Osteomyelitis: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā kumu nui
• Pehea e ʻike ai
• Pehea e hana ai i ka lāʻau
• Āhea pono kahi oki?
• Nā lapaʻau ʻē aʻe

ʻO Osteomyelitis ka inoa i hāʻawi ʻia i ka maʻi iwi, ka mea maʻa mau i ka bacteria, akā hiki ke kumu ʻia e ka fungi a i ʻole nā ​​virus. Hana ʻia kēia maʻi ma o ka haumia pololei ʻana o ka iwi, ma o kahi ʻoki hohonu, kahi haki a i ʻole implant o kahi prostesis, akā hiki nō ke kiʻi i ka iwi ma o ke kahe o ke koko, i ka wā o kahi maʻi maʻi, e like me kahi abscess, endocarditis a i ʻole tuberculosis., ʻo kahi laʻana.

Hiki i kēlā me kēia mea ke hoʻomohala i kēia maʻi, ka mea maʻa mau ʻole mai kekahi kanaka a i kekahi mea ʻē aʻe, a ʻo nā ʻōuli i hoʻokumu ʻia me ka ʻeha kūloko i ka wahi i laha ʻia, ka pehu ʻana a me ka ʻulaʻula, a me ke kuni, ka ʻeha a me ka luhi Hoʻohui ʻia, hiki ke hoʻokaʻawale ʻia ka osteomyelitis e like me ka manawa o ka evolution, ka hana o ka maʻi a me ka pane o ka meaola.

• Acute: ke ʻike ʻia i loko o nā pule mua 2 o ka maʻi;
• Sub-huʻi: ʻike ʻia a ʻike ʻia i loko o 6 mau pule;
• Moʻolelo: hana ia ke hala ʻoi aku ma mua o 6 mau pule a i ʻole ke ʻano abscess, maʻamau no ka mea ʻaʻole i ʻike ʻia a mālama ʻia me ka wikiwiki, ke ulu a me ka hōʻemi a hoʻomau ʻana, hiki ke hoʻomau i mau mahina a i ʻole mau makahiki.

He hana paʻakikī a paʻakikī ʻo Osteomyelitis, me ka hoʻohana ʻana i nā lāʻau e hoʻopau i nā microorganism, e like me nā antibiotic me nā lāʻau kiʻekiʻe a no ka manawa lōʻihi. Hiki ke kuhikuhi ʻia ke kaha ma nā hihia ʻoi loa, e wehe i nā mea make a hoʻoikaika i ka hoʻōla.

Nā kumu nui

ʻO kekahi o nā kumu nui e pili ana i ka ulu ʻana o ka osteomyelitis:

• ʻO nā ʻili a me nā niho niho paha;
• ʻO nā ʻeha o ka ʻili, e like me ka ʻoki ʻana, nā ʻeha, cellulitis infectious, injection, ʻoki ʻana a i ʻole implantation o kahi mīkini
• Iwi haʻihaʻi, i nā ulia pōpilikia;
• Ke kanu ʻana o ka ami a i ʻole ka iwi prostesis;
• Nā maʻi āpau e like me endocarditis, tuberculosis, brucellosis, aspergillosis a i ʻole candidiasis.

Hiki i ka Osteomyelitis i kekahi, me nā mākua a me nā keiki. Eia nō naʻe, ʻo ka poʻe me ka pale o ke kino kīnā, e like me ka poʻe me ka mimikō decompensated, ka poʻe e hoʻohana maʻamau i nā corticosteroids a i ʻole i loaʻa i ka chemotherapy, e laʻa, a me ka poʻe i hōʻino i ke kahe o ke koko, i loaʻa nā maʻi neurological a i ʻole i hana hou ʻia i kahi ʻoki ʻoi aku ka nui o ka pilikia e hoʻomohala. ʻoi aku ka maʻalahi o kēia ʻano maʻi, ʻoiai he mau hanana kēia e hoʻopili i ke kahe o ke koko olakino i ka iwi a makemake i ka hoʻolaha ʻana o nā microorganism.

Pehea e ʻike ai

ʻO nā ʻōuli nui o ka osteomyelitis, ʻelua a koʻikoʻi hoʻi, e hoʻopili pū me:

• ʻEha kūloko, kahi hiki ke hoʻomau i ka wā mau;
• ʻO ka pehu, ʻulaʻula a me ka wela i ka wahi i hoʻopilikia ʻia;
• Fever, mai 38 a 39ºC;
• ʻO Chills;
• Nusea a i ʻole ka luaʻi;
• Ka paʻakikī e hoʻoneʻe i ka wahi i hoʻopilikia ʻia;
• Loaʻa i ʻole fistula ma ka ʻili.

Hana ʻia ke kuhi ma o ka hoʻokolohua hoʻokolohua a me nā hoʻokolohua kōkua a me nā hoʻokolohua hoʻokolohua (helu koko, ESR, PCR), a me radiography, tomography, magnetic resonance a iwi scintigraphy paha. E lawe ʻia i kahi ʻāpana maʻi e ʻike i ka microorganism kuleana no ka maʻi, e kōkua ana i ka lāʻau.

Mālama pū ke kauka i ka hoʻokaʻawale ʻana i ka osteomyelitis mai nā maʻi ʻē aʻe i hiki ke kumu i nā ʻōuli like, e like me septic arthritis, ka maʻi tumo o Ewing, cellulite a i ʻole abscess hohonu, no ka laʻana. E nānā pehea e hoʻokaʻawale ai i nā kumu nui o ka ʻeha iwi.

Pehea e hana ai i ka lāʻau

I ke alo o ka osteomyelitis, pono e mālama ʻia i ka wā koke e ʻae ai i ka hoʻōla, me nā lāʻau lapaʻau ikaika i loaʻa ka hopena wikiwiki, alakaʻi ʻia e ka orthopedist. Pono e noho i ka haukapila e hoʻomaka i nā antibiotic i ka aa, hana i nā hoʻokolohua e ʻike ai i ka microorganism a ʻo ke ʻoki pū kekahi.

Inā loaʻa kahi hoʻomaikaʻi kino me nā lāʻau, hiki ke hoʻomau i ka lāʻau ma ka home, me nā lāʻau i ka waha.

Āhea pono kahi oki?

Pono wale ka amputation ma ke ʻano he hope loa, ke koʻikoʻi loa ka pili ʻana o ka iwi a ʻaʻole i hoʻomaikaʻi ʻia me ka lāʻau olakino a i ʻole ke ʻoki kino, e hōʻike ana i kahi ola nui no ke kanaka.

Nā lapaʻau ʻē aʻe

ʻAʻole pono ke ʻano o ka mālama ʻana i ka home i nā lāʻau i kuhikuhi ʻia e ke kauka e mālama ai i ka osteomyelitis, akā ʻo ke ala maikaʻi e wikiwiki ai ke ola ʻana ʻo ia ka hoʻomaha ʻana, a mālama i ka papaʻai kaulike me ka hydration maikaʻi.

ʻAʻole mālama ʻo Physiotherapy i kahi lapaʻau e kōkua ai e hōʻola i ka osteomyelitis, akā hiki ke lilo i mea maikaʻi i ka wā a ma hope paha o ka mālama ʻana e mālama i ka maikaʻi o ke ola a kōkua i ka hoʻōla.