I-Osteomyelitis ebantwaneni

I-Osteomyelitis lusulelo lwethambo olubangelwa ziintsholongwane okanye ezinye iintsholongwane.

Usulelo lwethambo luhlala lubangelwa ziintsholongwane. Inokubangelwa ngumngundo okanye ezinye iintsholongwane. Kubantwana, amathambo amade eengalo okanye emilenze ahlala echaphazeleka.

Xa umntwana ene-osteomyelitis:

• Intsholongwane okanye ezinye iintsholongwane zingasasazeka kwisithambo kulusu olusulelweyo, izihlunu, okanye imisipha ecaleni kwethambo. Oku kunokwenzeka phantsi kwesikhumba.
• Usulelo lungaqala kwelinye ilungu lomzimba kwaye lusasaze ngegazi ukuya kwithambo.
• Usulelo lunokubangelwa kukwenzakala okuphula ulusu kunye nethambo (ukwaphuka okuvulekileyo). Intsholongwane inokungena kulusu kwaye ichaphazele ithambo.
• Usulelo lungaqala emva kotyando lwethambo. Oku kunokwenzeka ngakumbi ukuba utyando lwenziwe emva kokulimala, okanye ukuba iintonga zentsimbi okanye iipleyiti zibekwe ethanjeni.

Ezinye izinto ezinobungozi zibandakanya:

• Ukuzalwa kwangaphambili okanye ukubeleka iingxaki kwiintsana
• Seswekile
• Ukuhanjiswa kwegazi okungalunganga
• Ukulimala kwangoku
• Isifo seSickle cell
• Usulelo ngenxa yomzimba wangaphandle
• Izilonda zoxinzelelo
• Ukulunywa ngabantu okanye ukulunywa zizilwanyana
• Amajoni omzimba abuthathaka

Iimpawu ze-Osteomyelitis zibandakanya:

• Intlungu yethambo
• Ukubila okugqithisileyo
• Umkhuhlane kunye nokubanda
• Ukungakhululeki ngokubanzi, ukungonwabi, okanye ukuziva ungonwabanga (malaise)
• Ukudumba kwengingqi, ukuba bomvu kunye nobushushu
• Intlungu kwindawo yosulelo
• Ukudumba kwamaqatha, iinyawo kunye nemilenze
• Ukwala ukuhamba (xa kubandakanyeka amathambo emilenze)

Iintsana ezine-osteomyelitis zisenokungabinayo ifiva okanye ezinye iimpawu zokugula. Banokukuphepha ukuhambisa ilungu elosulelekileyo ngenxa yeentlungu.

Umboneleli wezempilo womntwana wakho uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu umntwana wakho anazo.

Uvavanyo olunokuyalelwa ngumboneleli womntwana wakho lubandakanya:

• Iinkcubeko zegazi
• I-Bone biopsy (isampulu ikhulile kwaye ivavanywa phantsi kwemicroscope)
• Ukuskena amathambo
• I-X-ray yethambo
• Gcwalisa ubalo lwegazi (CBC)
• Iprotheni esebenzayo yeC (CRP)
• Izinga le-sedimentation ye-Erythrocyte (ESR)
• I-MRI yethambo
• Inzala yenaliti yommandla wamathambo achaphazelekayo

Injongo yonyango kukumisa usulelo kunye nokunciphisa ukonakala kwethambo kunye nezicubu ezijikelezileyo.

Amayeza okubulala iintsholongwane anikezelwa ukutshabalalisa iintsholongwane ezibangela usulelo:

• Umntwana wakho unokufumana ngaphezulu kwesinye isibulala zintsholongwane ngexesha.
• Amayeza okubulala iintsholongwane athathwa ubuncinci iiveki ezi-4 ukuya kwezi-6, rhoqo ekhaya nge-IV (ngaphakathi, ngaphakathi, intsingiselo yethambo lomthambo).

Utyando lunokufuneka ukuze kususwe izicwili zamathambo ezifileyo ukuba umntwana unesifo esinganyangekiyo.

• Ukuba kukho amacwecwe esinyithi kufutshane nosulelo, anokufuna ukususwa.
• Indawo evulekileyo eshiywe ziithambo zethambo ezisusiweyo inokugcwaliswa ngokufakelwa kwethambo okanye izinto zokupakisha. Oku kukhuthaza ukukhula kwethambo elitsha.

Ukuba umntwana wakho wanyangwa esibhedlele ngenxa ye-osteomyelitis, qiniseka ukuba ulandela imiyalelo yomboneleli ngendlela yokunyamekela umntwana wakho ekhaya.

Ngonyango, iziphumo ze-osteomyelitis ebukhali zihlala zilungile.

Imbonakalo imbi kakhulu kwabo banesifo sexesha elide (esinganyangekiyo) se-osteomyelitis. Iimpawu zinokuza zihambe iminyaka, nokuba sele uqhaqho.

Nxibelelana nomboneleli womntwana wakho ukuba:

• Umntwana wakho uvelisa iimpawu ze-osteomyelitis
• Umntwana wakho une-osteomyelitis kwaye iimpawu ziyaqhubeka, nangonyango

Usulelo lwamathambo - abantwana; Usulelo - ithambo - abantwana

• Osteomyelitis

UDabov GD. Osteomyelitis. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-14. IPhiladelphia, PA: Elsevier; 2021: Isahluko 21.

Krogstad P. Osteomyelitis. Ku: UCherry JD, uHarrison GJ, uKaplan SL, uSteinbach WJ, uHotez PJ, ii-eds. Incwadi kaFeigin kunye neCherry yezifo ezosulelayo zabantwana. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 55.

URobinette E, u-Shah SS. Osteomyelitis. 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: isahluko 704.