Uke waba nobuhlungu obungazelelwe noma ukuvuvukala kwelinye lamalunga akho? Ingabe kungaba yisifo samathambo esibangelwa yi-septic arthritis?

Ingabe wena noma umngane wakho nike naqala ukuzwa ubuhlungu obukhulu, ukuvuvukala, ukubomvu, kanye nomkhuhlane emalungeni? Ngezinye izikhathi singase sicabange ukuthi kumane nje kuyisihibe noma okunye. Kodwa-ke, uma unalezi zimpawu, kungaba yisimo esibi esibizwa ngokuthi i-septic arthritis . Ngakho ake sixoxe ngalokhu kancane namuhla, ngoba kubaluleke kakhulu ukukuqaphela.

Kuyini isifo samathambo esibangelwa yi-septic? Masiqonde kalula!

Kalula nje, i-septic arthritis ukuvuvukala noma ukuvuvukala okwenzeka lapho igciwane lingena kwelinye noma ngaphezulu kwamalunga akho. Leli gciwane lingaba yibhaktheriya, igciwane, noma isikhunta. Ngokuvamile, kwenzeka lapho ukutheleleka okuvela kwenye indawo emzimbeni kuhamba kuye emalunga ngegazi.

Cabanga ngakho, amalunga ethu afana namalunga omshini. Ukuze asebenze kahle, izindawo zawo kudingeka zibe bushelelezi. Lobu buso obubushelelezi bubizwa ngokuthi i-cartilage . Futhi, kukhona uwoyela wokugcoba obizwa ngokuthi i-synovial fluid phakathi kwamalunga, okusiza amalunga ukuba anyakaze kalula. Ngakho-ke lapho lelo gciwane lingena, lilimaza lo mzimba kanye noketshezi lwe-synovial, okubangela ukuvuvukala.

Ngokuvamile kuthinta amalunga amakhulu njenge-hip kanye nedolo, kodwa kungathinta namanye amalunga njengehlombe kanye neqakala.

Uma abantu bezwa igama elithi "arthritis," bacabanga ngalo njengento ethinta abantu abadala kuphela. Kodwa empeleni, abantu banoma yimuphi ubudala bangaba nesifo samathambo. Ngokumangalisayo, lolu hlobo lwesifo samathambo, olubizwa ngokuthi i-septic arthritis , luvame kakhulu ezinganeni kunakwabantu abadala.

Nakuba sivame ukucabanga ngegama elithi "arthritis" njengesifo esisodwa, empeleni kunezinhlobo eziningana ze-arthritis. Isibonelo:

• I-Osteoarthritis
• Isifo Samathambo Esibangelwa Yi-Rheumatoid
• Isifo Samathambo Se-Psoriatic
• I-Gout

Nakuba konke lokhu kuhlobene nokuvuvukala kwamalunga, izimbangela zako, izimpawu, kanye nokwelashwa kuhlukile. I-Septic arthritis uhlobo oluthile lwe-arthritis olubangelwa ukutheleleka ngamagciwane .

Yimaphi amalunga avame ukuthinteka yi-septic arthritis?

Lokhu kuncike ezintweni eziningana. Ngokuvamile, njengoba kushiwo ngaphambili, kuvame kakhulu emalungeni amakhulu emzimbeni ongezansi, njengezinqe, amadolo, namaqakala.

• Ezinganeni ezincane , lokhu kuvame ukuthinta i-hip joint .
• Kubantu abadala , kuvame ukuthinta amadolo .
• Kunezimo ezithile ezikhethekile. Isibonelo, abasebenzisi bemithi yokujova banamathuba amaningi okuthuthukisa lokhu emalungeni e-sacroiliac, axhumanisa i-pelvis kanye nomhlane ongezansi, kanye ne-sternoclavicular joint, exhumanisa i-clavicle ne-sternum.

Ingabe lesi sifo samathambo esibangelwa uketshezi singasakazekela kwezinye izingxenye zomzimba?

