Ingaba intlungu yakho yomqolo ayisiyontlungu nje kuphela? Masifunde ngeSifo sikaPott / iSifo sePhepha soMgogodla!

Ngaba ngamanye amaxesha ukhe uqaqanjelwe yintlungu yomqolo? Mhlawumbi iza kuphela kwiintsuku ezimbalwa. Nangona kunjalo, ukuba le ntlungu yomqolo iyaqhubeka, kwaye ukuba uziva udiniwe kwaye ungenamdla wokutya, isenokungabi yinto elula. Namhlanje siza kuthetha ngesifo esinxulumene nomqolo esinzulu kancinci, kodwa esinokunyangwa ukuba sinyangwa ngokufanelekileyo. Eso siSifo sikaPott, okanye iSifo soMgogodla.

Yintoni isifo sikaPott?

Ngamafutshane, isifo sikaPott sisifo sebhaktheriya esichaphazela amathambo kumqolo wakho, esibizwa ngokuba yi-vertebrae . Ngokwenene luhlobo lwesifo sephepha (TB). Kodwa asipheleli nje kwimiphunga, luhlobo lwesifo sephepha esingaphandle kwemiphunga . Cinga ngaso, siqala emiphungeni kuqala, size siye kumqolo.

Oku kunokubangela iintlungu zomqolo ezihlala ixesha elide , ubuthathaka bemisipha kwiingalo nasemilenzeni, kwaye ukuba ayinyangwa kakuhle, inokukhokelela ekugobekeni komqolo kunye nomonakalo kwithambo lomqolo. Kwezinye iimeko, oku kunokuba yingozi ebomini.

Oogqirha banokuthi oku yiPott's spine okanye i-tuberculosis spondylitis .

Ixhaphake kangakanani isifo sikaPotts?

Isifo sikaPotts sesinye sezona ntlobo zixhaphakileyo zesifo sephepha samathambo. Kwihlabathi liphela, kuqikelelwa ukuba malunga ne-10.6 yezigidi zabantu bafunyaniswa benesifo sephepha ngo-2022 kuphela.

Zithini iimpawu zesifo sikaPotts?

Ngoku makhe sibone ukuba zeziphi iimpawu zeSifo sikaPott.

• Intlungu yomqolo: Olu luphawu oluphambili.
• Intlungu yentamo: Ngamanye amaxesha intlungu inokubakho nasentanyeni.
• Ubuthathaka beengalo nemilenze: Kuvakala ngathi yimeko engenabomi.
• Ukulahlekelwa ngumdla wokutya
• Ukunciphisa umzimba ngendlela engachazekiyo
• Ifiva

Ingachaphazela naliphi na ithambo elisemgogodleni, oko kukuthi, naliphi na ithambo lomqolo. Rhoqo, kuchaphazeleka iithambo zomqolo ezingaphezu kwesinye. Iindawo apho unokuthi uve khona ezi mpawu zezi:

• Umqolo womlomo wesibeleko
• Umqolo wesifuba okanye we-dorsal
• Umqolo weLumbar

Kwenzeka njani oku?

Isifo sikaPotts sibangelwa yintsholongwane ebizwa ngokuba yiMycobacterium tuberculosis . Xa uphefumla amathontsi amancinci avela kumntu onesifo sephepha, njengaxa ekhohlela okanye ethetha, aqala ukungena emiphungeni yakho. Emva koko, usulelo lusasazeka ngegazi lakho luye emathanjeni akho omqolo.

Ingaba oku kuyasulela?

Ngoku usenokuba uzibuza ukuba ingaba esi sifo sikaPotts siyasulelana na.Hayi, isifo sikaPotts asisasazeki ngqo ukusuka komnye umntu ukuya komnye. Isifo sephepha sisasazeka xa sisemiphungeni. Oko kukuthi, ngeentsholongwane ezikhutshwa emoyeni xa umntu osulelekileyo ekhohlela okanye ethetha. Xa usulelo lusasazeka luye emqolo, lusuke lwaphuma ngokupheleleyo emiphungeni.

