Created at:1/16/2025
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I-Osteomyelitis iwukutheleleka kwamathambo okuvela lapho ibhaktheriya noma ezinye izinzalo zingena endaweni yamathambo. Cabanga ngakho njengamathambo akho abe buhlungu futhi atheleleke, njengoba nje isiqeba esisesikhineni sakho singatheleleka uma singanakekelwa kahle.
Lesi simo singathinta noma yiliphi ithambo emzimbeni wakho, kodwa ngokuvamile sithinta amathambo amade ezandleni nasezinzwaneni, ikakhulukazi kubantwana. Kubantu abadala, kuvame ukubathinta amathambo asehlombe, emathangeni, noma ezinyaweni. Ukutheleleka kungase kuqale ngokuzumayo (i-osteomyelitis ebukhali) noma kancane kancane ngokuhamba kwesikhathi (i-osteomyelitis ehlala isikhathi eside).
Nakuba i-osteomyelitis izwakala iyesabekayo, iyakwelashwa uma itholakala ngokushesha. Ngokunakekelwa okufanele kwezokwelapha, abantu abaningi bayaphila futhi babuyele emisebenzini yabo evamile.
Izimpawu ze-osteomyelitis zingase zihluke kuye ngokuthi uneminyaka emingaki nokuthi ukutheleleka kusekuphi. Umzimba wakho ngokuvamile uzokunikeza izibonakaliso ezicacile zokuthi kukhona okungalungile ngamathambo akho.
Nawa zimpawu ezivame kakhulu ongazihlangabezana nazo:
Kwezinye izimo, ikakhulukazi nge-osteomyelitis ehlala isikhathi eside, izimpawu zingase zibe zingeziqondi. Ungase uqaphele ukuqhuma okungezikhathi zokubhlungu noma ukutheleleka okuphindaphindayo endaweni efanayo. Abantwana bangase futhi babonise izimpawu ezifana nokuqhwakuka noma ukwenqaba ukusebenzisa isandla noma unyawo.
Ngokungavamile, abanye abantu baye bahlushwa ukubila ebusuku, ukwehla kwesisindo okungachazeki, noma imizwa yokuthi umzimba wabo ulwa nokutheleleka. Lezi zimpawu zidinga ukunakekelwa, ikakhulukazi uma ziqhubeka noma zibe zimbi.
I-Osteomyelitis ihlukaniswe ngezinhlobo ezahlukene ngokusekelwe ekutheni ubukade unayo isikhathi esingakanani nokuthi ukutheleleka kuqalile kanjani. Ukuqonda lezi zinhlobo kusiza odokotela ukuba bakhethe indlela yokwelapha engcono kakhulu yesimo sakho esithile.
Izinhlobo eziyinhloko zihlanganisa:
I-osteomyelitis ye-Hematogenous ivame kakhulu kubantwana futhi ngokuvamile ithinta amathambo amade. Kubantu abadala, i-osteomyelitis ehambisanayo ivame kakhulu, ikakhulukazi kubantu abane-diabetes noma izinkinga zokujikeleza kwegazi.
I-osteomyelitis eqhubekayo ingaba inselele ngokukhethekile ngoba ingabonakala ilungile, bese iphinde ibe zimbi ngemuva kwezinyanga noma ngisho neminyaka eminingi kamuva. Lolu hlobo ludinga ukulandelelwa okuqhubekayo futhi ngezinye izikhathi izindlela zokwelapha eziningi.
I-Osteomyelitis kwenzeka lapho ibhaktheriya, i-fungi, noma ezinye izilonda zithola indlela yazo emathanjeni akho. Isono esivame kakhulu uhlobo lwebhaktheriya elibizwa nge-Staphylococcus aureus, evame ukuhlala olweleni lwakho ngaphandle kokubangela izinkinga kodwa ingaba yingozi uma ingena emathanjeni akho.
