Osteomyelitis

Ko te osteomyelitis he mate pāwera i roto i te whenua. Ka taea e ia te pā tetahi wāhanga, atu rānei o te whenua. Ka tae ngā pāwera ki te whenua mā te toto, mā te kō atu rānei o te kō atu i te kō atu. Ka tīmata hoki ngā pāwera i roto i te whenua ki te whara te whenua ki ngā mate.

Ko te hunga e pā te waipiro, me te hunga he mate hauora roa, pēnei i te huka toto te kore rānei o te whatukuhu, kei te nui ake te tūpono ki te whiwhi i te osteomyelitis. Ko te hunga he huka toto me ngā mate pūkahukahu, ka whiwhi pea i te osteomyelitis i roto i ngā whenua o o rātou waewae.

Ko te nuinga o te hunga he osteomyelitis, me mahi rongoā kia tangohia ngā wāhanga o te whenua i pā. I muri i te mahi rongoā, ko te nuinga o te wā, me hoatu ki te hunga he rongoā kaha mā te uaua.

Ko ngā tohu o te osteomyelitis pea ko: Pūngāwerewere, wera me te ngawari ki runga i te wāhi o te mate. Tōngā tata ki te mate. Ngoikore. Werawera. I etahi wā, kāore te osteomyelitis e pā tetahi tohu. Ki te pā tetahi tohu, ka rite pea ki ngā tohu o ētahi atu āhuatanga. Pea ka tino pēnei mō ngā pēpi, ngā kaumātua me ngā tāngata he ngoikore o rātou pūnaha ārai mate. Tīmata atu ki tō kaiwhakarato hauora mena kei a koe te werawera me te mamae o te wheua e kino haere ana. Mēnā kei te tūpono te tangata ki te mate i te mate pēnei i te āhuatanga hauora, te pokanga hou, te whara rānei, me haere tonu ki te kaiwhakarato hauora mena kei a rātou ngā tohu o te mate.

Tena tirohia tō kaimahi hauora mena kei a koe te kirika me te mamae i ngā wheua e kaha ake ana. Me tiro atu wawe ki te kaimahi hauora ngā tāngata e pāngia ana e te mate pāhoko nā te take hauora, te pokanga hou rānei, te whara rānei, ki te pēhea rātou ngā tohu o te mate pāhoko.

Ko te nuinga o te wā, ko te mate pukupuku Staphylococcus te take o te osteomyelitis. Ko ēnei pukupuku he mate pukupuku e noho ana i te kiri, i te ihu rānei o te katoa.Ka taea e ngā mate pukupuku te tomo ki roto i te wheua mā:

• Te toto. Ka taea e ngā mate pukupuku kei ētahi atu wāhanga o tō tinana te haere mā te toto ki tetahi wāhi ngoikore o te wheua. Hei tauira, ka taea e ngā mate pukupuku te puta mai i te mate huhu i roto i ngā ngāwari, i te mate pukupuku mimi rānei i roto i te pūkahukahu.
• Ngā whara. Ka taea e ngā whara wero te kawe i ngā mate pukupuku ki roto i te tinana. Ki te pangia te whara penei, ka taea e ngā mate pukupuku te horapa ki tetahi wheua tata. Ka taea hoki e ngā mate pukupuku te tomo ki te tinana mai i te wheua pakaru e tu ana i waho o te kiri.
• Te pokanga. Ka taea e ngā mate pukupuku te tomo ki te tinana me te haere ki ngā wheua i te wā o ngā pokanga hei whakakapi i ngā hononga, hei whakatika rānei i ngā wheua pakaru.

