TB msana: zimayambitsa, zizindikiro, chithandizo

matenda Pott a - ndi extrapulmonary TB msana, akumumenya zifukwa zosiyanasiyana. M'munsi thoracic ndi chapamwamba lumbar vertebrae matenda amakhudza zambiri.

Ambiri mwa matenda opatsirana amuna atengeke. Koma anapezeka mu zigawo zambiri za anthu. Tuberculous spondylitis akufotokozera pang'onopang'ono, kotero kudziwa kuvutika pa siteji oyambirira ndi zovuta.

The etiology chiyambi spondylitis

Mabakiteriya kufika pamalo a matenda kudzera m'magazi. Kukuchitika kutupa kumayambira fupa cancellous. 5% spondylitis ndi wapezeka pa pamalo kumbuyo kwa matupi vertebral.

Monga matenda msana ndi chifuwa chachikulu ndi pang'onopang'ono kuwonjezeka ndi kufalikira. The ndondomeko yotupa kumafuna awiri kapena kuposa contiguous zinthu Bony ndi kutambasuka pansi pa zapambuyo kotenga mitsempha, kapena mwachindunji kupyolera litayamba intervertebral. Nthawi zina akhoza kukhala zinanso, ndi gawo wathanzi minofu awo.

Monga patsogolo TB msana? Bone zigawo kutaya mphamvu zawo mawotchi chifukwa cha kuwonongeka kuchuluka kwa kulemera kwa thupi. Kugwiritsa kwambiri kumasula limasonyeza amachititsa mapindikidwe okhota.

Mphamvu ya kupotoza zimadalira mlingo wa chiwonongeko, mlingo wa chotupa ndi kuchuluka kwa matupi fupa nawo ndondomeko pathological.

Matenda mawonetseredwe spondylitis

Zizindikiro koyamba ndi yosokoneza ndipo nthawi zambiri amasonyeza osati TB msana. Zizindikiro zikhoza kukhala zofanana ndi ofanana pathologies ena, onse zikuchitika mu thupi. Awa ndi mawonetseredwe monga:

• ambiri malaise;
• zosavuta fatigability;
• kusafuna kudya ndi kulemera;
• ana - imfa chilakolako kusewera panja;
• masana kapena malungo madzulo zotheka.

Zizindikiro Local - ndi ululu omangana ndi soreness. Iwo sakhala kutchulidwa kuposa matenda ena. ululu waukulu mukhoza ndizodabwitsa osati TB mafupa a msana. Zizindikiro za matenda angakhale osiyana: Nthawi zina odwala amadandaula stiffness.

Ngakhale ambiri anthu odwala matenda mu magawo oyambirira, zizindikiro matenda mwina siziwoneka. Ambiri mwa zizindikiro ndi kwina, ngakhale mu pachimake maphunziro a matenda.

zizindikiro kunja spondylitis tuberculous

gait anthu amasintha pafupifupi nthawi yomweyo. masitepe aafupi, wodwalayo zovuta kusuntha.

Psinjika a mizu mitsempha kumabweretsa kugonjetsedwa kwa wamanjenje dongosolo. Izo kumaonekera:

• overactive tendon bongo;
• minofu kufooka;
• chonsechi gait.

Mu masiteji ina ya msana ndi chifuwa chachikulu akuluakulu akhoza limodzi ndi akuchuluka ya bongo tendon mu ndondomeko izi:

• gait amakhala zosamveka;
• pali kufooka mu nthambi, m'pofunika kuyenda ndi thandizo;
• minofu ya manja, wodwalayo sangathe kudzuka pabedi, sakanakhoza kusuntha.

Zimayambitsa matenda

matenda bakiteriya a msana ndi mtundu ambiri pathologies. Iwo amayamba ndi tizilombo osiyana. A mndandanda wa matenda amenewa akuphatikizapo matenda monga:

• spondylitis;
• discitis;
• spondylodiscitis;
• epidural abscess.

Nthawi zambiri zoipa zamoyo anthu kudutsa m'magazi kuti vertebrae kuposa imfayo TB msana. Zimayambitsa matenda:

• thupi choipa;
• chokhwima kantchito;
• matenda opatsirana.

Chifukwa chachikulu cha matenda - mu mwachindunji kukhudzana ndi munthu kale ndi kachilombo.

Magulu waukulu chiopsezo

The malowedwe a tizilombo mu mapapo munthu wathanzi amakwiya chitukuko cha matenda osati mu mapapo, komanso nyumba fupa la thupi.

gulu la odwala pangozi:

• osuta munthu;
• zakudya m'thupi;
• AIDS kapena matenda ena ofanana ndi amene amayambitsa matenda a chitetezo cha m'thupi;
• odwala matenda ashuga;
• amene amamwa mankhwala osokoneza bongo.

