Osteomyelitis

Osteomyelitis chirwere chinorwisa mapfupa. Inogona kukanganisa chikamu chimwe kana kupfuura chepfupa. Zvirwere zvinogona kusvika pfupa kuburikidza neropa kana kubva kumatishu ari pedyo akabatwa nechirwere. Zvirwere zvinogona kutangawo mupfupa kana kukuvara kukavhura pfupa kuhutachiona.

Vanhu vanofuta uye vanhu vane zvirwere zvichienderera mberi, zvakadai sedayabetes kana kukundikana kweitsvo, vari panjodzi yakakwira yekuwana osteomyelitis. Vanhu vane chirwere cheshuga vane maronda emakumbo vanogona kuwana osteomyelitis mumapfupa emakumbo avo.

Vanhu vakawanda vane osteomyelitis vanoda kuvhiyiwa kuti vabvise nzvimbo dzakabatwa nepfupa. Mushure mekuvhiyiwa, kazhinji vanhu vanoda mishonga ine simba inopiwa kuburikidza nemuvengi.

Zviratidzo zveosteomyelitis zvinogona kusanganisira: Kuruma, kupisa uye kunzwa kurwadziwa munzvimbo ine hutachiona. Kurwadziwa pedyo nehutachiona. Kushaya simba. Fivha. Dzimwe nguva osteomyelitis haina zviratidzo. Kana ikagadzira zviratidzo, zvinogona kunge zvakafanana nezviratidzo zvemamwe mamiriro ezvinhu. Izvi zvinogona kuva zvechokwadi kune vacheche, vakuru vakwegura uye vanhu vane masisitimu ekuzvidzivirira asina simba. Ona chiremba wako kana uine fivha uye kurwadziwa kwemwongo kunowedzera. Vanhu vari pangozi yekutapukirwa nekuda kwechirwere kana kuvhiyiwa kana kukuvara vanofanira kuona chiremba nekukurumidza kana vakava nezviratidzo zvehutachiona.

Ona chiremba wako kana uine fivha uye kurwadziwa kwemwongo kunowedzera. Vanhu vari pangozi yekutapukirwa nekuda kwechirwere, kana kuvhiyiwa kana kukuvara kwapfuura, vanofanira kuona chiremba pakarepo kana vakaita zviratidzo zvehutachiona.

Kazhinji, mabhakitiriya e staphylococcus ndiwo anokonzera osteomyelitis. Aya mabhakitiriya zvipembenene zvinogara paganda kana mumhino dzevanhu vose.

Zvipembenene zvinogona kupinda mubhonzo kuburikidza ne:

• Rwizi reropa. Zvipembenene zviri mune dzimwe nzvimbo dzemuviri wako zvinogona kufamba kuburikidza neropa kuenda kunzvimbo yakasimba pabhonzo. Somuenzaniso, zvipembenene zvinogona kubva ku pneumonia mumapapu kana kuhutachiona hwe urinary tract mubladder.
• Kukuvadzwa. Maronda anobaya anogona kutakura zvipembenene mukati me muviri. Kana kukuvara kwakadaro kuchibata, zvipembenene zvinogona kupararira mubhonzo iri pedyo. Zvipembenene zvinogona kupinda mumuviri kubva pabhonzo rakapwanyika rinobuda pachiganda.
• Kuopereta. Zvipembenene zvinogona kupinda mumuviri uye kufamba kuenda kumapfupa panguva yekuopereta kwekuchinja majoini kana kugadzirisa mapfupa akapwanyika.

Mapfupa ane utano anorwisa hutachiona. Asi mapfupa haakwanisi kurwisa hutachiona sezvaunokura. Kunze kwezvironda nekuvhiyiwa, zvimwe zvinhu zvinogona kuwedzera njodzi yako yeosteomyelitis zvinosanganisira: Zvirwere zvinoita kuti masimba emuviri ashome. Izvi zvinosanganisira chirwere cheshuga chisingadzorwi zvakanaka. Chirwere che peripheral artery. Ichi chirwere chinoita kuti ropa risasvike zvakanaka mumaoko kana makumbo. Chirwere che sickle cell. Ichi chirwere chinofamba mumhuri, chinonzi chinogara chiripo. Chirwere che sickle cell chinoita kuti ropa riite sechitsiko uye chinoita kuti ropa rifambe zvishoma. Dialysis nemamwe maitiro anoshandisa mabhuru ekurapa. Dialysis inoshandisa mabhuru kubvisa tsvina mumuviri kana itsvo dzisingashandi zvakanaka. Mabhuru ekurapa anogona kutakura hutachiona kubva kunze kwemuviri mukati. Zvironda zvinokonzerwa nekumanikidzwa. Vanhu vasina kunzwa kumanikidzwa kana vanogara munzvimbo imwe chete kwenguva yakareba vanogona kuwana maronda paganda ravo kwamave nekumumanikidzwa. Aya maronda anonzi maronda ekumanikidzwa. Kana ronda racho richinge riripo kwenguva yakareba, mapfupa ari pasi paro anogona kutapukirwa. Zvinodhaka zvisiri pamutemo zvinopinzwa nembambo. Vanhu vanotora zvinodhaka zvisiri pamutemo nembambo vane mukana mukuru wekuwana osteomyelitis. Izvi ndizvo zvazviri kana vachishandisa mabhuru asina kuchena uye kana vasina kuchenesa ganda risati rasvika pakuishandisa mabhuru.

