Osteomyelitis

ʻO ka osteomyelitis kahi maʻi i loko o ka iwi. Hiki iā ia ke hoʻopili i hoʻokahi ʻāpana a ʻoi aku paha o ka iwi. Hiki i nā maʻi ke hōʻea i ka iwi ma o ke kahe koko a mai nā ʻiʻo kokoke i maʻi. Hiki nō hoʻi i nā maʻi ke hoʻomaka i loko o ka iwi inā wehe kahi hōʻeha i ka iwi i nā germs.

ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka a me ka poʻe me nā kūlana olakino lōʻihi, e like me ka maʻi diabetes a i ʻole ka hāʻule ʻana o nā puʻupaʻa, i ka loaʻa ʻana o ka osteomyelitis. Hiki i ka poʻe me ka maʻi diabetes me nā ʻeha wāwae ke loaʻa ka osteomyelitis i nā iwi o ko lākou mau wāwae.

ʻO ka hapa nui o ka poʻe me ka osteomyelitis pono lākou i ka ʻoki kino e wehe i nā wahi o ka iwi i hoʻopilikia ʻia. Ma hope o ka ʻoki kino, pinepine ka poʻe e pono ai nā lāʻau antibiotic ikaika i hāʻawi ʻia ma o kahi vein.

Hōʻailona o ka osteomyelitis e komo pū ai: ʻO ka pehu, ka mahana a me ka palupalu ma luna o ka wahi o ka maʻi. ʻEha kokoke i ka maʻi. Luhi. Fever. I kekahi manawa, ʻaʻohe hōʻailona o ka osteomyelitis. Ke loaʻa nā hōʻailona, hiki iā lākou ke like me nā hōʻailona o nā kūlana ʻē aʻe. Hiki ke ʻoiaʻiʻo kēia no nā pēpē, nā ʻelemakule a me nā poʻe i nā ʻōnaehana pale kino nāwaliwali. E ʻike i kāu kauka inā loaʻa iā ʻoe kahi mahana kiʻekiʻe a me ka ʻeha iwi e ʻoi aku ka ʻino. Pono nā kānaka i ka pilikia o ka maʻi ma muli o kahi kūlana lapaʻau a i ʻole ka hana hou ʻana a i ʻole ka hōʻeha e ʻike koke i kā lākou kauka inā loaʻa iā lākou nā hōʻailona o ka maʻi.

E ʻike i kāu kauka lapaʻau inā loaʻa iā ʻoe ka maʻi wela a me ka ʻeha iwi e ʻoi aku ka ʻino. Pono nā kānaka i pilikia i ka maʻi ma muli o kahi kūlana olakino a i ʻole ka hana ʻokiʻoki hou a i ʻole ka hōʻeha e ʻike koke i kahi kauka lapaʻau inā loaʻa iā lākou nā hōʻailona o ka maʻi.

ʻO ka bacteria staphylococcus ka mea e hoʻopuka pinepine ai i ka osteomyelitis. He mau germs kēia mau bacteria e noho ana ma ka ʻili a i ʻole i loko o ka ihu o nā kānaka a pau.

Hiki i nā germs ke komo i loko o ka iwi ma o:

• Ke kahe koko. Hiki i nā germs ma nā ʻāpana ʻē aʻe o kou kino ke hele ma o ke koko i kahi nāwaliwali ma ka iwi. No ka laʻana, hiki i nā germs ke hele mai i ka pneumonia ma nā māmā a i ʻole ka maʻi o ka urinary tract ma ka ʻōpū.
• Nā hōʻeha. Hiki i nā hōʻeha puncture ke lawe i nā germs i loko o ke kino. Inā loaʻa ka maʻi i kēlā ʻano hōʻeha, hiki i nā germs ke pālahalaha i loko o ka iwi kokoke. Hiki nō hoʻi i nā germs ke komo i ke kino mai ka iwi haki e kū mai ana ma o ka ʻili.
• Nā hana ʻoki. Hiki i nā germs ke komo i ke kino a hele i nā iwi i ka wā o nā hana ʻoki e pani ai i nā hui a hoʻoponopono i nā iwi haki.

