Kodi lero tikambirane za kutuluka magazi mkati mwa limodzi mwa mafupa anu (Hemarthrosis)?

Kodi munayamba mwaonapo kuti chiwalo monga bondo lanu, chigongono, kapena phewa lanu chimatupa mwadzidzidzi, chimapweteka, komanso chimalimba moti chimakhala chovuta kusuntha? Mwina munadzifunsapo chifukwa chake izi zimachitika. Nthawi zina ngati izi, mungakhale mukutuluka magazi mkati mwa chiwalo chimodzi. M'mawu azachipatala, timatcha vutoli ( Hemarthrosis). Ndiye, tiyeni tikambirane za izi mwatsatanetsatane lero, sichoncho?

Kodi Hemarthrosis ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, hemarthrosis ndi kutuluka magazi mkati mwa chiwalo chimodzi . Mwina mudamvapo nthawi zina amatchedwa 'kutuluka magazi m'malo olumikizirana mafupa'.

Tsopano onani, malo omwe mafupa a thupi lathu amalumikizana ndi omwe timawatcha kuti ma joints . Pakati pa ma joints awa, pali mtundu wapadera wa joint womwe umatithandiza kuyenda, ndipo amatchedwa ma synovial joints. Ma synovial joints awa amazunguliridwa ndi nembanemba yopyapyala, ngati thumba loteteza kuzungulira joint. Timatcha izi nembanemba ya synovial .

Iyi (synovial membrane) ndiyo imateteza mafupa athu. Komanso, membrane iyi, gawo lofewa lotchedwa (cartilage) pakati pa mafupa, (tendons) (tendons) (tendons) (ligaments) (joints) (joints) (joints ) (joints) (joints) (joints)) imagwira ntchito limodzi kuti ichepetse kukangana mafupa athu akagundana. Zinthuzi zimagwira ntchito ngati mafuta mumakina.

Kotero, ngati pazifukwa zina, (synovial membrane) iyi yawonongeka kapena magazi ayamba kutuluka m'malo opanda kanthu mkati mwa cholumikizira, ndicho chomwe timatcha (Hemarthrosis). Magazi awa akadzaza, cholumikiziracho chimatupa, chimapweteka, komanso chimakhala chovuta kugwiritsa ntchito.

Ngakhale kuti vutoli (Hemarthrosis) lingachitike m'malo aliwonse olumikizirana mafupa m'thupi lathu, limapezeka kwambiri mu:

• Mu mawondo
• M'zigongono
• M'malo olumikizirana m'chiuno
• M'mapewa

Izi zitha kuchitika chifukwa cha kuvulala, matenda ena, zotsatirapo za mankhwala, komanso ngakhale atachitidwa opaleshoni ya mafupa. Dokotala adzazindikira chomwe chayambitsa kutuluka magazi ndikuchiza komanso zizindikiro zanu. Nthawi zambiri, mutha kuchira pakatha milungu ingapo, kutengera chomwe chayambitsa.

Nthawi zina, zimatha kukhala kwakanthawi, monga ngozi. Timazitcha kuti 'acute hemarthrosis' . Izi zikutanthauza kuti, kutuluka magazi kumasiya bala likachira. Komabe, ngati muli ndi vuto la kutuluka magazi lomwe limapangitsa kuti vutoli lipitirire, madokotala angalitchule kuti 'chronic hemarthrosis' .

Ngati muli ndi kutupa pafupi ndi malo olumikizirana mafupa, makamaka ngati kukupwetekani ndipo kukuvuta kusuntha, pitani kwa dokotala.

Ndani amene ali ndi mwayi waukulu wopeza vutoli (Hemarthrosis)?

Ndipotu, vuto limeneli lotchedwa Hemarthrosis lingachitikire aliyense. Ngati mwavulala mafupa chifukwa cha ngozi (kuvulala), pali mwayi waukulu kuti izi zingachitike.

Komabe, anthu omwe ali ndi matenda ena ali pachiwopsezo chachikulu chotenga matenda a hemarthrosis kuposa ena. Mwachitsanzo:

• Kwa anthu omwe ali ndi matenda otuluka magazi monga hemophilia .
• Kwa iwo omwe ali ndi vuto la kusowa kwa Vitamini K (Vitamini K ndi chinthu chomwe chimathandiza magazi kuundana).
• Mitundu ina ya nyamakazi , makamaka nyamakazi ya bondo.
• Mu mitundu ina ya khansa .
• Kwa anthu omwe ali ndi matenda a chiwindi (chiwindi chimapanganso mapuloteni omwe amathandiza magazi kuundana).

Kodi (Hemarthrosis) ndi yofala bwanji?

N'zovuta kunena momwe izi zimachitikira kawirikawiri, chifukwa pali mavuto ndi mikhalidwe yambiri yomwe ingayambitse.

Komabe, kafukufuku wapeza kuti pafupifupi theka la anthu omwe ali ndi hemophilia adzakumana ndi vuto la hemarthrosis nthawi ina m'miyoyo yawo.

Komanso, theka la matenda onse a hemarthrosis m'bondo limachitika chifukwa cha kuwonongeka kwa mitsempha ya bondo, monga misozi ya ACL.

Kodi zizindikiro za (Hemarthrosis) ndi ziti? Kodi mumazindikira bwanji?

Ngati muli ndi vuto lotchedwa Hemarthrosis, zizindikiro zodziwika bwino zomwe mungakumane nazo ndi izi:

• Kutupa ndi kutupa kuzungulira malo okhudzidwawo .
• Kumva ululu waukulu .
• Kuvuta kusuntha cholumikizira.
• Nthawi zina mungaone mabala kapena kusintha mtundu m'dera limenelo.
• Kumva kutentha mozungulira malo olumikizirana mafupa.

Tangoganizirani ngati bondo lanu litatupa mwadzidzidzi ngati mpira, litapweteka kwambiri moti simungayende, ndipo mutalikhudza, linkamva kutentha kuposa bondo lina, pamenepo muyenera kukayikira.

Kodi zifukwa zazikulu za Hemarthrosis ndi ziti?

Monga tafotokozera kale, pali zifukwa zingapo zazikulu zomwe zimayambitsa Hemarthrosis:

• Matenda otuluka magazi: Matenda monga hemophilia.
• Kuvulala: Kugwa, ngozi zamagalimoto, kuvulala pamasewera, ndi zina zotero. Tangoganizirani ngati mutagwa mukusewera cricket ndikugunda bondo lanu mwamphamvu, kapena ngati mutagwa pansi pa masitepe.
• Zotsatirapo zoyipa za mankhwala ochepetsa magazi: Anthu ena amamwa mankhwala ochepetsa magazi (mankhwala oletsa magazi kuundana) kuti apewe matenda monga matenda a mtima ndi sitiroko. Izi nthawi zina zingayambitse kutuluka magazi kwambiri, ngakhale kuvulala pang'ono.
• Matenda a Autoimmune: M'matenda amenewa, chitetezo cha mthupi chimaukira maselo akeake.
• Matenda: Matenda ena angayambitsenso kutuluka magazi m'malo olumikizirana mafupa.

Kuphatikiza apo, ngati mwachitidwa opaleshoni pa chiwalo cholumikizira mafupa, mutha kudwala hemarthrosis pambuyo pake. Mwachitsanzo:

• Arthroplasty (opaleshoni yosinthira mafupa, mwachitsanzo kusinthira bondo kapena chiuno) - Imatchedwanso kusinthira mafupa.
• (Arthroscopy) (Kufufuza kapena opaleshoni yochitidwa poika kamera kakang'ono mu cholumikizira).
• Opaleshoni yosinthira bondo pang'ono.
• Kuchotsa mafupa a bondo.

Kodi madokotala amazindikira bwanji matenda a hemarthrosis?

Mukapita kwa dokotala ndi zizindikiro izi, iye adzakuyesani kaye mwakuthupi . Iye adzakufunsani za zizindikiro zanu ndi nthawi yomwe mwakhala nazo.

Kenako, cholumikizira chomwe chakhudzidwacho chimayesedwa kuti chione ngati chikuyenda bwino. Chingayerekezeredwenso ndi cholumikizira chathanzi chomwe chili mbali inayo. Mwachitsanzo, kuchuluka kwa kupindika komwe mungakumane nako pa bondo lanu lotupa kumayerekezeredwa ndi kuchuluka kwa kupindika komwe mungakumane nako pa bondo lanu lathanzi.

Kuyezetsa magazi kungachitikenso kuti aone ngati pali matenda.

Kuphatikiza apo, mayeso angapo ojambulira zithunzi angachitike:

• (Ma X-ray )
• (MRI) (M.R.I. - Kujambula kwa Magnetic Resonance)
• (CT scan) (CT scan - computed tomography scan)
• (Ultrasound )

Nthawi zina, dokotala angachotse chitsanzo cha madzi kuchokera pa malo olumikizirana mafupa (kutuluka kwa madzi m'malo olumikizirana mafupa kapena arthrocentesis) ndikutumiza ku labu kuti akayesedwe. Izi zingathandize kudziwa ngati pali magazi kapena madzi ena mkati mwa malo olumikizirana mafupa, kapena ngati pali matenda.

Kuzindikira matenda a hemarthrosis nthawi zina ndi gawo la njira yotchedwa 'differential diagnosis.' Izi zikutanthauza kuti matenda angapo omwe ali ndi zizindikiro zofanana amaganiziridwa kenako dokotala amasankha chomwe chili cholondola. Popeza pali zifukwa zina zambiri zomwe zimayambitsa kutupa kwa mafupa, dokotalayo adzachotsa zifukwa zina asanatsimikizire kuti ali ndi matenda a hemarthrosis.

Kodi Hemarthrosis imachiritsidwa bwanji?

Dokotala wanu akamakuchizani, adzakuchizani chomwe chikuyambitsa kutuluka magazi komanso zizindikiro zanu . Nthawi zambiri, kuletsa kutuluka magazi mkati mwa malo olumikizirana mafupa (hemarthrosis) kumatha kuletsa zizindikirozo kuti zisakule kwambiri.

Chithandizo chomwe mukufuna chidzadalira chomwe chayambitsa kutuluka magazi. Nthawi zina mungafunike kuikidwa magazi , makamaka ngati mwataya magazi ambiri kapena muli ndi vuto monga hemophilia. Dokotala wanu kapena dokotala wanu adzakufotokozerani izi.

Kodi mungatani kuti muchepetse zizindikiro za Hemarthrosis kunyumba?

Pamene mukudikira kuti chiwalo chanu chithe, pali njira zina zomwe mungathanirane ndi zizindikiro zanu kunyumba. Timatcha njira iyi kuti RICE . RICE imayimira:

• R - Mpumulo: Musaike kulemera kulikonse pa cholumikizira chomwe chakhudzidwa. Chepetsani kugwiritsa ntchito cholumikizira chimenecho momwe mungathere.
• I - Ice: Musamaike ayezi mwachindunji pakhungu. Ikani ayezi pang'ono mu thumba la pulasitiki, mukulunga ndi thaulo, ndikuyiyika pamalo otupa kwa mphindi pafupifupi 15-20. Chitani izi kangapo patsiku. Izi zichepetsa kutupa ndi ululu.
• C - Kukanikiza: Manga bandeji yolimba mozungulira malo olumikizirana mafupa. Koma, kumbukirani, musayimange mwamphamvu kwambiri . Si bwino kuimanga mwamphamvu kwambiri moti imaletsa kuyenda kwa magazi. Ngati bandejiyo ikupweteka, imasuleni pang'ono. Izi zithandiza kuchepetsa kutupa.
• E - Kukwezeka: Pumitsani cholumikizira chomwe chakhudzidwacho pochisunga pamalo okwera kuposa mtima wanu. Mwachitsanzo, ngati ndi bondo, ikani mapilo awiri kapena atatu pansi pa mwendo wanu mukamagona. Izi zithandizanso kuchepetsa kutupa.

Chofunika kwambiri: Musamwe mankhwala ochepetsa ululu (analgesics) omwe amagulitsidwa ndi dokotala popanda kufunsa dokotala. Mankhwala ambiri ochepetsa ululu omwe amagwiritsidwa ntchito kwambiri (omwe amatchedwanso NSAIDs) monga aspirin, ibuprofen, ndi naproxen ali ndi mphamvu zochepetsera magazi. Kuchita izi kungapangitse kuti magazi azituluka chifukwa cha hemarthrosis. Chifukwa chake, funsani dokotala ndipo gwiritsani ntchito mankhwala omwe iye akulangiza okha.

Kodi Hemarthrosis ingapewedwe?

Ndipotu, n'kovuta kuletsa kwathunthu kufalikira kwa (Hemarthrosis). Chifukwa sitingathe kupewa matenda ena omwe amayambitsa matendawa, ndipo sitingathe kuneneratu nthawi ndi momwe ngozi idzachitikire.

