Kubangelwe yi-Infection ku-Joint
Okuyisisekelo
I-arthritis ye-Septic iyisifo ekuhlanganyeleni. Ukutheleleka kungabangelwa amagciwane, amagciwane, isikhunta, noma ama-parasites. Ukutheleleka okuhlangene okubangelwa i-fungus noma ama-parasites akuvamile kakhulu kunalokho okubangelwa amabhaktheriya noma amagciwane. Ngokuvamile, i-arthritis ye-septic ithinta inhlanganisela eyodwa eyodwa enkulu, njengegceke noma i-hip, kodwa kungenzeka ukuthi amalunga amaningana athole igciwane.
I-arthritis ye-Septic ibizwa nangokuthi i-arthritis esithathelwanayo. I-arthritis ye-Septic ibhekwa njengesimo esiphuthumayo sezokwelapha ngenxa yomonakalo omkhulu ongase uwenze emathanjeni nase- cartilage . I-arthritis ye-Septic ingabangela ukushaqeka kwe-septic, okungaba yingozi.
Izimbangela
Ukutheleleka kungavela noma kuphi emzimbeni. Ukutheleleka kungase futhi kuqale njengomphumela wesilonda esivulekile, ukuhlinzwa, noma ukujola okungavamile. Kungakhathaliseki ukuthi umthombo wokuqala wokutheleleka, i-septic arthritis kwenzeka lapho umzimba ophefumulayo uhamba phakathi kwegazi ukuya ekuhlanganyeleni.
Izimpawu
Izimpawu nezimpawu ezihlobene ne-arthritis septic zihlanganisa:
- umkhuhlane
- izikhukhula
- ubuhlungu obukhulu ekuhlanganyeleni okuhlangene
- ukuvuvukala kokuhlangene okuhlangene ( ukuxuba okuhlangene )
- ukufudumala eduze kwesigungu esithintekayo
- ukukhathala nokubuthakathaka
- isiyaluyalu
Ukuxilongwa
Ngemuva kokucabangela umlando wakho wezokwelapha nokuhlolwa komzimba, izivivinyo ezithile zizokwaziswa udokotela wakho. Ukuhlolwa okusetshenziselwa ukuxilonga i-septic arthritis kufaka:
- ukuhlolwa kwegazi ukukhomba inani eliphakeme lamaseli amhlophe namabhaktheriya
- ama-x-ray noma ezinye izifundo zokucabangela ukuhlola umonakalo ohlangene
- i-arthrocentesis ukuze ihlaziye i-synovial (ehlangene) ewuketshezi ngemingcele eminingana engabonisa ukutheleleka
Ukwelapha
Kubalulekile ukukhomba amabhaktheriya abangela ukutheleleka. Lapho amabhaktheriya ekhonjisiwe, imithi elwa namagciwane efanelekile ingaqala.
Ama-antibiotics, asetshenziselwa ukubulala amabhaktheriya, avame ukuthathwa amaviki angu-4 kuya kwangu-6, ngomlomo noma nge-intravenously.
Kungase kudingeke futhi ukukhipha isikhala sokuhlanganyela esithathelelekile, noma yi-arthrocentesis, ukuchelela okuhlinzekwayo (ukuhlanza ukuhlanganiswa nezixazululo eziyinyumba), noma ukukhipha (ukususwa kwezicubu ezibola). Kungase kube nomonakalo omkhulu ohlangene ovela ku-arthritis septic ekugcineni okuholela ekuhlinzekeni okuhlanganyelwe esikhundleni.
Izingozi Zezingozi
Ezinye izinto zandisa ingozi yokuthuthukisa i-septic arthritis. Lokho kuhlanganisa:
- izinkinga ezihlangene zangaphambilini ezivela kwezinye izinhlobo ze-arthritis , ukuhlinzwa okuhlangene, ukulimala okuhlangene
- isinciphisa isimiso somzimba sokuzivikela ezifweni noma ekuthatheni imithi yokugonywa kwe-immunosuppressant
- izilonda zesikhumba noma amanxeba avulekile avumela amabhaktheriya ukufinyelela emzimbeni
- Ukusetshenziswa kabi kwezidakamizwa ezingenayo kanye nokudakwa ngokweqile kuhlobene nengozi ephezulu yokutheleleka
Ukuvama
I-arthritis ye-Septic ingathinta noma ubani kunoma yikuphi ubudala - kuhlanganise nezingane nezingane. Kubantu abadala, amalunga enzima (iziqhotho, amadolo, amaqaqa) athinteka kakhulu. Ezinganeni, amahlombe, izintambo, namadolo zivame ukuthinteka. Njengabantu abaningi, odokotela babona iziguli eziningi ezine-arthritis septic.
Amaphuzu Asithakazelo
- Uhlobo oluvame kakhulu lwamabhaktheriya ahilelekile ku-arthritis septic yi-Staphylococcus aureus, ngokuvamile ebizwa ngokuthi uStaph.
- Ama-bacteria abangela i-gonorrhea ayesetshenziswa njengesizathu esivamile se-arthritis septic, kodwa ubulili obuphephile bwenze ukuthi buvame kakhulu.
- Uma ama-virus ehlasela ama-virus, abizwa ngokuthi i-arthritis ye-viral, futhi isimo ngokuvamile sixazulula ngokwawo.
- Ukutheleleka okuhlanganyelwe okubangelwa i-fungus, eyaziwa ngokuthi i-arthritis fungal, kubhekwa njengengavamile kakhulu.
Khumbula , funa ukwelashwa ngokushesha uma unezibonakaliso noma izimpawu ezikhomba isifo se-arthritis septic.
Imithombo:
I-arthritis ye-Septic. Zeller et al. 297 (13): 1510. I-JAMA. Ngo-Ephreli 4, 2007.
http://jama.ama-assn.org/cgi/content/full/297/13/1510
I-arthritis ye-Septic. Ulwazi Lwezempilo Nezifo. I-Penn State iMilton S. Hershey Medical Center College of Medicine. Kufinyelelwe ngomhla ka-3/9/2008.
http://www.hmc.psu.edu/healthinfo/s/septicarthritis.htm