Ngaba ukhe waneentlungu okanye ukudumba ngequbuliso kwelinye lamalungu akho? Ngaba kungenxa yesifo samathambo esibangelwa kukungasebenzi kakuhle kwamalungu?

Ngaba wena okanye umhlobo wakho ngequbuliso nikhe nafumana iintlungu eziqatha, ukudumba, ukubomvu, kunye nomkhuhlane kwilungu? Ngamanye amaxesha sinokucinga ukuba kukukruneka nje okanye enye into. Nangona kunjalo, ukuba unezi mpawu, isenokuba yimeko enzima ebizwa ngokuba yi-septic arthritis . Ngoko masithethe ngale nto kancinci namhlanje, kuba kubaluleke kakhulu ukuyiqonda.

Yintoni isifo samathambo esibangelwa yi-septic? Masiqonde ngokulula!

Ngamafutshane, isifo samathambo esibangelwa kukuvuvukala okanye ukudumba okwenzeka xa intsholongwane ingena kwelinye okanye ngaphezulu kwamalungu akho. Le ntsholongwane inokuba yibhaktheriya, intsholongwane, okanye ifungus. Idla ngokuvela xa usulelo oluvela kwenye indawo emzimbeni lusiya kwilungu ngegazi.

Cinga nje, amalungu ethu afana namalungu omatshini. Ukuze asebenze kakuhle, umphezulu wawo kufuneka ube bushelelezi. Lo mphezulu uthambileyo ubizwa ngokuba yi-cartilage . Kwakhona, kukho into yokuthambisa ebizwa ngokuba yi -synovial fluid phakathi kwamalungu, enceda amalungu ukuba ashukume ngokulula. Ngoko ke xa loo ntsholongwane ingena, yonakalisa le cartilage kunye nolwelo lwe-synovial, olubangela ukudumba.

Idla ngokuchaphazela amalungu amakhulu njenge-hip kunye nedolo, kodwa inokuchaphazela namanye amalungu afana negxalaba kunye neqakala.

Xa uninzi lwabantu lucinga "nge-arthritis," bacinga ngayo njengento echaphazela abantu abadala kuphela. Kodwa eneneni, abantu bayo nayiphi na iminyaka banokuba ne-arthritis. Okumangalisayo kukuba, olu hlobo lwe-arthritis, olubizwa ngokuba yi-septic arthritis , luxhaphake kakhulu ebantwaneni kunakwabantu abadala.

Nangona sihlala sicinga ngegama elithi "arthritis" njengesifo esinye, eneneni kukho iintlobo ezahlukeneyo ze-arthritis. Umzekelo:

• I-Osteoarthritis
• Irheumatoid arthritis
• Isifo samathambo se-Psoriatic
• Igawuthi

Nangona zonke ezi zinto zinxulumene nokudumba kwamalungu, izizathu zazo, iimpawu kunye nonyango zahlukile. I-Septic arthritis luhlobo oluthile lwe-arthritis olubangelwa lusulelo lwebhaktheriya .

Ngawaphi amalungu achaphazeleka kakhulu yi-septic arthritis?

Oku kuxhomekeke kwizinto ezininzi. Ngokubanzi, njengoko bekutshiwo ngaphambili, kuxhaphake kakhulu kumalungu amakhulu emzimbeni ongezantsi, njengezinqe, amadolo, kunye namaqatha.

• Kubantwana abancinci , oku kuchaphazela kakhulu amalungu esinqe .
• Kubantu abadala , idla ngokuchaphazela amadolo .
• Kukho iimeko ezithile ezikhethekileyo. Umzekelo, abasebenzisi beziyobisi ezifakwa ngenaliti banamathuba amaninzi okuphuhlisa oku kwiindawo ze-sacroiliac joints, ezidibanisa i-pelvis kunye nomqolo ongezantsi, kunye ne-sternoclavicular joint, edibanisa i-clavicle kwi-sternum.

Ngaba le septic arthritis ingasasazeka kwezinye iindawo zomzimba?

Ewe, le yeyona nto iyingozi kakhulu. Ukuba usulelo olubangele isifo samathambo esibangelwa yintsholongwane alunyangwa kakuhle, usulelo lunokusasazeka luye kwamanye amalungu omzimba. Oku sikubiza ngokuba yi-sepsis . Le yimeko enzima enokuba yingozi nakubomi .

