Ingabe ithambo lakho lithelelekile? Ake sifunde nge-osteomyelitis!

Ingabe ngezinye izikhathi uzizwa sengathi ithambo endaweni ethile emzimbeni wakho libuhlungu, lizwa livuvukele? Noma ingabe ngisho nesilonda esincane sibonakala sithelelekile kabi? Lezi zingase zingabi izinto ezilula. Namuhla sizokhuluma ngokutheleleka kwamathambo okungathi sína, kodwa okungelapheka uma kwelashwa kahle. Yilokhu esikubiza ngokuthi i-osteomyelitis.

Kuyini i-Osteomyelitis?

Kalula nje, i-osteomyelitis igciwane elivela emathanjeni akho . Cabanga ngakho, ngezinye izikhathi uma sinenxeba emzimbeni wethu futhi linganakekelwa kahle, amabhaktheriya noma isikhunta ziyangena futhi zibangele ukutheleleka? Nokho, lesi simo senzeka lapho la magciwane esakazekela emathanjeni. Ngokukhethekile, sithinta ingxenye engaphakathi kwamathambo akho ebizwa ngokuthi umnkantsha wamathambo . Bese leyo ndawo ivuvukala kakhulu bese iqala ukubuhlungu .

Kungavela kunoma yiliphi ithambo emzimbeni. Kodwa-ke, ezinganeni ezincane , kuvame ukwenzeka emathanjeni amade emilenze noma ezingalweni. Kwabantu abadala , kuvame ukwenzeka emathanjeni omgogodla noma emathanjeni enqulu.

Into ebaluleke kakhulu ukuthi uma lokhu kungelashwa kahle ngesikhathi , kungabangela umonakalo ohlala njalo emathanjeni, futhi ngezinye izikhathi ngisho ne-necrosis (ukufa kwezicubu). Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Yiziphi izinhlobo eziyinhloko ze-osteomyelitis?

Yebo, kunezinhlobo eziningana eziyinhloko ze-osteomyelitis. Ake sibone ukuthi ziyini.

• I-osteomyelitis ebukhali: Lolu uhlobo oluvame kakhulu . Luvela uma unesinye isifo (njengenxeba lesikhumba) futhi amagciwane asakazekela emathanjeni. Lungaqala ngokuzumayo.
• I-osteomyelitis ye-vertebral: Njengoba igama lisho, lokhu kuyi -osteomyelitis ethinta amathambo omgogodla wakho (i-vertebrae) . Ngokuvamile kuvela ubuhlungu emhlane.
• I-osteomyelitis engapheli: Lolu uhlobo oludinga ukunakwa okuthile. Ngezinye izikhathi, ngemva kokwelashwa kokutheleleka kokuqala, kungase kungelapheki ngokuphelele futhi kuhlale emzimbeni, kuphinde kuvele ezinyangeni noma ngisho neminyaka kamuva . Kufana nesimo esingamahlalakhona. Indlela engcono kakhulu yokuvimbela lokhu ukuphuza imithi udokotela wakho ayinikezayo isikhathi sonke sokwelashwa. Ngaphandle kwalokho, ukutheleleka kungase kungapheli ngokuphelele.

Sivame kangakanani lesi sifo esibizwa ngokuthi i-Osteomyelitis?

Eqinisweni, lesi akusona isifo esithinta wonke umuntu. Ngokusho kwabacwaningi, sithinta abantu abangaphansi kuka-25 kwabayi-100,000 ngonyaka. Kodwa-ke, kunomehluko omncane lapha. Phakathi kwalabo abagcina besesibhedlela futhi bathola ukwelashwa,Lesi simo sivame kakhulu. Ezinye izifundo zisikisela ukuthi siyenzeka cishe kumuntu oyedwa kubantu abangu-675 abangeniswe esibhedlela.

Manje ungase uzibuze ukuthi kungani lokhu kwenzeka, akunjalo? Ochwepheshe bakholelwa ukuthi abanye abantu esibhedlela banezinye izinkinga zempilo, ukulimala, noma ukuhlinzwa okwenza kube lula ngamagciwane noma isikhunta ukungena emizimbeni yabo bese kuhamba baye emathanjeni abo. Lokhu kusho ukuthi basengozini enkulu yalezi zinhlobo zokutheleleka.

