Ukuqokelela okungavumelekanga koMbane okanye kummandla odibeneyo
Ukuxhatshazwa okuhlangeneyo kukuqokelelwa okungavumelekanga kohlobo olumanzi okanye kummandla odibeneyo. Kusenokwenzeka ukuba uvile amagama athi "amanzi emadolweni" okanye "umkhuhlane emadolweni," omabini achaza ukuchithwa kwamadolo.
Ukuxhamla kwe-Aseptic ehlangeneyo kuthetha ukuba isizathu asihambelani nosulelo lwebhaktheriya. Kule meko, ukusuleleka kwintsholongwane, ukulimala emzimbeni, okanye isifo samathambo kungasolwa.
Ukuxutywa kwe-Septic ehlangeneyo kuthetha okuchasene kwaye kuhlobene ngqo nesifo (kuquka i- sepsis ).
Xa idibeneyo ichaphazeleka yintlungu yesifo , i-buildup ye-fluid ayiqhelekanga. Xa oko kwenzeka, idibeneyo iya kubonakala iguqule kwaye iya kuhamba kunye nentlungu, ubomvu, ukufudumala, kunye nokunciphisa kweendululo .
Uvavanyo lweMvelo
Ukuba idibeneyo igubha ngokungaqhelekanga, ugqirha uya kwenza uvavanyo lomzimba ukuqinisekisa ukuba ukuvuvuka kwezicubu kuncinci kwi-effusion okanye ukuba izicubu ngokwazo zibangela ukucinywa. Ukwahlukileyo okulungileyo kodwa omnye unokuncedisa phakathi, uthi, isifo kunye nesifo sokuvuvukala apho izicubu zibandakanyeka kuphela.
Ugqirha uya kuthi ke i-palpate (hlolisisa ngokuthintela) iqhagamshelwano elichaphazelekayo. Oku kunokusixelela izinto eziliqela:
- Ukuba ukuvuvukala kuhambelana ne-arthritis, izicubu ezinqabileyo phakathi kwamajoyina, ezibizwa ngokuba yi synovium , ziya kuziva zixakeke. Ukongezelela, ukuvuvukala kuya kuhamba ngokuthe gqolo (ngaphandle kwe-gout ingabetha ngokukhawuleza kwaye ichaphazele kakhulu inzondo enkulu).
- Usulelo luvame ukubonakalisa ukuvuvukala, intlungu, umkhuhlane, nokungakwazi ukuhambisa intsebenziswano.
- Ukuvuvukala okuhambelana kunye nokungakwazi ukubeka ubunzima (kunye okanye ngaphandle kokukrakra) kunokubonisa ukuba isalathisi okanye ukuphuka.
I-ultrasonography isetyenziselwa ukukunceda ekuxilongweni. Ekugqibeleni, ngokugqithiseleyo ugqirha uyakwazi ukubonakalisa le mqathango, mhlawumbi unyango olufanelekileyo luya kululeka.
Ukunyuswa okuhlangeneyo kwi-X-ray
Nangona ukuchithwa okuhlangeneyo kungabonakali lula kwi-X-ray, kukho iziganeko ezinokukunceda ekuxilongweni. Phakathi kwabo:
- Ngomdaka odibeneyo wamadolo , ukuchithwa kuya kubonakala njengobunzima obunqamlekileyo, obunokuxhatshazwa obukhulu obuphakathi kwethambo lethanga (femur) kunye nezihlunu ze-quadriceps zomlenze.
- Ngomngcipheko we- elbow , ubuninzi beethambo ezivuvukileyo ziya kutshabalalisa i-fat pad ejikeleze inxalenye engezantsi ye-bone-forearm (i-humerus) kwaye ibonakale kwindawo ebonakalayo yesigxina ebizwa ngokuba "uphawu lokuhamba ngomkhumbi."
- Imiphumo ye-Hip, ngokungafani nezinye izinto ezidibeneyo, akunakwenzeka ukuba zijonge kwi-X-ray kwaye ziya kufuneka zifune ukuskena i-ultrasound, i- computed tomography (CT) , okanye i-imaging magnetic resonance (MRI) .
Uhlalutyo oluhlangeneyo lweeFluid
Ugqirha wakho uya kuthanda ukufuna (ukukhupha) umbane ukusuka kwintsebenziswano echaphazelekayo ukwenzela ukunciphisa uxinzelelo. Ukuba isifo sikhankanywe, ugqirha unokufaka inxalenye encinci ye- cortisone kwidibeneyo ukunciphisa ukuvuvukala nokukhusela umbane ukususela kwakhona.
Inqweno yomsinga ingakunceda ekuqaliseni imbangela yokuchithwa. I- synovial fluidi eqhelekileyo iya kudla ngokucacileyo kunye ne-viscosity yeqanda elimhlophe. Naluphina utshintsho kwindlela yokubonakala okanye ukuthungwa kwayo kunokunika izikhokelo malunga nesibangeleko sokungcoliswa.
Umzekelo:
- I-fluid eguquguqukayo ingabonisa ukuba i- rheumatoid arthritis . Uhlalutyo lwebhabhi luya kubonisa amanqanaba aphakamileyo asemhlophe amaseli egazi ezimhlophe (ngaphezu kwe-2,000 nganye ngeyuremitha yamithayitha).
- Uluhlaza oluhlaza okwesibhakabhaka okanye olumnyama luyakubonisa ukuba usulelo okanye isifo sephepha. Amaseli egazi amhlophe aya kuphakanyiswa (ngaphezulu kwama-20,000 nganye ngeyuremitha yamithayitha). Inkalo ye-pus ingabonakala.
- I-fluid Golden igqithwa ngokugqithisileyo. Uviwo oluqhelekileyo luya kubonisa ukuba i-crystals-like crystals ye-monosodium urate.
- I-fluid enegazi okanye i-pink iyakuthi ibonakale ngokulimala ngokubambisana. Iimvavanyo zeLeb ziza kubonisa inani elilinganayo lamaseli ebomvu namhlophe.
- Ukucima umthamo ngokuqhelekileyo kubonakala nge- osteoarthritis kuba akubandakanyi ukuvuvukala. Inani elimhlophe leeseli legazi liza kuba liphantsi kwee-2,000 iseli nganye nge-cubic millimeter.
Unyango
Emva kokuba umlambo ohlangeneyo uphunyiweyo, iziyobisi ezichasayo ezingabhubhisiyo (i-NSAID) kunye nokuchithwa kwemimandla kuya kunqunywa njengonyango oluqhelekileyo lwe-aseptic effusion. Xa kwenzeka umonakalo we-septic, i-antibiotics ingadinga ukuba imiselwe.
> Imithombo:
> Gupta, C. noSt. Mart, J. "Ibhokisi eliguguzelayo: ukuxilongwa nokuphathwa." J Royal Soc Med. 2013; 106 (7): 259-68. INGXELO: 10.1177 / 0141076813482831.
> Marx, J. (2010). I-Medicine yoNyango oluPhezulu: Iingcamango nezenzo zeZliniki (i-7 Edition). Philadelphia, Pennsylvania: Mosby / Elsevier. ISBN 978-0-323-05472-0.