Ukuzibilisa ku-joint kungabangela ubuhlungu nokuvuvukala
I-Hemarthrosis yigama lezokwelapha lokuphuma ngegazi. Uma unesihlungu nokuvuvukala kokuhlangene okulodwa (monoarticular), i-hemarthrosis iyimbangela evamile.
Kuyimbangela yokukhathazeka hhayi kuphela ngenxa yobuhlungu, kodwa ngoba ukuvezwa kwegazi isikhathi eside kungalimaza i-cartilage. Izifundo ezenziwe nge-vitro (ngaphakathi kwe-tube test) zenze ukuvezwa kwegazi kubangela ukufa kwamangqamuzana akhiqiza i-cartilage futhi avimbele ukukhiqizwa kwezingxenye ze-cartilage.
Lokhu kubakhathalela ngokukhethekile iziguli ze-osteoarthritis, esivele inesifo se-articular cartilage. Kuyinto yokukhathazeka ngabantu abane-hemophilia, njengoba besengozini ye-hemarthrosis futhi ngaleyo ndlela bangengozi yokulimala nokulahleka kwe-cartilage.
I-Hemarthrosis Ithola Kanjani?
Ngenkathi umlando wakho wezokwelapha, ukuhlolwa ngokomzimba kanye nokucwaninga ngemifanekiso kungaba usizo ekwenzeni ukuxilongwa kwe-hemarthrosis - kuyisifiso sokuhlanganyela (i- arthrocentesis ) enganikeza ukuxilongwa okucacile. Udokotela wakho uzofuna ukujoyina inaliti bese uvala umthamo ohlangene ukuze uhlolwe, kuqala ubonwe ngudokotela wakho kodwa futhi ngokuvamile uzothunyelwa ebhokisithri ukuze uhlaziywe ngokugcwele.
I-fluid ehlangene ehlotshaniswa ne-hemarthrosis ngokuvamile ibomvu, i-pinkish noma i-brownish. Ezinye izici ezingavamile ze-fluid ehlangene zingase zisikisele ukuthi yiyiphi imbangela ebangela i-hemarthrosis yakho.
Yini Engabangela I-Hemarthrosis?
Kunezimo eziningi ezihlukahlukene ezingabangela i-hemarthrosis kufaka:
- ukuhlukumezeka - ukulimala noma ukuhlukumeza okuhlangene kungabangela ukuphuma kwegazi kuyo. Ukulimala noma ukushaya emadolweni kungabangela i-hemarthrosis nokuvuvukala okusheshayo. Kwezinye izimo, ukuhlukunyezwa kwamadolo okuncane kunemiphumela ye-hemarthrosis, ngokuvamile ngenxa yezintambo zangaphakathi noma ze-collagen. Kulezo zimo, kungase kungathathi okuningi kwe-bump kukho konke ukuphumela ku-hemarthrosis.
- ukuphazamiseka kwegazi - i-hemophilia ihlotshaniswa ne-acute hemarthrosis, ngokuvuvukala okuhlangene okusheshayo. Lokhu kungabonakala nakubantu abanokwelapha ngama-anti-coagulants njenge-warfarin.
- izinkinga zezinzwa
- ama-neoplasms (izicubu) - isisu singaphazamisa imithwalo yegazi ngokubambisana, kanye ne-tumor ingahlakulela igazi layo futhi lokhu kungaholela ku-hemarthrosis.
- ukulimala kwamathambo
- i-osteoarthritis - amacala we-hemarthrosis okuzenzekelayo aye abonakala ezigulini ezine-osteoarthritis yangasese, ngokuvamile ehambisana nokugqama okuphazamisayo okukhazimulayo ekugqeni kwe-meniscus.
Ukwelashwa kwe-Hemarthrosis ephumelelayo
Ukwelashwa kwe-hemarthrosis kuncike ekubambeni. Ngegazi elikhulu, ukufisa okuhlangene kungenziwa ezinsukwini ezimbili zokuphuma kwegazi ukuvimbela ukulimala igazi elingabangela ekuhlanganyeleni. E-hemarthrosis enzima nge-hemophilia, izici zokugwedla zinganikezwa. Ukulawula ubuhlungu nokuphumula-i-ice-compression-elevation (RICE) ivame ukusetshenziswa njengendlela yokwelashwa okuqaphayo.
Ukuze i-osteoarthritis, ezinye iziguli ziye zabona i-hemarthrosis ephindaphindiwe ngemva kwe- knee arthroplasty , kuyilapho abanye bebika i-hemarthrosis ngokuzenzekelayo emadolweni.
I-Synovectomy (ukukhishwa kwamakamelo okujoyina), i- meniscectomy ne- osteotomy iye yasetshenziswa ngokuphumelela lapho kuphathwa i-hemarthrosis.
Enye inqubo, eyaziwa ngokuthi i-ablation, inikeza ukukhishwa kwemali okulinganiselwe kwezicubu ezigulayo.
Uma lokhu kwenzeka kuwe, udokotela wakho uzokwenza uhlolo olufanele futhi anikeze izincomo zokwelashwa.
Imithombo:
I-Hemarthrosis. Kusesikhathini. 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
Lalela Funda Kudivayisi kuphela Kwengeziwe Buka Kufakiwe Okuningi okuvela kumbhali Hemarthrosis in the Osteoarthritis of the Knee Treated by Arthroscopic Ablation I-Journal ye-Chugoku-Shikoku Orthopedic Association (2005).
I-hemarthrosis ephindaphindiwe ngemuva kwe-knee joint arthroplasty: Etiology kanye nokwelashwa. I-Journal of Arthroplasty (2004).
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Mindy L. Simpson, MD; ULeonard A. Valentino, MD. "Ukuphathwa Kokubhambana Okuhlangene ku-Hemophilia: Ukuphathwa Kwe-Acem Hemarthrosis." I-Medscape Multispecialty. 09/20/2012