Tuberculosis o ka spine: kumu, symptoms, lapaʻau

Pott ka maʻi - Ua extrapulmonary tuberculosis o ka spine, luku aku la ia ia no kela kumu. I ka lalo thoracic a me ka hoaka o lumbar vertebrae maʻi e loli ai oi pinepine.

Ka hapa nui o ka infectious maʻi susceptible kanaka. Akā, ka mea, ua diagnosed ma na Hoʻohana o ka heluna kanaka. Tuberculous spondylitis? Acaeoey oo loa lohi, no laila, huai ae abnormalities ma kekahi kakahiaka nui ke kahua me ka pilikia.

Ke etiology a me Kinohi spondylitis

Koʻohune hiki i ka paena o ka maʻiʻaʻai ma ke koko. Hotbed o ka aat i hoʻomaka i loko o ka cancellous iwi. I ka 5% spondylitis ua 'akomi i ma luna o ke kua surfaces o ka vertebral kino.

E like me ka maʻi spinal tuberculosis ua kiʻekiʻe e māhuahua, a hohola ai. O hoʻoʻino kaʻina komo ai elua a oi kokoke pokou nā kumumea me ka palena manawa ma lalo o ka anterior lonikū ligament, ai 'ana ma ka intervertebral pā hōkū. I kekahi manawa ka mea, hiki e hou ole i kekahi, a me kā lākou kaʻana like ola'aʻaʻa.

E like me ka holo pono tuberculosis o ka spine? Iwi eiiiiiaiou lilo aku lākou me mechanical ikaika aie i ka māhuahua mea hōʻemi o ke kino ke kaumaha. Excessive hemohemo nā loulou ke kumu angular deformation.

Ka nui o ka ei hilinaʻi nui ma luna o ka degere o ka make, i ka nui o ka lesion a me ka nui o ka iwi kino komo i loko o ka pathological kaʻina.

Lapaʻau hoikeana spondylitis

Ka loiloi mua symptoms i vague a pinepine hoike ole wale tuberculosis o ka spine. Symptoms paha e like i ka like i nā pathologies, nā 'ia i loko o ke kino. Mau mea hoikeana like:

• mau malaise;
• oluolu fatigability;
• poho o ka ikaika loa ka makemake a me ke kaupaonaʻana;
• keiki - emi o ka makemake e pâʻani ma ka hamama lewa;
• ma ka auina la a ma ke ahiahi, hiki kuni.

Local hoailona - ka mea, 'o ka eha, a me ka cramps soreness. Ka mea, ua emi mai ka hoʻopuka mua i loko o nā maʻi. Huʻiʻeha hiki ana e wehewehe aku i wale tuberculosis o iwi o ka spine. paha e Symptoms o ka maʻi okoa: i kekahi manawa, e hoomanawanui i ohumu o ka oolea.

I loko nō o ka helu nui o kanaka e loaa ana mai o ka maʻi i loko o ka kakahiaka kahua o ka hoʻonaʻauao, lapaʻau hoailona e ole hōʻike. He nui no na symptoms ma kahi e, a hiki i ka huʻi papa o ka maʻi.

Mawaho hoailona o tuberculous spondylitis

Kanaka gait hoʻololi aneane koke. Nāʻanuʻu, he pōkole, ka hoʻomanawanui mea pilikia, e neʻe.

Mīkini'opihia o ke aʻalolo aa hele aku ai a hiki i ka pio ana o ke ko mākou hopohopo nenoaiu. Ua hoike mai ai ia ia:

• overactive tendon reflexes;
• Muscle nawaliwali;
• spastic gait.

Ma nā kahua o ka hoʻonaʻauao ma hope o spinal tuberculosis i loko o nā mākua i ke ukali ma ka worsening o ka tendon reflexes i loko o ka kēia kaʻina:

• gait i clumsy;
• he mea he nawaliwali i loko o na lala, he mea pono ke hele me ka kokua;
• nāʻiʻo atrophy, i ka hoʻomanawanui mea,ʻaʻole hiki ke loaʻa mai o ka moe, hiki ole neʻe.

Nā kumu o ka maʻi

Mea koʻohune nā mea palahēhē o ka spine i ka loa e like me ka 'ano o pathologies. Ka mea, i ke kumu ma kekahi mau microorganisms. A papa inoa o ia maʻi kikowaena na maʻi like:

• spondylitis;
• discitis;
• spondylodiscitis;
• epidural abscess.

Pinepine nā palapala i kanaka meaola kekahi, ma ke koko a hiki i ka vertebrae ma mua o hoʻonāukiuki tuberculosis o ka spine. Nā kumu o ka maʻi.

• physical eha;
• adverse hana ana;
• infectious maʻi.

I ka papa kuhikuhiE kumu o ka maʻi - i loko o ka hui 'ana me ka ua iho mailoko o kanaka.

I ka papa kuhikuhiE kamepiula pūʻulu

Ke anal o microorganisms i loko o ka maʻiʻaʻai o ke ola i ke kanaka hoʻonāukiukiʻana mai o ka ulu ana o ka maʻiʻaʻai i pono i loko o nā maʻiʻaʻai, akā, i loko o ka iwi hale o ke kino.

kekahi pūʻulu o nā mea maʻi i kamepiula:

• paka kanaka;
• malnourished;
• Kōkua iā ia, a 'ē aʻe like maʻi i i kāna hana o ka'ōnaehana paleʻea oihana;
• diabetics;
• ka poe e hoʻomāʻewaʻewa mai ai '.

Maʻiʻaʻai hiki i hoʻomaka ai, a hiki ma hope oʻoki kino.

Mea Maluna o nā maʻi a me nā kahua o ka hoʻonaʻauao o? Acaeoey

Elua ano o ka hoike ana mai o ka mai a me na kahua o ka hoʻonaʻauao elima o? Acaeoey. Tuberculosis o ka spine o ka iwi a me ka synovial. E lohe ai i keia i kaʻike, ka loa scary. Ua loli ai iwi cartilage, pepehi a eliminates ia ma ka hookonokono ana pathology e like me arthritis a me ka arthrosis, exacerbate i ka maʻi.

Kahua o ka hoʻonaʻauao o? Acaeoey o tuberculosis o ka spine:

1. Ma mua o ka lilo mailoko o ke ola i ke kanaka.
2. 2 pae koʻohune hoonui loa koke, luku ola keena.
3. E möakäka hou ano helehelena o ka symptoms mua.
4. I ka anu u 4 i ka multiplication o microorganisms hiki apogee, ka spine ua loli.
5. Ka hope anu u mea e hou-kalapona ma i ke kanaka iā ia iho i ka maʻi lele o ka maʻiʻaʻai.

Maʻi Holomua, he ekolu ka mea i hahai ana ka mea mamuli o kekahi kahua o ka hoʻonaʻauao.

1. Helu osteitis.
2. Artritichnaya pae.
3. Postartritichnaya pae.

Inā 'oe e e hoʻomaka i kakahiaka nui lapaʻau, ka maʻi hiki me ka nui loa e hookaulua i e alakai ole wale i ka kīnā o ke kino, akā, no hoi a hiki i ka hoʻomanawanui i ka make.

diagnosing spondylitis

I kaʻike, o "tuberculosis" hiki ke kau ma ka lapaʻau a me ka radiological ninaninau.

A laila, i ka hoʻomanawanui undergoes ka palena pauʻike, a me 'inikua mōʻaukala, symptoms ano hoohanohano a. Congenital mā o ka spine:

1. Calve maʻi ('ōpiopio nā mea maʻi).
2. Hernia SHmorlja a me ka maʻi ahulau Scheuermann Mau (i kekahi manawa ke hana i loko o adolescents).

I tuberculosis ma ka X-Ray kālai kahua a IAaOIePIUAa vertebrae, hoemiia pūnaewele ka lewa.

E huai ae abnormalities, ia mea e pono ke lawe mai keʻena hoʻokolohua ho'āʻo ma:

• koko hōʻike;
• hana ESR a me ka CRP;
• huli i ke ake a me puʻupaʻa;
• biopsy, i lawekahikiʻia koena o ka'aʻaʻa no microbiological ninaninau a me ka pololeiʻike, o ka pathology.

o kēia nohoʻana

Ma mua o ka Hekikai o ka helu nui o nā poʻe i make no antibiotics, a me kaʻike, a "tuberculosis o ka spine." Iapaau ana i keia la ua hiki aku ia wahi kiekie i kanaka ke ola no na makahiki me keia maʻi, ka malama ana i ka maʻamau moku'āina, a undergo maʻamau nana. Ma ka hoike o ka mālama nui malama huahelu, ka hoʻohana 'ana o spinal instrumentation, hoola maʻi hiki.

Ano o ka lapaʻau o tuberculous spondylitis mea chemotherapy. Ke alo aku o ka neurological nele complicates ka e olaʻi kaʻina.

Inā ka maʻi ua diagnosed a ua malamaia lakou nei, i loko o kona wā kahua o ka hoʻonaʻauao, ma mua ma laila e e iwi ka luku a me ka deformity, i ka hoʻomanawanui 'ana ua ho'ōla mai kēlā loa.

O kēia nohoʻana i maheleia i mau hoailona ia mea:

• makeʻe kulana Inc;
• ʻoki kino.

He mau ano e maopopo leʻa lawe mai i ka maikaʻi ia. Akā, me ka makeʻe kulana Inc, aole ia e mau i ka mea i makemake ia ma luna o ka pathological kaʻina. Operative lapaʻau Ua maikaʻi ia i ke kanaka i loaʻa kaʻike, o "tuberculosis o ka spine." Ke hana ua hana ma ka palapala hōʻoia no na kumu ao, a laila, i ke ahonui ana ma lalo o ka mālamaʻana o ka haukapila kookoo.

makeʻe kulana therapies

ua hoemiia lapaʻau o nā mea maʻi me ka neural nele i Anati-TB lapaau. Ua ua lawe mai me ka hoʻohana 'ana o ka ai' e like me "INH", "Rifampicin", "Pyrazinamide" a me ka "Ethambutol". A pau i kēia mea hoʻohana i mua-laina ai 'ia' ana pili i ka tuberculosis o ka spine. Nā symptoms o ka maʻi symptoms e ke kiʻekiʻe e hele aku ka wā lapaʻau ua lawe mai pololei. Ke kaumaha ma muli o ka maʻi hoikeana a me symptoms, ai 'hiki ke auou caiaiai a hou. Ka laʻau heluna Ua like ke kaumaha ma muli o ka hoomanawanui ka ana, na makahiki a me ke kaumaha.

Iapaau ana me ka Anati-TB ai 'ma bedrest hoʻolako lōʻihi-makahiki hopena, a eliminates me ka hoopuka moakaka relapse.

Nā mea maʻi me ka holomua kahua o ka hoʻonaʻauao kauoha he kokoke loa i kahi oi nui. Na ka papa kuhikuhiE lapaau - chemotherapy a me ka moe koena. Nā mea maʻi i kauʻia i loko o ka haukapila ma lalo a eia i nā limahana o ke kauka a me ka la ia i kahu. Makeʻe kulana lapaʻau 'Aʻole e mau haawi aku i ka maikaʻi result. Ma kekahi mau hihia,ʻoki kino ka pono.

Operative Approach e hoola maʻi

ʻoki kino ua koi 'ia no ka decompression o neural hale a me nōkahea o abscesses. E like me ka rula, na keiki i nā kaʻina hana i hoʻokō i ka hooponopono i ka deformations pili me ka ulu ana.

Hoolaia maʻi wale nō mea hiki ole, no ka mea, ka mea pono i ka piha hoʻomaha a me ka luna 'lapaʻau. I ka makeʻe kulana Inc i ole kōkua e hoola tuberculosis o ka spine, na symptoms i loko o nā mākua hoʻomaka e deteriorate a he mea i pono ai no kaʻoki lāʻau lapaʻau 'uao.

Ma mua o ka surgeon, e wehe i ka hana vertebra, i i pepehiʻia e ka maʻi. Ma kona wahi hoʻouka kekahi i kekahi transplant. Lole e pono ai no ka transplantation ua laweʻia mai i ka hoʻomanawanui ka fibula. Kēia mea e hōʻoia i ua minimized i ka pilikia o ka rejection a me ka ua he nui wale i kaʻoki kino, e kōkua.

Ua pono e hoomanao iho i na ona o ka maʻi i e irreversible, a me keʻoki lāʻau lapaʻau ana ke ho ololi i ka tuberculosis o ka spine. Photo o nā mea maʻi me ka haawi infectious maʻi maopopo i vivid examples o ke kahua o ka pathology a me kona hopena.

ʻIkepili loaa ma ka X-Ray a me MRI haʻawina, ā nā surgeons e wńnana i ka hoʻokūkū, a hooholo i ka buke o nā hana, e like me emi i ka pilikia o complications ma hope o ka hālāwai kūkā.

Ua lawe ma kahi o 4 makahiki, e hoopau ai i ke ola. Ia mea, iʻoki kino 'aʻole i ka' kokololio loaa ana o ke kino. He lehulehu fatalities.

He aha ka ka pahiki, e hopu spondylitis?

spinal tuberculosis mea lele paha,ʻaʻole? Ua Puzzle nui kēia pukana. Akā, me ka mau pane a hiki i keia ninau hakuʻole. Ma keia pilikia no ka makahiki nui palapala hōʻoia no kauka.

O ka holo ana, e pono e makaala i ka poe kanaka a me kēiaʻike, a lawe kaiapuni ina hele mai kekahi maʻi kanaka i kou hoahanau a me ka hoa.

Hoʻokaʻawale o nā palapala microorganisms i wahi wale nō inā:

• Inā ke hoʻomanawanui i ka hamama ke ano o ka tuberculosis;
• ola kanaka ma ka hui 'ana me ka hoomanawanui, e malama ana i na rula o ka mālama nui;
• ai a me ka ia pa maoli i ka pilikia o ka maʻiʻaʻai ma ka digestive'āpana.

Maʻiʻaʻai spondylitis ke utero ina ka makuahine mea mai, maʻiʻaʻai ia lŘlŘ ma ke keiki. Ka pahiki o ka maʻi mea kiʻekiʻe kuai ma ka hui 'ana me ka maʻi kanaka.

precautionary a kāohi ana

Ma tuberculous mai o ka spine meaʻano nui Kāohiʻana. Kona ano e pono e hoʻopau i ka pilikia o mahope? Acaeoey o ka maʻi. He mea nui ia i ke koena, e pale aku excessive stress ma luna o ke kino e like me ke okoa.

I ho'āʻo:

• e koiia mai e hypothermia;
• hoʻoikaika 'ana e hoʻonele;
• pono a me ka ai he pono;
• pale nā palapū.

I ka papa kuhikuhiE kāohi ana o ka manawa e e vaccination ku tuberculosis. Ka pahu kui mea OAXA. He mea pono e hoʻopale ai i ke kino, mai pilikia infectious maʻi. E ia hoʻomaka i kakahiaka nui me wā kamaliʻi, a me nā kaʻina hana ua lawe mai i nā lā mua o ke ola.

Ma ka wahiʻoihana, he mea no hoi i ka pilikia o ka mai spondylitis. Lapaʻau o koʻokoʻo e hana ana ma keia wahi, i ka mea kiʻekiʻe loa kamepiula o ka maʻiʻaʻai. Ka mea, e nānā 'ia ai e mau, a preventively lawe Anati-TB ai'.