Ingabe ingane yakho ihlushwa ukutheleleka kwamathambo? Ake sixoxe ngalokhu (i-Osteomyelitis)!

Uma uzwa igama elithi Osteomyelitis, ungase wesabe kancane, akunjalo? Lelo gama lingase lizwakale lingavamile, kodwa igama odokotela abalibiza ngokutheleleka okwenzeka emathanjeni. Kalula nje, ukuvuvukala noma ukuvuvukala okukhulu okwenzeka ngaphakathi kwethambo. Njengoba nje isilonda esikhumbeni sethu singabola, singavela nangaphakathi kwethambo. Esikhathini esiningi, isizathu esiyinhloko salokhu ukuthi izinto ezincane ezibizwa ngokuthi amabhaktheriya zingena emathanjeni bese zibangela ukutheleleka. Ngakho-ke, ake sixoxe nge-Osteomyelitis, okuyisifo samathambo, ngemininingwane eyengeziwe nangendlela enobungane? Ngizokuchaza ngendlela ongayiqonda.

Ziyini izimpawu ze-Osteomyelitis? Wazi kanjani ukuthi ingane yakho inalesi simo?

Ingane ene-osteomyelitis ivame ukuzwa ubuhlungu obukhulu endaweni yethambo elithelelekile. Kanye nalokhu, ingase ibhekane nezinye izimpawu ezifana nalezi:

• Ungase ube nomkhuhlane omkhulu , futhi ngezinye izikhathi ungase uzizwe ubanda futhi uqhaqhazela.
• Umzimba wami uzizwa ungenampilo futhi ukhathele. Ngezinye izikhathi ngizizwa nginesicanucanu.
• Ingane ibukeka ingaphili futhi ingaphilile kahle.
• Isikhumba esiphezu kwethambo elithelelekile singase sibe bomvu, sivuvuke, futhi sishise uma usithinta . Indawo ibuhlungu kakhulu.

Uma lokhu kwenzeka ezinganeni ezincane, ikakhulukazi izinsana ezingakwazi ukukhuluma, zingase ziyeke ukusebenzisa ingalo noma umlenze othintekile. Isibonelo, uma kungumlenze, ngeke bawubeke phansi, futhi uma kuyisandla, ngeke bashukumise isandla sabo. Bangase bakhale uma othile ezama ukuthinta leyo ngxenye. Bangase bakhale kakhulu futhi babonise ukuphelelwa yisifiso sokudla. Njengokungathi bazama ukuthi, "Ngizizwa kabi lapha."

Izingane ezindala, okungukuthi, izingane ezincane, zinamathuba amaningi okuthola i-osteomyelitis ngemva kwengozi noma ukulimala . Ngezinye izikhathi, uma ukulimala kuphola futhi indawo iqala ukubuhlungu futhi, kungaba uphawu lwe-osteomyelitis.

Isibonelo, uma ingane yakho ibilokhu inomlenze obuhlungu izinsuku ezimbalwa, inobunzima bokuhamba, futhi inomkhuhlane, ungamane nje uyithathe njengento elula. Into engcono kakhulu ongayenza ukubona udokotela.

Lokhu kutheleleka kwamathambo (i-osteomyelitis) kwenzeka kanjani? Ziyini izimbangela?

Kunezindlela eziningana amabhaktheriya angangena ngazo emathanjeni ethu futhi abangele ukutheleleka. Ake sibheke ukuthi ayini:

• Ukusabalala egazini: Ngezinye izikhathi singaba nokutheleleka ngamagciwane kwenye indawo emzimbeni wethu, isibonelo emphinjeni, esikhumbeni, noma emgudwini womchamo. Bese amabhaktheriya lapho ehlangana kancane kancane negazi futhi ahambe emzimbeni wonke negazi. Njengezitha ezincane ezihamba egazini. Ngezinye izikhathi la mabhaktheriya angangena ethanjeni bese eqala ukutheleleka okusha lapho. Odokotela bakubiza lokhu ngokuthi (i-Hematogenous osteomyelitis)Yile ndlela izifo zamathambo ezivame ukwenzeka ngayo ezinganeni ezincane.
• Ukutheleleka okuqondile: Enye indlela iwukuba amabhaktheriya angene ethanjeni ngqo ngesilonda. Lokhu kungenzeka ngemva kokulimala okukhulu noma ukuhlinzwa. Ukuphuka okuvulekile , lapho ithambo liphukile khona futhi isilonda sibonakala, kusengozini enkulu yokuthola i-osteomyelitis ngoba amabhaktheriya angangena kalula ethanjeni.
• Ukusabalala kusuka endaweni eseduze: Ngezinye izikhathi, uma ukutheleleka kwenye indawo eduze kwethambo (isibonelo, i-blister enkulu esikhumbeni, noma ukutheleleka emalungeni) kungelashwa kahle, kungasakazeka kancane kancane ethanjeni eliseduze.

