Isifo sesifo sofuba: izimbangela, izimpawu, ukwelashwa

Isifo sikaPott siyisifo sofuba esingasetshenziselwa umgogodla, esithinta ngenxa yezizathu ezihlukahlukene. Isifuba esingezansi kanye ne-vertebrae engenhla lithinta kakhulu.

Ngaphezu kwakho konke, lesi sifo esithathelwanayo sithinta amadoda. Kodwa kutholakala ukuthi kunezingqimba eziningi zomphakathi. Isifo sesifo sofuba sifululisi siphuthuma kakhulu, ngakho-ke kunzima ukubona ukuthi isifo sisengaphambili.

I-Etiology kanye nemvelaphi ye-spondylitis

Amabhaktheriya afinyelela isayithi lokutheleleka ngegazi. Ukugxila kwenqubo yokuvuvukala kuqala esitokisini se- spongy. Ezingamaphesenti angu-5, i-spondylitis itholakala ezindaweni ezimilayo ezidumbu ze-vertebral.

Njengoba lesi sifo siphuthuma, isifo sofuba somgogodla sanda kancane kancane futhi sisakazeka. Izakhi ezimbili noma ngaphezulu eziseduze zethambo zihileleka enkambeni yokuvuvukala nge-extension ngaphansi komgogodla we-longitudinal wangaphakathi noma ngqo ngokusebenzisa i-disc intervertebral. Ngezinye izikhathi bangabandakanyeka eziningana, kuyilapho behlanganyela izicubu ezinempilo.

Isifo sofuba somswakama sithuthuka kanjani? Izakhi ze-Bony zilahlekelwa amandla azo amandla ngenxa yokwanda kokubhujiswa ngaphansi kwethonya lesisindo somzimba. Ukweqisa ngokweqile kwezixhumanisi kuholela ekuguqukisweni kwe-angular.

Ubukhulu bokuphazamiseka buxhomeke ezingeni lokubhujiswa, izinga lomonakalo kanye nenani lamathambo esithintekayo ohlelweni lwezokwelapha.

Ukubonakaliswa kwemitholampilo ye-spondylitis

Izimpawu zokuqala azicacile futhi ngokuvamile azibonisi isifo sofuba somgogodla kuphela. Izimpawu zingafana nalezi ezinye izifo ezenzeka ngesikhathi esisodwa emzimbeni. Lezi zibonakaliso ezifana nalezi:

• General malaise;
• Ukukhathala kalula;
• Ukulahlekelwa kwesifiso nesisindo;
• Izingane - ukulahlekelwa isifiso sokudlala emoyeni omusha;
• Ngemuva kokudla noma kusihlwa, kunomkhuhlane.

Izimpawu zendawo zibuhlungu, i-spasm ne-soreness. Zibonakaliswe kancane kunezinye izifo. Ubuhlungu obukhulu, njengomthetho, angeke kubonise isifo sofuba nje samathambo omgogodla. Izimpawu zesifo zingahluka: ngezinye izikhathi iziguli zikhononda ngokuqina.

Naphezu kwenani elikhulu labantu ababhekene nalesi sifo ezinyangeni zokuqala, izimpawu zomtholampilo zingase zingabonakali. Izimpawu eziningi azikho ngisho nasesikoleni esibucayi sesifo.

Izibonakaliso zangaphandle ze-spondylitis ezinobuthi

Umthamo womuntu ushintsha ngokushesha. Izinyathelo ziba mfushane, isiguli kunzima ukuhambisa.

Ukucindezeleka kwezimpande zesibindi kuholela ekulimaleni kwisimiso sezinzwa. Kubonakala:

• Ukungaqondakali kwe-tendon reflexes;
• Ubuthakathaka bemisipha;
• I-Spittic gait.

Esikhathini esilandelayo, isifo sofuba somgogodla kubantu abadala singase sihambisane nokuqhuma kwetendon reflexes ngokulandelana okulandelayo:

• I-gait iba i-clunky;
• Kukhona ubuthakathaka emilenzeni, kufanele uhambe ngokusekela;
• Imisipha i-atrophy, isiguli asikwazi ukuphuma embhedeni, ayikwazi ukuhambisa.

Izimbangela zesifo

Ukutheleleka komgogodla ngamagciwane kuyindlela ejwayelekile kunazo zonke yokugula. Zibangelwa ama-microorganisms ahlukene. Uhlu lwezifo ezinjalo lubandakanya izifo ezinjengalezi:

• I-Spondylitis;
• I-discitis;
• I-Spondylodisitis;
• I-epidural abscess.

Ngokuvame ukulimaza abantu izidakamizwa zidlula egazini e-vertebrae, okubangela isifo sofuba somgogodla. Izimbangela zesifo:

• Ukuhlukunyezwa ngokomzimba;
• Izimo ezingavumelekile zokusebenza;
• Izifo ezithathelwanayo.

Isizathu esiyinhloko sokwenzeka kwe-pathology ukuxhumana ngokuqondile nomuntu osuvele onegciwane.

Amaqembu amakhulu engozi

Ukungena kwamagciwane amakhulu emaphashini omuntu onempilo kuyabangela ukuthuthukiswa kokutheleleka hhayi emaphashini kuphela, kodwa nasemathanjeni amathambo omzimba.

Amaqembu weziguli ezisengozini:

• Ubuntu bokubhema;
• Ukungondleki;
• Iziguli ezine-AIDS noma ezinye izifo ezifanayo ezibangelwa ukuwohloka kwesimiso somzimba;
• Iziguli ezine-diabetes mellitus;
• Labo abahlukumeza izidakamizwa.

Ukwelashwa kungenzeka ngisho nangemva kokuhlinzwa.

Ukuhlukaniswa kwesifo kanye nezigaba zokuthuthukiswa

Kunezinhlobo ezimbili zokubonakaliswa kwesifo nezigaba ezinhlanu zokuthuthukiswa. Isifo sofuba somgogodla sibheke futhi sinovial. Ukuzwa ukuxilongwa okunjalo kuyesabeka kakhulu. Lithinta i-bone cartilage, libhubhisa futhi libhubhise, elibangela izifo ezifana ne-arthritis kanye ne-arthrosis, okwandisa inkinga yesifo.

Izindlela zokuthuthukiswa kwesifo sofuba somgogodla:

1. Ekuqaleni, umuntu onempilo uba nesifo.
2. Esikhathini sesigaba sesibili, amabhaktheriya aphindwe masinyane, abulale amangqamuzana aphilile.
3. Ngaphezu kwalokho, ukubonakala kwezibonakaliso zokuqala kuyisici.
4. Esikhathini sesiteji sesine, ukukhiqizwa kwamagciwane amakhulu kufinyelela ku-apogee, umgogodla uphethwe.
5. Isigaba sokugcina ngumjikelezo ophindaphindiwe, lapho umuntu ngokwakhe eba ngumthwali wesifo.

Ukuthuthukiswa kwesifo kunezigaba ezintathu ezilandelanayo:

1. I-ostitis eyinhloko.
2. Isigaba se-arthritic.
3. Isigaba se-Postartritic.

Uma ungaqali ukwelashwa okufika ngesikhathi, leso sifo singabambezeleka kakhulu, okuzoholela ekukhubazekeni kuphela, kodwa nasekufeni kwesiguli.

Ukuxilongwa kwe-spondylitis

Ukuxilongwa "kwesifo sofuba" kungatholakala ekufundeni kwemitholampilo kanye ne-radiological.

Khona-ke isiguli sibhekana nokuhlushwa okuhlukile, kufaka phakathi ukuqoqwa kwe-anamnesis, ukucaciswa kwezimpawu. Ukukhubazeka okubangelwa yi-congenital yomgogodla:

1. Isifo se-calvet (ezigulini ezincane).
2. UHernia Schmorl kanye nesifo seSheyerman-Mau (ngezinye izikhathi kungenzeka kubafana).

Ngesifo sofuba, izinsimu ze-vertebrae azikho ekuhlolweni kwe-X-ray, futhi isikhala sediski sinciphile.

