Kodi TB ndi TB? Kodi zimafalitsidwa bwanji? Zifukwa ndi Chithandizo

Kudwala fupa TB mwina chifukwa zinthu losauka, kutopa thupi, kuvulala kawirikawiri chosatha matenda a chikhalidwe opatsirana, hypothermia, osauka kantchito.

provocateur akulu

Molimba chitukuko cha matenda monga fupa TB, kukhudzana kale munthu akuvutika ndi matenda. matenda chifukwa cha malowedwe a mliri mycobacterium TB mu mapapo kudzera Mitsempha ndi lymphatic mu fupa. Choncho, pansi nkhonya kugwa mafupa kuti bwino aziwapatsa magazi. Mwachitsanzo, mapewa, m'chiuno, msana, m'chiuno ndi mkono.

Monga matenda akufotokozera

Ndi yogwira mycobacterial chulutsa amapezeka hillocks mapangidwe granulomas zenizeni, amene anawononga kenako. Chifukwa cha osauka mafupa TB. Bone mankhwala amaloŵamo kuvunda zimachitika abscesses M'mimbamo wodzazidwa ndi purulent okhutira, fistulas, yodziwika ndi kusapezeka kugwirizana pakati pa mafupa ndi malo akunja. Komanso ottorgshiesya madera fupa akufa (sequesters).

ndi zizindikiro za TB msana Kodi

Bone TB msana iyamba kukhala mu linkawonongeka chomwecho. Ikukoka kumachitika pamene granulomas fupa imfa, kutupa analanda magawo moyandikana la ndime msana. Msana umamumvera mapindikidwe. Ndi kugonjetsedwa wa thoracic msana pa kufinya akhoza kupanga ziwalo ndi paresis.

Zizindikiro fupa TB

Bone TB mu siteji koyamba amakhala ndi zizindikiro wofatsa. Sangadziwe kuonekera. Odwala amadandaula nyamuka pang'ono kutentha kwa madigiri 37. Nthawi zina kutentha limatuluka pamwamba. Ana akhale lethargic ndipo kuwodzera, ndi akulu kumva asthenic mantha ndi zojambula ululu mu minofu ya m'deralo. Zikuchepa kusagwira ntchito. Anthu ena pambuyo zolimbitsa kumva ululu odziletsa msana popanda kutanthauzira yeniyeni. Titapuma iwo pochitika.

Choncho, tingathe kunena kuti zizindikiro ndi achotsa khalidwe, choncho anthu ambiri simulandira yake mankhwala, ankafotokoza boma yosavuta kutopa ake.

chofunika

Ngati ululu si cropped pamene mukumwa analgesics kapena mankhwala odana ndi yotupa, amachenjeza cha kukhalapo kwa matenda monga TB ya dongosolo fupa, amene n'zosatheka kupirira.

Kufala kwa ndondomeko pathological kwa kusokonekera kwa linkawonongeka amachititsa kuwonongeka kwa ndime msana. Izi gawo lachiwiri la matenda.

Gawo lachiwiri amakhala ndi

Asthenia ndi nakweza mawu ake, kutentha thupi kuuka kwa mpweya wambiri. Pa nthawi yomweyo ululu zikusintha ina ya msana. Kupweteka kukuchepetsa kayendedwe anthu. Linaphwanya kaimidwe wake ndi gait. Pa zina ululu mwamphamvu amachepetsa. Minofu pamodzi msana ali voteji kufufuma. Pa palpation wodwalayo ululu.

Mbali yachitatu ya TB

TB amakhudza fupa pafupi vertebrae. Boma ambiri wodwala amakhala ngati katundu. Munthu kudwala ndi n'kakang'ono kwambiri, kutentha thupi anali pa kuzungulira 39 kapena 40 madigiri. Opulumutsidwa asthenic chikhalidwe. Kupweteka msana ndi chenicheni. Pa zina, iwo ali penapake yafupika.

Pambuyo mankhwala msana wodwalayo ali olumala, pali msana akulu manja, kuyenda anthu koletsedweratu. Odwala ena ngakhale pambuyo chithandizo kupitiriza kudandaula kusakhazikika kwa msana ndi m'dera la vertebrae akhudzidwa.

