Ingabe ubuhlungu bakho emhlane abuyona nje ubuhlungu? Ake sifunde ngesifo sikaPott / isifo sofuba somgogodla!

Ingabe ngezinye izikhathi ubuhlungu bomhlane buyaphela? Mhlawumbe buzophela ezinsukwini ezimbalwa. Kodwa-ke, uma lobu buhlungu bomhlane buqhubeka, futhi uma uzizwa ukhathele futhi ungenaso isifiso sokudla, kungase kungabi yinto elula. Namuhla sizokhuluma ngesifo esihlobene nomgogodla esingathi sína, kodwa esingelapheka uma selashwa kahle. Leso yisifo sikaPott, noma i-Spinal Tuberculosis.

Iyini Isifo SikaPott?

Kalula nje, i-Pott's Disease iyigciwane elithinta amathambo emgogodleni wakho, elibizwa ngokuthi ama-vertebrae . Empeleni uhlobo lwesifo sofuba (TB). Kodwa alugcini emaphashini kuphela, uhlobo lwe -extrapulmonary TB . Cabanga ngakho, kuqala emaphashini, bese kudlulela emgogodleni.

Lokhu kungabangela ubuhlungu besikhathi eside emhlane , ubuthakathaka bemisipha ezingalweni nasemilenzeni, futhi uma kungelashwa kahle, kungaholela ekugobekeni komgogodla kanye nomonakalo kumathambo omgogodla. Kwezinye izimo, lokhu kungaba yingozi empilweni.

Odokotela bangase bakubize lokhu ngokuthi umgogodla kaPott noma i-tuberculosis spondylitis .

Isifo sikaPotts sivame kangakanani?

Isifo sikaPotts singenye yezinhlobo ezivame kakhulu zesifo sofuba samathambo. Emhlabeni wonke, kulinganiselwa ukuthi abantu ababalelwa ezigidini eziyi-10.6 batholakala benesifo sofuba ngo-2022 kuphela.

Ziyini izimpawu zesifo sikaPotts?

Manje ake sibone ukuthi ziyini izimpawu zesifo sikaPott.

• Ubuhlungu bomhlane: Lolu uphawu oluyinhloko.
• Ubuhlungu bentamo: Ngezinye izikhathi ubuhlungu bungavela nasentanyeni.
• Ubuthakathaka bengalo nemilenze: Kuzwakala sengathi isimo sokungabi nampilo.
• Ukulahlekelwa yisifiso sokudla
• Ukwehlisa isisindo okungachazeki
• Imfiva

Kungathinta noma yiliphi ithambo emgogodleni, okungukuthi, noma yiliphi ithambo lomgogodla. Ngokuvamile, kuthinteka ithambo lomgogodla elingaphezu kwelilodwa. Izindawo lapho kungenzeka khona ukuthi uzizwe lezi zimpawu yilezi:

• Umgogodla wesibeletho
• Umgogodla wesifuba noma we-dorsal
• Umgogodla we-Lumbar

Kwenzeka kanjani lokhu?

Isifo sikaPotts sibangelwa yigciwane elibizwa ngokuthi i-Mycobacterium tuberculosis . Uma uphefumula amaconsi amancane avela kumuntu onesifo sofuba, njengalapho ekhwehlela noma ekhuluma, aqala ukungena emaphashini akho. Ngemuva kwalokho, ukutheleleka kusakazeka egazini lakho kuye emathanjeni omgogodla wakho.

Ingabe lokhu kuyathelelana?

Manje ungase uzibuze ukuthi lesi sifo sikaPotts siyathelelana yini.Cha, isifo sikaPotts asisabalali ngqo sisuka kumuntu siya komunye. Isifo sofuba sisabalala uma sisemaphashini. Okusho ukuthi, ngamagciwane akhishwa emoyeni lapho othile onegciwane ekhwehlela noma ekhuluma. Ngesikhathi ukutheleleka kusakazekela emgogodleni, kusuke sekuphumile ngokuphelele emaphashini.

Ubani osengozini enkulu?

Ubani okungenzeka kakhulu ukuthi athole isifo i-Potts?

• Kulabo abasondelene kakhulu nomuntu onesifo sofuba.
• Kulabo abahlala ezindaweni ezinabantu abaningi.
• Kulabo abangakwazi ukufinyelela kalula izinsizakalo zezempilo.

Futhi, abantu abanezimo ezithile zempilo basengozini enkulu. Isibonelo:

• Kulabo abanesifo sokungondleki kahle .
• Kulabo abaluthayo ekusebenziseni izidakamizwa (isifo sokusebenzisa izidakamizwa).
• Kubantu abanezimo ezibeka engcupheni amasosha omzimba wakho , njenge -HIV .

Kwenzekani uma ukwelashwa kunganikezwa? (Izinkinga)

Kwenzekani uma lokhu kungelashwa kahle? Kungaba yingozi ngempela. Isifo sikaPotts singalimaza amathambo emgogodleni wakho. Leli gciwane libangela ukuvuvukala kanye namathumba agcwele ubomvu ngaphakathi emgogodleni. Lokhu kuvuvukala namathumba kubangela ukuthi amathambo emgogodleni acindezelwe, abe buthaka, futhi alimale. Amathambo angaphuka noma awe. Lokhu kungabangela ukuthi umgogodla ungazinzile. Lokhu kungaholela ekugobeni phambili (kyphosis), okuyisimo lapho umgogodla ugoba phambili, okwenza kubukeke sengathi othile ugobile.

Akukhona lokho kuphela, kodwa nezinye izinkinga zingase zivele:

• Ubunzima bokuma nokuhamba.
• Ukucindezelwa kwemizwa: Lokhu kungabangela ubuthakathaka ezithweni zomzimba, ukungazweli, kanye nokungakwazi ukulawula umchamo noma indle.
• Ukukhubazeka kungenzeka futhi.
• Ukutheleleka kungasakazeka nakwezinye izingxenye zomzimba (isibonelo, ubuchopho, izinso).

Uma lesi sifo sibonakala kusenesikhathi futhi ukwelashwa kuqala, izinkinga ezinjengalezi zingavinjelwa kakhulu.

Ukubona kanjani lokhu?

Odokotela basithola kanjani isifo sikaPotts? Ngemva kokuba udokotela ekuhlolile futhi ekubuze ngezimpawu zakho, bazokwenza ezinye izivivinyo ezimbalwa. Lezi zivivinyo zisetshenziselwa ukuqeda ezinye izifo ezinezimpawu ezifanayo nokuqinisekisa ukuthi yi-TB yomgogodla.

• Ukuhlolwa kwesikhumba sesifo sofuba: Ukuhlolwa okuncane okwenziwa esikhumbeni.
• Ukuhlolwa kwegazi ukuthola amagciwane ofuba.
• Ukuhlolwa kwezithombe: Isibonelo, i -X-ray yomgogodla, i-MRI (Magnetic Resonance Imaging) , i -CT (Computed Tomography) , noma i -PET (Positron Emission Tomography) .Ukuskena.

Ngenxa yokuthi izimpawu zesifo sikaPotts zifana nezezinye izifo eziningana ezivamile, futhi ngenxa yokuthi isifo sofuba somgogodla asivamile, ngezinye izikhathi kungaba nzima ukusithola. Futhi, abantu abahlala ezindaweni ezinezinga eliphezulu le-TB kodwa izikhungo zokunakekelwa kwempilo ezingezinhle bangase baphuze ukufuna ukwelashwa kuze kube yilapho kuvela izinkinga.

Yiziphi izindlela zokwelapha?

Isifo sikaPotts selashwa ngezigaba eziningana. Kunemithi okumele ithathwe izinyanga eziningana.

Ingabe ingelapheka ngomuthi?

Udokotela wakho angase akuncomele imithi ye-chemotherapy efana nalokhu:

• I-Isoniazid, i-Rifampicin, i-Pyrazinamide, i-Ethambutol kanye/noma i-Streptomycin cishe izinyanga ezimbili.
• Ngemva kwalokho, i-Isoniazid ne-Rifampicin zingase zithathwe ezinye izinyanga ezine kuya kweziyishumi nambili, noma mhlawumbe nangaphezulu.

Kubaluleke kakhulu ukusebenzisa lo muthi njengoba nje udokotela wakho ekutshelile. Ukuyekisa umuthi ngaphambi kwesikhathi esibekiwe kunganciphisa ukusebenza kahle kokwelashwa.

Ngezinye izikhathi, imithi yokuqala yesifo sofuba ayisebenzi. Lokhu kubizwa ngokuthi i-TB engazweli emithi . Uma lokhu kwenzeka, udokotela wakho angase ancome eminye imithi, efana nalokhu:

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

Le mithi yesifo sofuba esingamelana nemithi ingabangela imiphumela emibi. Udokotela wakho uzokutshela ngayo.

Mhlawumbe ukuhlinzwa kuyadingeka?

Ngezinye izikhathi, kungadingeka ukuhlinzwa ukuze kulungiswe umgogodla wakho, kuncishiswe izimpawu, futhi kuvinjelwe izinkinga zesifo sikaPotts. Kunezinhlobo eziningana zokuhlinzwa ezingenziwa:

• Ukususa izicubu: Ukuhlanza noma ukususa izicubu ezonakele ezizungeze umgogodla.
• Ukugeleza: Ukususwa noma ukukhishwa kwamathumba agcwele ubomvu aqongeleleke emgogodleni.
• Ukuqina nokuqondanisa: Isifo sofuba singabangela umonakalo kumathambo omgogodla. Udokotela ohlinzayo angasusa futhi/noma alungise amathambo nama -disc aphukile, bese efaka amapuleti nezikulufo ukuze abambe amathambo endaweni yawo.
• Ukuhlanganiswa: Udokotela ohlinzayo angahlanganisa unomphela amathambo amabili ndawonye, ​​anciphise ukunyakaza kwawo futhi avimbele ubuhlungu nezinye izinkinga. Lokhu kungase kuhilele ukusebenzisa i-bone graft evela kwenye ingxenye yomzimba wakho.