Amaxesha amaninzi, isifo samathambo esibangelwa yi-septic arthritis sichaphazela ilungu elinye kuphela. Nangona kunjalo, kunqabile kakhulu, sinokuchaphazela amalungu amaninzi. Usulelo lwebhaktheriya ye-Staphylococcal luyimbangela ephambili yesifo samathambo esibangelwa yi-septic arthritis, kwaye kwiimeko ezinjalo, sidla ngokuchaphazela ilungu elinye kuphela. Nangona kunjalo, isifo samathambo esibangelwa yi-septic arthritis esibangelwa luhlobo lwebhaktheriya ebizwa ngokuba yiNeisseria sinokuchaphazela amalungu amaninzi.

Ngubani onokuba nethuba elikhulu lokufumana isifo samathambo esibangelwa yi-septic arthritis?

Nangona ixhaphake kakhulu ebantwaneni, inokubakho nakubantu abadala. Abafana abaphakathi kweminyaka emi-2 neyi-3 ubudala ngabona basengozini enkulu yokuba nayo.

Kuqheleke kangakanani oku?

Isifo samathambo esibizwa ngokuba yiSeptic arthritis asisisifo esixhaphakileyo. Xa sithetha nje, siyenzeka kubantu abaphakathi kwaba-2 naba-6 kwabayi-100,000 ngonyaka.

Ingakanani ingozi yesifo samathambo esibangelwa yi-septic arthritis?

Nangona ingaqhelekanga, isifo samathambo esibangelwa yi-septic sisifo esibi kakhulu . Sinokubangela umonakalo osisigxina kwilungu lakho elichaphazelekileyo, kunye nezinye iingxaki. Ukuba asinyangwa kakuhle , sinokukhokelela ekufeni . Ke ngoko, ukuba unale mpawu, ungalibali ukubona ugqirha okanye uye esibhedlele esikufutshane ngoko nangoko.

Zithini iimpawu ze-septic arthritis?

Ezi mpawu zinokuvela ngequbuliso:

• Intlungu ebuhlungu kunye nokuthamba kwilungu elichaphazelekayo.
• Elo lungu lidumbile kwaye livakala lifudumele .
• Ubunzima bokushukumisa ilungu (ukushukuma okulinganiselweyo).
• Ukungafuni ukusebenzisa okanye ukuhambisa ilungu elichaphazelekayo (oku kunokuba yinyani ngakumbi ebantwaneni).
• Ifiva .

Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukuyithatha lula.

Yintoni ebangela isifo samathambo esibangelwa yi-septic arthritis?

Njengoko bekutshiwo ngaphambili, unobangela oyintloko woku kusulela. Kungaba ziibhaktheriya, iifungi, ii-mycobacteria, iintsholongwane, okanye ezinye izifo. Amaxesha amaninzi, usulelo oluqala kwenye indawo emzimbeni, mhlawumbi kwinxeba lolusu, luhamba luye kwilungu ngegazi.

Ezi pathogens ngokukodwa zinokubangela isifo samathambo esibangela ukonakala kwesikhumba:

• I-Staphylococcus aureus : Le ntsholongwane (ekwaziwa ngokuba yi-'Staph' ngamafutshane) yeyona nto iphambili ebangela isifo samathambo e-septic kubantwana nakubantu abadala.
• I-Staphylococcus aureus (MRSA) engamelaniyo neMethicillin : I-MRSA luhlobo losulelo lwe-Staph olumelana nezinye ii-antibiotics. Abantu abafaka amayeza, abo bane-HIV (i-human immunodeficiency virus), kunye nabo banesifo seswekile basengozini enkulu yokufumana isifo samathambo esibangelwa yi-MRSA.
• I-Streptococci yeQela A kunye ne-B : Olu luhlobo lwebhaktiriya. Abantu abadala, abantu abanezifo ezingapheliyo ezifana nesifo seswekile, kunye nabantu abane-cirrhosis basengozini enkulu yokufumana isifo samathambo esibangelwa yile bhaktiriya.
• I-Neisseria gonorrhoeae : Le ntsholongwane ibangela usulelo oludluliselwa ngesondo (STI) olubizwa ngokuba yi-gonorrhea. Abantu abane-gonorrhea banokufumana uhlobo lwe-septic arthritis olubizwa ngokuba yi-gonococcal arthritis .
• I-Neisseria meningitidis (i-meningococcus) : Le ntsholongwane ibangela i-meningitis, ukudumba kwee-membrane ezigubungela ingqondo kunye nomqolo. Ayifane ibangele i-septic arthritis.

