Iwi maʻiʻaʻai (Osteomyelitis)

Anter

• He aha ke kumu o ka osteomyelitis?
• He aha nā hōʻailona?
• Pehea e ʻike ʻia ai ka osteomyelitis?
• He aha nā ʻano lāʻau no ka osteomyelitis?
• ʻO wai ka makaʻu no ka osteomyelitis?
• Hiki iā ʻoe ke pale i ka osteomyelitis?
• He aha ka manaʻo lōʻihi?

He aha kahi maʻi iwi (osteomyelitis)?

ʻO kahi maʻi iwi, i kapa ʻia hoʻi ʻo osteomyelitis, hiki ke hopena ke lele aku ka bacteria a fungi paha i kahi iwi.

I nā keiki, ʻike pinepine nā maʻi iwi i nā iwi lōʻihi o nā lima a me nā wāwae. I ka poʻe mākua, ʻike mau lākou i nā hiʻupuʻu, nā ʻiwi, a me nā wāwae.

Hiki i nā maʻi iwi ke hiki koke a hoʻomohala paha i kahi manawa lōʻihi. Inā ʻaʻole mālama maikaʻi ʻia lākou, hiki i nā maʻi iwi ke waiho i kahi iwi i pōʻino mau loa.

He aha ke kumu o ka osteomyelitis?

ʻO nā meaola he nui, ka mea maʻamau Staphylococcus aureus, hele i loko o ke kahe o ke koko a hiki i kahi maʻi iwi. E hoʻomaka paha kahi maʻi i kekahi wahi o ke kino a hohola i nā iwi ma o ke kahe o ke koko.

ʻO nā meaola e hoʻouka i kahi ʻeha koʻikoʻi, ʻoki hohonu, a ʻeha paha hiki ke hōʻeha i nā maʻi i nā iwi kokoke. Hiki i nā koʻohune ke komo i kāu ʻōnaehana ma kahi kikowaena, e like me ka pūnaewele o ka hakahaka a i ʻole ka haki iwi. Ke haki kou iwi, hiki i nā bacteria ke hoʻouka i ka iwi, a hiki i ka osteomyelitis.

ʻO ke kumu maʻamau o nā maʻi iwi S. aureus koʻohune. Kū pinepine kēia mau bacteria i ka ʻili akā ʻaʻole mau ka pilikia o ke olakino. Eia nō naʻe, hiki i ka bacteria ke hoʻokahuli i kahi ʻōnaehana pale nāwaliwali e ka maʻi a me nā maʻi. Hiki i kēia mau bacteria ke hana i nā maʻi i nā wahi ʻeha.

He aha nā hōʻailona?

ʻO ka maʻamau, ʻo ka ʻōuli mua e hōʻike he ʻeha ma ka pūnaewele maʻi. ʻO nā ʻōuli maʻamau ʻē aʻe:

• ke kuni a me ka haʻalulu
• ʻulaʻula i ka wahi i loaʻa i ka maʻi
• ukiuki a i ʻole manaʻo maʻamau ʻole ʻole
• kahawai mai kēlā wahi
• pehu i ka wahi i pā
• ʻoʻoleʻa a hiki ʻole paha ke hoʻohana i kahi lālā i hoʻopili ʻia

Pehea e ʻike ʻia ai ka osteomyelitis?

Hiki paha i kāu kauka ke hoʻohana i nā ʻano hana he nui e kuhi i kou ʻano inā loaʻa iā ʻoe kekahi hōʻailona o ka maʻi iwi. E hana lākou i kahi hoʻokolohua kino e nānā ai no ka pehu ʻana, ʻeha, a me ka hoʻoliʻiliʻi. Hiki i kāu kauka ke kauoha i nā hoʻokolohua hoʻokolohua a me nā diagnostics e hoʻoholo i ka wahi kikoʻī a me ka nui o ka maʻi.

Maliʻa paha e kauoha aku kāu kauka i kahi hoʻokolohua koko e nānā ai no nā meaola e kumu ana i ka maʻi. ʻO nā hoʻokolohua ʻē aʻe e nānā ai i ka maʻi koʻohune nā swabs puʻu, nā moʻomeheu mimi, a me nā loiloi i ka pahu. ʻO ka moʻomeheu ʻōkuhi kahi hiʻohiʻona o ka ʻanalike a me kahi kānana.

