I-hip septic yintsholongwane ngaphakathi kwendibano ehlangene. Le ngxaki engavamile, kodwa ingenzeka kwiintsana kunye nabantwana abancinci. Amaqabunga eSeptic abizwa ngokuba yi-septic arthritis kunye ne- arthritis .
Abantwana abanamaqabunga amancinci banama-bacteria ngaphakathi kwendibano ehlangene. Ibhaktheriya iqokelela njenge-pus kwaye iba buhlungu. Abantwana abanamaqabunga amancinci ngokubanzi bafuna ukuhlinzwa ukuze baphilise intsholongwane.
Unyango kufuneka uqhube ngokukhawuleza ukuqinisekisa ukuba akukho monakalo ongunaphakade kwi-joint hip.
Umzimba oqhelekileyo uxanduva lokusuleleka kwiintsana nabantwana liqela le-B streptococcus, kwaye enye inkohlakalo ingaba yiHaemophilus influenza (Hib) ukuba umntwana akanalo isitofu. Kubantu abadala, ngokuqhelekileyo kubangelwa yiStaphylococcus okanye i- Streptococcus bacteria.
Iimpawu zeSafi yamaSpanish
Iintsana, abantwana kunye nabantu abadala abanokusuleleka kwi-joint hip kaninzi banalo okanye ezinye zezi zilandelayo:
- Fever
- Ubuhlungu ngokuhamba kwe-hip. Iintsana zinokuthi zenzeke ngethuba lokutshintsha i-diaper. Intlungu ingaba nzima.
- Ukunzima ukuhamba okanye ukuxhamla. Basenokungakwazi ukuhambisa umlenze we-hip.
- Ukuvuvukala okuhlangeneyo, ubomvu ohlangeneyo.
- Iimpawu ziza ngokukhawuleza.
I-Hiptic Hip Diagnosed?
Kumele uthathe umntwana kumgqirha ukuba kukho iimpawu ze-arthritis septic. Ukuhlolwa komntwana kubalulekile ukuchonga indawo yenkinga.
Ukuba i-infection ye-hip iyalitshutshiswa, iimvavanyo zegazi ziya kuhlola iimpawu zentsholongwane kunye nokuvuvukala, kubandakanywa nekcubeko legazi. I-ray-ray idla ngokuphindwe kwenziwa ukuvavanya iingxaki zamathambo ezijikelezileyo. Ezinye iimvavanyo ezinjengeMRI okanye i-ultrasound zenziwa ukuba zibone ukuba kukho umbane oqokelelweyo ngaphakathi kwendibano ehlangene.
Ukuba i-hip septic iyangqatshulwa, inaliti ifakwa kwi-joint hip. I-fluid esuka kwi-hip ingahlaziywa. Ukuba iibhaktheriya ziyabonakala ngaphakathi kwentsholongwane, kukho ukuthatyathwa kwintsholongwane, kwaye utyando kufuneka lwenziwe ukuze kucocwe ukuhlanganiswa kwe-hip. Ukuba intsholongwane ayibonakali, i-fluid ingahlaziywa ngobungqina bentsholongwane. Ezinye iingxaki ezingekho ezinzulu, ezifana ne- synovitis yangasese ye-hip , zingabangela iimpawu ezifanayo njenge- arthritis ye-septic .
Unyango lwe-Hiptic Hip Joint
Usulelo luphathwa ngamachiza omzimba. Ngokukhawuleza ukuba i-aspiration ye-hip ibonisa iibhaktheriya, ziya kuqala iziza-antibiotics, ezinokuthi ziguqulwe xa ukuqonda komzimba kwaziwa kwiinkcubeko. Ulwaphulo lwe-antibiotics luya kuqhubeka kwiiveki ezintathu okanye ngaphezulu.
Izifo ezinxulumene nazo zidinga ukuhlinzwa unyango. Usulelo lwangaphakathi kumonakalo luyakonakalisa i-cartilage ngokusisigxina. Ukuba intsholongwane yomlenze ifunyanwe kumntwana wakho, uza kutyunjwa ukuba ahlambulule umxube. Oku kunokuba yi-arthrotomy, okanye banokwenza ukunkcenkceshela kunye kunye nokuxhamla ngokubanjiswa yi-ultrasound ngosuku ngalunye.
Kubalulekile ukuba unyango olusesikhatsini sonyango lwe-hip kumntwana lubalulekile. Ngenxa yokuba umlenze ukhula, kubaluleke kakhulu ukukhusela i-cartilage.
Izigulane ezenza umonakalo kwi-cartilage yazo zibeka umonakalo onobungozi obungunaphakade. Ezi zi gulane zingadinga ukutshintshwa kwe-hip kamva xa umonakalo we-cartilage unzima.
Imithombo:
I-Sucato DJ, uSpwend RM, uGillespie R. "I-Arthritis yaseSeptic ye-Hip kwi-Children J. Am. Acad. Ortho. Surg., Oktobha 1997; 5: 249 - 260.
I-Septic Arthritis, i-Jatin M. Vyas, i-US National Librarian Medicine, 5/1/2015.
Rutz E, Spoerri M. "I-arthritis ye-Septic ye-hip yezingane-Ukuphononongwa kweendlela ezikhoyo zokuxilonga kunye neengcinga zonyango." Acta Orthop Belg. 2013 ngoMbango; 79 (2): 123-34.