Chii pfupa tiibhii? Sei? Zvinokonzera neMarapirwo

Iwe unogona kurwara nefupa tuberculosis nekuda kwehurombo huri mamiriro ezvinhu, kushaya muviri zvakanyanya, kukuvara, kazhinji kunowedzera zvirwere zvinotapukira, hypothermia, kushanda mashoma ekushanda.

Chief provocateur

Kugadziriswa mukurudzirwa kwechirwere chakadai soutachiona hwehutachiona, ndiko kusangana kwepakutanga nemunhu akabatwa nechirwere ichi. Chirwere ichi chigumisiro chekupindira kwe mycobacterium kubva pakurwara kwechifuva mumapapu kuburikidza neropa uye lymph vessels mumapfupa. Nokudaro, zvivako zvepafu izvo zvakapiwa neropa zvinowirwa pasi. Somuenzaniso, nzvimbo yefudzi, chiuno, musana, gumbo rezasi uye forearm.

Chirwere chacho chinokura sei?

Nekuwedzera kwekuita kwe mycobacteria, kuumbwa kweiyo tubercles inowanikwa ne granulomas, iyo inopedzisira yaputsa. Somugumisiro, bone marrow tuberculosis inowedzera. Ifupa rinotapurika, mazamu emakona, akazadzwa nezvinyorwa zviri mukati, fistulas, yakasarudzwa nekusavapo kwekubatana pakati pemafu uye kunze kwenzvimbo. Uyezve, zvikamu zvakavharwa zvefu rakafa (sequestration) zvinoratidzwa.

Izvozvo sei chirwere chepachirwere chemupaka chinoratidzwa?

Bone tuberculosis yepemusoro inotanga kukura kwayo mune rimwe vertebra. Apo granuloma inokura, mapfupa emapfupa anodonhedzwa, kuputika kunotora zvikamu zvakapoteredza zvemutsara wemugwagwa. Iyo musana yakasvibiswa. Kana nzvimbo ine ruvara inobatwa nekudzvinyirira mutsara, chirwere chepfungwa uye paresis chinogona kuumba.

Zviratidzo zveTapu tuberculosis

Bone tuberculosis pachikwata chekutanga chinoratidzwa nekuratidzwa kunonzwisa kwezviratidzo. Vanogona kunge vasingazviratidzi zvachose. Varwere vanonyunyuta nezvekuwedzera kuduku kwekushisa kusvika kune digirii 37. Dzimwe nguva kutonhora kunomuka uye kwakakwirira. Vana vanova vasina usimbe uye vanokanganisa, uye vanhu vakuru vanonzwa kutya kwe asthenic uye vanodhonza marwadzo mumisungo. Kurwisana kunoderedza kushanda zvakanaka. Vamwe vanhu mushure mekuedza kwemuviri vanonzwa kurwadziwa kunononoka munzvimbo dzomumumusha pasina nzvimbo yakajeka yekunzvimbo. Pashure pokuzorora vanofamba.

Nokudaro, zvinogona kutaurwa kuti zviratidzo zvechirwere zvakapera, saka vanhu vazhinji havawani rubatsiro rwechiremba panguva yakakodzera, nokuti vanotsanangura mamiriro avo ezvinhu nekushanda zvakaoma.

Mashoko Akakosha

Kana kurwadziwa kusingaregi pachitora analgesics kana zvinopesana nezvinokonzera zvinodhaka, zvino vanoratidza chiratidzo chekukura kwechirwere chakadai sechirwere chetachiona chepfupa, izvo zvisingakwanisi kurarama nemunhu oga.

Kupararira kwehutachiona hwehutano hwakasvibira pamagetsi ekuparadzanisa kunokonzera kukuvadza kumutsara wemupfupa. Ichi ndicho chikamu chechipiri chechirwere.

Chii chinoratidza chikamu chechipiri

Asthenia inowedzera, kutonhora kwemuviri kunokwira kusvika kumakona akakwirira. Kamwe pamwe neizvi kune marwadzo akaiswa mune imwe kana imwe chikamu chepamusoro. Uku kurwadziwa kunogumira kufamba kwevanhu. Akasvibisa mararamiro ake. Pakuzorora, kuwanda kwemarwadzo kunoderera. Tsvina dziri mumupfudze dziri mukukanganisika, kurira. Paanorpation, murwere ane urombo.