ʻO kahi hoʻāʻo kūpono paha kahi scan iwi, e hōʻike ana i ka hana pūnaewele a me ka hana metabolika i kou mau iwi. Hoʻohana ia i kahi ʻano mea radioactive e hoʻokalakala i ka iwi iwi. Inā ʻaʻole lawa ka ʻike i ka iwi iwi, pono paha ʻoe i kahi scan MRI. I kekahi mau hihia, pono paha kahi biopsy iwi.

Eia nō naʻe, lawa paha kahi iwi-X maʻalahi no kāu kauka e hoʻoholo ai i ka lāʻau kūpono iā ʻoe.

He aha nā ʻano lāʻau no ka osteomyelitis?

Nui a hewahewa nā koho a kāu kauka e hoʻohana ai e mālama i kāu maʻi iwi.

ʻO nā Antibiotics wale nō ka mea e pono ai e hōʻola i kou maʻi iwi. Hiki i kāu kauka ke lawelawe i nā antibiotic i loko o ke aniani, a i ʻole pololei i kāu veins, inā nui ka maʻi. Pono paha ʻoe e lawe i nā lāʻau ʻalopika a ʻeono pule.

I kekahi manawa koi nā maʻi o ka iwi i ke ʻoki. Inā he ʻoki lāʻau kāu, e hoʻoneʻe kāu mea lapaʻau i ka iwi i loaʻa i ka maʻi a me nā mea make a hoʻowahāwahā i nā abscesses, a i ʻole nā ​​ʻeke o ka pā.

Inā loaʻa iā ʻoe kahi prostesis e hoʻopiʻi nei i ka maʻi, hiki i kāu kauka ke wehe a hoʻololi iā ia me kahi hou. E lawe aku hoʻi kāu kauka i nā mea make kokoke a kokoke paha i ka wahi i loaʻa i ka maʻi.

ʻO wai ka makaʻu no ka osteomyelitis?

Aia kekahi mau kūlana a me nā kūlana i hiki ke hoʻonui i kou manawa o ka osteomyelitis, e like me:

• nā maʻi diabetic e pili ana i ka hāʻawi ʻana o ke koko i nā iwi
• hoʻohana lāʻau hoʻowalewale
• hemodialysis, kahi lapaʻau e hoʻohana ʻia no nā kūlana puʻupaʻa
• trauma i kaʻiʻo e pili ana i ka iwi
• ʻimi hui a me nā lako pono i hele a maʻi
• maʻi maʻi ʻaʻai
• maʻi arterial peripheral (PAD)
• puhipaka

Hiki iā ʻoe ke pale i ka osteomyelitis?

Holoi holoi a hoʻomaʻemaʻe i nā ʻoki a i ʻole nā ​​ʻeha hāmama i ka ʻili. Inā ʻaʻole like kahi ʻeha / ʻoki e like me ka hōʻola ʻana me ka mālama ʻana i ka home, e hoʻopili koke i kāu kauka e nānā pono ʻia. Nā pūnaewele ʻoki a hoʻomaʻemaʻe maloʻo ma mua o ka hoʻokau ʻana i kāu hoʻokamakama. Eia kekahi, e hoʻohana i nā kāmaʻa kūpono a me nā pono pale e pale ai i nā hōʻeha ke lele, lele, a i ʻole ke komo i nā haʻuki.

He aha ka manaʻo lōʻihi?

ʻO ka hapa nui o nā osteomyelitis hiki ke mālama ʻia. Eia naʻe, ʻoi aku ka lōʻihi o ka maʻi ʻana o ka iwi o ka iwi e mālama a hoʻōla, keu hoʻi inā koi lākou i ke ʻoki. Pono e mālama i ka mālama ʻana no ka mea hiki i ka amputation ke lilo i mea kūpono i kekahi manawa. Maikaʻi ka kuanaʻike no kēia ʻano inā mālama mua ʻia ka maʻi.