Asuhan Keperawatan Osteomielitis

AOKAAZOK \@\SJE EZ\GZBN\GJBJSOB N\SJNE@JB@S@\

Ko|}zbboh  N|sjne`jb`s`|" Botn}ok Tjkcohzbzok Cok Gnk|jt O|zhok Gjtj}oqosok  =4?? 

Ko|}zbboh

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Ko|}zbboh Eoho|`|qo Ob`h T}na}oe T}na}oe \szc` @bez Gjtj}oqosok Zk`vj}|`so| M}oq`iopo Eoboka =4?4

T}na}oe \szc` @bez Gjtj}oqosok M Iz}z|ok Gjtj}oqosok Fogzbso| Gjcngsj}ok Zk`vj}|`so| M}oq`iopo Eoboka =4??

Ko|}zbboh  N|sjne`jb`s`|" Botn}ok Tjkcohzbzok Cok Gnk|jt O|zhok Gjtj}oqosok  =4?? 

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CJF@K@\@

N|sjne`jb`s`| ocoboh `kfjg|` ogzs szboka poka cotos sj}ioc` go}jko tjkpjmo}ok `kfjg|` co}` co}oh (n|sjne`jb`s`| hjeosnajk) osoz" poka bjm`h |j}`ka |jsjboh gnksoe`ko|` f}ogsz} sj}mzgo osoz }jczg|` (n|sjne`jb`s`| jg|najk)+ Bzgo sz|zg toco io}`kaok bzkog osoz szboka og`mos a`a`sok hjqok" eokz|`o osoz tjkpzks`gok `ks}oez|gzbz| cotos ejkpjmomgok n|sjne`jb`s|`| jg|najk+ (Ln}q`k" =44?) N|sjne`jb`s`| ej}ztogok `kfboeo|` ogzs osoz g}nk`| toco szboka cok |s}zgsz} tjkpj}so poka sj}ioc` |jmoao` og`mos |jgzkcj} co}` `kfjg|` mogsj}`+ (Lhoka" =440) @|s`boh n|sjne`jb`s`| ejkokcogok tj}ocokaok szboka cok }nkaao |ze|ze szboka+ Ej|g`tzk tj}ocokaok szboka cotos c`|jmomgok nbjh mj}oaoe hob" mj}co|o}gok tj}ioki`ok tjeogo`ok" goso `k` c`moso|` zkszg bj|` poka c`|jmomgok nbjh `kfjg|`+ N|sjne`jb`s`| cotos mj}|`fos ogzs osoz g}nk`| cok ejkpjmomgok cjm`b`so| (]nmm`k|" =441)

JS@NBNA@

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\sothpbnlnllz| Oz}jz|

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Hjenth`bbz| @kfbzjk|yo

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\obenkjbbo Spth`

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J|lhj}`lh`o Lnb`

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Tjkpjmo}ok hjeosnajk co}` fngz| `kfjg|` c` sjetos bo`k 9 snk|`b poka sj}`kfjg|`" `kfjg|` a`a`" `kfjg|` |obz}ok koto| moa`ok oso|

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Tjkpjmo}ok `kfjg|` io}`kaok bzkog 9 zbgz| cjgzm`sz| poka sj}`kfjg|` osoz zbgz| vo|gzbo}

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Gnksoe`ko|` boka|zka cjkaok szboka 9 f}ogsz} sj}mzgo" ljcj}o s}ozeos`g (bzgo sjemog cok tjemjcohok szboka)

Ko|}zbboh  N|sjne`jb`s`|" Botn}ok Tjkcohzbzok Cok Gnk|jt O|zhok Gjtj}oqosok  =4?? 

GBO\@F@GO\@

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N|sjne`jb`s`| hjeosnajk ogzs  Fo|j ogzs `oboh fo|j |jiog sj}ioc`kpo `kfjg|` |oeto` ?4%?: ho}` N|sjne`jb`s`| hjeosnajk ogzs toco co|o}kpo ocoboh tjkpog`s toco szboka poka |jcoka szemzh+ Toco okog bjbog` s`ao gob` bjm`h |j}`ka co}`toco okog tj}jetzok+ Szboka poka |j}`ka sj}gjko ocoboh szboka tokioka cok sj}|j}`ka fjez}" c``gzs` nbjh s`m`o" hzej}z|" }oc`z|" zbko cok f`mzbo+ Moa`ok szboka poka sj}gjko ocoboh moa`ok ejsof`|`|+

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N|sjne`jb`s`| g}nk`g  N|sjne`jb`s`| ogzs poka s`cog c`sj}ot` |jlo}o ocjgzos" ogok mj}gjemoka ejkioc` n|sjne`jb`s`| g}nk`|+

\jbo`k `sz n|sjne`jb`s`| izao c`gbo|`f`go|`gok gj coboe 9 %

N|sjne`jb`s`| hjeosnajk N|sjne`jb`s`| poka c`|jmomgok nbjh tjkpjmo}ok `kfjg|` co}` fngz| bo`k c` coboe szmzh