Ka āhei te iwi hauora ki te whakakahore i te mate. Engari ka iti haere te kaha o te iwi ki te whakakahore i te mate i te wā e koroheke haere ana koe. Haunga ngā whara me ngā pokanga, ko ētahi atu take ka piki ake ai tō tūponotanga ki te osteomyelitis, ko ēnei: Ngā āhuatanga e whakawaiwai ana i te pūnaha mate. Kei roto i ēnei te mate huka kaore i te pai te whakahaere. Te mate o te oko toto o te taha. Ko te āhuatanga tēnei e whakaiti ana i te rere o te toto ki ngā ringa, ki ngā waewae rānei. Te mate toto pūtau kakā. Ka tukuna tēnei āhuatanga i roto i ngā whānau, e kiia nei ko te whakapaparanga. Ka pā te mate toto pūtau kakā ki te āhua o ngā pūtau toto whero, ā, ka whakaiti i te tere o te rere o te toto. Te dialysis me ētahi atu tukanga e whakamahi ana i ngā tūpū hauora. Ka whakamahi te dialysis i ngā tūpū hei tango i ngā paru i roto i te tinana ina kore e mahi pai ngā whatukuhu. Ka taea e ngā tūpū hauora te kawe mai i ngā mate mai i waho o te tinana ki roto. Ngā whara pehanga. Ka taea e te hunga kaore e taea te kite i te pehanga, te noho rānei i tetahi tūnga kotahi mō te roa rawa, te whiwhi i ngā pupuhi i runga i ō rātou kiri kei reira te pehanga. Ka kiia ēnei pupuhi ko ngā whara pehanga. Ki te mea kei reira tētahi pupuhi mō tētahi wā, ka taea te pā te iwi kei raro i a ia ki te mate. Ngā rongoā kūpapa mā ngā nila. Ko te hunga e tango ana i ngā rongoā kūpapa mā te nila he tino tūpono ake te whiwhi i te osteomyelitis. He pono tēnei ki te whakamahi rātou i ngā nila kaore i te horoi, ā, ki te kore rātou e horoi i te kiri i mua i te whakamahinga o ngā nila.

Ko ngā raruraru pea o te osteomyelitis e whai ake nei:

• Te mate o te wheua, e kiia ana hoki ko te osteonecrosis. Ka taea e tetahi mate i roto i tō wheua te aukati i te rere o te toto ki roto i te wheua, ā, ka arahi ki te mate o te wheua. Ki te whai koe i ngā wāhi kua mate te wheua, me mahi te pokanga hei tango i te kiko kua mate kia mahi ai ngā rongoā.
• Te mate septic arthritis. Ka taea e te mate i roto i ngā wheua te horapa ki te hononga e tata ana.
• Te whakaheke o te tipu. Ka taea e te osteomyelitis te pā ki te tipu o ngā wheua i ngā tamariki. He pono tēnei ki te mea kei roto i ngā wāhi ngawari ake te osteomyelitis, e kiia ana ko ngā papa tipu, kei te pito o ngā wheua roa o ngā ringa me ngā waewae.
• Te osteomyelitis roa, e kiia ana ko te osteomyelitis pūmau. Ka taea e te osteomyelitis kahore e whakautu ki te maimoatanga te riro hei osteomyelitis pūmau.

Mēnā kei te piki tō tūponotanga ki te mate, kōrero atu ki tō kaimahi hauora mō ngā huarahi hei ārai i ngā mate. Ko te whakaiti i tō tūponotanga ki te mate ka whakaiti i tō tūponotanga ki te osteomyelitis. Kia tupato kei whiwhi koe i ngā kotinga, ngā pakaru, me ngā karawarawa, ngā ngau rānei a ngā kararehe. Ka hoatu e ēnei ki ngā mate te huarahi ki te tomo ki roto i tō tinana. Ki te pēhia koe, koutou rānei, e te tamaiti, e te whara iti, horoia te wāhi i te wa tonu. Whakanohoia he papatahi ma ki runga. Tirohia ngā whara maha atu mō ngā tohu o te mate.

Ka taea e tō kaimahi hauora te wātea i te wāhi o te wheua e pā ana mō te ngawari, te pupū, te wera rānei. Ki te pēhia tō waewae, ka taea e tō kaimahi hauora te whakamahi i te tātaritanga ngawari kia kite he tata te pēhanga ki te wheua kei raro.

Ka taea hoki e koe ētahi whakamātautau hei whakatau i te osteomyelitis me te kimi i te huaketo e pā ana i te mate. Ka uru pea ngā whakamātautau ki ngā whakamātautau toto, ngā whakamātautau whakaahua me te tātaritanga wheua.

Ka taea e ngā whakamātautau toto te whakaatu i ngā taumata teitei o ngā pūtau ma me ētahi atu tohu i roto i te toto e āhei ana te tikanga kei whawhai to tinana i te mate. Ka taea hoki e ngā whakamātautau toto te whakaatu i ngā huaketo i pā ai te mate.

Kāore he whakamātautau toto e taea te kī he osteomyelitis tōu. Engari ka taea e ngā whakamātautau toto te āwhina i tō kaimahi hauora ki te whakatau i ētahi atu whakamātautau me ngā tukanga e hiahia ana koe.