Ukuze uthole ukuhlolwa kwamathambo, kubalulekile ukuqhuba ukuhlolwa kwelabhoratri:

• Thatha ukuhlolwa kwegazi;
• Ukwenza i-ESR ne-DRR;
• Hlola isibindi nezinso;
• Ukuqhuba i-biopsy, ukuboleka izingcezu zezicubu zokuhlolwa kwe-microbiological nokuxilongwa okunembile kwe-pathology.

Izindlela zanamuhla zokwelapha

Ngaphambi kokuvela kwama-antibiotics, inani elikhulu labantu lashona, lihlonza "isifo sofuba somgogodla." Ukwelapha kuze kube yimanje kuye kwafinyelela ezintweni eziphakeme kangangokuthi abantu abaneminyaka eminingi bangaphila nalesi sifo, balondoloze isimo esivamile futhi baqhuba njalo ucwaningo. Ngenxa yokusungulwa kwamayunithi okuvuselela, ukusetshenziswa kwamagciwane omgogodla, ukwelashwa kwalesi sifo kwenzeka.

Indlela yokwelashwa kwesifo sofuba i-spondylitis yi-chemotherapy. Ukuba khona kwephutha lezinzwa kuyinkimbinkimbi yenqubo yokuthola.

Uma uhlolisisa uphinde uphathe lesi sifo ezinyangeni zokuqala, ngaphambi kokuthi i-bone ishaqhekeke futhi isenzeke kahle, isiguli, njengombuso, siyabuyiselwa ngokuphelele.

Izindlela zanamuhla zokwelashwa zihlukaniswe izinhlobo ezimbili:

• Ukwelapha okulondoloziwe;
• Ukungenelela kokuhlinzwa.

Zombili izinhlobo, zinezimo ezinhle. Kodwa ukwelapha okulondolozayo akusiyo njalo umthelela omuhle enqubeni yezokwelapha. Indlela yokwelapha engcono kakhulu ithinta umuntu othola ukuxilongwa "kwesifo sofuba somgogodla." Ukusebenza kwenziwa odokotela abaqeqeshiwe, bese isiguli sisesikhashana ngaphansi kokuqondiswa kwabasebenzi basebhedlela.

Izindlela zokwelashwa ezigcinayo

Ukwelashwa kweziguli ezinesifo se-neuronal kuncishiswe ukuba kube yi-anti-tuberculosis chemotherapy. Lenziwa ngokusetshenziswa kwezidakamizwa ezifana neIsoniazid, Rifampicin, Pyrazinamide ne-Etambutol. Zonke zisetshenziselwa njengendlela yokuqala yezidakamizwa ezithinta ngokuqondile isifo sofuba somgogodla. Izimpawu zokubonakaliswa kwesifo zizohamba kancane kancane uma ukwelashwa kwenziwa ngendlela efanele. Kuye ngesigaba sesifo kanye nokubonakaliswa kwezimpawu, izidakamizwa zingashintshwa noma zengezwe. Isilinganiso sishintshwa kuye ngesimo sesiguli, yobudala nesisindo.

Ukwelapha ngemithi ye-antituberculosis yokuphumula kombhede kunika imiphumela yesikhathi eside futhi kungabandakanyi ukuphindaphinda okuphindaphindiwe.

Iziguli ezinezigaba eziphambili zidinga indlela eyingozi kakhulu. Into esemqoka yokwelashwa yi-chemotherapy kanye nokuphumula kombhede. Iziguli zifakwa emtholampilo ngaphansi kokuqondiswa njalo odokotela nabahlengikazi. Ukwelapha okulondolozwayo okungaqondisi ngaso sonke isikhathi akunikezi imiphumela emihle. Kwezinye izimo, ukungenelela kokuhlinzwa kuyadingeka.

Indlela yokusebenza yokuphulukisa isifo

Ukuhlinzwa okudingekile kuyadingeka ukuze kusetshenziswe izinhlaka zezinzwa kanye nokugeleza kwama-abscesses. Njengomthetho, izingane zenzelwa izinqubo ezinjalo ukulungisa ukubola okuhambisana nokukhula.