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N|sjne`jb`s`| jg|najk N|sjne`jb`s`| poka c`|jmomgok nbjh `kfjg|` co}` bzo} szmzh |jlo}o boka|zka+ Lnksnhkpo s}ozeo sjemz| osoz f}ogsz} sj}mzgo

TOSNF@\@NBNA@

N|sjne`jb`s`| ej}ztogok t}n|j| `kfjg|` ogzs toco szboka cok mj}o|ob co}` |zemj} jg|najk osoz jkcnajk (hjeosnajk)+ @kfjg|` jg|najk cotos mj}o|ob co}` f}ogsz} sj}mzgo osoz iobz} jg|sj}kob bo`k" |jtj}s` bzgo+ N|sjne`jb`s`| hjeosnajk tob`ka |j}`ka c`sjezgok cok sj}ioc` go}jko `kfjg|` poka oco ejkpjmo} co}` fngz| bngob+ Lnksnh poka |j}`ka c`sjezgok ocoboh `kfjg|` coco" ns`s`| ejc`o osoz aokaazok toco gzb`s poka boy`e sj}ioc`" |jtj}s` `etjs`an osoz om|j|+ M`o|okpo n|sjne`jb`s`| ejkpj}oka okog%okog poka mj}z|`o :%?6 sohzk" cok cotos c`|jmomgok nbjh e`g}nn}aok`|ej ototzk+ N|sjne`jb`s`| sj}zsoeo c`sjezgok toco mop` cok okog poka s`cog |jhos" cok sj}ioc` czo gob` bjm`h |j}`ka toco okog bog`%bog` co}`toco tj}jetzok+ Ko|}zbboh  N|sjne`jb`s`|" Botn}ok Tjkcohzbzok Cok Gnk|jt O|zhok Gjtj}oqosok  =4?? 

Mnbz| `kfjg|` ejk`kaaobgok s`s`g oqob `kfjg|` cok mj}iobok gj o}sj}`nbo gjl`b c` coboe ejsof`|`| szboka" sjetos sj}ioc`kpo fngz| `kfjg|` poka mo}z+ Mj}aokszka toco" otogoh bjetjka jt`f`|`| |zcoh ejkzszt osoz mjbze+ Toco moa`ok ejsof`|`| szboka tokioka poka |jcoka szemzh cjkaok ljtos tob`ka |j}`ka sj}gjko `kfjg|`"  i`go bjetjka jt`f`|`| mjbze ejkzszt+ Ezbo%ezbo sj}cotos fngz| `kfjg|` c` coj}oh ejof`|`|" bobz sj}ioc` h`tj}je`o cok njcje+ Go}jko szboka mzgok io}`kaok poka m`|o mj}jg|tok|`" sjgokok coboe szboka poka ejk`kagos `k` ejkpjmomgok kpj}` bngob poka hjmos+ M`o|okpo n|sjne`jb`s`| ogzs c`|j}so` cjkaok ajiobo |jts`|je`o" |jtj}s` fjm}`|" eobo`|j cok okn}jg|`o+ @kfjg|` cotos tjloh gj |zmtj}`n|s" gjezc`ok ejkjemz| |zmgzs`| cok ejkpjmo} ejkioc` |jbzb`s`| osoz ejkiobo} ejbobz` }nkaao |zmtj}`n|s gj c`of`|`|+ @kfjg|` izao cotos tjloh gj moa`ok szboka c`of`|`| ejbobz` gokob`| ejczbo}`|+ Tjkiobo}ok |zmtj}`n|sob gj o}oh c`of`|`| ogok ej}z|og tjemzbzh co}oh poka gj c`of`|`| |jh`kaao ejkpjmomgok kjg}n|`| szboka poka c`|jmzs |jgzj|sj}+ Tj}`n|s ogok ejemjkszg szboka mo}z poka ejkpjbzmzka` szboka eos` c`|jmzs `kvnbng}ze

Ko|}zbboh  N|sjne`jb`s`|" Botn}ok Tjkcohzbzok Cok Gnk|jt O|zhok Gjtj}oqosok  =4?? 

@kfjg|` Jkcnajk (hjeosnajk) % Om|j| % Ns`s`| ejc`o % Zbgz| cbb

@kfjg|` Jg|najk % F}ogsz} sj}mzgo % Bzgo (sjemog" tjemjcohok" cbb)

`kfjg|` toco ejsof`|`| szboka

H`tj}sj}e`

]j|tnk `kfboeo|`

Tjk`kagosok vo|gzbo}`|o|`

S}nemn|`| toco tjemzbzh co}oh

njcjeo

Tjk`kagosok sjgokok io}`kaok cok ejczbbo

Tjk`kagosok sjgokok coboe szboka @|gje`o io}`kaok Kpj}` Kjg}n|`| io}`kaok

@kfjg|` mj}gjemoka gj gov`so| ejczbo}`| cok gj moqoh tj}`n|sjze Om|j| szboka Ejkpjmo} gj io}`kaok bzkog cok |jkc` c` |jg`so}kpo

Tjkz}zkok gjgzosok szboka

Szboka }otzh F}ogsz} tosnbna`| Aokaazok enm`b`so|

Ko|}zbboh  N|sjne`jb`s`|" Botn}ok Tjkcohzbzok Cok Gnk|jt O|zhok Gjtj}oqosok  =4?? 

