Singathetha ngokuphuma kwegazi ngaphakathi kwelinye lamalungu akho (iHemarthrosis) namhlanje?

Ngaba wakha waphawula ukuba ilungu elifana nedolo, ingqiniba, okanye igxalaba lakho livuvukala ngequbuliso, libe buhlungu, kwaye liqine ngokwaneleyo ukuba kube nzima ukulishukumisa? Usenokuba ukhe wazibuza ukuba kutheni oku kusenzeka. Ngamaxesha anje, usenokuba uphuma igazi ngaphakathi kwelinye lamalungu akho. Ngokwezonyango, esi sisifo sibizwa ngokuba yiHemarthrosis. Ngoko ke, masithethe ngale nto ngokweenkcukacha namhlanje, akunjalo?

Yintoni iHemarthrosis? Masiyiqonde ngokulula!

Ngamafutshane, i-hemarthrosis kukuphuma kwegazi ngaphakathi kwelinye lamalungu akho . Usenokuba ukhe weva ngamanye amaxesha ibizwa ngokuba yi-'articular bleeding'.

Ngoku khangela, iindawo apho amathambo omzimba wethu adibana khona zezo sizibiza ngokuba zi-joints . Phakathi kwezi-joints, kukho uhlobo oluthile lwe-joint olusinceda sishukume, kwaye zibizwa ngokuba zi-synovial joints. Ezi-synovial joints zijikelezwe yi-membrane encinci, njengengxowa ekhuselayo ejikeleze i-joint. Oku sikubiza ngokuba yi-synovial membrane .

Le (i-synovial membrane) yiyo ekhusela amalungu ethu. Kwakhona, le membrane, inxalenye ethambileyo ebizwa ngokuba yi-cartilage) phakathi kwamalungu, (tendons) ( tendons) ( tendons) (ligaments) (joints) (joints) (joints) (joints) zisebenza kunye ukunciphisa ukungqubana xa amathambo ethu engqubana. Ezi zinto zisebenza njengegrisi kumatshini.

Ngoko ke, ukuba ngesizathu esithile, olu (ulwelwesi lwe-synovial) lonakala okanye igazi liqala ukuvuza kwindawo engenanto ngaphakathi kwelungu, yiloo nto siyibiza ngokuba yi-Hemarthrosis. Xa eli gazi lizaliswa, ilungu liyadumba, libe buhlungu, kwaye kube nzima ukulisebenzisa.

Nangona le meko (iHemarthrosis) inokwenzeka nakweyiphi na i-synovial joint emzimbeni wethu, ixhaphake kakhulu xa ibonwa kwezi meko zilandelayo:

• Emadolweni
• Kwiingqiniba
• Kwizihlunu zethanga
• Emahlombe

Oku kunokubangelwa kukwenzakala, izifo ezithile, iziphumo ebezingalindelekanga zamayeza, kwanasemva kotyando lwamalungu. Ugqirha uya kufumanisa unobangela wokopha aze anyange kunye neempawu zakho. Kwiimeko ezininzi, ungaphila kwiiveki ezimbalwa, kuxhomekeke kwisizathu.

Ngamanye amaxesha, inokuba yinto yexeshana, njengengozi. Siyibiza ngokuba yi -'acute hemarthrosis' . Oko kukuthi, ukopha kuyayeka xa inxeba liphola. Nangona kunjalo, ukuba unesifo sokopha esibangela ukuba le meko iqhubeke, oogqirha banokuyibiza ngokuba yi -'chronic hemarthrosis' .

Ukuba uvuvukile ecaleni kwelinye lamalungu akho, ingakumbi ukuba libuhlungu kwaye kunzima ukulishukumisa, qiniseka ukuba ubonana nogqirha.

Ngubani onokuba nethuba elikhulu lokufumana le meko (iHemarthrosis)?

Enyanisweni, le meko ibizwa ngokuba yiHemarthrosis inokwenzeka nakubani na. Ukuba ukhe wenzakala amalungu ngenxa yengozi (ukwenzakala), kukho amathuba aphezulu okuba oku kwenzeke.