Linjani izinga lokululama?

Uma kutholakale kusenesikhathi futhi kwelashwa kusenesikhathi, amathuba okululama esifweni sasePotts mahle kakhulu. Kuthiwa cishe abantu abangu-95% abathola isifo sasePotts futhi bathole ukwelashwa ezigabeni zokuqala bayalulama .

Kodwa-ke, uma isifo sofuba somgogodla siba sibi kakhulu, noma uma singasabeli ekwelashweni futhi sibangela umonakalo emgogodleni, singaba yingozi empilweni. Udokotela wakho uzohlola amathuba akho okululama ngokusekelwe eminyakeni yakho, indlela amasosha omzimba wakho asabela ngayo, kanye nempilo yakho iyonke.

Isifo sikaPotts singelashwa ngemithi, kodwa ukwelashwa akwenzeki ngaso sonke isikhathi, ikakhulukazi uma isifo sofuba siwuhlobo olungazweli emithini .

Ingabe isifo sikaPotts sinciphisa isikhathi sokuphila?

Isikhathi ophila ngaso ngemva kokuba nesifo i-Potts singahluka kakhulu. Uma lesi sifo sitholakala futhi selashwa kusenesikhathi, cishe ngeke sithinte isikhathi ophila ngaso. Kodwa-ke, ezinganeni ezincane, abantu abadala abangaphezu kweminyaka engu-65, kanye nabantu abanezivikeli mzimba ezibuthakathaka, umphumela wesifo i-Potts ungaba mubi kakhulu, futhi ungasongela nokuphila.

Udokotela wakho angakutshela kangcono ngempilo yakho, okuhlanganisa nala maqiniso:

• Iminyaka yakho kanye nempilo yakho jikelele.
• Isikhathi owaqala ngaso ukwelashwa.
• Ubunzima bokutheleleka.
• Unezinkinga.
• Ukuthi umzimba wakho uyamelana yini nemithi yokwelapha isifo sofuba noma cha.

Zikhona yini izindlela zokugwema lokhu?

Ngenxa yokuthi uhlobo lokutheleleka ngesifo sofuba, akunakwenzeka ukuvimbela ngokuphelele isifo sikaPotts. Kodwa-ke, ungenza okulandelayo ukuze unciphise ingozi yakho yokuthola ukutheleleka ngesifo sofuba:

• Gwema ukuxhumana okude nokuseduze nomuntu onesifo sofuba esisebenzayo.
• Uma usengozini enkulu yokuthola isifo sofuba, noma uma uhlala endaweni lapho ukutheleleka kuvame khona, hlola isifo sofuba njalo.

Kufanele ngimbone nini udokotela?

Ukutheleleka ngesifo sofuba kuqala emaphashini (i-pulmonary TB). Izimpawu ze-Pott's syndrome zivame ukuvela ngemva kokuba ukutheleleka sekusakazeke kusuka emaphashini kuya emgogodleni. Bona udokotela uma unezinye zalezi zimpawu:

• Ukukhwehlela okuhlala isikhathi esingaphezu kwamasonto amabili.
• Ubuhlungu besifuba.
• Uma ukhwehlela igazi.
• Ukukhathala okukhulu.
• Ubuthakathaka bemisipha.
• Ukudla akunambitheki.
• Uma unomkhuhlane kanye nokubanda.

Ungase ungabi nazimpawu zamaphaphu, kodwa ungase ube nesifo sofuba. Ngakho-ke uma unezimpawu zofuba lomgogodla, xhumana nodokotela ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma ubona udokotela, ungabuza le mibuzo:

• Ingabe nginesifo sikaPotts, noma esinye isimo esithinta umgogodla wami?
• Yikuphi ukwelashwa okuncomayo?
• Kufanele ngithathe nini imithi yesifo sofuba futhi isikhathi esingakanani?
• Ingabe ikhona imiphumela emibi evela emuthini?
• Ingabe ngizodinga ukuhlinzwa?

Izinto ezibaluleke kakhulu okudingeka uzikhumbule

Isifo sikaPott singaba ukutheleleka okunzima kakhulu. Izimpawu zingenza kube nzima ngawe ukuhlala ngokukhululeka, ukuhambisa izitho zakho, nokuphila ngaphandle kobuhlungu. Ukwelashwa kungathatha izinyanga kuya eminyakeni ukususa ngokuphelele ukutheleleka emzimbeni wakho. Ungase udinge nokuhlinzwa ukuze kulungiswe umgogodla wakho. Konke lokhu kungakushiya uzizwa ukhungathekile futhi ungakwazi ukuhlanganyela emisebenzini evamile nabathandekayo bakho uze ululame. Kodwa khumbula, awuwedwa. Udokotela angakusiza ukuphatha isifo sikaPotts, akusize ube ngcono, futhi avimbele izinkinga ezisongela ukuphila.

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