Mālama nā iwi olakino i ka maʻi. Akā, emi iho ka hiki o nā iwi ke pale aku i ka maʻi i ka wā e ulu ai ʻoe. Ma waho aʻe o nā ʻeha a me nā hana ʻoki, ʻo nā mea ʻē aʻe e hoʻonui ai i kou pilikia o ka osteomyelitis, ʻo ia hoʻi: Nā kūlana e hoʻonāwaliwali ai i ka ʻōnaehana pale. ʻO kēia ka mea e komo pū ai i ka maʻi diabetes ʻaʻole i mālama pono ʻia. Ka maʻi artery peripheral. He kūlana kēia kahi e ʻoki ai nā arteries i hoʻonui ʻia i ke kahe koko i nā lima a i ʻole nā ​​wāwae. Ka maʻi sickle cell. Hoʻoili ʻia kēia kūlana ma o nā ʻohana, i kapa ʻia ʻo ka hoʻoilina. Hoʻopilikia ka maʻi sickle cell i ke ʻano o nā puna koko ʻulaʻula a hoʻolohi i ke kahe koko. Dialysis a me nā kaʻina hana ʻē aʻe e hoʻohana ana i nā paipu lapaʻau. Hoʻohana ka dialysis i nā paipu e wehe i nā ʻōpala mai ke kino ke hana ʻole pono nā puʻupaʻa. Hiki i nā paipu lapaʻau ke lawe mai i nā germs mai waho o ke kino i loko. Nā ʻeha kaomi. Hiki i nā poʻe ʻaʻole hiki ke manaʻo i ke kaomi a i ʻole e noho mau ana i hoʻokahi kūlana no ka lōʻihi loa ke loaʻa nā ʻeha ma ko lākou ʻili kahi o ke kaomi. Kī ʻia kēia mau ʻeha he mau ʻeha kaomi. Inā aia kahi ʻeha no kekahi manawa, hiki ke maʻi ka iwi ma lalo ona. Nā lāʻau lapaʻau kūpono ʻole ma nā nila. ʻOi aku ka nui o ka loaʻa ʻana o ka osteomyelitis i nā poʻe e lawe ana i nā lāʻau lapaʻau kūpono ʻole ma ka nila. ʻOiaʻiʻo kēia inā hoʻohana lākou i nā nila ʻaʻole maʻemaʻe a inā ʻaʻole lākou e hoʻomaʻemaʻe i ka ʻili ma mua o ka hoʻohana ʻana i nā nila.

Hōʻailona o ka osteomyelitis paha:

• Make o ka iwi, i kapa ʻia hoʻi ʻo ka osteonecrosis. Hiki i ka maʻi i loko o kou iwi ke kāohi i ke kahe koko i loko o ka iwi, e alakaʻi ana i ka make o ka iwi. Inā loaʻa iā ʻoe nā wahi i make ai ka iwi, pono ʻoe i ka ʻoki kino e wehe i ka ʻiʻo make no ka hana ʻana o nā lāʻau antibiotic.
• Septic arthritis. Hiki i ka maʻi i loko o nā iwi ke pālahalaha i loko o ka hui kokoke.
• Hoʻopōʻino ʻia ka ulu ʻana. Hiki i ka osteomyelitis ke hoʻopilikia i ka ulu ʻana o nā iwi i nā keiki. ʻOiaʻiʻo kēia inā aia ka osteomyelitis i nā wahi palupalu, i kapa ʻia ʻo nā papa ulu, ma kekahi ʻaoʻao o nā iwi lōʻihi o nā lima a me nā wāwae.
• Osteomyelitis lōʻihi, i kapa ʻia ʻo ka osteomyelitis maʻi mau. Hiki i ka osteomyelitis ʻaʻole pane i ka lāʻau lapaʻau ke lilo i osteomyelitis maʻi mau.

Inā he kiʻekiʻe kou pilikia o ka maʻi, e kamaʻilio me kāu kauka lapaʻau e pili ana i nā ala e pale aku ai i nā maʻi. ʻO ka hōʻemi ʻana i kou pilikia o ka maʻi e hōʻemi ai i kou pilikia o ka osteomyelitis. E makaʻala ʻaʻole e loaʻa nā ʻokiʻoki, nā ʻiliʻili, a me nā ʻūlū a i ʻole nā ​​nākani o nā holoholona. Hāʻawi kēia i nā germs i kahi ala e komo ai i loko o kou kino. Inā ʻoe a i ʻole kāu keiki he ʻeha iki, e hoʻomaʻemaʻe koke i ka wahi. E kau i kahi kāʻei maʻemaʻe ma luna. E nānā pinepine i nā ʻeha no nā hōʻailona o ka maʻi.

