Kutsegula m'madzi kumalo kungapangitse ululu ndi kutupa
Hemarthrosis ndilo lingaliro lachipatala lokha magazi m'magulu. Mukakhala ndi ululu ndi kutupa mumodzi (monoarticular), hemarthrosis ndi chifukwa chofala.
Ndi chifukwa chodera nkhaŵa osati chifukwa cha ululu, koma chifukwa chakuti nthawi yayitali magazi amatha kuwononga khungu. Zofukufuku zomwe zimachitika mu vitro (mu test tube) zimasonyeza kuti magazi amatha kupha maselo omwe amachititsa khalala ndipo amaletsa kupanga ziwalo zina.
Izi ndizofunikira kwambiri kwa odwala matenda a osteoarthritis, omwe kale ali ndi kutaya kwa kanyama kakang'ono. Ndimodzinso ndi anthu omwe ali ndi hemophilia, chifukwa ali pangozi ya hemarthrosis ndipo motero amakhala pangozi ya kuwonongeka kwa karotila ndi kutayika.
Kodi Hemarthrosis Amadziwika Bwanji?
Ngakhale mbiri yanu yachipatala, kufufuza mwakuthupi ndi kujambula kungakhale kothandiza poyambitsa matenda a hemarthrosis - ndizofuna kugwirizana ( arthrocentesis ) zomwe zingapereke chitsimikiziro chotsimikizira. Dokotala wanu akufuna kuti alowe pamodzi ndi singano ndi kuchotsa madzi olowa nawo kuti afufuzidwe, choyamba chowoneka ndi dokotala wanu komanso kawirikawiri amatumizidwa ku labotale kuti awunike bwinobwino.
Madzi amodzi omwe amapezeka ndi hemarthrosis nthawi zambiri amakhala ofiira, obiriwira kapena oundana. Zizindikiro zina zosadziwika za madzi ophatikizana akhoza kufotokoza zomwe zimayambitsa wanu hemarthrosis.
Kodi N'chiyani Chimayambitsa Hemarthrosis?
Pali zinthu zambiri zomwe zingayambitse hemarthrosis kuphatikizapo:
- kukhumudwa - kuvulaza kapena kupweteka kwa mgwirizano kungayambitse magazi. Kuvulala kapena kupweteka kwa bondo kungayambitsenso hemarthrosis ndi kutupa mofulumira. Nthaŵi zina, vuto lalikulu la bondo limabweretsa hemarthrosis, kawirikawiri chifukwa cha vuto lopuntha kapena collagen. Muzochitikazi, sizingatengere zambiri kuti zikhale ndi hemarthrosis.
- Matenda a magazi - hemophilia amagwirizana ndi acute hemarthrosis, mofulumizitsa kuthamanga. Izi zikhoza kuonanso kwa anthu amene ali ndi mankhwala omwe amadana ndi coagulants monga warfarin.
- matenda a ubongo
- Mitsempha (zotupa) - chotupa chingasokoneze mitsempha ya magazi palimodzi, kuphatikizapo chotupacho chingakhale ndi magazi enieni ndipo izi zingachititse hemarthrosis.
- kupweteka kwakukulu
- osteoarthritis - matenda a hematthrosis amodzi awonetsedwa kwa odwala omwe ali ndi chipatala cham'thupi, chomwe nthawi zambiri chimagwirizanitsa ndi chifuwa chodonthekera mu nyanga yotsatira ya meniscus.
Zochiritsira Zopindulitsa za Hemarthrosis
Chithandizo cha hemarthrosis chimadalira chifukwa. Kwa magazi akuluakulu, zowonjezereka zingapangidwe mkati mwa masiku awiri kuchokera kutuluka kuti zisawononge kuwonongeka kwa magazi komwe kungayambitse pamodzi. Mu acute hemarthrosis ndi hemophilia, zikhoza kuperekedwa. Kupweteka kwa kupweteka ndi kupuma-kukwera-kukwera-kukwera (RICE) kawirikawiri amagwiritsidwa ntchito monga chithandizo chodziletsa.
Kwa osteoarthritis, odwala ena akhala akudzidzidzidzidwa ndi hemarthrosis pambuyo pa bondo la arthroplasty , pamene ena amafotokoza hematthrosis mwadzidzidzi pamondo.
Synovectomy (kuchotsedwa kwa chipinda cholembera ), meniscectomy ndi osteotomy zakhala zikugwiritsidwa bwino popambana hemarthrosis.
Njira ina, yomwe imadziwika kuti ablation, imapangitsa kuti anthu azikhala ndi matenda okhaokha.
Ngati izi zikuchitika kwa inu, dokotala wanu apanga kufufuza koyenera ndikupereka malangizo othandizira.
Zotsatira:
Hemarthrosis. Zaposachedwa. Peter A. Nigrovic, MD. November 28, 2015.
http://www.uptodate.com/patients/content/topic.do?topicKey=~uo5pia1l.c.nms&selectedTitle=1~31&source=search_result
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Hearthrosis yodalirika pambuyo pa mawondo a bondo arthroplasty: Etiology ndi mankhwala. The Journal of Arthroplasty (2004).
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Mindy L. Simpson, MD; Leonard A. Valentino, MD. "Kusamalira Kuthandizana Kwambiri mu Hemophilia: Management of Acute Hemarthrosis." Kusuta kwapadera kwapadera. 09/20/2012