Osteomyelitis

ʻO ka maʻi maʻi ʻo Osteomyelitis. Hoʻokumu ʻia ia e nā bacteria a i ʻole nā ​​mikrobia ʻē aʻe.

Hoʻokomo pinepine ʻia ka maʻi iwi e ka bacteria. Akā hiki ke kumu ʻia ia e nā fungi a i ʻole nā ​​g germ. Ke loaʻa ka osteomyelitis i kekahi kanaka:

• Pāhola paha nā bacteria a i ʻole nā ​​g germ i kekahi iwi mai ka ʻili i hoʻopili ʻia, nā mākala, a i ʻole nā ​​ʻāʻī e pili ana i ka iwi. Hiki paha kēia ma lalo o kahi ʻili ʻeha.
• Hiki i ka maʻi ke hoʻomaka i kekahi ʻāpana o ke kino a hohola i ka iwi ma o ke koko.
• Hiki ke hoʻomaka i ka maʻi ma hope o ke kaʻi ʻana o ka iwi. ʻOi aku paha kēia inā hana ʻia ke kaha ma hope o ka hōʻeha a i ʻole inā kau ʻia nā koʻokoʻo hao a i ʻole nā ​​pā i loko o ka iwi.

I nā keiki, pili pinepine nā iwi lōʻihi o nā lima a me nā wāwae. I ka poʻe mākua, nā kapuaʻi, nā iwi kuamiku (vertebrae), a me nā hiʻupuʻu (pelvis) ka mea i laha pinepine ʻia.

ʻO nā kumu pilikia:

• Diabetes
• Hemodialisis
• Hāʻawi koko maikaʻi ʻole
• ʻAha hōʻeha
• Hoʻohana o nā lāʻau lapaʻau illicit injected
• ʻOki kino pili pū iwi
• ʻŌnaehana pale nawaliwali

ʻAʻole kikoʻī nā ʻōuli o ka osteomyelitis a loli me ka makahiki. ʻO nā ʻōuli nui pū kekahi:

• ʻEha iwi
• Nui ka hou ʻana i ka hou
• Fiva a me nā anuanu
• General discomfort, uneasiness, a maʻi maʻi paha (malaise)
• ʻO ka pehu kūloko, ʻulaʻula, a mehana
• ʻEha hāmama e hōʻike ai i ka pāʻū
• ʻEha ma ke kahua o ka maʻi

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. Hōʻike paha ka hōʻike i ka palupalu o ka iwi a hiki paha ka pehu ʻana a me ka ʻulaʻula i ka wahi a puni ka iwi.

E komo pū paha nā hoʻāʻo:

• Nā moʻomeheu koko
• ʻO Biopsy iwi (ua ʻike ʻia ka laʻana a nānā ʻia ma lalo o kahi microscope)
• ʻImi iwi
• Iwi-lā
• Helu piha koko (CBC)
• C-reactive protein (CRP)
• Ka helu sedimentation ʻErythrocyte (ESR)
• MRI o ka iwi
• Needle aspiration o ka wahi o ka iwi loli

ʻO ka pahuhopu o ka mālama ʻana e hoʻopau i ka maʻi a hōʻemi i ka hōʻino ʻia o ka iwi a me nā aʻa e puni ana.

Hāʻawi ʻia nā antibiotic e luku i nā koʻohune ke kumu i ka maʻi.

• Loaʻa paha iā ʻoe nā mea ʻoi aku ma mua o hoʻokahi antibiotic i ka manawa.
• Lawe ʻia nā lāʻau antibiotic no 4 a 6 mau pule, ma ka home pinepine ma o ka IV (intravenously, ma o ka aa).

Pono paha ke ʻoki e wehe i nā iwi iwi make inā ʻaʻole holomua nā hana ma luna.

• Inā he mau papa hao kokoke i ka maʻi, pono paha lākou e hemo.
• ʻO ka wahi ākea i waiho ʻia e nā iwi iwi i hoʻoneʻe ʻia e hoʻopiha ʻia paha me ka hoʻopili iwi a i ʻole nā ​​mea ukana. Paipai kēia i ka hoʻonā ʻana i ka maʻi.

ʻO ka maʻi e kū ana ma hope o ke kāwili ʻia ʻana e koi paha i kahi ʻoki. Hana ʻia kēia e kāpae i ka hui i hui ʻia a me nā mea maʻi i loaʻa i ka wahi. Hoʻokomo ʻia kahi prostesis hou i ka hana like. ʻO ka pinepine, kali nā kauka a pau ka papa antibiotic a hala akula ka maʻi.

Inā he maʻi diabetes ʻoe, pono e kāohi maikaʻi ʻia. Inā loaʻa nā pilikia me ka lako o ke koko i ka wahi i loaʻa i ka maʻi, e like me ka wāwae, pono paha ke ʻoki e hoʻomaikaʻi i ke kahe o ke koko i mea e pakele ai ka maʻi.

Me ka lāʻau lapaʻau, maikaʻi maikaʻi ka hopena no ka osteomyelitis huʻi.

ʻOi aku ka maikaʻi o ka nānā aku no ka poʻe me ka osteomyelitis lōʻihi (mau). Hele mai nā ʻōuli a hele paha i mau makahiki, ʻoiai me ke kaha. Pono paha ka amputation, keu hoʻi i ka poʻe me ka maʻi diabetes a i ʻole ka holo maikaʻi o ke koko.

ʻO ka nānā no ka poʻe me ka maʻi o ka prostesis hilinaʻi nui ʻia ma:

• Ke olakino o ke kanaka
• Ke ʻano o ka maʻi
• Inā hiki ke hemo palekana i ka maʻi kolohe

Kāhea i kāu mea hāʻawi inā ʻoe:

• Hoʻomohala i nā ʻōuli o ka osteomyelitis
• Loaʻa i ka osteomyelitis e hoʻomau pū me ka lāʻau

Maʻi maʻi iwi

• Osteomyelitis - hoʻokuʻu

• X-ray
• Iwi iwi iwi
• Osteomyelitis
• ʻO bacteria

Matteson EL, Osmon DR. Nā maʻi o ka bursae, nā hono, a me nā iwi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 256.

Raukar NP, Zink BJ. Nā iwi a me nā maʻi pū. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 128.

Tande AJ, Steckelberg JM, Osmon DR, Berbari EF. Osteomyelitis. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 104.