Lezi zifo zingafinyelela emathanjeni akho ngezindlela eziningi:
Ngezinye izikhathi, ukutheleleka kungathuthuka ngemuva kwalokho okubonakala sengathi kuyilimaza elincane. Isibonelo, isiqongo esincane noma ukukroba okuthintekile kungagcina kusabalala emathanjeni angaphansi, ikakhulukazi uma izinga lakho lokulwa nezifo libuthakathaka.
Ezimweni ezingavamile, ukutheleleka kwamagciwane kungabangela i-osteomyelitis, ikakhulukazi kubantu abanezinga lokulwa nezifo elibuthakathaka. Izinhlobo ezithile zamabhaktheriya abangela isifo sohlanga olukhulu zingathinta nawo amathambo, nakuba lokhu kungavamile emazweni athuthukile.
Kufanele uxhumane nodokotela wakho ngokushesha uma uhlushwa ubuhlungu obungapheli emathanjeni kanye ne-fever, ikakhulukazi uma ubuhlungu buya bukhulu kunokuba bube ngcono. Ungalindi ukubona ukuthi kuyahamba yini ngokwalo, njengoba ukwelashwa kwasekuqaleni kuholela emiphumeleni emihle.
Funani ukunakekelwa kwezokwelapha ngokushesha uma una:
Uma une-diabetes, izinga lokulwa nezifo elibuthakathaka, noma ukuhlinzwa kwamathambo kwamuva, qaphela kakhulu noma yiluphi ubuhlungu obungavamile emathanjeni noma izimpawu zokutheleleka. Lezi zimo zikubeka engcupheni enkulu yokuthuthukisa i-osteomyelitis.
Kubantwana, qaphela izimpawu ezinjengokukhala okuqhubekayo, ukwenqaba ukuhambisa ilungu lomzimba, noma ukuphengula ngaphandle kwesizathu esicacile. Abantwana bangase bangakwazi ukuchaza ubuhlungu babo ngokucacile, ngakho-ke ukushintsha kokuziphatha kungaba yizinkomba ezibalulekile.
Izinto eziningi zingandisa amathuba akho okuthola i-osteomyelitis. Ukuqonda le mingcele kungakusiza ukuthi uthathe izinyathelo zokuvikela futhi uqaphele ukuthi nini ungase ube sengozini enkulu yokutheleleka kwamafu.
Imigcele ebaluleke kakhulu ifaka:
Abantu abane-diabetes babhekene nezinselele ezikhethekile ngoba ushukela oluphezulu lungalimaza ukululama kwesilonda kanye nokusebenza kokusebenza komzimba. Izilonda zezinyawo kubantu abane-diabetes zingathuthuka kalula zibe ukutheleleka kwamafu uma zingalawulwa kahle.
Imigcele engavamile ifaka ukuba ne-catheter ye-venous ephakathi, izinqubo zokwelapha amazinyo zakamuva kubantu abanezimo zenhliziyo, noma ukuhlala ezindaweni lapho ukutheleleka okuthile kuvamile khona. Ngisho nezinto ezincane ezinjengokondleka okubi noma ukubhema zinganciphisa ukululama futhi zande ingozi yokutheleleka.
Nakuba izimo eziningi ze-osteomyelitis ziphendula kahle ekwelapheni, izinhlanganisela zingase zenzeke uma ukutheleleka kungalawulwa kahle noma uma ukwelapha kulibaziseka. Ukuqonda lezi zinkinga ezingase zenzeke kuqokomisa ukuthi kungani ukunakekelwa kwemithi okusheshayo kubaluleke kangaka.
Izinhlanganisela ezingase zenzeke zifaka:
I-osteomyelitis engapheli ingaba inselele ngokukhethekile ngoba ingadinga ukuhlinzwa okuningi nokuphathwa kwama-antibiotic isikhathi eside. Abanye abantu bathuthukisa ubuhlungu obuqhubekayo noma ukukhubazeka kokunyakaza endaweni ethintekayo.
