Yintoni isifo ithambo? Njani na? Unobangela Treatment

Unokugula ngesifo sesifo sofuba ngenxa yeemeko zokuphila ezimbi, ukulimala ngokwemvelo, ukulimala, ngokuphindaphindiweyo izifo ezithathelwanayo, i-hypothermia, iimeko ezingasebenzi kakuhle.

Oyintloko

Ingqiqo ekuphuhlisweni kwesi sifo njengesifo sesifo sofuba, kukudityaniswa kwangaphambili nomntu ochaphazelekayo kwesi sifo. Esi sifo sisiphumo sokungena kwe-mycobacterium ukusuka kwingqwalasela yesifo sofuba emiphakeni ngegazi kunye neempahla ze-lymphatic kwithambo. Ngoko ke, izakhiwo zethambo ezinikezelwa kakuhle ngegazi ziyahlaselwa. Ngokomzekelo, ummandla wegxala, u-hip, umlenze, umlenze ophantsi kunye nomphambili.

Isi sifo sakha njani?

Ngokuphindaphindiweyo okusebenzayo kwe-mycobacteria, ukubunjwa kwee-tubercles ezithile kwenzeka nge-granulomas, ezayo iyanqamuka. Ngenxa yoko, i-bone marrow isifo sofuba ikhula. I-bone substance ihlaselwa, i-abscesses ye-cavity, igcwele iziqulatho ezingenanto, i-fistula, ebonakala ngokungabikho kokuxhamla phakathi kwethambo kunye nendawo yangaphandle. Kwakhona, iindawo eziqingqiweyo zethambo elifileyo (ukulandelwa kwempahla) ziyabonwa.

Ingaba isifo sofuba somgudu sibonakala njani?

Isifo sofuba sesifuba siqala ukuphuhliswa kwayo kwi-vertebra enye. Xa i-granuloma ikhula, izicubu zethambo ziyancipha, ukuvuvukala kuthatha indawo engumakhelwane kwikholamu yomgcini. Umlenze uphosakele. Xa ummandla wezithambiso uchaphazeleka ngokucwenga intambo yomgogodla, ukukhubazeka kunye neparresis ziyakwenza.

Iimpawu zesifo sesifo sofuba

Isifo sesifo sesifo sofuba kwisigaba sokuqala sibonakaliswa ngokubonakalisa kancinci kweempawu. Bangeke bazibonakalise nonke. Izigulane zikhalaza ngokunyuka kweqondo lokushisa kuma-37 degrees. Maxa wambi iqondo lokushisa liphakama kwaye liphezulu. Abantwana baba nosizi kwaye balele, kwaye abantu abadala baziva bexakekile kwaye bethwala ubuhlungu kwiimisipha. Iyancipha ngokukhawuleza ukusebenza kakuhle. Abanye abantu emva kokuzikhandla ngokwenyama baziva beva intlungu ephantsi kwintsipho engabikho ndawo ecacileyo. Emva kokuphumla badlula.

Ngaloo ndlela, kunokuthiwa ukuba iimpawu zesifo ziphelile, ngoko abaninzi abantu abafumani uncedo lwezonyango ngexesha elifanelekileyo, kuba bachaza imeko yabo ngokusebenza ngokulula.

Ulwazi olubalulekileyo

Ukuba intlungu ayigcini xa ithatha i-analgesics okanye izidakamizwa ezichasayo, zibonisa ukuba kukho ukuphuhliswa kwesi sifo njengesifo sofuba sesistim, esingeke sikwazi ukujamelana nayo yodwa.

Ukusabalala kwenkqubo ye-pathological ngaphaya kweentlukwano ze-vertebration kubangela umonakalo kumqolo wamagxa. Le yigaba yesibini yesifo.

Yintoni ebonisa isigaba sesibini

I-Asthenia iyanda, ukushisa komzimba kuphakama kumanqaku aphakamileyo. Konke oku kukho intlungu ephawulwe kwenye okanye enye inxalenye yomgudu. Le ntlungu ibangela ukuhamba komntu. Waphula kakubi i-posture yakhe. Ekuphumleni, ubukhulu beentlungu buyehla. Imisipha ecaleni lomgudu ixhala, ivule. Xa isalathiso, isigulane sibuhlungu.