Ngubani osengozini enkulu?

Ngubani onokuthi abe nesifo sePotts?

• Kwabo basondelelene kakhulu nomntu onesifo sephepha.
• Kwabo bahlala kwiindawo ezixineneyo kakhulu.
• Kwabo bangakwaziyo ukufikelela kwiinkonzo zempilo ngokulula.

Kwakhona, abantu abaneengxaki ezithile zempilo basengozini enkulu. Umzekelo:

• Kwabo bangondlekanga .
• Kwabo baxhomekeke ekusebenziseni iziyobisi (ingxaki yokusebenzisa iziyobisi).
• Kubantu abaneemeko ezibeka amajoni omzimba esichengeni , ezifana ne -HIV .

Kuza kwenzeka ntoni ukuba unyango alunikwa? (Iingxaki)

Kwenzeka ntoni ukuba oku akunyangwa kakuhle? Kunokuba yingozi kakhulu. Isifo sikaPotts singonakalisa amathambo kumqolo wakho. Le ntsholongwane ibangela ukudumba kunye namathumba azele bubomvu ngaphakathi kumqolo. Oku kudumba kunye namathumba kubangela ukuba amathambo kumqolo acinezelwe, abe buthathaka, kwaye onakale. Amathambo omqolo anokwaphuka okanye awe. Oku kunokubangela ukuba umqolo ungaqini. Oku kunokubangela ukuba umqolo ugobe phambili (kyphosis), imeko apho umqolo ugoba phambili, okwenza kubonakale ngathi umntu ugobile.

Akunjalo kuphela, kodwa nezinye iingxaki zinokwenzeka:

• Ubunzima bokuma nokuhamba.
• Ukucinezelwa kwemithambo-luvo: Oku kunokubangela ubuthathaka kwimilenze, ukungaziva mnandi, kunye nokungakwazi ukulawula umchamo okanye indle.
• Ukukhubazeka komzimba nako kunokwenzeka.
• Usulelo lunokusasazeka nakwezinye iindawo zomzimba (umzekelo, ingqondo, izintso).

Ukuba isifo siqatshelwe kwangethuba kwaye unyango luqala, iingxaki ezinje ngezi zinokuthintelwa kakhulu.

Uyibona njani le nto?

Oogqirha bayixilonga njani isifo sikaPotts? Emva kokuba ugqirha ekuxilongile aze akubuze ngeempawu zakho, baya kwenza ezinye iimvavanyo ezimbalwa. Ezi zilingo zisetyenziselwa ukuthintela ezinye izifo ezineempawu ezifanayo nokuqinisekisa ukuba yiTB yomqolo.

• Uvavanyo lolusu lwesifo sephepha: Uvavanyo oluncinci olwenziwa eluswini.
• Uvavanyo lwegazi ukuze kufunyanwe iintsholongwane zesifo sephepha.
• Uvavanyo lokujonga imifanekiso: Umzekelo, i-scan ye-spinal X-ray , i-MRI (Magnetic Resonance Imaging) , i-CT (Computed Tomography) , okanye i-scan ye -PET (Positron Emission Tomography) .Iskeni.

Ngenxa yokuba iimpawu zesifo sikaPotts zifana nezezinye izifo ezininzi eziqhelekileyo, kwaye ngenxa yokuba isifo somqolo asiqhelekanga, ngamanye amaxesha kunokuba nzima ukusifumanisa. Kwakhona, abantu abahlala kwiindawo ezinezinga eliphezulu lesifo sofuba kodwa bengenazo izibonelelo zempilo ezisemgangathweni banokulibazisa ukufuna unyango de kubekho iingxaki.

Zithini iindlela zonyango?

