Isifo samathambo

I-Septic arthritis kukudumba kwendibaniselwano ngenxa yosulelo lwebhaktiriya okanye lokungunda. I-Septic arthritis ebangelwa yintsholongwane ebangela ukuvuza ngaphantsi ineempawu ezahlukeneyo kwaye ibizwa ngokuba yi-gonococcal arthritis.

I-Septic arthritis ikhula xa iibhaktheriya okanye ezinye izinto ezincinci ezibangela izifo (ii-microorganisms) zisasazeka kwigazi ukuya kwilungu. Inokwenzeka kwakhona xa idibeneyo isulelwe ngokuthe ngqo yintsholongwane eyonzakeleyo okanye ngexesha lotyando. Amalungu achaphazeleka ngokufuthi ngamadolo kunye nesinqe.

Uninzi lweziganeko zesifo sokuqaqamba kwamalungu okubangelwa zii-acute septic arthritis zibangelwa yi-staphylococcus okanye i-streptococcus bacteria.

Isifo esingapheliyo septic arthritis (esingaqhelekanga kakhulu) sibangelwa zizinto eziphilayo kubandakanya Isifo sephepha seMicobacterium kwaye ICandida albicans.

Ezi meko zilandelayo zonyusa umngcipheko we-septic arthritis:

• Izinto zokufakelwa ngokudibeneyo
• Usulelo lweBacteria kwenye indawo emzimbeni wakho
• Ubukho bentsholongwane egazini lakho
• Ukugula okungapheliyo okanye izifo (ezifana nesifo sikashukela, i-rheumatoid arthritis, kunye nesifo se-sickle cell)
• Ukufakwa ngaphakathi (IV) okanye ukusetyenziswa kweziyobisi ngenaliti
• Amayeza acinezela amajoni akho omzimba
• Ukulimala kwamva nje
• I-arthroscopy yamva nje okanye olunye utyando

Isifo samathambo esibonakalayo singabonakala nakweyiphi na iminyaka. Kubantwana, kwenzeka kakhulu kwaba bancinci kuneminyaka emi-3. I-hip ihlala yindawo yosulelo kwiintsana. Uninzi lweziganeko zibangelwa liqela le-B streptococcus. Omnye unobangela oqhelekileyo Umkhuhlane weHaemophilus, ngakumbi ukuba umntwana khange agonyelwe le ntsholongwane.

Iimpawu zihlala ziza ngokukhawuleza. Kukho umkhuhlane kunye nokudumba ngokudibeneyo okuhlala kumdibaniso omnye kuphela. Kukwakho neentlungu ezidibeneyo ezihlanganayo, eziba mandundu ngokuhamba.

Iimpawu kwiintsana okanye kwiintsana:

• Ukulila xa kususwe iliso ngokudibeneyo (umzekelo, ngexesha lotshintsho lwe-diaper)
• Ifiva
• Awunakho ukuhambisa ilungu ngelungu elosulelekileyo (pseudoparalysis)
• Ukuxhalaba

Iimpawu kubantwana nakubantu abadala:

• Awunakho ukuhambisa ilungu ngelungu elosulelekileyo (pseudoparalysis)
• Iintlungu ezihlangeneyo
• Ukudumba ngokudibeneyo
• Ubomvu obudibeneyo
• Ifiva

Ukugodola kunokubakho, kodwa akuqhelekanga.

Umboneleli wezempilo uya kuvavanya ukudibana aze abuze malunga neempawu.

Uvavanyo olunokwenziwa lunokubandakanya:

• Ukuphefumlelwa kolwelo oludibeneyo lokubala iseli, ukuvavanywa kweekristali phantsi kwemicroscope, ibala legram, kunye nenkcubeko
• Inkcubeko yegazi
• IX-reyi yelungu elichaphazelekayo

Amayeza okubulala iintsholongwane asetyenziselwa ukunyanga usulelo.

Ukuphumla, ukuphakamisa ukudibana ngentla kwenqanaba lentliziyo, kunye nokusebenzisa uxinzelelo olupholileyo kunokunceda ukunciphisa iintlungu. Emva kokuba ilunga liqale ukuphola, ukulisebenzisa kunokunceda ukukhawulezisa ukubuyela kwimeko yesiqhelo.

Ukuba indibaniselwano (synovial) fluid yakha ngokukhawuleza ngenxa yosulelo, inaliti inokufakwa kwilungu ukuze irhoxise (aspirate) ulwelo. Iimeko ezinzima zingadinga utyando ukukhupha ulwelo ngokudibeneyo kunye nokunkcenkceshela (ukuhlamba) ilungu.

Ukuchacha kulungile ngonyango olukhawulezayo lwe -antibiotic. Ukuba unyango lulibazisekile, umonakalo odibeneyo odibeneyo unokubakho.

Tsalela umnxeba kwindibano kunye nomboneleli wakho ukuba uphuhlisa iimpawu ze-septic arthritis.

Uthintelo (prophylactic) antibiotics lunokuba luncedo kubantu abasemngciphekweni omkhulu.

Isifo samathambo; I-non-gonococcal bacterial arthritis

• Iintsholongwane

Ukupheka i-PP, iSiraj DS. Isifo samathambo. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, ii-eds. Incwadi kaKelly noFirestein yeRheumatology. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 109.

URobinette E, u-Shah SS. Isifo samathambo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl 705.