I-spondylitis enobuhlungu (isifo sika-aka Pott) yisifo esihlasela umgogodla. Lesi sifo sivame ukutholakala ukuthi sisebuntwaneni nasekukhuleni. Kubantu abadala, akuvamile. Ubulili abuyithinti imvamisa yokubonakaliswa kwesifo. Ngaphandle kokwelashwa okufika ngesikhathi, izibikezelo zesiguli zingezona ezimbi kakhulu.
Kuyini i-spondylitis enamahlumela?
Lesi sifo sibangelwa induku kaKoch . Ikhuthaza inqubo ebhubhisayo kuma-vertebrae kanye ne-deformation yabo. Futhi kukhona ukufuduka kwezitho zangaphakathi, ngenxa yalokho bayeka ukusebenza kahle. Imfucumfucu yomgogodla enesibindi idlula ngezigaba ezilandelayo:
- Okulandelayo - okulandelanayo - ngalesi sigaba iziguli zivame ukufuna usizo lwezokwelapha. Lesi sifo sivame ukuvela ngokungenakulinganiswa noma kunezibonakaliso ezijwayelekile: ukukhathala, ubuthakathaka kanye nezinye izimpawu zokudakwa komzimba.
- I-spondylic - ngalesi sigaba, inqubo yokuvuvukala isakazeka ngaphezu kwe-vertebra ethintekile. Ngenxa yalokho, ukuguqulwa kwalesi sayithi kwenzeka, inqubo ebonakalayo iyabonakala. Konke lokhu kwandisa ingozi yokucindezeleka kwe-spine. Kulesi sigaba, i-spondylitis enesifo esiphundu iyenzeka ngezibonakaliso ezibonakalayo. Ngokuvamile kulesi sigaba, bafuna usizo lwezokwelapha.
- Iposi - eziphuthumayo - kulesi sigaba, ukuqina kwenqubo yokuvuvukala kuyama . Izimpawu ziba kancane. I-kyphosis ichazwe ngokucacile. Ngenxa yokuguquka nokufuduka kwe-vertebrae, izimpande zomgogodla zingacindezelwa. Esikhathini esizayo kubangela ukukhubazeka.
I-spondylitis enobuhlungu ingafakwa ezindaweni ezinjalo zomgogodla:
- umlomo wesibeletho;
- i-thoracic;
- lumbosacral.
I-spondylitis yezifo ezinamafuba isetshenziswa kanjani?
Ukwelashwa kwenzeka ngezindlela eziningana:
- Okungajwayelekile - induku kaKoch idlulisela umzimba ngokusebenzisa uhlelo lokujikeleza.
- Ukuxhumana - ngale ndlela yokutheleleka kwenzeka ngesifo sofuba sezitho zangaphakathi.
- I-lymphogenous - ukutheleleka kusakazeka ezithombeni nasezikhunjini ngokusebenzisa i-lymph.
Ukuze uqonde ukuthi i-spondylitis ene-tuberculous iyasakazeka yini, kudingeka ukhumbule ukuthi ezimweni eziningi, lesi sifo sitholakala ezigulini ezinezifo ezisebenzayo zamaphaphu. Ngenxa yalokho, lesi sifo singasakazwa kubantu abakuzungezile ngamaconsi. Kodwa-ke, uma isiguli sinesifo sikaPott - ukugxila okuyinhloko kokutheleleka, amathuba okutheleleka kuwo amancane.
Ithuba elikhulu lokuthola i-spondylitis kubantu abanezifo ezinjalo:
- isifo sikashukela mellitus;
- izifo eziphilayo;
- izifo ezingapheli zezitho zangaphakathi;
- izifo ezithathelwanayo;
- emva kokufakelwa kwezitho zangaphakathi.
I-spondylitis enobuhlungu - izimpawu
Esigabeni esisemqoka sokugula lezi zibonakaliso ziboniswa:
- ubuhlungu obukhulu;
- ukunyakaza okungaphelele;
- ukushisa komzimba okuphakeme (37.5 ° C - 38 ° C);
- ukuphazamiseka.
Uma isifo sofuba-spondylitis sithinte isifunda somlomo wesibeletho, lezi zimpawu zilandelayo:
- ikhanda njalo;
- ukudideka kokwazi;
- isiyezi;
- i-shaky gait.
Ukugweba isifo sofuba somgogodla we-thoracic kungaba ngaphansi kwezizathu ezilandelayo:
- ubuhlungu obanda ngokuphefumulelwa;
- ukuphelelwa amandla kwezandla;
- ukudonsa esifundeni se-thoracic.
I-Spondylitis yomgogodla we-lumbosacral ibonakala yizimpawu ezilandelayo:
- izinkinga zokuvuthwa;
- ukubopha imilenze ;
- ubuhlungu obukhulu ehlane elingezansi.
Kukhona inqwaba yezibonakaliso zesimo esinqatshiwe se-Pott's:
- Isivunguvungu somgogodla (i-hump ivela).
