Kodi kupweteka kwa msana wanu si kupweteka kokha? Tiyeni tiphunzire za Matenda a Pott / Chifuwa Cham'mimba Cham'mimba!

Kodi nthawi zina mumamva kupweteka kwa msana? Mwina kungachepe pakapita masiku ochepa. Komabe, ngati ululu wa msana ukupitirira, ndipo ngati mukumva kutopa komanso kusakhala ndi chilakolako cha chakudya, mwina si nkhani yophweka. Lero tikambirana za matenda okhudzana ndi msana omwe ndi oopsa pang'ono, koma amatha kuchiritsidwa ngati atachiritsidwa bwino. Umenewo ndi matenda a Pott, kapena Spinal Tuberculosis.

Kodi Matenda a Pott ndi chiyani?

Mwachidule, matenda a Pott ndi matenda a bakiteriya omwe amakhudza mafupa a msana wanu, otchedwa vertebrae . Ndi mtundu wa chifuwa chachikulu (TB). Koma sikuti amangokhudza mapapo okha, ndi mtundu wa chifuwa chachikulu cha m'mapapo . Taganizirani izi, zimayamba m'mapapo poyamba, kenako zimapita ku msana.

Izi zingayambitse kupweteka kwa msana kwa nthawi yayitali , kufooka kwa minofu m'manja ndi miyendo, ndipo ngati sizikuthandizidwa bwino, zingayambitse kupindika kwa msana ndi kuwonongeka kwa mafupa a msana. Nthawi zina, izi zitha kukhala zoopsa.

Madokotala angatchule izi kuti msana wa Pott kapena chifuwa chachikulu cha msana .

Kodi matenda a Potts ndi ofala bwanji?

Matenda a Potts ndi amodzi mwa mitundu yofala kwambiri ya chifuwa chachikulu cha m'mafupa. Padziko lonse lapansi, akuti anthu pafupifupi 10.6 miliyoni adapezeka ndi chifuwa chachikulu mu 2022 yokha.

Kodi zizindikiro za matenda a Potts ndi ziti?

Tsopano tiyeni tiwone zizindikiro za matenda a Pott.

• Kupweteka kwa msana: Ichi ndiye chizindikiro chachikulu.
• Kupweteka pakhosi: Nthawi zina ululu ukhoza kuchitikanso pakhosi.
• Kufooka kwa mkono ndi mwendo: Kumamveka ngati munthu wopanda moyo.
• Kutaya chilakolako
• Kuchepetsa thupi kosamveka bwino
• Malungo

Zingakhudze fupa lililonse la msana, kutanthauza vertebra iliyonse. Nthawi zambiri, vertebra yoposa imodzi imakhudzidwa. Malo omwe mumakhala ndi zizindikiro izi nthawi zambiri ndi awa:

• Msana wa khomo lachiberekero
• Msana wa thoracic kapena dorsal
• Msana wa msana

Kodi izi zimachitika bwanji?

Matenda a Potts amayamba chifukwa cha bakiteriya yotchedwa Mycobacterium tuberculosis . Mukapuma madontho ang'onoang'ono ochokera kwa munthu amene ali ndi chifuwa chachikulu, monga akamatsokomola kapena kulankhula, amayamba kulowa m'mapapo mwanu. Kenako, matendawa amafalikira kudzera m'magazi mwanu kupita ku mafupa a msana wanu.

Kodi izi ndi zopatsirana?

Tsopano mwina mukudabwa ngati matenda a Potts awa ndi opatsirana.Ayi, matenda a Potts safalikira mwachindunji kuchokera kwa munthu wina kupita kwa wina. Chifuwa chachikulu chimafalikira chikakhala m'mapapo. Izi zikutanthauza kuti, kudzera mu majeremusi omwe amatulutsidwa mumlengalenga munthu amene ali ndi kachilombo akamatsokomola kapena kulankhula. Pofika nthawi imene matendawa amafalikira mpaka kumsana, amakhala atatuluka m'mapapo kwathunthu.

Ndani amene ali pachiwopsezo chachikulu?

Ndani amene ali ndi mwayi waukulu wopeza matenda a Potts?

• Kwa iwo omwe ali pafupi ndi munthu amene ali ndi chifuwa chachikulu.
• Kwa iwo omwe amakhala m'madera okhala anthu ambiri.
• Kwa iwo omwe sangathe kupeza chithandizo chamankhwala mosavuta.

Komanso, anthu omwe ali ndi matenda enaake ali pachiwopsezo chachikulu. Mwachitsanzo:

• Kwa iwo omwe ali ndi vuto la kusowa zakudya m'thupi .
• Kwa iwo omwe ali ndi vuto la kugwiritsa ntchito mankhwala osokoneza bongo (matenda ogwiritsira ntchito mankhwala osokoneza bongo).
• Kwa anthu omwe ali ndi matenda omwe amaika chitetezo chamthupi pamavuto , monga HIV .