Ziyini izimpawu ze-osteomyelitis?

Izimpawu zalokhu zingahluka kancane kuye ngohlobo lwe-osteomyelitis onayo nokuthi yiliphi ithambo elithelelekile. Kodwa-ke, kunezimpawu ezivamile. Ake sibheke ukuthi ziyini.

• Ukuba nomkhuhlane.
• Ukuzizwa ungenampilo, ungaphilile. Njengokugula nje.
• Ubuhlungu bamathambo. Lolu uphawu oluyinhloko. Uzizwa sengathi uthinta indawo ebuhlungu.
• Ukuzizwa sengathi uyabanda (Ukugodola).
• Ukujuluka, ikakhulukazi ebusuku.
• Isicanucanu nokuhlanza.
• Ukushintsha kombala wesikhumba. Isikhumba singase sibe bomvu futhi sishintshe umbala lapho kukhona khona ukutheleleka.
• Ukuvuvukala. Indawo ethelelekile ingase ivuvuke.
• Isikhumba sizizwa sifudumele. Uma ubeka isandla sakho kuso, sizizwa sengathi siyashisa.
• Ukumuncwa kobomvu noma olunye uketshezi, ikakhulukazi uma kukhona ukutheleleka eduze kwesilonda noma indawo yokuhlinzwa.

Ngaphezu kwalokho, abantu abane -vertebral osteomyelitis bavame ukuzwa ubuhlungu obukhulu emhlane ongezansi . Ngezinye izikhathi, abantu abane- osteomyelitis engapheli bangase bangabi nazimpawu nhlobo. Yilokho okwesabisayo kancane.

Iyini imbangela eyinhloko ye-osteomyelitis?

Kalula nje, imbangela eyinhloko yalokhu ukutheleleka okusakazekele emathanjeni akho . Isikhathi esiningi, ukutheleleka ebusweni besikhumba sakho - ake sithi, lapho unenxeba noma lapho uke wahlinzwa khona - kubangela ukuthi amagciwane angene egazini lakho futhi ahambe ngegazi aye emnkantsheni, ongaphakathi kwamathambo akho. Kufana nesitha esingena ngokunyenya.

Ubani osengozini enkulu yokuthola i-osteomyelitis?

Kungenzeka kunoma ubani. Kodwa-ke, abanye abantu banamathuba amaningi okuba nayo. Ake sibheke ukuthi bangobani:

• Abantu abangaphansi kweminyaka engama-20 kanye nabantu abangaphezu kweminyaka engama-50. La maqembu amabili eminyaka asengozini enkulu kancane.
• Abantu abanezilonda ezivulekile ngemva kokulimala noma ingozi. Cabanga ngenxeba elikhulu, futhi uma lingavaliwe kahle, amagciwane angangena kalula, akunjalo?
• Abantu abasanda kuhlinzwa, ikakhulukazi labo abake bahlinzwa ngokufakelwa amalunga (i-Arthroplasty - ukufakwa kwamalunga) , noma labo abake bafakwa izintambo noma izikhonkwane ekwaphukeni kwethambo, basengozini. Lokhu kungenxa yokuthi amagciwane angangena nangamathuluzi afakiwe.
• Abantu abaye balimala ngokubhoboza. Cabanga uma into efana nenaliti noma isipikili ihlaba isikhumba sakho, ijule ngokwanele ukuthi amagciwane angafinyelela emathanjeni.
• Abantu abalimele ekucindezelekeni noma ezilonda zokulala. Uma uhlala endaweni efanayo isikhathi eside, ezinye izindawo ziba izilonda zokucindezeleka. Ukutheleleka kungavela nangalezo zilonda.

Futhi, abantu abanezimo ezithile zempilo kanye nalabo abathatha imithi ebuthakathaka amasosha omzimba banamathuba amaningi okuthola i-osteomyelitis. Nazi izibonelo ezimbalwa:

• Abantu abanesifo segazi esibizwa ngokuthi i-sickle cell anemia .
• Abantu abanesifo sikashukela. Le ngozi iphezulu kakhulu kubantu abanezilonda zezinyawo ezihlobene nesifo sikashukela.
• Abantu abasebenzisa imithi yokucindezela amasosha omzimba. Le mithi inikezwa izifo ezithile noma ngemva kokufakelwa izitho zomzimba.
• Abantu abenza i-hemodialysis. Okusho ukuthi, abantu abenza ukwelashwa kokuhlanza igazi labo ngoba izinso zabo azisebenzi kahle.

