Osteomyelitis

Osteomyelitis chirwere chepfupa. Inonyanya kukonzerwa nehutachiona kana zvimwe utachiona.

Utachiona hwepfupa hunowanzo kukonzerwa nehutachiona. Asi inogona zvakare kukonzerwa nefungi kana zvimwe utachiona. Kana munhu aine osteomyelitis:

• Hutachiona kana zvimwe utachiona zvinogona kutapukira kune pfupa kubva paganda rine hutachiona, mhasuru, kana tendoni padyo nepfupa. Izvi zvinogona kuitika pasi peganda rinorwadza.
• Hutachiona hunogona kutanga mune chimwe chikamu chemuviri ndokupararira kufupa kuburikidza neropa.
• Utachiona hunogona zvakare kutanga mushure mekuvhiyiwa kwemapfupa. Izvi zvinonyanya kuitika kana kuvhiya kwaitwa mushure mekukuvara kana kana matanda esimbi kana mahwendefa akaiswa mupfupa.

Muvana, mapfupa marefu emaoko kana emakumbo anowanzo kuvepo. Muvanhu vakuru, tsoka, musana mapfupa (vertebrae), uye chiuno (chiuno) zvinowanzo kanganiswa.

Njodzi zvinhu ndeizvi:

• Chirwere cheshuga
• Hemodialysis
• Ropa rakaipa
• Kukuvara kwazvino
• Kushandiswa kwejekiseni zvinodhaka zvisiri pamutemo
• Kuvhiya kunosanganisira mapfupa
• Dziviriro yezvirwere mumuviri

Zviratidzo zveosteomyelitis hazvina kujeka uye zvinosiyana nezera. Zviratidzo zvikuru zvinosanganisira:

• Kurwadziwa kwepfupa
• Kuwedzera kudikitira
• Fivha uye kutonhora
• Kazhinji kusagadzikana, kusagadzikana, kana kurwara (malaise)
• Kuzvimba kwemuno, kutsvuka, uye kudziya
• Vhura ronda iro rinogona kuratidza pus
• Marwadzo panzvimbo yekutapukirwa

Anopa hutano anozokuongorora obvunza nezve zviratidzo zvako. Iyo bvunzo inogona kuratidza kupfava kwepfupa uye zvinogona kuzvimba uye kutsvuka munzvimbo yakatenderedza pfupa.

Miedzo inogona kusanganisira:

• Tsika dzeropa
• Bone biopsy (muyenzaniso unogadzirwa uye unoongororwa pasi pe microscope)
• Bone scan
• Bone x-ray
• Yakazara kuverenga ropa (CBC)
• C-inoshanda mapuroteni (CRP)
• Erythrocyte sedimentation chiyero (ESR)
• MRI yefupa
• Tsono kushuvira kwenzvimbo yemapfupa akabatwa

Chinangwa chekurapa ndechekubvisa hutachiona uye kudzikisira kukuvara kune bone uye matukisi akapoteredza.

Mishonga inorwisa mabhakitiriya inopihwa kuparadza hutachiona hunokonzera hutachiona.

• Iwe unogona kugamuchira anopfuura maantibayoti imwe panguva.
• Mishonga inorwisa mabhakitiriya inotorwa kweanosvika mavhiki mana kusvika matanhatu, kazhinji pamba kuburikidza neIV (mukati, mukati, zvichireva kuburikidza netsinga).

Kuvhiya kunogona kudikanwa kuti ubvise yakafa pfupa nyama kana nzira dziri pamusoro dzakundikana:

• Kana paine mahwendefa esimbi padyo nehutachiona, angangoda kubviswa.
• Iyo yakavhurika nzvimbo yakasiyiwa neinobviswa mapfupa tishu inogona kuzadzwa nefupa kubatanidza kana kurongedza zvinhu. Izvi zvinokurudzira kugadzirisa kwehutachiona.

Utachiona hunoitika mushure mekutsiva kwemajoini kunogona kuda kuvhiyiwa. Izvi zvinoitwa kubvisa zvakabatanidzwa pamwe nehutachiona hutachiona munzvimbo iyi. Imwe nyowani yekumisikidza inogona kuiswa mune imwecheteyo oparesheni. Kazhinji kazhinji, vanachiremba vanomirira kusvikira nzira yemaantibhakitiriya yapera uye hutachiona hwaenda.

Kana uine chirwere cheshuga, zvinoda kuti unyatsodzorwa. Kana paine matambudziko nekuwanikwa kweropa munzvimbo inotapukirwa, senge tsoka, kuvhiyiwa kunogona kudiwa kunatsiridza kuyerera kweropa kuitira kubvisa hutachiona.

Nokurapwa, mhedzisiro yeacute osteomyelitis inowanzo kuve yakanaka.

Iko kutaridzika kwakanyanya kune avo vane kwenguva refu (chisingaperi) osteomyelitis. Zviratidzo zvinogona kuuya nekuenda kwemakore, kunyangwe nekuvhiyiwa. Kudimurwa kunogona kudikanwa, kunyanya kune vanhu vane chirwere cheshuga kana kutenderera kweropa kwakashata.

Iko kutaridzika kwevanhu vane hutachiona hweprosthesis kunoenderana neizvi:

• Hutano hwemunhu
• Rudzi rwehutachiona
• Kunyangwe iyo yekutapukirwa prosthesis inogona kubviswa zvakachengeteka

Fonera mupiki wako kana iwe:

• Gadzira zviratidzo zveosteomyelitis
• Iva neosteomyelitis inoenderera kunyangwe nekurapwa

Utachiona hwepfupa

• Osteomyelitis - kubuda

• X-ray
• Mafupa
• Osteomyelitis
• Hutachiona

Matteson EL, Osmon DR. Zvirwere zve bursae, majoini, uye mapfupa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsama 256.

Raukar NP, Zink BJ. Zvirwere zvepfupa uye zvakabatana. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chitsuwa 128.

Tande AJ, Steckelberg JM, Osmon DR, Berbari EF. Osteomyelitis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 104.