Kodi chimachitika ndi chiyani ngati chithandizo sichiperekedwa? (Zovuta)

Chimachitika ndi chiyani ngati izi sizikuchiritsidwa bwino? Zingakhale zoopsa kwambiri. Matenda a Potts amatha kuwononga mafupa a msana wanu. Bakiteriya iyi imayambitsa kutupa ndi mafinya mkati mwa msana. Kutupa ndi mafinya kumeneku kumapangitsa mafupa a msana kukhala opsinjika, ofooka, komanso owonongeka. Msana ukhoza kusweka kapena kugwa. Izi zingayambitse msana kukhala wosakhazikika. Izi zingayambitse kupindika kutsogolo (kyphosis), komwe ndi vuto lomwe msana umapindikira patsogolo, zomwe zimapangitsa kuti ziwoneke ngati wina wagwada.

Si zokhazo, komanso mavuto ena amatha kuchitika:

• Kuvuta kuyimirira ndi kuyenda.
• Kupsinjika kwa mitsempha: Izi zingayambitse kufooka kwa miyendo, dzanzi, komanso kulephera kulamulira mkodzo kapena ndowe.
• Kufa ziwalo kungachitikenso.
• Matendawa amathanso kufalikira ku ziwalo zina za thupi (monga ubongo, impso).

Ngati matendawa apezeka msanga ndipo chithandizo chayamba, mavuto ngati amenewa angapewedwe kwambiri.

Kodi mumazindikira bwanji izi?

Kodi madokotala amazindikira bwanji matenda a Potts? Dokotala akakufufuzani ndikufunsani za zizindikiro zanu, adzachita mayeso ena angapo. Mayesowa amagwiritsidwa ntchito kuti athetse matenda ena omwe ali ndi zizindikiro zofanana ndikutsimikizira kuti ndi TB ya msana.

• Kuyesa khungu la chifuwa chachikulu: Kuyesa pang'ono komwe kumachitika pakhungu.
• Kuyezetsa magazi kuti azindikire mabakiteriya a chifuwa chachikulu.
• Mayeso ojambulira: Mwachitsanzo, kujambula kwa X-ray ya msana, MRI (Magnetic Resonance Imaging) , CT (Computed Tomography) , kapena PET (Positron Emission Tomography) .Kujambula.

Chifukwa zizindikiro za matenda a Potts zimafanana ndi za matenda ena ambiri ofala, ndipo chifukwa chakuti TB ya msana ndi yosowa, nthawi zina zimakhala zovuta kuzizindikira. Komanso, anthu okhala m'madera omwe ali ndi chiwerengero chachikulu cha TB koma zipatala zosauka angachedwe kufunafuna chithandizo mpaka mavuto atakula.

Kodi mankhwala ake ndi otani?

Matenda a Potts amachiritsidwa m'magawo angapo. Pali mankhwala omwe ayenera kumwedwa kwa miyezi ingapo.

Kodi chingachiritsidwe ndi mankhwala?

Dokotala wanu angakulangizeni mankhwala a chemotherapy monga:

• Isoniazid, Rifampicin, Pyrazinamide, Ethambutol ndi/kapena Streptomycin kwa miyezi iwiri.
• Pambuyo pake, Isoniazid ndi Rifampicin zitha kumwedwa kwa miyezi ina inayi mpaka khumi ndi iwiri, kapena kupitirira apo.

Ndikofunikira kwambiri kugwiritsa ntchito mankhwalawa monga momwe dokotala wanu wanenera. Kusiya kumwa mankhwalawa nthawi isanakwane kungathandize kuchepetsa mphamvu ya chithandizo.

Nthawi zina, mankhwala oyamba a chifuwa chachikulu sagwira ntchito. Izi zimatchedwa TB yosamva mankhwala . Ngati izi zitachitika, dokotala wanu angakulangizeni mankhwala ena, monga:

• Kanamycin
• Capreomycin
• Pyrazinamide
• Amikacin
• Fluoroquinolone

Mankhwala awa a chifuwa chachikulu chosamva mankhwala angayambitse zotsatirapo zina. Dokotala wanu adzakuuzani za izi.

Mwina opaleshoni ikufunika?

Nthawi zina, opaleshoni ingafunike kuti ikonze msana wanu, kuchepetsa zizindikiro, komanso kupewa mavuto a matenda a Potts. Pali mitundu ingapo ya opaleshoni yomwe ingachite:

• Kuchotsa zinthu zovulaza: Kuyeretsa kapena kuchotsa minofu yoonongeka yozungulira msana.
• Kutulutsa kapena kutulutsa mafinya omwe asonkhana m'msana.
• Kukhazikika ndi kukhazikika: Chifuwa chachikulu chingayambitse kuwonongeka kwa mafupa a msana. Dokotala wochita opaleshoni angachotse ndi/kapena kukonza mafupa osweka ndi ma disc , ndikuyika mbale ndi zomangira kuti mafupawo agwire bwino ntchito.
• Kusakanikirana: Dokotala wochita opaleshoni amatha kulumikiza mafupa awiri pamodzi kwamuyaya, kuchepetsa kuyenda kwawo ndikuletsa ululu ndi zovuta zina. Izi zitha kuphatikizapo kugwiritsa ntchito cholumikizira cha mafupa kuchokera ku gawo lina la thupi lanu.

