I-hip septic iyisifo sokungena ngaphakathi kwe-hip joint. Lena yinkinga engavamile, kodwa ingenzeka ezinganeni nasezincane. Izindebe ze-Septic nazo zibizwa ngokuthi i-septic arthritis kanye ne- arthritis esithathelwanayo .
Izingane ezine-hip septic zinamabhaktheriya ngaphakathi kokuhlanganiswa kwe-hip. Ama-bacteria aqoqa njenge-pus futhi abe nobuhlungu. Izingane ezine-hip septic ngokuvamile zidinga ukwelashwa ukuze uphulukise isifo.
Ukwelapha kufanele kuqhubeke ngokushesha ukuqinisekisa ukuthi akukho umonakalo unomphela ohlangothini lwe-hip.
Imvelo ngokuvamile ephethe ukutheleleka ezinsaneni nezingane yi-streptococcus yeB B, kanti omunye umuntu oba yi- Haemophilus influenza (Hib) uma ingane ingenalo umgomo. Kubantu abadala, ngokuvamile kubangelwa ama- Staphylococcus noma ama- Streptococcus bacteria.
Izimpawu ze-Hiptic Hip
Izinsana, izingane, kanye nabantu abadala abanesifo sohlangothini lwe-hip ngokuvamile banamanye noma zonke izimpawu ezilandelayo:
- Fever
- Ubuhlungu ngokuhamba kwe-hip. Izinsana zingase zibe yinkinga ngesikhathi sokushintsha kwe-diaper. Ubuhlungu bungaba nzima.
- Kunzima ukuhamba noma ukuphoqa. Kungenzeka bangakwazi ukuhambisa umlenze we-hip enegciwane.
- Ukuvuvukala okuhlangene, ukubomvu okuhlangene.
- Izimpawu zifika ngokushesha.
I-Hiptic Etholakele Kanjani?
Kumele uthathe ingane kudokotela uma kukhona izimpawu ze-arthritis septic. Ukuhlolwa kwengane kubalulekile ukucacisa indawo yenkinga.
Uma kutholakala ukuthi ukutheleleka kwe-hip, ukuhlolwa kwegazi kungahlola izimpawu zokutheleleka nokuvuvukala, kufaka phakathi isiko legazi. Ama-X-ray avame ukwenza ukuhlola ngezinkinga zamathambo azungeze ukuhlanganiswa kwe-hip. Okunye ukuhlolwa okufana ne-MRI noma i-ultrasound kungenziwa ukuze ubone ukuthi kukhona yini uketshezi okuqoqa ngaphakathi kwe-joint hip.
Uma kukhishwa isicucu septic, inaliti ifakwe engxenyeni ye-hip. Uketshezi oluvela ku-hip lungabuyekezwa. Uma amabhaktheriya abonakala ngaphakathi komswakama, kutholakala ukuthi ukutheleleka, futhi kufanele kwenziwe ukuhlinzwa ukuze kuhlanjwe ukuhlanganiswa kwe-hip. Uma ukutheleleka akusobala, umthamo wegazi uhlaziywa ngobufakazi bokutheleleka. Ezinye izinkinga ezingabalulekile, njenge- synovitis yangasese ye-hip , zingabangela izimpawu ezifanayo njenge- arthritis septic .
Ukwelashwa kwe-Hiptic Hip Joint
Ukutheleleka kuphathwa ngama-antibiotics. Ngokushesha nje lapho i-hip aspiration ibonisa amabhaktheriya, azoqala ama-antibiotics, angase aguqulwe lapho ukukwazi ukuphila komzimba kwaziwa kusukela kumasiko. Ukwelashwa kwama-antibiotic kuzoqhubeka amasonto amathathu noma ngaphezulu.
Izifo ngaphakathi kokujoyina zidinga ukwelashwa ukwelashwa. Ukutheleleka ngaphakathi kokuhlangene kungalimaza i-cartilage unomphela. Uma ukutheleleka kwe-hip kutholakala emntwaneni wakho, uzohlinzwa ukuze ahlanze ukujoyina. Lokhu kungaba yi-arthrotomy, noma bangenza ukuchelela kanye nokufuna okuhlangene okuholwa yi-ultrasound usuku ngalunye.
Ukwelapha okwesikhashana ukutheleleka kwe-hip kwengane kubalulekile. Ngenxa yokuthi i-hip isakhula, kubaluleke kakhulu ukuvikela i-cartilage.
Iziguli ezigcina umonakalo ku-cartilage yazo zilimaza umonakalo ohlangene wokuhlala ohlangene. Lezi ziguli zingadinga ukufakwa esikhundleni se-hip kamuva empilweni uma umonakalo we-cartilage unzima.
Imithombo:
Sucato DJ, Schwend RM, Gillespie R. "I-Arthritis Septic ye-Hip in Children J. Am. Acad. Ortho. Surg., Okthoba 1997; 5: 249 - 260.
I-arthritis ye-Septic, i-Jatin M. Vyas, i-US National LIbrary of Medicine, 5/1/2015.
Rutz E, Spoerri M. "I-arthritis ye-Septic ye-hip yezingane - Ukubuyekezwa kwamanje izindlela zokuxilonga kanye nemigomo yokwelashwa." I-Acta i-Orthop Belg. 2013 Mar; 79 (2): 123-34.