Akunakwenzeka ukuphulukisa ukugula, ngoba ukuphumula okuphelele nokuphathwa okuyinkimbinkimbi kuyadingeka. Lapho ukwelashwa okulondoloziwe kungazange kuphulukise isifo sofuba somgogodla, izimpawu kubantu abadala ziqala ukwanda futhi kunesidingo sokungenela okusheshayo.

Ngaphambi kokuba udokotela ohlinzayo abe umsebenzi wokukhipha i-vertebra, eyathinteka yilesi sifo. Endaweni yayo, ukufakelwa kusungulwa. Izisindo ezidingekayo zokufakelwa kwesitshalo kuthathwe isifo se-fibular. Lokhu kwenziwa ukuze ingozi yokulahlwa isinciphise futhi kukhona amathuba amaningi ukuthi lo msebenzi uzosiza.

Kumele kukhunjulwe ukuthi imiphumela yesifo ayinakuguqulwa, futhi imisebenzi yokuhlinza ingathinta isifo sofuba somgogodla. Izithombe zeziguli ezinezifo ezithathelwanayo zibeka ngokucacile izibonelo ezicacile zokubunjwa kwezilwane nemiphumela yayo.

Idatha etholakala ukuhlolwa kwe-radiographic kanye ne-MRI ivumela odokotela abahlinzayo ukuba babikezele umphumela futhi banqume umthamo wokusebenza, futhi bancishise ingozi yezinkinga emva kwayo.

Kuthatha iminyaka engaba ngu-4 ukuvuselela ngokugcwele. Okusho ukuthi, ukungenela okuhlinzekwayo akuqinisekisi ukuphola okusheshayo komzimba. Amacala amaningi anemiphumela ebulalayo ahleliwe.

Iyini ematfuba we-spondylitis?

Ingabe isifo sofuba somgogodla sithathelwana noma cha? Abantu abaningi bayamangala ngalombuzo. Kodwa ayikho impendulo eqondile kuyo. Ngalolu daba, odokotela abaqeqeshiwe kakhulu bebelokhu besebenza iminyaka.

Yiqiniso, kuyadingeka ukuba uqaphele abantu abanalo ukuxilongwa noma ukuthatha zonke izinyathelo uma umuntu ogulayo engumhlobo noma owaziwayo.

Ukukhululwa kwezinambuzane ezinobungozi eziyingozi kwenzeka kuphela kumacala alandelayo:

• Uma isiguli sinendlela evulekile yesifo sofuba;
• Umuntu onempilo wayexhumana nesiguli, hhayi ukulandela imithetho yokuqapha;
• Ukudla ukudla kwesidlo esisodwa kwandisa ingozi yokutheleleka ngegciwane lokugaya.

Ukutheleleka kwe-Spondylitis kungenzeka ku-utero: uma umama egula, ukutheleleka kwenzeka nge-placenta. Amathuba okuthola isifo aphezulu ngokuxhumana ngqo nomuntu ogulayo.

Ukuqapha kanye nezinyathelo zokuzivikela

Esifubeni sofuba, ukuvimbela kubaluleke kakhulu. Izindlela zakhe ziyadingeka ukuze kungabikho ingozi yokuqala kwesifo. Kubalulekile ukuphumula ngesikhathi, ukugwema ukucindezeleka ngokweqile emzimbeni wonke.

Zama futhi:

• Ungangeni hypothermia;
• Ukwandisa umkhuhlane;
• Yidla kahle udle kahle;
• Gwema ukulimala.

Isilinganiso esiyinhloko sokuvimbela ukugonywa ngesikhathi esifanele sokulwa nesifo sofuba. Umjovo uyadingeka. Kubalulekile ukuvikela umzimba esiqhingini esiyingozi esithathelwanayo. Ingabe iqala ebuntwaneni, futhi inqubo yenziwa ezinsukwini zokuqala zokuphila kwengane.

Endaweni yokusebenza, kukhona futhi ingozi yokuthola i-spondylitis. Abasebenzi bezokwelapha abasebenza kule nsimu banengozi enkulu yokutheleleka. Kudingeka bahlolwe njalo futhi bathathe imishanguzo ye-TB ngezinhloso zokuvimbela.