Yiziphi ezinye izinkinga ezingaba khona ngenxa ye-osteomyelitis?

Yebo, lokhu kungaholela kwezinye izinkinga uma kungelashwa ngesikhathi. Ake sibone ukuthi ziyini:

• Amathumba: Ukutheleleka kwamathambo kungabangela ubomvu ukuthi buqoqeke futhi bakhe amathumba, ngezinye izikhathi angaqhuma esikhumbeni. Ukwelapha la mathumba, okuhilela ukukhipha ubomvu, kuthiwa kunengozi engavamile kakhulu, eyanda kancane yomdlavuza wesikhumba.
• I-Osteonecrosis (ukufa kwamathambo): Uma igazi eliya ethanjeni linqamuka ngenxa yokuvuvukala okubangelwa ukutheleleka, ithambo lingafa. Lokhu akuvamile kakhulu . Kodwa-ke, uma kwenzeka, abanye abantu kungadingeka basuswe ithambo ngokuhlinzwa (ukunqunywa).
• Ukukhubazeka kokukhula: Uma izingane ezincane ziba ne-osteomyelitis, ukukhula kwamathambo azo kungase kuhambe kancane kunokujwayelekile. Lokhu kusho ukuthi izinto ezifana nokukhula kobude nokwelulwa kwezitho zingase zibambezeleke.

Udokotela uhlonza kanjani i-osteomyelitis?

Uma unalezi zimpawu, uma uya kudokotela, bazoqala ngokukuhlola umzimba . Bese bezokubuza ngezimpawu zakho, njengokuthi zaqala nini . Uma usanda kuhlinzwa, walimala, noma waqala ukuthatha imithi emisha yesinye isimo, konke lokho kuzobaluleka.Kudingeka ngitshele udokotela . Kubaluleke kakhulu.

Ngaphezu kwalokho, udokotela wakho angenza izivivinyo eziningana ukuqinisekisa ukutheleleka nokuhlola isimo samathambo akho, njenge:

• Ukuhlolwa kwegazi: Lokhu kungahlola ukutheleleka emzimbeni.
• I-X-ray: Ukubona ukuthi kukhona yini ushintsho emathanjeni.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI): Lokhu kungathatha isithombe esicacile samathambo, umongo wamathambo, kanye nezicubu ezizungezile.
• I-CT scan (i-Computed Tomography - i-CT scan): Lokhu kusiza futhi ukuthatha izithombe eziningiliziwe zamathambo.
• Ukuskena nge-ultrasound: Lokhu ngezinye izikhathi kusetshenziselwa ukuhlola ukuvuvukala noma ukunqwabelana kobomvu.
• Ukuskena kwamathambo: Lokhu kungakhomba izindawo ezithelelekile zamathambo.
• I-Bone Marrow Biopsy: Ngezinye izikhathi, kuthathwa ingxenye encane yethambo noma umnkantsha bese kuhlolwa ukuze kutholakale ukuthi yini ngempela ebangela ukutheleleka.

Iphathwa kanjani i-osteomyelitis?

Udokotela wakho uzokunikeza ukwelashwa okuzosiza ekususeni ukutheleleka nokuvimbela ukulimala okungapheli emathanjeni akho . Ukwelashwa okuyinhloko kufaka phakathi:

• Ama-antibiotic: Uma ukutheleleka kubangelwa amagciwane , uzonikezwa ama-antibiotic ukuze ukwelapha. Ungase unikezwe ama-antibiotic e-intravenous (IV) amasonto ambalwa, kulandele ama-antibiotic omlomo amasonto ambalwa engeziwe. Lokhu kuzothatha isikhathi esithile.
• Ama-Antifungal: Uma ukutheleleka kubangelwa yi -fungus , kunikezwa imithi yokulwa ne-fungus. Le mithi ivame ukuthathwa ngomlomo izinyanga eziningana.
• Ama-Painkiller: Ukuze unciphise ubuhlungu nokuvuvukala, ungathatha ama-painkiller athengiswa ngaphandle kwemithi kadokotela njenge- paracetamol noma eminye imithi engeyona i-steroidal anti-inflammatory (NSAIDs) enqunywe udokotela wakho. Kodwa, kungcono yini ukuthatha kuphela inani udokotela wakho akutshele ukuthi ulithathe?
• Ukufuthwa kwenaliti: Uma ubomvu bakheke ngendlela yamathumba, udokotela angasebenzisa inaliti ukususa ubomvu noma uketshezi.
• Ukuhlinzwa: Uma ukutheleleka kukhulu noma kunengozi enkulu yezinkinga , ungadinga ukuhlinzwa. Abantu abane -vertebral osteomyelitis bavame kakhulu ukudinga ukuhlinzwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokuqala ukwelashwa?