TB ya m'makona chapamwamba ndipo m'munsi

The matenda yodziwika ndi masitepe mofanana mu msana ndi chifuwa chachikulu. ndi zizindikiro za miyendo fupa TB chiyani? Kutupa amakhala ndi ululu, wofiira khungu pa zinkakhala m'dera ikusonyezedwa kutupa. fupa chiwonongeko amakwiya ndi mapindikidwe a nthambi ndi gait chisokonezo mpaka kuoneka kupunduka. Ntchito mphamvu akutsikira zikuchepa.

bwanji matenda

odwala onse ndi amaganiziridwa fupa TB kukumana X-ray kapena mapanga sikani ya pa limba akhudzidwa mu zolosera awiri. Choncho m'pofunika kudziwa likulu la fupa wovulala (sequesters) Ndi mumthunzi wa abscesses.

Pamaso pa fistulas ndi abscesses kuti adziwe mmene awo applicable fistulography kapena abstsessografiya. Abscess, kapena fistula M'mimbamo ladzala ndi wothandizila Mosiyana, ndipo kenako anapanga angapo zithunzi.

Pamene matenda ndi yofunika microbiological m'madera kafukufuku wa fupa akufa, nkhani ya abscess kapena fistula.

Posonyeza kuti TB fupa

Bone TB akutsimikiza pamaso pa mycobacteria. A magazi kumasonyeza kutupa ndi chikhalidwe opatsirana. chiwerengero cha leukocytes liukitsidwa, izo inapita erythrocyte sedimentation mlingo, pali C-zotakasika mapuloteni, ndi ena. chitsimikiziro cha matenda ndi ntchito zotenga tuberculin.

Popeza kuti matenda kungakhale sekondale upite kudzera pachifuwa X-ray, ndi pamaso pa chikhalidwe yeniyeni madandaulo kuchititsa kafukufuku wa ziwalo zina.

Kodi kuchiza chifuwa chachikulu mafupa

Bone mankhwala TB kumasiyana Kutalika likuchotsedwa ndi thandizo mwamsanga matenda. Komanso akwaniritsa kupewa fupa wovulala. Anachita chithandizo zobwezeretsa.

kudya pang'ono

Nthawi yogwira ndondomeko yotupa, wodwalayo ali inapita patsogolo mapuloteni kusokonezeka. Choncho, lembani zosowa zake kudya chakudya wolemera mankhwala. Chakudya wambiri ayenera zomwe 1/3. Daily caloric ayenera zopatsa mphamvu 3500 patsiku. Motero mphamvu kwambiri kumayambitsa overloading wa chamoyo ndi kunenepa kuti matenda ndi zosayenela.

Tsiku wodwala sayenera kudya pafupifupi 100-120 ga mapuloteni. Pa kutentha okwera zakudya zomanga thupi ayenera kuchepetsedwa magalamu 70 patsiku.

chakudya analimbikitsa:

• msuzi kwa nyama kapena nsomba;
• nyama patties;
• Pate;
• yophika nsomba;
• mbale munali mazira.

zakudya ayenera wodzilemekeza ndi mkaka ndi mkaka mankhwala. Iwo ali calcium, zomwe zingamuthandize fupa kuonongeka.

Pamene yotupa ndondomeko, komanso m'kati mwa chithandizo ndi mankhwala tikulimbikitsidwa kumwa lalikulu zedi zipatso ndi ndiwo zamasamba, komanso maofesi multivitamin.

Moyo pa matenda

Ndi chitukuko cha kutupa analimbikitsa bedi zina. Pa mankhwala, physiotherapy ndi kutikita mankhwala ingagwiritsidwe ntchito. Munthu wodwala ayenera nthaŵi zambiri amakhalabe mu mpweya wabwino. The phindu ndi sunbath. Monga ulamuliro, odwala mankhwala ndi kukhazikitsa njira ali mu zipatala apadera ndi m'nyumba zosungira, komwe boma kuonekeratu anati tsiku ndi kumasuka.

chithandizo matenda mankhwala

Iwo ali zotsatira kwambiri ndi chithandizo ndi osakaniza mankhwala njira ntchito.

Mankhwala ndi mabakiteriya ntchito ngati asanachite opareshoni kenako. Childs, madokotala mankhwala "Rifampicin", "Isoniazid", "pyrazinamide wokhala", "Ethambutol" ndi ena. Mankhwala ntchito kwa nthawi yaitali. Amamwa malinga ndi chiwembu makamaka.

alowererepo opaleshoni

The opaleshoni zimadalira mmene fupa zikadzawonongedwa, komanso pamaso pa abscesses ndi fistulas. The njira ntchito n'zotheka kuchotsa sequesters cavities abscesses ndi fistulas chimachititsanso. Ndi osambitsidwa ndi antiseptic ndi mankhwala. cavities zimenezi ndi mankhwalawa kutseka okha.