Isigaba sesithathu sesifo sofuba

Isifo sofuba sesithambo samathambo sithinta i-vertebrae ecaleni. Umqathango jikelele wesigulane ubonakala unzima. Umntu ogulayo uncinci kakhulu, ubushushu bomzimba buhlala kwi-39 okanye 40 degrees. Urhulumente we- asthenic ugcinwa . Ubuhlungu emgodini bunamandla. Ekuphumleni, kuncipha.

Emva kokuba unyango lwesigulane sesigulane luhlala lukhubazekile, i -atrophy ye-muscle ye-dorsal iyabonwa , ukuhamba komntu kukhululeke kakhulu. Ezinye izigulane nangemva kokuba unyango luqhubeka lukhalaza malunga nokungazinzi emgodini kunye nakwiindawo ezithintekayo.

Isifo sofuba esiphezulu nesingaphantsi

Esi sifo sichaphazelekayo kumanyathelo afana nesifo sofuba somgulane. Ziziphi iimpawu zesifo sesifo sofuba sesigxina? Inkqubo yokuvuvukala ibonakaliswe intlungu, isikhumba sijika sibomvu, ubuqhopho buqatshelwe ngaphezu kwesilonda. Ukutshatyalaliswa kwethambo kubangela ukukhubazeka kwesilungu kunye nokuphulwa kwemida kuze kubekho ukubonakala koqhwala. Umthamo womsebenzi wehla ngokukhawuleza.

Isifo sifumaneka njani

Zonke izigulane ezinokukhankanywa kwethambo lesifo sesifo sofuba sifumana i-radiograph okanye i-tomography yelichaphazelekayo kwiziko ezimbini. Kule meko, kuyimfuneko ukucacisa ukugxilwa kwethambo lokutshatyalaliswa (ukuchithwa kwamathambo) kunye nezithunzi ezisuka kuma-abscesses.

Ekubeni kukho i-fistula nama-abscesses, i-fistulography okanye i-abscessography isetyenziselwa ukucacisa ubungakanani babo. Umtya we-abscess okanye i-fistula igcwele umxube ohlukeneyo, ngoko ulandelelaniso lweemifanekiso.

Xa usenza uxilongo, inxaxheba ebalulekileyo idlalwe yi-microbiological examination of areas of bone dead, iziqulatho ze-abscess okanye i-fistula.

Yiyiphi ubungqina bethambo lwesifo sofuba

Isifo sesifo sesifo sofuba siqinisekisa ubungqina be-mycobacteria. Uvavanyo lwegazi lubonisa ukuvuvukala kwesimo esithintekayo. Inani le-leukocyte landa, i-ESR likhawuleza, ibonakala kwiprotheyini esebenzayo yeC, njl. Ukuqinisekisa isifo, isilingo esichukumisayo kunye nesifo se-tuberculin sisetyenziswa.

Ngenxa yokuba isifo singasesekondari, kuyimfuneko ukuba singene kwisifuba x-ray, kwaye phambi kwezikhalazo ezithile ukuqhuba uviwo lwezinye izitho.

Uphethwe njani isifo sofuba?

I- TB yesifo sofuba, unyango lwaluhluke ngexesha, lupheliswa ngokunciphisa ngokukhawuleza kwintsholongwane. Kwakhona, ukuthintela ukutshatyalaliswa kweethambo zamathambo kufumaneka. Kukho unyango lokubuyisela ngokubanzi.

Ukuthotyelwa kokutya

Kwixesha elisebenzayo leprogram yokuvuvukala, amava omgulana agxininisa ukuphulwa kweprotheni. Ngenxa yoko, ukuzaliswa kwayo kubalulekile ukuba udle ukutya okunotyebi kule nto. Isixa sokutya esidliwe kufuneka senyuke nge 1/3. Inani le-calorific yansuku zonke kufuneka libe ngama-3500 khalori ngosuku. Kule meko, ukutya okunomdla okugqithiseleyo kubangela ukugqithiswa komzimba kunye nokukhuluphala, okukuso kwesi sifo akuvumelekanga.

Ngomhla isigulane kufuneka sidle umyinge we-100-120 g weprotheni. Emazingeni aphezulu aphezulu, i-protein intake kufuneka iyancitshiswe kuma-70 g ngosuku.

