Ingabe idolo lakho, indololwane, noma elinye ilungu livuvukele ngokuzumayo, libomvu, futhi libuhlungu? Ngezinye izikhathi kuba nzima kakhulu ukugoba noma ukuqondisa lelo lunga. Sikhathazeka kakhulu ngezikhathi ezinjengalezi. Eqinisweni, isizathu esiyinhloko salokhu kuvuvukala nobuhlungu ukunqwabelana koketshezi olungadingekile ngaphakathi kwelunga. Ngakho-ke namuhla sikhuluma ngokwelashwa okulula nokuwusizo kakhulu kulokhu.
Kuyini i-Arthrocentesis (Ukuphefumula Kwamalunga)?
Leli gama lingase lizwakale njengento enkulu, kodwa empeleni lilula kakhulu. Kalula nje, i-arthrocentesis ihilela ukufaka inalithi encane esilungwini esivuvukele nokususa uketshezi oluningi (uketshezi lwamalunga). Lokhu kubizwa nangokuthi "i-Joint Aspiration".
Cabanga ukuthi uma ugcwalisa imbiza ngamanzi, iyavuvukala bese iba lukhuni. Uma uketshezi lugcwala, ingcindezi engaphakathi kwembiza iyanda, okubangela lobu buhlungu obukhulu. Ngakho-ke uma ususa lolo ketshezi olwengeziwe, imbiza ithola impumuzo enkulu, futhi kokubili ubuhlungu nokuvuvukala kuyancipha. Futhi, ngokuhlola lolu ketshezi olususiwe (ukuhlolwa kwelebhu), ungathola ukuthi yini ngempela ebangela ukuba imbiza ivuvuke.
Kwenziwa kanjani lokhu kwelashwa? Kulula kakhulu!
Lokhu akuyona indlela enkulu yokuhlinzwa. Kungenziwa ehhovisi likadokotela wakho (OPD) noma emtholampilo. Akudingi ukulungiselela okuningi kusenesikhathi. Lezi yizinyathelo ezivame ukulandelwa:
1. Ukuhlanza: Okokuqala, udokotela uhlanza kahle isikhumba lapho inaliti izofakwa khona ngesisombululo se-antiseptic.
2. Ukufaka izinzwa: Okulandelayo, kufakwa ukhilimu wokufaka izinzwa endaweni, noma kunikezwa umjovo omncane ukuze kufakwe izinzwa endaweni. Lokhu kuzokusiza ukuthi ungazizwa ubuhlungu obukhulu.
3. Ukuthola indawo efanele: Ngezinye izikhathi udokotela angasebenzisa idivayisi yokuskena njenge-ultrasound noma i-fluoroscopy ukuthola indawo eqondile yokuhlangana kwethambo.
4. Ukukhipha uketshezi: Ngemuva kwalokho, inaliti enamathiselwe kwisirinji ifakwa endaweni yokuhlangana bese umpristi ekhipha ngokucophelela cishe lonke uketshezi oluqongelelwe. Uma kunoketshezi oluningi, isirinji ingashintshwa futhi ikhishwe.
5. Ukujova umuthi (uma kudingeka): Ngemva kokukhipha uketshezi, ngezinye izikhathi udokotela angase ajove umuthi wokudambisa izinhlungu noma eminye imithi (njengomjovo we-cortisone) ejoyintini ngenaliti efanayo.
6. Ukuthunyelwa kokuhlolwa: Isampula yoketshezi ekhishwe, uma kudingeka, ithunyelwa elabhorethri ukuthola imbangela.
Yonke inqubo ithatha cishe imizuzu eyi-10 , ngakho-ke asikho isizathu sokukhathazeka ngayo.
Yiziphi izinzuzo zalokhu?
I-arthrocentesis ifana nokubulala izinyoni ezimbili ngetshe elilodwa. Inikeza izinzuzo ezimbili ngesikhathi esisodwa. Enye iyelapha kanti enye iyisifo sokuxilonga.
Izinzuzo njengokwelashwa
- Ukuncipha okusheshayo kobuhlungu nokuvuvukala: Lapho nje uketshezi olungeziwe ngaphakathi kwejoyinti lususwa, ingcindezi engaphakathi kwejoyinti iyancipha, okukunikeza umuzwa omkhulu wokukhululeka. Ubuhlungu buyancipha kakhulu.
