He aha ka Osteomyelitis? Nā Hōʻailona, Nā Kumu, & Lapaʻau

He aha ka Osteomyelitis?

ʻO ka osteomyelitis kahi maʻi iwi e hiki mai ana i ka wā e komo ai nā bacteria a i ʻole nā mea kolo ʻē aʻe i loko o kou ʻiʻo iwi. E noʻonoʻo iā ia e like me ka huhū a me ka maʻi o kou iwi, e like me ke ʻano o kahi ʻoki ma kou ʻili e hiki ke maʻi inā ʻaʻole mālama pono ʻia.

Hiki i kēia kūlana ke hoʻopili i kekahi iwi i loko o kou kino, akā ʻo ka mea maʻamau loa ka hoʻopili ʻana i nā iwi lōʻihi i loko o kou mau lima a me nā wāwae, ʻoi aku hoʻi i nā keiki. I nā mākua, hoʻopili pinepine ia i nā iwi i loko o kou kua, pelvis, a i ʻole nā wāwae. Hiki i ka maʻi ke ulu koke (osteomyelitis ʻoi) a i ʻole mālie i ka manawa (osteomyelitis lōʻihi).

ʻOiai he weliweli ke kani o ka osteomyelitis, hiki ke mālama ʻia loa inā hopu ʻia i ka wā mua. Me ka mālama lapaʻau kūpono, e ola piha ka hapa nui o nā kānaka a hoʻi i kā lākou mau hana maʻamau.

He aha nā hōʻailona o ka Osteomyelitis?

Hiki i nā hōʻailona o ka osteomyelitis ke ʻokoʻa ma muli o kou makahiki a me kahi o ka maʻi. E hāʻawi maʻamau kou kino iā ʻoe i nā hōʻailona maopopo ʻaʻole kūpono kekahi mea me kou iwi.

Eia nā hōʻailona maʻamau loa āu e ʻike ai:

• ʻEha iwi hohonu, mau loa e ʻoi aku ka ʻino i ka manawa
• Fever a me nā chills, ʻoi aku hoʻi i nā hihia ʻoi
• ʻO ka pehu, ka mahana, a me ka ʻulaʻula a puni ka iwi i hoʻopilikia ʻia
• Luhi a me ka manaʻo maʻamau o ka maʻi
• Paʻakikī e hoʻoneʻe i ka wahi i hoʻopilikia ʻia a i ʻole ke kau ʻana i ke kaumaha ma luna
• Kahe mai kahi ʻeha ākea kokoke i ka iwi
• Hoʻonāukiuki i nā pēpē a me nā keiki ʻōpio

I kekahi mau hihia, ʻoi aku hoʻi me ka osteomyelitis lōʻihi, hiki ke ʻoi aku ka maalea o nā hōʻailona. Hiki iā ʻoe ke ʻike i nā flare-ups o ka ʻeha a i ʻole nā maʻi hou i ka wahi hoʻokahi. Hiki i nā keiki ke hōʻike i nā hōʻailona e like me ka limping a i ʻole ke hōʻole e hoʻohana i ka lima a i ʻole ka wāwae.

ʻAʻole pinepine, loaʻa i kekahi poʻe ka hou ʻana o ka ʻili i ka pō, ka nalowale kaumaha i wehe ʻole ʻia, a i ʻole ka manaʻo nui e hakakā ana ko lākou kino i ka maʻi. Kūpono kēia mau hōʻailona i ka nānā, ʻoi aku inā mau a ʻoi aku ka ʻino.

He aha nā ʻano o ka Osteomyelitis?

Hoʻokaʻawale ʻia ka Osteomyelitis i nā ʻano like ʻole ma muli o ka lōʻihi o kou loaʻa ʻana a pehea ka hoʻomaka ʻana o ka maʻi. Ke hoʻomaopopo ʻia kēia mau ʻano, kōkua ia i nā kauka e koho i ke ala lapaʻau maikaʻi loa no kou kūlana kikoʻī.

