So yɛbɛka mogya a ɛtɔ wo nkwaa biako mu (Hemarthrosis) ho asɛm nnɛ?

So woahyɛ no nsow pɛn sɛ nkwaa bi te sɛ wo kotodwe, wo nsateaa, anaa wo mmati hohoro mpofirim, ɛyɛ yaw, na ɛyɛ den ma ɛyɛ den sɛ wobɛkeka wo ho? Ebia woasusuw nea enti a eyi ba no ho. Wɔ mmere te sɛ eyinom mu no, ebia mogya retu wo wɔ wo nkwaa biako mu. Wɔ aduruyɛ mu no, yɛfrɛ saa tebea yi ( Hemarthrosis). Enti, momma yɛnka eyi ho asɛm nkɔ akyiri kakra nnɛ, ɛnte saa?

Dɛn ne Hemarthrosis? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, mogya a ɛretu wo nkwaa biako mu . Ebia woate sɛ ɛtɔ mmere bi a wɔfrɛ no ‘articular bleeding’.

Afei hwɛ, mmeae a yɛn nipadua nnompe ne wɔn ho wɔn ho di nkitaho no ne nea yɛfrɛ no nkwaa . Wɔ saa nkwaa yi mu no, nkwaa soronko bi wɔ hɔ a ɛboa yɛn ma yɛkeka yɛn ho, na wɔfrɛ no synovial nkwaa. Wɔde aduru a ɛyɛ tratraa atwa nkwaa no ho ahyia, te sɛ kotoku a ɛbɔ nkwaa no ho ban. Yɛfrɛ eyi sɛ synovial membrane .

Eyi (synovial membrane) na ɛbɔ yɛn nkwaa ho ban. Afei nso, saa ntini yi, ɔfã a ɛyɛ mmerɛw a wɔfrɛ no (cartilage) a ɛda nkwaa no ntam, (tendons) ( tendons) ( tendons) ( ligaments) (joints) (joints) (joints) (joints) bom yɛ adwuma ma akasakasa so tew bere a yɛn nnompe bɔ yɛn ho yɛn ho no. Saa nneɛma yi yɛ adwuma te sɛ srade a ɛwɔ afiri mu.

Enti, sɛ biribi nti, eyi (synovial membrane) sɛe anaasɛ mogya fi ase tu kɔ baabi a hwee nni nkwaa no mu a, ɛno ne nea yɛfrɛ no (Hemarthrosis). Sɛ mogya yi hyɛ ma a, nkwaa no hohoro, ɛyɛ yaw, na ɛyɛ den sɛ wɔde bedi dwuma.

Ɛwom sɛ saa tebea yi (Hemarthrosis) betumi aba wɔ yɛn nipadua mu nkwaa biara a ɛwɔ ntini mu de, nanso wɔtaa hu wɔ:

• Wɔ nkotodwe mu
• Wɔ nsateaa mu
• Wɔ asen nkwaa mu
• Wɔ mmati mu

Eyi betumi afi opira, nyarewa bi, nnuru a wɔde di dwuma ho nsunsuanso bɔne, ne nkwaa oprehyɛn akyi mpo. Oduruyɛfo bɛhwehwɛ nea ɛde mogya no ba na wasa ne wo yare no ho sɛnkyerɛnne ahorow. Mpɛn pii no, wubetumi ho atɔ wo wɔ adapɛn kakraa bi mu, a egyina nea ɛde ba no so.

Ɛtɔ da bi a, ebetumi ayɛ bere tiaa mu de, te sɛ akwanhyia. Yɛfrɛ no ‘hemarthrosis a emu yɛ den’ . Ɛne sɛ, mogya no gyae bere a kuru no sa no. Nanso, sɛ wowɔ mogyatɔw a ɛma tebea yi kɔ so a, nnuruyɛfo betumi afrɛ no ‘hemarthrosis a enni sabea’ .

Sɛ wo nkwaa biako ho ahonhon, titiriw sɛ ɛyɛ wo yaw na ɛyɛ den sɛ wobɛkeka wo ho a, akyinnye biara nni ho sɛ kɔ oduruyɛfo nkyɛn.

