Mirayiridzo Inobatsira Ndiani Angave Kana Asingadi Kurapa
Vanhu vakawana chirongwa chekugadziriswa kwekubatanidzwa vari panjodzi yekugadzirisa zvirwere zvezvibatanidzwa zvavo zvakagadzirwa. Muzviitiko zvakakomba zvehutachiona, munhu angasangana nekurasikirwa kwepafupa rutsigiro kune iyo inogadziriswa uye inoda kuvhiyiwa kuti igadzirise iyo.
Ndicho chikonzero icho vanachiremba vanoita zvose zvavanogona kupa zano kuvarwere vavo munzira dzokudzivirira utachiona.
Icho chinetso chakakomba chinopindira pakati pe1% uye nechina muzana yevashandi vanobatana pamusoro pehupenyu hwose.
Iyo Joint Implant Infection inosvika sei
Nzira inowanzozivikanwa yehutachiona hwebhakitiriya mumuviri ndeyekuputsika kweganda. Kunyange zvazvo zvisikwa zvinowanzogona kudziviririra pachazvo kune bhakitiriya inopinda, izvo zvinhu zvisingagadziri zvehutachiona hazvigoni. Ikoko ndiko kuti utachiona hunogona mbeu uye hunokonzera kukanganisa kumativi emapfupa nemaviri.
Imwe nzira inogona kuitika inosanganisira zvirwere zvemuromo uye mamwe marudzi emishonga. Munguva yekuita mazino (kana chero ipi zvayo yekurapa isina kukodzera, nokuda kwechocho nyaya), mabhakitiriya anowanzopinda muropa kana maronda akavhuniwa. Nekudzivirirwa kwechirwere chekudzivirira muviri , chero hutachiona hwemabvi kuchinjwa uye kushandiswa kwechiuno kunogona kukurumidza kuchinja zvakanyanya, kuwedzera ngozi yezvinetso nekuremara.
Kuti urege izvi, vanachiremba vanowanzokurudzira nzira yemishonga inorwisa mabhakitiriya vasati vapihwa.
Nenzira iyi, mabhakitiriya epo ega peganda kana mumuromo anonyanya kubviswa. Kunyange zvazvo izvi zvichange zvichirumbidzwa kusati kwaitika kuvhiyiwa kukuru, vanhu vanoita mamwe maitiro emishonga vanogonawo kuva vakakodzera.
Current Dental Recommendations
Iko kunowanzovhiringidzika (uye kwete chete pakati pevarwere asi vanachiremba, pamwewo) nezvekuti ndiani anofanirwa kugamuchira mishonga inorwisa maitiro asati aita mazino.
Munguva yakapfuura, mishonga inorwisa mabhakitiriya yaiwanzogadziriswa kune dzose maitiro emamano emakore maviri ekutanga mushure mekuvhiyiwa. Iko kukurudziro kwakabva kwawedzerwa muna 2009 kubva kumakore maviri kusvika muupenyu hwose.
Yaiva makore matatu chete gare gare, muna 2012, kuti American Academy of Orthopedic Surgeons (AAOS) neAmerican Dental Association (ADA) yakashandura zvakakwana mumutemo. Mumitemo yavo yakadzokororwa, masangano maviri pamwe chete akataura kuti ma antibiotic haafaniri kutorwa semhosva kune vanhu vanoita basa rekuita mazino.
Mukuchengetedza chisarudzo chacho, zvose AAOS neAAD zvakataura kuti pakanga pasina humwe humwe uchapupu hunoratidza kuti nguva dzose kutungamirirwa kwemishonga inorwisa mabhakitiriya kwakaderedza dambudziko rekubatanidzwa kwekubatanidza utachiona. Saizvozvowo, sangano rinodzora rakakundikana kutsigira kushandiswa kwemazwi ekurwisa antimicrobial musati wamboita mazino uye yakagumirana kubvumirana mukurumbidza "utano hwehutano hwakanaka" senzira yekudzivirirwa kwakakwana.
Zvimwe Mamiriro Ezvinhu
Izvi hazvirevi kuti mishonga inorwisa mabhakitiriya inofanira kudzivirirwa kana kuti kune mamiriro ezvinhu (zvakadai sezvinyorwa zvakakura) zvekuti ma antibiotic angave akakodzera.
Kunewo vamwe vanhu vane hutano hwepamusoro hwehutachiona hunokonzerwa nehutachiona hwakanyanya kushaya simba kana kusagadzikana.
Muzviitiko zvizhinji, vanhu ava havasi ivo chete vanokwanisa kurwisa utachiona asi kuti vadzivirire iyo kana ichiitika. Sezvadaro, ma antibiotic angada kugoverwa mberi kwebasa remazino kune vanhu vane mitemo inotevera:
- Rheumatoid arthritis , lupus, nezvimwe zvinokonzerwa nehutachiona hwehutachiona hunogona kukonzera dzimwe nguva kuputika kukuru kwemajoini
- Insulin-vanovimba nezvechirwere cheshuga uye vane hemophiliacs vari kuwedzera mungozi yezvirwere zvinotapirwa neropa
- Immune kuvhiringidza vanhu. kusanganisira kugoverwa kwechirongwa chevanhu, vanhu vane chirwere chekenza, uye vane vane hutachiona hweHIV
- Vanhu vane chirwere chekare chekubatanidzwa
Yakakurudzirwa Antibiotics
Apo mishonga inorwisa mabhakitiriya inokurudzirwa , vanachiremba vachawanzopa muromo we amoocillin kutora awa imwe musati maita mazino.
Kana iwe usingakwanisi kubvumira mishonga inorwisa mishonga, chiremba wako anogona kukurudzira cefazolin kana ampicillin iyo inorayirwa mukati meawa yekuita. Kana uri weergorikisi kune zvinodhaka izvi, clindamycin (kana iri muromo kana injected) inogona kushandiswa.
> Kwakabva:
> Hamedani, S. "Chirongwa chekuchirapa pane zvekupedzisira AAOS / ADA Guideline (December 2012) pamusoro pekudzivirira kweOrpededic Implant Infection muvarwere veDental." Zvinyorwa zveDentistry. 2013; 14 (1): 49-52.