I-Osteomyelitis ithatha isikhathi ukuphulukiswa.Kungase kudingeke ukuthi uphuze ama-antibiotic noma ama-antifungal izinyanga eziningana. Kodwa-ke, uma usuqalile ukuthatha umuthi, ukutheleleka kuzolawulwa futhi amagciwane azoqala ukufa, futhi kancane kancane uzoqala ukuzizwa ungcono . Kodwa-ke, udinga ukubekezela ukuze ululame ngokugcwele.

Yini okufanele ngiyilindele uma ngiba ne-osteomyelitis?

Iningi labantu abathola i-osteomyelitis bayalulama ngaphandle kwezinkinga zesikhathi eside uma bephathwa kahle . Kodwa into ebaluleke kakhulu ukuqaphela ukutheleleka kusenesikhathi bese uqala ukwelashwa ngokushesha okukhulu . Uma unezimpawu zokutheleleka, bheka udokotela ngokushesha.

I-osteomyelitis ingahlala isikhathi esingakanani?

I-Osteomyelitis ingahlala isikhathi eside . Kungase kudingeke ukuthi uthole ukwelashwa izinyanga eziningana kuze kube yilapho ukutheleleka sekuphelile ngokuphelele. Ngakho-ke buza udokotela wakho noma udokotela ohlinzayo ukuthi yini ongayilindela.

Singakugwema kanjani lokhu osteomyelitis?

Eqinisweni, izinto ezibaluleke kakhulu ongazenza ukuze ugweme lokhu ukugcina amanxeba amasha, ukusikeka, kanye nokusikwa kuhlanzekile nokugcina izindawo zokuhlinzwa zihlanzekile . Lezi yizindlela ezinhle kakhulu zokuvimbela ukutheleleka kwamathambo.

• Geza izandla zakho kahle ngensipho njalo.
• Hlanza noma yikuphi ukuklwebheka noma ukusikeka ngensipho namanzi afudumele ngokushesha nje lapho kuvela. Ungenzi noma yiziphi izilonda ezincane zibe zinkulu.
• Uma unenxeba elijulile, inxeba lokubhoboza, noma ingozi enkulu, iya ekamelweni lezimo eziphuthumayo ngokushesha.
• Ngemva kwanoma yikuphi ukuhlinzwa, buza udokotela wakho ukuthi ungaligcina kanjani inxeba lihlanzekile. Kubaluleke kakhulu ukulandela leyo miyalelo.

Kufanele ngizinakekele kanjani, kulesi simo?

Lokhu kubaluleke kakhulu. Uma udokotela wakho ekunike ama-antibiotic noma ama-antifungal, kufanele uwathathe isikhathi esiphelele esibekiwe, ngaphandle kokulahlekelwa usuku. Ungayeki ukuthatha umuthi noma ngabe uzizwa ungcono kancane. Kufanele uqede inkambo yonke. Ngaphandle kwalokho, uma uyeka umuthi kusenesikhathi, ukutheleleka kungase kungelapheki ngokuphelele. Lokhu kwandisa ingozi yokuthola i-osteomyelitis engapheli kanye nezinye izinkinga .

Ngemva kokuhlinzwa, buza udokotela wakho ukuthi angawagcina kanjani amanxeba ehlanzekile . Uzokutshela konke kusukela ngesikhathi sokugeza nokuwageza inxeba, indlela yokuhlanza inxeba, kanye nohlobo luni lwensipho okufanele ulusebenzise.

Okubaluleke kakhulu, uma ubona izimpawu zokutheleleka - ikakhulukazi endaweni yokuhlinzwa - yazisa udokotela wakho noma udokotela ohlinzayo ngokushesha .