Infection angayambe ngakhale pambuyo opaleshoni.

Gulu la matenda ndi magawo a chitukuko

Pali mitundu iwiri ya kuwonekera kwa matenda ndi magawo asanu a chitukuko. TB a msana ndi mafupa ndi synovial. Kumva za matenda amenewa ndi woopsa kwambiri. Zingamvekere fupa chichereŵechereŵe zawonongeka ndi kumatha iwo mwa kuchititsa kudwala monga nyamakazi arthrosis, zimawonjezera matenda.

Magawo chitukuko cha TB msana:

1. Poyamba amakhala kachilombo munthu wathanzi.
2. 2 gawo mabakiteriya kuchulukitsa mofulumira kwambiri, kuwononga maselo wathanzi.
3. Komanso khalidwe maonekedwe zizindikiro woyamba.
4. Pa sitepe 4 chulutsa tizilombo ukufika apogee, msana zimakhudzira.
5. Chinthu otsiriza kuti adzathe mkombero limene munthuyo amakhala vekitala matenda.

Disease kupitilira ali masiteji atatu motsatizana:

1. Pulayimale osteitis.
2. Artritichnaya gawo.
3. Postartritichnaya gawo.

Ngati mulibe kuyamba kulandira chithandizo mwamsanga, matenda kwambiri sachedwa kuti adzatsogolera osati kuti kulumala, komanso imfa wodwalayo.

Kupeza Vuto spondylitis

The matenda a "TB" chingagwiritsidwe kuzionetsetsa matenda ndi radiological.

Ndiyeno, mtima amaloŵamo ndi masiyanidwe matenda, kuphatikizapo mbiri zachipatala, zizindikiro kuukonza. Kobadwa nako zopindika msana:

1. matenda Calve (achinyamata amene akudwala).
2. Chophukacho SHmorlja ndi matenda Scheuermann Mau (nthawi zina zimachitika achinyamata).

Mu chifuwa chachikulu pa X-ray kafukufuku kumunda chachilengulengu vertebrae, yafupika malo osungira.

Kudziwa kuvutika, m'pofunika kuchita mayesero zasayansi:

• atayezetsa;
• kuchita ESR ndi CRP;
• kufufuza chiwindi ndi impso;
• biopsy, pobwereka makombo a minofu kufufuza microbiological ndi matenda molondola kudwala lapansi.

mankhwala Current

Pamaso pa Kubwera kwa ambiri anafa cha mankhwala ndi matenda a "TB msana." Chithandizo lero wafika pamwamba kwambiri moti anthu angathe kukhala ndi moyo kwa zaka zambiri ndi matenda, kukhalabe boma zabwinobwino komanso kukumana anayendera zonse. Chiyambi mayunitsi akayakaya, kugwiritsa ntchito zipangizo msana, kuchiza matenda zotheka.

Njira ya chithandizo cha spondylitis tuberculous ndi mankhwala amphamvu. Pamaso pa kuchepekedwa ubongo complicates lipole.

Ngati nthendayo anapezeka ndi asagwidwe mwa magawo ake oyambirira, pamaso kudzakhala fupa m'chiwonongeko ndi chilema, wodwalayo zambiri akuchira kwathunthu.

mankhwala Current anawagawa mitundu iwiri:

• ndiwofatsa mankhwala;
• opaleshoni.

Magulu onsewa ndithu kubweretsa zotsatira zabwino. Koma mankhwala ndiwofatsa sikuti ndi zotsatira anakhumba pa ndondomeko pathological. chithandizo ntchito bwino mphamvu pa munthu amene ali ndi matenda a "TB msana." opaleshoni imagwiridwa ndi madokotala oyenerera, ndiye wodwalayo kwinaku pansi pa chisamaliro cha achipatala.

mankhwala ndiwofatsa

Kuchiza odwala ndi kuchepekedwa ubongo yafupika chithandizo odana ndi TB. Iwo ikuchitika ndi kugwiritsa ntchito mankhwala monga "INH", "Rifampicin", "pyrazinamide wokhala" ndi "Ethambutol". onsewa ntchito monga woyamba mzere mankhwala chimene chimakhudza chifuwa chachikulu msana. Zizindikiro za zizindikiro matenda pang'onopang'ono chokani pamene mankhwala ikuchitika molondola. Malinga mawonetseredwe matenda ndi zizindikiro, mankhwala akhoza m'malo kapena anawonjezera. mlingo kusintha malingana ndi wodwala chikhalidwe, zaka ndi kulemera.

