Septic arthritis

Septic arthritis kuzvimba kwemajoini nekuda kwehutachiona kana hutachiona hutachiona. Septic arthritis iyo inokonzerwa nehutachiona hunokonzera gonorrhea ine zviratidzo zvakasiyana uye inonzi gonococcal arthritis.

Septic arthritis inokura apo mabhakitiriya kana zvimwe zvidiki-zvinokonzeresa hutachiona (zvidiki) zvinopararira kuburikidza neropa kusvika kujoini. Izvo zvinogona zvakare kuitika kana mubatanidzwa uchitapukirwa zvakananga nehutachiona kubva mukukuvara kana panguva yekuvhiyiwa. Majoini ayo anowanzo kubatwa ibvi nehudyu.

Mazhinji kesi eacute septic arthritis anokonzerwa ne staphylococcus kana streptococcus bacteria.

Chisingaperi septic arthritis (iyo isingawanzo kujairika) inokonzerwa nezvipuka zvinosanganisira Mycobacterium tibhii uye Candida albicans.

Aya anotevera mamiriro anowedzera njodzi yako septic arthritis:

• Chakagadzirwa majoini anodyara
• Hutachiona hutachiona kumwe kunhu mumuviri wako
• Kuvapo kwebhakitiriya muropa rako
• Chirwere chisingaperi kana chirwere (chakadai seshuga, rheumatoid arthritis, uye sickle cell chirwere)
• Intravenous (IV) kana jekiseni kushandisa zvinodhaka
• Mishonga inodzvanyirira immune system yako
• Kukuvara kwekupedzisira kwemajoini
• Nguva pfupi yadarika arthroscopy kana kumwe kuvhiya

Septic arthritis inogona kuonekwa chero ipi zvayo makore. Muvana, zvinowanzoitika kazhinji kune avo vari pasi pemakore matatu. Muhudyu munowanzo kuve nzvimbo yekutapukira muvacheche. Kazhinji zviitiko zvinokonzerwa nebhakitiriya boka B streptococcus. Chimwe chikonzero chakajairika ndechekuti Haemophilus furuwenza, kunyanya kana mwana asina kubayiwa nhomba iyi.

Zviratidzo zvinowanzouya nekukurumidza. Kune fivha uye kubatana kuzvimba kunowanzo kuve mubatanidzwa mumwe chete. Kune zvakare kurwadziwa kwakanyanya kwemajoini, uko kuri kuwedzera nekufamba.

Zviratidzo muvacheche kana vacheche:

• Kuchema kana hutachiona hwakabatwa huchifambiswa (semuenzaniso, panguva yekuchinja kwetsamba)
• Kupindwa nechando
• Haikwanise kufambisa gumbo nemubatanidzwa une hutachiona (pseudoparalysis)
• Kunetsana

Zviratidzo muvana nevakuru:

• Haikwanise kufambisa gumbo nemubatanidzwa une hutachiona (pseudoparalysis)
• Kutambudzika kwakanyanya kwemajoini
• Joint kuzvimba
• Kubatana kutsvuka
• Kupindwa nechando

Kutonhora kunogona kuitika, asi hakuna kujairika.

Anopa hutano anoongorora mubatanidzwa uye obvunza nezve zviratidzo.

Miedzo inogona kuitwa inosanganisira:

• Kufuridzirwa kwekubatana kwemvura yesero kuverenga, kuongororwa kwemakristasi pasi pe microscope, gram stain, uye tsika
• Tsika yeropa
• X-ray yejojo ​​yakabatwa

Mishonga inorwisa mabhakitiriya inoshandiswa kurapa hutachiona.

Kuzorora, kukwidziridza mubatanidzwa pamusoro peyero yemoyo, uye kushandisa kumanikidza kunotonhorera kunogona kubatsira kubvisa marwadzo. Mushure mekunge mubatanidzwa watanga kupora, kuishandisa kunogona kubatsira kukurumidza kupora.

Kana majoini (synovial) fluid achivaka nekukurumidza nekuda kwehutachiona, tsono inogona kuiswa mumubatanidzwa kuti ibvise (aspirate) iyo fluid. Mhosva dzakakomba dzinogona kuda kuvhiyiwa kuti durure hutachiona hwejoini hutachiona uye kudiridza (geza) mubatanidzwa.

Kudzorera kwakanaka nekukurumidza kurapwa kwemishonga inorwisa mabhakitiriya. Kana kurapwa kukanonoka, kusingaperi kwekubatana kwekubatana kunogona kuguma.

Sheedza musangano pamwe nemupi wako kana iwe ukagadzira zviratidzo zve septic arthritis.

Kudzivirira (prophylactic) mishonga inorwisa mabhakitiriya kunogona kubatsira vanhu vari panjodzi huru.

Bhakitiriya arthritis; Kwete-gonococcal bhakitiriya arthritis

• Hutachiona

Cook PP, Siraj DS. Bhakitiriya arthritis. Mune: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelly naFirestein's Bhuku reRheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: chits. 109.

Robinette E, Shah SS. Septic arthritis. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 705.