Hena na ɛda adi sɛ obenya saa tebea yi (Hemarthrosis)?

Nokwarem no, tebea a wɔfrɛ no Hemarthrosis yi betumi ato obiara. Sɛ woapira wo nkwaa esiane akwanhyia (ahodwiriw) nti a, hokwan kɛse wɔ hɔ sɛ eyi bɛba.

Nanso, nnipa a wɔwɔ akwahosan tebea horow bi no wɔ asiane kɛse mu kakra sɛ wobenya mogya mu yare sen afoforo. Nhwɛsoɔ:

• Wɔ nnipa a wɔwɔ mogyatɔw te sɛ hemophilia fam no .
• Wɔn a Vitamin K nni wɔn (Vitamin K yɛ biribi a ɛboa ma mogya tu).
• Ntini mu yare ahorow bi , titiriw kotodwe mu ntini mu yare.
• Wɔ kokoram ahorow bi mu no .
• Wɔ nnipa a wɔwɔ mmerɛbo mu yare fam no (mmerɛbo no nso yɛ protein ahorow a ɛboa ma mogya tu).

(Hemarthrosis) abu so dɛn?

Ɛyɛ den sɛ yɛbɛka sɛnea eyi abu so ankasa, efisɛ ɔhaw ne tebea horow pii wɔ hɔ a ebetumi de aba.

Nanso, nhwehwɛmu ahorow ada no adi sɛ nnipa a wɔwɔ hemophilia no mu bɛyɛ fã benya hemarthrosis wɔ wɔn asetra mu bere bi.

Afei nso, mogya a ɛtɔ kɔ kotodwe mu nyinaa mu fã fi kotodwe no mu ntini a ɛsɛe te sɛ ACL a ɛtetew .

Dɛn ne (Hemarthrosis) ho sɛnkyerɛnne? Woyɛ dɛn hu no?

Sɛ wowɔ tebea bi a wɔfrɛ no Hemarthrosis a, sɛnkyerɛnne a ɛtaa ba a ebia wubehu ne:

• Nkwaa a ɛho ayɛ kurukuruwa ne ɔfe a atwa ho ahyia .
• Ɛyaw a emu yɛ den a wɔte nka .
• Ɛyɛ den sɛ wobɛkanyan nkwaa no.
• Ɛtɔ mmere bi a, wubetumi ahu akuru anaasɛ kɔla asakra wɔ saa beae no.
• Ɔhyew a wɔte nka wɔ nkwaa no ho.

Fa no sɛ, sɛ wo kotodwe ahonhon mpofirim te sɛ bɔɔl, ɛyɛ wo yaw araa ma wuntumi nnantew mpo, na sɛ wode wo nsa ka a, ɛyɛ hyew sen kotodwe foforo no a, ɛno na ɛsɛ sɛ wugye adwenem naayɛ.

Dɛn ne nneɛma atitiriw a ɛde Hemarthrosis ba?

Sɛnea yɛadi kan aka ho asɛm kakra no, nneɛma atitiriw pii na ɛde Hemarthrosis ba:

• Mogya a ɛtɔ ho haw: Tebea ahorow te sɛ hemophilia.
• Ahodwiriw: Ahwease, kar akwanhyia, agumadi mu opira, ne nea ɛkeka ho Fa no sɛ wohwee ase bere a woredi kriket na wobɔ wo kotodwe denneennen, anaasɛ wohwee antweri bi ase.
• Nneɛma bɔne a efi nnuru a ɛma mogya tu mu ba: Nnipa binom nom nnuru a ɛma mogya tu (nnuru a ɛma mogya tu) de siw tebea horow te sɛ komayare ne ɔyare a ɛma obi hwe ase ano. Ɛtɔ mmere bi a eyinom betumi ama mogya atu kɛse, afi opira ketewaa bi mpo mu.
• Nyarewa a nipadua no tumi ko tia nyarewa: Wɔ eyinom mu no, nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ n’ankasa nkwammoaa so.
• Nyarewa: Nyarewa bi nso tumi ma mogya tu wɔ nkwaa no mu.