- Ama-abscesses (ethangeni, ku-popliteal fossa noma ku-esifubeni kubonakala i-fistula).
- Izimpawu zesimo sezinzwa (ukuzwela kanye nokusebenza kwemilenze nezandla ezingasebenzi).
I-spondylitis enobuhlungu - ukuxilongwa
Udokotela ucabangela izici zesigaba sesifo, izikhalazo zesiguli mayelana nokuba khona kwezibonakaliso zokudakwa nokuhamba okulinganiselwe kwezandla noma izinyawo. Thola ukuthi ukuhlolwa kwegazi kwesifo sofuba sifundisi. Uzokhombisa inqubo yokuvuvukala emzimbeni. Nge-spondilitis, amanani aphezulu e-ESR. Ngaphezu kokuhlolwa kwegazi jikelele, ezinye izindlela zokuxilonga zisetshenziswa:
- iproteinogram;
- ukuhlaziywa kwama-immunoglobulin;
- i-biopsy;
- ukuguqulwa kwamanzi;
- izivivinyo ze-rheumatological.
Isiguli sizocelwa ukuba sivakashele ochwepheshe abanjalo:
- isazi;
- i-rheumatologist;
- i-phthisiatrician;
- I-Traumatologist;
- i-neurologist.
I-spondylitis enobuhlungu - izimpawu ze-X-ray
Uma lokhu kutholakala, kwenziwa izindlela zokuhlola iziguli. Zihlanganisa:
- I-MRI;
- I-Ultrasound;
- i-radiography yomgogodla;
- CT.
Uma udokotela esola isiguli sesipulylitri esinobuhlungu, ukuxilongwa ngokungafani kuyobonisa isiguli esinjalo sokugula:
- i-vertebral engorgement;
- i-compression fractures;
- ukunciphisa ukupheka kwamaprotterbral;
- i-osteoporosis;
- ukuguqulwa kwama-vertebrae kanye namapuleti wokugcina.
Indlela yokwelapha isifo sofuba se-spondylitis?
Isiguli, esiqinisekisile lesi sifo, kufanele sihanjiswe esibhedlela esithile esikhethekile se-sanatorium uhlobo. Ukwelashwa kwegciwane lesifo sofuba kubandakanya ukuhlanganiswa. Imelelwa yimisebenzi elandelayo:
- ukuhamba nsuku zonke emoyeni omusha;
- ukudla okunempilo;
- ukuvivinya umzimba;
- usebenzisa i-corset eyesekelayo kanye "nombhede we-gypsum";
- ukuphathwa kwezidakamizwa;
- izinqubo ze-physiotherapy.
Ukuphathwa kwezidakamizwa zesifo sofuba spondylitis kunezikhombisi ezimbili:
- i-etiotropic - ukulawulwa kwe-pathogen;
- izimpawu - ukuqedwa kokubonakaliswa kwemitholampilo yesifo.
Uma ukwelashwa kwe-etiotropic kunika izidakamizwa ezinjalo:
- Isoniazid;
- Streptomycin;
- Rifampicin .
Ukwelashwa okuphawulekayo kuhilela ukusetshenziswa kwamaqembu anjalo:
- I-Corticosteroids (i-Prednisolone, i-Metipred).
- Amavithamini weqembu le-rong.
- Izidakamizwa ezingekho-steroidal anti-inflammatory (Meloxicam, Lornoxicam).
- Ama-Miorelaxants (Baclofen neMidokalm).
I-spondylitis enobuhlungu - ukusebenza
Ukungenelela kokuhlinzwa kwenziwa kuphela ngemva kokuba lesi sifo sidlule esigabeni esiyingozi. Ukuqeda ngokuphelele i-spondylitis ene-tuberculous, ukwelashwa kufanele kwenziwe ezinyangeni ezingu-6-12 zokuqala ngemuva kokuqala kokuthuthukiswa kwesifo. Uma lesi sifo siqalisiwe, lo msebenzi ngeke unikeze umphumela olindelekile. Ukungenelela okufanayo okuhloswe kuzo kuhloswe ekuqedeni ukukhubazeka okungokwenyama. Kule nqubo, ama-vertebrae aphukile athathwa esikhundleni se-metal prostheses.
Imiphumela yomuthi wesifo sofuba spondylitis
Uma ungaqali ukwelashwa ngesikhathi, uzoba nezinkinga ezinkulu zempilo. Imiphumela engcono kakhulu "engenabungozi" yalesi sifo ukuma okuphosakekile. Izinkinga zesifo sofuba spondylitis zingaba yingozi kakhulu. Nazi ezinye zazo:
- ukuphazamiseka emsebenzini wesistimu ye-genitourinary;
- ukukhubazeka kwezandla noma izinyawo;
- i-meningitis ene-tuberculous;
- i-epiem;
- i-pericarditis ;
- ukungasebenzi komathumbu omkhulu;
- i-mediastinitis.