Komabe, ngati muli ndi vuto la magazi monga hemophilia, kulandira chithandizo choyenera ndikutsatira malangizo a dokotala wanu kungakuthandizeni kuchepetsa chiopsezo chanu chokhala ndi hemarthrosis. Komanso, kutsatira njira zodzitetezera mukamasewera masewera komanso kuntchito kungathandize kuchepetsa chiopsezo cha hemarthrosis chifukwa cha ngozi.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire (Hemarthrosis)?

Nthawi yomwe izi zimatenga kuti izi zichitike imadalira chomwe chinayambitsa kutuluka magazi m'malo olumikizirana mafupa. Anthu ena amatha kuchira pakatha masiku ochepa ngati kutuluka magazi kwasiya msanga. Matenda ena (hemarthrosis) angatenge milungu ingapo kuti achire.

Ngati chifukwa cha hemarthrosis ndi kuvulala kwakukulu, monga kusweka kwa fupa, nthawi yochira ingakhale yayitali. Lankhulani ndi dokotala wanu kapena dokotala wanu za nthawi yomwe idzatenga, nthawi yomwe mungagwiritsenso ntchito chiwalocho, komanso nthawi yomwe mungayambirenso kuchita masewera olimbitsa thupi.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati muwona kutupa kwatsopano m'malo amodzi olumikizirana mafupa anu, makamaka ngati muli ndi vuto la magazi , pitani kwa dokotala mwachangu momwe mungathere.

Ngati mwachita ngozi ndipo mwadzidzidzi simungathe kusuntha cholumikizira cha mafupa, pitani kuchipatala nthawi yomweyo .

Kodi ndifunse dokotala wanga chiyani?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso awa:

• Kodi ndili ndi (Hemarthrosis), kapena pali chifukwa china chotupachi?
• Kodi chifukwa cha kutuluka magazi kumeneku n’chiyani?
• Ndi mayeso amtundu wanji omwe ndiyenera kuchita?
• Kodi magazi amenewa mumalandira bwanji?
• Kodi ndi mankhwala ati oteteza ululu omwe ndingatenge mpaka nditachira?

Kodi kusiyana pakati pa Hemarthrosis ndi Joint Effusion ndi kotani?

Anthu ena angasokoneze zonsezi, chifukwa zonsezi zimapangitsa kutupa kuzungulira malo olumikizirana mafupa.

Kutuluka kwa madzi m'malo olumikizirana mafupa ndi kuchuluka kwa madzi owonjezera m'minofu yozungulira malo olumikizirana mafupa, zomwe zimayambitsa kutupa. Ili ndi liwu lofala lomwe limagwiritsidwa ntchito potanthauza kutupa m'malo olumikizirana mafupa. Likhoza kukhala ndi zifukwa zambiri - kuvulala, kugwiritsa ntchito mopitirira muyeso malo olumikizirana mafupa, matenda, ndi zina zotero. Madzi awa akhoza kukhala ndi magazi, koma si kutupa chifukwa cha kutuluka magazi.

Matenda a hemarthrosis , monga tafotokozera kale, ndi matenda omwe magazi amasonkhana mkati ndi mozungulira malo olumikizirana mafupa chifukwa cha kutuluka magazi mkati. Chifukwa chachikulu cha kutupa apa ndi kuchulukana kwa magazi .

Ngati mwaona kutupa kwatsopano kuzungulira limodzi mwa mafupa anu, ndi bwino kupita kwa dokotala kuti akakuoneni, kaya ndi chiyani.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kutupa kwa magazi m'malo olumikizirana mafupa ndi pamene magazi amasonkhana mozungulira malo olumikizirana mafupa. Ndikofunikira kuyimitsa kutuluka magazi ndikuchiza chomwe chimayambitsa vutoli. Ngati muwona kutupa kapena mabala ozungulira malo olumikizirana mafupa, makamaka ngati akuphatikizapo ululu kapena kuvutika kusuntha, onani dokotala.

Ngakhale mutha kuchiza zizindikiro zina kunyumba pogwiritsa ntchito njira ya RICE, nthawi zonse muyenera kufunsa dokotala musanamwe mankhwala ochepetsa ululu kapena kutupa omwe amaperekedwa ndi dokotala, chifukwa mankhwala ena ochepetsa ululu amatha kuwonjezera kutuluka magazi.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

Kutuluka magazi m'malo olumikizirana mafupa, kutuluka magazi m'malo olumikizirana mafupa, kutupa kwa malo olumikizirana mafupa, kupweteka kwa malo olumikizirana mafupa, kupweteka kwa bondo, synovial, kutuluka magazi m'malo olumikizirana mafupa