Nangona kunjalo, abantu abaneengxaki ezithile zempilo basengozini enkulu kancinci yokufumana i-hemarthrosis kunabanye. Umzekelo:

• Kubantu abaneengxaki zokopha ezifana ne -hemophilia .
• Kwabo baswele iVithamin K (iVithamin K yinto enceda ukujiya kwegazi).
• Ezinye iintlobo ze- arthritis , ingakumbi i-arthritis yedolo.
• Kwezinye iintlobo zomhlaza .
• Kubantu abanesifo sesibindi (isibindi sikwavelisa iiproteni ezinceda ekuqhekekeni kwegazi).

Ixhaphake kangakanani (iHemarthrosis)?

Kunzima ukutsho ukuba oku kuqheleke kangakanani na, kuba zininzi iingxaki kunye neemeko ezinokukubangela.

Nangona kunjalo, uphando lufumanise ukuba malunga nesiqingatha sabantu abane-hemophilia baya kuba ne-hemarthrosis ngaxa lithile ebomini babo.

Kwakhona, isiqingatha sayo yonke i-hemarthrosis edolweni ibangelwa kukonakala kwemisipha yamadolo, njenge-ACL tears .

Zithini iimpawu ze-(Hemarthrosis)? Uyibona njani?

Ukuba unesifo esibizwa ngokuba yiHemarthrosis, ezona mpawu ziqhelekileyo onokuthi uzibone zezi:

• Ukudumba kunye nokuvuvukala okujikeleze ilungu elichaphazelekayo .
• Ukuziva intlungu ebuhlungu kakhulu .
• Ubunzima bokushukumisa ilungu.
• Ngamanye amaxesha ungabona ukukrweleka okanye ukutshintsha kombala kuloo ndawo.
• Ukuziva ufudumele kufutshane nelungu.

Khawuthelekelele ukuba idolo lakho livuvukele ngequbuliso njengebhola, libe buhlungu kangangokuba awukwazi nokuhamba, uze xa ulichukumisa, livakale lishushu kunelinye idolo, kulapho ufanele ukrokre.

Ziziphi izizathu eziphambili zeHemarthrosis?

Njengoko besitshilo ngaphambili, kukho izizathu ezininzi eziphambili zeHemarthrosis:

• Iingxaki zokopha: Iimeko ezifana ne-hemophilia.
• Ukonzakala: Ukuwa, iingozi zeemoto, ukwenzakala kwezemidlalo, njl. Khawuthelekelele ukuba ungawa ngelixa udlala ikhilikithi uze ubethe idolo lakho ngamandla, okanye ukuba ungawa kwizinyuko.
• Iziphumo ebezingalindelekanga ze-blood thinners: Abanye abantu bathatha i-blood thinners (amayeza e-anticoagulant) ukuthintela iimeko ezifana nesifo sentliziyo kunye ne-stroke. Ezi ngamanye amaxesha zinokubangela ukopha okukhulu, nokuba kukwenzakala okuncinci.
• Izifo ezizikhusela ngokwazo: Kwezi, inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo.
• Iintsholongwane: Ezinye iintsholongwane zinokubangela ukopha ngaphakathi kwamalungu.

Ukongeza, ukuba utyando lwelungu, usenokuba ne-hemarthrosis emva koko. Umzekelo:

• I-Arthroplasty (utyando lokutshintsha amalungu, umz. ukutshintshwa kwedolo okanye isinqe) - Ikwabizwa ngokuba kukutshintshwa kwamalungu.
• (I-Arthroscopy) (Uvavanyo okanye utyando olwenziwa ngokufaka ikhamera encinci kwilungu).
• Utyando lokutshintshwa kwedolo eliyinxenye.
• Utyando lwedolo.

Oogqirha bayixilonga njani i-hemarthrosis?

Xa usiya kugqirha onezi mpawu, uza kuqala akuhlole ngokwasemzimbeni . Uza kukubuza ngeempawu zakho kunye nokuba unexesha elingakanani unazo.

Emva koko, ilungu elichaphazelekileyo liyavavanywa ukuze kubonwe ukuba lihamba kangakanani na. Linokuthelekiswa nelungu eliphilileyo kwelinye icala. Umzekelo, ubungakanani bokugoba onokukufumana edolweni lakho elidumbileyo buthelekiswa nobungakanani bokugoba onokukufumana edolweni lakho eliphilileyo.

Isampuli yegazi ingathathwa kwaye ivavanywe ukuze kubonwe ukuba kukho usulelo na.