ʻO nā ʻano nui e komo pū ana:

• Osteomyelitis ʻoi: Hoʻomohala koke, maʻamau i loko o nā lā a i ʻole nā pule, me nā hōʻailona maopopo e like me ka fiva a me ka ʻeha nui
• Osteomyelitis lōʻihi: Hoʻomohala mālie i nā mahina a i ʻole nā makahiki, pinepine me nā hōʻailona palupalu e hele mai ana a hele aku ana
• Hematogenous osteomyelitis: Hoʻolaha ka maʻi ma o kou kahe koko mai kahi ʻē aʻe o kou kino
• Contiguous osteomyelitis: Hoʻolaha pololei ka maʻi mai nā pūnaewele maʻi kokoke a i ʻole kahi ʻeha ākea
• Post-traumatic osteomyelitis: Hoʻomohala ma hope o ka hōʻeha ʻana o ka iwi, ka ʻoki kino, a i ʻole ka haki

ʻOi aku ka maʻamau o ka Hematogenous osteomyelitis i nā keiki a hoʻopili pinepine i nā iwi lōʻihi. I nā mākua, ʻoi aku ka pinepine o ka contiguous osteomyelitis, ʻoi aku hoʻi i nā poʻe me ka maʻi diabetes a i ʻole nā pilikia kahe koko.

Hiki ke pilikia loa ka Osteomyelitis lōʻihi no ka mea hiki ke ʻike ʻia e hoʻomaikaʻi, a laila e ʻā hou ma hope o nā mahina a i ʻole nā makahiki ma hope. Pono kēia ʻano i ka nānā mau a i kekahi manawa i nā ala lapaʻau he nui.

He aha ka mea e hoʻokumu ai i ka Osteomyelitis?

Hana ʻia ka Osteomyelitis i ka wā e loaʻa ai i nā bacteria, nā fungi, a i ʻole nā germs ʻē aʻe i kou ʻiʻo iwi. ʻO ka mea hana maʻamau kahi ʻano bacteria i kapa ʻia ʻo Staphylococcus aureus, kahi e noho mau ana ma kou ʻili me ka ʻole o ka pilikia akā hiki ke lilo i mea weliweli inā komo i kou mau iwi.

Hiki i kēia mau maʻi ke hōʻea i kou mau iwi ma o kekahi mau ala:

• Ma ke kahe koko mai kahi maʻi ʻē aʻe ma kou kino (e like me ka maʻi o ke ala mimi a i ʻole ka pneumonia)
• Hoʻohaumia pololei mai kahi ʻeha wehe, hana ʻoki, a i ʻole kahi ʻeha hohonu
• Hoʻolaha ʻia mai nā ʻiʻo palupalu kokoke i maʻi, e like me ka maʻi ʻili nui
• Mai nā hui prosthetic a i ʻole nā ​​lako hana ʻokiʻoki i maʻi
• Ma o ka hoʻohana ʻana i ka lāʻau lapaʻau me nā nila haumia

I kekahi manawa, hiki i ka maʻi ke ulu ma hope o ka mea i manaʻo ʻia he ʻeha iki. No ka laʻana, hiki i kahi ʻokiʻoki liʻiliʻi a i ʻole ka ʻili ʻili e maʻi ai ke hoʻolaha i ka iwi ma lalo, ʻoi aku inā nāwaliwali kou ʻōnaehana pale.

I nā hihia kakaikahi, hiki i nā maʻi fungal ke hoʻoulu i ka osteomyelitis, ʻoi aku hoʻi i nā kānaka me nā ʻōnaehana pale nāwaliwali. Hiki i kekahi ʻano o nā bacteria e hoʻoulu i ka maʻi tuberculosis ke hoʻopili i nā iwi, ʻoiai ʻaʻole pinepine kēia ma nā ʻāina holomua.

I ka wā e ʻike ai i ke kauka no ka Osteomyelitis?

