I-spondylitis enobuhlungu - ukuxilongwa kwanamuhla kanye nokwelapha okuphumelelayo kakhulu

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:

  1. Okulandelayo - okulandelanayo - ngalesi sigaba iziguli zivame ukufuna usizo lwezokwelapha. Lesi sifo sivame ukuvela ngokungenakulinganiswa noma kunezibonakaliso ezijwayelekile: ukukhathala, ubuthakathaka kanye nezinye izimpawu zokudakwa komzimba.
  2. 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.
  3. 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:

I-spondylitis yezifo ezinamafuba isetshenziswa kanjani?

Ukwelashwa kwenzeka ngezindlela eziningana:

  1. Okungajwayelekile - induku kaKoch idlulisela umzimba ngokusebenzisa uhlelo lokujikeleza.
  2. Ukuxhumana - ngale ndlela yokutheleleka kwenzeka ngesifo sofuba sezitho zangaphakathi.
  3. 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:

I-spondylitis enobuhlungu - izimpawu

Esigabeni esisemqoka sokugula lezi zibonakaliso ziboniswa:

Uma isifo sofuba-spondylitis sithinte isifunda somlomo wesibeletho, lezi zimpawu zilandelayo:

Ukugweba isifo sofuba somgogodla we-thoracic kungaba ngaphansi kwezizathu ezilandelayo:

I-Spondylitis yomgogodla we-lumbosacral ibonakala yizimpawu ezilandelayo:

Kukhona inqwaba yezibonakaliso zesimo esinqatshiwe se-Pott's:

  1. Isivunguvungu somgogodla (i-hump ivela).
  2. Ama-abscesses (ethangeni, ku-popliteal fossa noma ku-esifubeni kubonakala i-fistula).
  3. 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:

Isiguli sizocelwa ukuba sivakashele ochwepheshe abanjalo:

I-spondylitis enobuhlungu - izimpawu ze-X-ray

Uma lokhu kutholakala, kwenziwa izindlela zokuhlola iziguli. Zihlanganisa:

Uma udokotela esola isiguli sesipulylitri esinobuhlungu, ukuxilongwa ngokungafani kuyobonisa isiguli esinjalo sokugula:

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:

Ukuphathwa kwezidakamizwa zesifo sofuba spondylitis kunezikhombisi ezimbili:

Uma ukwelashwa kwe-etiotropic kunika izidakamizwa ezinjalo:

Ukwelashwa okuphawulekayo kuhilela ukusetshenziswa kwamaqembu anjalo:

  1. I-Corticosteroids (i-Prednisolone, i-Metipred).
  2. Amavithamini weqembu le-rong.
  3. Izidakamizwa ezingekho-steroidal anti-inflammatory (Meloxicam, Lornoxicam).
  4. 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: