Indlela odokotela abahlola ngayo "amanzi emadolweni"
Idolo elithukuthele yinkinga evamile engathinta intsha kanye neyesikhathi esidala. Abantu abaningi babhekisela kuwo ngokuthi "amanzi emadolweni" ngenxa yokubonakala kwawo okuphambuka njalo.
Ukunquma imbangela yesondo elivuvukile ngezinye izikhathi kungaba yinselele. Kungenzeka ukuthi isimo esibucayi sibangelwa ukulimala okubuhlungu noma okungapheli okuye kwakha kancane ngokuhamba kwesikhathi. Indawo yokuvuvukala ingase ihluke, ngezinye izikhathi ivele ngaphakathi kwamadolo-ndawonye futhi, kwabanye, ezintanjeni ezithambile ezungeze idolo.
Ukuthola i-Knee e-Swollen Knee
Ibhokisi elihlangene lizungezwe i-capsule. Le capsule yakha "isikhala esivumelwaneni" lapho inani elincane lokugcoba (elibizwa ngokuthi i- synovial fluid ) ligcina idolo lihamba kalula. Izimo ezithile zingabangela lo mgesi ukuba uqoqe. Uma kwenzeka lokhu, idolo lingakhubazeka, isimo sibizwa ngokuthi ngamadolo.
Isinyathelo sokuqala ekwelapheni ukuxoshwa ukukhomba imbangela. Senza lokhu ngokuqala ukubuka ukubonakala komzimba ngokwayo:
- Uma ukuvuvukala kungaphakathi kwamadolo, i-kneecap ivame ukuchazwa kahle futhi izwe kalula ngaphansi kwesikhumba (nakuba kungase kubonakale kususwe kancane).
- Uma ukuvuvukala kusezicubu ezithambile, i-kneecap kungenzeka ingabonakali noma izwe kalula ngaphansi kwesikhumba.
Ngokusekelwe emiphumeleni yokuhlolwa ngokomzimba, udokotela angakwazi ukuhlola ezinye zezimbangela ezivamile zokuguqa kwamadolo.
Fluid ngaphakathi Ngaphakathi Knee Joint
Uma idolo lihlangene, yilapho sibheka izimbangela ezintathu: ukulimala kanzima, isimo esingapheli, nesimo esibi esingathinti ukulimala.
Ukulimala okunzima yilokho okwenzeke emahoreni angu-24 kuya kwangu-48 edlule, okuholela ekuvupheni okusheshayo kwamadolo. Kulesi sibonelo, sizokunquma ukuthi ngabe uketshezi emadolweni kukhona igazi noma okungenalo igazi:
- Igazi emadolweni livame ukubangelwa yi-knee ligament ephukile (ebizwa ngokuthi i- ACL izinyembezi ) noma ukuphulwa kwethambo ne-cartilage emadolweni. Uma ukuphuma kwegazi kungumthombo wokuvuvukala, ukuqala kuyashesha futhi kukhulu, ngokuvamile kungakapheli imizuzu.
- I-fluid engekho emzimbeni ingabangelwa yi- ligament sprain noma i-tear in the rubbery disk egibela idolo (elibizwa ngokuthi i- meniscus ). Ukuvuvukala kuvame ukuhamba kancane futhi kuvame ukuphawula amahora noma izinsuku emva kokulimala. Ngenkathi umthamo we-fluid ungaba ophawulekayo, akuyona into ejulile njengokwakheka kwegazi.
Ukusebenza okungapheli kubonakala ngokuqala kancane kancane ukuvuvukala. Ukuvuvukala kungase kuguquke njengoba izimpawu zifika futhi zihamba. Ngaphandle kokugqoka nokulala okuhlobene nokuguga, kunezimbangela ezimbili ezivamile zokugwinya okungapheli kwamadolo:
- I-osteoarthritis ingabangela umzimba ukuba ukhiqize uketshezi oluthe xaxa ekuphenduleni ukuvuvukala okuyisisekelo. Abantu abane- arthritis yamadolo bavame ukuqaphela ukuthi idolo elithintekile likhulu kunelo. Ukuvuvukala kuvame ukwedlulela emsebenzini, ikakhulukazi uma idolo lithwala isisindo. I-ain izovame ukunyamalala uma idolo likhululekile
- I-arthritis ye-rheumatoid , i-autoimmune ye-arthritis, ingabangela umphumela ofanayo. I-arthritis ye-rheumatoid izovame ukuphazamisa amalunga amaningi ahambisana nokuphikelela okukhulu kokuvuvukala ngenxa yokuvuvukala okuqhubekayo.
Ukuqala okusheshayo kokuvuvukala ngaphandle kokulimala kuyinto a isigaba esibanzi lapho ukuqoqwa kwamanzi kungabi ngenxa yokulimala noma isimo esingapheli, njenge:
- Ukutheleleka kungabangela ukuqoqwa kwamanzi emzimbeni, ngokuvamile ngenxa yomsebenzi wokuhlinzwa, isilonda semadolo, noma isistimu, ukutheleleka komzimba wonke okusabalalisa ekuhlanganyeleni. Ukwelapha kungabangela inkinga njengoba umzimba unenkinga enzima yokusula ukutheleleka kule ndawo. Uma kunjalo, ukuhlinzwa kungadingeka ukuba uhlanze ngokuphelele ukutheleleka kwe-septic .
- I-Gout kanye ne-pseudogout zombili zihilela ukwakhiwa kwamakhemikhali e-biochemical emadolweni. Nge- gout , i-uric acid esetshenziselwa ukuthutha imfucuza ingaqoqa futhi igcizelele ezinhlangothini ezihlukahlukene zomzimba, ebangela ukuvuvukala okukhulu nobuhlungu. Ngenhlamba , i-culprit i-calcium amakristali okuvusa ngokufanayo ukuphendula okuvuvukala kwamalungu.
I-Fluid Ngaphandle I-Knee Joint
Uma kukhona uketshezi okweqile emathinini athambile azungeze idolo, imbangela evame kakhulu yi- prepatellar bursitis , ukuvuvukala kwesigxobo esigcwele amanzi (esibizwa ngokuthi i-bursa) esenza i-kneecap (ebizwa ngokuthi i-patella). I-buildup ibonakala futhi izwa phezulu phezulu kwe-kneecap. Akuyona into ongayibona ngaphansi kwamadolo.
Ukulimala okunjengokungqubuzana ( ukuchoboza izicubu ezithambile) ku-kneecap kungabangela nokuvuvukala kwangaphakathi. Kwezinye izimo, ukwakhiwa kwegazi kanye noketshezi kungalingisa ukulimala okukhulu kwamadolo.
> Umthombo:
> Gupte, C. noSt. Mart, J. "Idolo elikhukhumele kakhulu: ukuxilongwa nokuphathwa." Journal of the Royal Society of Medicine . 2013; 106 (7): 259-268.