I-Haemarthrosis yamadolo ahlangene. Ukwelapha

I-hemarthrosis iyisimiso sokuzibulala esiswini. Ngokuvamile, lesi sifo sitholakala endaweni emadolweni, nakuba kunezimo zokulimala esihlakalweni, emgqeni, e-ankle, ehlangene. I-Hemarthrosis yehlangothini lamadolo libhekene nomjikelezo obushelelezi, ukwanda kwevolumu ehlangene, ubuhlungu obukhulu, ukuhamba okulinganiselwe. Ukuphuma kwegazi okuqhubekayo kuhlanganisa i-capsule ehlangene, eyandisa kuphela ubuhlungu. Uma uhlola ukujoyina, ukuguquguquka (ukuvuvukala) kuzwakala. Ngaphakathi kwehlangene, kungase kube khona izingcezu zezinhloko ze-cartilage noma ama-menisci aqhekekile. Isikhumba sigubha umhlanganiso, njengombuso, unombala we-cyanotic futhi unzima.

I-Hemarthrosis yamadolo ehlangene iqala ngenxa yokulimala: izivunguvungu, ukuqhuma, ukuchitheka, ukulimala kwe-meniscus, ukuphuka kwe-capsule ehlangene.

Nge-hemarthrosis, ukujikeleza kwegazi kuphazanyiswa futhi ukucindezelwa ngaphakathi kokuhlanganyela kukhulisa. Ukuhlukaniswa kwamaseli egazi kuthinta kabi izicubu ezingomakhelwane, ukushintsha izici zabo nezakhiwo zabo. Le nqubo iqala ngokushintsha kwe-cartilage ebushelelezi, futhi lapho kungekho khona ukwelashwa, ihlangene ingawa ngokuphelele. Kuhlangene kuqala ukwakha izicubu ezibomvu, ezihlanganisa futhi ziholele ezenzweni ezingenakwenzeka.

Uma ukwelashwa okungafanele kwenziwe, i-hemarthrosis yamadolo ahlangene angaya esiteji esingapheli kanye nentuthuko elandelayo ye-synovitis, ebonakala ngokuqoqwa kwe-effusion ehlangene. Uma ukutheleleka kwenzeka, i-purunent synovitis iyenzeka, ihambisane nokuphakama kokushisa.

I-Haemarthrosis yamadolo ahlangene, ukwelashwa okubandakanya izindlela eziningana, kudinga ucingo olufika ngesikhathi kudokotela. Uma uya esibhedlela ngesibonakaliso sokuqala saleso sifo, ungagwema ukungahambi kahle kwezinkinga ezihlangene nezinkinga ezinkulu.

Ukunakekelwa kwe-hemarthrosis kuhlanganisa ukususwa kwegazi kusuka ekuhlanganyeleni, ukugeza kanye nomjovo owodwa wesidakamizwa, okuqeda ukuphuma kwegazi, ukuvuvukala nobuhlungu.

Indlela ejwayelekile kunazo zonke ukuguqulwa, ukususwa kwegazi kusuka ekuhlanganyeleni kanye nokwethulwa kwe-hydrocortisone noma i-kenalog, okusiza ukuvutha nokunciphisa ubuhlungu. Le nqubo yenziwa ngaphansi kwe-anesthesia yendawo. Igazi elihlangene lihoxiswa yisirinji, lapho inaliti encane ifakwe emgodleni wayo. Khona-ke ngokuhlanganyela ubeke ibhande elinzima ngesimo sezindandatho amasonto amabili namathathu. Ukwelashwa okunjalo kufanele kwenziwe ngemuva kokuphuma kwegazi, khona-ke kungenzeka ukuba ubuyisele ngokugcwele ukuhamba nokugcina ukuhlangana okunempilo. Ukungahambi kahle kokwelapha okunjalo kungukudalwa kwengcindezi embi emgodleni ohlangene, okuholela ekuqaliseni ukuphuma kwegazi. Ngaphezu kwalokho, ukukhishwa kwegazi ngethisha akuphelelanga, okungaholela ekulimaleni kwemigqa kanye ne-cartilage ngenxa yokuthuthukiswa komsebenzi we-antigenic. Ukuphumelela ngokuyinhloko yi-hemorrhage yokuqala. Amacala aphindaphindiwe we-hemarthrosis kunzima kakhulu ukwelapha, ngoba izigxobo kanye nezinqola zezinambuzane sezivele zenze izinguquko ezishintshayo.

Kukhona enye indlela yokwenza i-puncture. Ngesikhathi esifanayo, ingxenye enkulu yegazi isusiwe ekuhlanganyeleni kokuqala, bese umuthi ujojowe ukuze uhlambe ube yi-puncture efanayo. Okulandelayo, yenza i-puncture entsha ngenye inaliti bese uncela i-liquid injected for rinsing. Ngesikhathi sokuhoxiswa komswakama, ukuhlanganiswa kuhlanganiswa nokugqoka okuyi-circular, futhi kuhlangene kukhona izinaliti ezimbili ngesikhathi esisodwa. Inqubo iyaqhubeka kuze kube yilapho uketshezi olukhishwe kuhlangene, akukho ukungcola okubangelwa igazi. Khona-ke inaliti yokuhoxiswa isusiwe, futhi ngokusebenzisa enye inaliti isetshenziswa imithi enikezwe udokotela. Emva kwalokhu, ukubopha okuqinile kusetshenziselwa ukujoyina. Le ndlela iyanciphisa amathuba okucindezeleka okubi futhi inciphisa amathuba okuphuma kwegazi ngokuphindaphindiwe.

Ngemuva kokugqama, kufanele uhambe ngezinsika, ukuze ungathembeki emlenzeni wakho okhulayo.

Indlela yokuphatha i-hemarthrosis eqalisiwe? Ukwelashwa kuqukethe ama-prosthetics, lapho ukushintshwa kwesigxobo samanje kusebenza khona. I-prosthesis yenziwa ngezinto ezihambisana nezicubu eziphilayo, isibonelo, kusukela ku-titanium alloy ne-Teflon, enganqatshwa ngumzimba.

Ukuvimbela ukuphuma kwegazi, sebenzisa izidakamizwa ezithuthukisa i-blood clotting.

Ukuze i-hemarthrosis ye-knee joint ingenzeki, kufanele uqaphele ngaso sonke isikhathi lapho udlala imidlalo futhi uvikele amajoyina.