavuta, eti?
• Anthu omwe angochitidwa opaleshoni posachedwapa, makamaka omwe achitidwa opaleshoni yosinthira mafupa (Arthroplasty - kulowetsa mafupa) , kapena omwe aikidwapo mawaya kapena mapini mu fupa losweka, ali pachiwopsezo. Izi zili choncho chifukwa majeremusi amathanso kulowa kudzera mu zipangizo zomwe zaikidwamo.
• Anthu omwe adavulalapo. Tangoganizirani ngati chinthu chonga singano kapena msomali chaboola khungu lanu, chimapita mozama kwambiri kotero kuti tizilombo toyambitsa matenda tingafike m'mafupa.
• Anthu omwe ali ndi kuvulala kwa kupanikizika kapena zilonda zogona. Mukakhala pamalo omwewo kwa nthawi yayitali, madera ena amakhala zilonda zopanikizika. Matenda amathanso kuchitika kudzera m'zilondazo.

Komanso, anthu omwe ali ndi matenda enaake komanso omwe akumwa mankhwala omwe amafooketsa chitetezo chamthupi amakhala ndi mwayi waukulu wopeza matenda a osteomyelitis. Nazi zitsanzo zingapo:

• Anthu omwe ali ndi matenda a magazi otchedwa sickle cell anemia .
• Anthu omwe ali ndi matenda a shuga. Chiwopsezochi chimakhala chachikulu makamaka kwa anthu omwe ali ndi zilonda zamapazi zokhudzana ndi matenda a shuga.
• Anthu omwe akumwa mankhwala oletsa chitetezo chamthupi. Mankhwalawa amaperekedwa pa matenda enaake kapena pambuyo poika ziwalo zina.
• Anthu omwe akulandira chithandizo cha hemodialysis. Izi zikutanthauza kuti, anthu omwe akulandira chithandizo choyeretsa magazi awo chifukwa impso zawo sizikugwira ntchito bwino.

Ndi mavuto ena ati omwe angachitike chifukwa cha osteomyelitis?

Inde, izi zingayambitse mavuto ena ngati sathandizidwa pa nthawi yake. Tiyeni tiwone zomwe zili:

• Matumbo: Matenda a m'mafupa angayambitse mafinya kusonkhana ndikupanga matumbo, omwe nthawi zina amatha kuphulika pakhungu. Kuchiza matumbo amenewa, komwe kumaphatikizapo kutulutsa mafinya, akuti kuli ndi chiopsezo chosowa kwambiri komanso chowonjezeka pang'ono cha khansa ya pakhungu.
• Osteonecrosis (kufa kwa mafupa): Ngati magazi opita ku fupa atsekedwa chifukwa cha kutupa komwe kumachitika chifukwa cha matenda, fupa limatha kufa. Izi zimachitika kawirikawiri . Komabe, ngati zitachitika, anthu ena angafunike kuchitidwa opaleshoni yochotsa fupa (kudula mafupa).
• Kuchedwa kukula: Ngati ana aang'ono ayamba kudwala matenda a mafupa, kukula kwa mafupa awo kungakhale kochedwa kuposa masiku onse. Izi zikutanthauza kuti zinthu monga kutalika ndi kutalika kwa miyendo zingachedwe.

Kodi dokotala amazindikira bwanji osteomyelitis?

Ngati muli ndi zizindikiro izi, mukapita kukaonana ndi dokotala, choyamba adzakuyesani thupi . Kenako adzakufunsani za zizindikiro zanu, monga nthawi yomwe zinayamba . Ngati mwangochitidwa opaleshoni posachedwa, mwavulala, kapena mwayamba kumwa mankhwala atsopano a matenda ena, zonsezi zidzakhala zofunika.Ndiyenera kuuza dokotala . Ndikofunikira kwambiri.

Kuphatikiza apo, dokotala wanu angachite mayeso angapo kuti atsimikizire matendawa ndikuwunika momwe mafupa anu alili, monga:

• Kuyezetsa magazi: Izi zitha kutsimikizira ngati pali matenda m'thupi.
• X-ray: Kuona ngati pali kusintha kulikonse m'mafupa.
• Kujambula kwa MRI (Magnetic Resonance Imaging - MRI): Izi zingathandize kuona bwino mafupa, mafuta a m'mafupa, ndi minofu yozungulira.
• Kujambula kwa CT (Computed Tomography - CT scan): Izi zimathandizanso kujambula zithunzi za mafupa mwatsatanetsatane.
• Kujambula kwa Ultrasound: Nthawi zina izi zimagwiritsidwa ntchito poyesa kutupa kapena kusonkhanitsa mafinya.
• Kujambula mafupa: Izi zingathandize kuzindikira malo omwe mafupa ali ndi kachilombo.
• Kufufuza za mafupa: Nthawi zina, chidutswa chaching'ono cha mafupa kapena mafupa chimatengedwa ndikuyesedwa kuti adziwe chomwe chikuyambitsa matendawa.

Kodi osteomyelitis imachiritsidwa bwanji?

Dokotala wanu adzakupatsani chithandizo chothandiza kuchotsa matendawa ndikuletsa kuwonongeka kwa mafupa anu kosatha . Mankhwala akuluakulu ndi awa:

• Mankhwala Opha Mabakiteriya: Ngati matendawa ayambitsidwa ndi mabakiteriya , mudzapatsidwa mankhwala opha mabakiteriya kuti muwachiritse. Mungapatsidwe mankhwala opha mabakiteriya kudzera m'mitsempha (IV) kwa milungu ingapo, kenako mankhwala opha mabakiteriya omwa kwa milungu ingapo. Izi zitenga nthawi.
• Mankhwala oletsa bowa: Ngati matendawa ayambitsidwa ndi bowa , mankhwala oletsa bowa amaperekedwa. Mankhwalawa nthawi zambiri amamwedwa pakamwa kwa miyezi ingapo.
• Mankhwala Ochepetsa Ululu: Kuti muchepetse ululu ndi kutupa, mutha kumwa mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani monga paracetamol kapena mankhwala ena oletsa kutupa omwe si a steroidal (NSAIDs) . Koma, kodi ndibwino kumwa mankhwala okhawo omwe dokotala wanu wakuuzani kuti mumwe?
• Kutulutsa mafinya: Ngati mafinya apangika ngati mafinya, dokotala angagwiritse ntchito singano kuchotsa mafinya kapena madzimadzi.
• Opaleshoni: Ngati matendawa ndi oopsa kapena pali chiopsezo chachikulu cha mavuto , mungafunike opaleshoni. Anthu omwe ali ndi vertebral osteomyelitis ndi omwe angafunike opaleshoni.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditayamba kulandira chithandizo?

Matenda a osteomyelitis amatenga nthawi kuti achire.Mungafunike kumwa mankhwala opha maantibayotiki kapena mankhwala opha mavairasi kwa miyezi ingapo. Komabe, mukangoyamba kumwa mankhwalawo, matendawa adzathetsedwa ndipo majeremusi adzayamba kufa, ndipo pang'onopang'ono mudzayamba kumva bwino . Komabe, muyenera kukhala oleza mtima kuti muchire bwino.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi osteomyelitis?

Anthu ambiri omwe ali ndi matenda a osteomyelitis amachira popanda mavuto a nthawi yayitali ngati atalandira chithandizo choyenera . Koma chofunika kwambiri ndi kuzindikira matendawa msanga ndikuyamba chithandizo mwamsanga . Ngati muli ndi zizindikiro za matenda, pitani kwa dokotala nthawi yomweyo.

Kodi osteomyelitis iyi ingatenge nthawi yayitali bwanji?

Matenda a osteomyelitis amatha kupitilira nthawi yayitali . Mungafunike kulandira chithandizo kwa miyezi ingapo mpaka matendawa atatheratu. Choncho funsani dokotala wanu kapena dokotala zomwe mungayembekezere.

Kodi tingapewe bwanji osteomyelitis iyi?

Ndipotu, zinthu zofunika kwambiri zomwe mungachite kuti mupewe izi ndi kusunga mabala atsopano, mabala, ndi mabala oyera komanso kusunga malo opangira opaleshoni opanda ukhondo . Izi ndi njira zabwino kwambiri zopewera matenda a mafupa.

• Sambani m'manja mwanu nthawi zonse ndi sopo.
• Tsukani mikwingwirima kapena mabala aliwonse ndi sopo ndi madzi ofunda akangoyamba. Musapangitse mabala ang'onoang'ono kukula.
• Ngati muli ndi bala lalikulu, bala loboola, kapena ngozi yaikulu, pitani kuchipatala mwamsanga.
• Mukachita opaleshoni iliyonse, funsani dokotala wanu momwe mungasungire bala kukhala loyera. Ndikofunikira kwambiri kutsatira malangizo amenewo.

Kodi ndiyenera kudzisamalira bwanji, pankhaniyi?

Izi ndizofunikira kwambiri. Ngati dokotala wanu wakupatsani mankhwala opha maantibayotiki kapena opha mavairasi, muyenera kumwa mankhwalawa kwa nthawi yonse yomwe mwapatsidwa, osaphonya tsiku limodzi. Musasiye kumwa mankhwalawo ngakhale mutamva bwino pang'ono. Muyenera kumaliza kumwa mankhwala onse. Kupanda kutero, ngati musiya kumwa mankhwalawo msanga, matendawa sangachiritsidwe kwathunthu. Izi zimawonjezera chiopsezo chokhala ndi matenda osatha a osteomyelitis ndi mavuto ena .

