Ese wigeze ugira ububabare butunguranye cyangwa kubyimba ingingo imwe? Ese byaba ari indwara ya septic arthritis?

Ese wowe cyangwa inshuti yawe mwagize ububabare bukabije, kubyimba, gutukura, no kugira umuriro mu ngingo? Hari igihe dushobora gutekereza ko ari ugukomereka gusa cyangwa ikindi kintu. Ariko, niba ufite ibi bimenyetso, bishobora kuba indwara ikomeye yitwa septic arthritis . Reka tubiganireho gato uyu munsi, kuko ni ngombwa cyane kubimenya.

Indwara ya rubagimpande yo mu bwoko bwa septic ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Muri make, indwara ya rubagimpande iterwa n’imitsi ni ububyimbirwe cyangwa kubyimba bibaho iyo umugera winjiye mu ngingo imwe cyangwa nyinshi. Uyu mugera ushobora kuba bagiteri, virusi, cyangwa fungus. Akenshi, bibaho iyo indwara iturutse ahandi mu mubiri igeze mu ngingo inyuze mu maraso.

Tekereza kuri ibi, ingingo zacu zimeze nk'ingingo z'imashini. Kugira ngo zikore neza, ubuso bwazo bugomba kuba bworoshye. Ubu buso bworoshye bwitwa cartilage . Nanone, hari ikintu gisiga amavuta cyitwa synovial fluid hagati y'ingingo, gifasha ingingo kugenda byoroshye. Rero iyo iyo mikorobe yinjiye, yangiza iyi cartilage na synovial fluid, bigatera ububyimbirwe.

Akenshi igira ingaruka ku ngingo nini nko mu kibuno no mu ivi, ariko ishobora no kugira ingaruka ku zindi ngingo nko ku rutugu no ku kaguru.

Iyo abantu benshi batekereje "arthritis", batekereza ko ari ikintu kigira ingaruka ku bantu bakuze gusa. Ariko mu by'ukuri, abantu b'imyaka iyo ari yo yose bashobora kurwara arthritis. Igitangaje ni uko ubu bwoko bwa arthritis, bwitwa septic arthritis , bukunze kugaragara ku bana kurusha abantu bakuru.

Nubwo dukunze gutekereza ko ijambo "arthritis" ari indwara imwe, mu by'ukuri hari ubwoko butandukanye bwa rubagimpande. Urugero:

• Osteoarthritis
• Rumatizime
• Arthritis y'imitsi
• Gute

Nubwo ibi byose bifitanye isano no kubyimba ingingo, impamvu zabyo, ibimenyetso byabyo, n'uburyo bwo kuvura biratandukanye. Indwara ya rubagimpande yo mu bwoko bwa septic ni ubwoko bwihariye bwa rubagimpande buterwa n'ubwandu bwa bagiteri .

Ni izihe ngingo zikunze kwibasirwa cyane n'indwara ya rubagimpande?

Ibi biterwa n'ibintu byinshi. Muri rusange, nk'uko byavuzwe mbere, bikunze kugaragara mu ngingo nini zo hasi y'umubiri, nko mu kibuno, mu mavi no mu tuguru.

• Ku bana bato , ibi bikunze kugira ingaruka ku ngingo yo mu kibuno .
• Ku bantu bakuru , akenshi bibasira amavi .
• Hari ingero zimwe na zimwe zidasanzwe. Urugero, abakoresha imiti iterwa mu ntera bakunze kurwara ibi mu ngingo za sacroiliac, zihuza ikibuno n'umugongo wo hasi, no mu ngingo ya sternoclavicular, ihuza clavicle na sternum.

Ese iyi ndwara ya rubagimpande ishobora gukwirakwira mu bindi bice by'umubiri?

Yego, iki ni cyo kintu kibi cyane. Iyo indwara yateye indwara ya rubagimpande idavuwe neza, iyi ndwara ishobora gukwirakwira no mu bindi bice by'umubiri. Ibi tubyita sepsis . Iyi ni indwara ikomeye ishobora no gushyira ubuzima mu kaga .

