Ingaba umntwana wakho unesifo samathambo? Makhe sithethe ngale nto (i-Osteomyelitis)!

Xa usiva igama elithi Osteomyelitis, usenokuba noloyiko kancinci, akunjalo? Elo gama lisenokuvakala lingaqhelekanga, kodwa ligama oogqirha abalinika usulelo oluvela emathanjeni. Ngamafutshane, kukudumba okanye ukudumba okukhulu okwenzeka ngaphakathi kwethambo. Njengokuba inxeba eluswini lwethu linokudumba, linokubakho nangaphakathi kwethambo. Uninzi lwexesha, isizathu esiphambili soku kukuba izinto ezincinci ezibizwa ngokuba ziibhaktheriya zingena emathanjeni zize zibangele usulelo. Ngoko ke, masithethe nge-Osteomyelitis, olusulelo lwamathambo, ngokweenkcukacha ezithe vetshe nangendlela enobuhlobo? Ndiza kuyichaza ngendlela onokuyiqonda.

Zithini iimpawu ze-Osteomyelitis? Uyazi njani ukuba umntwana wakho unale meko?

Umntwana one-osteomyelitis uhlala eva iintlungu eziqatha kwindawo yethambo elinesi sifo. Kunye noku, unokufumana nezinye iimpawu ezifana nezi:

• Usenokuba nomkhuhlane ophezulu , kwaye ngamanye amaxesha ungade uzive ubanda kwaye uqhaqhazele.
• Umzimba wam uziva ungenabomi kwaye udiniwe. Ngamanye amaxesha ndiziva ndinesicaphucaphu.
• Umntwana ubonakala nje engaphili kwaye engaphilanga kakuhle.
• Ulusu oluphezu kwethambo elinesifo lunokuba bomvu, ludumbe, kwaye lushushu xa luchukunyiswa . Le ndawo ibuhlungu kakhulu.

Xa oku kusenzeka kubantwana abancinci, ingakumbi iintsana ezingakwaziyo ukuthetha, banokuyeka ukusebenzisa ingalo okanye umlenze ochaphazelekayo. Umzekelo, ukuba ngumlenze, abayi kuwubeka phantsi, kwaye ukuba sisandla, abayi kushukumisa isandla sabo. Basenokukhala ukuba umntu uzama ukuchukumisa loo ndawo. Basenokukhala kakhulu kwaye babonise ukungabi namdla wokutya. Njengokungathi bazama ukuthi, "Ndiziva kakubi apha."

Abantwana abadala, oko kukuthi, abantwana abancinci, banamathuba amaninzi okufumana i-osteomyelitis emva kwengozi okanye ukwenzakala . Ngamanye amaxesha, ukuba ukwenzakala kuyaphola kwaye indawo iqala ukubuhlungu kwakhona, kunokuba luphawu lwe-osteomyelitis.

Umzekelo, ukuba umntwana wakho ebenomlenze obuhlungu kangangeentsuku ezimbalwa, enengxaki yokuhamba, kwaye enomkhuhlane, musa ukuwuthatha njengento nje ebuhlungu. Eyona nto ingcono onokuyenza kukubona ugqirha.

Ingaba olu sulelo lwamathambo (i-osteomyelitis) luvela njani? Zithini izizathu?

Kukho iindlela ezahlukeneyo iintsholongwane ezinokungena ngazo emathanjeni ethu zize zibangele usulelo. Makhe sijonge ukuba zeziphi:

• Ukusasazeka egazini: Ngamanye amaxesha sinokuba nosulelo lwebhaktiriya kwenye indawo emzimbeni wethu, umzekelo emqaleni, eluswini, okanye kwindlela yomchamo. Emva koko iibhaktiriya apho zidibana kancinci negazi zize zihambe emzimbeni wonke kunye negazi. Njengeentshaba ezincinci ezihamba egazini. Ngamanye amaxesha ezi bhaktiriya zinokungena ethanjeni zize ziqale usulelo olutsha apho. Oogqirha babiza oku ngokuthi (Hematogenous osteomyelitis)Le yindlela izifo zamathambo ezidla ngokukhula ngayo kubantwana abancinci.
• Usulelo oluthe ngqo: Enye indlela kukuba iintsholongwane zingene ethanjeni ngqo ngenxeba. Oku kunokwenzeka emva kokwenzakala okanye utyando olukhulu. Ukuqhekeka okuvulekileyo , apho ithambo laphukile kwaye inxeba libonakala, kusengozini enkulu yokuba ne-osteomyelitis kuba iintsholongwane zinokungena ngokulula ethanjeni.
• Ukusasazeka ukusuka kwindawo ekufutshane: Ngamanye amaxesha, ukuba usulelo olukwenye indawo kufutshane nethambo (umzekelo, i-blister enkulu eluswini, okanye usulelo olukwilungu) alunyangwa kakuhle, lunokusasazeka kancinci kancinci luye kwithambo elikufutshane.

I-Osteomyelitis, isifo samathambo, sixhaphake kakhulu kubantwana abangaphantsi kweminyaka emi-5 ubudala. Nangona kunjalo, sinokwenzeka nakweyiphi na iminyaka. Ngokwezibalo, abafana banamathuba aphindwe kabini okufumana esi sifo kunamantombazana.

Kwakhona, abanye abantwana basengozini enkulu yokufumana i-osteomyelitis kunabanye. Umzekelo:

• Abantwana abanenkqubo yomzimba yokuzikhusela ebuthathaka .
• Abantwana abanezifo ezingapheliyo ezifana nesifo se-sickle cell .

Ngaba i-Osteomyelitis sisifo esosulelayo?

Hayi, ungakhululeka xa usiva oku. Usulelo lwamathambo, olukwabizwa ngokuba yi-osteomyelitis, alusasazeki ngqo ukusuka komnye umntu ukuya komnye . Oku kuthetha ukuba ukuba umntwana wakho ebenale meko, akayi kukwazi ukuyidlulisela komnye umntwana. Nangona kunjalo, iintsholongwane ezibangela i-osteomyelitis ngamanye amaxesha zinokusasazwa ukusuka komnye umntu ukuya komnye (umzekelo, ngokuthimla, ukukhohlela, okanye izandla ezingcolileyo). Yiyo loo nto kubalulekile ukuhlala ucocekile.

Oogqirha bazi njani ngokuqinisekileyo ukuba une-Osteomyelitis? Zeziphi iimvavanyo abazenzayo?

Ukuba umntwana wakho unomkhuhlane kunye nentlungu yamathambo, kubalulekile ukuba afune uncedo lwezonyango ngokukhawuleza . I-Osteomyelitis inokuba yingozi ngokukhawuleza emva kweeyure okanye iintsuku ezimbalwa, nto leyo eyenza unyango lube nzima ngakumbi.

Ugqirha uza kuqala amhlole umntwana. Uza kubuza nangokwenzakala okanye iingozi ezisandula ukwenzeka kwindawo apho intlungu ikhona khona. Emva koko, banokwenza iimvavanyo ezininzi, ezifana nezi:

• Uvavanyo lwegazi: Olu vavanyo lujonga ukuba kukho inani elingakanani leeseli ezimhlophe egazini (i-WBC) egazini (uphawu losulelo), kunye nezinye iimpawu zokudumba okanye usulelo emzimbeni.
• I-X-reyi: Ugqirha wakho unokuyalela i-X-reyi. Nangona kunjalo, kwizigaba zokuqala ze-osteomyelitis, ii-X-reyi zisenokungabonisi rhoqo iimpawu ezicacileyo zosulelo.
• Uvavanyo lwe-Bone scan okanye i-MRI:Ukuba ufuna ukubona ithambo ngokweenkcukacha ezithe vetshe, ugqirha wakho unokucebisa ukuba uhlolwe ithambo okanye iMRI (Magnetic Resonance Imaging). IiMRI zinokuvelisa imifanekiso ecacileyo neneenkcukacha ezingaphezulu kuneeX-ray. I-MRI ayinakunceda nje kuphela ekuqinisekiseni ukuba une-osteomyelitis, kodwa inokunceda nasekuqinisekiseni ukuba usulelo lukho ixesha elingakanani kwaye lusasazeke kangakanani.

Ngamanye amaxesha, ugqirha unokufuna ukuthatha isampuli yethambo elisulelekileyo ukuze avavanye iintsholongwane. Oku kubizwa ngokuba yi-bone biopsy. Ukuba kufunyenwe iintsholongwane, olu vavanyo lunokunceda ekuqinisekiseni ukuba loluphi uhlobo lwentsholongwane kwaye luchonge eyona antibiotic ifanelekileyo yosulelo.

Inyangwa njani i-Osteomyelitis? Ngaba umntwana uza kuphila ngokukhawuleza?

Unyango lwe-osteomyelitis luxhomekeke kwizinto ezininzi:

• Ubudala bomntwana kunye nempilo yakhe ngokubanzi .
• Indlela olu bhubhane luyingozi ngayo.
• Nokuba usulelo lukhawulezileyo (oko kuthetha ukuba luqale kutshanje) okanye alupheli (oko kuthetha ukuba belukho ixesha elide).

Unyango lubandakanya ikakhulu amayeza okubulala iintsholongwane ukulwa nosulelo kunye namayeza entlungu . Uninzi lwabantwana abane-osteomyelitis kuya kufuneka bahlale esibhedlele iintsuku ezimbalwa. Oku kwenziwa ngokubanika amayeza okubulala iintsholongwane ngemithambo (IV) ukulwa nosulelo ngokukhawuleza. Nje ukuba umntwana wakho azive engcono, ugqirha uya kukuvumela ukuba ugoduke. Nangona kunjalo, kunokufuneka uqhubeke nokuthatha amayeza okubulala iintsholongwane, nokuba usebenzisa imithambo okanye ngomlomo, iiveki ezimbalwa emva kokuba ugoduke. Oku kubalulekile kuba ufuna ukususa usulelo ngokupheleleyo.