Mukamaliza opaleshoni, funsani dokotala wanu momwe angasungire malo odulidwawo kukhala oyera . Iye adzakuuzani zonse kuyambira nthawi yoti mutsuke bala, momwe mungatsukire bala, komanso mtundu wa sopo woti mugwiritse ntchito.

Chofunika kwambiri, ngati muwona zizindikiro za matenda - makamaka pamalo ochitira opaleshoni - dziwitsani dokotala wanu kapena dokotala wanu nthawi yomweyo .

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuona zizindikiro za matendaNgati muwona mafinya kapena madzi akutuluka pabala kapena pamalo ochitira opaleshoni, pitani kwa dokotala wanu nthawi yomweyo, mwamsanga . Pazochitika izi, ndi bwino kuchitapo kanthu mwachangu.

Kodi ndi mafunso otani ofunika omwe ndiyenera kufunsa dokotala?

Mukapita kukaonana ndi dokotala, ndi bwino kufunsa mafunso ngati awa. Mwanjira imeneyi, mudzamvetsetsa bwino za matendawa.

• "Ndi mtundu wanji wa osteomyelitis womwe ndili nawo?"
• "N’chiyani chinayambitsa matenda a mafupa awa?"
• "Ndi chithandizo chamtundu wanji chomwe ndikufuna?"
• "Ndiyenera kumwa mankhwala opha maantibayotiki kapena opha mavairasi kwa nthawi yayitali bwanji?"
• "Njira yabwino kwambiri yosungira malo anga ochitira opaleshoni kapena bala langa kuti ndipewe matenda ndi iti?"

Kodi vuto limeneli lotchedwa osteomyelitis ndi loopsa bwanji?

Matenda a osteomyelitis ndi matenda oopsa omwe amafunika chithandizo cha nthawi yomweyo . Nkhani yabwino ndi yakuti nthawi zambiri, amachira bwino akalandira chithandizo . Komabe, kuti tipewe mavuto aakulu, ndikofunikira kuyamba kulandira chithandizo mwachangu. Choncho, musachite mantha, ndipo pitani kwa dokotala ngati muli ndi zizindikiro zilizonse.

Kodi osteomyelitis iyi idzakhala bwino yokha?

Ayi, ayi konse. Matenda a osteomyelitis satha okha. Ndikofunikira kwambiri kuonana ndi dokotala kuti akapezeke ndi kulandira chithandizo. N'zoona kuti chitetezo cha mthupi lanu chimalimbana ndi majeremusi, ndipo chimagwira ntchito zodabwitsa. Komabe, kuti muchotse matenda omwe amayambitsa osteomyelitis, mudzafunika maantibayotiki kapena mankhwala ophera tizilombo toyambitsa matenda .

Ngati mukuona zizindikiro za matenda ozungulira bala, musanyalanyaze , makamaka ngati mwangochitidwa opaleshoni posachedwapa. Ngati muwona kusintha kulikonse pamalo omwe mwachita opaleshoni, dziwitsani dokotala wanu kapena dokotala wanu nthawi yomweyo. Nthawi zonse ndi bwino kufunsa mafunso kusiyana ndi kusafunsa mafunso aliwonse . Ngati mukumva kapena kuona china chake chomwe sichikuwoneka bwino kwa inu, ndikofunikira kufufuza.

Uthenga wofunika kwambiri woti upite nawo kunyumba

Chabwino, matenda a osteomyelitis omwe takambirana lero ndi matenda a mafupa omwe amapezeka pamene mabakiteriya kapena bowa akufalikira ku mafupa anu. Izi zitha kukhala zoopsa kwambiri, ndipo zimatha kuwononga mafupa anu kwamuyaya . Komabe, ngati muyamba chithandizo pasanathe masiku angapo, ndiye kuti, mwachangu, amatha kulamulidwa kwambiri komanso kuchiritsidwa .

Ngati muli ndi zizindikiro za matenda, monga kutentha thupi, kutentha pamalo omwe muli ndi kachilomboka, mafinya, kapena kutuluka kwa madzi m'thupi, pitani kwa dokotala nthawi yomweyo.

Ndikofunikira kwambiri kusunga mabala anu oyera, makamaka ngati mudachitidwa opaleshoni . Dokotala wanu adzakupatsani malangizo omveka bwino a momwe mungawasungire oyera.Musaope kufunsa mafunso. Madokotala anu alipo kuti akuthandizeni kukhala otetezeka komanso athanzi. Sadzakukwiyirani chifukwa chokufotokozerani zinthu mosiyana kapena kukuuzani zoyenera kuchita. Chofunika kwambiri ndikusamalira thanzi lanu!

Matenda a mafupa, matenda a mafupa, matenda a mafupa, kupweteka kwa mafupa, mafuta am'mafupa, mafinya, maantibayotiki