Spondylitis inogadziriswa - yemazuva ano kuongororwa uye kurapa kwakanyanya

Spondylitis inotapukira (chirwere cheka aka Pott) chirwere chinokonzera musana. Chirwere ichi chinowanzotaridzirwa muhuduku nekuyaruka. Kuvanhu vakuru, hazvisi zvishoma. Zvepabonde hazvibatsiri kuwanda kwekuratidzwa kwechirwere. Pasina kurapwa panguva yakakodzera, zvakagara zvataurwa nemurwere ndezvisina kunaka.

Chii chinonzi tubondulous spondylitis?

Chirwere chinokonzerwa netsvimbo yaKoch . Icho chinokonzera kugadzirisa kuita mu vertebrae uye kuchinja kwavo. Uyezve kune kushanduka kwezvikamu zvemukati, sechikonzero ichi vanorega kushanda zvakanaka. Utachiona hunokonzera mutsva hunopfuura nepakati pematanho anotevera:

1. Pre - inotevera - panguva ino vashandi havawanzokumbira rubatsiro. Chirwere ichi chinowanzoitika chisingaiti kana kuti pane zviratidzo zvehuwandu hwezvinhu zvakakwana: kuneta, kusimba uye zvimwe zviratidzo zvekudhakwa kwemuviri.
2. Spondylic - panguva ino, kupisa kwemaitiro kunopararira mberi kwerutivi rwenyama. Somugumisiro, kushandiswa kweshandisi ino kunoitika, tsvina inotaridzika inooneka. Zvose izvi zvinowedzera dambudziko rekudengenyeka kwepfungwa. Pachikamu ichi, tuberculous acute spondylitis inoitika nekunzikanwa zviratidzo. Kazhinji kacho panguva ino, vanotsvaka rubatsiro.
3. Post - njodzi - mune iyi chikamu, kuwedzera kwekuvhiringidza kunogumira . Zviratidzo zvishoma kududzwa. Iyo kyphosis inotsanangurwa zvakajeka. Pamusana pekudzikisa uye kushanduka kwemavara emvura, midzi yemutsara wepelinha inogona kuomeswa. Munguva yemberi inokonzera kuparara.

Spondylitis inoputika inogona kuwanikwa munzvimbo dzakadaro dzomusana:

• cervical;
• thoracic;
• lumbosacral.

Ko tuberculous spondylitis inoparadzirwa sei?

Utachiona hunoitika nenzira dzinoverengeka:

1. Hematogenous - tsvimbo yaKoch inopfuurira kuburikidza nemuviri kuburikidza nehutachiona.
2. Kubata - iyi nzira yehutachiona inobatwa nechirwere chetachiona chemukati.
3. Lymphogenous - hutachiona hunopararira kune nhengo uye mishonga kuburikidza nemakirini.

Kuti unzwisise kana tuberculous spondylitis inopararira, unofanirwa kuyeuka kuti muzviitiko zvakawanda, chirwere chinowanikwa kune varwere vane chirwere chemapapu chinoshanda. Somugumisiro, chirwere ichi chinogona kuparidzirwa kuvanhu vanovapoteredza nemadonhwe emhepo. Zvisinei, kana murwere ane chirwere chePott - chinonyanya kukosha chepachirwere, mukana wekutapukirwa nawo muduku.

Mukana mukuru wekuwana spondylitis kuvanhu vane mararamiro akadaro:

• chirwere cheshuga mellitus;
• zvirwere zvepachikafu;
• zvirwere zvisingaperi zvezviviri zvemukati;
• zvirwere zvinotapukira;
• mushure mekugadzirwa kwezvikamu zvemukati.

Spondylitis inotapukira - zviratidzo

Panzvimbo yakaoma yehutano zviratidzo zvakadai zvinoratidzwa:

• kurwadziwa kukuru;
• kukanganisa kufamba;
• yakakura muviri wechando (37.5 ° C - 38 ° C);
• kuparara.

Kana tuberculosis-spondylitis yakakanganisa chikamu chemuviri, zviratidzo zvinotevera zvinowanikwa:

• kazhinji misoro;
• kuvhiringidzika kwekuziva;
• chizoro;
• shaky gait.

Kutonga tuberculosis yechipfuva chemhino chinogona kuva pane zvinotevera:

• kurwadziwa kunowedzera nekufuridzirwa;
• kupera kwemaoko;
• kutinhira munharaunda.

Spondylitis ye lumbosacral musana unozivikanwa nezviratidzo zvinotevera:

• matambudziko nekumhanya;
• kupera kwemakumbo ;
• kurwadziwa kwakanyanya mumushure kumashure.

