Chifuwa chachikulu cha mafupa mwachiwopsezo chimakhala chachiwiri ku chifuwa cha TB . Chaka chilichonse padziko lapansi anthu 300-350,000 amafa ndi mafupa a TB. Musaganize kuti chifuwa chachikulu cha mafupa, msana ndi ziwalo ndi malaise omwe amakhudza anthu osauka. Matenda aakulu angathe kuchitika kwa oimira onse a msinkhu wawo (ngakhale malinga ndi chiwerengero cha zachipatala, akuluakulu amavutika kwambiri ndi ana). Pachifukwa ichi, mafunso otsatirawa ndi achilengedwe: chifuwa chachikulu cha mafupa chimafalitsa kapena ayi, ndi zizindikiro ziti zomwe zimachitika panthawi ya matendawa, ndi njira zotani zomwe zingapewere matendawa, nanga njira zamakono zamankhwala operekedwa ndi a phtisiatriya ndi ziti?
Kodi chifuwachi chikufalikira bwanji?
Matenda a chifuwa cha TB amatenga nthawi yeniyeni kapena yodziwika bwino ndi wonyamula matenda. Matendawa omwe amachititsa mycobacteria kugwera mu thupi labwino. Kumeneko iwo anafalikira mofulumira kupyolera mu machitidwe am'mimba ndi mazungulira. Pamodzi ndi zakumwa zakuthupi, mabakiteriya amalowa m'magulu osiyanasiyana a minofu.
Matenda opatsirana angakwaniritsidwe:
- Zamadzimadzi zowonongeka panthawi yolankhulana ndi wodwala ndi chifuwa chachikulu;
- kupyolera mu zinthu zapakhomo, kudzera mu zinthu zaukhondo, ndi zina zotero, zomwe munthu amene ali ndi chifuwa chachikulu cha TB adakhudzidwa.
Zinthu zomwe zimathandiza kuti matendawa ayambe ndi awa:
- kupweteka kwa mafupa;
- matenda opatsirana;
- chithunzi;
- zochitika zolimbitsa thupi.
Zizindikiro za chifuwa chachikulu cha mafupa ndi ziwalo
Pa nthawi yoyamba, mawonetseredwe oyamba kukhala ndi matenda ndi osceptible kapena ofatsa. Kuwonjezeka pang'ono kwa kutentha, kutopa mofulumira, kufooka kwakukulu, nthawi zina kupweteka msana ndi minofu.
Pachigawo chachiwiri, zizindikiro za chifuwa chachikulu cha mafupa zimakhala zowonjezereka: wodwala amatha kufooketsa, kutentha kwa thupi kumapitirizabe, kupweteka msana ndi mafupa a miyendo zimakhala zolimba, motero munthuyo amayesa kusuntha pang'ono. Minofu m'dera la msanayo imakhala ikudziwika bwino, malo ndi kusunthika kumasokonezeka, kuphatikizapo gait.
Gawo lachitatu, chikhalidwe cha wodwala chikuwonjezereka. Kutentha kumafikira madigiri 39-40, kupweteka kumakhala kosalephereka, minofu yomwe ili pamsana pa msana imayamba kuwonongeka, kumapeto kwa msana. Chimodzimodzinso ndi chifuwa chachikulu cha m'mimba, kukula kwa chifuwa chachikulu cha mafupa a miyendo, limodzi ndi ululu, kukula kwa edema, kuwonongeka kwa minofu ya mafupa.
Kuchiza kwa chifuwa chachikulu cha mafupa
Ngati matenda a "TB" amatitsimikiziridwa, ndiye kuti njira yowonongeka yowonongeka ikuyamba, pofuna kuthetsa matenda ndikuletsa kuwonongeka kwa mafupa. Panthawi imodzimodziyo, chithandizo chachikulu chobwezeretsa chimaperekedwa.
Mankhwalawa amachitika mothandizidwa ndi mankhwala:
- Ethambutol;
- Isoniazid;
- Rifampicin ndi ena.
Maantibayotiki awa amatengedwa kwa nthawi yaitali malingana ndi ndondomeko ya dokotala. Kutsegula kuchotsa matenda omwe amakhudzidwa ndi kuchiza mafupa a mafupa ndi antiseptics, maantibayotiki amachitidwa nthawi zambiri.
Wodwala akulimbikitsidwa kupumula pabedi, khalani mumlengalenga. Kuti akhalebe ndi chizoloŵezi chimenechi, wodwala ayenera kukhala pa chipatala chodziwika bwino. Pomwe akuchira, kupaka minofu, physiotherapy, ndi mankhwala opatsirana amachitidwa.
Ndalama zimaperekedwa kwa chakudya cha wodwalayo. Chifukwa cha kuwonongeka kwa mapuloteni, muyenera kuonjezera kuchuluka kwa chakudya chomwe chimadya pafupifupi gawo limodzi mwa magawo atatu, ndi msuzi omwe amapatsidwa nyama ndi nsomba za nsomba, zakudya zophika nyama, mazira, mkaka, mankhwala apamwamba, masamba ndi zipatso. Komanso, vitamini complexes amalembedwa.