Ukuhlamba kwi-joint kuyobangela intlungu kunye nokuvuvukala
I-Hemarthrosis ligama lonyango lokuphuma kwegazi ngokubambisana. Xa unentlungu kunye nokuvuvukala kwidibene enye (i-monoarticular), i-hemarthrosis yinto eqhelekileyo.
Yimbangela yokuxhalabela kungekhona nje ngenxa yentlungu, kodwa ngenxa yokutyhila kwegazi ixesha elide kungonakalisa i-cartilage. Izifundo ezenziwa kwi-vitro (kwi-tube test) zibonisa ukutyhila kwegazi kubangela ukufa kweeseli ezivelisa i-cartilage kwaye zivimbela ukuveliswa kwezinto ezinomzimba.
Oku kukuxhalabisa ngokukhethekileyo kwizigulane ze-osteoarthritis, sele sele zinezifo ezidlulayo ze-articular cartilage. Kwakhona kukuxhalabisa abantu abane-hemophilia, njengoko basengozini ye-hemarthrosis kwaye ngaloo ndlela basengozini yokulimala i-cartilage kunye nokulahleka.
I-Hemarthrosis ifunyaniswa njani?
Nangona imbali yakho yonyango, uvavanyo lweemvelo kunye nezifundo zengqondo ziyakunceda ekuqaliseni ukuxilongwa kwe-hemarthrosis - yinjongo ehlangeneyo (i- arthrocentesis ) enokunikezela ngokuxilongwa ngokucacileyo. Ugqirha wakho uya kufuna ukungena kunye kunye nenaliti kwaye ukhuphe umbane odibeneyo ukuba uhlalutye, okokuqala ubonakaliswe ngugqirha wakho kodwa kwakhona kuya kuthunyelwa kwibhubhoratri ukuhlalutya ngokupheleleyo.
Umlambo ohlangeneyo odibene ne-hemarthrosis ngokuqhelekileyo obomvu, obomvu okanye obomvu. Ezinye iimpawu ezingavumelekanga zomlambo ohlangeneyo zingabonisa ukuba yiyiphi imbangela ebangela i-hemarthrosis yakho.
Yintoni Enokubangela I-Hemarthrosis?
Kukho uluhlu lweemeko ezingabangela i-hemarthrosis kuquka:
- ukuxhatshazwa - ukulimala ngokukrakra okanye ukuphulwa kwesibambano kunokubangela ukuphuma kwigazi. Ukulimala okanye ukuvuthela emadolweni kungabangela i-hemarthrosis nokukhupha okukhawulezayo. Kwezinye iimeko, iimeko ezincinci zokuguquka kwamadolo ziphumela kwi-hemarthrosis, ngokuqhelekileyo ngenxa yokuphazamiseka kwe-clotting okanye i-collagen disorders. Kwizo meko, kungenakuthatha inqwaba ye-bump kukho konke ukuphumela ku-hemarthrosis.
- ukuphazamiseka kwegazi - i-hemophilia inxulumene ne-hemthrosis eqhelekileyo, ngokukhupha ngokukhawuleza. Oku kuya kubonakala kubantu abaphantsi kwonyango kunye nama-coagulants ezifana ne-warfarin.
- izifo zengqondo
- Iimfucu (izicubu) - i-tumor ingaphazamisa imithwalo yegazi ngokubambisana, kunye ne-tumor ingahlakulela ukunikezelwa kwegazi kwaye oku kungakhokelela ku-hemarthrosis.
- umonakalo wesisombululo
- I-osteoarthritis - iimeko ze-hemarthrosis zenzeke zibonwe kwizigulane ezinezithuba zeplastiki ze-osteoarthritis, ezihlala zidibanisa ne-flap ephazamisayo inqabile kwiphondo lokutshatyalaliswa kwe-meniscus.
Impatho ye-Hemarthrosis ephumelelayo
Ukwelashwa kwe-hemarthrosis kuxhomekeke kwisizathu. Ngegazi elikhulu, iinjongo ezidibeneyo zinokuthi zenziwe kwimihla emibini yokuphuma kwegazi ukukhusela umonakalo igazi elibangela ukuba lidibene. Kwi-hemarthrosis eqaqambileyo ne-hemophilia, iziganeko zokuqhawula ziyakunikwa. Ukulawula ubuhlungu kunye nokuphumla kwe-ice-compression-elevation (RICE) isoloko isetyenziswa njengonyango olulondolozayo.
Kwi-osteoarthritis, ezinye izigulane ziye zavakalisa i-hemarthrosis ngokuphindaphindiweyo emva kokuguqula i- knee arthroplasty , ngelixa abanye babika i-hemarthrosis ngokuzenzekelayo emadolweni.
I-Synovectomy (ukususwa kweminye yokubambisana), i- meniscectomy kunye ne- osteotomy sele isetyenziswe ngempumelelo xa unyanga i-hemarthrosis.
Enye inqubo, eyaziwa ngokuba yi-ablation, inikezela ngokukhawulelana kwimizimba yesifo.
Ukuba oku kwenzeka kuwe, ugqirha wakho uya kwenza uvavanyo olufanelekileyo kwaye anike iingcebiso zonyango.
Imithombo:
Hemarthrosis. Isemgangathweno. UPeter A. Nigrovic, MD. Novemba 28, 2015.
http://www.uptodate.com/patients/content/topic.do?topicKey=~uo5pia1l.c.nms&selectedTitle=1~31&source=search_result
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