Ukutya okuphakanyisiweyo:

• Umhluzi ovela kwenyama okanye intlanzi;
• Cutlets inyama;
• Pâté;
• Intlanzi ebilisiwe;
• Ukutya ngamaqanda.

Ukutya kwesantya kufuneka kufakwe ngobisi kunye nemveliso ye-lactic acid. Ziqulethe i-calcium, eyimfuneko kwitheko elonakalisiweyo.

Kwinkqubo yokuvuvukala, kunye nexesha lokunyanga ngamayeza okubulala, ukusetyenziswa kwiqela elikhulu lezityalo kunye nemifuno, kunye ne-multivitamin complexes, kucetyiswa.

Indlela yokuphila kunye nezifo

Ngenxa yokuvuvukala okukhulayo, ukuphumla kombhede kunconywa. Ngethuba loko unyango lunokusetyenziswa ngonyango kunye nokusikwa. Umntu ogulayo kufuneka ahlale engaphandle. Iingenelelo ezibangelwa ukushona kwelanga. Njengomthetho, izigulane zifumana iikholeji zoqeqesho kunye neenkqubo zokuvuselela kwizibonelelo ezikhethekileyo kunye neesatatori, apho ulawulo lwemihla kunye nokuphumla lugcinwa ngokugqithiseleyo.

Unyango lwesifo kunye namayeza

Impembelelo enkulu yonyango iphathwa ngamagciwane okudibanisa neendlela zokugqirha.

Iziyobisi ezinxamnye neebhaktheriya zisetyenziswa zombini ngaphambi nangemva kokuhlinzwa. Ngokuqhelekileyo, oogqirha bathi "i-Rifampicin", "i-Isoniazid", "i-Pyrazinamide", "i-Etambutol", njl. Imichiza isetyenziswa ixesha elide. Basela ngokukodwa kwisicwangciso esithile.

Inyango yokuphanda

Ubungakanani bokungenelela ngonyango kuxhomekeke ekutheni ubukhulu beethambo buphukile, kunye nokuba khona kwama-abscesses kunye ne-fistula. Indlela yokusebenza iyakususa i-sequeters, izibonda zamathambo kunye nemivimbo ye-fistula. Bahlamba kunye ne-antiseptics kunye ne-antibiotics. Ezi zivalo ezinonyango olufanelekileyo zivaliwe ngokwazo.

Imisebenzi enzima kakhulu ihluke kwixesha elide le sifo kunye nefuthe elibi emgodini nasemathambo. Imisebenzi enjalo ayikwazi ukuphelisa ukukhubazeka kwezigulane, kodwa inganciphisa ubunzima besifo.

Inkqubo yokubuyisela

Ukubuyiselwa kwempilo kuqhubeka kwizigaba. Umsebenzi oyintloko kukubuyisela imisebenzi elahlekileyo yelungu elichaphazelekayo kwaye ubuyisele isigulane kwindawo epheleleyo. Ngethuba elifanayo, ukusetyenziswa koqeqesho olusesikweni, ukuxilisa, unyango lwezonyango, kunye neendlela ezahlukeneyo ezikhuthaza ukuhlaziywa kwezentlalo kunye nobugcisa kuboniswa.

Iingxaki

Isifo sofuba sesithambo samathambo singabangela ubuninzi beengxaki:

• Ukukhawulwa kwekholam yomgcini. Kwiziko lesilonda se-vertebrae, i-hump ihlala ivela. Oku kudla ngokuquka ukulungiswa kwesibini.
• Xa umgudu uphuhliswa, ukuphazamiseka kwemizimba kuphawulwa kuzo zonke izigulane, ngokuqala ngokunyuka kwetoni ye-muscle okanye ukunyakaza okungazibandakanyi kunye nokuphela kweparresis nokukhubazeka.
• I-Abscesses kwisifo ilapha kufuphi ne-vertebrae echaphazelekayo. Ziyakwazi ukwahlukana ngethuba elide. Indlela yonyango yokwenza unyango.
• I-fistula yenzeke ekuphumeni kokuvuvukala phezu kwesikhumba.