Yeyiphi intsholongwane eqhelekileyo ebangela isifo samathambo esibangelwa yi-septic arthritis?

I-Staphylococcus aureus yeyona nto ibangela isifo samathambo esibangelwa yi-septic arthritis kubantwana nakubantu abadala, ibandakanya phakathi kwe-37% kunye ne-56% yeemeko zesifo samathambo esibangelwa yi-septic arthritis.

Ngaba isifo samathambo esibangelwa yi-septic siyasulela?

Hayi, isifo samathambo esibangelwa yi-septic asisasazeki ngqo ukusuka komnye umntu ukuya komnye . Nangona kunjalo, iintsholongwane ezibangela isifo samathambo esibangelwa yi-septic (umz., `Staphylococcus aureus`, `MRSA`, `Neisseria gonorrhoeae`) zinokusasazwa ukusuka komnye umntu ukuya komnye ngokudibana.

Ifunyanwa njani isifo samathambo esibangelwa yi-septic arthritis?

Ugqirha wakho uza kuqala ahlole ilungu lakho. Ukuba kurhanelwa ukuba une-septic arthritis, kusenokwenzeka ukuba athathe isampuli yolwelo lwe-synovial kwilungu elichaphazelekayo esebenzisa inaliti. Oku kubizwa ngokuba yi-aspiration . Ulwelo luthunyelwa emva koko ukuze luvavanywe elebhu. Ukuba kufunyenwe iibhaktheriya kulwelo, luphawu olucacileyo lwe-septic arthritis.

Zeziphi iimvavanyo ezisetyenziselwa ukuxilongwa?

• Ukufunxwa kolwelo lwe-synovialNjengoko bekutshiwo ngaphambili, ugqirha uthatha isampuli yolwelo oluvela kwilungu ngenaliti encinci aze ajonge ukuba akukho bhaktheriya na.
• Uvavanyo lwegazi : Uvavanyo lwegazi lunokwenziwa ukuze kubonwe ukuba amajoni omzimba wakho ayasabela na kusulelo, okanye ukuze kuthintelwe ezinye iimeko zempilo.
• Ii-X-reyi : Ii-X-reyi zisetyenziselwa ukuthatha imifanekiso yamathambo. I-X-reyi ingabonisa izinto ezifana nokwanda kwesithuba phakathi kwamalungu kunye nokudumba kwezicubu ezithambileyo. Ezi zinokuba ziimpawu ze-septic arthritis.
• I-Ultrasound : Isebenzisa amaza esandi ukuthatha imifanekiso yangaphakathi lomzimba. I-ultrasound inokunceda ugqirha abone ukuba ilungu lidumbile kangakanani kwaye apho ulwelo lwamalungu lukhona xa efutha.
• I-MRI (Umfanekiso weMagnetic Resonance) : Uvavanyo olusebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukwenza imifanekiso eneenkcukacha zamalungu kunye namathambo. I-MRI inokunceda ekufumaneni isifo samathambo esibangelwa yi-septic kwangethuba.

Inyangwa njani i-septic arthritis?

Ezi ndlela zonyango zilandelayo zisetyenziselwa oku:

• Utyando : Kwiimeko ezininzi, kufuneka ukususwa kwesisu ngotyando kunye nokufakwa kwee-antibiotics ngemithambo.
• Ii-antibiotics : Wonke umntu one-septic arthritis kufuneka anyangwe ngee-antibiotics. Ugqirha wakho angakunika ii-antibiotics ngemithambo yegazi okanye njengeepilisi.
• Ukukhupha ulwelo oludibeneyo: Ugqirha angasebenzisa inaliti encinci ukususa (ukufunxa) ulwelo olugqithisileyo kwilungu. Oku kunokufuneka kwenziwe amaxesha amaninzi ngexesha lokuphiliswa.
• Unyango lomzimba : Kusenokwenzeka ukuba udinga unyango lomzimba ukubuyisela ukusebenza kakuhle kwelungu kunye nokuthintela izihlunu ezijikeleze ilungu ukuba zingabi buthathaka.
• Ukususwa kwelungu lokufakelwa : Ukuba ufumana isifo samathambo esibangelwa yi-septic kwilungu lokufakelwa, eli lungu lokufakelwa liza kususwa lize litshintshwe ngesixhobo sokudibanisa amalungu esenziwe ngesamente yokubulala iintsholongwane. Emva kweenyanga ezimbalwa, ugqirha wakho uza kuphinda afake ilungu lakho lokufakelwa amalungu.

Kuthatha ixesha elingakanani ukuba isifo samathambo esibangelwa yi-septic arthritis siphiliswe?

Ixesha elithathwayo ukuze uphile ngokupheleleyo lixhomekeke ekubeni yeyiphi intsholongwane ebangele usulelo kunye nempilo yakho iyonke. Kusenokufuneka uthathe amayeza okubulala iintsholongwane kangangeeveki eziliqela. Ukuba usulelo lonakalise amalungu kunye nezicubu ezithambileyo ezijikelezileyo, kungathatha ixesha elide ukuba amalungu aphile ngokupheleleyo.

Ngaba isifo samathambo esibangelwa yi-septic siyaphola ngokwaso?

Hayi akunjalo kwakona.Ngenxa yokuba isifo samathambo esibangelwa yintsholongwane, asiziphili sodwa. Iintsholongwane ezibangelwa yintsholongwane kufuneka zinyangwe ngamayeza okubulala iintsholongwane. Ukuba uneempawu zesifo samathambo esibangelwa yintsholongwane, kufuneka ubone ugqirha okanye uye esibhedlele esikufutshane ngoko nangoko. Ukuba asinyangwa, sinokubangela iingxaki ezinkulu kwaye sibe yingozi ebomini.

Ziziphi izinto ezibangela umngcipheko wokufumana isifo samathambo esibangelwa yi-septic arthritis?

Ezi zinto zinobungozi zinokwahluka kubantwana nakubantu abadala.

Izinto ezibangela umngcipheko kubantwana:

• Ubudala : Iintsana ezisandul’ ukuzalwa zisengozini enkulu yokuhlaselwa yile meko kuba amajoni azo omzimba awanamandla kangako.
• Ukuba neHemophilia : IHemophilia sisifo sokugabha igazi esizuzwe njengelifa. Abantwana abanale meko basengozini enkulu yokuba ne-septic arthritis.
• Ukuba nenkqubo yomzimba yokuzikhusela ebuthathaka : Abantwana abakhubazekileyo ngenxa yeemeko ezifana ne-sickle cell anemia kunye ne-HIV banamathuba amaninzi okuba nale meko.
• Unyango lweKhemotherapy : Ngenxa yokuba ikhemotherapy iyenza buthathaka inkqubo yomzimba yokuzikhusela, abantu abafumana olu nyango banamathuba amaninzi okufumana isifo samathambo esibangelwa yi-septic arthritis.

Izinto ezibangela umngcipheko kubantu abadala:

• Ubudala : Abantu abadala abangaphezu kweminyaka engama-80 ubudala basengozini enkulu yokuhlaselwa yile meko.
• Ukuba ne-rheumatoid arthritis (RA) okanye i-osteoarthritis : Abantu abanezi zifo ezonakalisa amalungu abo banamathuba amaninzi okufumana i-septic arthritis. Phakathi kwabantu abane-rheumatoid arthritis, i-septic arthritis inokukhula kubantu abafikelela kuma-70 kwabayi-100,000 ngonyaka.
• Usulelo lwe-HIV (Human Immunodeficiency Virus) : Ngenxa yokuba i-HIV iyenza buthathaka inkqubo yomzimba yokuzikhusela, kukho ithuba elikhulu lokufumana usulelo, kwaye ngenxa yalo, isifo samathambo esibangelwa yintsholongwane.
• Ukuba neDiabetes Mellitus : Amanqanaba aphezulu eswekile egazini anokuwenza buthathaka amajoni omzimba. Abantu abanesifo seswekile abangawagcini amanqanaba eswekile egazini labo bephantsi kolawulo basengozini enkulu yokufumana usulelo kunye nesifo samathambo esibangelwa kukwaphuka kwamalungu omzimba.
• Ukuba nosulelo lolusu : Ekubeni isifo samathambo esibangelwa kukudumba kwesikhumba sidla ngokuqala ngosulelo oluvela kwenye indawo emzimbeni, ukuba nosulelo lolusu kunokukhokelela kwisifo samathambo esibangelwa kukudumba kwesikhumba.
• Utyando lwamalungu kutshanje : Ukuba usandul’ ukwenza utyando lwamalungu, usengozini enkulu yokuba nesifo samathambo esibangelwa kukwasulelwa kwenxeba lotyando.
• Ukuba nelungu lokufakelwa : Iintsholongwane zixhaphake kakhulu kumalungu okufakelwa kunamalungu endalo. Ukuba nelungu lokufakelwa kwandisa umngcipheko we-septic arthritis.
• Ukusetyenziswa kweziyobisi ngenaliti : Oku kwandisa umngcipheko we-septic arthritis kuba kuvumela iintsholongwane eziyingozi kunye nezinye izinto eziphilayo ukuba zingene emzimbeni ngesikhumba.
• Isenzo sokwabelana ngesondo : Kukho umngcipheko wokuba nesifo samathambo esibangelwa yintsholongwane (i-Neisseria gonorrhoeae), ebangela usulelo oludluliselwa ngesondo (STI) olubizwa ngokuba yi-gonorrhea, ingakumbi ngokwabelana ngesondo okungakhuselekanga.

Ungayiphepha njani i-septic arthritis?

Nangona kungengazo zonke iimeko zesifo samathambo esibangelwa yi-septic esinokuthintelwa, kukho izinto onokuzenza ukuze uthintele ukuba singabikho:

• Gcina amanxeba namanxeba ekosulelweni : Ukuba unenxeba okanye isilonda eluswini lwakho, ligcine licocekile ukuze uthintele usulelo. Ukuba kukho iimpawu zosulelo, ezinje ngokuba bomvu, ubushushu, okanye ubomvu obujikeleze inxeba, bona ugqirha ngokukhawuleza.
• Lawula kakuhle izifo zakho ezingapheliyo : Ukuba unesifo esingapheliyo esifana nesifo seswekile okanye i-AIDS (i-Acquired Immunodeficiency Syndrome), lawula eso sifo kangangoko unako ukuze uhlale usempilweni.
• Ziqhelise ngesondo elikhuselekileyo : Sebenzisa ikhondom okanye idama lamazinyo rhoqo. Thetha neqabane lakho malunga nobudlelwane bangaphambili kunye nembali yezifo ezidluliselwa ngesondo (ii-STI).
• Musa ukusebenzisa kakubi iziyobisi : Ukujova iziyobisi ezingekho mthethweni kunokubangela usulelo. Sebenzisa kuphela amayeza achazwe ngugqirha wakho, njengoko kuyalelwe.

Ithini ingqikelelo yesifo samathambo esibangelwa yi-septic?

Imbono yoku ixhomekeke kwizinto ezininzi:

• Luhlobo luni lwebhaktheriya okanye into ephilayo ebangele usulelo lwakho?
• Ixesha elide usulelo lwakho lukhona.
• Ubudala bakho kunye nempilo yakho iyonke.

Ezinye iintlobo zeebhaktheriya, ezifana ne-MRSA, zinzima ukuzinyanga kunezinye. Okukhona isifo samathambo esibangela ukudumba sihlala ixesha elide, kokukhona kunokwenzeka ukuba ilungu elichaphazelekayo lonakale. Abantu abaneenkqubo zomzimba ezibuthathaka nabo banamathuba amaninzi okuba ilungu elichaphazelekayo lonakale.

Ngaba iSeptic Arthritis ingabulala?

Nokuba unyango lusebenzisa amayeza okubulala iintsholongwane, isifo samathambo esibangelwa kukwaphuka kwesisu sinomlinganiselo wokufa ophakathi kwe-7% ne-15% . Ukuba uneempawu zesifo samathambo esibangelwa kukwaphuka kwesisu, qiniseka ukuba ubona ugqirha okanye uye kwisibhedlele esikufutshane ngokukhawuleza.