• X-rays. Ka taea e ngā X-rays te whakaatu i te kino ki te wheua. Engari pea kāore te kino e whakaatuhia ki ngā X-rays kia tae ra ano ki te wiki te roa o te osteomyelitis. Me whai whakamātautau whakaahua taipitopito atu pea koe ki te hou ake tō mate.
• MRI scan. Ma te whakamahi i ngā ngaru reo me te mara hiko kaha, ka taea e ngā MRI scan te hanga i ngā whakaahua taipitopito o ngā wheua me ngā kiko ngawari o te taha o rātou.
• CT scan. Ka whakakotahi tēnei tātaritanga i ngā whakaahua X-ray i tangohia mai i ngā kōrero maha hei hoatu i ngā tirohanga o ngā hanganga o roto o te tinana. Ka taea pea e koe te whai CT scan ki te kore e taea e koe te whai MRI.
• Bone scan. Ka whakamahi tēnei whakamātautau whakaahua pūkaha i ngā rahinga iti o ngā matū pūkaha, e kiia nei ko ngā tohu pūkaha, he kāmera motuhake e taea te kite i te pūkaha me te rorohiko. Ka tangohia e ngā pūtau me ngā kiko e pangia ana te tohu kia whakaatuhia ai te mate i runga i te tātaritanga.

Ka taea e te tātaritanga wheua te whakaatu i te momo huaketo kua pangia tō wheua. Ko te mohiotanga ki te momo huaketo ka āwhina i tō kaimahi hauora ki te whiriwhiri i te antibiotika e mahi pai ana mō te momo mate kei a koe.

Mō te tātaritanga tuwhera, ka moe koe ki te rongoā e kiia nei he anesthetic whānui. Katahi ka whai pokanga koe ki te tae atu ki te wheua hei tango i te tauira.

Mō te tātaritanga ngira, ka whakanoho tētahi taote ngira roa i roto i tō kiri ki tō wheua hei tango i te tauira. Ka whakamahi tēnei tukanga i te rongoā hei ngāwari i te wāhi e whakauruhia ana te ngira. Ko te rongoā e kiia nei he anesthetic rohe. Ka taea e te taote te whakamahi i te X-ray, i tetahi atu tātaritanga whakaahua rānei hei aratohu i te ngira.

Ko te nuinga o te wā, ko te rongoā mō te osteomyelitis ko te pokanga hei tango i ngā wāhanga o te wheua kua pangia e te mate, kua mate rānei. Ka mutu ka whiwhi koe i ngā rongoā antibiotic mā te uaua, e kiia nei ko ngā rongoā intravenous.

I runga i te kino o te mate, ko te pokanga osteomyelitis pea ka uru atu tētahi, atu rānei o ēnei mahi:

• Tukua te wāhi kua pangia. Ka whakatuwhera te taote i te wāhi o te wheua kua pangia hei tukunga i te mū, te wai rānei mai i te mate.
• Tangohia te wheua me te kiko kua pangia. I roto i tētahi mahi e kiia nei ko te debridement, ka tango te taote i te nuinga o te wheua kua pangia. Ka tango pea te taote i tētahi wāhanga iti o te wheua me te kiko hauora kei te taha o te wheua kua pangia. He huarahi tēnei hei whakarite kia tangohia katoa te mate.
• Tangohia ngā mea ke. I etahi wā, me tango e te taote ngā mea ke. Pea ko ēnei ngā papa rānei, ngā witi rānei o te pokanga i whakanohoia i te pokanga o mua.

I etahi wā ka whakanoho te taote i ngā mea whakaki i te wā poto ki te wāhi kia ora rawa koe kia taea ai te whakanoho i te wheua, te kiko rānei. Ka āwhina te whakanoho i tō tinana ki te whakatika i ngā uaua toto kua pakaru, ki te hanga i te wheua hou.

Ka tīpako tō kaimahi hauora i te rongoā antibiotic i runga i te mate e pā ana ki te mate. He tino pea ka whiwhi koe i te rongoā antibiotic mā te uaua i tō ringa mō te ono wiki pea. Ki te tino kino tō mate, ka hiahia pea koe ki te tango i ngā rongoā antibiotic mā te waha.

Ki te kai paipa koe, ka āwhina te mutu i te kai paipa ki te tere ake te ora. Me whakahaere hoki koe i ngā āhuatanga roa e pā ana ki a koe. Hei tauira, whakahaeretia tō huka toto ki te mate huka koe.

Kaore he uauatanga