Bio nso, sɛ wɔayɛ wo oprehyɛn wɔ nkwaa bi mu a, wubetumi anya hemarthrosis wɔ ɛno akyi. Nhwɛsoɔ:

• Arthroplasty (nkwaa a wɔde si ananmu oprehyɛn, s.e. kotodwe anaa asen a wɔde si ananmu) - Wɔsan frɛ no nkwaa a wɔde si ananmu.
• (Arthroscopy) (Nhwehwɛmu anaa oprehyɛn a wɔyɛ denam mfoninitwa afiri ketewaa bi a wɔde hyɛ nkwaa bi mu so).
• Oprehyɛn a wɔde sesa kotodwe fã bi.
• Kotodwe nnompe a wɔde twa.

Ɔkwan bɛn so na nnuruyɛfo hu hemarthrosis?

Sɛ wokɔ oduruyɛfo nkyɛn a wowɔ saa sɛnkyerɛnne ahorow yi a, obedi kan ahwɛ wo nipadua mu . Obebisa wo wo yare no ho sɛnkyerɛnne ne bere tenten a woanya bi.

Afei, wɔsɔ nkwaa a ɛka no hwɛ sɛ ebia ebetumi akɔ baabiara anaa. Wobetumi de atoto nkwaa a ɛte apɔw a ɛwɔ ɔfã foforo no nso ho. Sɛ nhwɛso no, wɔde dodow a wubetumi abɔ wo kotodwe a ahonhon no toto sɛnea wubetumi abɔ wo kotodwe a ɛte apɔw no ho.

Wobetumi nso agye mogya na wɔayɛ mu nhwehwɛmu ahwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa.

Nea ɛka ho no, wobetumi ayɛ mfoniniyɛ ho sɔhwɛ ahorow pii:

• (X-ray ahorow ) .
• (MRI) (M.R.I. - Magnetic Resonance Mfonini a Wɔde Yɛ Nneɛma) .
• (CT scan) (CT scan - kɔmputa so mfoninitwa afiri) .
• (Nnyigyei a ɛboro so ) .

Wɔ tebea horow bi mu no, oduruyɛfo no betumi ayi nsu bi afi nkwaa no mu (joint aspiration anaa arthrocentesis) na ɔde akɔma lab ma wɔayɛ ho nhwehwɛmu. Eyi betumi aboa ma wɔahu sɛ mogya anaa nsu foforo bi wɔ nkwaa no mu, anaasɛ ɔyare mmoawa bi wɔ hɔ anaa.

Ɛtɔ mmere bi a, mogya mu yare a wobehu no yɛ adeyɛ bi a wɔfrɛ no ‘nsonsonoe a wɔde hu’ no fã. Eyi kyerɛ sɛ wosusuw tebea horow pii a ɛwɔ sɛnkyerɛnne a ɛte saa ara ho na afei oduruyɛfo no kyerɛ nea ɛfata. Esiane sɛ nneɛma afoforo pii wɔ hɔ a ɛma nkwaa hohoro nti, oduruyɛfo no bɛpow nneɛma afoforo a ɛde ba ansa na wakyerɛ sɛ ɔwɔ mogya mu yare.

Ɔkwan bɛn so na wɔsa Hemarthrosis?

Sɛ wo duruyɛfo resa wo yare a, ɔbɛsa nea ɛde mogya no ba ne wo yare no ho sɛnkyerɛnne nyinaa . Mpɛn pii no, sɛ wogyae mogya a ɛretu wɔ nkwaa no mu (hemarthrosis) a, ebetumi asiw yare no ho sɛnkyerɛnne no ano.

Ayaresa a wuhia no begyina nea ɛde mogya no ba so. Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔma wo mogya , titiriw sɛ woahwere mogya pii anaasɛ wowɔ tebea bi te sɛ hemophilia a. Wo duruyɛfo anaa oduruyɛfo a ɔyɛ oprehyɛn no bɛkyerɛkyerɛ eyi mu akyerɛ wo.

