Spondylitis yowopsa (matenda a aka Pott) ndi vuto lomwe limakhudza msana. Matendawa amapezeka kawirikawiri ali mwana. Kwa akuluakulu, ndizosazolowereka. Kugonana sikukhudza mafupipafupi a mawonetseredwe a matendawa. Popanda chithandizo cham'tsogolo, ziwonetsero za wodwala ndizosavomerezeka kwambiri.
Kodi spondylitis ya tuberculous ndi yotani?
Matendawa amayamba chifukwa cha ndodo ya Koch . Zimayambitsa njira zowonongeka m'ma vertebrae ndi maonekedwe awo. Komanso palinso kusuntha kwa ziwalo za thupi, chifukwa zimasiya kugwira bwino ntchito. Mphungu yamtsempha yamtsempha imadutsa pazigawo izi:
- Zotsatira - zotsatila - panthawiyi odwala safuna thandizo lachipatala. Matendawa amapezeka nthawi zambiri kapena pali zizindikiro za chikhalidwe chonse: kutopa, zofooka ndi zizindikiro zina za kuledzera thupi.
- Madzi a mimba - panthawi imeneyi, kutupa kumapitirira kufalikira pamtunda wa vertebra. Zotsatira zake, kusinthika kwa webusaitiyi kumachitika, njira ya spinous ikuwonekera. Zonsezi zimapangitsa chiopsezo cha kupweteka kwa msana. Panthawiyi, spondylitis yowawa kwambiri imakhala ndi zizindikiro zotchulidwa. Kaŵirikaŵiri pamsasa uwu, amapempha chithandizo chamankhwala.
- Post - zoopsa - panthawiyi, mphamvu ya kutupa imasiya . Zizindikiro sizikhala zochepa. Kyphosis ikufotokozedwa bwino. Chifukwa cha kusintha kwa thupi ndi kusuntha kwa mavitamini, mizu ya msana umatha kuponderezedwa. M'tsogolo chimayambitsa ziwalo.
Spondylitis yowopsya ikhoza kukhala m'deralo m'madera oterewa:
- chiberekero;
- chithandizo;
- lumbosacral.
Kodi matenda opatsirana pogwiritsa ntchito mankhwalawa amatha bwanji?
Kutenga kumachitika m'njira zingapo:
- Zosagwirizana - ndodo ya Koch imadutsa m'thupi kudzera m'thupi.
- Kuyankhulana - njira iyi ya kachilombo imachitika ndi chifuwa chachikulu cha ziwalo zamkati.
- Matenda a m'mimba - Matendawa amafalikira ku ziwalo ndi ziphuphu kudzera mu mimba.
Kuti mumvetse ngati matenda opatsirana pogwiritsa ntchito mankhwala opatsirana amakhala opatsirana, muyenera kukumbukira kuti nthawi zambiri matendawa amapezeka odwala omwe ali ndi matenda opatsirana. Chotsatira chake, matendawa amatha kupititsidwa kwa anthu oyandikana nawo ndi madontho. Komabe, ngati wodwala ali ndi matenda a Pott - chofunika kwambiri cha matenda, mwayi wodwala matendawa ndi wochepa.
Mwayi waukulu wopeza spondylitis kwa anthu omwe ali ndi vutoli:
- shuga;
- matenda;
- matenda aakulu a ziwalo;
- matenda opatsirana;
- Pambuyo pa kuziika kwa ziwalo za mkati.
Spondylitis yowopsa - zizindikiro
Pa malo ovuta a matenda zizindikiro zoterezi zikuwonetsedwa:
- zowawa;
- kusokonekera;
- kutentha kwa thupi (37.5 ° C - 38 ° C);
- kusweka.
Ngati chifuwa chachikulu cha TB chimakhudza chiwalo cha chibelekero, zizindikiro zotsatirazi zimapezeka:
- kumutu kwa mutu;
- kusokonezeka kwa chidziwitso;
- chizungulire;
- chisokonezo.
Kuweruza chifuwa chachikulu cha thoracic msana kungakhale pazifukwa zotsatirazi:
- ululu umene umakula ndi kudzoza;
- kusowa kwa manja;
- kukumangirira mu dera la thoracic.
Spondylitis ya lumbosacral msana imadziwika ndi zizindikiro zotsatirazi:
- mavuto;
- kusowa kwa miyendo ;
- ululu waukulu m'munsi kumbuyo.
Pali mitundu itatu ya zizindikiro za mtundu wonyalanyaza wa matenda a Pott:
- Kuzungulira kwa msana (hump ikuwoneka).