Kodi kuchuluka kwa kuchira kuli bwanji?

Ngati atapezeka msanga ndi kulandira chithandizo msanga, mwayi wochira ku matenda a Potts ndi wabwino kwambiri. Akuti pafupifupi 95% ya anthu omwe amadwala matenda a Potts ndi kulandira chithandizo pachiyambi amachira .

Komabe, ngati chifuwa chachikulu cha msana chikukula kwambiri, kapena ngati sichilandira chithandizo ndipo chimayambitsa kuwonongeka kwa msana, chikhoza kukhala choopsa kwa moyo. Dokotala wanu adzayesa mwayi wanu wochira kutengera zaka zanu, momwe chitetezo chanu cha mthupi chimayankhira, komanso thanzi lanu lonse.

Matenda a Potts amatha kuchiritsidwa ndi mankhwala, koma si nthawi zonse mankhwala amatheka, makamaka ngati chifuwa chachikulu ndi mtundu wosamva mankhwala .

Kodi matenda a Potts amafupikitsa nthawi ya moyo?

Moyo wanu ukakhala ndi matenda a Potts umasiyana kwambiri. Ngati matendawa apezeka ndi kuchiritsidwa msanga, mwina sangakhudze moyo wanu. Komabe, kwa ana aang'ono, akuluakulu opitirira zaka 65, komanso anthu omwe ali ndi chitetezo chamthupi chofooka, zotsatira za matenda a Potts nthawi zambiri zimakhala zoyipa kwambiri, komanso zitha kuopseza moyo.

Dokotala wanu angakuuzeni bwino za moyo wanu, kuphatikizapo mfundo izi:

• Zaka zanu ndi thanzi lanu lonse.
• Nthawi yomwe munayamba kulandira chithandizo.
• Kuopsa kwa matendawa.
• Muli ndi mavuto.
• Kaya thupi lanu silikulandira mankhwala a chifuwa chachikulu kapena ayi.

Kodi pali njira zopewera izi?

Popeza ndi mtundu wa matenda a chifuwa chachikulu, sizingatheke kupewa matenda a Potts kotheratu. Komabe, mungachite izi kuti muchepetse chiopsezo chanu chotenga matenda a chifuwa chachikulu:

• Pewani kukhudzana kwambiri ndi munthu amene ali ndi matenda a TB kwa nthawi yayitali.
• Ngati muli pachiopsezo chachikulu chotenga chifuwa chachikulu, kapena ngati mukukhala m'dera lomwe matendawa ndi ofala, pitani kukayezetsa chifuwa chachikulu nthawi zonse.

Kodi ndiyenera kupita kwa dokotala liti?

Matenda a chifuwa chachikulu amayamba m'mapapo (pulmonary TB). Zizindikiro za matenda a Pott nthawi zambiri zimawonekera matendawa atafalikira kuchokera m'mapapo kupita kumsana. Onani dokotala ngati muli ndi zizindikiro izi:

• Chifuwa chomwe chimatenga milungu yoposa iwiri.
• Kupweteka pachifuwa.
• Ngati mutsokomola magazi.
• Kutopa kwambiri.
• Kufooka kwa minofu.
• Chakudyacho sichikoma.
• Ngati muli ndi malungo ndi kuzizira.

Mwina mulibe zizindikiro zilizonse za m'mapapo, koma mwina muli ndi chifuwa chachikulu. Choncho ngati muli ndi zizindikiro zilizonse za chifuwa chachikulu cha msana, uzani dokotala nthawi yomweyo.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Mukapita kwa dokotala, mukhoza kufunsa mafunso awa:

• Kodi ndili ndi matenda a Potts, kapena vuto lina lililonse lomwe limakhudza msana wanga?
• Kodi mumalimbikitsa chithandizo chanji?
• Kodi ndiyenera kumwa mankhwala a chifuwa chachikulu liti ndipo kwa nthawi yayitali bwanji?
• Kodi pali zotsatirapo zilizonse zoyipa zomwe zingachitike chifukwa cha mankhwalawa?
• Kodi ndikufunika opaleshoni?

Zinthu zofunika kwambiri zomwe muyenera kukumbukira

Matenda a Pott akhoza kukhala matenda ovuta kwambiri. Zizindikiro zingakulepheretseni kukhala pansi bwino, kusuntha miyendo yanu, komanso kukhala ndi moyo wopanda ululu. Chithandizo chingatenge miyezi mpaka zaka kuti chichotsedwe kwathunthu matendawa m'thupi lanu. Mungafunike opaleshoni kuti mukonze msana wanu. Zonsezi zingakupangitseni kumva kuti mwatopa kwambiri komanso simungathe kuchita zinthu zachizolowezi ndi okondedwa anu mpaka mutachira. Koma kumbukirani kuti simuli nokha. Dokotala angakuthandizeni kuthana ndi matenda a Potts, kukuthandizani kuti mukhale bwino, komanso kupewa mavuto omwe angakupheni.

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