Akenshi, indwara ya rubagimpande ifata ingingo imwe gusa. Ariko, gake cyane, ishobora kugira ingaruka ku ngingo nyinshi. Ubwandu bwa bagiteri za staphylococcal ni bwo butera indwara ya rubagimpande ifata ingingo imwe gusa, kandi muri ibyo bihe, akenshi ifata ingingo imwe gusa. Ariko, indwara ya rubagimpande iterwa n'ubwoko bwa bagiteri yitwa Neisseria ishobora kugira ingaruka ku ngingo nyinshi.

Ni nde ufite amahirwe menshi yo kurwara indwara ya septic arthritis?

Nubwo ikunze kugaragara cyane mu bana, ishobora no kugaragara no mu bakuru. Abahungu bari hagati y'imyaka 2 na 3 ni bo bafite ibyago byinshi byo kuyirwara.

Ibi ni ibisanzwe gute?

Indwara ya rubagimpande idakunze kugaragara cyane. Mu by’ukuri, igaragara hagati ya 2 na 6 mu bantu 100.000 buri mwaka.

Indwara ya rubagimpande iteye ubwoba ingana iki?

Nubwo bidakunze kubaho, indwara ya rubagimpande iterwa n'imisemburo ni indwara ikomeye cyane . Ishobora kwangiza ingingo yawe burundu , ndetse n'izindi ngorane. Iyo idavuwe neza , ishobora no gutuma umuntu apfa . Kubwibyo, niba ufite ibi bimenyetso, ntukibagirwe kujya kwa muganga cyangwa kujya kwa muganga wihuta.

Ni ibihe bimenyetso by'indwara ya rubagimpande iterwa n'ibisebe?

Ibi bimenyetso bishobora kugaragara mu buryo butunguranye:

• Ububabare bukomeye n'ububabare mu ngingo yafashwe.
• Iyo ngingo irabyimbye kandi yumva ishyushye .
• Kugorwa no kwimura ingingo (gukora buhoro buhoro).
• Kudashaka gukoresha cyangwa kwimura ingingo yafashwe (ibi bishobora kuba ukuri cyane cyane ku bana).
• Umuriro .

Niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ntukifate nk'aho ari ikintu cyoroshye.

Ni iki gitera indwara ya rubagimpande iterwa n'ibisebe?

Nkuko byavuzwe mbere, impamvu nyamukuru ibitera ni ubwandu. Bushobora kuba bagiteri, fungi, mycobacteria, virusi, cyangwa izindi ndwara. Akenshi, ubwandu butangirira ahandi mu mubiri, wenda mu gisebe cy'uruhu, bujya mu ngingo bunyuze mu maraso.

Izi ndwara zishobora gutera indwara ya rubagimpande iterwa n’ibinure by’umubiri:

• Staphylococcus aureus : Iyi bagiteri (izwi kandi nka 'Staph' mu magambo ahinnye) ni yo itera indwara ya rubagimpande mu bana no mu bantu bakuru.
• Staphylococcus aureus (MRSA) idakira Methicillin : MRSA ni ubwoko bw'indwara ya Staph idakira imiti imwe n'imwe. Abantu batera imiti, abanduye agakoko gatera SIDA (virusi itera ubudahangarwa bw'umubiri w'umuntu), n'abafite diyabete bafite ibyago byinshi byo kurwara indwara ya rubagimpande iterwa na MRSA.
• Itsinda rya A na B Streptococci : Iyi nayo ni ubwoko bwa bagiteri. Abantu bakuze, abantu bafite indwara zidakira nka diyabete, n'abantu bafite cirrhose bafite ibyago byinshi byo kurwara indwara ya septic arthritis ituruka kuri iyi bagiteri.
• Neisseria gonorrhoeae : Iyi bagiteri itera indwara zandurira mu mibonano mpuzabitsina (STI) yitwa gonorrhea. Abantu barwaye gonorrhea bashobora kurwara ubwoko bwa septic arthritis yitwa gonococcal arthritis .
• Neisseria meningitidis (meningococcus) : Iyi bagiteri itera meningiti, ububyimbirwe bw'uturemangingo dutwikira ubwonko n'umugongo. Ni gake cyane iyi bagiteri ishobora no gutera indwara ya septic arthritis.