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā loaʻa iā ʻoe ka ʻeha iwi mau me ka mahana, ʻoi aku inā ʻoi aku ka ʻeha ma mua o ka maikaʻi. Mai kali e ʻike inā e nalowale ma luna o kona iho, ʻoiai ke alakaʻi nei ka mālama mua i nā hopena maikaʻi.

E ʻimi i ka mālama ola kino koke inā loaʻa iā ʻoe:

• ʻEha iwi nui e hoʻopilikia ana i nā hana o kēlā me kēia lā
• Mahana ma luna o 101°F (38.3°C) me ka ʻeha iwi
• Nā hōʻailona ʻike ʻia o ka maʻi a puni kahi ʻeha kokoke i ka iwi
• Paʻakikī ke neʻe a hoʻohana i ka wahi i pilikia
• Kahe a i ʻole ka pus mai kahi ʻeha ʻaʻole e ho'ōla
• Nā hōʻailona e ʻoi aku ka ʻino ʻoiai ke hoʻomaha a me ka hōʻoluʻolu ʻeha ma luna o ka counter

Inā loaʻa iā ʻoe ka maʻi diabetes, kahi ʻōnaehana pale nāwaliwali, a i ʻole ka hana ʻoki iwi hou, e makaʻala nui i kekahi ʻeha iwi maʻamau a i ʻole nā ​​hōʻailona o ka maʻi. Hoʻokomo kēia mau kūlana iā ʻoe i ka pilikia kiʻekiʻe no ka hoʻomohala ʻana i ka osteomyelitis.

No nā keiki, e nānā i nā hōʻailona e like me ka uē mau, ka hōʻole ʻana e hoʻoneʻe i kahi lālā, a i ʻole ka ʻōlelo ʻole me ke kumu maopopo ʻole. ʻAʻole paha e hiki i nā keiki ke wehewehe pono i ko lākou ʻeha, no laila, hiki i nā loli ʻano ke lilo i mau ʻōlelo aʻo nui.

He aha nā mea pilikia no ka Osteomyelitis?

Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai ka osteomyelitis. Hiki i ka hoʻomaopopo ʻana i kēia mau mea pilikia ke kōkua iā ʻoe e lawe i nā hana pale a ʻike i ka wā e ʻoi aku ai kou nāwaliwali i nā maʻi iwi.

ʻO nā mea pilikia nui loa e komo pū ana:

• Ka hana ʻoki iwi hou, nā haki, a i ʻole ka hoʻonoho ʻana i nā mea hana orthopedic
• Ka maʻi diabetes, ʻoi aku hoʻi me ka mālama ʻole maikaʻi i ke kō koko
• Ka pale ʻana o ka ʻōnaehana pale kino ma muli o nā kūlana e like me ka HIV, ka maʻi kanesa, a i ʻole nā ​​lāʻau lapaʻau
• Ka holo koko maikaʻi ʻole a i ʻole ka maʻi artery peripheral
• Nā kūlana ʻili mau loa a i ʻole nā ​​maʻi ʻili hou
• Ka hoʻohana ʻana i nā lāʻau lapaʻau injection
• Ka makahiki (ʻoi aku ka nui o ka pilikia o nā keiki liʻiliʻi loa a me nā ʻelemakule)
• Nā kūlana mau loa e like me ka maʻi sickle cell a i ʻole ka maʻi puʻupaʻa e pono ai ka dialysis

Ke kū nei nā kānaka me ka maʻi diabetes i nā pilikia kūikawā no ka mea hiki i ke kō koko kiʻekiʻe ke hoʻopōʻino i ka hoʻōla ʻana o ka ʻeha a me ka hana pale kino. Hiki i nā ʻeha wāwae i nā mea maʻi diabetes ke holomua maʻalahi i nā maʻi iwi inā ʻaʻole mālama pono ʻia.

