Ọkpụkpụ n'ime nkwonkwo nwere ike ime ka mgbu na ọzịza
Hemarthrosis bụ okwu ahụike maka ọbara ọgbụgba na nkwonkwo. Mgbe ị nwere mgbu na ọzịza na otu njikọ (monoarticular), hemarthrosis bụ ihe kpatara ya.
Ọ bụ ihe na-akpata nchegbu ọ bụghị nanị n'ihi ihe mgbu ahụ, mana n'ihi na mmịnye ọbara ruo ogologo oge nwere ike imebi cartilage. Nnyocha e mere na vitamin (n'ime tube test) gosipụtara ọbara na-akpata ọnwụ nke mkpụrụ ndụ na-emepụta cartilage ma gbochie mmepụta nke cartilage components.
Nke a bụ nchegbu pụrụ iche maka ndị ọrịa ogbu na nkwonkwo, bụ ndị nweelarịrị ọkpụkpụ nke cartilage. Ọ bụkwa nchegbu maka ndị nwere hemophilia, ebe ọ bụ na ha nọ n'ihe ize ndụ nye hemarthrosis ma si otú ahụ nwee ihe ize ndụ maka mmebi na ọnwụ nke cartilage.
Kedu ka esi chọpụta Hemarthrosis?
Ọ bụ ezie na akụkọ nlekọta ahụike gị, nchọpụta ahụ na nchọpụta ima nwere ike inye aka n'ịmepụta nchọpụta nke hemarthrosis - ọ bụ ọchịchọ nkwonkwo ( arthrocentesis ) nke nwere ike inye nyocha ọhụụ. Dọkịta gị ga-achọ ịbanye nkwonkwo ya na nịịlị ma dọpụkwa mmiri njikọta ka a nyochaa ya, nke mbụ dọkịta gị ga-enyocha, kamakwa ọ ga-ezigara ya na laabu maka nyocha zuru ezu.
Mmiri nke jikọrọ ya na hemarthrosis bụ ọbara ọbara, pinkish ma ọ bụ brownish. Ụdị ọdịiche ndị ọzọ nke mmiri ọmụmụ nwere ike ịkọwa ihe kpatara akpata hemarthrosis gị.
Gịnị nwere ike ịkpata Hemarthrosis?
Enwere ọnọdụ dịgasị iche iche nwere ike ime ka hemarthrosis gụnyere:
- trauma - mmerụ ahụ ma ọ bụ mgbaji nke nkwonkwo nwere ike ime ka ọbara gbaba n'ime ya. Nmebi ma ọ bụ ịpịa ikpere nwere ike ịkpata ọrịa hemarthrosis na ọsọ ọsọ. N'ọnọdụ ụfọdụ, ọkpụkpụ ikpere ụkwụ na-ebute hemarthrosis, ọtụtụ mgbe kpatara nsogbu ọgbụgba ma ọ bụ nsogbu nkwarụ. N'ọnọdụ ndị ahụ, ọ nwere ike ọ gaghị ewe ọtụtụ ihe ọ bụla iji mee ka hemarthrosis pụta.
- ọrịa ọgbụgba - hemophilia ejikọtara na nnukwu hemarthrosis, na-agba ọsọ ngwa ngwa. A pụkwara ịhụ nke a n'ime ndị mmadụ na-agwọ ọrịa na-eme ka ndị nchịkwa dị ka aghafarin.
- nsogbu nyocha
- neoplasms (etuto ahụ) - ụbụrụ nwere ike imebi ọbara ọbara na nkwonkwo, gbakwunye na ọnyá nwere ike ịmalite ịmịnye ọbara ya ma nke a nwere ike ịkpata hemarthrosis.
- mbibi vascular
- Osteoarthritis - a na-ahụkarị ọrịa hemarthrosis na-adịghị ahụ anya na ndị ọrịa na-ahụkarị osteoarthritis, bụ nke na-ejikọta ya na mpempe akwụkwọ dị na mpi mpi nke meniscus.
Ọgwụgwọ Hemarthrosis
Ọgwụgwọ maka hemarthrosis dabere na ihe kpatara ya. Maka nnukwu mmerụ ahụ, enwere ike ịchọtara ọchịchọ n'ime ụbọchị abụọ nke ọbara ahụ iji gbochie nbibi ọbara nwere ike ime ka ọ bụrụ nkwonkwo. Na nnukwu hemarthrosis na hemophilia, a pụrụ inye ihe ndị na-ekpo ọkụ. A na-ejikarị nchịkwa na-egbu mgbu na nkwụsị-ice-compression (RICE) dịka ọgwụgwọ na-agbanwe agbanwe.
Maka ọrịa ogbu na nkwonkwo, ụfọdụ ndị ọrịa na-akọ na ha nwere hemarthrosis na-agbapụtaghachi mgbe ikpere aghara aghara aghara , ebe ndị ọzọ na-akọ na hemarthrosis na-aga n'ihu na ikpere.
Synovectomy (mwepụ nke nkwonkwo aka), maniscectomy na osteotomy ejirila nke ọma mee ihe mgbe ị na-emeso hemarthrosis.
Usoro ọzọ, nke a maara dị ka ọgbụgba, na-enye njedebe na njedebe nke ọrịa ahụ.
Ọ bụrụ na nke a emee gị, dọkịta gị ga-eme atụmatụ nyocha kwesịrị ekwesị ma nye gị ndụmọdụ.
Isi mmalite:
Hemarthrosis. Kwalitere ruo ugbu a. 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
Hemarthrosis na-adịghị ahụkebe na Osteoarthritis of the Knee Na Arthroscopic Ablation: A Case Report. Akwụkwọ Chugoku-Shikoku Orthopedic Association (2005).
Na-emechi hemarthrosis mgbe ikpere arthroplasty ejikọta: Etiology na ọgwụgwọ. Journal of Arthroplasty (2004).
Ames PR, Maffulli N, Capasso G, Brancaccio V. "Nke kachasị njọ trauma ikpere hemarthrosis." Bull Hosp Jt Dis. 1996; 54 (4): 258.
Kawamura H, Ogata K, Miura H, Arizono T, Sugioka Y ". Akwụsịtụ hemarthrosis nke ikpere na ndị agadi: etiology na ọgwụgwọ." Arthroscopy. 1994, 10 (2): 171.
Roosendaal G, Vianen ME, Marx JJ, van den Berg HM, Lafeber FP, Bijlsma JW "Ọbara-emegide mmebi mmekọrịta: nnyocha mmadụ in vitro." Rheum Arthritis. 1999; 42 (5): 1025.
Mindy L. Simpson, MD; Leonard A. Valentino, MD. "Nchịkwa nke Ngwakọta Na Na Na Na Hemophilia: Nchịkwa nke nnukwu Hemarthrosis." Medscape Ọdịiche. 09/20/2012