Zvinetso zveOsteomyelitis zvinogona kusanganisira:

• Kufa kwemapfupa, kunonziwo osteonecrosis. Hutachiona mupfupa rako hunogona kudzivirira kuyerera kweropa mukati mepfupa, zvichikonzera kufa kwemapfupa. Kana uine nzvimbo dzakafa mapfupa, unoda kuvhiya kubvisa tishu yakafa kuti mishonga inorwisa mabhakitiriya ishande.
• Septic arthritis. Hutachiona mukati memafupa hunogona kupararira kujoini iri pedyo.
• Kukura kwakashata. Osteomyelitis inogona kukanganisa kukura kwemapfupa muvana. Izvi ndizvo zvazviri kana osteomyelitis iri munzvimbo dzinyoro, dzinonzi growth plates, kumativi ese emashizha marefu emuoko nemakumbo.
• Osteomyelitis yenguva refu, inonzi chronic osteomyelitis. Osteomyelitis isingapindure kurapwa inogona kuva chronic osteomyelitis.

Kana uine mukana wakawedzera wekutadza, taura nachiremba wako nezve nzira dzekuita kuti urege kutadza. Kuderedza mukana wekutadza kuchaderedza mukana weosteomyelitis. Chenjera kuti urege kuzvikwenya, kuzocheka, kana kukwenywa kana kurumwa nezvipfuwo. Izvi zvinopa hutachiona mukana wekupinda mumuviri wako. Kana iwe kana mwana wako makazvikwenya zvishoma, gezai nzvimbo iyoyo nekukurumidza. Isai bhandeji rakaoma pairi. Tarisai maronda kazhinji kuti muone kana paine zviratidzo zvehutachiona.

Munachirebwa wenyu angabata nzvimbo iri pedyo nemapfupa akakuvara kuti aone kana paine marwadzo, kuzvimba kana kupisa. Kana uine chironda chakakomba, munachirebwa wenyu angashandisa chishandiso chisina minyoro kuti aone kuti chironda chacho chiri pedyo sei nepfupa riri pasi paro.

Unogonawo kuita bvunzo dzekuongorora osteomyelitis uye kuona kuti ndechii chiri kukonzera hutachiona. Bvunzo dzinogona kusanganisira bvunzo yeropa, bvunzo dzekuona mifananidzo uye biopsy yepfupa.

Bvunzo yeropa inogona kuratidza huwandu hwakawanda hwemasero machena eropa nemamwe mamakisi muropa anogona kureva kuti muviri wako uri kurwisa hutachiona. Bvunzo yeropa inogonawo kuratidza kuti ndeapi mabhakitiriya akakonzera hutachiona.

Hapana bvunzo yeropa inogona kutaura kana une osteomyelitis. Asi bvunzo yeropa inogona kubatsira munachirebwa wenyu kuti afunge nezvemamwe bvunzo nemaitiro aunoda.

• X-rays. X-rays inogona kuratidza kukuvara kwepfupa. Asi kukuvara kwacho kungasaratidzwi paX-rays kusvikira osteomyelitis yave ikoko kwemavhiki. Unogona kuda bvunzo dzekuona mifananidzo yakadzama kana hutachiona hwako huchangobva kutanga.
• MRI scan. Uchishandisa ma radio waves ne magnetic field ine simba, MRI scans inogona kuita mifananidzo yakadzama yematumbu nemasero ari pedyo nawo.
• CT scan. Iyi scan inosanganisa mifananidzo yeX-ray yakatorwa kubva pakona dzakasiyana-siyana kuti ipe maonero ezvikamu zviri mukati memuviri. Unogona kuita CT scan kana usingakwanisi kuita MRI.
• Bone scan. Iyi bvunzo yekuona mifananidzo inoshandisa huwandu hudiki hwezvinhu zvinobuditsa mwaranzi, zvinonzi radioactive tracers, kamera chaiyo inogona kuona mwaranzi uye kombiyuta. Masero nemasero ari kutapukirwa anotorwa tracer kuitira kuti hutachiona huratidzwe pa scan.

Biopsy yepfupa inogona kuratidza rudzi rwebhakitiriya rwakapinda mupfupa rako. Kuziva rudzi rwebhakitiriya kunobatsira munachirebwa wenyu kusarudza antibiotic inoshanda zvakanaka nerudzi rwehutachiona rwaunaro.

Kune open biopsy, unovigirwa nemishonga inonzi general anesthetic. Wobva waoparesheni kuti usvike papfupa kuti utarise sampuli.

Kune needle biopsy, chiremba anopinda ne tsono refu kuburikidza neganda rako uye mupfupa rako kuti utarise sampuli. Iyi nzira inoshandisa mishonga yekunyatsoita nzvimbo iyo tsono inopinda. Mishonga iyi inonzi local anesthetic. Chiremba angashandisa X-ray kana imwe scan yekuona mifananidzo kuti atungamirire tsono.