Kwezinye iimeko, oogqirha banokufuna ukwenza utyando ukuze bacoce ithambo elisulelekileyo. Ukuba ithambo lizele yi-pus (ulwelo olwenziwe yibhaktheriya kunye neeseli ezimhlophe zegazi), ugqirha uya kwenza inkqubo ebizwa ngokuba yi-debridement . Oku kubandakanya ukucoca inxeba ngokupheleleyo, ukususa izicwili ezifileyo, kunye nokukhupha i-pus emathanjeni. Oku kuvumela ithambo ukuba liphilise kakuhle.

Ungakhathazeki, oogqirha baza kukunika unyango olungcono kumntwana wakho. Umsebenzi wakho kukulandela imiyalelo kagqirha ngokuchanekileyo kwaye uxhase umntwana wakho ngothando.

Kuthatha ixesha elingakanani ukuphola kwi-Osteomyelitis?

Uninzi lwabantwana luqala ukuziva lungcono kwaye lungabi nakugula kakhulu kwiintsuku ezimbalwa emva kokuqala unyango. Amayeza okubulala iintsholongwane anikwa ngemithambo yegazi (IV) adla ngokutshintshelwa kwiyeza lokubulala iintsholongwane emva kweentsuku ezi-5 ukuya kwezili-10. Abantwana kufuneka bathathe amayeza okubulala iintsholongwane ubuncinane inyanga.Kunokufuneka amayeza okubulala iintsholongwane. Ngamanye amaxesha, ngokuxhomekeke kwiimpawu kunye neziphumo zovavanyo lwegazi, unokucelwa ukuba uthathe amayeza ixesha elide. Kungoko ke, kubaluleke kakhulu ukuthatha amayeza ixesha elipheleleyo elichazwe ngugqirha wakho.

Yintoni esinokuyenza ukuthintela ukuphuhliswa kwe-Osteomyelitis?

Kukho iindlela ezininzi ezilula zokuthintela uphuhliso lwe-osteomyelitis. Kubaluleke kakhulu ukugcina ulusu lwethu lucocekile.

• Ukugcina amanxeba ecocekile: Nasiphi na isilonda, ukukrweleka, okanye inxeba, elikhulu okanye elincinci , kufuneka licocwe kakuhle kwangoko nje ukuba livele. Ingakumbi kumanxeba anzulu, libambe phantsi kwamanzi abalekayo kwaye ulihlambe kakuhle ngesepha ubuncinane imizuzu emi-5. Oku kuya kuhlamba naziphi na iintsholongwane ezinokuba ngaphakathi kwenxeba.
• Emva kokucoca inxeba, ligqume. Ligqume ngeqhekeza elicocekileyo le-gauze okanye ngelaphu elicocekileyo. Ungaphinda ufake ikhrimu yokubulala iintsholongwane onokuyithenga kwikhemesti. Kodwa, eyona nto ibalulekileyo kukugcina inxeba licocekile .
• Inxeba kufuneka liqale ukuphola kwiiyure ezingama-24 kwaye liphole ngokupheleleyo kwiveki. Ukuba inxeba lithatha ixesha elide ukuphola, okanye ukuba kukho intlungu enganyamezelekiyo, qiniseka ukuba ubona ugqirha .
• Ukuhlamba izandla: Njengabazali, thina nabantwana bethu singenza lukhulu ekuthinteleni ukusasazeka kweentsholongwane ngokuhlamba izandla zethu rhoqo nangokucokisekileyo.
• Ukugonywa: Qinisekisa ukuba abantwana bakho bafumana yonke imigonyo yabo ngexesha. Ezi migonyo zinokunceda ekuthinteleni ezinye izifo ezibangelwa ziintsholongwane.

Izinto ezibalulekileyo ekufuneka sizikhumbule kwizinto esithethe ngazo zezi:

Kulungile, ngoko ke sithethe kakhulu nge-Osteomyelitis, akunjalo? Ndicinga ukuba uyiqonda kakuhle le nto. Okokugqibela, khumbula la manqaku:

• I-Osteomyelitis yintsholongwane ebangelwa yintsholongwane emathanjeni.
• Ukuba unefiva ekhawulezileyo ehamba nentlungu yamathambo , musa ukuyityeshela. Funa ingcebiso kagqirha ngoko nangoko.
• Ii-antibiotics zinikwa njengonyango. Kusenokufuneka ukulaliswa esibhedlele kunye notyando.
• Kubalulekile ukuthatha amayeza okubulala iintsholongwane ixesha lonke elichazwe ngugqirha. Oku kuya kunceda usulelo luphilise ngokupheleleyo.
• Ukugcina amanxeba ecocekile kunye nokulandela iindlela ezilungileyo zococeko kunokunciphisa umngcipheko wokuba ne-osteomyelitis.

Ukuba uneminye imibuzo malunga noku, ungoyiki ukubuza ugqirha wosapho lwakho. Baza kukwazi ukukunceda ngakumbi. Eyona nto ibalulekileyo kukungaxhalabi, ukuba nolwazi olufanelekileyo, nokubonelela umntwana ngononophelo aludingayo.

I- Osteomyelitis, usulelo lwamathambo, izifo zabantwana, usulelo lweebhaktheriya, iintlungu zamathambo, amayeza okubulala iintsholongwane, impilo yomntwana