Spondylodiscitis babbar cuta ce ta ɗaya ko fiye na kashin baya da faifan intervertebral kusa. Yana daya daga cikin abubuwan da ke haifar da ciwon baya da kashin baya. Baƙon abu, wannan yanayin yana wakiltar 2 zuwa 7% na cututtukan osteoarticular. A wasu lokuta, spondylodiscitis yana haifar da matsawa a cikin kashin baya saboda kumburi. Wannan na iya kaiwa da lalata tushen jijiya. Don haka yana da mahimmanci a bi da wannan cutar cikin gaggawa don gujewa rikitarwa na dogon lokaci. Gudanarwa ya haɗa da raye -raye ta wurin kwanciyar gado da / ko orthosis, da kuma maganin rigakafi mai dacewa.

Kalmar spondylodiscitis ta fito ne daga kalmomin Helenanci spondulos wanda ke nufin vertebra da diskos wanda ke nufin faifai. Cuta ce mai kumburi na ɗaya ko fiye na vertebrae da faifan intervertebral kusa.

Cutar spondylodiscitis cuta ce da ba a saba gani ba. Yana wakiltar kashi 2 zuwa 7% na osteomyelitis, wato cututtukan osteoarticular. Ya shafi lokuta 1 a kowace shekara a Faransa, zai fi dacewa maza. Idan matsakaicin shekarun farawa yana kusan shekaru 200, 60% na marasa lafiya suna ƙasa da shekaru 50, spondylodiscitis galibi yana shafar matasa. A cikin waɗannan lokutan rayuwa guda biyu, canje -canjen ƙasusuwan sun fi mahimmanci, suna haifar da mafi haɗari ga haɗarin kamuwa da cuta. Cuta ce mai tsanani da ke nuna haɗarin naƙasasshiyar kashin baya da kuma abubuwan da ke haifar da jijiyoyin jiki. 

Yawan kamuwa da cuta yana faruwa ta hanyar jini bayan sepsis. Kwayoyin da ke ɗauke da ƙwayoyin cuta galibi sune ƙwayoyin cuta masu zuwa: 

• pyogens, kamar Staphylococcus aureus (kwayoyin da aka gano a cikin 30 zuwa 40% na lokuta), bacilli gram-negative kamarEscherichia coli (20 zuwa 30% na lokuta) da Streptococcus (10% na lokuta);
• Mycobacterium tarin fuka (a wannan yanayin muna magana ne game da cutar Pott);
• Salmonella;
• Brucelles.

Ƙari kaɗan, ƙwayar cuta na iya zama naman gwari kamar candida albicans

Yayin da ake samun tarin fuka musamman a yankin thoracic, cutar pyogenic spondylodiscitis tana shafar:

• kashin lumbar (60 zuwa 70% na lokuta);
• kashin thoracic (23 zuwa 35% na lokuta);
• kashin mahaifa (5 zuwa 15%);
• benaye da yawa (9% na lokuta).

Spondylodiscitis na iya kamuwa da cuta daga:

• urinary, hakori, fata (rauni, fari, tafasa), prostate, cardiac (endocarditis), kamuwa da cuta ko huhu;
• tiyata na kashin baya;
• wani hular lumbar;
• Ƙaramar hanya mai ɓarna ta cikin gida don bincike (disografi) ko warkewa (shigar da allurar rigakafi).

Dangane da ƙwayar cuta, za a iya rarrabe hanyoyin juyin halitta guda biyu:

• m hanya idan akwai pyogenic kwayoyin cuta;
• hanya ta yau da kullun a lokuta na tarin fuka ko cututtukan pyogenic waɗanda ke fama da rashin isasshen maganin rigakafi.

Babban mawuyacin haɗari shine canjin yanayin rashin lafiyar mara lafiya. Bugu da ƙari, fiye da 30% na marasa lafiya suna fama da ciwon sukari, kusan 10% daga shan barasa kuma kusan 5% suna da ɗayan cututtukan da ke gaba: 

• Ciwon daji;
• cirrhosis na hanta;
• cutar koda ta ƙarshe;
• cuta tsarin.

Spondylodiscitis mai kamuwa da cuta yana daya daga cikin abubuwan da ke haifar da ciwon baya, wanda shine ciwo mai zurfi a baya da kashin baya. Ana iya danganta su da:

• tsananin taurin kashin baya;
• raunin jijiya mai raɗaɗi: sciatica, cervicobrachial neuralgia;
• zazzabi (a cikin fiye da kashi biyu bisa uku na cututtukan pyogenic spondylodiscitis) da sanyi;
• raunanawa da matsawa na kashin baya;
• lalacewar yanayin gaba ɗaya.

A wasu lokuta, spondylodiscitis mai kamuwa da cuta na iya haifar da kamuwa da meninges ko matsawa na kashin baya saboda kumburi. Wannan na iya kaiwa da lalata tushen jijiya.

Dangane da mahimmancin kamuwa da cuta da kuma irin ƙwayoyin cuta, daga baya sakamakon na iya faruwa kamar ƙashin ƙashi, wato walda na kishiyar kashin baya guda biyu.

Cutar spondylodiscitis cuta ce ta gaggawa da ke buƙatar asibiti. Taimako ya haɗa da:

Immobilization a cikin gado

• harsashi da aka jefa ko corset na iya taimakawa kwantar da hankali mai zafi da hana hana nakasa da ke haifar da matsewar kashin baya, musamman a yanayin cutar Pott;
• har sai ciwon ya ƙare a cikin yanayin pyogenic spondylodiscitis (kwanaki 10 zuwa 30);
• na tsawon watanni 1 zuwa 3 dangane da cutar Pott.

Magungunan maganin rigakafi mai ɗorewa mai ɗorewa wanda ya dace da ƙwayar cuta

• don kamuwa da cututtukan staphylococcal: haɗuwa cefotaxime 100 mg / kg da fosfomycin 200 mg / kg sannan haɗuwa fluoroquinolone - rifampicin;
• don kamuwa da cututtukan asalin asibiti mai jurewa methicillin: vancomycin hade - fucidic acid ko fosfomycin;
• Don kamuwa da cututtukan bacilli gram-negative: haɗuwa na ƙarni na uku cephalosporin da fosfomycin, ƙarni na uku cephalosporin da aminoglycoside ko fluoroquinolone da aminoglycoside;
• A yayin cutar Pott: huɗu na maganin rigakafin tarin fuka na watanni 3 sannan bichimotherapy na watanni 9 masu zuwa.

Yin tiyata a lokuta na musamman

• decompressive laminectomy a lokuta na matsawar kashin baya kwatsam;
• fitowar kumburin epidural.

 A hanya ne yawanci m. Zazzabi da ciwon kai ba sa wucewa cikin kwanaki 5 zuwa 10. Ciwon injin a ƙarƙashin nauyi yana ɓacewa a cikin watanni 3.