Yebo, lokhu kuyinto eyingozi kakhulu. Uma ukutheleleka okubangele isifo samathambo esibangelwa yi-septic arthritis kungelashwa kahle, ukutheleleka kungasakazekela kwezinye izingxenye zomzimba. Lokhu sikubiza ngokuthi i-sepsis . Lesi yisimo esibi esingaba yingozi ngisho nokuphila .

Ngokuvamile, i-septic arthritis ithinta ilunga elilodwa kuphela. Kodwa-ke, akuvamile kakhulu, ingathinta amalunga amaningi. Ukutheleleka ngamagciwane e-Staphylococcal kuyimbangela eyinhloko ye-septic arthritis, futhi ezimweni ezinjalo, ivame ukuthinta ilunga elilodwa kuphela. Kodwa-ke, i-septic arthritis ebangelwa uhlobo lwebhaktheriya elibizwa ngokuthi i-Neisseria ingathinta amalunga amaningi.

Ubani onamathuba amaningi okuthola isifo samathambo esibangelwa yi-septic arthritis?

Nakuba kuvame kakhulu ezinganeni, kungenzeka nakubantu abadala. Abafana abaneminyaka ephakathi kwemi-2 neyi-3 basengozini enkulu yokuba nalesi sifo.

Kuvamile kangakanani lokhu?

I-Septic arthritis ayisona isifo esivame kakhulu. Uma sikhuluma nje, sitholakala kubantu abaphakathi kwababili nabayisithupha kwabayi-100,000 ngonyaka.

Ingakanani ingozi yesifo samathambo esibangelwa yi-septic?

Nakuba kungavamile, isifo samathambo esibangelwa yi-septic siyisimo esibi kakhulu . Singabangela umonakalo ohlala njalo esithweni sakho esithintekile, kanye nezinye izinkinga. Uma singelashwa kahle , singaholela ngisho nasekufeni . Ngakho-ke, uma unalezi zimpawu, ungakhohlwa ukubona udokotela noma ukuya esibhedlela esiseduze ngokushesha.

Ziyini izimpawu zesifo samathambo esibangelwa yi-septic arthritis?

Lezi zimpawu zingase zivele ngokuzumayo:

• Ubuhlungu obukhulu kanye nokuzwela elunganeni elithintekile.
• Lelo lunga livuvukele futhi lizwakala lifudumele .
• Ubunzima bokuhambisa ilunga (ukunyakaza okulinganiselwe).
• Ukungathandi ukusebenzisa noma ukuhambisa ilunga elithintekile (lokhu kungaba yiqiniso ikakhulukazi ezinganeni).
• Imfiva .

Uma unesinye noma ngaphezulu salezi zimpawu, ungazithathi kalula.

Yini ebangela isifo samathambo esibangelwa yi-septic arthritis?

Njengoba kushiwo ngaphambili, imbangela eyinhloko yalokhu ukutheleleka. Kungaba amagciwane, isikhunta, i-mycobacteria, amagciwane, noma ezinye izifo. Ngokuvamile, ukutheleleka okuqala kwenye indawo emzimbeni, mhlawumbe enxebeni lesikhumba, kuhamba kuye elungeni ngegazi.

Lezi zifo ezibangela izifo ikakhulukazi zingabangela isifo samathambo esibangelwa yi-septic arthritis:

• I-Staphylococcus aureus : Leli gciwane (elaziwa nangokuthi 'i-Staph' ngamafuphi) liyimbangela ehamba phambili ye-septic arthritis kokubili ezinganeni nakubantu abadala.
• I-Staphylococcus aureus (MRSA) engamelana ne-Methicillin : I-MRSA uhlobo lokutheleleka kwe-Staph olumelana namanye ama-antibiotic. Abantu abafaka imijovo yezidakamizwa, labo abangenwe yi-HIV (igciwane le-immunodeficiency virus), kanye nalabo abanesifo sikashukela basengozini enkulu yokuthola isifo samathambo esibangelwa yi-MRSA.
• I-Streptococci yeqembu A ne-B : Lolu uhlobo lwebhaktheriya. Abantu abadala, abantu abanezifo ezingamahlalakhona njengesifo sikashukela, kanye nabantu abane-cirrhosis basengozini enkulu yokuthola isifo samathambo esibangelwa yileli bhaktheriya.
• I-Neisseria gonorrhoeae : Leli gciwane libanga ukutheleleka ngocansi (STI) okubizwa ngokuthi i-gonorrhea. Abantu abane-gonorrhea bangaba nohlobo lwe-septic arthritis olubizwa ngokuthi i-gonococcal arthritis .
• I-Neisseria meningitidis (i-meningococcus) : Leli gciwane libangela i-meningitis, ukuvuvukala kwezicubu ezimboza ubuchopho nomgogodla. Akuvamile ukuthi leli gciwane libangele nesifo samathambo esibangelwa yi-septic arthritis.

