Ithumba lomqolo ithumba

Ithumba lentambo yomqolo kukudumba kunye nokucaphuka (ukudumba) kunye nokuqokelelwa kwezinto ezisulelekileyo (ubofu) kunye neentsholongwane ezikujikeleze intambo yomqolo.

Ithumba lentambo yomqolo libangelwa lusulelo ngaphakathi komqolo. Ithumba lomqolo womqolo ngokunqabileyo alinqabile. Ithumba lomqolo livame ukwenzeka njengengxaki yethumba lesifo.

Iifom zePus njengengqokelela ye:

• Iiseli ezimhlophe zegazi
• Ulwelo
• Iibhaktheriya eziphilayo kunye neziswelekileyo okanye ezinye iintsholongwane
• Ukutshatyalaliswa kweeseli zomzimba

Ubofu buhlala bugqunywe ngumbala okanye inwebu eyenzeka macala onke. Ukuqokelelwa kobofu kubangela uxinzelelo kwintambo yomqolo.

Usulelo luhlala lubangelwa yintsholongwane. Amaxesha amaninzi kubangelwa lusulelo lwe-staphylococcus olusasazeka ngomqolo. Isenokubangelwa sisifo sephepha kwezinye iindawo zehlabathi, kodwa oku akuqhelekanga namhlanje njengokuba kwakunjalo ngaphambili. Kwiimeko ezinqabileyo, usulelo lunokubangelwa kukungunda.

Oku kulandelayo kwandisa umngcipheko we-abscess intambo:

• Ukulimala umqolo okanye ukwenzakala, kubandakanya nezincinci
• Amathumba eluswini, ngakumbi ngasemva okanye entlonzeni
• Ukunyanzeliswa kwe-lumbar puncture okanye utyando lwasemva
• Ukusasazeka kwalo naluphi na usulelo ngokuhamba kwegazi kwelinye ilungu lomzimba (bacteremia)
• Ukutofa iziyobisi

Usulelo luhlala luqala kwithambo (i-osteomyelitis). Usulelo lwethambo lunokubangela ukuba ithumba le-epidural lenze. Eli thumba liyanda kwaye licinezela kumqolo womqolo. Usulelo lunokusasazeka kwintambo ngokwayo.

Ithumbu lomqolo womqolo linqabile. Xa isenzeka, inokuba semngciphekweni wobomi.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Umkhuhlane kunye nokubanda.
• Ukuphulukana nesinyi okanye ukulawula amathumbu.
• Ukuphulukana nentshukumo yommandla womzimba ngaphantsi kwethumba.
• Ukuphulukana novakalelo lwendawo engaphantsi kwethumba.
• I-backache ephantsi, ihlala ithambile, kodwa ngokuthe chu iya isiba mandundu, iintlungu zihambela esinqeni, emlenzeni, okanye ezinyaweni. Okanye, iintlungu zinokusasazeka egxalabeni, engalweni, okanye esandleni.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye unokufumana oku kulandelayo:

• Ukuthantamisa ngaphezulu komqolo
• Ukucinezelwa kwentambo yomqolo
• Ukukhubazeka komzimba osezantsi (i-paraplegia) okanye i-trunk yonke, iingalo kunye nemilenze (i-quadriplegia)
• Utshintsho kwimvakalelo engezantsi kwendawo echaphazeleka ngumqolo

Inani lelahleko yemithambo-luvo ixhomekeke kwindawo ekubhalwe kuyo ithumba kumqolo kunye nokuba ucinezela njani intambo yomqolo.

Uvavanyo olunokwenziwa lunokubandakanya:

• Gcwalisa ubalo lwegazi
• Uvavanyo lwe-CT lomqolo
• Ukukhupha ithumba
• Ibala legram kunye nenkcubeko yezinto zethumba
• I-MRI yomqolo

Iinjongo zonyango kukunciphisa uxinzelelo kumthambo womqolo kunye nokunyanga usulelo.

Utyando lunokwenziwa kwangoko ukukhulula uxinzelelo. Kubandakanya ukususa inxenye yethambo lomqolo kunye nokufunxa ithumba. Ngamanye amaxesha akunakwenzeka ukulikhupha ngokupheleleyo ithumba.

Amayeza okubulala iintsholongwane asetyenziselwa ukunyanga usulelo. Zihlala zinikwa ngomthambo (IV).

Uqhuba kakuhle kangakanani umntu emva kokuba unyango luyehluka. Abanye abantu bachacha ngokupheleleyo.

Ithumba elinganyangekiyo lomqolo womqolo lingakhokelela kuxinzelelo lwentambo yomqolo. Ingabangela ukusisigxina, ukukhubazeka okukhulu kunye nokulahleka kwemithambo. Kungasongela ubomi.

Ukuba ithumba alicinywanga ngokupheleleyo, linokubuya okanye libangele ukunqanqatheka kwintambo yomqolo.

Ithumba linokwenzakalisa intambo yomqolo kuxinzelelo ngqo. Okanye, inokucima ukunikezelwa kwegazi kwintambo yomgogodla.

Iingxaki zinokubandakanya:

• Usulelo luyabuya
• Ixesha elide (elingapheliyo) intlungu ebuyayo
• Ukuphulukana nesinyi / ulawulo lwamathumbu
• Ukuphulukana nemvakalelo
• Ukungabi namandla kwamadoda
• Ubuthathaka, ukukhubazeka

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911), ukuba unempawu zethambo lomnqonqo.

Ukunyangwa okucokisekileyo kwamathumba, isifo sephepha kunye nezinye izifo kunciphisa umngcipheko. Ukuchongwa kwangoko kunye nonyango kubalulekile ukuthintela iingxaki.

Ithumba - intambo yomqolo

• Umqolo
• Inkqubo ye-nervous central kunye ne-peripheral system

UCamillo FX. Usulelo kunye nezihlunu zomqolo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 42.

I-Kusuma S, iKlineberg EO. Usulelo lomqolo: ukuxilongwa kunye nokunyangwa kwe-discitis, i-osteomyelitis, kunye ne-epidural abscess. Ku: I-Steinmetz MP, iBenzel EC, ii-eds. Utyando lwe-Spine lweBenzel. Ngomhla we-4. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 122.