Epidural pute

Epidural abscess muunganidzwa wepus (hutachiona zvinhu) uye utachiona pakati pekufukidza kwekunze kwehuropi uye musana wemazamu nemapfupa edehenya kana musana. Iyo pute inokonzera kuzvimba munzvimbo.

Epidural abscess chirwere chisingawanzoitika chinokonzerwa nehutachiona munzvimbo iri pakati pemabhonzo edehenya, kana musana, uye membranes inovhara uropi uye musana (meninges). Hutachiona uhwu hunodaidzwa kuti husingaite epidural abscess kana iri mukati medehenya. Inonzi inonzi spinal epidural abscess kana ikawanikwa munzvimbo yemuzongoza. Mazhinji arimo musana.

Utachiona hwesipinha hunowanzo kukonzerwa nehutachiona asi hunogona kukonzerwa nefungus. Inogona kunge iri nekuda kwehumwe hutachiona mumuviri (kunyanya chirwere cheweti), kana utachiona hunopararira neropa. Mune vamwe vanhu, zvakadaro, hapana imwe sosi yehutachiona inowanikwa.

Bundu mukati mehenya rinodaidzwa kuti risingapindike epidural abscess. Chikonzero chingave chero cheanotevera:

• Zvirwere zvezeve nzeve
• Chirwere sinusitis
• Kukuvara kwemusoro
• Mastoiditi
• Nguva pfupi yadarika neurosurgery

Iko kuputika kwemuzongoza kunonzi musana wepasipidhi jena. Inogona kuonekwa muvanhu vane chero chinotevera:

• Aive nekuvhiyiwa kumashure kana imwewo nzira inopinda inosanganisira musana
• Utachiona hweropa
• Mamota, kunyanya kumusana kana mumusoro
• Zvirwere zvepfupa zvemuzongoza (vertebral osteomyelitis)

Vanhu vanobaya zvinodhaka vane njodzi yakawedzera.

Spinal epidural abscess inogona kukonzera zviratidzo izvi:

• Bowel kana bladder kusagadzikana
• Dambudziko rekuita weti (kuchengetedza weti)
• Fivha uye musana kurwadziwa

Intracranial epidural abscess inogona kukonzera zviratidzo izvi:

• Kupindwa nechando
• Kutemwa nemusoro
• Lethargy
• Kusvotwa uye kurutsa
• Marwadzo panzvimbo yekuvhiyiwa kwechangobva kuitika inowedzera (kunyanya kana fever iripo)

Kutya system zviratidzo zvinoenderana nenzvimbo yebundu uye zvinogona kusanganisira:

• Yakadzikira kugona kufambisa chero chikamu chemuviri
• Kurasikirwa kwekunzwa mune chero nzvimbo yemuviri, kana shanduko dzisina kujairika mukunzwa
• Kushaya simba

Iye wekuchengetedza hutano achaita bvunzo dzepanyama kuti atarise kurasikirwa kwemabasa, senge kufamba kana kunzwa.

Miedzo inogona kuitwa inosanganisira:

• Tsika dzeropa kutarisa mabhakitiriya muropa
• Yakazara kuverenga ropa (CBC)
• CT scan yemusoro kana musana
• Kudonhedza bundu uye kuongororwa kwechinhu
• MRI yemusoro kana musana
• Weti kuongorora uye tsika
  

Chinangwa chekurapa ndechekurapa hutachiona uye kudzikisa njodzi yekukuvara zvachose. Kurapa kunowanzo sanganisira maantibayoti uye kuvhiya. Mune zvimwe zviitiko, mishonga inorwisa mabhakitiriya yoga inoshandiswa.

Mishonga inorwisa mabhakitiriya inowanzo kupihwa kuburikidza netsinga (IV) kweanenge mavhiki mana kusvika matanhatu. Vamwe vanhu vanoda kuvatora kwenguva yakareba, zvinoenderana nerudzi rwebhakitiriya uye kuti chirwere ichi chakanyanya sei.

Kuvhiya kunogona kudikanwa kudhonza kana kubvisa bundu. Kuvhiya kunowanzo dikanwa kudzikisira kumanikidza kwespinal cord kana huropi, kana paine kushaya simba kana kukuvara kwemitsipa.

Kuongororwa kwekutanga uye kurapwa kunovandudza mukana wemhedzisiro yakanaka. Kamwe kushaya simba, kuoma mitezo, kana kunzwa kwekuchinja kunoitika, mukana wekuwanazve rakarasika basa wakadzikira zvakanyanya. Permanent nervous system kukuvara kana kufa kunogona kuitika.

Zvinetso zvinogona kusanganisira:

• Kuputirwa kwehuropi
• Kukuvara kwehuropi
• Utachiona hwepfupa (osteomyelitis)
• Kusingaperi kurwadziwa shure
• Meningitis (hutachiona hwenzvimbo dzinofukidza uropi uye musana)
• Tsinga kukuvara
• Kudzoka kwehutachiona
• Spinal cord thumba

Epidural abscess ndeyekurapa kwekukurumidzira. Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (senge 911) kana iwe uine zviratidzo zvemuzongoza musana abscess.

Kurapa kwehumwe hutachiona, sekutapukirwa nenzeve, sinusitis, uye hutachiona hweropa, kunogona kudzora njodzi yehutachiona hwehutachiona. Kutanga kuongororwa uye kurapwa kwakakosha kudzivirira matambudziko.

Pute - epidural; Musana abscess

Kusuma S, Klineberg EO. Spinal hutachiona: kuongororwa uye kurapwa kwe discitis, osteomyelitis, uye epidural abscess. Mune: Steinmetz MP, Benzel EC, eds. Benzel's Spine Kuvhiya. 4th ed. Philadelphia, PA: Elsevier; 2017: chits. 122.

Tunkel AR. Subdural empyema, epidural abscess, uye suppurative intracranial thrombophlebitis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 93.