Ndi mankhwala odana ndi TB pa bedrest amapereka zotsatira yaitali kumatha muyambirenso mobwerezabwereza.

Odwala ndi magawo patsogolo amafuna njira yaikulu kwambiri. Mankhwalawa chachikulu - mankhwala amphamvu ndi zina bedi. Odwala anaikidwa ku chipatala moyang'aniridwa nthawi zonse madotolo ndi anamwino. chithandizo ndiwofatsa sikuti kupereka zotsatira zabwino. Nthawi zina, opaleshoni m'pofunika.

Kugwira Ntchito Njira kuchiritsa matenda

Opaleshoni chofunika kwa decompression nyumba ubongo ndi ngalande za abscesses. Monga ulamuliro, ana ndi njira anachita kukonza deformations kugwirizana ndi kukula.

Mankhwala matenda yekha n'zosatheka, chifukwa amafuna lopuma ndi chithandizo zovuta. Pamene mankhwala ndiwofatsa sanathandize kuchiza chifuwa chachikulu msana, zizindikiro akuluakulu anayamba kutha ndipo pali kufunika alowererepo pa opaleshoni.

Pamaso opaleshoni kuchotsa ntchito linkawonongeka, amene anagwidwa ndi matendawa. Mu malo ake anamanga kumuika. Nsalu zofunika kupatsidwa zina wachotsedwa fibula wodwalayo. Izi ndi kuonetsetsa kuti chiopsezo kukanidwa ndi amachepa panali mwayi waukulu kuti opaleshoni kudzakuthandizani.

Kumbukirani kuti zotsatira za matenda angakhale sizingasinthe, ndi kanthu opaleshoni zingasokoneze TB msana. Photo odwala ndi matenda anapatsidwa opatsirana bwino kupereka zitsanzo zomveka bwino za mapangidwe a kudwala ndi zotsatira zake.

Data analandira mwa X-ray ndi Kujambula maphunziro, athe madokotala kulosera zotsatira ndi kudziwa buku la wotuluka, komanso kuchepetsa chiopsezo cha matenda oyamba pambuyo msonkhano.

Pamafunika za 4 zaka mokwanira achire. Kuti, ngakhale opaleshoni sizitanthauza ayambe mofulumira thupi. Anali kuphetsa ambiri.

ndi Mwina kuti akakole spondylitis chiyani?

msana ndi chifuwa chachikulu ndi opatsirana kapena ayi? Nkhani imeneyi anthu ambiri. Koma yankho lenileni la funso limeneli kulibe. Pa vutoli kwa zaka madokotala kwambiri oyenerera.

Inde, tifunika kuchenjera anthu ndi matenda ichi kapena kusamalitsa ngati munthu wodwala kubwera wachibale wanu kapena mnzanu.

Kutalikirana kwa tizilombo zoipa chimachitika pokhapokha ngati:

• Ngati wodwalayo ndi mawonekedwe lotseguka TB;
• wathanzi munthu pokhudzana ndi mtima, sasunga malamulo a mosamala;
• chakudya ndi chakudya chomwecho kumaonjezera ngozi ya matenda kudzera thirakiti m'mimba.

Infection spondylitis mwina utero ngati mayi akudwala matenda kumachitika mwa latuluka lapansi. Mwina wa matenda ndi mkulu kugula ndi mwachindunji kukhudzana ndi munthu wodwala.

kusamala ndi njira

Mu matenda tuberculous a msana ndi yofunika kupewa. njira zake ndi zofunika kuthetseratu kufala kwa chitukuko wotsatira wa matenda. Nkofunika kuti mpumulo, kupewa maganizo kwambiri pa thupi lonse.

Muthanso kuyesa:

• akumane ndi hypothermia;
• kusintha chitetezo chokwanira;
• bwino ndi kudya bwino;
• kupewa ngozi.

Waukulu muyeso njira ndi nthawi kuti katemera ndi chifuwa chachikulu. Jekeseni ndi kuvomerezedwa. M'pofunika kuteteza thupi ku matenda oopsa opatsirana. Kumupanga iye kuyamba mwamsanga wakhanda, ndi ndondomeko ikuchitika m'masiku oyambirira a moyo.

Kuntchito, palinso ngozi spondylitis kudwala. madokotala ntchito m'dera lino, ali ndi chiopsezo chachikulu matenda. Iwo ayenera nthawi zonse yoyendela ndi preventively kumwa mankhwala odana ndi TB.