Chikamu chechitatu chechifuba

Tuberculosis of bone tishu inokanganisa vertebrae iri pedyo. Mamiriro ezvinhu akazara emurwere anonzi akaoma. Munhu anorwara akaipisisa kwazvo, kutonhora kwemuviri kunoramba kwakapoteredza 39 kana 40 degrees. Nyika ye astenic inochengetedzwa . Pain in the spine is intense. Pazororo, zvishoma nezvishoma zvinoderera.

Mushure mokurapa musana wechirwere unoramba uchinetseka, dorsal muscle atrophy inocherechedza , kufamba kwomunhu kunonyanya kuderera. Vamwe varwere kunyange mushure mokunge chirwere ichi chichiri kuramba chichingonyunyuta pamusoro pokusagadzikana mumharapara uye munzvimbo yevirtasbrae yakagadziriswa.

Tuberculosis yepamusoro uye yakadzika migumo

Ichi chirwere chinowanikwa mumatanho akafanana sepinuspipe tuberculosis. Ndezvipi zviratidzo zvepafu tuberculosis yemigumo? Izvo zvinoputika zvinoratidzirwa nekurwadziwa, ganda rinotsvaira tsvuku, kuzvikudza kunoratidzwa pamusoro pechigunwe. Kuparadzwa kwepafu kunokonzera kuora kwechimiro uye kuputsa kwechirwere kusvikira pakuonekwa kwevanhu vane chiremera. Basa rekubasa rinowira zvakanyanya.

Kuti chirwere chacho chinowanikwa sei

Vose varwere vanofungidzirwa kuti bone tuberculosis vanobatwa ne-radiograph kana tomography yechirwere chakakanganiswa mumagariro maviri. Muchiitiko ichi, zvakakosha kuziva chinangwa chekuparadzwa kwemapfupa (kuchengetedzwa kwemafuro) nemumvuri kubva kumapumburu.

Mukuvapo kwefistulas uye mapfupa, fistulography kana abscessography inoshandiswa kuongorora huwandu hwavo. Nzvimbo yechipfuva kana fistula yakazadzwa nechimiro chakasiyana, saka mifananidzo yakawanda inotorwa.

Paunenge uchiita kuti uongororwe, basa rinokosha rinowedzerwa nehutachiona hwehutachiona hwemapfupa emapfupa akafa, zviri mukati mechipfuva kana fistula.

Chii chinoratidza hutachiona tuberculosis

Bone tuberculosis inotsigira kuvapo kwe mycobacteria. Kuongorora ropa kunoratidza kuvhiringidza kwehutachiona hunotapukira. Nhamba yeeukocytes yakawedzera, yakamhanya ESR, inowanikwa C-reactive protein, nezvimwewo. Kusimbisa chirwere, provocative uye tuberculin miedzo inoshandiswa.

Zvichipa kuti chirwere chacho chinogona kuva chechipiri, zvinokosha kuti uise mubhokisi x-ray, uye pamberi pezvikwangwani zvakananga kuti uite kuongorora dzimwe nhengo.

Ko TB inobatwa sei?

Bone tuberculosis, kurapwa kwaro kwakasiyana munguva yakareba, kunobviswa nekuderedza kunono kwehutachiona. Uyewo, kudzivirira kwemafupa emapfupa kuparadzwa kunoitwa. Ikoko kune chirwere chekudzorerazve.

Kuteerera nekudya

Mune nguva yekushanda kwekuvhiringidza, murwere anowedzera kukurumidza kupuroteni kuputsika. Nokudaro, nokuda kwekudzorera kwayo zvakakosha kudya zvokudya zvakapfuma mune izvi. Nhamba yezvokudya zvinopedzwa zvinofanira kuwedzera ne 1/3. Nhamba yezuva nezuva inofanira kuva 3500 makoriori pazuva. Muchiitiko ichi, kudya kwakakwana kunokonzera kuwandisa kwemuviri nekurema, izvo mune chirwere ichi hazvibvumirwi.

