Kohi o te tuaiwi: take, tohu, maimoatanga

mate o Pott - he kohi extrapulmonary o te tuaiwi, patu ia hoki ngā take. pānga atu maha te raro mate lumbar pekehoe rei, me te runga.

Te nuinga o te mate hopuhopu tangata i haria. Otira kua pāngia te reira i roto i maha wāhanga o te taupori. he uaua spondylitis Tuberculous whakawhanake rawa pōturi, kia kitea abnormalities i te wā wawe.

Ko te etiology me te takenga spondylitis

Bacteria tae te pae o mate i roto i te bloodstream. Hotbed o mumura tīmata i roto i te wheua cancellous. kitea te 5% spondylitis te i runga i nga papa hoki o nga tinana vertebral.

Ka rite ki te mate kohi filosilivá te āta piki haere, me te horahanga. Ko te tukanga inflammatory whai wāhi e rua, neke atu rānei ngā huānga he hiroki pātata ki te toronga raro i te nape roa mārōrō, tika ranei i roto i te kōpae intervertebral. I te tahi taime e taea e ratou ake wāhi, me ratou kiko hauora share.

Ka rite ki te ahu whakamua kohi o te tuaiwi? ngaro wāhanga wheua aunoa ratou kaha e tika ki te ino te whakanui ake o te taimaha tinana. hononga hono vete 'nui ai deformation koki.

Kaha o te distortion tei runga i te tohu o te whakangaromanga, te taumata o te lesion me te nui o te tinana wheua whai wāhi i roto i te tukanga pathological.

faaiteraa Haumanu spondylitis

He hākirikiri nga tohu tuatahi, me te maha e kore tohu anake kohi o te tuaiwi. kia rite ki rite ki ētahi atu pathologies tohumate, puta e rua i roto i te tinana. He faaiteraa rite enei:

• ahuatanga whānui;
• ngāwari fatigability;
• mate o te hiahia me te taimaha;
• tamariki - mate o te hiahia ki te tākaro i roto i tuwhera te rangi;
• i roto i te ahiahi i roto i te taea ahiahi kirika ranei.

tohu Local - te reira i te mamae, cramps me tetahi raru. He iti korerotia atu i roto i te tahi atu mate ratou. Ka taea e te nuinga o te mamae whakapeka kia āhuatanga e kore anake kohi o wheua o te tuaiwi. kia rerekē Tohu o te mate: i ētahi wā amuamu tūroro o pakeke.

Ahakoa te tokomaha nui o te iwi e mate ana i te mate i roto i te tīmatanga o nga wāhanga, e kore e puta nga tohu haumanu. E rave rahi o te tohu e ngaro mai, ara i roto i te akoranga whakapeka o te mate.

tohu waho o te spondylitis tuberculous

taui kiwi e Human tata tonu. He poto nga kaupae, he uaua ki te neke i te manawanui.

Kōpeketanga o nga pakiaka karere arata'i ki te hinga o te pūnaha io. faaite te reira ano:

• reflexes tendon overactive;
• uaua ngoikore;
• kiwi e mate hukihuki.

I roto i te wāhanga i muri mai o te mate kohi filosilivá i roto i ngā pakeke kia haere tahi e te ähua o reflexes tendon i roto i te raupapa e whai ake nei:

• riro hauwarea kiwi e;
• i reira ko te ngoikore i roto i nga wahi, he mea e tika ana ki te haere ki te tautoko;
• uaua atrophy, e kore e taea ki te tiki i roto i o moenga, e kore i taea e neke i te manawanui.

Ko te take o te mate

mate kitakita o te tuarā ko te momo tino noa o pathologies. E meinga ratou e microorganisms rerekē. He rārangi o taua mate ngā taua mate rite:

• spondylitis;
• discitis;
• spondylodiscitis;
• whēwhē epidural.

E mea pinepine kino ki kaiao tangata tika i roto i te bloodstream ki te pekehoe atu whakapataritari kohi o te tuaiwi. Ko te take o te mate:

• whara o te tinana;
• ngā āhuatanga kino te mahi;
• ngā mate hopuhopu.

Ko te take matua o te mate - i roto i te whakapā tika ki te tangata kua huaketo.

Ko te rōpū mōrearea matua

Ko te kătahi o microorganisms ki te pūkahukahu o te tangata hauora whakaoho te whanaketanga o te mate e kore e tika i roto i te pūkahukahu, engari ano hoki i roto i te hanganga wheua o te tinana.

he rōpū o tūroro i mōrearea:

• tangata kaipaipa;
• he matekai ngā;
• AIDS ranei ētahi atu mate rite e meinga whakararuraru, o te pūnaha ārai mate;
• wharewhare;
• te hunga e kino taero.

Ka taea e mate puta noa i muri pokanga.

Whakarōpū o mate me ngā wāhanga o te whanaketanga

E rua nga tu o faaiteraa o te mate, me nga wāhanga e rima o te whanaketanga. Kohi o te tuarā, ko te wheua, me te synovial. Ki te whakarongo ki te tātaritanga taua he rawa wehiwehi. Pānga ki wheua ngohe, e whakamotitia a faaore ratou i meinga māuiuitanga pērā i rumati me arthrosis, exacerbate te mate.

Ngā wāhanga o te whanaketanga o kohi o te tuaiwi:

1. I te tuatahi tau huaketo reira he tangata hauora.
2. 2 huakita wāhanga tini rawa hohoro, whakangaro pūtau hauora.
3. Atu ahua āhuatanga o te tohu tuatahi.
4. I taahiraa 4 te whakareatanga o microorganisms tae päoka, pāngia te tuaiwi te.
5. Ko te mahi whakamutunga, ko ki anō-huringa i roto i nei te tangata riro ia he pere o mate.

E toru ngā wāhanga whai mate haereraa:

1. osteitis Paraimere.
2. wāhanga Artritichnaya.
3. Postartritichnaya wāhanga.

Ki te kore koe e tīmata maimoatanga wawe, ka taea e te mate tino whakaroa e ka arahi ki te hauātanga e kore anake, engari ano ki te mate o te manawanui.

Tātarihia te spondylitis

Ka taea te hoatu te tātaritanga o "kohi" i runga i te whakamātautau haumanu me te radiological.

Na, te whakamamaetia te manawanui he tātaritanga pārōnaki, tae atu hītori hauora, tohu whakamahine. hē congenital o te tuaiwi:

1. mate tihorea ana (tūroro taitamariki).
2. Whaturama SHmorlja ko te mate Scheuermann Mau (i ētahi wā ka taea e puta i roto i taiohi).

I roto i te mate kohi i runga i te X-ray ako mara pekehoe makaro, heke wāhi rokiroki.

Ki te kitea abnormalities, he mea e tika ana ki te kawe i roto i ngā whakamātautau taiwhanga:

• whakamātautau toto;
• mahi ESR me CRP;
• tirohia te ate, me nga whatukuhu;
• unuhanga, tarahu whatiwhatinga o kikokiko mo te whakamātautau microbiological me te tātaritanga tika o te māuiuitanga.

maimoatanga o nāianei

I mua i te taeraa mai o te tokomaha nui o te iwi i mate o paturopi, me te tātaritanga o "kohi o te tuaiwi." Kua tae Treatment tenei ra taua tiketike iwi e taea ora hoki nga tau maha ki tenei mate, te pupuri i te āhua tonu, me te waha te tirohanga i ia te wā. Na roto i te whakataki o te kaha wae tiaki, te whakamahi o te whakatangitangi filosilivá, whakaora taea mate.

Tikanga o te maimoatanga o te spondylitis tuberculous he hahau. Ko te aroaro o te takarepa neurological fakafaingata'a'ia'i te tukanga whakaora.

Ki te pāngia te mate e, ka tukinotia i roto i ona wāhanga tuatahi, i mua i reira ka kia whakangaromanga wheua, me te hira, te tikanga ora te manawanui rawa.

E wehea maimoatanga o nāianei ki e rua momo:

• therapy momo;
• pokanga.

Ka tino kawe momo rua he pānga pai. Otiia e kore e te therapy momo i nga wa katoa te pānga e hiahiatia ana i runga i te tukanga pathological. maimoatanga operative he pai pānga i runga i te tangata e kua te tātaritanga o "kohi o te tuaiwi." whakamana ana te mahi e ngā tākuta tohu, na te manawanui i raro i te tiaki o te kaimahi hōhipera.

tīkina tūpato

iti maimoatanga o te tūroro ki te takarepa neural te ki maimoatanga anti-TB. Kei te kawea te reira i roto i ki te whakamahi o te raau taero pērā i "Inh", "Rifampicin", "Pyrazinamide" me "Ethambutol". Kua whakamahia enei katoa rite taero raina-tuatahi e tika pā i te kohi o te tuaiwi. āta ka nga tohu o nga tohu mate haere atu ka kawea maimoatanga te i roto i tika. Tei runga i te mau faaiteraa mate me tohu, e taea te whakakapi tāpiri ranei taero. whakaritea te inenga i runga o te manawanui huru, tau, me te taimaha rānei.

Maimoatanga ki taero anti-TB i bedrest whakarato hua wā roa-a faaore matahoki hia.

Tūroro ki ngā wāhanga matatau rapu i te huarahi atu nui. Ko te maimoatanga matua - hahau, me te moenga okiokinga. i whakanohoia Tūroro i roto i te fare ma'i i raro i te tirotiro tamau o tākuta me ngā nēhi. e kore e maimoatanga momo hoatu tonu te hua pai. I roto i ētahi wā, he tika pokanga.

Operative Huarahi ki te whakaora mate

hiahiatia pokanga te mo te decompression o ngā hanganga neural me pana o abscesses. Ka rite ki te tikanga, he tamariki nga ngā tukanga whakamana ki te whakatika i nga deformations e pā ana ki te tupu.

Cure mate anake e taea, no te mea titau te reira i te okiokinga oti, me te maimoatanga matatini. A, no te kore i therapy momo i āwhina ki te whakaora kohi o te tuarā, timata nga tohu i roto i ngā pakeke ki te tupuheke me i reira ko te hiahia hoki wawaotanga hāparapara.

I mua i te tākuta ki te tango i te pūwaha mahi, i patua e te mate. I roto i tona wahi tāuta te transplant. tangohia papanga e hiahiatia ana mō te transplantation te i kapiti o te manawanui. Ko tenei ki te whakarite i whakaiti te mōrea o te pato'iraa te me i reira ko tetahi tupono nui e ka tauturu i te pokanga.

Me mahara te reira e kia te pānga o te mate tina heke, a ka taea e te mahi hāparapara whakaawe te kohi o te tuaiwi. Whakaahua o tūroro ki te mate hopuhopu hoatu mārama whakarato tauira oraora o te hanganga o te māuiuitanga me ona mau hopearaa.

Raraunga whiwhi i roto i te X-ray, me ngā akoranga MRI, taea tākuta ki te matapae i te putanga me te whakatau i te rōrahi o ngā whakawhitinga, me te whakaiti i te mōrea o pōauautanga i muri i te amuiraa.

E te reira e pā ana ki 4 nga tau ki te tino ora. Ko, ara e kore e pokanga kī he ora tere o te tinana. I maha aituā.

He aha te mea te tūponotanga ki te hopu spondylitis?

Ko ma'i pee mate kohi filosilivá ranei e kore? Kua maere tenei take maha. Otiia e kore e te whakahoki tangohia ki tenei pātai te tīariari. I runga i tenei raruraru mo nga tau kaiwhakaako tino tohu.

O te akoranga, e hiahia ana koe ki te tupato o te iwi ki tenei tātaritanga tango whakatūpatotanga ki te haere mai i te tangata e mate ana ki to koutou whanaunga hoa ranei ranei.

Wehe o microorganisms kino e wahi anake, ki te:

• Ki te he puka tuwhera o kohi te manawanui;
• tangata hauora i roto i te whakapā ki te manawanui, e kore mātakitaki i te ture o te tūpato;
• kai ki te rihi taua faarahi te mōrea o te mate i roto i te wahi kūnatu.

kia utero mate spondylitis ki he kino te whaea, puta mate i roto i te ewe. Ko te tūponotanga o te mate, ko te hoko nui i whakapā tika ki te tangata e mate ana.

mehua whakatūpato, me te ārai

I roto i te mate tuberculous o te tuaiwi he ārai faufaa. E hiahiatia ana ona tikanga ki te whakakore i te mōrea o te whanaketanga o te mate muri. He mea tino nui ki te whai i te okiokinga, ki te karo te ahotea nui i runga i te tinana kia rite ki te katoa.

tamata ano:

• kia i raro ki te hauhauaitu;
• te whakapai ake te mate;
• pai me te kai tika;
• karo injuries.

Ko te mehua ārai matua ko te wa ki te hanga werohanga ki te mate kohi. He whakahauanga werohia. He mea tika ki te tiaki i te tinana i kino mate hopuhopu. Hanga tīmata rite wawe rite kōhungahunga ia, ka kawea te tikanga i roto i roto i te ra tuatahi o te ora.

I roto i te wāhi mahi, i reira he ano he ati o spondylitis mate. kaimahi hauora e mahi i roto i tenei rohe, kua te mōrea rawa o mate. kia waiho ratou tirotirohia wā me tango preventively taero anti-TB.