Chirwere chinonzi septic hupukanana mukati mekubatanidzwa kwechiuno. Ichi chinetso chisingawanzoitiki, asi chinogona kuitika mucheche nevana vaduku. Zviuno zvepoptic zvinonziwo septic arthritis uye chirwere chetachiona chinopararira .
Vana vane hip septic vane mabhakitiriya mukati mekubatana kwechiuno. Iyo mabhakitiriya anounganidza sepus uye inorwadza. Vana vane hip septic kazhinji vanoda kurapwa kuti vararame utachiona.
Mishonga inofanira kuenderera mberi nekukurumidza kuti ione kuti hapana kuora kwechigarire kujoka kwechiuno.
Izvo zvipenyu zvinowanzoita kuti utachiona mucheche nevana ndeyeboka reB streptococcus, uye mumwe munhu ane mhosva anogona kunge ari Haemophilus influenza (Hib) kana mwana asina kuve nechirwere chacho. Muvanhu vakuru, inowanzokonzerwa neSpaphylococcus kana Streptococcus bacteria.
Zviratidzo zveSptic Hip
Vacheche, vana, uye vanhu vakuru vane zvirwere zvekubatana kwechiuno zvinowanzove nezvimwe kana zviratidzo zvose zvinotevera:
- Fever
- Pain nekufamba kwechiuno. Vacheche vangangodaro vaine mhirizhonga panguva yekuchinja kwejasi. Zvinorwadza zvinogona kuva zvakanyanya.
- Kuoma kufamba kana kumira. Vangave vasingakwanisi kutamisa gumbo rehupachiona.
- Kubatana kwekubatana, kubatana kwehutano.
- Zviratidzo zvinouya nokukurumidza.
Septic Hip Inowanikwa Sei?
Iwe unofanira kutora mwana wacho kuna chiremba kana pane zviratidzo zve septic arthritis. Kuongororwa kwomwana kunokosha kuziva kuti nzvimbo inetso iri kupi.
Kana chirwere chekuputika chichifungidzirwa, kuongororwa kweropa kunogona kuongorora zviratidzo zvehutachiona nekuputika, kusanganisira ropa tsika. X-ray inowanzoitwa kuti iongorore matambudziko emapfupa akakomberedzwa. Dzimwe mimwe miedzo yakadai seMRI kana ultrasound inogona kuitwa kuti ione kana pane mvura inosangana mukati mekubatana kwechiuno.
Kana chiuno cheputi chinenge chichifungidzirwa, nheyo inowanikwa mujoka ye hip. Mvura inobva mumuchiuno inogona kuongororwa. Kana mabhakitiriya anoonekwa mukati memvura, utachiona hunofungidzirwa, uye chirwere chinofanira kuitwa kuti chichenese huputi. Kana hutachiona husingaoneki, mvura inogona kuongororwa nokuda kwehutachiona hwehutachiona. Zvimwe zvinetso zvisingaiti zvakakomba, zvakadai sechirano synovitis zvechiuno , zvinogona kuita kuti zviratidzo zvakafanana septic arthritis .
Kurapa kweSeptic Hip Joint
Utachiona hwakarapwa nemishonga inorwisa mabhakitiriya. Kakawanda apo chidimbu chinoputika chinoratidza mabhakitiriya, vanozotanga mishonga inorwisa mabhakitiriya, iyo inogona kuchinjwa kana kugadziriswa kwenyama kuchizivikanwa kubva mutsika. Mishonga inorwisa mabhakitiriya inopfuurira kwevhiki nhatu kana kupfuura.
Zvirwere mukati memubatanidzwa zvinoda kuravhirwa kurapwa. Utachiona mukati memubatanidzwa unogona kukuvadza goroti zvachose. Kana hutachiona hwehudyu hunoonekwa mune mwana wako, iye achazovhiyiwa kuti achenese kunze. Izvi zvinogona kuva arthrotomy, kana kuti vanogona kuita kudiridza pamwe chete nechido chinotungamirirwa ne ultrasound zuva rimwe nerimwe.
Kurapa kwechirwere chepachiropa panguva yakakosha kunokosha. Nemhaka yokuti chiuno chinoramba chichikura, chinokosha kwazvo kuchengetedza maronda.
Varwere vanochengetedza kukanganisa karotilage yavo vari kukuvadza kusagadzikana kwekuputika kwechiuno. Ava varwere vangada kushandiswa kwechikafu mushure mehupenyu kana kukanganisa korotilage kwakaoma.
Sources:
Sucato DJ, Schwend RM, Gillespie R. "Septic Arthritis of the Hip in Children J. Am. Acad. Ortho. Kup., Oct 1997; 5: 249 - 260.
Septic Arthritis, Jatin M. Vyas, US National LIbrary Medicine, 5/1/2015.
Rutz E, Spoerri M. "Septic arthritis yehupachipi hwehupombwe - Kuongororwa kwemazuva ano kuongororwa uye nzira dzokurapa." Acta Orthop Belg. 2013 Apr; 79 (2): 123-34.