Mune rimwe zuva murwere anofanirwa kudya chiyero che 100-120 g yeprotheni. Pamatambo ekudzivirira, kudya kweprotini kunofanira kuderedzwa kusvika ku 70 g pazuva.

Yakakurudzirwa kudya:

• Inobva kubva nyama kana hove;
• Nyama cutlets;
• Pâté;
• Hove yakabikwa;
• Dya mazai.

Chikafu chekudya chinofanira kugoverwa nemukaka uye lactic acid products. Izvo zvine calcium, iyo inofanirwa kune bone yakakanganisika.

Muchivhiringidziro, pamwe chete nenguva yekurapa nemishonga inorwisa mabhakitiriya, kushandiswa mune nhamba yakawanda yezvibereko nemiriwo, uyewo ma multivitamin complexes, inokurudzirwa.

Lifestyle nehosha

Nekuvhuvhuta kwakagadzirwa, zororo rekurara rinokurudzirwa. Panguva yekurapa inogona kushandiswa kurapwa kwemaitiro uye kuisa muviri. Munhu anorwara anofanira kugara ari kunze. Iyo inobatsira yekubata kwezuva. Sezvo mutemo, varwere vanopinda maitiro ekurapa uye ekugadzirisa matambudziko mumasangano makuru uye zvipatara, apo hurumende yezuva nezororo inonyatsocherechedzwa.

Kurapa kwechirwere nemishonga

Chiitiko chikuru chinorapwa nemishonga inorwisa mabhakitiriya pamwe nekubatanidza nzira dzokuvhiya.

Zvinodhaka zvinopesana nemabhakitiriya zvinoshandiswa zvose zvisati zvaitika uye pashure pokuvhiyiwa. Kazhinji, vanachiremba vanoti "Rifampicin", "Isoniazid", "Pyrazinamide", "Etambutol", nezvimwewo. Mishonga inoshandiswa kwenguva yakareba. Vari kunwa maererano nechimwe chirongwa.

Kupindira kwokuvhiya

Kuwanda kwekupindira kwekuvhiya kunoenderana nekuwanda kwamapfupa akavhuniwa, uyewo kuvapo kwevessesses uye fistulas. Nzira yekushanda inogona kubvisa sequesters, mitsetse yebaba uye fistula shamrokes. Vanoshambidzwa ne antiseptics uye antibiotics. Makomba akadaro ane chirwere chakakodzera anovharwa neavo.

Mabasa mazhinji akaoma akasiyana pane imwe nguva yekupedzisira yechirwere ichi nechinetso chakashata mumupfupa nemapfupa. Kuita kwakadaro hakugoni kubvisa kukwana kwevarwere, asi kunogona kuderedza kuoma kwechirwere.

Dzidzo yekudzorera

Kuvandudza kunowedzera muzvikamu. Basa guru nderokudzorera mabasa akarashika echirwere chakavhiringidza uye kudzorera murwere kune hupenyu hwakakwana. Panguva imwecheteyo, kushandiswa kwekurapa kwepanyama mumuviri, kushambadza, kurapwa kwepanyama, uyewo nzira dzakasiyana-siyana dzinokurudzira kugadzirisa zvehutano uye zvehutano zvinoratidzwa.

Matambudziko

Tuberculosis of bone tissue inogona kukonzera matambudziko akawanda:

• Kuruka kwemutsara wepelinha. Panzvimbo yezvipembenene zve vertebrae, humpu inowanzobuda. Izvi zvinowanzobatanidza chirevo chechipiri.
• Kana musana wechipfuva uchinetseka, hutano hwehutano hunoonekwa muvarwere vose, kutanga nekuwedzera kwemazwi emusana kana kutenderera kusingabatsiri uye kuguma ne paresis uye kuora mitezo.
• Kusuruvara mune chirwere chacho chiri pedyo nemiti yakasvibiswa. Vanogona kusiyaniswa nekureba kwenguva yakareba. Nzira chete yekurapa ndiko kuvhiyiwa.
• Fistulas inoitika pakabuda kwekuputika pamusoro peganda.