Isifo sikaPotts sinyangwa ngamanqanaba ahlukeneyo. Kukho amayeza ekufuneka athathwe kangangeenyanga eziliqela.

Ngaba inganyangwa ngamayeza?

Ugqirha wakho unokucebisa amayeza e-chemotherapy anje ngala:

• I-Isoniazid, iRifampicin, iPyrazinamide, i-Ethambutol kunye/okanye iStreptomycin kangangeenyanga ezimbini.
• Emva koko, i-Isoniazid kunye ne-Rifampicin zingathathwa ezinye iinyanga ezine ukuya kwezilishumi elinesibini, okanye mhlawumbi nangaphezulu.

Kubaluleke kakhulu ukusebenzisa eli yeza kanye njengoko ugqirha wakho ekuxelele. Ukuliyeka ngaphambi kwexesha elimiselweyo kunokunciphisa ukusebenza kakuhle konyango.

Ngamanye amaxesha, amayeza okuqala e-TB awasebenzi. Oku kubizwa ngokuba yi-drug-resistant TB . Ukuba oku kuyenzeka, ugqirha wakho unokucebisa amanye amayeza, afana nala:

• I-Kanamycin
• I-Capreomycin
• I-Pyrazinamide
• I-Amikacin
• I-Fluoroquinolone

La mayeza esifo sephepha esinganyangekiyo ngamayeza anokubangela iziphumo ebezingalindelekanga. Ugqirha wakho uza kukuxelela ngezi zinto.

Mhlawumbi kufuneka utyando?

Ngamanye amaxesha, utyando lunokufuneka ukuze kulungiswe umqolo wakho, kuncitshiswe iimpawu, kwaye kuthintelwe iingxaki zesifo sikaPotts. Kukho iintlobo ezahlukeneyo zotyando ezinokwenziwa:

• Ukususwa kwezicubu: Ukucoca okanye ukususa izicwili ezonakeleyo ezijikeleze umqolo.
• Ukukhupha amanzi: Ukususa okanye ukususa amathumba agcwele ubovu aqokelelene emnqonqweni.
• Ukuzinza kunye nokulungelelaniswa: Isifo sephepha sinokubangela umonakalo kumathambo omqolo. Ugqirha angasusa okanye alungise amathambo aphukileyo kunye neediski , aze afake iipleyiti kunye nezikrufu ukuze abambe amathambo endaweni yawo.
• Ukudibana: Ugqirha wotyando unokudibanisa amathambo amabini ngokusisigxina, nto leyo ethintela ukuhamba kwawo kwaye ithintele iintlungu kunye nezinye iingxaki. Oku kunokubandakanya ukusebenzisa i-bone graft evela kwelinye ilungu lomzimba wakho.

Injani izinga lokubuyela kwimeko yesiqhelo?

Ukuba ifunyenwe kwangethuba kwaye inyangwe kwangethuba, amathuba okuchacha kwisifo sasePotts mahle kakhulu. Kuthiwa malunga ne-95% yabantu abafumana isifo sasePotts baze bafumane unyango kwangethuba bayachacha .

Nangona kunjalo, ukuba isifo sephepha somqolo siba sibi kakhulu, okanye ukuba asisabeli kunyango kwaye sibangele umonakalo kumqolo, sinokuba yingozi ebomini. Ugqirha wakho uya kuvavanya amathuba akho okuchacha ngokusekwe kwiminyaka yakho, indlela amasosha omzimba wakho asabela ngayo, kunye nempilo yakho iyonke.

Isifo sikaPotts sinokunyangwa ngamayeza, kodwa unyango alusoloko lunokwenzeka, ingakumbi ukuba isifo sephepha sisifo esinganyangekiyo ngamayeza .

Ngaba isifo sikaPotts siyabunciphisa ubomi obulindelekileyo?