Yimaphi amabhaktheriya avame kakhulu abangela isifo samathambo esibangelwa yi-septic?

I-Staphylococcus aureus iyimbangela evame kakhulu ye-septic arthritis kokubili ezinganeni nakubantu abadala, ebanga phakathi kuka-37% no-56% wezimo ze-septic arthritis.

Ingabe i-septic arthritis iyathelelana?

Cha, isifo samathambo esibangelwa yi-septic asisabalaliswa ngqo sisuka komunye umuntu siya komunye . Kodwa-ke, amagciwane abangela isifo samathambo esibangelwa yi-septic (isib. `Staphylococcus aureus`, `MRSA`, `Neisseria gonorrhoeae`) angasabalala sisuka komunye umuntu siye komunye ngokuxhumana.

Itholakala kanjani i-septic arthritis?

Udokotela wakho uzoqala ahlole ilunga lakho. Uma kusolwa ukuthi une-septic arthritis, cishe uzothatha isampula yoketshezi lwe-synovial oluvela elunganeni elithintekile esebenzisa inaliti. Lokhu kubizwa ngokuthi i-aspiration . Uketshezi luthunyelwa ukuze luhlolwe elebhu. Uma kutholakala amabhaktheriya oketshezini, kuwukuxilongwa okuqinisekile kwe-septic arthritis.

Yiziphi izivivinyo ezisetshenziswa ekuxilongweni?

• Ukufuthwa koketshezi lwe-synovialNjengoba kushiwo ngaphambili, udokotela uthatha isampula yoketshezi oluvela esilungwini ngenaliti encane bese ehlola amagciwane.
• Ukuhlolwa kwegazi : Ukuhlolwa kwegazi kungenziwa ukuze kubonakale ukuthi amasosha omzimba wakho ayasabela yini ekuthelelekeni, noma ukuze kunqunywe ezinye izimo zezokwelapha.
• Ama-X-ray : Ama-X-ray asetshenziselwa ukuthatha izithombe zamathambo. I-X-ray ingabonisa izinto ezifana nokwanda kwesikhala phakathi kwamalunga nokuvuvukala kwezicubu ezithambile. Lokhu kungaba izimpawu ze-septic arthritis.
• I-Ultrasound : Isebenzisa amaza omsindo ukuthatha izithombe zangaphakathi lomzimba. I-ultrasound ingasiza udokotela ukubona ukuthi ilunga livuvukele kangakanani nokuthi uketshezi lwamalunga lukuphi lapho liphefumula.
• I-MRI (I-Magnetic Resonance Imaging) : Ukuhlolwa okusebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukwenza izithombe ezinemininingwane yezitho namathambo. I-MRI ingasiza ekutholeni isifo samathambo esibangelwa yi-septic arthritis kusenesikhathi.

Iphathwa kanjani i-septic arthritis?