Ni bagiteri iyihe ikunze gutera indwara ya septic arthritis?

Staphylococcus aureus ni yo ikunze gutera indwara ya rubagimpande mu bana no mu bantu bakuru, ikaba ibarirwa hagati ya 37% na 56% by'abarwayi ba rubagimpande.

Ese indwara ya rubagimpande iterwa n'imisemburo y'amaraso yandura?

Oya, indwara ya rubagimpande idakwirakwira mu buryo butaziguye iva ku muntu ijya ku wundi . Ariko, bagiteri zitera rubagimpande idakwirakwira (urugero: `Staphylococcus aureus`, `MRSA`, `Neisseria gonorrhoeae`) zishobora gukwirakwira mu muntu iva ku wundi binyuze mu gukoranaho.

Ni gute indwara ya rubagimpande iterwa n'indwara ya septic arthritis?

Muganga wawe azabanza gusuzuma ingingo yawe. Niba hakekwa ko hari indwara ya septic arthritis, ashobora gufata urugero rw'amazi ya synovial mu ngingo yafashwe akoresheje urushinge. Ibi byitwa aspiration . Amazi yoherezwa mu isuzuma rya laboratwari. Iyo habonetse bagiteri muri ayo mazi, ni isuzuma ry'ukuri rya septic arthritis.

Ni ibihe bipimo bikoreshwa mu gusuzuma indwara?

• Gukoresha amazi ya synovial: Nkuko byavuzwe mbere, muganga afata icyitegererezo cy'amazi ava mu ngingo akoresheje urushinge ruto maze agasuzuma bagiteri.
• Gupima amaraso : Gupima amaraso bishobora gukorwa kugira ngo harebwe niba ubudahangarwa bw'umubiri wawe burimo kwitwara nabi, cyangwa kugira ngo harebwe izindi ndwara.
• Imirasire ya X : Imirasire ya X ikoreshwa mu gufata amafoto y'amagufwa. Imirasire ya X ishobora kwerekana ibintu nko kongera umwanya uri hagati y'ingingo no kubyimba kw'ingingo zoroshye. Ibi bishobora kuba ibimenyetso bya rubagimpande.
• Ultrasound : Ikoresha amajwi mu gufata amafoto y'imbere mu mubiri. Ultrasound ishobora gufasha umuganga kureba uburyo ingingo yabyimbye n'aho amazi y'ingingo ari mu gihe arimo guhumeka.
• MRI (Ishusho ya Magnetic Resonance) : Ikizamini gikoresha rukuruzi nini, imiraba ya radiyo, na mudasobwa kugira ngo hakorwe amashusho arambuye y'ingingo n'amagufwa. MRI ishobora gufasha mu gupima indwara ya rubagimpande hakiri kare.

Indwara ya rubagimpande ivurwa ite?

Uburyo bukurikira bwo kuvura bukoreshwa kuri ibi:

• Kubagwa : Akenshi, hakenewe kubagwa no guterwa imiti yica udukoko mu mitsi.
• Antibiyotike : Umurwayi wese urwaye rubagimpande agomba kuvurwa na antibiyotike. Muganga wawe ashobora kuguha antibiyotike haba mu mitsi cyangwa nk'ibinini.
• Gusohora amazi mu ngingo: Muganga ashobora gukoresha urushinge ruto kugira ngo akureho (aspirate) amazi arenze urugero mu ngingo. Ibi bishobora gukenerwa gukorwa inshuro nyinshi mu gihe cyo gukira.
• Ubuvuzi bw'umubiri : Ushobora gukenera ubuvuzi bw'umubiri kugira ngo wongere imikorere y'ingingo no gukumira ko imitsi ikikije ingingo idacika intege.
• Gukuraho ingingo y'ubukorano : Iyo urwaye indwara ya rubagimpande iterwa n'ingirabuzimafatizo, ingingo y'ubukorano ishobora gukurwaho igasimbuzwa agace gakozwe muri sima irwanya udukoko. Nyuma y'amezi make, muganga wawe azongera gushyiramo ingingo yawe y'ubukorano.

