Ngaba ilungu elifana nedolo, ingqiniba, igxalaba, okanye isinqe sakho liye lavuvukala ngequbuliso laza labuhlungu, nto leyo eyenza kube nzima ukuhamba? Abanye abantu bakubiza oku ngokuthi "ngamanzi akwilungu." Enyanisweni, oku kudumba kunye nentlungu kunokwenza kube nzima nokwenza imisebenzi yemihla ngemihla. Ngoko ke namhlanje siza kuthetha ngonyango olulula, kodwa oluluncedo kakhulu olunokucetyiswa ngugqirha wakho kuwe ngexesha elinje. Oko kubizwa ngokuba yi-'Arthrrocentesis' okanye 'iJoint Aspiration'.
Ngamafutshane, yintoni i-arthrocentesis?
Nangona oku kusenokuvakala ngathi ligama elikhulu, kodwa kulula kakhulu. I-Arthrocentesis yinkqubo esebenzisa inaliti encinci kakhulu ukususa ulwelo olugqithisileyo kwilungu lakho elidumbileyo.
Cinga ngale ndlela: amalungu ethu afana neebhola ze-ball bearings kumatshini. Ukuze zihlale zisebenza kakuhle, ngokwendalo ziqulathe ulwelo oluncinci. Silubiza ngokuba lulwelo lwe-synovial. Kodwa xa ilungu livuvukala ngenxa yemeko efana ne-arthritis, usulelo, okanye ingozi, olu lwelo luqala ukuveliswa ngokugqithisileyo . Kulapho ilungu livuvukala, liqine, kwaye libe buhlungu.
Ngoko ke, into oyenzayo nge-'Arthrocentesis' kukususa ulwelo olugqithisileyo kwaye kukunike isiqabu. Oku kunciphisa iintlungu kunye nokudumba. Kwakhona, ngokuhlola ulwelo olususiweyo, ungafumanisa ukuba yintoni kanye kanye ebangela oku kudumba.
Lusebenza njani olu nyango?
Le yinkqubo elula enokwenziwa eofisini kagqirha (OPD) okanye kwicandelo lezigulane zangaphandle esibhedlele. Ayifuni lungiselelo lingako. Xa uhamba, ugqirha uza kulandela la manyathelo:
- Okokuqala, ulusu apho inaliti iza kufakwa khona lucocwa kakuhle kwaye luhlanjululwe ngeentsholongwane.
- Okulandelayo, kufakwa ikhrimu yokudambisa iintlungu (i-anesthesia yasekhaya) kuloo ndawo okanye, ukuba kuyimfuneko, kunikwe inaliti encinci yokudambisa iintlungu (i-anesthesia yasekuhlaleni). Oku kuya kuqinisekisa ukuba awuziva ntlungu ingako.
- Ngamanye amaxesha, ukuze afumane ngqo apho ulwelo lukhona ngaphakathi kwelungu, ugqirha angasebenzisa umatshini wokuskena ofana ne-ultrasound okanye i-fluoroscopy. Oku kunokukunceda ufikelele kwindawo efanelekileyo.
- Emva koko, inaliti encinci eqhagamshelwe kwisirinji ifakwa kwilungu ngokusebenzisa indawo yokuziva ulusu.
- Ngoku, ulwelo olongezelelweyo ngaphakathi kwelungu lutsalwa kwisirinji. Ukuba kukho ulwelo oluninzi kakhulu, isirinji iyatshintshwa ukuze kususwe ulwelo oluninzi kangangoko kufuneka.
- Ngamanye amaxesha, emva kokuba ulwelo lususiwe, amayeza okunciphisa iintlungu (umz., i-steroid) anokufakwa kwilungu ngenaliti efanayo.
- Okokugqibela, isampuli yolwelo olususiweyo ithunyelwa kwilebhu ukuze ivavanywe, ukuba kuyimfuneko, ukuze kuchongwe ukuba yintoni kanye kanye ebangele oko.
Lonke eli xesha lithatha malunga nemizuzu eli-10 .
Ziziphi iingenelo eziphambili zoku?
I-Arthroscopy ifana nokubulala iintaka ezimbini ngelitye elinye. Oko kukuthi, inika unyango kunye nokuxilongwa ngaxeshanye.
Oku kuya kunceda ekufumaneni isiqabu ngokukhawuleza kwiintlungu zakho kwaye kuya kukunceda ufumane unobangela wesifo.