Ukugxekwa kwesi sifo

Okwangoku, akukho miphumo ebulalayo. Kodwa esi sifo sibonakaliswe yinkqubo enzima kakhulu ngokubonakala kobunzima bokungabikho, okukhokelela ekulahlekelweni kwamandla okusebenza. Kucacisiwe ukuba malunga nesiqingatha samatyala abantu abayizilungelo. Unyango ludla ixesha, ezininzi iziyobisi zinobuthi obuyingozi.

Amanyathelo okukhusela

Amanyathelo okukhusela okuqhelekileyo amanyathelo okujoliswe ekunciphiseni amathuba okuqhagamshelana nezigulane ezineesifo sofuba, kunye nokuthintela ukusuleleka, ukubandayo, ukulimala kunye nokutyhefuza.

Abantwana kunye nabaselula kufuneka bahlaselwe isilingo sesifo sofuba, njengoko oku kunceda ekufumaneni izifo eziphantsi. Ukubhekisela kumgqirha xa kukho intlungu emathanjeni nasemiswini kunceda ukuqaphela isifo kwiimvavanyo zokuqala kwaye uphathe unyango olufanelekileyo ngexesha elifanelekileyo.

Isifo sofuba samathambo kubantwana

Umntu omdala unamandla okuchasana nesifo ngesifo sofuba, ekubeni umkhuhlane wakhe unamandla kwaye uphuhliso. Umzimba womntwana unzima kakhulu. Ngoko ke, isifo sofuba samathambo kunye nomgudu ngokuphindaphindiweyo kubakho ebuntwaneni.

Isizathu sentsholongwane ebuntwaneni

Ngaphantsi kweempembelelo zeemeko ezimbi, umzimba wengane ngokukhawuleza uba ngumngcipheko kumayeza.

Umhlaba okhulayo ukuphuhliswa kwesifo sesifo sofuba sisifo esiyingozi kakhulu. Phakathi kwabo, kufuneka kuqatshelwe i-influenza, isisisi kunye nokukhwehlela. Ziba negalelo ekudakaleni kwamandla okuzikhusela.

Isifo sesifo sofuba emzimbeni womntwana osandul 'isifo esithathelwanayo, ngokukhawuleza siphuthuma ukuveliswa komonakalo kwamathambo kunye namalungu. Ngako oko, abazali kufuneka banamathele umntwana oye waba nezifo ezinzulu, kunye nokusola kancinci kwesifo sofuba ukubonisa ugqirha. Ingcali iza kuqesha uviwo olufanelekileyo.

Isifo sesifo sofuba siqala njani?

Ngokuqhelekileyo, isifo sesifo sofuba sabantwana sikhula ngokufihlakeleyo kwaye sihamba ngokukhawuleza. Ngokuqhelekileyo umntwana ukhononda ngentlungu edibeneyo.

Abanye abazali badibanisa nokuqala kwesifo ngokuwa okanye ukulimala. Kodwa lo mgwebo awunakulunganga. Ngaphandle kwengqwalasela ebuhlungu emathanjeni, isifo sofuba asikwazi ukukhula ukusuka ekulula.

Ziziphi iingxaki ezinokubangela isifo sofuba samathambo emntwaneni

Ukuba umntwana akaboneleli ngoncedo lwezonyango ngexesha, isifo sofuba sinokukhupha i-abscess ngokubambisana kunye nokubonakala kwe-fistula ende, engaphilanga. Isifo sobambiswano singabangela ukutshabalalisa nokuphazamiseka kokuhamba, ukunciphisa isilungu. Isifo sofuba somgudu siquka ukunqumla kwawo, ukubunjwa kwamathambo kunye nokukhubazeka kwamalungu.

Ngokufumanisa okokuqala isifo kunye nokunyango oluchanekileyo kwaze kwaba yilapho inkqubo iphela, isifo sifana kwifom elula kwaye ayibangeli ukutshabalalisa ngokubambisana.

Kubaluleke kakhulu ukuba ungaphuthelwa izigaba zokuqala zesifo, xa isifo asizange siphakamise ukuhlaselwa kweethambo zamathambo. Ngeli xesha, isigulane sinokubona iimpawu ezicacileyo zesifo. Ukubonakalisa ngesi sifo kunokubambisana kunye, kunye nemeko yomzimba womntwana.