ʻO nā mea pilikia liʻiliʻi e komo pū ana me ka loaʻa ʻana o ka catheter venous waena, nā hana niho hou i nā kānaka me nā maʻi naʻau, a i ʻole ka noho ʻana i nā wahi kahi e ʻoi aku ai ka nui o kekahi mau maʻi. ʻO nā mea liʻiliʻi e like me ka ʻai maikaʻi ʻole a i ʻole ka puhipaka e hiki ke hoʻolohi i ka hoʻōla ʻana a hoʻonui i ka pilikia o ka maʻi.

He aha nā pilikia hiki ke loaʻa o ka Osteomyelitis?

ʻOiai ke pane maikaʻi nei ka hapa nui o nā hihia o ka osteomyelitis i ka mālama ʻana, hiki ke loaʻa nā pilikia inā ʻaʻole mālama pono ʻia ka maʻi a i ʻole inā hoʻokaʻulua ʻia ka mālama ʻana. Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke hōʻike i ke kumu no ke kōkua lapaʻau koke he mea nui loa.

ʻO nā pilikia hiki ke loaʻa e komo pū ana:

• Ka maʻi maʻi mau loa e mau ana a i ʻole e hoʻi hou mai ana
• Make ʻana o ka iwi (osteonecrosis) ma ka wahi i pilikia
• Hoʻolaha ʻana o ka maʻi i nā hono kokoke (septic arthritis)
• Pōʻino koko (sepsis) inā komo ka maʻi i ke kahe koko
• ʻO nā haki i loko o ka ʻiʻo iwi nāwaliwali
• Nā pilikia ulu i nā keiki inā pilikia ka maʻi i nā papa ulu
• Pono e ʻoki i ka lima a i ʻole ka wāwae i nā hihia koʻikoʻi

Hiki i ka osteomyelitis mau loa ke pilikia loa no ka mea, pono paha ia i nā ʻoki kino he nui a me ka lāʻau lapaʻau antibiotic lōʻihi. Loaʻa i kekahi poʻe ka ʻeha mau a i ʻole ka palena o ka neʻe ʻana ma ka wahi i pilikia.

I nā hihia kakaikahi, hiki i ka osteomyelitis i mālama ʻole ʻia ke alakaʻi i nā pilikia weliweli e like me ka sepsis. ʻO ia ke kumu he mea nui ia ʻaʻole e nānā ʻole i ka ʻeha iwi mau, ʻoi aku hoʻi i ka wā e hui pū ai me ka mahana a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi. ʻO ka ʻoiaʻiʻo maikaʻi, me ka mālama kūpono, hiki ke pale ʻia ka hapa nui o nā pilikia.

Pehea e hiki ai ke pale ʻia ka Osteomyelitis?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā hihia a pau o ka osteomyelitis, aia kekahi mau ʻanuʻu hiki iā ʻoe ke hana e hōʻemi nui i kou pilikia. Hoʻokumu ka pale ʻana i ka pale ʻana i nā maʻi a me ka mālama ʻana i ke olakino maikaʻi holoʻokoʻa.

Eia nā hana pale koʻikoʻi:

• Mālama i nā ʻeha maʻemaʻe a uhi ʻia a hiki i ka hoʻōla piha ʻana
• E ʻimi i ka mālama koke no nā hōʻailona o ka maʻi ʻili a i ʻole ka ʻiʻo palupalu
• Mālama pono i ka maʻi diabetes ma ka nānā ʻana i nā pae kō koko
• E hahai i nā ʻōlelo aʻo mālama ʻeha kūpono ma hope o ka ʻoki kino a i ʻole ka hōʻeha
• Mālama i ka maʻemaʻe maikaʻi a holoi mau i nā lima
• Mai nānā ʻole i nā maʻi mau ma nā wahi a pau o kou kino
• E pale i ka kaʻana like ʻana i nā nila a i ʻole nā ​​lako inikini ʻē aʻe
• E mālama i nā hoʻokō inikini i manaʻo ʻia

Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui ka nānā nui ʻana i ka mālama wāwae. E nānā i kou mau wāwae i kēlā me kēia lā no nā ʻoki, nā ʻeha, a i ʻole nā ​​hōʻailona o ka maʻi, a e ʻike i kāu mea mālama ola maʻamau no nā hoʻokolokolo wāwae.