Kufanele ngimbone nini udokotela?

Uma ubona izimpawu zokuthelelekaUma ubona noma yikuphi ubomvu noma uketshezi oluphuma enxebeni noma endaweni yokuhlinzwa, bona udokotela wakho noma udokotela ohlinzayo ngokushesha, ngaphandle kokulibala . Kulezi zimo, kungcono ukushesha.

Yimiphi imibuzo ebalulekile okufanele ngiyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale. Ngaleyo ndlela, uzokuqonda kangcono ukugula.

• "Ngiluphi uhlobo lwe-osteomyelitis enginalo?"
• "Yini ebangele lokhu kutheleleka kwamathambo?"
• "Hlobo luni lokwelashwa engiludingayo?"
• "Kufanele ngithathe isikhathi esingakanani ama-antibiotic noma ama-antifungal?"
• "Iyiphi indlela engcono kakhulu yokugcina indawo yami yokuhlinzwa noma inxeba lihlanzekile ukuze kuvinjelwe ukutheleleka?"

Sibi kangakanani lesi simo esibizwa ngokuthi i-osteomyelitis?

I-Osteomyelitis yisimo esibi esidinga ukwelashwa ngokushesha . Izindaba ezinhle ukuthi isikhathi esiningi, isabela kahle ekwelashweni . Kodwa-ke, ukuze ugweme izinkinga ezinkulu, kubalulekile ukuqala ukwelashwa ngokushesha okukhulu. Ngakho-ke, ungesabi, futhi ubone udokotela uma unezimpawu.

Ingabe le osteomyelitis izolulama ngokwayo?

Cha, akunjalo nhlobo. I-Osteomyelitis ayipheli yodwa. Kubaluleke kakhulu ukubona udokotela ukuze ihlolwe futhi yelashwe. Kuyiqiniso ukuthi amasosha omzimba wakho alwa namagciwane, futhi isebenza izimanga. Kodwa-ke, ukuze ususe ukutheleleka okubangela i-osteomyelitis, uzodinga ama-antibiotic noma ama-antifungal .

Uma ubona izimpawu zokutheleleka eduze kwesilonda, ungalokothi uzishaye indiva , ikakhulukazi uma usanda kuhlinzwa. Uma ubona noma yiziphi izinguquko endaweni yakho yokuhlinzwa, yazisa udokotela wakho noma udokotela ohlinzayo ngokushesha. Kungcono njalo ukubuza imibuzo kunokungabuzi nhlobo imibuzo . Uma uzwa noma ubona into engabonakali ilungile kuwe, kufanelekile ukuyihlola.

Umyalezo obaluleke kakhulu okufanele uwuthathe uye nawo ekhaya

Kulungile, ngakho-ke, i-osteomyelitis esikhulume ngayo namuhla iwukutheleleka kwamathambo okwenzeka lapho amagciwane noma isikhunta sisakazekela emnkantsheni wakho. Lokhu kungaba kubi kakhulu, futhi kungabangela ngisho nomonakalo ohlala njalo emathanjeni akho . Kodwa-ke, uma uqala ukwelashwa zingakapheli izinsuku ezimbalwa, okungukuthi, ngokushesha, kungalawulwa kakhulu futhi kwelapheke .

Uma unezimpawu zokutheleleka, njengomkhuhlane, ukufudumala endaweni ethelelekile, ubomvu, noma ukuphuma kwamanzi, bona udokotela ngokushesha.

Kubaluleke kakhulu ukugcina izimbobo zakho zihlanzekile, ikakhulukazi uma uke wahlinzwa . Udokotela wakho ohlinzayo uzokunikeza imiyalelo ecacile yokuthi ungawagcina kanjani ehlanzekile.Ungesabi ukubuza imibuzo. Odokotela bakho bakhona ukukusiza uhlale uphephile futhi uphilile. Ngeke bakuthukuthelele ngokuchaza izinto ngendlela ehlukile noma ngokukutshela ngqo ukuthi wenzeni. Into ebaluleke kakhulu ukunakekela impilo yakho!

I- Osteomyelitis, ukutheleleka kwamathambo, ukutheleleka kwamathambo, ubuhlungu bamathambo, umongo wamathambo, ubomvu, ama-antibiotic