Hemarthrosis bondo olowa. chithandizo

Hemarthrosis otchedwa hemarthrosis. Nthawi zambiri matenda isanafalikire mu bondo, ngakhale pali milandu zotupa za dzanja, m'zigongono, m'miyendo, ntchafu olowa. hemarthrosis bondo olowa amakhala ndi ndondomeko ankawachotsera wa ukuwonjezeka olowa kuchuluka kwa ululu, zochepa kuyenda. magazi yaitali kuyambira pa kapisozi limodzi lomwe yekha wagundika ululu. Pamene pali fluctuation wa palpation olowa (fluctuation). Mkati mitu olowa kungakhale makombo a chichereŵechereŵe kapena meniscus wosweka. Khungu kuphimba olowa, kawirikawiri amakhala ndi mtundu bluish ndi mantha.

Hemarthrosis wa bondo chifukwa cha kuvulala: mikwingwirima, fractures, sprains, kuvulala, meniscus, olowa kapisozi utaphulika.

Pamene makope hemarthrosis magazi ndi kumawonjezera kuthamanga mkati olowa. Kutha kwa maselo magazi kusokoneza minofu ozungulira, kusintha makhalidwe ake ndi katundu. ndondomeko ikuyamba ndi kusintha yosalala chichereŵechereŵe pakalibe chithandizo olowa akhoza kugwa kwathunthu. Mu olowa amayamba minofu yovulazidwa kuti chimamangirira ndipo kumayambitsa zochitika sizingasinthe.

Ngati si ikuchitika mankhwalawa bondo hemarthrosis ukhoza kupita mu siteji aakulu ndi chitukuko wotsatira wa synovitis, yodziwika ndi kudzikundikira mu effusion olowa. Mu nkhani ya matenda kukhudzana amapezeka purulent synovitis, limodzi ndi kuwuka mu kutentha.

Hemarthrosis wa olowa bondo kuchitiridwa zikuphatikizapo njira zingapo amafuna chithandizo yake kwa dokotala. Mukapita ku chipatala zizindikiro oyambirira a matenda, n'zotheka kupewa olowa kulephera kuyenda ndi zotheka mavuto aakulu.

hemarthrosis mankhwala kuchotsa magazi kuchokera lavage olowa ndi dosing wosakwatiwa, kuchotsa magazi, kutupa ndi ululu.

The njira ambiri ndi kuchititsa puncture, kuchotsa magazi ndi yoyendetsa anzake a hydrocortisone kapena Kenalogum, amene kutupa m'malo olumikizirana mafupa komanso kuchepetsa ululu. Ndondomeko anachita pansi mankhwala oletsa ululu pamalopo. Magazi achoka ndi syringe limodzi lomwe anadzetsa M'mimbamo ake singano woonda. Kenako, kuthamanga olowa bandeji ntchito mphete za masabata awiri kapena atatu. Zinthu zimenezi ziyenera kuperekedwa nthawi yomweyo atalandira magazi, ndiye zotheka kukonzanso wodzala sayenda ndi kuteteza limodzi wathanzi. A sangathe wa zimenezi ndi kulenga makhalidwe oipa mu M'mimbamo olowa, zikubweretsa resumption magazi. Komanso, kuchotsa syringe magazi si wathunthu, tingayambe kuwonongeka kwa Mitsemphayi ndi chichereŵechereŵe chifukwa chitukuko cha ntchito antigenic. Makamaka kukha mwazi poyamba ankachita bwino. Mobwerezabwereza milandu haemarthrosis kovuta kuchiza, chifukwa Mitsemphayi ndi chichereŵechereŵe kakusintha kusintha osachiritsika.

Pali njira ina puncture. Mu olowa choyamba cha outputted gawo lalikulu la magazi, ndiponso mankhwala ndiye kutumikiridwa osamba mu puncture chomwecho. Kenako latsopano puncture singano ndi ina aspirated madzi anayambitsa kwa rinsing. Pa achire madzimadzi m'chiuno olowa zozungulira zotanuka bandeji, ndi olowa ndi kamodzi masingano awiri. ndondomeko kumatenga nthawi yaitali ngati mmene madzi yotengedwa olowa sadzakhala magazi zosafunika. Kenako, kutsogolera-kunja singano chikutha ndi singano ndi anaika mankhwala ena zotchulidwa dokotala. Pambuyo pake, olowa umagwiritsidwa kufinya bandeji. Njira imeneyi akhoza kuchepetsa mosavuta makhalidwe oipa ndipo kumachepetsa kuthekera kukonzanso magazi.

Pambuyo puncture ayenera kuyenda pa ndodo, kuti kudalira pa mwendo anavulala.

Mmene angakhalire ndi kuthamanga hemarthrosis? Chithandizo tichipeza prosthesis limene pali m'malo a olowa yokumba. prosthesis ndi zopangwidwa kuchokera ku zipangizo yogwirizana ndi zimakhala wamoyo, mwachitsanzo wa aloyi titaniyamu ndi Teflon, amene sanakukane ndi thupi.

Pofuna kupewa magazi ntchito mankhwala kuti kusintha magazi clotting.

Kuti hemarthrosis wa bondo sizinachitike, nthawi zonse muyenera kukhala osamala pamene muzichita ndi kuteteza mafupa.