Ezimweni ezingavamile, i-osteomyelitis engaphathwe ingabangela izinkinga eziyingozi ekuphileni njenge-sepsis. Kungakho kubalulekile ukungawunaki ubuhlungu bamathumbu obuqhubekayo, ikakhulukazi uma buhambisana nokuvuvukala noma ezinye izimpawu zokutheleleka. Izindaba ezinhle ukuthi ngokwelashwa okufanele, izinhlupheko eziningi zingavikeleka.
Nakuba ungakwazi ukuvimba zonke izimo ze-osteomyelitis, kunezinyathelo eziningana ongazithatha ukuze unciphise ingozi yakho kakhulu. Ukuvimbela kugxila ekugwemeni ukutheleleka nokugcina impilo enhle jikelele.
Nazi izindlela eziyisihluthulelo zokuvimbela:
Uma une-diabetes, ukunaka ngokukhethekile ukunakekelwa kwezinyawo kubalulekile. Hlola izinyawo zakho nsuku zonke ukuze ubone ukuthi kukhona yini izikhumba, amaqhubu, noma izimpawu zokutheleleka, bese ubona udokotela wakho njalo ukuze ahlole izinyawo.
Kubantu abanezingxenye zomzimba ezifakwe noma ezinye izinto zezokwelapha, landela imiyalo yodokotela wakho mayelana nokuvimbela ukutheleleka. Lokhu kungafaka ukusebenzisa ama-antibiotics ngaphambi kokwelashwa kwezinyo noma ukubheka izimpawu zezinkinga ezizungezile indawo efakwe i-implant.
Ukuxilongwa kwe-osteomyelitis kudinga ukuhlanganiswa komlando wakho wezokwelapha, ukuhlolwa komzimba, kanye nezivivinyo ezithile. Udokotela wakho uzoqala ngokubuza ngezimpawu zakho bese ehlola indawo ethintekayo ukuze abone izimpawu zokutheleleka.
Izivivinyo ezivamile zokuxilonga zihlanganisa:
Izivivinyo zegazi zingaveza inani eliphezulu lamaseli amhlophe egazi kanye nezimpawu zokuvuvukala njenge-C-reactive protein (CRP) ne-erythrocyte sedimentation rate (ESR). Lezi zibonisi zisiza ukuqinisekisa ukuthi umzimba wakho ulwa nokutheleleka.
Ngezinye izikhathi, udokotela wakho angase adinge ukwenza i-biopsy yethambo, okuhilela ukuthatha isampula encane yethambo ukuze ihlolwe. Lokhu kusiza ukuthola ngokuqondile ukuthi yibaphi ibhaktheriya ebangela ukutheleleka ukuze kutholakale i-antibiotic ephumelelayo.
Inqubo yokuxilonga ingathatha izinsuku eziningi njengoba imiphumela yekhiqizo ivela elabhorethri. Udokotela wakho angase aqale ukwelapha ngokusekelwe ekutholeni okuqala ngenkathi elinda imiphumela ethile yokuhlola.
Ukwelashwa kwe-osteomyelitis kuvame ukubandakanya ama-antibiotics kanye ngezinye izikhathi ukuhlinzwa, kuye ngokubunzima nendawo yokutheleleka kwakho. Izindaba ezinhle ukuthi amacala amaningi aphendula kahle ekwelapheni okufanele, ikakhulukazi uma kuqalwa ngokushesha.
Uhlelo lwakho lokwelashwa lungafaka:
Ukuphathwa ngama-antibiotics kuvame ukuhlala amasonto angu-4-6 noma isikhathi eside, kuye ngesimo sakho esithile. Cishe uzoqala ngama-antibiotics e-IV esibhedlela, bese uguqukela kuma-antibiotics emilonyeni ongawasebenzisa ekhaya. Kubalulekile ukuqedela lonke uhlelo lwama-antibiotics, ngisho noma uzizwa kangcono.
Ukuhlinzwa kungadingeka ukususa inyama yethambo efile noma enensundu, inqubo ebizwa ngokuthi i-debridement. Kwezinye izimo, udokotela wakho angase adingeke ukufaka i-sement noma ama-beads aphethwe yi-antibiotic okwesikhashana ngqo ethambeni ukuze anikeze amazinga aphezulu wemithi endaweni yokutheleleka.
