Phakathi kwezibonakaliso zokuxwayisa ze-arthritis
Izimpawu zokuxwayisa zakudala zingabandakanya ubuhlungu obuhlangene , ukuqina okuhlangene, ukuvuvukala okuhlangene, nokufudumala. Ukuhlanganyela okufudumele noma okushisayo kubhekisela ekuhlanganyeleni okufudumele kulokhu okuthinta. Kunezimo eziningana ezihlobene nokuhlangana okufudumayo, ezinye zazo ezimbi kakhulu. Kumele uthintane nodokotela wakho ukuze uthole ukuxilongwa okunembile. Yiziphi amathuba?
Ngokuvamile, ukufudumala kubonisa ukuvuvukala okusebenzayo.
Kunezimo eziningana ezingahle zihlotshaniswe nokuhlanganyela okufudumele, kuhlanganise:
- Izinhlobo zokuvuvukala kwe-arthritis (isb., Isifo samathambo)
- I-arthritis ye-Septic
- I-arthritis esebenzayo
- I-Gout noma i- pseudogout
- Isifo se-Lyme
- I-Trauma
Ukubona Ukuhlangana Okufudumele
Ukuhlukanisa phakathi kwalezi zimo, udokotela wakho uzokwenza ukuhlolwa ngokomzimba. Kanye nokuhlangene okufudumele, udokotela wakho uzohlola amajoyina akho ngezibonakaliso zokuvuvukala, ubomvu, nesisa. Uma kukhona ubomvu, kanye nomfudumalo, udokotela wakho angase asole isifo se-arthritis noma i-gout. Ukuvuvukala kubonisa ukuthi ukuvuvukala okusebenzayo noma ukuxhuma okuhlangene . Uma ububele bungendawo, kungabhekisela ekulimazeni kwe- bursitis noma kumisipha. Ububanzi bezinyathelo buzohlolwa ngokucophelela (udokotela wakho uhamba ngokuhlanganyela okuhlangene) futhi ngenkuthalo (uhambisa ukuhlanganyela kwakho). I-arthritis ye-Septic ihlotshaniswa nobubanzi obuncishisiwe bokunyakaza, ngokuvamile kuvele ngokuzumayo.
Ukuhlolwa kungabonisa ezinye izimpawu ezibonakalayo zezifo, njengama- nodules we-rheumatoid noma i- gout tophi . Ukuqubuka, okubizwa ngokuthi i-erythema migrans, ngokuvamile kuvame isifo seLyme futhi kuyisici sayo esiyinhloko. Lokhu kuqhuma kungaphambi kwe-arthritis ngezinyanga noma eminyakeni.
Udokotela wakho uzophinde aqaphele ukuthi ukuhlanganiswa okukodwa kuyathinteka noma amalunga amaningi.
Uma ukuhlanganiswa okukodwa kuphazamiseka, okubizwa ngokuthi i- monoarthritis , i-arthritis ye-septic kanye ne-gout ngokuvamile imangelwa. Uma kunomthelela ongaphezu kokukodwa, i-arthritis esebenzayo kanye ne-rheumatoid arthritis yizona ezisolwa kakhulu.
Nakuba zonke izibonakaliso ezibonakalayo ezibuthene ngesikhathi sokuhlolwa komzimba ziphawuleka futhi zisiza ekuqaliseni ukuxilongwa, udokotela wakho kuzodingeka enze inhloso ehlanganyelwe ukuthola ulwazi oluthe xaxa. I- fluid ehlangene ihlolwe ebhokisatri. Ukubukeka kwe-fluid ehlangene, ukuhlolwa okuncane (ukufuna amakristalu nama-bacteria), nokuhlaziywa kwamakhemikhali kungaveza.
Ezinye izivivinyo zama-laboratory zingahle zilayishwe futhi, njengezinga eliphelele legazi, isilinganiso se-sedimentation , i- CRP , i- uric acid , i- rheumatoid factor . Ngokuhambisana nokuhlolwa kwegazi okukhulunywe ngenhla, udokotela wakho angase acele ukucubungula iziqu ze-joint ehlangene, njenge-ray ray, i-MRI, i-CT scan, noma i-ultrasound.
Ukwelashwa Kwokuhlanganyela Okufudumele
Ngenkathi ukuhlangana okufudumele akuyona ukutholakala okungavamile, imbangela kufanele ifakwe phansi ukulawula izimo ezinzima. I-arthritis ye-Septic, imbangela enkulu kakhulu yokuhlangana okufudumele noma okushisayo nokukhathazeka okukhulu, ihlobene nokufa okungu-11%. Ingxenye eyodwa kwezintathu zeziguli ze-arthritis ze-septic zihlakulela ukulimala okuhlangene okuhlala njalo.
Ukulandela ukufisa okuhlanganyelwe kanye nokwaziswa kwe-ejenti esithathelwanayo, ukwelashwa kwama-antibiotic kubalulekile ekunakekeleni okuphumelelayo kwe-arthritis septic. Uma ukufakelwa okuhlangene okuthelelekile kuhilelekile, udokotela ohlinzayo wama-orthopedic kumele abonisane. Asikho isikhathi sokuchitha lapho uthola imbangela yokufudumala kanye nesiphansi isikhathi sokuchitha lapho imbangela isifo.
Okubalulekile
Ukuxilongwa okunembile kanye nokuphathwa okufaneleko kokubambisana okufudumele kubalulekile. Ukuhlanganiswa okufudumele akufanele kunganakwa, ikakhulukazi uma sekufikile ngokuzumayo futhi kuye kwaba nethonya elikhulu ekuhambeni kokuhamba noma ikhono lakho lokubeka isisindo kuso.
Imithombo:
Umhlahlandlela Wokuphathwa Kokuhlanganiswa Okushisayo Okufudumele Kubantu Abadala Abagxile Ngokukhethekile kwi-Septic Arthritis. I-Journal ye-Antimicrobial Chemotherapy. Weston noCoakley. NgoJulayi 19, 2006.
https://academic.oup.com/jac/article/58/3/492/748748/Guideline-for-the-management-of-the-hot-swollen
I-Joint Single Joint Hot. UCalin A. noFries J. American Society of Medicine and Surgery Contemporary. Okthoba 1976.
http://www.ncbi.nlm.nih.gov/pubmed/975758
Amajoyinti ashubile ashisayo. Patient.co.uk. UDkt. Laurence Knott. 3/22/2010.
https://patient.info/doctor/hot-swollen-joints