Ingabe ilunga elifana nedolo lakho, indololwane, ihlombe, noma isinqe liye lavuvukala futhi laba buhlungu ngokuzumayo, okwenza kube nzima ukuhamba? Abanye abantu bakubiza ngokuthi “amanzi asemalungeni.” Eqinisweni, lokhu kuvuvukala nobuhlungu kungenza kube nzima ngisho nokwenza imisebenzi yansuku zonke. Ngakho-ke namuhla sizokhuluma ngokwelashwa okulula, kodwa okuwusizo kakhulu udokotela wakho angase akusikisele kona ngesikhathi esinjengalesi. Lokho kubizwa ngokuthi ‘i-Arthrrocentesis’ noma ‘i-Joint Aspiration’.
Kalula nje, kuyini i-arthrocentesis?
Nakuba lokhu kungase kuzwakale njengegama elikhulu, empeleni kulula kakhulu. I-Arthrocentesis inqubo esebenzisa inalithi encane kakhulu ukususa uketshezi oluningi esilungwini sakho esivuvukele.
Cabanga ngale ndlela: amalunga ethu afana nama-ball bearings emshinini. Ukuze aqhubeke esebenza kahle, ngokwemvelo aqukethe inani elincane loketshezi. Silubiza ngokuthi uketshezi lwe-synovial. Kodwa lapho ilunga livuvukala ngenxa yesimo esifana nesifo samathambo, ukutheleleka, noma ingozi, lolu ketshezi luqala ukukhiqizwa ngokweqile . Yilapho ilunga livuvukala, liqine, futhi libuhlungu.
Ngakho-ke, okwenzayo nge-'Arthrocentesis' ukususa uketshezi oluningi bese kukunikeza impumuzo. Lokhu kunciphisa ubuhlungu kanye nokuvuvukala. Futhi, ngokuhlola uketshezi olususiwe, ungathola ukuthi yini ngempela ebangela lokhu kuvuvukala.
Lokhu kwelashwa kusebenza kanjani?
Lokhu ngokuvamile kuyinqubo elula engenziwa ehhovisi likadokotela (OPD) noma emnyangweni weziguli zangaphandle esibhedlela. Akudingi ukulungiselela okuningi. Uma uya, udokotela uzolandela lezi zinyathelo:
- Okokuqala, isikhumba lapho inaliti izofakwa khona sihlanzwa kahle futhi sihlanzwe ngamagciwane.
- Okulandelayo, kufakwa ukhilimu wokwenza izinzwa (i-anesthesia yasendaweni) endaweni noma, uma kudingeka, kunikezwa umjovo omncane wokwenza izinzwa (i-anesthesia yasendaweni). Lokhu kuzoqinisekisa ukuthi awuzizwa ubuhlungu obukhulu.
- Ngezinye izikhathi, ukuze athole ukuthi uketshezi lukuphi ngaphakathi kwejoyinti, udokotela angase asebenzise umshini wokuskena njenge-ultrasound noma i-fluoroscopy. Lokhu kungakusiza ukuthi ufike endaweni efanele.
- Ngemuva kwalokho, inaliti encane exhunywe kwisirinji ifakwa esihlanganisini ngokusebenzisa indawo yokuzwa ubuhlungu.
- Manje, uketshezi olungeziwe ngaphakathi kwejoyinti ludonswa luyiswe kwisirinji. Uma kunoketshezi oluningi kakhulu, isirinji siyashintshwa ukuze kukhishwe uketshezi oluningi ngangokunokwenzeka.
- Ngezinye izikhathi, ngemva kokususwa koketshezi, umuthi wokuqeda ubuhlungu (isib., i-steroid) ungafakwa esilungwini ngenaliti efanayo.
- Ekugcineni, isampula yoketshezi esusiwe ithunyelwa elabhorethri ukuze ihlolwe, uma kudingeka, ukuze kutholakale ukuthi yini ngempela ebangele lokho.
Lonke lolu hlelo luthatha cishe imizuzu eyi-10 .
Yiziphi izinzuzo eziyinhloko zalokhu?
Ukwelapha isifo sofuba kufana nokubulala izinyoni ezimbili ngetshe elilodwa. Kuyindlela yokwelapha kanye nokuxilongwa ngesikhathi esisodwa.
Lokhu kuzokunikeza impumuzo ngokushesha ebuhlungwini bakho futhi kuzokusiza ukuthola imbangela yesifo.