Ziziphi iingxaki ezinokubakho zeSeptic Arthritis?

Isifo samathambo esibizwa ngokuba yiSeptic arthritis sisifo esibi kakhulu. Iingxaki ezinokubakho ziquka:

• Intlungu engapheliyo
• I-Osteomyelitis (ukudumba kwamathambo)
• Ukufa kwezicubu zethambo (i-osteonecrosis) (ngenxa yokuncipha kokunikezelwa kwegazi)
• Umahluko wobude bemilenze
• I-Sepsis (ukudumba okusasazeka emzimbeni wonke)
• Ukufa

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ze-septic arthritis, ezinje ngeentlungu zamalungu, umkhuhlane, ubushushu, ukuba bomvu, ukuthamba, kunye nobunzima bokushukumisa ilungu,Bona ugqirha okanye uye kwisibhedlele esikufutshane ngokukhawuleza. Isifo samathambo esibizwa ngokuba yi-septic arthritis sisifo esinzulu esifuna ukunyangwa ngamayeza okubulala iintsholongwane. Ukuba asinyangwa, sinokubeka ubomi esichengeni.

Yintoni umahluko phakathi kwe-Septic Arthritis kunye ne-Osteomyelitis?

I-Osteomyelitis kunye ne-septic arthritis zombini ziimeko ezingaqhelekanga kodwa zinzima. I-Osteomyelitis lusulelo lwethambo. I-Septic arthritis kukudumba kwe-cartilage egubungela ilungu kunye nolwelo lwe-synovial oluthambisa ilungu. Zombini ezi meko zihlala zibangelwa yintsholongwane i-Staphylococcus aureus.

Ngenxa yokuba iimpawu zazo zombini ziyafana (ezifana nentlungu kwindawo echaphazelekayo, ukuthamba, kunye nokudumba), kunokuba nzima ukwahlula ezi mpawu zombini. I-Septic arthritis inokubangela i-osteomyelitis, kwaye ngamanye amaxesha zombini zinokwenzeka ngaxeshanye. Ukuba uneempawu zale meko, yiya esibhedlele esikufutshane ngoko nangoko. Zombini zifuna unyango. Ugqirha wakho uya kwenza uvavanyo ukuze afumanise unobangela weempawu zakho.

Yintoni umahluko phakathi kwe-Septic Arthritis kunye ne-Gout?

I-Gout luhlobo oluqhelekileyo lwe-arthritis olubangelwa ziikristale ze-uric acid. I-Septic arthritis kukudumba kwelungu okubangelwa lusulelo.

I-Septic arthritis yingxaki engaqhelekanga kodwa enzima ye-gout. Iimpawu zazo zombini ezi meko (ezifana nokudumba kunye nokubomvu kwelungu elichaphazelekayo) zinokufana, ngoko ke kunokuba nzima ukwahlula ezi zinto zimbini. Ukuba uneempawu ze-gout kunye/okanye i-septic arthritis, bona ugqirha ngokukhawuleza. Ugqirha wakho uza kukubuza imibuzo malunga neempawu zakho, akuthumele esibhedlele ukuba kuyimfuneko, aze enze uvavanyo lokufumanisa unobangela weempawu zakho.

Khumbula eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Isifo samathambo esibizwa ngokuba yiSeptic arthritis sisifo esingaqhelekanga kodwa esibi kakhulu . Iindaba ezimnandi zezokuba sinokunyangwa . Ukuba uneempawu ezifana nentlungu eqatha, ukudumba, kunye nobunzima bokuhambisa ilungu, yiya esibhedlele esikufutshane ngoko nangoko. Okukhona ugqirha wakho efumanisa imeko ngokukhawuleza aze aqalise unyango, kokukhona unokuchacha ngokukhawuleza. Musa ukulibazisa, kuba unyango lwangethuba lunokusindisa ilungu lakho kwaye luthintele iingxaki ezinkulu.

Isifo samathambo esibizwa ngokuba yiSeptic Arthritis, ukudumba kwamalungu, usulelo, iintsholongwane, iintlungu zamalungu, ukudumba, umkhuhlane