Ukuphefumula kwe-Fluid Joint yeziNhloso zokuThola
I-fluid ehlangene, ebizwa nangokuthi i-synovial fluid, ingafiswa kusuka ekuhlanganyeleni isebenzisa inaliti nesirinji. Le nqubo ingenziwa ekamelweni lokuhlolwa kadokotela kanti umthamo uketshelwa ebhokisithri ukuze kuhlaziywe. Ukuhlaziywa kwamanzi ahlangene nakho kuvame ukubhekwa ngamanye amagama, kufaka phakathi:
- ukuhlaziywa kwe-synovial fluid
- i-arthrocentesis
- ibhathini lokuhlanganyela
Ukukhishwa kwamanzi ahlangene kunezinhloso ezimbili-ukuxilongwa nokwelapha.
Ngesikhathi uthola imbangela yokuvuvukala okuhlangene ngumgomo, ukususwa kwe-fluid nakho kungasiza ekunciphiseni ubuhlungu nokucindezelwa ekuhlanganyeleni.
I-Technique
Inqubo oyinyumba kufanele ilandelwe uma ukuthola ukuhlunga kwe-synovial ukuhlaziywa. Ukuqapha kuthathwa ukuze amabhaktheriya angeniswe ngaphakathi. Inaliti eyinyumba isetshenziselwa ukudweba umthamo ohlangene ohlangene ohlangene, kodwa okokuqala, isikhumba sibilisiwe ngokusebenzisa i-agent ephezulu, isibonelo, i-Betadine (i-povidone-iodine). I-anesthetic yendawo isetshenziswa futhi.
Ngemuva kokuba uketshezi luhoxiswe ekuhlanganyeleni, udokotela angase ajobe imithi (ngokuvamile i- corticosteroid ) ehlangene besebenzisa isayithi elifanayo lomjovo. I-bandage isetshenziswa ngemuva kokuthi inaliti isusiwe.
Ukubukeka
Lapho umthamo ohlangene ufika e-laboratory ukuhlaziywa, ubonakala ngamehlo omuntu ngokumbala nokucaca. Uketshezi olujwayelekile oluhlangene lubuhlungu futhi lubonakala lubonakala luphuzi olukhanyayo. Uketshezi oluketshezi oluneziqhwa akuvamile futhi kusikisela ukuvuvukala noma ukutheleleka.
Uketshezi oluhlangene lwamanzi nakho okungavamile futhi kungabangelwa ukuhlukumezeka kokujoyina.
Ukuhlolwa okuncane
I-fluid Joint ihlolwe ngaphansi kwe-microscope ukuba khona kwamangqamuzana egazi, amakristalu, nama-bacterium. I-fluid ejwayelekile evamile ayinayo noma ambalwa amangqamuzana egazi. Izinombolo ezinkulu zamangqamuzana egazi obomvu zibonisa ukuphuma kwegazi kuhlangene.
Izinombolo ezinkulu zamangqamuzana egazi ezimhlophe zingenzeka ngokutheleleka, i- arthritis yokuvuvukala , i-gout, noma i- pseudogout .
Amakhemikhali akutholakele okungavamile. Ama-crystals e-uric acid abonisa ukuthi i-gout ngenkathi ama-crystals e-CPPD akhona nge-pseudogout. Amabhaktheriya nawo ajwayelekile. Isiko singakwazi ukukhomba umthombo wokutheleleka kwebhaktheriya.
Ukuhlaziywa Kwezakhi
Amanzi ahlangene angabuye ahlolwe i-glucose, amaprotheni, ne-lactic dehydrogenase (LDH). Imiphumela engavamile yoketshezi emzimbeni engase ikhombise ukuvuvukala noma ukutheleleka yilokhu:
- I-glucose - engaphansi kuka-40 mg / dl
- Amaprotheni - amakhulu kunawo noma alingana no-3 g / dl
- I-LDH - ngaphezu kuka-333 IU / L
Okunye Okutholakele Kusuka Ekuhlaleni Kwama-flux Synovial
I-fluid ehlangene iyabonakala ku-tube yangasese ngemva kwehora elilodwa ukubunjwa kwe-fibrin clot. Ikhwalithi ye-clot ishadiwe, kodwa noma iyiphi i-clot iphakamisa ukuthi kunenkinga ngekhanda le- synovial . Olunye uvivinyo olubizwa ngokuthi i-mucin clot test (i-acetic acid eyongezwa ku-synovial fluid) ilinganisa ukukhiqizwa kwe-hyaluronate. Ukwakhiwa kwe-mucin clot embi kuhlotshaniswa nezinhlobo zokuvuvukala kwe-arthritis.
Ukuhlolwa kwegazi noma ezinye izivivinyo zama-laboratory nazo zingahle zilandelwe ngenhloso yokusekela ubufakazi obuvela ekuhlaziyweni kwe-synovial fluid.
Imithombo:
Ukutholwa Kwemitholampilo yizindlela zokwelapha, Todd-Sanford.