Ukongeza, kunokwenziwa iimvavanyo ezininzi zokuthatha imifanekiso :

• (Ii-X-reyi )
• (I-MRI) (I-M.R.I. - Umzobo weMagnetic Resonance)
• (I-CT scan) (I-CT scan - i-computed tomography scan)
• (I-Ultrasound )

Kwezinye iimeko, ugqirha angasusa isampuli yolwelo oluvela kwilungu (i-joint aspiration okanye i-arthrocentesis) aze aluthumele kwilebhu ukuze luvavanywe. Oku kunokunceda ekuqinisekiseni ukuba kukho igazi okanye olunye ulwelo ngaphakathi kwilungu, okanye ukuba kukho usulelo.

Ukuchonga i-hemarthrosis ngamanye amaxesha yinxalenye yenkqubo ebizwa ngokuba yi -'differential diagnosis.' Oku kuthetha ukuba iimeko ezininzi ezineempawu ezifanayo ziyaqwalaselwa aze emva koko ugqirha agqibe ukuba yeyiphi echanekileyo. Ngenxa yokuba kukho ezinye izizathu ezininzi zokudumba kwamalungu, ugqirha uya kuzisusa ezinye izizathu ngaphambi kokuba aqinisekise ukuxilongwa kwe-hemarthrosis.

Iphathwa njani iHemarthrosis?

Xa ekunyangela, ugqirha wakho uya kunyanga unobangela wokopha kunye neempawu zakho . Ngokwesiqhelo, ukuyeka ukopha ngaphakathi kwelungu (i-hemarthrosis) kunokuthintela iimpawu ukuba zingabi mbi.

Unyango olufunekayo luxhomekeke kwisizathu sokopha. Ngamanye amaxesha utofelo-gazi lunokufuneka, ingakumbi ukuba ulahlekelwe ligazi elininzi okanye unemeko efana ne-hemophilia. Ugqirha wakho okanye ugqirha wakho uza kukuchazela oku.

Ungayilawula njani iimpawu zeHemarthrosis ekhaya?

Ngelixa ulinde ukuba ilungu lakho liphole, kukho iindlela onokulawula ngazo iimpawu zakho ekhaya. Oku sikubiza ngokuba yindlela ye-RICE . I-RICE imele oku:

• R - Phumla: Musa ukubeka ubunzima kwilungu elichaphazelekayo. Nciphisa ukusetyenziswa kwelo lungu kangangoko kunokwenzeka.
• I - Umkhenkce: Musa ukufaka umkhenkce ngqo eluswini. Beka iityhubhu zomkhenkce ebhegini yeplastiki, uzisonge ngetawuli, uze uzifake kwindawo evuvukileyo malunga nemizuzu eli-15-20. Yenza oku izihlandlo ezininzi ngemini. Oku kuya kunciphisa ukudumba kunye nentlungu.
• C - Uxinzelelo: Songa ibhandeji elastiki kwilungu elichaphazelekayo. Kodwa, khumbula, ungayisongi kakhulu . Akulunganga ukuyisonga kakhulu kangangokuba ithintele ukuhamba kwegazi. Ukuba ibhandeji ibuhlungu, yikhulule kancinci. Oku kuya kunceda ukulawula ukudumba.
• E - Ukuphakama: Phumla ilungu elichaphazelekileyo ngokuligcina liphezulu kunentliziyo yakho. Umzekelo, ukuba lidolo, beka imiqamelo emibini okanye emithathu phantsi komlenze wakho ngelixa ulele phantsi. Oku kuya kunceda ekunciphiseni ukudumba.

Okubaluleke kakhulu: Musa ukuthatha amayeza okuphelisa iintlungu (i-analgesics) ngaphandle kokubonisana nogqirha. Iipilisi ezininzi zokuphelisa iintlungu ezisetyenziswa rhoqo (ezibizwa ngokuba yi-NSAIDs) ezifana ne-aspirin, i-ibuprofen, kunye ne-naproxen zineempawu zokunciphisa igazi. Ukwenza njalo kunokunyusa ukopha okubangelwa yi-hemarthrosis. Ke ngoko, qhagamshelana nogqirha kwaye usebenzise kuphela amayeza awacebisayo.

Ngaba iHemarthrosis ingathintelwa?

Enyanisweni, kunzima ukuthintela ngokupheleleyo ukwenzeka kwe (Hemarthrosis). Kuba asinakukwazi ukuthintela ezinye zezifo ezibangela oku, kwaye asinakukwazi ukuqikelela ukuba ingozi iza kwenzeka nini kwaye njani.