Ikoko kune katatu kwezviratidzo zvemaitiro asina kurega echirwere chePott:

1. Kurwisana kwemupaka (hump inowanikwa).
2. Kushushikana (pahudyu, mune popliteal fossa kana pamapfupa anooneka fistula).
3. Zviratidzo zvehutano hwehupfungwa (kunzwisisa uye motokari yemakumbo nemaoko hazvina kunaka).

Spondylitis inogadziriswa - kuongororwa

Chiremba anofunga nezvezvinhu zvechirwere chechirwere chacho, kunyunyuta kwomurwere pamusoro pekuvapo kwezviratidzo zvekudhakwa uye kusagadzikana kwemaoko kana tsoka. Kuziva kuti tuberculosis spondylitis ropa test ichabatsira. Acharatidza kupisa kwemuviri mumuviri. Ne spondilitis, yakakwirira mazera e ESR. Mukuwedzera kune kuongororwa ropa, dzimwe nzira dzokuongorora dzinoshandiswa:

• proteinogram;
• analysis for immunoglobulins;
• biopsy;
• urinalysis;
• rheumatological tests.

Murwere achakurudzirwa kushanyira vanyori vakadaro:

• therapist;
• rheumatologist;
• phthisiatrician;
• Traumatologist;
• neurologist.

Spondylitis inogadziriswa - X-ray zviratidzo

Kana ichi chiongororwa ichiitwa, kushandisa nzira yekuongorora murwere inoshandiswa. Dzinosanganisira:

• MRI;
• Ultrasound;
• radiography yepamusoro;
• CT.

Kana chiremba achifungidzira kuti murwere weplondylitis inoshungurudzika, kuparadzaniswa kwekusiyanisa kucharatidza murwere wakadaro chirwere:

• vertebral engorgement;
• compression fractures;
• kudonhedzana kwepisterbralal fissures;
• osteoporosis;
• deformation ye vertebrae uye mapepa ekupedzisira.

Nzira yekurapa sei tuberculosis spondylitis?

Murwere, uyo akasimbisa izvi, anofanirwa kupinda muchipatara mune imwe nzvimbo yezvehutano chaiyo yehutano hwechirongwa. Tuberculosis spinal cord treatment inosanganisira akabatanidzwa. Inomiririrwa nemabasa anotevera:

• zuva rimwe nerimwe anofamba mumhepo itsva;
• chikafu chakakodzera;
• therapeutic gymnastics;
• vachishandisa corset yekusimbisa uye "gypsum bed";
• drug therapy;
• physiotherapy procedures.

Kurapa kwechirwere chechirwere chetachiona chepondylitis kune mazano maviri:

• etiotropic - control of the pathogen;
• zviratidzo - kubviswa kwekliniki kuratidzwa kwechirwere.

Apo etiotropic therapy inopa mishonga yakadaro:

• Isoniazid;
• Streptomycin;
• Rifampicin .

Chirwere chechiratidzo chinosanganisira kushandiswa kwemapoka aya emishonga:

1. Corticosteroids (Prednisolone, Metipred).
2. Vitamine eboka re rong.
3. Kwete-steroidal anti-inflammatory drugs (Meloxicam, Lornoxicam).
4. Miorelaxants (Baclofen uye Midokalm).

Spondylitis inoputika - kushanda

Kupindira kwokuvhiya kunoitwa chete pashure pokunge chirwere chinopinda muchikamu chakaoma. Kubvisa zvachose spondylitis tuberculous, kurapa kunofanira kuitwa mumwedzi 6-12 yekutanga pashure pokutanga kwekuvandudzwa kwechirwere. Kana chirwere chacho chakatanga, kushanda hakuzoiti chiitiko chinotarisirwa. Kupindira kwakafanana kwekuvhiya kunotarisirwa kubvisa kukanganisa kwenyama. Muchiitiko ichi, vertebrae yakaputsika inotsiviwa nesimbi inonzi prostheses.

Migumisiro yeTiberculosis spondylitis

Kana iwe usingatangi kurapwa panguva, uchava nematambudziko makuru ehutano. Iyo yakanyanya "isina kukuvadza" migumisiro yechirwere ichi ndechekunyengedza kunokanganisa. Zvinetso zveTiberculosis spondylitis zvinogona kuva nengozi. Pano ndiyo yakawanda kwavari:

• kuvhiringidzika mubasa re genitourinary system;
• kupora simba kwemaoko kana tsoka;
• tuberculous meningitis;
• epiem;
• pericarditis ;
• kusagadzikana kwemukumbo mukuru;
• mediastinitis.