Ɔkwan bɛn so na wobedi Hemarthrosis sɛnkyerɛnne ahorow ho dwuma wɔ fie?

Bere a woretwɛn sɛ wo nkwaa no bɛsa no, akwan bi wɔ hɔ a wubetumi afa so adi wo yare no ho sɛnkyerɛnne ahorow ho dwuma wɔ fie. Yɛfrɛ eyi sɛ RICE kwan . RICE gyina hɔ ma:

• R - Ahomegye: Mfa adesoa biara nto nkwaa a ahaw no so. Tew saa nkwaa no a wode bedi dwuma no so sɛnea wubetumi biara.
• I - Ice: Mfa nsukyenee nhyɛ honam ani tẽẽ. Fa nsukyenee bi gu plastic bag mu, fa mpopaho kyekyere ho, na fa gu baabi a ahonhon no bɛyɛ simma 15-20. Yɛ eyi mpɛn pii da biara. Eyi bɛtew ɔfe ne ɛyaw so.
• C - Compression: Fa elastic bandage kyekyere nkwaa a ahaw no ho. Nanso, kae sɛ, nkyekyere no denneennen dodo . Ɛnyɛ papa sɛ wobɛkyekyere no denneennen araa ma ɛmma mogya nkɔ. Sɛ aduru a wɔde kyekyere ho no yɛ wo yaw a, sansan kakra. Eyi bɛboa ma wɔadi ɔfe no so.
• E - Elevation: Fa nkwaa a ahaw no home denam ma a wode bɛma soro asen wo koma no so. Sɛ nhwɛso no, sɛ ɛyɛ kotodwe a, fa apɔw-mu-teɛteɛ abien anaa abiɛsa gu wo nan ase bere a woada fam no. Eyi nso bɛboa ma akisikuru no so atew.

Nea ɛho hia sen biara: Nnom nnuru a wɔde kum ɛyaw (nnuru a wɔde kum ɛyaw) a wontua hwee a wonkɔ oduruyɛfo nkyɛn. Nnuru pii a wɔtaa de kum ɛyaw (a wɔsan frɛ no NSAID) te sɛ aspirin, ibuprofen, ne naproxen wɔ tumi a ɛma mogya yɛ mmerɛw. Sɛ woyɛ saa a, ebetumi ama mogya a mogya tu a mogya mu yare de ba no ayɛ kɛse. Enti, kɔ oduruyɛfo nkyɛn na fa aduru a ɔkamfo kyerɛ no nkutoo di dwuma.

So wobetumi asiw Hemarthrosis ano?

Nokwarem no, ɛyɛ den sɛ wobesiw (Hemarthrosis) a ɛbɛba no ano koraa. Efisɛ yɛrentumi nsiw nyarewa a ɛde ba no bi ano, na yentumi nkyerɛ bere ne ɔkwan a akwanhyia bi bɛba.

Nanso, sɛ wowɔ mogyatɔw yare bi te sɛ hemophilia a, ayaresa a ɛfata a wubenya na woadi wo duruyɛfo akwankyerɛ akyi no betumi aboa ma asiane a ɛwɔ hɔ sɛ wubenya mogya mu yare no so atew. Afei nso, ahobammɔ ho nhyehyɛe ahorow a wubedi akyi bere a woredi agumadi ne adwumam no betumi aboa ma asiane a ɛwɔ hɔ sɛ obi benya mogya mu yare esiane akwanhyia nti no so atew.

Bere tenten ahe na egye ansa na wɔasa (Hemarthrosis)?

Bere a egye ansa na eyi aba no gyina nea ɛde mogya no baa nkwaa no mu no so. Sɛ mogya no gyae ntɛm a, nnipa binom tumi ho bɛtɔ wɔn wɔ nna kakraa bi mu. Tebea afoforo (hemarthrosis) betumi agye adapɛn pii ansa na ayɛ yiye.

