I khup, i elbow, a nih loh leh i ruh dang chu a lo hring nghal a, a sen a, a na bawk em? A châng chuan chu ruh chu ben emaw, tihdik emaw chu a harsa lutuk ṭhîn. Hetiang hunah hian kan buai hle thin. Dik tak chuan he natna leh natna thlen chhan ber chu ruh chhunga tui tul lo tak tak a awm khawm vang a ni. Chuvangin vawiin hian hei hi enkawlna awlsam leh tangkai tak kan sawi dawn a ni.
Arthrocentesis (Joint Aspiration) tih hi eng nge ni?
He hming hi thil lian tak angin a lang thei a, mahse a takah chuan a awlsam khawp mai. A awlsam zawngin, arthrocentesis tih hian ruh natna (inflamed joint)-ah needle te tak te dahin, tui tam lutuk (joint fluid) chu paih chhuah a ni. Hei hi ``Joint Aspiration'' an ti bawk.
Bawm pakhat tui i khat chuan a lo hring a, a khauh ta niin han ngaihtuah teh. Liquid a khat chuan jar chhunga pressure a sang a, chu chuan he natna nasa tak hi a thlen thin. Chuvangin chu extra liquid i lakchhuah chuan jar chuan hahdamna nasa tak a hmu a, a natna leh a hring pawh a tlahniam vek bawk. Tin, he liquid lakchhuah hi test (lab test) hian eng thilin nge jar a hring chhuak tih chiang takin i hre thei bawk.
Engtin nge he enkawlna hi tih a nih? A awlsam khawp mai!
Hei hi surgery lian tak a ni lo. Doctor office (OPD)-ah emaw, clinic-ah emaw tih theih a ni. Inbuatsaihna tam tak a ngai lo. Hengte hi a tlangpuiin a zawm dan tur chu a ni:
1. Thianghlimna: A hmasa berin, Doctor chuan needle dahna tur vun chu antiseptic solution hmangin uluk takin a tifai thin.
2. Numbing: A dawtah chuan numbing cream hnawih a ni a, a nih loh leh injection te tak te hmangin a hmun chu a numb tir thin. Hei hian hrehawmna tam tak i neih loh nan a pui ang che.
3. Hmun dik zawn: A chang chuan doctor chuan scanning device ultrasound emaw fluoroscopy emaw hmangin junction awmna hmun dik tak chu a zawng thei.
4. Tui lakchhuah: Tichuan, syringe-a dah needle chu junction-ah dahin puithiam chuan uluk takin tui awm zawng zawng deuhthaw chu a la chhuak vek a. Tui a tam chuan syringe chu thlak leh lakchhuah theih a ni.
5. Damdawi injection (a tul chuan): Tui chu a chhuah hnuah, a chang chuan doctor chuan natna tidamtu emaw damdawi dang (``cortisone shot'' ang chi) emaw chu needle khat hmangin ruh chhungah a inject thei bawk.
6. Test tura thawn: Fluid sample lak chhuah chu a tul chuan laboratory-ah thawnin a chhan zawn chhuah a ni.
The entire process takes about 10 minutes , chuvangin ngaihtuah tur a awm lo.
Hei hian eng hlawkna nge a neih?
Arthrocentesis hi lung pakhat hmanga sava pahnih tihhlum ang a ni. Vawi khatah hlawkna pahnih a pe a ni. Pakhat chu therapeutic niin pakhat chu diagnostic a ni.
Enkawlna atan hlawkna a awm
- Natna leh hliam tihziaawm nghal: Joint chhunga tui extra awm chu lakchhuah a nih veleh ruh chhunga pressure a tlahniam a, chu chuan hahdamna nasa tak a pe che a ni. Natna chu nasa takin a tlahniam a ni.