I-Osteomyelitis, isifo samathambo, sivame kakhulu ezinganeni ezingaphansi kweminyaka emi-5. Kodwa-ke, singavela kunoma yimuphi ubudala. Ngokwezibalo, abafana banamathuba aphindwe kabili okuthola lesi simo kunamantombazane.

Futhi, ezinye izingane zisengozini enkulu yokuthola i-osteomyelitis kunezinye. Isibonelo:

• Izingane ezinesimiso somzimba esibuthakathaka .
• Izingane ezinezifo ezingamahlalakhona njengesifo se-sickle cell .

Ingabe i-Osteomyelitis iyisifo esithathelwanayo?

Cha, ungase ukhululeke ukuzwa lokhu. Ukutheleleka kwamathambo, okwaziwa nangokuthi i-osteomyelitis, akusabalali ngqo kusuka kumuntu kuya komunye . Lokhu kusho ukuthi uma ingane yakho ibe nalesi simo, ngeke ikwazi ukusidlulisela komunye umntwana. Kodwa-ke, amagciwane abangela i-osteomyelitis ngezinye izikhathi angasabalala kusuka komunye umuntu kuya komunye (isibonelo, ngokuthimula, ukukhwehlela, noma izandla ezingcolile). Yingakho kubalulekile ukuhlala uhlanzekile.

Odokotela bazi kanjani ukuthi une-Osteomyelitis? Yiziphi izivivinyo abazenzayo?

Uma ingane yakho inomkhuhlane kanye nobuhlungu emathanjeni, kubalulekile ukufuna usizo lwezokwelapha ngokushesha . I-Osteomyelitis ingaba yingozi ngokushesha ngemva kwamahora noma izinsuku ezimbalwa, okwenza ukwelashwa kube nzima kakhulu.

Udokotela uzoqala ngokuyihlola ingane. Uzobuza nangokulimala noma izingozi zakamuva endaweni lapho ubuhlungu bukhona khona. Ngemuva kwalokho, bangenza izivivinyo eziningana, njengokuthi:

• Ukuhlolwa kwegazi: Lokhu kuhlola ukwanda kwenani lamaseli amhlophe egazini (i-WBC) egazini (uphawu lokutheleleka), kanye nezinye izimpawu zokuvuvukala noma ukutheleleka emzimbeni.
• I-X-ray: Udokotela wakho angase akucele ukuthi kwenziwe i-X-ray. Kodwa-ke, ezigabeni zokuqala ze-osteomyelitis, i-X-ray ingase ingabonakali njalo izimpawu ezicacile zokutheleleka.
• Ukuhlolwa kwe-bone scan noma i-MRI:Uma udinga ukubona ithambo ngokuningiliziwe, udokotela wakho angase akuncome ukuthi uhlolwe ngethambo noma i-MRI (Magnetic Resonance Imaging). Ama-MRI angaveza izithombe ezicacile kakhulu nezinemininingwane eminingi kune-X-ray. I-MRI ayikwazi nje ukusiza ekunqumeni ukuthi une-osteomyelitis, kodwa ingasiza nasekunqumeni ukuthi ukutheleleka sekunesikhathi esingakanani nokuthi kusakazeke kangakanani.

Ngezinye izikhathi, udokotela kungadingeka athathe isampula yethambo elithelelekile ukuze ahlole amagciwane. Lokhu kubizwa ngokuthi i-bone biopsy. Uma kutholakala amagciwane, lokhu kuhlolwa kungasiza ekunqumeni ukuthi hlobo luni lwamagciwane futhi kutholakale ukuthi iyiphi i-antibiotic engcono kakhulu yokutheleleka.

Ilashwa kanjani i-Osteomyelitis? Ingabe ingane izolulama ngokushesha?

Ukwelashwa kwe-osteomyelitis kuncike ezintweni eziningana:

• Ubudala bomntwana kanye nempilo yakhe jikelele .
• Ukuthi ukutheleleka kukhulu kangakanani .
• Kungakhathaliseki ukuthi ukutheleleka kuyingozi (okusho ukuthi kuqalile muva nje) noma kungamahlalakhona (okusho ukuthi sekukhona isikhathi eside).

Ukwelashwa kuhlanganisa kakhulu ama-antibiotic okulwa nokutheleleka kanye nemithi yobuhlungu . Iningi lezingane ezine-osteomyelitis kuzodingeka zihlale esibhedlela izinsuku ezimbalwa. Lokhu kwenziwa ngokuzinika ama-antibiotic okujova ngemithambo (IV) ukuze zilwe nokutheleleka ngokushesha. Uma ingane yakho isizizwa ingcono, udokotela uzokuvumela ukuthi uye ekhaya. Kodwa-ke, kungadingeka uqhubeke nokuthatha ama-antibiotic, kungaba ngemithambo noma ngomlomo, amasonto ambalwa ngemva kokuya ekhaya. Lokhu kubalulekile ngoba ufuna ukuqeda ukutheleleka ngokuphelele.

