Ukuhlanganiswa okungavamile kwe-Fluid ngaphakathi noma eduze nendawo ehlangene
Ukuhlanganiswa okuhlangene ukuqoqwa okungavamile koketshezi noma okuzungezile okuhlangene. Kungenzeka ukuthi uzwile amagama athi "amanzi emadolweni" noma "amanzi asemadolweni," omabili achaza ukuxoshwa kwamadolo.
Ukususwa kwe-aseptic okuhlangene kusho ukuthi imbangela ayihlobene nokutheleleka kwebhaktheriya. Kulesi sibonelo, ukutheleleka ngegciwane, ukulimala ngokomzimba, noma isifo se-arthritis kungase kube icala.
Ukususwa kwe-Septic okuhlangene kusho okuphambene futhi kuhlobene ngokuqondile nesifo (kufaka phakathi i- sepsis ).
Uma okuhlangene kuthinteka isifo samathambo , isakhi samanzi asivamile. Uma lokhu kwenzeka, ukujoyina kuzovela ukuvuvukala futhi kuzovame ukuhambisana nobuhlungu, ubomvu, ukufudumala, nokunciphisa ukunyakaza .
Ukuhlolwa Kwemvelo
Uma ukuhlanganiswa kungavimba ngokweqile, udokotela uzokwenza ukuhlolwa ngokomzimba ukuze anqume ukuthi ukuvuvukala kwezicubu kungokwesibini kuya ku-effusion noma uma izicubu ngokwazo zihoxisa. Kuyinto ehlukanisa kahle kodwa eyodwa engasiza ukuhlukanisa phakathi, ukusho, ukutheleleka kanye nokugula okuvuthayo lapho izicubu zibandakanyeka khona kuphela.
Udokotela uzobe ese-palpate (hlola ngokuthinta) ohlangene ohlangene. Lokhu kungasitshela izinto eziningana:
- Uma ukuvuvukala kuhlobene ne-arthritis, izicubu ezibandayo phakathi kwamalungu, okuthiwa i- synovium , zizozizwa zizikhukhumeza. Ngaphezu kwalokho, ukuvuvukala kuyothatha kancane kancane (ngaphandle kwe-gout kungalimaza ngokuzumayo futhi ikakhulukazi kuthinte izinzwane ezinkulu).
- Ukutheleleka kuvame ukubonakala ngokuvuvukala, ubuhlungu, umkhuhlane, nokungakwazi ukuhambisa ukujoyina.
- Ukuvuvukala okukhulu okuhambisana nokuhluleka ukuthwala isisindo (noma ngaphandle kokulimaza) kungase kusiphakamise ukukhala noma ukuphuka kwegamentali .
I-ultrasonography ivame ukusetshenziselwa ukusiza ekuxilongweni. Ekugcineni, lapho udokotela ekwazi ukuchaza lesi simo, cishe kunokwelashwa okufanelekile.
Ukuxuba Okuhlangene ku-X-ray
Ngesikhathi ukuxhuma okuhlangene kungabonakali kalula kwi-X ray, kunezici ezingasiza ekuxilongweni. Phakathi kwazo:
- Ngomshini ohlangene wamadolo , i-effusion izovela njengomzimba ohlangene, ohlangene wezincubu ezithambile eziphakathi kwe-front of the thigh bone (femur) kanye nemisipha ye-quadriceps yethanga.
- Nge- effusion ye-elbow , inqwaba yezicubu ezivuvukile ziyoshiya phansi i-fat pad ehambisana nengxenyana engezansi yethambo lesiphambano (humerus) futhi ibonakale esimweni esiyingqayizivele se-triangular okuthiwa "uphawu lwesitimela."
- Ama-Hip effusions, ngokungafani namanye ama-effusions ahlangene, asuke akwazi ukubuka i-X-ray futhi ngokuvamile ayodinga ukuskena kwe-ultrasound, i- computed tomography (CT) , noma ukuskena kwe-imaging magnetic resonance (MRI) .
Ukuhlaziya okuhlangene kwamanzi
Udokotela wakho cishe uzofuna ukususa (ukukhipha) amanzi ohlangothini ohlangene ukuze unciphise ingcindezi. Uma ukutheleleka kusolwa, udokotela angase ajobe i- cortisone encane engxenyeni ukuze unciphise ukuvuvukala futhi avimbele uketshezi ukuthi ungakakhi futhi.
I-aspiration ye-fluid ingasiza ekunqumeni imbangela ye-effusion. Isiketshezi esivamile se- synovial ngokuvamile siyocaca nge-viscosity yeqanda elimhlophe. Noma yiziphi izinguquko ekubukeni kwayo noma ukuthungwa kwazo zinganikeza izinkomba mayelana nombangela we-effusion.
Ngokwesibonelo:
- I-fluid eguquguqukayo ingase iphakamise i- arthritis ye-rheumatoid . Ukuhlaziywa kwelebhu kuzovame ukuveza amazinga aphezulu wamaseli amhlophe avikela (ngaphezu kuka 2,000 per cubic millimeter).
- Ukuphuzi okuluhlaza okwesibhakabhaka noma okuluhlaza kungase kusiphakamise ukutheleleka noma i-sepsis. Amaseli amhlophe wegazi azophakanyiswa (amakhulu kunama-20,000 ngamamithamitha angu-cubic). Imidwebo ye-pus nayo ingabonakala.
- I-fluid yegolide ivame ukubonakala nge-gout. Ukuhlolwa okuncane kakhulu kuzodalula amakristalu anjenge-crystal of monosodium urate.
- Amanzi kagesi noma ama-pink azovame ukubonakala ngokulimala okuhlangene. Ukuhlolwa kweLab kuvame ukuveza inani elilinganayo lamaseli ebomvu namhlophe.
- Sula uketshezi ngokuvamile kubonakala nge- osteoarthritis ngoba akubandakanyi ukuvuvukala. Isibalo segazi elimhlophe livame ukuba ngaphansi kwamaseli angu-2,000 ngamakhilogremu angu-cubic.
Ukwelapha
Uma nje uketshezi oluhlangene seludliwe, izidakamizwa ezingezona ukuvuvukala (non-steroidal anti-inflammatory drugs) (NSAIDs) kanye nokuchithwa kwemvelo kuzomiswa njengendlela yokwelapha ejwayelekile ye-aseptic effusion. Uma kwenzeka i-septic effusion, ama-antibiotic angahle adinge ukuthi abekwe.
> Imithombo:
> Gupta, C. noSt. Mart, J. "Idolo elikhukhumezayo: ukuxilongwa nokuphathwa." J Royal Soc Med. 2013; 106 (7): 259-68. I-DOI: 10.1177 / 0141076813482831.
> Marx, J. (2010). Imithi Ephuthumayo kaRosen: Imiqondo Nemikhuba Yomtholampilo (I-7th Edition). Philadelphia, Pennsylvania: Mosby / Elsevier. I-ISBN 978-0-323-05472-0.