Knee Infection

Matenda a Knee Joint

Matenda a bondo angakhale vuto lalikulu. Zizindikiro za matendawa ndizofiira, kutupa, ndi malungo. Kuchiza matenda opatsirana kumadalira mtundu ndi malo omwe ali ndi kachilombo ka HIV. Matenda aakulu kwambiri amapezeka mkati mwa mawondo omwe mawonekedwe a chitetezo cha thupi ali ndi nthawi yovuta kumenyana ndi matendawa. Phunzirani za mitundu yowonjezereka ya matenda a mawondo ndi mankhwala omwe akulimbikitsidwa kuti achiritse matendawa.

Kugwirizana kwa Septic

Kachilombo kameneka kamatanthawuza kuti kachilombo kamalowa mu malo olowa. Mgwirizano wamba ndi kumene mafupa awiri amagwirizana. Mafupawa amadzazidwa ndi cartilage, ndipo malo olowawo amatanthauzidwa ndi envelopu ya minofu yotchedwa synovium . The synovium imapanga madzi otchedwa Synovial madzi omwe amatsitsa malo olowa. Madzi oterewa alibe chitetezo chachikulu cha mthupi, ndipo ngati matenda alowa m'malowa, zingakhale zovuta kuchiza.

Mabakiteriya angalowe muphatikizidwe ndi chovulala chofalikira kapena kudzera m'magazi. Pamene mgwirizano uli ndi kachilomboka, zizindikirozo zimaphatikizapo kutupa, kutentha, ndi ululu ndi kuyenda kulikonse. Odwala ambiri omwe ali ndi mgwirizano wapadera amafunika opaleshoni kuti aziyeretsa mawondo awo, ngakhale kuti nthawi zina amatha kupanga mankhwala osokoneza bongo okhaokha. Chithandizo choyenera chimadalira kwambiri makamaka mabakiteriya omwe agwiritsidwa ntchito.

Kutengera Patatha Opaleshoni

Nthawi iliyonse pamene pali opaleshoni, pali mwayi wokhala ndi matenda. Matenda apambuyo pochita opaleshoni, kuphatikizapo mawondo a bondo amalephera, koma amapezeka. Matendawa amavutitsa makamaka opaleshoni ya mawondo, monga kukonzanso ACL, chifukwa cha kukhalapo kwa minofu.

Matenda atatha opaleshoni ali ndi zizindikiro zofanana ndi seti, ndipo kawirikawiri amafunika njira yachiwiri yopaleshoni kuti ayambe kuyeretsa. Ngati opaleshoniyo ikuphatikizapo kuyika ma khungu kapena zida zakunja (zokopa, implants, etc.), izi zikhoza kuchotsedwa kuti zichiritsidwe.

Kansalu Yosasinthika Yopatsirana

Kuchita opaleshoni yowonongeka ndi njira yopambana yomwe nthawi zambiri imachepetsa kupweteka ndipo imalola odwala kupitiriza ntchito zambiri. Mwamwayi, pali ngozi zowonjezerapo , ndipo chimodzi mwazoopsa kwambiri ndi matenda a mawondo a mawondo .

Matenda a mawondo amagwiritsidwa ntchito kukhala ma matenda oyambirira (mkati mwa masabata asanu ndi limodzi kuyambira nthawi ya opaleshoni) ndi matenda ochedwa. Matenda oyambirira amatha kuchiritsidwa nthawi zina poyeretsa opaleshoni, ndikupereka mankhwala ochizira maantibayotiki.

Matenda otha msinkhu, komanso matenda ena oyambirira, amafunikira chithandizo choopsa kwambiri. Izi zimaphatikizapo kuchotseratu zowonjezera zowonjezereka, motsogoleredwa ndi nthawi ya ma antibiotic administration popanda mapulitsimodzi ophatikizidwa, otsatiridwa ndi kubwezeretsedwa kwa mawondo .

Matenda a Bursal

Knee bursitis ingayambitse kutupa pamwamba pa kneecap.

Mthunzi wa bondo suli mkati mwa mgwirizano, koma pamaso pa mgwirizano. Ngati pali kutsekedwa kapena kudula, kneecap bursa akhoza kutenga kachilomboka. Zizindikiro zapadera zimaphatikizapo kupweteka, kufiira, ndi kutupa kwowonjezera pa kneecap.

Pozindikiritsidwa mofulumira, kneecap bursitis ingayankhe mankhwala oletsa maantibayotiki. Pazifukwa zowonjezereka kwambiri, bursa ayenera kuyesedwa kupyolera mu singano kapena kutsegulira opaleshoni.

Matenda Ofewa / Cellulitis

Cellulitis ndi mkhalidwe umene umapezeka pamene kachilombo kamakhala m'magawo akuya a khungu. Cellulitis nthawi zambiri imayambitsa redness ndi kutupa kwa miyendo. Kawirikawiri pali chovulaza monga kuluma, scrape, kapena kuluma kwa tizilombo komwe kumayambitsa matenda kulowa m'kati mwake.

Nthawi zina, palibe kuvulala koyambirira. Kwa odwala ambiri amene ali ndi cellulitis opanda choyipa choyambirira, pali vuto lina lakutetezeka kwa mthupi, monga matenda a shuga , zomwe zimalola kuti matendawa achitike.

Ndikofunika kuzindikira zizindikiro za cellulitis kumayambiriro, ndipo matendawa amachiritsidwa ndi maantibayotiki. Kwa odwala omwe amalola kuti zizindikiro zizipitirira, pali mwayi wa kachilombo koyipitsa komanso kufalikira mwa kulowa m'magazi.

Mawu Ochokera

Matenda a bondo ndi vuto lalikulu lomwe limafuna mwamsanga, ndipo nthawi zambiri amawachitira nkhanza. Matenda omwe amapezeka mkati mwa bondo nthawi zonse amafunika kuchipatala, ndipo nthawi zina matenda opatsirana amatha kuchitidwa opaleshoni. Ndikofunika ngati mukuganiza kuti matendawa akufunika kuchipatala msanga, ndipo nthawi yowonjezereka yowonongeka imafika bwino pamene mavutowa amapezeka ndi kuthandizidwa mwamsanga.

> Zotsatira:

> Daines BK, Dennis DA, Amann S. "Kupewa kuteteza ma ARV m'thupi lonse" J Am Acad Orthop Surg. 2015 Jun; 23 (6): 356-64.

> Shirwaiker RA, Springer BD, Spangehl MJ, Garrigues GE, Lowenberg DW, Garras DN, Yoo JU, Pottinger PS. "Maganizo okhudza matenda opatsirana pogwiritsa ntchito matenda opatsirana pogonana komanso mavuto" J Am Acad Orthop Surg. 2015 Apr; 23 Suppl: S44-54.