Zambiri zovuta ntchito zosiyana pa siteji mochedwa matenda mapindikidwe yovuta kwa msana ndi mafupa. ntchito kungatenge kuthetsa chilema odwala, koma kuchepetsa kukula kwa matendawa.

Inde konzanso

Konzanso chikuchitika mu magawo. Ntchito yaikulu ndi kubwezeretsa zotayika ntchito ya chiwalo akhudzidwa ndi akadzabweranso mtima pamoyo zonse. Pankhaniyi limasonyeza ntchito mankhwala thupi, kutikitirako physiotherapy, komanso njira zosiyanasiyana kulimbikitsa kukhazikitsa chikhalidwe ndi ntchito.

zosokonezeka

Chifuwa chachikulu mafupa zingachititse angapo mavuto:

• Kupindika msana. Pa malo a chotupa cha vertebrae ndi zambiri hump. Izi kawirikawiri zimabweretsa mapindikidwe ndi sekondale.
• Pamene mapindikidwe msana odwala onse kuona izi kapena matenda ena a ubongo, kuyambira kuchuluka minofu kamvekedwe kapena kayendedwe musanaganizire kutsiriza ndi paresis ndi ziwalo.
• Abscesses ku matenda zili padziko vertebrae akhudzidwa. Iwo akhoza zimaonetseratu Mbali yaikulu. Mankhwalawa yekha ndi opaleshoni.
• Fistulas zidzachitika pa linanena bungwe la kutupa padziko khungu.

Mapa chitukuko cha matenda

Panopa amapha pafupifupi zimachokeradi. Koma matenda ndi chibadidwe njira kwambiri ndi maonekedwe a mapindikidwe sizingasinthe, zikubweretsa chilema. Anapeza kuti pafupifupi theka la anthu wosadziŵa. Chithandizo nthawi ndi osiyana, mankhwala ambiri ndi kawopsedwe.

zodzitetezera

General zodzitetezera ndi zoyezera umalimbana kuchepetsa lingathe kukhudzana ndi odwala TB, komanso kupewa matenda ndi catarrhal matenda, kuvulala ndi poisonings.

Ndi ana ayenera kulandira mayeso chizolowezi cha TB imathandi- kudziwa matenda zobisika. Kupeza dotolo pamene ululu akupezeka mafupa ndi minofu Zimathandizanso kudziwa matenda pa siteji oyambirira ndi kuyamba yake mankhwala.

Chifuwa chachikulu mafupa ana

Munthu wamkulu ali ndi kukana kwambiri TB, monga dongosolo lake m'thupi ndi amphamvu ndi zambiri otukuka. thupi ana ndi kufooka kwambiri. Choncho, fupa ndi msana ndi chifuwa chachikulu ndi wofala mwana.

Chifukwa cha matenda ana

Mchikakamizo cha zinthu chokhwima kwa thupi mwana msanga amakhala pa chiopsezo ku tizilombo ting'onoting'ono.

Chonde pansi chitukuko cha TB ndi onse matenda pachimake matenda. Pakati pawo ndi chimfine, chikuku ndi kuphokosera chifuwa. Iwo amathandiza kuti chifooke chitetezo cha mthupi.

majeremusi TB mu thupi la mwana amene anali ndi matenda posachedwapa, zosavuta imautsa chitukuko cha fupa ndi mafupa. Choncho, makolo ayenera kukhala tcheru kuti mwana amene ankadwala matenda aakulu, ndi pa kukayikirana pang'ono TB kusonyeza kuti dokotala. Tisonyezeni lolingana katswiri anayendera.

Kodi chifuwa chachikulu mafupa mwana

Nthawi zambiri, ana fupa TB kukhala zobisika ndi pang'onopang'ono. Kawirikawiri mwana anadandaula ululu mu malo.

Makolo ena kusonkhana isanayambike ndi kugwa kapena kuvulala. Koma chiweruzo ichi ndi zolakwika. Popanda mliri chowawa TB mafupa kuchokera kugwa yosavuta sangathe kukhala.

Kodi mavuto zingachititse chifuwa chachikulu mafupa mwana

Ngati mwana si nthawi kupereka thandizo kuchipatala, TB kungachititse abscess mu olowa ndi zikamera wa yaitali sanali machiritso fistula. matenda olowa zikhoza kwe ndi chisokonezo a zoyendayenda, nthambi kufupikitsa. TB msana kumafuna kupindika wake, maphunziro hump ndi ziwalo za nthambi.

