ʻO ka maʻi maʻi septic

ʻO ka septic arthritis ka mumū o kahi ami ma muli o kahi maʻi bacteria a fungal paha. ʻO septic arthritis ka mea ma muli o nā koʻohune i kumu i ka gonorrhea he mau ʻōuli ʻokoʻa a kapa ʻia ʻo gonococcal arthritis.

Ke ulu nei ka septic arthritis ke pāhola ʻia nā bacteria a i ʻole nā ​​maʻi maʻi ʻino ʻē aʻe (microorganism) ma o ke koko i kahi hui. Hiki ke hana ʻia i ka wā e hoʻopili pono ʻia ka hui me kahi microorganism mai kahi ʻeha a i ʻole i ka wā o ke ʻoki. ʻO nā hui e hoʻopili pinepine ʻia ke kuli a me ka uha.

ʻO ka hapa nui o nā hihia o ka maʻi septic koʻikoʻi e hoʻokumu ʻia e staphylococcus a i ʻole bacteria bacteria.

Hoʻokumu ʻia ka maʻi septic septic (ʻoi aku ka liʻiliʻi) e nā meaola pū me Mycobacterium tuberculosis a ʻO Candida albicans.

ʻO nā kūlana aʻe e hoʻonui i kou makaʻi no ka septic arthritis:

• ʻO nā implants ami ʻimi hoʻopunipuni
• ʻO ka maʻi maʻi maʻi ma kahi ʻē aʻe i kou kino
• Ke kū nei o nā koʻohune i kou koko
• ʻO ka maʻi maʻi a maʻi paha (e like me ka maʻi kō, ka rumatika, a me nā maʻi maʻi maʻi maʻi).
• Intravenous (IV) a i ʻole ka hoʻohana ʻana i ka lāʻau hoʻōki
• Nā lāʻau e kāohi i kāu ʻōnaehana pale
• ʻEha pū ʻino hou
• ʻO ka arthroscopy hui hou a i ʻole kahi ʻokiʻoki ʻē aʻe

ʻIke ʻia ka maʻi septic i kēlā me kēia makahiki. I nā keiki, hana pinepine ia i kēlā mau makahiki ma mua o 3 mau makahiki. ʻO ka'ūhā ka pūnaewele o ka maʻi i nā pēpē. Hoʻokumu ʻia ka hapanui o nā hihia e ka hui bacteria B streptococcus. ʻO kekahi kumu maʻamau Haemophilus influenza, keu hoʻi inā ʻaʻole i lāʻau lapaʻau ʻia ke keiki no kēia maʻi koʻohune.

Hele koke mai nā ʻōuli. Aia ke kuni a me ka pehu ami i maʻa mau i ka ami hoʻokahi. Aia kekahi ʻeha puʻupuʻu ikaika, i ʻoi aku ka maikaʻi me ka neʻe.

Nā ʻōuli ma nā pēpē a pēpē paha:

• Ke uē nei ke neʻe ʻia ka hui maʻi (ʻo kahi laʻana, i ka loli ʻana o ka diaper)
• Fiva
• ʻAʻole hiki ke hoʻoneʻe i ka lālā me ka ami maʻi (pseudoparalysis)
• ʻO Fussiness

Nā ʻōuli i nā keiki a me nā mākua:

• ʻAʻole hiki ke hoʻoneʻe i ka lālā me ka ami maʻi (pseudoparalysis)
• ʻEha puʻupuʻu
• Huʻi hui
• ʻUlaʻula hui
• Fiva

Kūleʻa paha ʻo Chills, akā ʻike pinepine ʻole.

E nānā ka mea mālama ola i ka hui a nīnau e pili ana i nā ʻōuli.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Ka makemake o ka wai hui no ka helu pūnaewele, ka nānā ʻana i nā aniani ma lalo o ka microscope, stain gram, a me ka moʻomeheu
• Moʻomeheu Koko
• X-ray o ka ami i hoʻopili ʻia

Hoʻohana ʻia nā lāʻau antibiotic e mālama i ka maʻi.

Hoʻomaha, hāpai i ka ami ma luna o ka pae o ka puʻuwai, a me ka hoʻohana ʻana i nā kaomi ʻoluʻolu e kōkua ai i ka ʻeha. Ma hope o ka hoʻomaka ʻana o ka hui e hoʻōla, hoʻoikaika ka mea hiki ke kōkua i ka wikiwiki ʻana.

Inā kūkulu koke ka hui (synovial) i ka wai ma muli o ka maʻi, hiki ke hoʻokomo ʻia i kahi nila i loko o ka hui e huki (aspirate) i ka wai. Pono nā hihia ʻoi loa i ke kaha ʻana e hoʻokahe i ka wai i hui pū ʻia me ka wai a hoʻomaʻemaʻe (holoi) i ka ami.

Maikaʻi ka hoʻōla me ka lāʻau antibiotic wikiwiki. Inā hoʻolohi ʻia ka lapaʻau ʻana, hopena ʻia ka pōʻino hui paʻa.

Kāhea i kahi manawa me kāu mea lawelawe inā hoʻomōhala ʻoe i nā ʻōuli o ka septic arthritis.

Hiki ke kōkua aku nā antibiotic Preventive (prophylactic) no ka poʻe i pilikia nui.

Pāʻālua bacteria; Non-gonococcal koʻohune arthritis

• ʻO bacteria

ʻO Cook PP, ʻo Siraj DS. Pāpaʻa koʻohuna. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO kā Kelly a me Firestein puke aʻo o Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 109.

ʻO Robinette E, ʻo Shah SS. ʻO ka maʻi maʻi septic. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 705.