- Injection na hmun buatsaih dan: Joint-ah injection i pe dawn a nih chuan hetianga tui tam lutuk kha paih hmasak chuan injected damdawi chu a lut tha zawk ang a, hna a thawk tha zawk ang. A hnuaia injection chi hrang hrang hi pek a ni tlangpui:
- Cortisone shot / steroid injection hmanga tihdam theih a ni
- Platelet tamna plasma (PRP) injection hmanga tih a ni
- Gel injection te hi `(Viscosupplementation)` tih a ni
Natna hriatchhuahna atana puih dan
Synovial fluid lakchhuah chu lab-a test turin an thawn chuan ruh natna chhan dik tak chu hriat theih a ni.
| Liquid-a test a nih dan | Natna hriatchhuah theih te |
|---|---|
| Hriselna (bacteria, thisen var zat) . | Junction-ah hian infection a awm leh awm loh i hre thei ang. |
| Thisen (thisen sen hring) . | Accident emaw hliam emaw a awm em tih leh thisen a chhuak tih i hre thei ang. |
| Crystals a ni | Gout emaw pseudogout ang chi condition avanga crystal deposit i neih leh neih loh i hre thei. |
Side effect emaw complication emaw a awm em?
Hei hi enkawlna him tak a ni. Complication a awm tlem hle. Hengte hi a lo thleng thei a ni:
- Infection lo awm dan: 1.1.He natna hrik hi piercing site-ah hian a lut thei a, mahse vun hi uluk taka tihfai a nih chuan he hlauhawmna hi a hniam zawk hle.
- Thisen chhuah: Hling hian thisen kalna kawng te tak te a rawn deng a, a tihchhiat chuan thisen chhuah engemaw zat a awm thei.
- Allergic reaction: Mi thenkhat chuan numbing damdawi emaw injection emaw avanga allergic reaction an nei thei. Hei pawh hi a tlem hle.
- Post-injection flare: Injection hnu darkar engemaw zat chhung chu ruh natna leh hliam engemaw zat a awm thei. Mahse, hei hi ni engemaw zat chhungin a mah chauhin a reh tlangpui.
Engtikah nge enkawl hnuah hahdamna ka neih ang?
Fluid i chhuah hnuah a tuk zingah i dam leh tan ang a, natna leh hliam a tlem zawk hle ang. Mahse, arthritis ang chi natna khirh tak i neih chuan hun kal zelah tui chu a lo pung leh thei a ni. Chumi hnuah chuan i doctor chuan he enkawlna hi i neih leh a ngai em tih a rel ang.
Enkawl zawhah doctor chuan a hmunah hian bandage te tak te a hnawih ang. Tin, ni khat emaw ni hnih emaw chhung chu ruh chu a tichak lutuk lovin chawlh tir turin a hrilh bawk ang che. Lab-a fluid sample thawn report a lo thlen chuan doctor chuan a hriattir ang che.
Heng symptoms te hi i neih chuan doctor ko nghal rawh!
Enkawl hnuah harsatna lian tham a awm lo tlangpui. Mahse, a hnuaia symptom danglam tak tak i neih chuan doctor hnenah hriattir nghal rawh.
| Feature ngaihven tur a ni | Hrilhfiahna |
|---|---|
| Natna nasa tak a nei | Painkiller ei hnuah pawh a natna a reh loh chuan a zual zel a ni. |
| A sen, a lum emaw, a hring emaw | Sting chhehvel chu a sen a nih chuan, khawih pawhin a lum a nih chuan, a nih loh leh vun a chhuak a nih chuan . |
| Thisen chhuah emaw, thisen chhuak emaw | Puncture na hmun atanga thisen emaw tui dang emaw a luang chhunzawm zel chuan. |
| Khawsik emaw, khawsik emaw | I khawsik emaw, khawsik leh khur emaw i neih chuan hei hi infection chhinchhiahna a ni thei. |
Take-Home Thuchah a ni
- Arthrocentesis hi a awlsam hle a, minute 10 chhunga ruh natna leh natna enkawlna a ni.
- Hei hian junction-a tui tam lutuk lo awm tawh chu a paih chhuak ang a, hahdamna a pe nghal vat ang.
- He enkawlna hian natna a tihziaawm mai bakah a hring chhan dik tak hriat theihna a siam bawk.
- Hei hi a hlauhawmna a tlem hle. Mahse, enkawl hnua khawsik, natna nasa tak, sen hring ang chi symptoms i neih chuan doctor pan nghal rawh.
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