Osteomyelitis: chii, zviratidzo uye kurapwa

Zvemukati

• Zvinokonzera
• Ungaziva sei
• Kurapwa kunoitwa sei
• Kuchekwa kunodikanwa rini?
• Mamwe marapirwo

Osteomyelitis izita rakapihwa hutachiona hutachiona, hunowanzo kukonzerwa nehutachiona, asi hunogona kukonzerwa nefungus kana hutachiona. Hutachiona uhu hunogona kuitika kuburikidza nekusvibiswa kwakananga kwepfupa, kuburikidza nekucheka kwakadzika, kutsemuka kana kuiswa kweprosthesis, asi zvakare inogona kusvika pfupa kuburikidza neropa, panguva yechirwere chinotapukira, senge pute, endocarditis kana TB., semuenzaniso.

Chero ani zvake anogona kukura hutachiona uhu, husingawanzo kutapukira kubva kune mumwe munhu uchienda kune mumwe, uye zviratidzo zvinokonzereswa zvinosanganisira kurwadziwa kwenzvimbo munzvimbo yakakanganiswa, kuzvimba uye kutsvuka, pamwe nefivha, kusvotwa uye kuneta. Uye zvakare, osteomyelitis inogona kusarudzwa zvinoenderana nenguva yekushanduka, mashandiro ehutachiona uye kupindura kweiyo muviri:

• Acute: kana ichionekwa mumavhiki maviri ekutanga echirwere;
• Sub-yakaoma: inozivikanwa uye inoonekwa mukati memavhiki matanhatu;
• Chronicle: zvinoitika kana ichigara kweanopfuura masvondo matanhatu kana ichigadzira bundu, kazhinji nekuti haina kuzivikanwa uye kurapwa nekukurumidza, ichichinja uye ichiwedzera zvishoma nezvishoma uye zvichiramba, izvo zvinogona kuramba zvichiita kwemwedzi kana kunyangwe makore.

Osteomyelitis ine yakaoma uye inotora nguva kurapwa, kusanganisira kushandiswa kwemishonga kubvisa hutachiona, senge maantibayoti ane mwero wakakura uye kwenguva yakareba. Kuvhiya kunogona zvakare kuratidzwa mumatambudziko akakomba, kubvisa zvinyama zvakafa uye kugonesa kupora.

Zvinokonzera

Zvimwe zvezvinhu zvakakosha zvine chekuita nekusimudzira osteomyelitis ndezvi:

• Ganda kana mazino mabundu;
• Zvipembenene zveganda, zvakadai sekucheka, maronda, kutapuriranwa cellulitis, majekiseni, kuvhiya kana kuiswa kwechigadzirwa;
• Kutsemuka kwepfupa, mutsaona;
• Kuisirwa kwemajoini pamwe chete kana pfupa;
• Zvirwere zvakajairika, senge endocarditis, tuberculosis, brucellosis, aspergillosis kana candidiasis.

Osteomyelitis inogona kuitika mune chero munhu, kusanganisira vakuru nevana. Nekudaro, vanhu vane hutachiona husina kumira zvakanaka, sevaya vane chirwere cheshuga chakadzikira, vanoshandisa corticosteroids zvisingaperi kana vanorapwa chemotherapy, semuenzaniso, pamwe nevanhu vakatadza kutenderera kweropa, vane chirwere chetsinga kana avo vachangobva kuvhiyiwa njodzi huru yekukura mhando iyi yehutachiona zviri nyore, sezvo iyi iri mamiriro anokanganisa kuyerera kweropa kune fupa uye anofarira kuwanda kwemajemusi.

Ungaziva sei

Zviratidzo zvikuru zveosteomyelitis, zvese zvakanyanya uye zvisingaperi, zvinosanganisira:

• Kurwadziwa kwenzvimbo, uko kunogona kuenderera muchikamu chisingaperi;
• Kuzvimba, kutsvuka uye kupisa munzvimbo yakakanganiswa;
• Fivha, kubva pa38 kusvika 39ºC;
• Chills;
• Kusvotwa kana kurutsa;
• Zvakaoma kufambisa nharaunda yakakanganiswa;
• Kusuruvara kana fistula paganda.

Iko kuongororwa kunoitwa kuburikidza nekiriniki kuongororwa uye kuyedzerana bvunzo uye bvunzo dzebhuresi (kuwanda kweropa, ESR, PCR), pamwe neiyo radiography, tomography, magnetic resonance kana bone scintigraphy. Chidimbu chezvinhu zvine hutachiona chinofanirawo kubviswa kuti chizive hutachiona hunokonzera hutachiona, zvichirerutsa kurapwa.

Chiremba anozotarisirawo kusiyanisa osteomyelitis kubva kune zvimwe zvirwere zvinogona kukonzera zviratidzo zvakafanana, septic arthritis, bundu reEwing, cellulite kana rakadzika pute, semuenzaniso. Tarisa uone kusiyanisa zvikonzero zvikuru zvekutambudzika kwepfupa.

Kurapwa kunoitwa sei

Mukuvapo kweosteomyelitis, kurapwa kunofanirwa kuitwa nekukurumidza sezvinobvira kutendera kurapwa, nemishonga ine simba inokurumidza kushanda, inotungamirwa nachiremba wemazino. Izvo zvinodikanwa kuti ugare muchipatara kuti utange mishonga inorwisa mabhakitiriya mutsinga, kuita bvunzo kuti uone hutachiona uye kunyange kuvhiyiwa.

Kana paine kuvandudzwa kwekiriniki nemishonga, zvinokwanisika kuenderera mberi nekurapwa kumba, nemishonga nemuromo.

Kuchekwa kunodikanwa rini?

Kudimurwa kunongodiwa chete senzira yekupedzisira, kana kubatika kwemapfupa kwakanyanya uye kusati kwagadziriswa nekiriniki kurapwa kana kuvhiyiwa, zvichiratidza njodzi huru yehupenyu kumunhu.

Mamwe marapirwo

Hapana mhando yekurapwa kumba inofanirwa kutsiva mishonga inotungamirwa nachiremba kuti arape osteomyelitis, asi nzira yakanaka yekumhanyisa kupora ndeyekuzorora, uye nekuchengetedza kudya kwakaringana ne hydration yakanaka.

Physiotherapy haisi kurapwa kunobatsira kuporesa osteomyelitis, asi inogona kubatsira panguva kana mushure mekurapa kuchengetedza hupenyu hwehupenyu uye kubatsira kupora.