Izifo ze-Knee Joint
Ukutheleleka kwamadolo kungabangela inkinga enkulu. Izimpawu zokutheleleka zihlanganisa ubomvu, ukuvuvukala, nemifudu. Ukwelashwa kwesifo segciwane kuxhomeke kuhlobo nendawo yokutheleleka. Izifo ezinzima kakhulu zenzeka ngaphakathi kwehlangothini lamadolo lapho isimiso somzimba samasosha omzimba sinenkinga enzima yokulwa nokutheleleka. Funda ngezinye izinhlobo ezijwayelekile zokutheleleka kwamadolo nokuthi yiziphi izindlela zokwelashwa eziconywayo zokuphulukisa lezi zifo.
I-Joint Joint
Ukuhlanganiswa kwe- septic kusho ukuthi ukutheleleka kungene esikhaleni esihlangene. I-joint evamile lapho amathambo amabili axhuma khona. Amathambo agcwele i-cartilage, futhi indawo ehlangene ichazwa yi-imvilophu yezicubu ezibizwa ngokuthi i- synovium . I-synovium yenza i-fluid ebizwa ngokuthi i-synovial fluid egcwala indawo ehlangene. Lesi sondlo se-synovial sinokuzivikela okuncane okuzivikela emzimbeni, kanti uma ukutheleleka kungena kule sikhala kungaba nzima ukuphatha.
Ama-bacteria angangena ngokubambisana noma ukulimala okungenayo noma ngegazi. Lapho okuhlanganyelwe sekutheleleke, izimpawu ezijwayelekile zifaka ukuvuvukala, ukushisa, nobuhlungu nganoma yikuphi ukunyakaza kokujoyina. Iningi leziguli ezinezihlanganisi ze-septic zidinga ukwelashwa ukuhlanza amadolo, nakuba kungenzeka kwezinye izimo ukwelapha i-septic joint with antibiotics yedwa. Ukwelashwa okufanele kuxhomeke kakhulu ekutheni uhlobo luni lwebhaktheriya olulwelwe ngokuhlanganyela.
Ukwelapha Ngemva Kokuhlinzwa
Noma nini lapho kukhona inqubo yokuhlinzwa, kunethuba lokuthuthukisa isifo. Izifo emva kwezinqubo eziningi zokuguqa ngamadolo, kuhlanganise ne- knee arthroscopy ayivamile, kodwa zenzeka. Izifo zibuhlungu ikakhulukazi ngemva kokuhlinzwa okubuyiselwayo kwamadolo, njengokuvuselelwa kwe-ACL, ngenxa yokutholakala kwamathrekhi amathrekhi.
Izifo emva kokuhlinzwa zinezibonakaliso ezifanayo njenge-joint septic, futhi ngokuvamile zidinga inqubo yesibili yokuhlinzwa ukuhlanza ukutheleleka. Uma inqubo yokuhlinzekela ihilela ukubekwa kwe- tissue graft noma yimuphi umkhiqizo wangaphandle (izikrini, implants, njll), lokhu kungase kudingeke kususwe ukuze kuphulukiswe ukutheleleka.
Ukushintshwa Knee Konke Okuthintekile
Ukuhlinzwa ngokuphindaphindiwe komzimba kuyinkambiso ephumelela kakhulu evame ukukhulula ubuhlungu futhi ivumela iziguli ukuba ziqhubeke nemisebenzi eminingi. Ngeshwa, kunezingozi ezingenzeka zokufakelwa okuhlanganyelwe , futhi okunye okubi kakhulu ukutheleleka kwamadolo esikhundleni .
Izifo zokuguqulwa kwamadolo zihlukaniswa ngezifo zakuqala (zingakapheli amasonto ayisithupha kusukela ngesikhathi sokuhlinzwa) kanye nezifo ezisheshayo. Ukutheleleka kokuqala kungaphathwa kwezinye izimo ngokuhlanza ukuhlanzwa, nokulawula ukwelashwa kwama-antibiotic.
Izifo ezithathelwanayo, kanye nezinye izifo ezinzima zakuqala, zidinga ukwelashwa okunomthelela. Lokhu kubandakanya ukukhipha izimpande ezithathelwanayo, okulandela isikhathi sokuphatha ama-antibiotic ngaphandle kwama-implants kuhlangene, kulandelwa ukuguqulwa kwamadolo okubuyekeza .
Ukwelashwa kwe-Bursal
I-knee bursitis ingabangela ukuvuvukala ngaphezu kwe-kneecap.
I-bursa yamadolo ayitholakali ngaphakathi kokujoyina, kodwa kunalokho ngaphambi kokujoyina. Uma kune-abrasion noma cut, i-kneecap bursa ingaba nesifo. Izimpawu ezivamile zifaka ubuhlungu, ubomvu, nokukhukhuma okwandayo phezu kwe-kneecap.
Uma kukhonjisiwe ekuqaleni, i-kneecap bursitis ingaphendula emithini yokulwa namagciwane. Ezimweni eziphambili kakhulu, i-bursa ingadingeka idonswe ngenaliti noma ukufakwa kokuhlinzwa.
Ukutheleleka Kwama-Soft-Tissue / Cellulitis
I-cellulitis yisimo esenzeka lapho ukutheleleka kusezinhlakeni ezijulile zesikhumba. I-cellulitis ngokuvamile ibangela ukubomvu nokuvuvukala kwemilenze. Ngokuvamile kukhona ukulimala okunjengokulunywa, ukulimaza, noma ukulunywa kwezinambuzane okubangela ukuba ukutheleleka kungene ezinhlakeni ezijulile zesikhumba.
Kwezinye izimo, akekho ukulimala kwangaphambi. Eziningi iziguli ezine cellulitis ezingenayo ukulimala kwangaphambili, kukhona uhlobo oluthile lwesifo sokuzivikela, njengesifo sikashukela , okwenza ukuba ukutheleleka kwenzeke.
Kubalulekile ukuqaphela izimpawu nezimpawu ze-cellulitis ekuqaleni, futhi lesi simo ngokuvamile siphathwa ngama-antibiotic. Ezigulini ezivumela izimpawu ukuba ziqhubeke, kunethuba lokuthi ukutheleleka kuyanda futhi kufakaze ngokufaka igazi.
Izwi elivela
Ukutheleleka kwegciwane kuyinkinga ebalulekile edinga ukuphuthumayo, futhi njalo ukwelashwa okunonya. Izifo ezithatha ngaphakathi emadolweni ezihlangene cishe zifuna njalo ukwelashwa, futhi ngezinye izikhathi izifo ezungeze ukujoyina zingadinga ukuhlinzwa. Kubalulekile uma usola ukuthi ukutheleleka ukufuna ukwelashwa okuphuthumayo, futhi ukubikezela kanye nesigcawu sokuthola isikhathi sokuvuselela kuvame ukuthuthukisa uma lezi zinkinga zitholwa futhi zelashwa ngokushesha ngangokunokwenzeka.
> Imithombo:
> I-Daines BK, uDennis DA, u-Amann S. "Ukuvimbela ukuvimbela ukwelashwa kwegciwane i-knee arthroplasty" J Am Acad Orthop Surg. 2015 Jun; 23 (6): 356-64.
> Shirwaiker RA, Springer BD, Spangehl MJ, Garrigues GE, Lowenberg DW, Garras DN, Yoo JU, Pottinger PS. "Umbono womtholampilo ngezinqubo zokwelapha izifo ze-musculoskeletal nezinselelo" J Am Acad Orthop Surg. 2015 Ngo-Apr; 23 Ukusekela: S44-54.