Bifata igihe kingana iki kugira ngo indwara ya septic arthritis ikire?

Igihe bifata kugira ngo umuntu akire neza giterwa n'umugera wateye ubwandu ndetse n'ubuzima bwawe muri rusange. Ushobora gukenera gufata imiti yica udukoko mu gihe cy'ibyumweru byinshi. Niba ubwandu bwangije ingingo n'uturemangingo tworoshye tuyikikije, bishobora gufata igihe kirekire kugira ngo ingingo ikire neza.

Ese indwara ya rubagimpande ikira ubwayo?

Oya, ntabwo ari byo na gato.Kubera ko indwara ya rubagimpande idakira ubwayo, ntabwo ikira ubwayo. Indwara za bagiteri zigomba kuvurwa hifashishijwe imiti yica udukoko. Niba ufite ibimenyetso bya rubagimpande idakira, ugomba kujya kwa muganga cyangwa ukajya kwa muganga vuba. Iyo itavuwe, ishobora guteza ingorane zikomeye kandi ikashyira ubuzima mu kaga.

Ni ibihe bintu bishobora gutera indwara ya rubagimpande iterwa n'imisemburo?

Ibi bintu bishobora gutera ibyago bishobora gutandukana ku bana no ku bakuru.

Ibintu bishobora gutera ibyago ku bana:

• Imyaka : Abana bavutse bafite ibyago byinshi byo kurwara iyi ndwara kuko ubudahangarwa bw'umubiri bwabo butari bukomeye cyane.
• Kugira Hemophilia : Hemophilia ni indwara yo kuvura amaraso mu buryo bw’umubiri. Abana bafite iyi ndwara baba bafite ibyago byinshi byo kurwara indwara ya septic arthritis.
• Kugira ubudahangarwa bw'umubiri budakomeye : Abana bafite ubudahangarwa bw'umubiri budafite ubushobozi bwo kuvura indwara nk'indwara yo kubura amaraso mu mubiri (sickle cell anemia) na virusi itera SIDA bashobora kurwara iyi ndwara.
• Ubwivumbure : Kubera ko imiti igabanya ubudahangarwa bw'umubiri, abantu bahabwa ubu buvuzi bashobora kurwara indwara ya rubagimpande iterwa n'amaraso.

Ibintu bishobora gutera ibyago ku bantu bakuru:

• Imyaka : Abantu bakuru barengeje imyaka 80 bafite ibyago byinshi byo kurwara iyi ndwara.
• Kurwara rubagimpande (RA) cyangwa rubagimpande : Abantu bafite izi ndwara zangiza ingingo zabo bafite amahirwe menshi yo kurwara rubagimpande. Mu bantu barwaye rubagimpande, rubagimpande ishobora kurwara abantu bagera kuri 70 kuri 100.000 buri mwaka.
• Ubwandu bwa VIH (Virusi itera SIDA ku budahangarwa bw'umubiri) : Kubera ko VIH igabanya ubudahangarwa bw'umubiri, hari amahirwe menshi yo kwandura indwara, ndetse no kurwara indwara ya septic arthritis.
• Kugira Diyabete Mellitus : Isukari nyinshi mu maraso ishobora gutuma ubudahangarwa bw'umubiri bugabanuka. Abantu barwaye diyabete badakomeza kugenzura isukari mu maraso bafite ibyago byinshi byo kwandura indwara zandurira mu maraso ndetse no kurwara indwara ya rubagimpande.
• Kugira indwara y'uruhu : Kubera ko indwara ya rubagimpande ikunze gutangirira ku ndwara iri ahandi mu mubiri, kugira indwara y'uruhu bishobora gutera indwara ya rubagimpande iterwa n'uruhu.
• Kubagwa ingingo vuba aha : Niba uherutse kubagwa ingingo, uri mu kaga gakomeye ko kurwara indwara ya rubagimpande iterwa no kwandura igikomere cyo kubagwa.
• Kugira ingingo y'ubugororangingo : Kwandura indwara zikunze kugaragara cyane mu ngingo z'ubugororangingo kurusha mu ngingo zisanzwe. Kugira ingingo y'ubugororangingo byongera ibyago byo kurwara indwara ya rubagimpande.
• Gukoresha imiti iterwa mu gutera urushinge : Ibi byongera ibyago byo kurwara indwara ya rubagimpande kuko bituma bagiteri n'ibindi binyabuzima byangiza binjira mu mubiri binyuze mu ruhu.
• Imibonano mpuzabitsina : Hari ibyago byo kurwara indwara ya rubagimpande iterwa na bagiteri (Neisseria gonorrhoeae), itera indwara zandurira mu mibonano mpuzabitsina (STI) yitwa gonorrhea, cyane cyane iyo umuntu akoze imibonano mpuzabitsina idakingiye.

Ni gute wakwirinda indwara ya septic arthritis?

Nubwo atari buri kibazo cyose cya rubagimpande gishobora kwirindwa, hari ibintu bimwe na bimwe ushobora gukora kugira ngo ugerageze kuyirinda kugira ngo idakura:

• Guma ibisebe n'ibikomere kwandura : Niba ufite igisebe ku ruhu rwawe, gisukure kugira ngo wirinde kwandura. Niba hari ibimenyetso by'ubwandu, nko gutukura, ubushyuhe, cyangwa amashyira akikije igisebe, hita ugana muganga.
• Gucunga neza indwara zawe zidakira : Niba ufite indwara idakira nka diyabete cyangwa SIDA (Acquired Immunodeficiency Syndrome), fata iyo ndwara uko bishoboka kose kugira ngo ukomeze kugira ubuzima bwiza.
• Koresha agakingirizo cyangwa uruziga rw'amenyo. Vugana n'uwo mwashakanye ku bijyanye n'imibanire yanyu ya kera n'amateka y'indwara zandurira mu mibonano mpuzabitsina (STIs).
• Ntugakoreshe ibiyobyabwenge nabi : Gutera inshinge mu biyobyabwenge bitemewe bishobora gutera indwara. Fata imiti wahawe na muganga gusa, nk'uko byavuzwe.

Ni iki giteganyijwe ku ndwara ya septic arthritis?

Uko ibi bizagenda bigerwaho biterwa n'ibintu byinshi:

• Ni bagiteri cyangwa ikinyabuzima ikihe cyaguteye kwandura?
• Igihe ubwandu bwawe bumaze.
• Imyaka yawe n'ubuzima bwawe muri rusange.

Hari ubwoko bumwe bwa bagiteri, nka MRSA, bugoye kuvura kurusha ubundi. Uko indwara ya rubagimpande ifata igihe kirekire, ni ko amahirwe yo kwangirika kw'ingingo yangiritse. Abantu bafite ubudahangarwa bw'umubiri budakomeye nabo bafite amahirwe menshi yo kwangirika kw'ingingo yangiritse.

Ese indwara ya Arthritis ishobora kwica?

Nubwo wavurwa hakoreshejwe imiti yica udukoko, indwara ya rubagimpande ifite igipimo cy’impfu kiri hagati ya 7% na 15% . Niba ufite ibimenyetso bya rubagimpande, menya neza ko wagiye kwa muganga cyangwa ukajya kwa muganga vuba bishoboka.

Ni izihe ngorane zishobora guterwa na Arthritis y'imisemburo?