- Ukulungiselela indawo yokujova: Uma ujova esilungwini, ukususa uketshezi oluningi ngale ndlela kuzovumela umuthi ojovwe ukuthi ungene kangcono futhi usebenze kangcono. Izinhlobo ezilandelayo zokujova zivame ukunikezwa:
- Imijovo ye-Cortisone / imijovo ye-steroid
- Imijovo ye-plasma ecebile ngama-platelet (PRP)
- Imijovo yejeli `(Ukwengezwa kwe-Visco)`
Indlela yokusiza ekuxilongeni isifo
Uma uketshezi lwe-synovial olukhishwe luthunyelwa elabhorethri ukuze luhlolwe, imbangela eqondile yokuvuvukala kwamalunga ingatholakala.
| Yini evivinywa oketshezini | Izifo ezingatholakala |
|---|---|
| Amagciwane (amagciwane, inani lamaseli amhlophe egazi) | Ungathola ukuthi kukhona yini ukutheleleka lapho kuhlangana khona i-colloidal. |
| Igazi (amangqamuzana egazi abomvu) | Ungathola ukuthi kube khona ingozi noma ukulimala kwelungu futhi liphuma igazi. |
| Amakristalu | Ungabona ukuthi unezinhlayiya zekristalu ezibangelwa yizimo ezifana ne-gout noma i-pseudogout. |
Ingabe kukhona imiphumela emibi noma izinkinga?
Lokhu kuyindlela yokwelapha ephephile kakhulu. Izinkinga azivamile. Lezi yizinto ezingenzeka:
- Ukwenzeka kokutheleleka:Igciwane lingangena endaweni lapho kubhotshozwa khona, kodwa le ngozi iphansi kakhulu uma isikhumba sihlanzwe kahle.
- Ukopha: Uma iva lishaya futhi lilimaze umthambo wegazi omncane, kungase kube nokopha okuthile.
- Ukusabela kokungezwani komzimba: Abanye abantu bangase babe nokusabela kokungezwani komzimba nomuthi oqeda izinhlungu noma umjovo. Lokhu nakho akuvamile kakhulu.
- Ukuqubuka ngemva kokufakwa komjovo: Kungase kube nobuhlungu obandayo kanye nokuvuvukala emalungeni amahora ambalwa ngemva kokufakwa komjovo. Kodwa-ke, lokhu kuvame ukuxazululeka ngokwako zingakapheli izinsuku ezimbalwa.
Ngizozizwa nini ngikhululekile ngemva kokwelashwa?
Ngemva kokukhipha uketshezi, uzoqala ukuzizwa ungcono kakhulu ngosuku olulandelayo, ubuhlungu nokuvuvukala kuncane kakhulu. Kodwa-ke, uma unesifo esingamahlalakhona njenge-arthritis, uketshezi lungaphinde luqongelelene ngokuhamba kwesikhathi. Udokotela wakho uzobe esenquma ukuthi udinga yini ukuthola lokhu kwelashwa futhi.
Ngemva kokwelashwa, udokotela uzofaka ibhandishi elincane endaweni. Uzokutshela nokuthi uphumuze ilunga usuku olulodwa noma ezimbili ngaphandle kokulicindezela kakhulu. Lapho umbiko wesampula yoketshezi oluthunyelwe elabhorethri ubuya, udokotela uzokwazisa ngakho.
Uma uhlangabezana nalezi zimpawu, shayela udokotela wakho ngokushesha!
Ngokuvamile azikho izinkinga ezinkulu ngemva kokwelashwa. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ezingezansi, yazisa udokotela wakho ngokushesha.
| Isici okufanele usiqaphele | Incazelo |
|---|---|
| Ubuhlungu obukhulu | Uma ubuhlungu bungapheli ngisho nangemva kokuthatha imithi yokubulala izinhlungu, buyaqhubeka buba bubi kakhulu. |
| Ubomvu, ukufudumala, noma ukuvuvukala | Uma indawo ezungeze uhlamvu ibomvu, izwakala ishisa uma uyithinta, noma inomqubuko . |
| Ukopha noma ukuphuma kwegazi | Uma igazi noma olunye uketshezi luqhubeka nokugeleza lusuka endaweni yokubhoboza. |
| Umkhuhlane noma ukubanda | Uma uzizwa unomkhuhlane noma ugodola futhi uthuthumela, lokhu kungaba uphawu lokutheleleka. |
Umlayezo Wokuya Nawe Ekhaya
- I-Arthrocentesis iyindlela elula kakhulu yokwelapha ukuvuvukala nobuhlungu bamalunga, ethatha imizuzu eyi-10.
- Lokhu kuzosusa uketshezi oluningi oluqongeleleke endaweni yokuhlangana futhi kukunikeze impumuzo esheshayo.
- Lokhu kwelashwa akugcini nje ngokunciphisa ubuhlungu kodwa futhi kusiza ekutholeni imbangela eqondile yokuvuvukala.
- Ingozi yalokhu iphansi kakhulu. Kodwa-ke, uma uba nezimpawu ezifana nomkhuhlane, ubuhlungu obukhulu, noma ukubomvu ngemva kokwelashwa, bona udokotela wakho ngokushesha.
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