Zviratidzo zvechirwere

Parizvino, pane zvinenge zvisingabatsiri. Asi chirwere ichi chinoratidzirwa nenzira yakaoma kwazvo nechitarisiko chekuperevedza kwekusakanganisika, izvo zvinoita kuti kurasikirwa kwekwanisi kushanda. Zvinonzwisisika kuti munenge hafu yematambudziko vanhu vanove vasina kukodzera. Mishonga inopedza nguva, mishonga yakawanda ine chepfu.

Matanho ekudzivirira

Zvinodzivirira zvinodzivirira zviyero zviyero zvinotarirwa kuderedza mikana yekukurukurirana nevarwere vane chirwere chetachiona, pamwe nekudzivirira kutapurika, kutonhora, kukuvara uye chepfu.

Vana nevechiri kuyaruka vanofanira kuedza kurongwa nehutachiona, sezvo izvi zvinobatsira pakutsanangura chirwere chepfungwa. Kutaura kune chiremba kana urombo huri mumapfupa nemasumbu hunobatsira kuziva chirwere ichi mumatangiro ekutanga uye kuitisa kurapa kwakakodzera panguva yakakodzera.

Tuberculosis yemapfupa muvana

Munhu mukuru ane kurwisana kukuru nechirwere ichi nechirwere chetachiona, sezvo chitachiona chake chakasimba uye chakagadzirwa. Muviri wemwana wakanyanya kusimba. Nokudaro, chifuva chepfupa nemapfupa kakawanda zvinoitika muhuduku.

Chinokonzera utachiona muhuduku

Pasi pesimba remamiriro ezvinhu akaipa, mhuka yemwana inokurumidza kuvhara ma microbes.

Ivhu rakaorera rekuvandudzwa kwechirwere chetachiona uyewo zvirwere zvinotapukira zvakanyanya. Pakati pavo, inofanira kuzivikanwa fenza, masero uye kugunun'una. Zvinokonzera kuderedza simba rekudzivirira.

Tuberculosis microbes mumuviri wemwana anenge achangotarisana nechirwere chinotapukira, nyore nyore kumutsa kukanganisa kwemapfupa nemajoini. Nokudaro, vabereki vanofanira kunyatsoteerera mwana anenge aine zvirwere zvakakomba, uye pamusana pekufungira zvishoma kudarika kwechirwere chechirwere kuti azviratidze kuna chiremba. Nyanzvi ichagadza kuongorora kwakakodzera.

Mwana wechirwere chinotanga sei?

Kazhinji kacho, bone tuberculosis yevana inokura muchivande uye zvishoma nezvishoma. Kakawanda mwana wacho anonyunyuta pamarwadzo muzvikamu.

Vamwe vabereki vanobatanidza kutanga kwechirwere nekuwa kana kukuvara. Asi kutonga uku kwakanyanyisa. Pasina kunetseka kunorwadza mumapfupa, tuberculosis haikwanisi kukura kubva pakurasika.

Ndezvipi zvinetso zvinogona kukonzera chirwere chepfupa mumapfupa mumwana

Kana mwana asingatauri rubatsiro rwezvekurapa panguva, chifuba chinogona kukanganisa bundu mubatanidzwa uye kuonekwa kwemarefu, kusina kuporesa fistula. Zvirwere zvekubatana zvinogona kukonzera kuparadzwa kwayo uye kuora mwoyo kwekufamba, kupfupisa kwechimiro. Tuberculosis yemukona inosanganisira kuputika kwayo, hump formation uye kupora simba kwemakumbo.

Nokukurumidza kuonekwa kwechirwere uye kurapa kwayo kwakarurama kusvikira chirongwa ichi chapera zvachose, chirwere chacho chinowedzera mune chimiro chechiedza uye hachisi kukonzera kuparadzwa kwakanyanyisa.

Zvakakosha kuti usapotsa zvikamu zvekutanga zvechirwere, apo chirwere chacho hachina kukonzera kuderera kwefupa redu. Panguva ino, murwere anogona kuona zviratidzo zvakajeka zvechirwere ichi. Kufananidza nezvechirwere kunokwanisa kuwirirana pachako, uye mamiriro ezvinhu emuviri wemwana.