No nā kānaka me nā hui prosthetic a i ʻole nā ​​​​lako hana ʻoki kino ʻē aʻe, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka pale ʻana i nā maʻi. Hiki paha kēia ke komo pū me ka lawe ʻana i nā lāʻau antibiotic ma mua o kekahi mau hana niho a i ʻole ka nānā ʻana i nā hōʻailona o nā pilikia a puni ka wahi kanu.

Pehea ka hōʻoia ʻana o ka Osteomyelitis?

ʻO ka hōʻoia ʻana i ka osteomyelitis e pono ai ka hui pū ʻana o kāu mōʻaukala lapaʻau, ka nānā kino, a me nā hoʻokolohua kūikawā. E hoʻomaka kāu kauka ma ka nīnau ʻana e pili ana i kāu mau hōʻailona a me ka nānā ʻana i ka wahi i pilikia no nā hōʻailona o ka maʻi.

ʻO nā hoʻokolohua hōʻoia maʻamau e komo pū me:

• Nā hoʻokolohua koko e nānā i nā hōʻailona o ka maʻi a me ka mumū
• Nā X-rays e nānā i nā loli o ka iwi (ʻoiai ʻaʻole paha e ʻike ʻia nā maʻi mua)
• MRI a i ʻole CT scans no nā kiʻi kikoʻī o ka iwi a me nā ʻiʻo palupalu
• Ka scan iwi me ka mea radioactive e ʻike i nā wahi maʻi
• Ka biopsy iwi e ʻike i ka bacteria kūikawā e hoʻoulu ana i ka maʻi
• Nā moʻomeheu mai kekahi kahe a i ʻole nā ​​ʻeha kokoke i ka iwi

Hiki i nā hoʻokolohua koko ke hōʻike i ka piʻi ʻana o ka helu keʻokeʻo koko a me nā māka mumū e like me ka C-reactive protein (CRP) a me ka erythrocyte sedimentation rate (ESR). Kēia mau mea hōʻike e kōkua i ka hōʻoia ʻana e hakakā ana kou kino i ka maʻi.

I kekahi manawa, pono paha kāu kauka e hana i ka biopsy iwi, kahi e komo pū ai ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo iwi no ka hoʻokolohua. Kēia e kōkua i ka ʻike pololei ʻana i ka bacteria e hoʻoulu ana i ka maʻi i hiki ke koho ʻia ka antibiotic maikaʻi loa.

Hiki i ke kaʻina hana hōʻoia ke lawe i nā lā he nui e like me ka hoʻi ʻana mai o nā hopena moʻomeheu mai ka hale hana. Hiki i kāu kauka ke hoʻomaka i ka mālama ʻana ma muli o nā ʻike mua ʻoiai e kali ana no nā hopena hoʻokolohua kikoʻī hou aku.

He aha ka mālama ʻana no ka Osteomyelitis?

ʻO ka mālama ʻana no ka osteomyelitis e komo pinepine ana i nā antibiotics a i kekahi manawa i ka ʻoki kino, ma muli o ka nui a me ka wahi o kāu maʻi. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hapa nui o nā hihia e pane maikaʻi i ka mālama kūpono, ʻoi aku hoʻi i ka hoʻomaka koke ʻana.