Izindlela zokwelapha ezilandelayo zisetshenziselwa lokhu:

• Ukuhlinzwa : Ezimweni eziningi, kudingeka ukususwa kwezicubu ngokuhlinzwa kanye nama-antibiotic emithanjeni.
• Ama-antibiotic : Wonke umuntu one-septic arthritis kufanele aphathwe ngama-antibiotic. Udokotela wakho angakunika ama-antibiotic ngemithambo yegazi noma njengamaphilisi.
• Ukugeleza koketshezi oluhlanganisiwe: Udokotela angasebenzisa inalithi encane ukususa (ukufutha) uketshezi oluningi oluhlanganisiwe. Lokhu kungadingeka kwenziwe izikhathi eziningana ngesikhathi sokuphulukiswa.
• Ukwelashwa ngokomzimba : Cishe uzodinga ukwelashwa ngokomzimba ukuze ubuyisele ukusebenza kwamalunga futhi uvimbele imisipha ezungeze amalunga ukuba ingabi buthaka.
• Ukususwa kwejoyinti lokwenziwa : Uma uba nesifo samathambo esibangelwa yi-septic arthritis ejoyintini lokufakelwa, ijoyinti lokufakelwa cishe lizosuswa bese lithathelwa indawo yi- joint spacer eyenziwe nge-antibiotic cement. Ngemva kwezinyanga ezimbalwa, udokotela wakho uzophinde afake ijoyinti lakho lokufakelwa.

Kuthatha isikhathi esingakanani ukuthi isifo samathambo esibangelwa yi-septic arthritis siphole?

Isikhathi esithathayo ukuze ululame ngokugcwele sincike ekutheni yiliphi igciwane elibangele ukutheleleka kanye nempilo yakho iyonke. Kungase kudingeke ukuthi uphuze ama-antibiotic amasonto amaningana. Uma ukutheleleka kulimaze amalunga nezicubu ezithambile ezizungezile, kungathatha isikhathi eside ukuthi amalunga alulame ngokugcwele.

Ingabe isifo samathambo esibangelwa yi-septic siyaphola ngokwaso?

Cha, akunjalo nhlobo.Ngenxa yokuthi i-septic arthritis iyisifo, ayizipholi ngokwayo. Ukutheleleka ngamagciwane kudinga ukwelashwa ngama-antibiotic. Uma unezimpawu ze-septic arthritis, kufanele ubonane nodokotela noma uye esibhedlela esiseduze ngokushesha. Uma ingelashwa, ingabangela izinkinga ezinkulu futhi ibe yingozi empilweni.

Yiziphi izici eziyingozi zokuthuthukisa isifo samathambo esibangelwa yi-septic?

Lezi zici eziyingozi zingase zihluke ezinganeni nakubantu abadala.

Izici eziyingozi ezinganeni:

• Ubudala : Izingane ezisanda kuzalwa zisengozini enkulu yokuthola lokhu ngoba amasosha omzimba azo awanamandla kangako.
• Ukuba ne-Hemophilia : I-Hemophilia isifo sokujiya kwegazi esizuzwe njengefa. Izingane ezinalesi simo zisengozini enkulu yokuthola isifo samathambo esibangelwa yi-septic arthritis.
• Ukuba nesimiso somzimba esibuthakathaka : Izingane ezisengozini yokutheleleka yizifo ezifana ne-sickle cell anemia kanye ne-HIV zinamathuba amaningi okuthola lesi sifo.
• Ukwelashwa ngamakhemikhali : Ngenxa yokuthi ukwelashwa ngamakhemikhali kwenza amasosha omzimba abe buthaka, abantu abathola lokhu kwelashwa banamathuba amaningi okuthola isifo samathambo esibangelwa uketshezi.

Izici zengozi kubantu abadala:

• Ubudala : Abantu abadala abangaphezu kweminyaka engu-80 ubudala basengozini enkulu yokuthola lokhu.
• Ukuba ne-rheumatoid arthritis (RA) noma i-osteoarthritis : Abantu abanalezi zifo ezilimaza amalunga abo banamathuba amaningi okuthola i-septic arthritis. Phakathi kwabantu abane-rheumatoid arthritis, i-septic arthritis ingakhula kubantu abangafika ku-70 kwabayi-100,000 ngonyaka.
• Ukutheleleka nge-HIV (Human Immunodeficiency Virus) : Ngenxa yokuthi i-HIV yenza buthaka amasosha omzimba, kunethuba elikhulu lokuthola izifo, futhi ngazo, isifo samathambo esibangelwa ukuvuvukala.
• Ukuba Nesifo Sikashukela : Amazinga aphezulu kashukela egazini angenza buthaka amasosha omzimba. Abantu abanesifo sikashukela abangawagcini amazinga abo kashukela egazini elawulwa basengozini enkulu yokuthola izifo kanye nesifo samathambo esibangelwa uketshezi.
• Ukuba nokutheleleka kwesikhumba : Njengoba i-septic arthritis ivame ukuqala ngokutheleleka kwenye indawo emzimbeni, ukuba nokutheleleka kwesikhumba kungaholela ku-septic arthritis.
• Ukuhlinzwa kwamalunga kwakamuva : Uma usanda kuhlinzwa kwamalunga, usengozini enkulu yokuthola isifo samathambo esibangelwa ukutheleleka kwesilonda sokuhlinzwa.
• Ukuba nejoyinti lokufakelwa : Ukutheleleka kuvame kakhulu emajoyintini okufakelwa kunasemajoyintini emvelo. Ukuba nejoyinti lokufakelwa kwandisa ingozi yesifo samathambo esibangelwa yi-septic arthritis.
• Ukusetshenziswa kwemithi ngomjovo : Lokhu kwandisa ingozi yesifo samathambo esibangelwa yi-septic arthritis ngoba kuvumela amabhaktheriya ayingozi nezinye izinto eziphilayo ukuthi zingene emzimbeni ngesikhumba.
• Umsebenzi wocansi : Kukhona ingozi yokuthola isifo samathambo esibangelwa yibhaktheriya (i-Neisseria gonorrhoeae), ebangela ukutheleleka ngocansi (STI) okubizwa ngokuthi i-gonorrhea, ikakhulukazi ngocansi olungavikelekile.

Ugwema kanjani isifo samathambo esibangelwa yi-septic arthritis?

Nakuba kungezona zonke izimo ze-septic arthritis ezingavinjelwa, kunezinto ezithile ongazenza ukuze uzame ukuvimbela ukuthi ingakhuli:

• Vimbela amanxeba namanxeba ukuthi angangenwa yigciwane : Uma unenxeba noma isilonda esikhumbeni sakho, ligcine lihlanzekile ukuze uvimbele ukutheleleka. Uma kunezimpawu zokutheleleka, njengokubomvu, ukufudumala, noma ubomvu obuzungeze inxeba, bheka udokotela ngokushesha.
• Phatha kahle izimo zakho ezingamahlalakhona : Uma unesifo esingamahlalakhona njengesifo sikashukela noma i-AIDS (i-Acquired Immunodeficiency Syndrome), phatha leso simo ngangokunokwenzeka ukuze uhlale uphilile.
• Yenza ucansi oluphephile : Sebenzisa ikhondomu noma idamu lamazinyo njalo. Khuluma nomlingani wakho wocansi mayelana nobudlelwano bangaphambilini kanye nomlando wezifo ezithathelwana ngocansi (ama-STI).
• Ungazisebenzisi kabi izidakamizwa : Ukujova izidakamizwa ezingekho emthethweni kungabangela izifo. Thatha kuphela imithi enqunywe udokotela wakho, njengoba kuyalelwe.

Iyini i-prognosis ye-septic arthritis?

Umbono walokhu uncike ezintweni eziningana:

• Hlobo luni lwebhaktheriya noma into ephilayo eyabangela ukutheleleka kwakho?
• Isikhathi esingakanani ukutheleleka kwakho sekukhona.
• Ubudala bakho kanye nempilo yakho iyonke.

Ezinye izinhlobo zamagciwane, njenge-MRSA, kunzima kakhulu ukwelapha kunezinye. Uma isifo samathambo esithinta i-septic sihlala isikhathi eside, kulapho amathuba okuthi ilunga elithintekile lonakale khona. Abantu abanamasosha omzimba abuthakathaka nabo banamathuba amaningi okuthi ilunga elithintekile lonakale.

Ingabe i-Septic Arthritis ingaba yingozi?

Ngisho noma ukwelashwa ngama-antibiotic, i-septic arthritis inezinga lokufa eliphakathi kuka-7% no-15% . Uma unezimpawu ze-septic arthritis, qiniseka ukuthi ubona udokotela noma uye esibhedlela esiseduze ngokushesha okukhulu.

