ʻO Osteomyelitis i nā keiki

ʻO Osteomyelitis kahi maʻi o ka iwi i hoʻokumu ʻia e ka bacteria a i ʻole nā ​​g germ.

Hoʻokomo pinepine ʻia kahi maʻi iwi e ka bacteria. Hiki iā ia ke kumu ʻia e nā fungi a i ʻole nā ​​g germ. I nā keiki, pili pinepine nā iwi lōʻihi o nā lima a me nā wāwae.

Ke loaʻa ka osteomyelitis i kahi keiki:

• Hiki ke pālahalaha ʻia nā bacteria a i ʻole nā ​​g germ i ka 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 ma o ke koko i ka iwi.
• Hiki i ka maʻi ke hōʻeha ʻia e ka ʻeha e haki i ka ʻili a me ka iwi (hāha hā). Hiki i nā bacteria ke komo i loko o ka ʻili a hoʻopili i ka iwi.
• 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 kahi ʻeha, a i ʻole inā kau ʻia nā koʻokoʻo hao a i ʻole nā ​​pā i loko o ka iwi.

ʻO nā kumu ʻē aʻe e pili pū me:

• ʻO ka hānau hānau ma mua a hānau ʻole paha i nā keiki hānau hou
• Diabetes
• Hāʻawi koko maikaʻi ʻole
• ʻAha hōʻeha
• Maʻi maʻi maʻi maʻi
• ʻO ka maʻi ma muli o kahi kino haole
• Ulcer puʻe
• Nā nahu kanaka a nahu holoholona paha
• ʻŌnaehana pale nawaliwali

Osteomyelitis hōʻailona me:

• 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 ma ka pūnaewele maʻi
• ʻO ka pehu ʻana o nā kuʻekuʻe wāwae, nā wāwae, a me nā wāwae
• Ke hōʻole nei e hele (ke pili nā iwi wāwae)

ʻAʻole hiki i nā pēpē me ka osteomyelitis ke kuni a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi. Pale paha lākou i ka neʻe ʻana o ka lālā i hele a maʻi ma muli o ka ʻeha.

E hana ka mea mālama ola o kāu keiki i kahi hoʻokolokolo kino a nīnau e pili ana i nā ʻōuli i loaʻa i kāu keiki.

Hiki i nā hoʻokolohua ke kauoha a ka mea hāʻawi i kāu keiki:

• 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 hōʻoki i ka maʻi a hōʻemi i ka pōʻino 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 i kāu keiki 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 loaʻa ka maʻi i ke keiki ʻaʻole e hele.

• 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 ulu ʻana o nāʻiʻo iwi hou.

Inā mālama ʻia kāu keiki i ka haukapila no ka osteomyelitis, e mālama pono i nā kuhikuhi a ka mea hāʻawi e pili ana i ka mālama ʻana i kāu keiki ma ka home.

Me ka lāʻau, 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.

Kāhea aku i ka mea hāʻawi o kāu keiki inā:

• Hoʻokumu kāu keiki i nā ʻōuli o ka osteomyelitis
• He osteomyelitis kāu keiki a hoʻomau mau nā ʻōuli, ʻoiai me ka lāʻau

Maʻi maʻi iwi - keiki; Maʻi ʻaʻai - iwi - keiki

• Osteomyelitis

ʻO Dabov GD. Osteomyelitis. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 14th ed. Piladelapia, PA: Elsevier; 2021: chap 21.

Krogstad P. Osteomyelitis. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin a me Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 55.

ʻO Robinette E, ʻo Shah SS. Osteomyelitis. 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 704.