Kwezinye izimo, odokotela kungadingeka benze ukuhlinzwa ukuze kuhlanzwe ithambo elinaleli gciwane. Uma ithambo selinomgodi ogcwele ubomvu (uketshezi olwakhiwe ngamagciwane namangqamuzana amhlophe egazi), udokotela uzokwenza inqubo ebizwa ngokuthi i-debridement . Lokhu kuhilela ukuhlanza kahle inxeba, ukususa izicubu ezifile, nokukhipha ubomvu ethanjeni. Lokhu kuvumela ithambo ukuthi liphilise kahle.

Ungakhathazeki, odokotela bazonikeza ingane yakho ukwelashwa okungcono kakhulu. Indima yakho ukulandela imiyalelo kadokotela ngqo nokusekela ingane yakho ngothando.

Kuthatha isikhathi esingakanani ukululama kwi-Osteomyelitis?

Iningi lezingane liqala ukuzizwa lingcono futhi lingaguli kakhulu ezinsukwini ezimbalwa zokuqala ukwelashwa. Ama-antibiotic anikezwa ngemithambo yegazi (IV) avame ukushintshelwa kuma-antibiotic omlomo ngemva kwezinsuku ezi-5 kuya kweziyi-10. Izingane kufanele ziphuze ama-antibiotic okungenani inyanga.Kungadingeka ama-antibiotic. Ngezinye izikhathi, kuye ngezimpawu nemiphumela yokuhlolwa kwegazi, ungase ucelwe ukuthi uthathe umuthi isikhathi eside. Ngakho-ke, kubaluleke kakhulu ukuthatha umuthi isikhathi esiphelele esinqunywe udokotela wakho.

Yini esingayenza ukuze sivimbele ukuthuthukiswa kwe-Osteomyelitis?

Kunezindlela eziningana ezilula zokuvimbela ukuthuthukiswa kwe-osteomyelitis. Kubaluleke kakhulu ukugcina isikhumba sethu sihlanzekile.

• Ukugcina amanxeba ehlanzekile: Noma yikuphi ukusikeka, ukuklwebheka, noma inxeba, elikhulu noma elincane , kufanele lihlanzwe kahle ngokushesha nje lapho livela. Ikakhulukazi emanxebeni ajulile, libambe ngaphansi kwamanzi agobhozayo bese uligeza kahle ngensipho okungenani imizuzu emi-5. Lokhu kuzosusa noma yimaphi amagciwane angase abe ngaphakathi kwenxeba.
• Ngemva kokuhlanza inxeba, limboze. Limboze ngendwangu ehlanzekile noma nge-gauze. Ungafaka futhi ukhilimu wama-antibiotic ongawuthenga ekhemisi. Kodwa, into ebaluleke kakhulu ukugcina inxeba lihlanzekile .
• Isilonda kufanele siqale ukuphola zingakapheli amahora angama-24 futhi kufanele siphole ngokuphelele zingakapheli isonto. Uma isilonda sithatha isikhathi eside ukuphola, noma uma kukhona ubuhlungu obungabekezeleleki, qiniseka ukuthi ubona udokotela .
• Ukugeza Izandla: Njengabazali, thina nezingane zethu singenza lukhulu ekuvimbeleni ukusabalala kwamagciwane ngokugeza izandla zethu njalo nangokuphelele.
• Ukugoma: Qiniseka ukuthi izingane zakho zithola yonke imijovo yazo ngesikhathi. Le mijovo ingasiza ekuvimbeleni ukutheleleka ngamagciwane.

Izinto ezibaluleke kakhulu okufanele uzikhumbule kulokho esikhulume ngakho yilezi:

Kulungile, ngakho-ke sesikhulume kakhulu nge-Osteomyelitis, akunjalo? Ngicabanga ukuthi uyaqonda kahle lokhu. Okokugcina, khumbula la maphuzu:

• I-Osteomyelitis ukutheleleka kwamagciwane emathanjeni.
• Uma unomkhuhlane ongazelelwe ohambisana nobuhlungu bamathambo , ungawushayi indiva. Funa iseluleko sezokwelapha ngokushesha.
• Ama-antibiotic anikezwa njengokwelashwa. Kungadingeka ukuthi umuntu alaliswe esibhedlela futhi ahlinzwe.
• Kubalulekile ukuthatha ama-antibiotics isikhathi sonke esinqunywe udokotela. Lokhu kuzosiza ukutheleleka ukuthi kuphulukiswe ngokuphelele.
• Ukugcina amanxeba ehlanzekile nokulandela imikhuba emihle yokuhlanzeka kunganciphisa ingozi yokuthola i-osteomyelitis.

Uma uneminye imibuzo mayelana nalokhu, ungesabi ukubuza udokotela womndeni wakho. Bazokwazi ukukusiza kabanzi. Into ebaluleke kakhulu ukungesabi, ukuba nolwazi olufanele, nokunikeza ingane ukunakekelwa ekudingayo.

I- Osteomyelitis, ukutheleleka kwamathambo, izifo zezingane, ukutheleleka ngamagciwane, ubuhlungu bamathambo, ama-antibiotic, impilo yengane