Unyango lwe-osteomyelitis kunye nokusetyenziswa kwamagciwane okulawula

I-Osteomyelitis isifo esibi, sihamba kunye nokutshatyalaliswa kwamathambo. Le nkqubo yenzululant-necrotic in bone tissue, periosteum kunye nomnatha wethambo. Izifo ezinjenge-staphylococci, streptococci kunye ne- Pseudomonas aeruginosa ziyi-pathogens ye-osteomyelitis . Ukukhulelwa kubhalwe ngokuxhatshazwa kwamathambo, kunye negazi, okukhokelela ekuphuhlisweni kwe-osteomyelitis. Inkqubo ye-pathological iqala kwakhona emva kokuhlinzwa, ukuba imithetho ye- aseptic kunye ne-antiseptic ayizange ilandelwe ngabagqirha .

Njani ukunqoba isifo?

Unyango lwe-osteomyelitis luquka iindlela ezichongileyo kunye neendlela zokucoca. Nangona kunjalo, unyameko kufuneka kuthathwe kwindawo yokuqala ukukhusela ukuphuhliswa kwale nkqubo yokusuleleka. Nangona isifo sinyango, kwaye iziphumo zonyango lokubhala ziyamangalisa kakhulu, ukunyanga kwe-osteomyelitis kubangela ukuphulwa ngamanye amalungu kunye neenkqubo. Ngoko ke, kungcono ukunqanda ukungena kwamagciwane atshabayo emathanjeni ethambo kunye nokusabalala kwazo. Ekubeni imbangela ebalulekileyo ye-osteomyelitis yonakalisa umonakalo kwithambo nokulimala, ngoko ke xa ujongene nalo, kufuneka ukwazi ukwenza ukanti lokuqala lwenxeba. Iquka:

• Ukuhlamba isilonda evulekile ngesisombululo se-chlorhexidine;
• Unyango lweemilingo zesilonda kunye nesisombululo sobume obuhlaza;
• Ukusetyenziswa kwebhanki engenamanzi ehambelana ne-hydrogen peroxide;
• Kufuneka unqande umlenze onobungozi kwaye uye ekliniki, apho uya kuhlolwa kwaye wenze isiphetho esifanelekileyo.

Unyango olusisigxina lwe-osteomyelitis luquka iindlela eziqhelekileyo nezendawo. Zijoliswe ekuphuculeni imeko yesigulane, ukuqinisa umkhuhlane kunye nokulwa nokujoliswa kwesulelo.

Ukusetyenziswa kwamachiza

Umsebenzi oyintloko uncedo lwe-antibacterial, njengoko i-antibiotics isebenzisa i-cephalosporins, i-aminoglycosides kunye nabanye. Ekubeni amaninzi amancinci afumana ukuchasene neziyobisi, unyango kufuneka lube lubanzi kwaye luhlale luhlengahlengiswa ngokuxhomekeka kwimeko yesifo kunye neziphumo zongenelelo lweziyobisi. Unyango lwe-osteomyelitis kunye ne-antibiotics lusebenza kakuhle. Ininzi idla ngokusetyenziswa kweziyobisi ezininzi ngeendlela ezininzi. Emva kweveki ezimbini, ezinye izidakamizwa ze-antibacteria zithatyathwa ngabanye, ezifana nazo, ukulwa nokuphumelela ngokumalunga nama-agent atshayayo. Ulwaphulo lwe-antibiotic, nangona luyimfuneko, kodwa luzisa iingxaki ezininzi. Ngokukodwa, iintsholongwane ze-antibiotics ezibanzi azichaphazeli kuphela ukugxilwa kwe-inflammation, kodwa kunye nezinye izitho kunye nezicubu ezingathintekiyo ngosulelo. Zilimaza i-microflora evamile yamathumbu, ekhokelela ekuphuhliseni i-dysbiosis. Ngoko ke, xa unyango oluphambili lwe-osteomyelitis lwenziwa, ama-probiotics anikezelwe. Iimpawu zokuxhamla kunye ne-immunomodulators zisetyenziselwa ukuqinisa nokubuyisela umzimba omzimba obuthathaka . Ngexesha lophiko lonke, kuyimfuneko ukuqhuba indlu yangasese yecala lesilonda kunye nokususwa kwepus, sequesters, kunye nokucoceka kwethambo. Kwiimeko ezigqithiseleyo, xa inkqubo iba namandla kangangokuba i-phlegmon iyaqhubeka, ngoko bayayichengisa unyango olusakhulayo, ukususa iindawo ezichaphazelekayo zethambo. Unyango lwe-osteomyelitis kunye nezilwanyana zengqondo zibuye zithethelele, nangona kunjalo, akudingekile ukuba zibandakanye kwiyeza zonyango, kodwa kungcono ukuthembela oogqirha.