Iimpawu

Umntwana ubonakalisa njani umdlavuza wesifuba? Iimpawu ziyahluka. Okokuqala, imvakalelo yomntwana kufuneka ishintshe. Xa ujabule kwaye ujabule, utshintsho, luba lukhuni kwaye lungenandaba. Ukhawuleza ulahlekelwa isisindo, uguqulwe, uphethwe ngumdla obi, akayi kugijima, ukhathala ngokuhamba, uhlala ephumla, ehlalisa umqolo wakhe eludongeni. Phakathi kweempawu ze-neurological, ukungabikho komsebenzi, ukukhathala okukhawuleza, ukungazinzi kuphawulwa.

Ngokuqhelekileyo, abazali baqaphela ukuba umntwana uye wahamba kwaye ukhetha umsebenzi wokuphumla. Ngamanye amaxesha umntwana unokuphakama kwamaqondo angama-37.2 okanye ama-37.4. Isigulane asikho izikhalazo ezithile, kodwa kukho utshintsho olubukhali kwi-posture. Ngesifo sofuba somgudu, kukho isondo okanye ukugqithisa ngokugqithiseleyo komgudu. Amagxa aphakanyiswa, nentamo okanye intloko iphosakele.

Ukuhlala, umntwana uhlala izandla zakhe esihlalweni, kwaye ukuba uthanda, ukugoba umva kubeka ugxininiso ezandleni zamadolo. Xa idibeneyo ichaphazelekayo, uqala ukudonsa unyawo lwakhe. I-clubfoot idlalwa rhoqo. Umntwana uzama ukunyathela emlenzeni ochaphazelekayo.

Ngaphantsi kangangoko i-osteoarticular tuberculosis ixoxisana ngokugqithisa ukukhanya. Abazali bacinga ukuba umntwana uyazithoba, aze amgxeke. Ngexesha elithile umxhelo wakhe kunye nesimo sithuba senziwa, kodwa ke yonke into iyabuya. Ukuba isandla sishaywe, umntwana uyazikhusela ngokusesikweni, enze intshukumo kuphela ngesandla esinempilo. Akukho zikhalazo zentlungu. Ezi zinto zibangelwa ukunciphisa ukuhamba ngokuqhelekileyo kokubambisana ngenxa yokuxhatshazwa kwemisipha.

Ukuba abazali bafaka umntwana ukuba alele, uqala ukufudula ingalo okanye umlenze ochaphazelekayo, ukulungiswa kwakhe okuchanekileyo kuya kubuyiselwa. Nangona kunjalo, emva kwexeshana, kuya kuphinda kubekho umqobo wokuhamba, i-gait ne-posture iya kutshintsha. Ezi ntlupheko zibonakala njengexesha kwaye ziba yinto yokuqala kunye nezibonakaliso zezifo zesifo sofuba. Iimvakalelo ezibuhlungu, njengommiselo, aziqwalaselwa kwiinqanaba zokuqala.

Ifomu yebhontsho yesifo sofuba kwisigaba sokuqala sophuhliso kubangela ukunciphisa ingalo okanye umlenze ochaphazelekayo. Izicubu ezinobumba ziba zibuhlungu. Izikhalazo zentlungu zibonakala emva koko.

Ngokuqhelekileyo intlungu ihlala kwindawo efanelekileyo ngokwaneleyo ukusuka kwindawo yophuhliso lwenkqubo. Ngokomzekelo, ngesifo sofuba somgudu, umntwana ubona intlungu kwisisu, umva, iimbambo kunye neengalo. Xa isifo sofuba sikhathazekile, amadolo.

Xa umgudu wonakaliswe, umjikelezo unokuvela ngexesha lokuphefumla. Ngamanye amaxesha umntwana ukhalela ebusuku ngenxa yeentlungu ezinokunyamekela ngexesha lokulala.

Kubaluleke kakhulu ukubamba iimpawu zokuqala kwaye udibane nodokotela ngexesha.

Isiphelo

Isifo sesifo sofuba sisifo esiyingozi. Inokubangelwa zizifo, kunye nokudluliselwa kumntu ogulayo. Esi sifo sichazwe yithuba lekhosi. Umzekelo, kuthatha iminyaka engama-2-3 ukuphilisa umlenze okanye amaninzi amakhulu ebuntwaneni.

Ekuqaleni ubukho besifo sagqityiwe kwaye unyango olufanelekileyo luqalisiwe, bhetele isiphumo sesi sifo.