Makhe sibone ukuba zeziphi ezo zibonelelo zikwitheyibhile engezantsi.
| Inzuzo | Kalula nje... |
|---|---|
| Ukuphelisa intlungu kwangoko | Xa sele kususwe ulwelo olungaphezulu ngaphakathi kwelungu, uxinzelelo kwilungu luyancitshiswa, kwaye ukudumba kunye nentlungu ziyancitshiswa kakhulu. |
| Ukulungiselela amayeza | Ngaphambi kokufaka iyeza kwilungu, ukususa amanzi angaphezulu ngale ndlela kuvumela iyeza ukuba lingene ngcono. Kwakhona kwandisa ukusebenza kakuhle kweyeza. Umzekelo, iinaliti ezifana nale: - Iinaliti zeCortisone/iinaliti zesteroid - Iinaliti zeplasma etyebileyo kwiPlasma (PRP) - Ukufakwa kwe-Viscosupplementation (iinaliti zejeli) |
| Uxilongo | Xa kuthathwa isampulu yolwelo (ulwelo lwe-synovial) ize ithunyelwe kwilabhoratri ukuze ivavanywe, unobangela ochanekileyo wokudumba unokufunyanwa. Umzekelo: - Usulelo lwebhaktiriya? - Ingaba kukho ukopha ngaphakathi kwelungu? - Ngaba kukho iikristale ezibangelwa yimeko yezonyango efana ne-gout ? |
Ngaba kukho umngcipheko kule nto?
Olu lunyango olukhuselekileyo kwiimeko ezininzi. Iingxaki azixhaphakanga. Nangona kunjalo, njengakweyiphi na inkqubo yezonyango, kukho iingozi ezincinci.
- Ukwenzeka kosulelo:Amathuba okuba intsholongwane ingene kwindawo yenaliti mancinci kakhulu.
- Ukopha: Ukuba umthambo wegazi omncinci kakhulu wonakele xa kufakwa inaliti, kunokwenzeka ukopha okuncinci.
- Iimpendulo ze-allergic: Abanye abantu banokuba ne-allergic reaction kwiyeza elisetyenziselwa ukwenza indawo ibe ne-knob okanye kwiyeza elisetyenziselwa ukufaka i-joint. Nangona kunjalo, i-allergic reaction enzima efana ne-"Anaphylaxis" ayiqhelekanga.
- Ukuqhambuka emva kokufakwa kwenaliti: Abanye abantu (malunga nomntu omnye kwabangama-50) banokufumana iintlungu ezingakumbi zamalungu kunye nokudumba kwiiyure ezimbalwa emva kokufakwa kwenaliti. Nangona kunjalo, oku kudla ngokuziphelela kwiintsuku ezimbalwa.
Kwenzeka ntoni emva konyango kwaye ndiza kuziva nini isiqabu?
Emva konyango, ugqirha uza kubopha ibhandeji encinci kwindawo apho inaliti ifakwe khona aze akucebise ukuba ungalicinezeli kakhulu ilungu kangangeentsuku ezimbini.
Uza kuqala ukuziva ukhululekile kwiintlungu nokudumba ngosuku olulandelayo. Ukuba olu ncedo luhlala ixesha elingakanani luxhomekeke kwimeko yakho. Ukuba unesifo esinganyangekiyo esifana nesifo samathambo, ukudumba kunokubuya ngokuhamba kwexesha. Emva koko unokufuna ukwenza olu nyango kwakhona. Ugqirha wakho uza kukunika ingcebiso echanekileyo yokuba ungenza njani.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Ukuba ufumana naziphi na iimpawu ezingezantsi emva konyango, fowunela ugqirha wakho ngoko nangoko.
| Iimpawu ekufuneka uziqaphele |
|---|
| Ukuba intlungu iyaqhubeka nokukhula nangona usela amayeza okudambisa iintlungu. |
| Ukuba indawo apho iyeza lifakwe khona ibomvu, ivakala ishushu, okanye ivakala ngathi liyafakwa . |
| Ukuba igazi okanye olunye ulwelo luvuza kwindawo efakwe kuyo inaliti. |
| Ukuba unomkhuhlane okanye uziva ubanda . |
Umyalezo Wokuya Ekhaya
- I-Arthrocentesis yindlela elula nekhuselekileyo yezonyango enceda ekunciphiseni iintlungu nokuchonga unobangela wokudumba kwelungu.
- Oku kuquka ukususa ulwelo olugqithisileyo oluqokelelene ngaphakathi kwelungu ngenaliti encinci.
- Oku kuya kunceda ngokukhawuleza kwiintlungu zakho nokudumba.
- Ngokuhlola ulwelo olususiweyo, ugqirha uya kukwazi ukufikelela kwisigqibo esichanekileyo malunga nemeko yakho.
- Ukuba intlungu iyanda, iba bomvu, okanye iba nomkhuhlane emva konyango, yazisa ugqirha wakho ngoko nangoko.
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