Yiziphi izinkinga ezingaba khona ze-Septic Arthritis?

I-Septic arthritis iyisimo esibi kakhulu. Izinkinga ezingaba khona zifaka:

• Ubuhlungu obungapheli
• I-Osteomyelitis (ukuvuvukala kwamathambo)
• Ukufa kwezicubu zamathambo (i-osteonecrosis) (ngenxa yokuncipha kokutholakala kwegazi)
• Umehluko wobude bomlenze
• I-Sepsis (ukuvuvukala okusakazeka emzimbeni wonke)
• Ukufa

Kufanele ngimbone nini udokotela?

Uma unezimpawu zesifo samathambo esibangelwa yi-septic arthritis, njengobuhlungu bamalunga, umkhuhlane, ukufudumala, ukubomvu, ubuthakathaka, kanye nobunzima bokuhambisa ilunga,Bona udokotela noma uye esibhedlela esiseduze ngokushesha. Isifo samathambo esibizwa ngokuthi i-septic arthritis yisimo esibi esidinga ukwelashwa ngama-antibiotic. Uma singelashwa, singasongela ukuphila.

Uyini umehluko phakathi kwe-Septic Arthritis ne-Osteomyelitis?

I-Osteomyelitis kanye ne-septic arthritis zombili ziyizimo ezingavamile kodwa ezibucayi. I-Osteomyelitis ukutheleleka kwamathambo. I-Septic arthritis ukuvuvukala kwe-cartilage emboza ilunga kanye noketshezi lwe-synovial oluthambisa ilunga. Zombili lezi zimo zivame ukubangelwa yibhaktheriya i-Staphylococcus aureus.

Ngenxa yokuthi izimpawu zazo zombili ziyafana (njengobuhlungu endaweni ethintekile, ukuqaqamba, nokuvuvukala), kungaba nzima ukuhlukanisa lezi ezimbili. I-Septic arthritis ingaholela nase-osteomyelitis, futhi ngezinye izikhathi zombili zingenzeka ngesikhathi esisodwa. Uma unezimpawu zanoma yisiphi isimo, iya esibhedlela esiseduze ngokushesha. Zombili zidinga ukunakekelwa kwezokwelapha. Udokotela wakho uzokwenza izivivinyo ukuze athole imbangela yezimpawu zakho.

Uyini umehluko phakathi kwe-Septic Arthritis ne-Gout?

I -Gout uhlobo oluvamile lwe-arthritis olubangelwa amakristalu e-uric acid. I-Septic arthritis ukuvuvukala kwamalunga okubangelwa ukutheleleka.

I-Septic arthritis iyinkinga engavamile kodwa engathi sína ye-gout. Izimpawu zazo zombili izimo (njengokuvuvukala nokubomvu kwelungu elithintekile) zingafana, ngakho kungaba nzima ukuhlukanisa lezi zimo ezimbili. Uma unezimpawu ze-gout kanye/noma i-septic arthritis, bona udokotela ngokushesha okukhulu. Udokotela wakho uzokubuza imibuzo mayelana nezimpawu zakho, akudlulisele esibhedlela uma kudingeka, futhi enze izivivinyo ukuze athole imbangela yezimpawu zakho.

Khumbula into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Isifo samathambo esibizwa ngokuthi i-septic arthritis yisimo esingavamile kodwa esibucayi kakhulu . Izindaba ezinhle ukuthi singelashwa . Uma unezimpawu ezifana nobuhlungu obukhulu, ukuvuvukala, kanye nobunzima bokuhambisa ilunga, iya esibhedlela esiseduze ngokushesha. Uma udokotela wakho esheshe athole lesi simo futhi aqale ukwelashwa, kulapho ungalulama khona ngokushesha. Ungalibali, ngoba ukwelashwa kusenesikhathi kungasindisa ilunga lakho futhi kuvimbele izinkinga ezinkulu.

I- Septic Arthritis, ukuvuvukala kwamalunga, ukutheleleka, amagciwane, ubuhlungu bamalunga, ukuvuvukala, umkhuhlane