Nangona kunjalo, ukuba unesifo sokopha esifana ne-hemophilia, ukufumana unyango olufanelekileyo kunye nokulandela imiyalelo kagqirha wakho kunokunceda ukunciphisa umngcipheko wokuba ne-hemarthrosis. Kwakhona, ukulandela iinkqubo zokhuseleko xa udlala imidlalo nasemsebenzini kunokunceda ukunciphisa umngcipheko we-hemarthrosis ngenxa yeengozi.

Kuthatha ixesha elingakanani ukuphiliswa (iHemarthrosis)?

Ixesha elithathwayo ukuze oku kwenzeke lixhomekeke ekubeni yintoni ebangele ukopha kwilungu. Abanye abantu banokuphila kwiintsuku ezimbalwa ukuba ukopha kuyeka ngokukhawuleza. Ezinye iimeko (i-hemarthrosis) zingathatha iiveki ezininzi ukuphola.

Ukuba unobangela we-hemarthrosis kukwenzakala okukhulu, njengokuphuka kwethambo, ixesha lokuchacha linokuba lide. Thetha nogqirha wakho okanye ugqirha malunga nokuba kuza kuthatha ixesha elingakanani, ukuba ungalisebenzisa nini kwakhona ilungu, kunye nokuba ungaqalisa nini imisebenzi eqhelekileyo kunye nokuzilolonga.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona ukudumba okutsha kwelinye lamalungu akho, ingakumbi ukuba unesifo sokopha , bonana nogqirha ngokukhawuleza.

Ukuba wenze ingozi kwaye ngequbuliso awukwazi ukuhambisa ilungu, yiya kwicandelo likaxakeka esibhedlele ngoko nangoko .

Ndimele ndibuze ntoni kugqirha wam?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Ngaba ndinayo (iHemarthrosis), okanye kukho enye into ebangela oku kudumba?
• Yintoni unobangela wokopha oku?
• Luhlobo luni lovavanyo oluza kufuneka ndilwenze?
• Uyinyanga njani le nto yokopha?
• Ngawaphi amayeza eentlungu akhuselekileyo endinokuwasebenzisa ndide ndiphile?

Yintoni umahluko phakathi kweHemarthrosis kunye neJoint Effusion?

Abanye abantu basenokubhidanisa ezi zinto zimbini, kuba zombini zibandakanya ukudumba okujikeleze ilungu.

Ukuchitheka kwamalungu kukuqokelelana kolwelo olongezelelweyo kwizicwili ezijikeleze ilungu, nto leyo ebangela ukudumba. Eli ligama eliqhelekileyo elisetyenziselwa ukudumba kwilungu. Linokuba nezizathu ezininzi - ukwenzakala, ukusetyenziswa kakhulu kwelungu, usulelo, njl. Olu lwelo lunokuba negazi elithile, kodwa aludumbanga ngenxa yokopha.

I-Hemarthrosis , njengoko besitshilo ngaphambili, yimeko apho igazi liqokelelana ngaphakathi nangaphandle kwelungu ngenxa yokopha ngaphakathi. Eyona nto ibangela ukudumba apha kukuqokelelana kwegazi .

Ukuba ubona ukudumba okutsha okujikeleze elinye lamalungu akho, kungcono ukubona ugqirha ukuze akuhlole, nokuba yintoni na.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Hemarthrosis kuxa igazi liqokelelana lijikeleze ilungu. Kubalulekile ukuyeka ukopha nokunyanga unobangela. Ukuba ubona ukudumba okanye ukukrweleka kufutshane nelungu, ingakumbi ukuba kuhamba nentlungu okanye ubunzima bokulishukumisa, bona ugqirha.

Nangona unokunyanga ezinye iimpawu ekhaya ngezinto ezifana nendlela ye-RICE, kufuneka uhlale ubonana nogqirha ngaphambi kokuba uthathe amayeza eentlungu okanye ukudumba athengiswa ngaphandle kwemvume kagqirha, njengoko ezinye iintlungu zinokunyusa ukopha.

Ndiyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!

I- Hemarthrosis, ukopha kwamalungu, ukudumba kwamalungu, iintlungu zamalungu, iintlungu zedolo, ilungu le-synovial, ukopha