Hiki i kāu limahana mālama ola ke ʻike i ka wahi a puni ka iwi i pilikia no ka palupalu, ka pehu a i ʻole ka mahana. Inā loaʻa iā ʻoe ka ʻeha wāwae, hiki i kāu limahana mālama ola ke hoʻohana i kahi mea ʻimi palupalu e ʻike ai i kahi kokoke o ka ʻeha i ka iwi ma lalo.

Loaʻa paha iā ʻoe nā hoʻokolohua e ʻike ai i ka osteomyelitis a e ʻike i ka mea kanu e hoʻoulu ana i ka maʻi. Loaʻa paha nā hoʻokolohua i nā hoʻokolohua koko, nā hoʻokolohua kiʻi a me ka biopsy iwi.

Hiki i nā hoʻokolohua koko ke hōʻike i nā kiʻekiʻe o nā keʻokeʻo koko a me nā mea hōʻailona ʻē aʻe i loko o ke koko e hiki ke ʻōlelo aku ua kaua nei kou kino i ka maʻi. Hiki i nā hoʻokolohua koko ke hōʻike i nā mea kanu i hoʻoulu i ka maʻi.

ʻAʻohe hoʻokolohua koko e hiki ke haʻi inā loaʻa iā ʻoe ka osteomyelitis. Akā hiki i nā hoʻokolohua koko ke kōkua i kāu limahana mālama ola e hoʻoholo i nā hoʻokolohua a me nā kaʻina hana ʻē aʻe e pono ai iā ʻoe.

• Nā X-ray. Hiki i nā X-ray ke hōʻike i ka pōʻino i ka iwi. Akā ʻaʻole paha e hōʻike ka pōʻino ma nā X-ray a hiki i ka loaʻa ʻana o ka osteomyelitis no nā hebedoma. Pono paha iā ʻoe nā hoʻokolohua kiʻi kikoʻī inā hou aku kāu maʻi.
• MRI scan. Ma ka hoʻohana ʻana i nā nalu lekiō a me kahi kahua magnetic ikaika, hiki i nā MRI scan ke hana i nā kiʻi kikoʻī o nā iwi a me nā ʻiʻo palupalu a puni lākou.
• CT scan. Hoʻohui kēia scan i nā kiʻi X-ray i lawe ʻia mai nā kihi like ʻole e hāʻawi i nā hiʻohiʻona o nā ʻano o loko o ke kino. Loaʻa paha iā ʻoe kahi CT scan inā ʻaʻole hiki iā ʻoe ke loaʻa kahi MRI.
• Bone scan. Hoʻohana kēia hoʻokolohua kiʻi nuklea i nā mea liʻiliʻi o nā mea radioactive, i kapa ʻia ʻo nā mea radioactive tracers, kahi kāmela kūikawā e hiki ke ʻike i ka radioactivity a me kahi kamepiula. Lawe nā sela a me nā ʻiʻo i maʻi i ka tracer i hōʻike ʻia ai ka maʻi ma ka scan.

Hiki i kahi biopsy iwi ke hōʻike i ke ʻano o ka mea kanu i hoʻomaʻi i kou iwi. ʻO ka ʻike ʻana i ke ʻano o ka mea kanu e kōkua i kāu limahana mālama ola e koho i kahi antibiotic e hana maikaʻi no ke ʻano o ka maʻi āu e loaʻa nei.

No kahi open biopsy, moe ʻoe me ka lāʻau lapaʻau i kapa ʻia ʻo ka general anesthetic. A laila loaʻa iā ʻoe ka ʻoki e hele ai i ka iwi e lawe i kahi sample.

No kahi needle biopsy, hoʻokomo kahi kauka i kahi nila lōʻihi ma o kou ʻili a i loko o kou iwi e lawe i kahi sample. Hoʻohana kēia kaʻina hana i ka lāʻau lapaʻau e hoʻomapū i ka wahi kahi i hoʻokomo ʻia ai ka nila. ʻO ka lāʻau lapaʻau i kapa ʻia ʻo ka local anesthetic. Hiki i ke kauka ke hoʻohana i kahi X-ray a i ʻole scan kiʻi ʻē aʻe e alakaʻi i ka nila.