Hiki i kāu papa hoʻoponopono ke komo pū me:

• Nā lāʻau lapaʻau intravenous (IV) no kekahi mau pule, pinepine ma hope o nā lāʻau lapaʻau waha
• Hoʻokele ʻeha me nā lāʻau kūpono
• ʻOihana e wehe i ka iwi maʻi a make paha
• Hoʻokahe ʻana i nā ʻāpana a i ʻole ka wai maʻi
• Wehe ʻana i nā mea hoʻohui maʻi inā loaʻa
• Nā hoʻoponopono iwi a i ʻole ka hana hou ʻana i nā hihia koʻikoʻi

ʻO ka maʻamau, mau nā lāʻau lapaʻau 4-6 mau pule a ʻoi aku paha, ma muli o kou kūlana kikoʻī. E hoʻomaka paha ʻoe me nā lāʻau lapaʻau IV ma ka haukapila, a laila e hoʻololi i nā lāʻau lapaʻau waha e hiki iā ʻoe ke lawe ma ka home. He mea nui loa ke hoʻopau i ka papa holoʻokoʻa o nā lāʻau lapaʻau, ʻoiai inā ʻoi aku kou ʻano maikaʻi.

Hiki ke pono ka ʻoihana e wehe i ka iwi make a maʻi paha, kahi kaʻina hana i kapa ʻia ʻo debridement. I kekahi mau hihia, pono paha kāu kauka e kau i ka semena a i ʻole nā ​​pōhaku antibiotic i hoʻopiha ʻia i loko o ka iwi e hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka lāʻau lapaʻau i ka wahi maʻi.

Hoʻololi ka manawa hoʻōla, akā ʻike ka nui o nā kānaka i ka hoʻomaikaʻi ʻana i loko o nā lā a i nā pule o ka hoʻomaka ʻana o ka mālama ʻana. Hiki i ka hoʻōla piha ke mau i kekahi mau mahina, ʻoi aku no nā maʻi maʻi lōʻihi.

Pehea e mālama ai i ka Osteomyelitis ma ka home?

ʻOiai he mea nui ka mālama lapaʻau no ka osteomyelitis, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kākoʻo i kou hoʻōla ʻana a mālama i nā hōʻailona. Hana kēia mau hana mālama home ma ka ʻaoʻao o kāu mālama i kuhikuhi ʻia, ʻaʻole ma ke ʻano he pani no ia.

Eia pehea ʻoe e kōkua ai i kāu kaʻina hana hoʻōla:

• E lawe pono i nā lāʻau āpau e like me ke kauoha ʻia, ʻoiai inā ua maikaʻi ʻoe
• E hoʻomaha i ka wahi i pilikia a pale i ka kau ʻana o ke kaumaha ma nā iwi maʻi
• E hoʻopili i nā pūʻolo wela a i ʻole anuanu e like me ka ʻōlelo a kāu kauka no ka hōʻoluʻolu ʻana i ka ʻeha
• E ʻai i ka ʻai momona e kākoʻo i kou ʻōnaehana pale a me ka hoʻōla ʻana o nā iwi
• E noho wai a loaʻa ka hiamoe lawa
• E mālama i nā ʻeha āpau i hoʻomaʻemaʻe a kāʻei pono ʻia
• E nānā i kou mahana a nānā i nā hōʻailona e ʻoi aku ka ʻino

He ʻāpana nui ka mālama ʻeha i ka mālama home. Hiki i nā mea hōʻoluʻolu ʻeha ma luna o ka papa kūʻai e like me ka acetaminophen a i ʻole ibuprofen ke kōkua, akā e nīnau mau i kāu kauka e pili ana i nā lāʻau lapaʻau palekana e lawe pū me kāu mau lāʻau antibiotic.

Inā ʻoe e mālama ana i ka osteomyelitis mau loa, pono ʻoe e makaʻala loa e pale aku i ka maʻi hou. ʻO ia hoʻi ka mālama maikaʻi ʻana i kou ʻili, ka mālama ʻana i nā kūlana kumu e like me ka maʻi diabetes, a me ka ʻimi ʻana i ka mālama olakino koke no nā hōʻailona hou.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai me ke kauka ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a me ka hoʻolālā mālama maikaʻi. E kōkua ka loaʻa ʻana o ka ʻike i hoʻonohonoho ʻia i kāu mea lawelawe olakino e hoʻomaopopo maikaʻi i kou kūlana.

