Kusamba kwachilendo kosazolowereka kapena kozungulira
Kuphatikizana kumodzi ndi kusakanizidwa kwachilendo kwa madzi mkati kapena pafupi. Mwinamwake mwamva mawu akuti "madzi pa bondo" kapena "madzi pamadolo," onse awiri omwe amafotokoza kuwonongedwa kwa mawondo a bondo.
Kugwiritsidwa ntchito kwapadera kumatanthauza kuti chifukwa chake sichigwirizana ndi matenda a bakiteriya. Pachifukwa ichi, matenda a tizilombo, kuvulazidwa mwakuthupi, kapena nyamakazi zingakhale zolakwa.
Kugwedeza kwa Septic kumatanthawuza mosiyana ndipo kumagwirizana ndi matenda (kuphatikizapo sepsis ).
Pamene mgwirizano umakhudzidwa ndi kutupa kwa nyamakazi , chimangidwe cha madzi sichizolowezi. Izi zikachitika, mgwirizanowo udzawoneka kutupa ndipo kawirikawiri udzaphatikizidwa ndi ululu, kufiira, kutentha, ndi kuchepa kwa kuyenda .
Kusanthula thupi
Ngati mgwirizano ndi wotupa, dokotalayo adzifufuza kuti adziwe ngati kutupa kwa minofu kumakhala kwachiwiri kapena ngati minofuyo ikuwombera. Ndizosiyana kwambiri koma zomwe zingathandize kusiyanitsa pakati, kunena, matenda ndi matenda opweteka omwe zimakhudzidwa ndi dothi.
Dokotala adzalumikiza (kuganizira mozama) mgwirizano wokhudzidwawo. Izi zingatiuze zinthu zingapo:
- Ngati kutupa kumagwirizana ndi nyamakazi, minofu yonyamulira pakati pamalumikizi, yotchedwa synovium , idzadziwika. Kuwonjezera apo, kutupa kumayamba kudzakhala pang'onopang'ono (kupatulapo gout ingagwire mwadzidzidzi ndipo imakhudza chachikulu chala chachikulu).
- Matendawa nthawi zambiri amadziwika ndi kutupa, kupweteka, kutentha thupi, komanso kusakhoza kusuntha.
- Kutupa kwakukulu pamodzi ndi kulephera kulemera (popanda kapena kuvulaza) kungapangitse kugwedeza kapena kugwedezeka.
Ultrasonography nthawi zambiri amagwiritsidwa ntchito kuthandizira kupeza matenda. Pamapeto pake, mochulukitsa kuti dokotala amatha kufotokozera chikhalidwechi, ndiye kuti chithandizo choyenera chidzaperekedwa.
Kusakanikirana kofanana pa X-ray
Ngakhale kutayidwa kofanana sikudziŵika pa X-ray, pali zizindikiro zomwe zingathandize kuthandizidwa. Mwa iwo:
- Pogwiritsa ntchito mawondo , mawonekedwe ake amaoneka ngati ozungulira, omwe amakhala pakati pa chifuwa chafupa (femur) ndi minofu ya quadriceps ya ntchafu.
- Pogwiritsa ntchito chigoba , minofu yambiri yotupa idzachotsa phala la mafuta limene limayang'ana pansi pa fupa la mfupa (humerus) ndipo imaoneka ngati "chizindikiro chombo".
- Mazira a hi, mosiyana ndi ena omwe amagwiritsidwa ntchito, ndi osatheka kuwona X-ray ndipo nthawi zambiri amafunikira ultrasound, computed tomography (CT) scan, kapena scanning magnetic resonance (MRI) .
Kuzizira Kwambiri Zamadzimadzi
Dokotala wanu angayambe kufuna aspirate (kukhetsa) madzimadzi kuchokera kumtengowo wothandizira kuti athetse vuto. Ngati matendawa akugwiritsidwa ntchito, dokotala akhoza kuyambitsa cortisone pang'ono mumphindi kuti achepetse kutentha ndikuletsa madzi kuti asamangidwe.
Cholinga cha madzimadzi chingathandizenso kudziwa chomwe chimayambitsa matendawa. Mankhwalawa amadziwika bwino kwambiri ndi mavitocity a dzira loyera. Kusintha kulikonse mu mawonekedwe ake kapena mawonekedwe kungapereke chitsimikizo cha chifukwa cha kusokoneza.
Mwachitsanzo:
- Mvula yamtambo imatha kusonyeza nyamakazi ya nyamakazi . Kufufuza kwa labu nthawi zambiri kumasonyeza maselo oyera a chitetezo (kuposa 2,000 pa cubic millimeter).
- Mdima wobiriwira kapena wamtambo ungatanthauze matenda kapena sepsis. Maselo oyera a m'magazi adzalongedwanso (oposa 20,000 pa cubicmeter). Zotsatira za pus zingaoneke.
- Madzi amchere amapezeka ndi gout. Kuyeza kwa microscopic nthawi zambiri kumawulula singano ngati makristasi a monosodium urate.
- Madzi amagazi kapena pinki nthawi zambiri amawoneka ndi kuvulala pamodzi. Mayesero a Lababu amavomereza chiwerengero chofanana cha maselo ofiira ndi oyera.
- Kuthetsa madzimadzi kumawoneka ndi osteoarthritis chifukwa sichikuphatikizapo kutupa kulikonse. Kuchuluka kwa maselo oyera a magazi kumakhala pansi pa maselo 2,000 pa cubic millimeter.
Chithandizo
Pomwe madzi ophatikizanawa atayidwa, mankhwala osakanikirana ndi othandizira (anti-inflammatory drugs) (NSAIDs) ndi kuperewera kwachisawawa adzatchulidwa ngati chithandizo choyenera cha aseptic effusion. Ngati pangakhale mankhwala osokoneza bongo, mankhwala opha majeremusi angafunikire kuuzidwa.
> Zotsatira:
> Gupta, C. ndi St. Mart, J. "Bondo lotupa kwambiri: matenda ndi matenda." J Royal Soc Med. 2013; 106 (7): 259-68. DOI: 10.1177 / 0141076813482831.
> Marx, J. (2010). Matenda a Rosen's Emergency Medicine: Maganizo ndi Zipangizo Zamakono (Gulu lachisanu ndi chiwiri). Philadelphia, Pennsylvania: Mosby / Elsevier. ISBN 978-0-323-05472-0.