Ake sibone ukuthi yiziphi lezo zinzuzo kuthebula elingezansi.
| Inzuzo | Kalula nje... |
|---|---|
| Ukuqeda ubuhlungu ngokushesha | Uma uketshezi olungeziwe ngaphakathi kwejoyinti selususiwe, ingcindezi ejoyintini iyancipha, futhi ukuvuvukala nobuhlungu kuyancipha kakhulu. |
| Ukulungiselela imithi | Ngaphambi kokufaka umuthi esilungwini, ukususa amanzi angaphezulu ngale ndlela kuvumela umuthi ukuthi ungene kangcono. Kuphinde kwandise ukusebenza kahle komuthi. Isibonelo, imijovo efana nale: - Imijovo ye-Cortisone/imijovo ye-steroid - Imijovo ye-plasma ecebile ngama-platelet (PRP) - Ukufakwa kwe-Viscosupplementation (imijovo yejeli) |
| Ukuxilongwa | Uma kuthathwa isampula yoketshezi (uketshezi lwe-synovial) bese ithunyelwa elabhorethri ukuze ihlolwe, imbangela eqondile yokuvuvukala ingatholakala. Isibonelo: - Ukutheleleka ngamagciwane? - Ingabe kukhona ukopha ngaphakathi kwejoyinti? - Ingabe kukhona ama-crystal deposits abangelwa yisimo sezokwelapha njenge -gout ? |
Ingabe kukhona ingozi kulokhu?
Lokhu kuyindlela yokwelapha ephephile kakhulu ezimweni eziningi. Izinkinga azivamile. Kodwa-ke, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezincane.
- Ukwenzeka kokutheleleka:Amathuba amancane kakhulu okuthi igciwane lingene endaweni yenaliti.
- Ukopha: Uma umthambo wegazi omncane kakhulu wonakele lapho kufakwa inaliti, kungase kube nokopha okuncane.
- Ukusabela kokungezwani komzimba: Abanye abantu bangaba nokusabela kokungezwani komzimba emuthini osetshenziselwa ukwenza indawo ibe buhlungu noma emuthini osetshenziselwa ukujova ilunga. Kodwa-ke, ukusabela okukhulu kokungezwani komzimba okufana nokuthi "i-Anaphylaxis" akuvamile kakhulu.
- Ukuqubuka ngemva kokufakwa komjovo: Abanye abantu (cishe oyedwa kwabangu-50) bangase babe nobuhlungu obukhulayo bamalunga kanye nokuvuvukala emahoreni ambalwa ngemva komjovo. Kodwa-ke, lokhu kuvame ukuxazululeka ngokwako zingakapheli izinsuku ezimbalwa.
Kwenzekani ngemva kokwelashwa futhi ngizozizwa nini ngikhululekile?
Ngemva kokwelashwa, udokotela uzofaka ibhandishi elincane endaweni lapho inaliti ifakwe khona futhi akutshele ukuthi ungalicindezeli kakhulu ilunga usuku olulodwa noma ezimbili.
Uzoqala ukuzwa ukukhululeka ebuhlungwini nasekuvuvukeni ngosuku olulandelayo. Ukuthi lokhu kukhululeka kuthatha isikhathi esingakanani kuncike esimweni sakho. Uma unesifo esingamahlalakhona njenge-arthritis, ukuvuvukala kungabuya ngokuhamba kwesikhathi. Ngemuva kwalokho kungadingeka ukuthi uphinde wenze lokhu kwelashwa. Udokotela wakho uzokweluleka ukuthi ukwenze kanjani ngqo.
Kufanele ngiphinde ngimbone nini udokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi ngemva kokwelashwa, shayela udokotela wakho ngokushesha.
| Izimpawu okufanele uziqaphele |
|---|
| Uma ubuhlungu buqhubeka nokwanda naphezu kokuthatha imithi yokwelapha izinhlungu. |
| Uma indawo lapho umuthi ufakwe khona ibomvu, izwakala ishisa, noma izwakala sengathi iyajovwa . |
| Uma igazi noma olunye uketshezi luvuza endaweni yomjovo. |
| Uma unomkhuhlane noma uzizwa ubanda . |
Umlayezo Wokuya Nawe Ekhaya
- I-Arthrocentesis inqubo yezokwelapha elula nephephile esiza ekunciphiseni ubuhlungu nokubona imbangela yokuvuvukala kwelunga.
- Lokhu kuhilela ukususa uketshezi oluningi oluqongeleleke ngaphakathi kwejoyinti ngenaliti encane.
- Lokhu kuzokunikeza impumuzo esheshayo ebuhlungwini nasekuvuvukeni kwakho.
- Ngokuhlola uketshezi olususiwe, udokotela uzokwazi ukufinyelela esiphethweni esinembile ngesimo sakho.
- Uma ubuhlungu bukhula, buba bomvu, noma buqala ukuba nomkhuhlane ngemva kokwelashwa, yazisa udokotela wakho ngokushesha.
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