Sɛ nea ɛde hemarthrosis no ba ne opira a emu yɛ den te sɛ dompe a abubu a, ebia bere a ɔde bɛsan atɔ no no bɛyɛ tenten. Wo ne wo duruyɛfo anaa oduruyɛfo a ɔyɛ oprehyɛn nkasa mfa bere tenten a ebegye, bere a wubetumi de nkwaa no adi dwuma bio, ne bere a wubetumi asan afi dwumadi ne apɔw-mu-teɛteɛ ase bio.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wuhu sɛ wo nkwaa biako mu ahonhon foforo, titiriw sɛ wowɔ mogyatɔw a , kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Sɛ wuhyia akwanhyia na mpofirim ara wuntumi ntutu nkwaa bi a, kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so ntɛm ara .

Dɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm yi:

• So mewɔ (Hemarthrosis), anaasɛ biribi foforo bi wɔ hɔ a ɛde saa ɔfe yi ba?
• Dɛn na ɛde mogya a ɛretu yi ba?
• Sɔhwɛ ahorow bɛn na ɛsɛ sɛ meyɛ?
• Ɔkwan bɛn so na wosa mogya a ɛretu yi?
• Dɛn ne ɛyaw nnuru a ahobammɔ wom a metumi anom kosi sɛ me ho bɛtɔ me?

Nsonsonoe bɛn na ɛda Hemarthrosis ne Joint Effusion ntam?

Ebia nnipa binom bɛma abien no adwene atu afra, efisɛ abien no nyinaa fa nkwaa bi a ɛho ahonhon ho.

Nkwaa mu nsu a ɛtwetwe ne nsu a ɛboro so a ɛboaboa ano wɔ ntini a atwa nkwaa bi ho ahyia no mu, na ɛma ɛho wosow. Eyi yɛ asɛmfua a wɔde di dwuma wɔ ɔkwan a ɛkɔ akyiri so ma nkwaa bi a ɛho ahonhon. Ebetumi de nneɛma pii aba – opira, nkwaa a wɔde di dwuma boro so, ɔyare mmoawa, ne nea ɛkeka ho Ebia mogya bi wɔ saa nsu yi mu, nanso ɛnyɛ nea ɛho ahonhon esiane mogya a ɛretu nti.

Hemarthrosis , sɛnea yɛadi kan aka ho asɛm no, yɛ tebea a mogya boaboa ano wɔ nkwaa bi mu ne nea atwa ho ahyia esiane mogya a ɛtɔ wɔ nkwaa mu nti. Nea ɛde ɔfe titiriw ba wɔ ha ne mogya a ɛboaboa ano .

Sɛ wuhu sɛ wo nkwaa biako ho ahonhon foforo a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ no, ɛmfa ho nea ɛte biara.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Hemarthrosis yɛ bere a mogya boaboa ano twa nkwaa bi ho hyia. Ɛho hia sɛ wogyae mogya a ɛretu no na wɔsa nea ɛde ba no. Sɛ wuhu sɛ nkwaa bi ho ahonhon anaasɛ akuru, titiriw sɛ ɛyaw anaasɛ ɛyɛ den sɛ wobɛkanyan no ka ho a, kɔ oduruyɛfo nkyɛn.

Bere a wubetumi de nneɛma te sɛ RICE kwan no asa yare no ho sɛnkyerɛnne ahorow bi wɔ fie no, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn bere nyinaa ansa na woanom nnuru a wɔde sa ɛyaw anaa ɛho ahonhon a wɔtɔn, efisɛ nnuru bi a wɔde kum ɛyaw betumi ama mogya atɔ wo no ayɛ kɛse.

Mewɔ anidaso sɛ wubehu sɛ mfaso wɔ saa nsɛm yi so. Kɔ so nya apɔwmuden!

` Hemarthrosis, nkwaa a mogya tu, nkwaa a ɛho ahonhon, nkwaa mu yaw, kotodwe mu yaw, synovial nkwaa, mogya a ɛtɔ