Ndi kuzindikira mwamsanga matenda ndi mankhwala yake mpaka ndondomeko wathunthu mpumulo, matenda ndi bata ndipo sayambitsa chiwonongeko kwambiri olowa.

Nkofunika kuvina gawo loyamba la matenda, pamene matenda osati zinachititsa kuti alibe wa minofu fupa. Panthawi imeneyi, wodwalayo kuzindikira zizindikiro momveka kwa matendawa. Mwina chizindikiro cha matenda monga olowa palokha, ndipo chikhalidwe ambiri a thupi mwanayo.

zizindikiro

Kodi mwana fupa TB? Zizindikiro zosiyanasiyana. Kusintha choyamba ayenera kuchenjeza maganizo mwanayo. The kamodzi osangalala ndi wansangala, iye losandulizika, amakhala lethargic ndi chidwi. Kwambiri kuonda, wotumbululuka, akudwala kudya osauka, akuthamanga, amatopa kuyenda, nthawi zambiri kupumula nsana wake khoma. Mwa zizindikiro ubongo Tingaone chododometsa, kutopa, m'chikaiko chowakaikitsa.

Makolo amaona kuti mwanayo akali ndi amakonda yogwira zina. Nthawi zina mwana ali ndi kutentha kukwezedwa kwa madigiri 37,2 kapena 37,4. Mu odwala mulibe madandaulo zenizeni, koma wakhala kusintha kwakukulu mu kaimidwe. Mu chifuwa a msana ndi Amowabu kuwerama kapena kwambiri msana kulunjika. Pankhaniyi, mapewa aukitsidwa, ndi khosi ndi mutu umachitika askew.

Mosapumira, mwana apuma manja ake pa mpando, ndipo ngati mukufuna kukhotetsa kumbuyo imatulutsa kutsindika manja pa mawondo ake. Ndi kugonjetsedwa kwa olowa anayamba kukokera mwendo wake. Clubfoot kawirikawiri anati. The mwana amayesetsa kuyenda pa mwendo akhudzidwa.

Kuli osteoarticular TB kuwonekera koyamba kugulu wofatsa kupunduka. Makolo amaganiza kuti mwanayo owonongedwa ndi ankawazazira iye. Kwa nthawi yaitali, gait wake ndi kaimidwe limagwirizana, koma kenako anabwerera. Ngati chidwi ndi dzanja, mwana mwachibadwa zimawateteza iwo, kubala kwabwino kokha dzanja kayendedwe. Pankhaniyi, kudandaula ayi ululu. zopambana izi amayamba ndi kuchepetsa olowa sayenda yachibadwa chifukwa cha mavuto minofu.

Ngati makolo a mwanayo adzakhala pabwino mu bedi, izo kuyamba kusamukanso mkono akhudzidwa kapena mwendo, achire kaimidwe ake olondola. Komabe, patapita kanthawi adzakhala kachiwiri zimachitika kusuntha pang'ono, gait ndi kusintha kaimidwe. msokonezo amenewa amapezeka nthawi Mmodzi mwa fupa woyamba ndi zizindikiro khalidwe TB. Ululu ndi zambiri magawo yoyamba unalibe.

Bone TB pa siteji oyambirira chitukuko zimayambitsa kuwonda cha dzanja akhudzidwa kapena mwendo. zimakhala zofewa kukhala flabby. ululu madandaulo kuonekera kwambiri mtsogolo.

Nthawi zambiri ululu isanafalikire pa mtunda wautali pa malo a citukuko. Mwachitsanzo, mu chifuwa a msana, mwanayo anati m'mimba ululu, kumbuyo, nthiti ndi manja. Mu TB dongosolo m'chiuno nkhawa mawondo.

Ndi kugonjetsedwa kwa msana zingaoneke grunting pamene kupuma. Nthawi zina mwana akulira usiku zovuta za kayendedwe osasamalira akagona.

Nkofunika kugwira zizindikiro oyambirira, ndipo nthawi kuwona dotolo.

Pomaliza

Osteoarticular TB - matenda obisika. Zimakhala zidzayambike ndi matenda, komanso kupatsira munthu amene akudwalayo. Matendawa ali ndi makhalidwe nthawi ya pano. Mwachitsanzo, mankhwala a msana ndi mafupa lalikulu ana pamatenga pafupifupi 2-3 zaka.

The kale anakhazikitsa pamaso pa matenda ndi chithandizo choyenera anayambitsa bwino zotsatira matenda.