Ma mua o kāu hālāwai, e hōʻiliʻili i ka ʻike ma lalo nei:

• Papa inoa piha o kāu mau hōʻailona a me ka manawa i hoʻomaka ai lākou
• Nā lāʻau āpau āu e lawe nei i kēia manawa, me nā mea hoʻohui
• Kāu moʻolelo lapaʻau, me nā hana hou, nā hōʻeha, a i ʻole nā ​​maʻi
• Kekahi mau manawa ma mua o nā pilikia iwi a i ʻole hui
• Nā nīnau āu e makemake ai e nīnau i kāu kauka
• ʻIke ʻinikua a me ka hōʻike

E kākau i nā kikoʻī kikoʻī e pili ana i kou ʻeha, e like me ka wā e ʻoi aku ka ʻino, ka mea e hoʻomaikaʻi ai, a pehea ka hopena i kāu mau hana i kēlā me kēia lā. Inā loaʻa iā ʻoe ka mahana, e hoʻomaopopo i nā mahana a me ka manawa e loaʻa ai.

E noʻonoʻo e lawe mai i kekahi lālā o ka ʻohana a i ʻole hoaaloha e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike koʻikoʻi i kūkākūkā ʻia i ka wā o ke kūkā. Hiki iā lākou ke hāʻawi aku i ke kākoʻo a kōkua iā ʻoe e noʻonoʻo i nā nīnau āu e poina paha e nīnau aku.

Mai kānalua e nīnau e pili ana i kekahi mea āu e hoʻomaopopo ʻole ai. Makemake kāu kauka e kōkua iā ʻoe e ola hou, a he mea nui ka kamaʻilio maopopo no ka mālama holomua.

He aha ka mea nui e pili ana i ka Osteomyelitis?

He maʻi koʻikoʻi akā hiki ke mālama ʻia ka Osteomyelitis, he maʻi ʻeha iwi e pono ai ka nānā koke ʻana mai nā kauka. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua ʻana a me ka mālama ʻana e alakaʻi i nā hopena maikaʻi loa, no laila mai hoʻowahāwahā i ka ʻeha iwi mau, ʻoi aku hoʻi i ka wā e hele pū ai me ka mahana.

Me ka mālama kūpono ʻana me nā lāʻau antibiotic a i kekahi manawa me ka ʻoki kino, nui ka poʻe me ka osteomyelitis e ola piha a hoʻi i kā lākou hana maʻamau. ʻO ke kī, ʻo ia ke hana pili pono me kāu hui olakino a hahai pono i kāu papahana mālama.

ʻOiai hiki i ke kūlana ke lohe ʻia he weliweli, e hoʻomanaʻo ua holomua nā hana lapaʻau i ka osteomyelitis i hiki ke mālama ʻia loa inā loaʻa koke. E makaʻala mau i kāu mau hōʻailona, ​​e mālama pono i nā ʻeha a i ʻole nā ​​ʻeha, a e ʻimi i ka nānā ʻana mai nā kauka i ka wā e manaʻo ʻole ai kekahi mea.

ʻO kāu ʻano hana mua e hoʻomaopopo a mālama i kou olakino ʻo ia kāu pale maikaʻi loa mai nā pilikia. Me ka mālama pono a me ka nānā pono, hiki iā ʻoe ke lanakila i ka osteomyelitis a mālama i nā iwi ikaika a olakino no nā makahiki e hiki mai ana.

Nā nīnau pinepine e pili ana i ka Osteomyelitis

Hiki i ka osteomyelitis ke hoʻi mai ma hope o ka mālama ʻana?

ʻAe, hiki ke hoʻi hou mai ka osteomyelitis, ʻoi aku hoʻi nā ʻano maʻi lōʻihi o ka maʻi. Hana kēia ma kahi o 10-20% o nā hihia, ʻoi aku ka nui inā ʻaʻole i hoʻomaʻemaʻe piha ʻia ka maʻi mua a i ʻole inā loaʻa iā ʻoe nā mea pilikia e like me ka maʻi diabetes a i ʻole ka pale ʻole o ke kino. ʻO ia ke kumu e pono ai ke hoʻopau i kāu papa lāʻau antibiotic āpau, ʻoiai inā ʻoi aku kou ʻoluʻolu. Kūpono nā hālāwai mālama maʻamau e hopu i nā hōʻailona o ka hoʻi hou ʻana i ka wā mua.

Pehea ka lōʻihi e ho'ōla ai mai ka osteomyelitis?

Hoʻololi ka manawa ho'ōla ma muli o ka nui o kou ma'i a me ka wikiwiki o ka ho'omaka 'ana o ka lapa'au. Ho'omaka ka hapanui o nā kānaka e ʻoluʻolu i loko o kekahi mau lā a mau pule paha ma hope o ka hoʻomaka ʻana o nā lāʻau antibiotic. Hoʻopau ka ho'ōla maʻamau i nā hebedoma 6-12, ʻoiai nā hihia lōʻihi e pono ai ka lāʻau lōʻihi. E nānā kāu kauka i kou holomua me nā ho'okolohua koko a me nā haʻawina kiʻi e hōʻoia i ka hoʻomaʻemaʻe piha ʻia o ka maʻi.

He mea hoʻopilikia anei ka osteomyelitis?

ʻAʻole pilikia ka osteomyelitis mai ke kanaka a i ke kanaka e like me ke anu a i ʻole ka flu. Eia naʻe, hiki i nā bacteria e hoʻokumu i nā maʻi iwi ke pālahalaha ma o ka hoʻopili pololei ʻana me nā ʻeha a i ʻole ka wai hoʻokahe. E hana i ka hoʻomaʻemaʻe maikaʻi, e holoi pinepine i kou mau lima, a e mālama pono i nā ʻeha āpau. Pono nā lālā o ka ʻohana a me nā mea mālama i nā palekana maʻamau i ka wā e kōkua ai i ka mālama ʻana i nā ʻeha.

Hiki iā ʻoe ke hoʻoikaika kino me ka osteomyelitis?

Pono ʻoe e pale i ka kau ʻana i ke kaumaha a i ʻole ka pilikia ma ka iwi maʻi i ka wā o ka mālama ʻana. E paipai paha kāu kauka i ka hoʻomaha a me ka hana palena ʻia a hiki i ka hoʻomaʻemaʻe ʻana o ka maʻi. Ke hoʻomaka ʻoe e ʻoluʻolu a hāʻawi kāu kauka i ka ʻae, hiki i ka neʻe mālie a me ka hoʻōla kino ke kōkua i ka hoʻōla. E hahai mau i nā ʻōlelo aʻoaʻo kikoʻī a kāu mea mālama ola e pili ana i nā pae hana i ka wā o ka mālama ʻana.

He aha ka mea e hana ai inā hele ʻole ka osteomyelitis i ka mālama ʻole?

ʻO ka osteomyelitis i hoʻonele ʻole ʻia ke alakaʻi i nā pilikia koʻikoʻi, e like me ka make ʻana o ka iwi, ka hōʻino ʻana o nā hono, a me nā maʻi koko weliweli i ke ola. Hiki nō hoʻi i ka maʻi ke lilo i maʻi lōʻihi, e ʻoi aku ka paʻakikī o ka mālama ʻana me ka holomua. I nā hihia koʻikoʻi, pono paha ka ʻoki ʻana o ka lālā e pale aku i ka pālahalaha ʻana o ka maʻi. ʻO ia ke kumu e pono ai ka ʻimi koke ʻana i ka mālama ola no ka ʻeha mau iwi a me ka wela, no kou olakino a me kou ola hou.