Ebangelwa yi-Infection kwi-Joint
Ezisiseko
Isifo samathambo sisifo sisifo kunye. Usulelo lunokubangelwa ibhaktheriya, ii-virus, i-fungi, okanye i-parasites. Usulelo oluhlangeneyo olubangelwa yi-fungi okanye i-parasites ayifani kangangoko kunokuba ibangele okanye ii-virus. Ngokuqhelekileyo, i-arthritis ye-septic ichaphazela enye inxube enkulu, efana neendolo okanye i-hip, kodwa kunokwenzeka ukuba unamaqela amaninzi afumanekileyo.
I-articritis ye-Septic iphinda ibhekiswe njenge-arthritis esithathelwanayo. I-articritis ye-Septic ithathwa njengongxamiseko lwezonyango ngenxa yomonakalo omkhulu ongenzeka kwi-bone and cartilage . I-arthritis ye-Septic inokubangela ukutshatyalaliswa kwezinto ezitshatyalaliswayo, ezinokubulala.
Izizathu
Usulelo luvela phi na emzimbeni. Usulelo luyaqala kwakhona ngenxa yesilonda esivulekile, ukuhlinzwa, okanye ukungenwa kwesigxina. Naluphi na umthombo wokuqala wesifo, isifo se-arthritis septic senzeke xa umzimba we-infect uhamba ngegazi kwi-joint.
Iimpawu
Iimpawu kunye neempawu ezinxulumene nesifo se-arthritis septic ziquka:
- umkhuhlane
- bhinqa
- intlungu ebuhlungu kwiqela elichaphazelekayo
- ukuvuvukala kokubambisana okuchaphazelekayo ( umxube ohlangeneyo )
- ukufudumala kufuphi nomxube ochaphazelekayo
- ukhathala nobuthathaka
- isicaphulelo
Ukuxilongwa
Emva kokuqwalasela imbali yakho yezonyango kunye nokuhlolwa komzimba, iimvavanyo ezithile ziya kulawulwa ngugqirha wakho. Iimvavanyo ezisetyenziselwa ukuxilonga i-septic arthritis ziquka:
- iimvavanyo zegazi ukufumanisa inani eliphezulu lamaseli omhlophe kunye neebhaktheriya
- ii-ray okanye ezinye izifundo zokucinga ukuhlola umonakalo odibeneyo
- i-arthrocentesis ukuhlalutya i-synovial (idibeneyo) i-fluid yamaparitha athile angabonisa ukusuleleka
Unyango
Kubalulekile ukuchonga ibhaktheriya ebangela isifo. Xa ibhakteria ichongiwe, i-antibiotic efanelekileyo ingaqala.
I-antibiotics, esetyenziselwa ukubulala ibhaktheriya, idla ngokuthatyathwa kwiiveki ezi-4 ukuya kwezi-6, ngomlomo okanye nge-intravenously.
Kufuneka kwakhona ukuba unyule indawo ehlanganyelweyo, okanye i-arthrocentesis, ukunkcenkceshela okucokisekileyo (ukuhlambulula idibene kunye nezixazululo ezingenasiphelo), okanye ukukhwabanisa (ukususwa kwezicubu ezonakalisayo). Kukho umonakalo odibeneyo obangelwa ngumzimba we-articritis septic ekugqibeleni okhokelela ekusebenzisaneni ngokutsha.
Izinto zobungozi
Ezinye izinto zandisa umngcipheko wokwakha isifo se-articritis septic. Ezi ziquka:
- Iingxaki ezidibeneyo zangaphambili ezivela kwezinye iintlobo ze-arthritis , ukuhlinzwa ngokubambisana, ukulimala ngokubambisana
- buthathaka kwi-immune system kwizifo okanye ekuthatheni imithi ye-immunosuppressant
- amanxeba enyama okanye amanxeba avulekileyo avumela iibhaktheriya ukuba zifikelele emzimbeni
- Ukusetyenziswa kakubi kweziyobisi kunye nokusetyenziswa kotywala kunxulumene nomngcipheko omkhulu wokusuleleka
Ukukhula
I-arthritis ye-Septic inokuchaphazela nabani na kunini na ubudala-kuquka abantwana kunye nabantwana. Kubantu abadala, amanxeba (isisu, amadolo, amaqaqa) achaphazeleka kakhulu. Kubantwana, amahlombe, iinqumlo, namadolo axhaphakileyo. Njengabantu abaneminyaka yobudala, oogqirha babona izigulane ezininzi ezinezifo zesifo se-arthritis.
Amanqaku anomdla
- Uhlobo oluqhelekileyo lwebhaktheriya olubandakanyeka kwi-septic arthritis nguStraflocloccus aureus, edlalwa ngokuba yiStaph.
- Ibhaktheriya ebangela ukuba i-gonorrhea ibesisisusa esiqhelekileyo se-arthritis ye-septic, kodwa isondo esilondekile senze ukuba kube nzima.
- Xa izilwanyana ezihlasela izilwanyana, zibizwa ngokuba yi-arthritis yentsholongwane, kwaye imeko ihlala isombulula ngokwayo.
- Usulelo oluhlangeneyo olubangelwa yi-fungus, eyaziwa ngokuba yi-fungal arthritis, ithathwa njengengqabile kakhulu.
Khumbula , khangela uncedo lwezonyango ngokukhawuleza ukuba unempawu okanye iimpawu ezibhekiselele kwisifo se-arthritis.
Imithombo:
Septic Arthritis. Zeller et al. 297 (13): 1510. JAMA. Epreli 4, 2007.
http://jama.ama-assn.org/cgi/content/full/297/13/1510
Septic Arthritis. Iinkcukacha zeMpilo kunye nezifo. I-Penn State i-Milton S. Hershey yeZiko lezeMpilo kwiKholeji lezeMpilo. Fi kelelwa ngo 3/9/2008.
http://www.hmc.psu.edu/healthinfo/s/septicarthritis.htm