Indwara ya rubagimpande yo mu bwoko bwa septic ni indwara ikomeye. Ingorane zishobora kubaho zirimo:

• Ububabare budakira
• Osteomyelitis (kubyimba kw'amagufwa)
• Gupfa kw'imitsi y'amagufwa (osteonecrosis) (biterwa no kugabanuka kw'amaraso atangwa)
• Itandukaniro ry'uburebure bw'amaguru
• Sepsis (ububyimbirwe bukwirakwira mu mubiri wose)
• Urupfu

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso bya rubagimpande, nko kubabara ingingo, umuriro, ubushyuhe, gutukura, kubabara, no kugorwa no kwimura ingingo,Shaka muganga cyangwa uhite ujya ku bitaro biri hafi yawe. Indwara ya rubagimpande ni indwara ikomeye igomba kuvurwa hifashishijwe imiti yica udukoko. Iyo itavuwe, ishobora gushyira ubuzima mu kaga.

Ni irihe tandukaniro riri hagati ya Arthritis Septic na Osteomyelitis?

Indwara ya osteomyelitis na septic arthritis byombi ni indwara zidasanzwe ariko zikomeye. Indwara ya osteomyelitis ni indwara ifata amagufwa. Indwara ya osteomyelitis ni ububyimbirwe bw'agatsi gatwikiriye ingingo n'amazi ya synovial ashyira amavuta mu ngingo. Izi ndwara zombi akenshi ziterwa na bagiteri ya Staphylococcus aureus.

Kubera ko ibimenyetso bya byombi bisa (nk'ububabare mu gace kafashwe, ububabare, no kubyimba), bishobora kugorana gutandukanya ibyo byombi. Indwara ya rubagimpande ishobora no gutera osteomyelitis, kandi rimwe na rimwe byombi bishobora kubaho icyarimwe. Niba ufite ibimenyetso bya buri kibazo, jya ku bitaro biri hafi yawe vuba. Byombi bisaba ubufasha bwa muganga. Muganga wawe azagukorera ibizamini kugira ngo amenye icyateye ibimenyetso byawe.

Ni irihe tandukaniro riri hagati ya Arthritis na Gout?

Gute ni ubwoko busanzwe bwa rubagimpande buterwa na kristu za aside urique. Gutembera kwa rubagimpande ni ukubyimba kw'ingingo guterwa n'ubwandu.

Indwara ya rubagimpande iterwa n’indwara ya goutte ikunze kugaragara ariko ikomeye. Ibimenyetso by’indwara zombi (nk’ukubyimba no gutukura kw’ingingo) bishobora kuba bimwe, bityo bishobora kugorana gutandukanya ibyo byombi. Niba ufite ibimenyetso bya goutte cyangwa se indwara ya rubagimpande iterwa n’indwara ya rubagimpande, gana muganga vuba bishoboka. Muganga wawe azakubaza ibibazo bijyanye n’ibimenyetso byawe, akwohereze kwa muganga nibiba ngombwa, kandi agukorere ibizamini kugira ngo amenye impamvu y’ibimenyetso byawe.

Wibuke ikintu cy'ingenzi kurusha ibindi (Ubutumwa bwo kujyana mu rugo)

Indwara ya rubagimpande iterwa n'ibisebe ni indwara idakunze kugaragara ariko ikomeye cyane . Inkuru nziza ni uko ishobora kuvurwa . Niba ufite ibimenyetso nko kubabara cyane, kubyimba, no kugorwa no kwimura ingingo, jya ku bitaro bikwegereye vuba. Uko muganga wawe ashobora kumenya indwara vuba agatangira kuyivura, ni ko ushobora gukira vuba. Ntutinde, kuko kuvurwa hakiri kare bishobora kurokora ingingo yawe no gukumira ingorane zikomeye.

Rubagimpande , kubyimba ingingo, kwandura, bagiteri, ububabare bw'ingingo, kubyimba, umuriro