Isikhathi sokuphulukisa sihlukahlukene, kodwa abantu abaningi babona ukuthuthuka ezinsukwini kuya emakhelweni okuqala ukwelashwa. Ukuphulukisa okuphelele kungathatha izinyanga eziningana, ikakhulukazi ngezifo ezibambezelele.
Nakuba ukwelashwa kwezokwelapha kubalulekile nge-osteomyelitis, kunezinto eziningana ongazenza ekhaya ukuze usekele ukuphulukisa kwakho futhi uphathe izimpawu. Lezi zindlela zokunakekela ekhaya zisebenza kanye nokuphathwa kwakho okubhaliwe, hhayi njengokushintsha kwakho.
Nawa amasu ongawakwazi ukukusiza inqubo yakho yokwelapha:
Ukuphathwa kobuhlungu kuyiyingxenye ebalulekile yokunakekelwa ekhaya. Amaphilisi okuqeda ubuhlungu athengiswa ngaphandle komthetho njenge-acetaminophen noma i-ibuprofen angasiza, kodwa qiniseka ubuze udokotela wakho ngamaphilisi aphephile ukuwasebenzisa nama-antibiotics akho.
Uma uphatha i-osteomyelitis eqhubekayo, kuzodingeka uqaphele kakhulu ukuvimbela ukutheleleka kabusha. Lokhu kusho ukunakekela kahle isikhumba sakho, ukuphatha noma yiziphi izimo ezingaphansi njengoshukela, nokufuna ukunakekelwa kwangaphambi kwesikhathi kwezokwelapha kunoma yiziphi izimpawu ezintsha.
Ukulungiselela i-aphoyintimenti yakho nodokotela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nelenani lokwelapha eliphumelelayo. Ukuba nolwazi oluhleliwe okulungile kuzosisiza umhlinzeki wakho wezempilo ukuthi aqonde isimo sakho kangcono.
Ngaphambi kwe-aphoyintimenti yakho, buza ulwazi olulandelayo:
Bhala imininingwane ecacile mayelana nobuhlungu bakho, njengokuthi nini obuhlungu bukhulu, yini eyenza bube ngcono, nokuthi buthinta kanjani imisebenzi yakho yansuku zonke. Uma une-fever, qaphela ubushushu kanye nokuthi buvela nini.
Cabanga ukuthi ulethe ilungu lomndeni noma umngani ozokusiza ukuba ukhumbule ulwazi olubalulekile oluxoxwe ngesikhathi sokuqokwa. Bangakwazi futhi ukukunika ukwesekwa nokukusiza ucabange ngemibuzo ongafuni ukuyibuza.
Unganqikazi ukubuza noma yini ongayiqondi. Udokotela wakho ufuna ukukusiza uphulukiswe, futhi ukuxhumana okucace kakhulu kubalulekile ekwelapheni okuphumelelayo.
I-Osteomyelitis iyisifo esibuhlungu kodwa esingelapheka sethambo esidinga ukunakekelwa ngokushesha kwezokwelapha. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukutholakala kwesifo nokuphathwa kwesifo kusenza kube khona imiphumela emihle kakhulu, ngakho ungawunaki ubuhlungu obuqhubekayo emathanjeni, ikakhulukazi uma buhambisana nokuvuvukala.
Ngokwelashwa okufanele ngama-antibiotic futhi ngezinye izikhathi kusetshenziswa ubuyekezo, abantu abaningi abane-osteomyelitis bayaphulile ngokuphelele futhi babuyela emisebenzini yabo evamile. Ikhona into ebalulekile ukusebenzisana eduze neqembu lakho lokukhathalela impilo nokulandelwa uhlelo lwakho lokwelashwa ngokuphelele.