- Amadzimadzi (pa ntchafu, mu popliteal fossa kapena pachifuwa amapezeka fistula).
- Zisonyezero za chiwalo cha ubongo (kumvetsa ndi kuyendetsa magalimoto miyendo ndi manja ndizovuta).
Spondylitis yowopsya - matenda
Dokotala amalingalira zochitika za matendawa, madandaulo a wodwala za kukhalapo kwa zizindikiro za kumwa mowa ndi kuyenda kochepa kwa manja kapena mapazi. Dziwani kuti chifuwa cha TB chotchedwa spondylitis chidzawathandiza. Adzasonyeza njira yotupa m'thupi. Ndi spondilitis, mitengo yapamwamba ya ESR. Kuphatikiza pa mayeso ambiri a magazi, njira zina zogwiritsira ntchito zimagwiritsidwa ntchito:
- proteinogram;
- kusanthula ma immunoglobulins;
- biopsy;
- kukonza;
- rheumatological tests.
Wodwalayo akulimbikitsidwa kukachezera akatswiri oterewa:
- wothandizira;
- rheumatologist;
- phitisi;
- Wofufuza za matenda;
- katswiri wa zamagulu.
Spondylitis yopweteka - X-ray zizindikiro
Ngati matendawa atengedwa, njira zothandizira wodwalayo zimagwiritsidwa ntchito. Zikuphatikizapo:
- MRI;
- Ultrasound;
- mafilimu a msana;
- CT.
Ngati dokotala akudandaula kuti wodwalayo ali ndi matenda opatsirana pogwiritsa ntchito matenda opatsirana, matendawa amasonyeza wodwalayo ngati matendawa:
- vertebral engorgement;
- kupweteka kwapakati;
- fissures yambiri yotchedwa intervertebral fissures;
- matenda opatsirana;
- kupotoza kwa mapuloteni ndi mapeto.
Mmene mungachiritse chifuwa chachikulu chotchedwa spondylitis?
Wodwala, yemwe anatsimikizira izi, ayenera kuchipatala ku chipatala chapadera chachipatala cha mtundu wa sanatorium. Matenda a chifuwa cha msana wamtunduwu amatenga kuphatikiza. Ikuyimiridwa ndi ntchito zotsatirazi:
- kuyenda tsiku ndi tsiku mu mpweya wabwino;
- zakudya zabwino;
- zochizira;
- pogwiritsa ntchito corset ndi "gypsum bed";
- mankhwala;
- njira zochizira thupi.
Mankhwala osokoneza bongo a spondylitis ali ndi njira ziwiri:
- etiotropic - kulamulira tizilombo toyambitsa matenda;
- zozizwitsa - kuthetsa chiwonetsero cha matendawa.
Pamene mankhwala a etiotropic amapereka mankhwala oterowo:
- Isoniazid;
- Streptomycin;
- Rifampicin .
Thandizo lachidziwitso limaphatikizapo kugwiritsa ntchito magulu oterewa:
- Corticosteroids (Prednisolone, Mapulogalamu).
- Mavitamini a gulu la rong.
- Mankhwala osagwiritsa ntchito steroidal anti-inflammatory (Meloxicam, Lornoxicam).
- Miorelaxants (Baclofen ndi Midokalm).
Spondylitis yowopsa - ntchito
Njira yothandizira opaleshoni imachitika kokha pokhapokha matendawa atadutsa pachimake. Pofuna kuthetseratu matenda opatsirana pogonana, mankhwalawa ayenera kuchitika m'miyezi yoyamba 6-12 kuchokera pamene matendawa akuyamba. Ngati matendawa ayambitsidwa, opaleshoniyo sichidzapereka zotsatira. Kupititsa patsogolo kotereku kumayesetsanso kuthetsa zofooka zathupi. Momwemonso, zowonongeka zamasamba zimalowetsedwa ndi zitsulo zazitsulo.
Zotsatira za TB ya spondylitis
Ngati simukuyambitsa chithandizo pa nthawi, mudzakhala ndi matenda aakulu. Zotsatira zake "zopanda phindu" za matendawa ndizolakwika. Mavuto a chifuwa chachikulu cha TB amatha kukhala owopsa. Nazi zambiri mwa iwo:
- kusokonezeka m'ntchito ya fetitori;
- Kufa ziwalo za manja kapena mapazi;
- meningitis;
- epiyo;
- kupweteka ;
- kutaya kwa matumbo akulu;
- mediastinitis.