EOK@FJ\SO\@ GB@K@\ %

N|sjne`jb`s|`

jg|najk

m`o|okpo

c`|j}so`

sokco%sokco

ljcj}o

cok

tj}ocokaok c` sjetos kpj}`+ %

Tjemj|o}ok gjbjkio} ajsoh mjk`ka }ja`nkob

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Toco okog ejkaoboe` gjjkaaokok ejkaaj}oggok okaanso mocok poka |og`s

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Toko| s`kaa` cok |og`s gj}o|

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Ejkaa`a`b

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Bjeoh cok eobo`|j

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Kpj}` szboka cjgos |jkc`

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S`cog cotos ejkaaj}oggok okaanso mj}|okagzsok

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S`cog oco gjbo`kok fnsn }nksajk (fo|j ogzs)

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Tjemjkagogok bngob cok kpj}` sjgok

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F`|sjb g}nk`g poka ejkajbzo}gok kokoh cok gocoka |gzj|sj} gjl`b (fo|j g}nk`|)

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Fnsn c`sjezgok |gzj|sj} cok tjemjkszgok szboka mo}z (fo|j g}nk`|)

TJEJ]@G\OOK C@OAKN\S@G %

\lok szboka cjaok ejkaazkogok kzgbjns`co mj}bomjb }oc`nogs`f cotos ejetj}b`hosgok ejetj}b`hosgok tj}o|okaok c` szboka (E]@)

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  Okob`|`| co}oh cotos ejetj}b`hosgok tjk`kagosok h`szka co}oh bjkagot cok boiz jkcot co}oh poka ejka`|po}osgok ocokpo `kfjg|` poka |jcoka mj}boka|zka

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Kjzs}nf`b ejk`kagos (K9 ="= % 1": ?4 0.B)

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BJC ejk`kagos(K9 ?%?4 ee.ioe)

  O|t`}o|`" zkszg ejetj}nbjh tz| co}` |zmgzs`|" |zmtj}`n|s osoz fngz| }ocoka c` ejsof`|`|

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Lnetbjejks ]jols`vj T}nsj`k (L]T) ejk`kagos (K92: ea.B) L]T cok BJC poka s`kaa` |j}`ka c`izeto` toco oqob `kfjg|`+

Ko|}zbboh  N|sjne`jb`s`|" Botn}ok Tjkcohzbzok Cok Gnk|jt O|zhok Gjtj}oqosok  =4?? 

TJKOSOBOG\OKOOK

 Ogzs  %

Tj}oqosok c` }zeoh |og`s

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Tjkanmosok |ztn}s`f cjkaok tjemj}`ok `kfz| cok oks`m`ns`go

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Tjej}`g|ook m`ogok co}oh

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@enm`b`|o|`

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S`kcogok mjcoh+

 G}nk`g  %

\gzj|s}jgsne`

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Cjm}`cjeok (zkszg ejkajbzo}gok io}`kaok kjg}ns`g c` c` c`kc`ka }zoka |gzj|sj} cok tjkpob`}ok)

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A`t| (zkszg ejkljaoh tosoh szboka tosnbna`| og`mos `kvnbng}ze mjbze lzgzt gzos zkszg ejkaaoks`gok szobka o|b` pa ejkioc` |gzj|sj})

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Tjemj}`ok oks`m`ns`g poka |j|zo`

Ko|}zbboh  N|sjne`jb`s`|" Botn}ok Tjkcohzbzok Cok Gnk|jt O|zhok Gjtj}oqosok  =4?? 

GNK\JT O\ZHOK GJTJ]OQOSOK

Tjkagoi`ok Zeze \`|s`e Ez|gzbn|gjbjsob

]`qopos gj|jhosok ejb`tzs` `kfn}eo|` sjksoka ogs`v`so| h`czt |jho}`%ho}`" tnbo oemzbo|`" obos moksz poka c`azkogok (e`|obkpo gz}|` }nco" snkagos" qobgj})" qobgj}) " cok kpj}` (i`go oco kpj}` sjsotgok bngo|`" cj}oios kpj}`" boeo" fogsn} poka ejetj}mj}os cok fogsn} tjkljsz|) g}oe osoz gjbjeohok Tjkagoi`ok tj}bz c`bogzgok |jlo}o |`|sjeos`|" sjb`s` cok sj}o}oh+ Coso poka c`gzetzbgok ejb`tzs` coso |zmijgs`f cok nmijgs`f cjkaok lo}o ejbogzgok okoekj|`|" tjej}`g|ook f`|`g cok tjej}`g|ook c`oakn|s`g+

 OKOEKJ\@\

?+ Coso cjena}of` 9 Coso `k` ejb`tzs` koeo" z|`o" ijk`| gjboe`k" sjetos s`kaaob" n}oka poka cjgos cjkaok gb`jk+ =+ ]`qopos tj}gjemokaok 9 Coso `k` zkszg ejkajsohz` s`kagos tj}gjemokaok toco kjnkosz|" mop`" t}o|jgnboh" }jeoio" cjqo|o cok szo+