Nakuba lesi simo singase sibonakale sisabisa, khumbula ukuthi ukuthuthuka kwezokwelapha kwenze i-osteomyelitis ilawuleka kakhulu uma itholakala ngokushesha. Hlala uqaphile ngezimpawu zakho, unakekele kahle noma yiziphi izilonda noma ukulimala, bese ufuna ukunakekelwa kwezokwelapha uma kukhona okungazizwa kulungile.
Indlela yakho ephambili yokuqonda nokuphatha impilo yakho iyindlela yakho engcono kakhulu yokulwa nezinkinga. Ngokunakekelwa okuhle nokunakekelwa, unganqoba i-osteomyelitis futhi ugcine amathambo amandla, anempilo iminyaka eminingi ezayo.
Yebo, i-osteomyelitis ingabuya, ikakhulukazi izinhlobo ezingapheli zokutheleleka. Lokhu kwenzeka cishe ku-10-20% yezimo, ikakhulukazi uma ukutheleleka kokuqala kungacaciswanga ngokuphelele noma uma unezingozi ezinjengesiwekile noma ukungasebenzi kahle komzimba. Yingakho kubaluleke kakhulu ukuphelelisa ikhosi yakho yonke yemithi yobisi, ngisho noma uzizwa ukhulu. Ukuvakashelwa njalo kudokotela kusiza ekutholeni noma yiziphi izimpawu zokubuyela kwesifo ngokushesha.
Isikhathi sokuphulukana sihluka kuye ngokubaluleka kokutheleleka kwakho nokuthi ukwelashwa kuqalile nini. Abantu abaningi baqala ukuzizwa bekhulu phakathi nezinsuku ezimbalwa kuya emavikini okuqala ukusebenzisa ama-antibiotics. Ukuphulukiswa okuphelele kuvame ukuthatha amasonto angu-6-12, nakuba izimo ezingapheli zingadinga ukwelashwa okude. Udokotela wakho uzolandelela intuthuko yakho ngezivivinyo zegazi nezifundo zokwenza izithombe ukuqinisekisa ukuthi ukutheleleka kuqediwe ngokuphelele.
I-Osteomyelitis ngokwayo ayidluliseki kumuntu nomuntu njengesihlungu noma isifo sikagciwane. Kodwa-ke, amabhaktheriya abangela ukutheleleka kwamathambo ngezinye izikhathi angasakazeka ngokuxhumana ngqo nezilonda ezitheleleke noma ukuqothuka. Sebenzisa ukuhlanzeka okuhle, geza izandla zakho njalo, ugcine noma yiziphi izilonda zivalwe kahle. Amalungu omndeni nabantu abakunakekelayo kufanele bathathe izinyathelo zokuphepha eziqondene lapho besiza ekunakekelweni kwezilonda.
Kufanele ugweme ukufaka isisindo noma ukucindezela ethanjeni elitheleleke ngesikhathi sokwelashwa okuqhubekayo. Udokotela wakho cishe uzokuncoma ukuphumula nemisebenzi emincane kuze kube yilapho ukutheleleka kuqala ukuqeda. Uma uqala ukuzizwa ukhulu futhi udokotela wakho enikeza imvume, ukuhamba okuthambile nokuphathwa komzimba kungenza kube usizo ekubuyiselweni. Landela njalo izincomo eziqondile zonyango lwakho mayelana namanqanaba wemisebenzi ngesikhathi sokwelashwa.
Ukugula kwe-osteomyelitis okungaphathwe kungabangela izinkinga ezinzima ezihlanganisa ukufa kwamathambo, ukonakala kwamajozi, nokutheleleka kwegazi okusongela impilo. Ukutheleleka kungaba khona isikhathi eside, okwenza kube nzima kakhulu ukuphulukisa ngempumelelo. Emacaleni abunzima, ukunqunywa kwelungu kungadingeka ukuvimbela ukutheleleka ukusabalala. Yingakho ukufuna ukunakekelwa kwezokwelapha ngokushesha ngenxa yobuhlungu obuhlala isikhathi eside emathanbeni nokuqabuka kubaluleke kakhulu empilweni yakho nasekuphulukiseni kwakho.