Ulindelo lobomi bakho emva kokuba unesifo sikaPotts lunokwahluka kakhulu. Ukuba esi sifo sichongiwe kwaye sinyangwa kwangethuba, mhlawumbi asiyi kuchaphazela ubomi bakho. Nangona kunjalo, kubantwana abancinci, abantu abadala abangaphezu kweminyaka engama-65, kunye nabantu abaneenkqubo zomzimba ezibuthathaka, iziphumo zesifo sikaPotts zinokuba zimbi kakhulu, kwaye zinokubeka ubomi esichengeni.

Ugqirha wakho angakuxelela ngcono malunga neminyaka yakho yokuphila, kuquka ezi zibakala:

• Ubudala bakho kunye nempilo yakho ngokubanzi.
• Ixesha owaqala ngalo unyango.
• Ubunzima bosulelo.
• Uneengxaki.
• Nokuba umzimba wakho uyamelana na namayeza esifo sephepha okanye akunjalo.

Ngaba zikho iindlela zokuphepha oku?

Ngenxa yokuba luhlobo losulelo lwesifo sephepha, akunakwenzeka ukuthintela ngokupheleleyo isifo sasePotts. Nangona kunjalo, ungenza oku kulandelayo ukunciphisa umngcipheko wakho wosulelo lwesifo sephepha:

• Kuphephe ukusondelana ixesha elide nomntu onesifo seTB.
• Ukuba usemngciphekweni omkhulu wokuba nesifo sephepha, okanye ukuba uhlala kwindawo apho usulelo luxhaphakileyo khona, zivavanyelwa isifo sephepha rhoqo.

Ndifanele ndimbone nini ugqirha?

Usulelo lwesifo sephepha luqala emiphungeni (i-pulmonary TB). Iimpawu zesifo sikaPott zihlala zibonakala emva kokuba usulelo lusasazeke ukusuka emiphungeni ukuya emgogodleni. Bona ugqirha ukuba unayo nayiphi na kwezi mpawu:

• Ukukhwehlela okuhlala ngaphezulu kweeveki ezimbini.
• Iintlungu zesifuba.
• Ukuba ukhwehlela igazi.
• Ukudinwa kakhulu.
• Ubuthathaka bemisipha.
• Ukutya akunancasa.
• Ukuba unomkhuhlane kunye nokubanda.

Usenokungabi nazo naziphi na iimpawu zemiphunga, kodwa usenokuba unesifo sephepha. Ngoko ke ukuba uneempawu zesifo sephepha somqolo, xelela ugqirha ngoko nangoko.

Yeyiphi imibuzo omele uyibuze ugqirha?

Xa ubona ugqirha, ungabuza le mibuzo:

• Ngaba ndinesifo sikaPotts, okanye kukho enye imeko echaphazela umqolo wam?
• Loluphi unyango olucebisayo?
• Ndifanele ndithathe nini amayeza esifo sephepha kwaye ixesha elingakanani?
• Ngaba kukho naziphi na iziphumo ebezingalindelekanga ezivela kwiyeza?
• Ngaba ndiza kufuna utyando?

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule

Isifo sikaPott sinokuba sisifo esinzima kakhulu. Iimpawu zinokwenza kube nzima ukuba uhlale kamnandi, ushukumise amalungu akho, kwaye uphile ngaphandle kwentlungu. Unyango lungathatha iinyanga ukuya kwiminyaka ukususa ngokupheleleyo isifo emzimbeni wakho. Usenokufuna notyando lokulungisa umqolo wakho. Konke oku kunokukushiya uzive uxinezelekile kwaye ungakwazi ukuthatha inxaxheba kwimisebenzi eqhelekileyo nabantu obathandayo ude uphile. Kodwa khumbula, awuwedwa. Ugqirha unokukunceda ulawule isifo sikaPotts, akuncede uphile kakuhle, kwaye uthintele iingxaki ezisongela ubomi.

Isifo sikaPotts , isifo sephepha lomqolo, iintlungu zomqolo, isifo sephepha, isifo sephepha, umqolo, amathambo