Zviratidzo

Mwana anoratidza sei kenza yepafu? Zviratidzo zvakasiyana. Chokutanga pane zvose, manzwiro emwana anofanira kuchinja. Kana imwe nguva inofara uye ichifara, inoshanduka, inova yakashata uye isina hanya. Inonyangadza kurasikirwa, inoshanduka yakasviba, inotambura nechido chakaipa, haimhanyi, inoneta nekufamba, inowanzozorora, inonamatira shure kwake kumadziro. Pakati pezviratidzo zveusurological, kusava nemhosva, kuneta zvakakurumidza, kusagadzikana kunogona kuonekwa.

Kakawanda, vabereki vanocherechedza kuti mwana wacho haana kusimba uye anosarudza basa rokuzorora. Dzimwe nguva mwana ane kupisa kwema 37.2 kana 37.4 degrees. Murwere haana zvikwangwani zvakananga, asi pane kuchinja kwakakomba mukugadzirisa. Ne tuberculosis yepamusoro, pane chitsiko kana kupfurikidza zvakadzama kwepamusoro. Mafudzi anokwidziridzwa, uye mutsipa kana musoro wakakanganiswa.

Akagara, mwana anozorora maoko ake pachigaro, uye kana achida, kupeta shure kunounza kusimbiswa pamaoko emabvi. Apo chibatanidzwa chacho chakabatwa, anotanga kudhonza netsoka dzake. Iyo clubfoot inowanzoonekwa. Mwana anoedza kusatsika pamakumbo akabatwa.

Kakawanda kazhinji osteoarticular tuberculosis debuts ne chiedza chameness. Vabereki vanofunga kuti mwana anobata, uye anomutsoropodza. Kwenguva yakati pfuma yake uye mamiriro ake akaiswa, asi ipapo zvose zvinodzoka. Kana ruoko rwacho rwagumburwa, mwana wacho anongodzivirira achidzivirira, achiita kufamba kamwe chete noruoko rune utano. Hakuchina kunyunyuta kwekutambudzika. Zvinhu izvi zvinokonzerwa nekuderedza kwemazuva ose ekufambisa kwehutano nekuda kwekushungurudzika kwemasisita.

Kana vabereki vakaisa mwana wacho kurara, anobva atanga kutamisa ruoko rwakagadzikana kana gumbo, kuronga kwake kwakarurama kuchadzorerwa. Zvisinei, mushure mechinguva, kuchavazve nekudziviswa kwekufamba, gadziro nekusimudzirwa kuchachinja. Zvinetso izvi zvinoratidzika sezvenguva uye inova imwe yekutanga uye inoratidza zviratidzo zvepa bone tuberculosis. Zvinorwadza zvinorwadza, sekutonga, hazvionekwi pamatanho ekutanga.

Nzira yebonyamu yeTiberculosis panguva yekutanga yekubatsira inokonzera kupera kwemaoko kana ruoko. Zvinyoro zviduku zvinoputika. Zvinonyunyuta zvekutambudzika zvinowanzoitika.

Kakawanda marwadzo acho anowanikwa munzvimbo iri kure zvakakwana kubva panzvimbo yekusimudzirwa kwebasa racho. Somuenzaniso, nechirwere chetachiona chemupaka, mwana anoona marwadzo mudumbu, kumashure, mbabvu nemaoko. Kana chirwere cheputika chichikanganiswa, mabvi.

Apo musana waro wakakuvara, kuruya kunogona kuitika panguva yekufema. Dzimwe nguva mwana anotinhira usiku kubva pakurwadziwa nekufamba kusina hanya panguva yehope.

Zvakakosha kubata zviratidzo zvokutanga uye kubvunza chiremba munguva.

Mhedziso

Tsvina-yakabatwa nechirwere chetachiona chirwere chinonyangadza. Inogona kukonzerwa nehutachiwana, pamwe nekuparadzirwa kubva kune munhu ane utachiona. Chirwere ichi chinoratidzirwa nekureba kwenguva. Semuenzaniso, zvinotora makore anenge 2-3 kuti aporese musana kana masangano makuru muhuduku.

Pakutanga kuvapo kwechirwere kwakatangwa uye kurapa kwakakodzera kwakatanga, zviri nani mugumisiro wechirwere.