Ukuphefumlelwa koMbane ohlangeneyo weNjongo yokuThengisa
I-fluid ehlangeneyo, ebizwa nangokuthi i-synovial fluid, ingafunwa kwi- joint ngokusebenzisa inaliti kunye nesirinji. Inqubo ingaqhutyelwa kwigumbi loviwo logqirha kwaye i-fluid iyathunyelwa kwi-laboratory ukuhlalutya. Uhlalutyo lwamanzi oluhlangeneyo lukwabizwa ngokuba ngamanye amagama, kuquka:
- Uhlalutyo lwamanzi olululo
- i-arthrocentesis
- ibhondi ehlangeneyo
Ukususwa kwe-fluid ehlanganyeneyo kunenjongo ebini-ukuxilongwa kunye neyonyango.
Ngoxa ufumanisa imbangela yokuvuvukala ngokubambisana yinjongo, ukukhutshwa komkhuhlane kunokunceda ekunciphiseni ubuhlungu kunye noxinzelelo kwi-joint.
I-Technique
Inkqubo engummiselo kufuneka ilandelwe xa ifumana i-synovial fluid ukuhlalutya. Ukucwangciswa kuthathwa ukwenzela ukuba iibhaktheriya zingeniswa kwi-joint. Inaliti eyinyumba isetyenziselwa ukudibanisa umthamo ohlangeneyo ukusuka kwintlangano echaphazelekayo, kodwa okokuqala, ulusu lwenziwa ngenzululwazi usebenzisa i-agentical agent, umzekelo, iBetadine (i-povidone-iodine). I-anesthetic yendawo isetyenziswa kwakhona.
Emva kokuba umbane uhoxiswe kwi-joint, ugqirha angayirhawula imichiza (ngokuqhelekileyo i- corticosteroid ) kwidibeneyo isebenzisa isayithi efanayo. Ibhanji isetyenziswa emva kokuba inaliti isusiwe.
Kubonakala
Emva kokuba uhlaziyo oluhlangeneyo lufike kwibhubhoratri ukwenzela ukuhlalutya, lubonwa ngamehlo abantu ngombala nangokucacileyo. Uhlobo oluqhelekileyo lwamanzi lubuhlungu kwaye lubonakala lubonakala luphuzi olukhanyayo. Ukuqhaqhaqhaqhaqhaqhaqhaqha oluqhekezayo oluqhelekileyo luyinto engavamile kunye nokusikisela kwesibindi okanye isifo.
I-fluody joint fluid ayiqhelekanga kwaye ingabangelwa yi-traumatic to joint.
Uvavanyo lweMicroscopic
I-fluid ehlangeneyo ihlolwe phantsi kwe-microscope ukuba khona kweeseli zegazi, i-crystals, kunye ne-bacteria. Umzimba oqhelekileyo ohlangeneyo awunanto okanye iimbalwa zegazi ezimbalwa. Inani elikhulu lamaseli obomvu libonisa ukuphuma egazini.
Inani elikhulu lamaseli egazi ezimhlophe lunokubangelwa ngosulelo, isifo sesifo se-arthritis , isigulane, okanye i- pseudogout .
Amakristal afunyanwe ngokungaqhelekanga. Iikridi ze-uric acid zibonakalisa i-gout ngelixa i- CPPD yamakristal iyenzeka nge-pseudogout. Iibhaktheriya aqhelekanga. Inkcubeko iyakwazi ukuchonga umthombo wesifo sobhaktheriya.
Uhlalutyo lweMichiza
I-fluid ehlangeneyo nayo ingahlolwa i-glucose, iprotheni kunye ne-lactic dehydrogenase (LDH). Iziphumo ezingaqhelekanga ezihlangeneyo zomzimba ezinokubonisa ukuvuvukala okanye unyango:
- I-glucose - ngaphantsi kwama-40 mg / dl
- Iiprotheyini - zikhulu kunokuba zilingana no-3 g / dl
- I-LDH - ngaphezulu kwama-333 IU / L
Ezinye iziphumo ezivela kwi-Synovial Fluid Analysis
I-fluid ehlangeneyo ibonwa kwiphubhu yecala emva kweyure enye ukubunjwa kwe-fibrin clot. Umgangatho we-clot uhlawulelwe, kodwa nayiphi na i-clot ibonisa ukuba kukho ingxaki kumlenze we synovial . Olunye uvavanyo olubizwa ngokuba luvavanyo lwe-mucin clot (i-acetic acid yongezwa kwi-synovial fluid) liqikelela ukuveliswa kwe-hyaluronate. Ukwakheka kwe-mucin clot kwintlupheko kudibaniswa neentlobo ezivuthayo ze-arthritis.
Iimvavanyo zegazi okanye ezinye iimvavanyo zelabhoratri nazo zinokuyalelwa ngenjongo yokuxhasa ubungqina obuvela kuhlalutyo lwe-synovial fluid.
Imithombo:
Ukuxilongwa kwezonyango ngeendlela zeLabhanki, Todd-Sanford.