Ukuhlaziywa kwe-Synovial fluid

Ukuhlaziywa kwe-Synovial fluid yiqembu lezivivinyo ezihlola uketshezi oluhlangene (i-synovial). Ukuhlolwa kusiza ukuxilonga nokwelapha izinkinga ezihlobene ngokuhlanganyela.

Isampula ye-synovial fluid iyadingeka kulolu vivinyo. Uketshezi lweSynovial imvamisa luluketshezi olujiyile, olunombala wotshani olutholakala ngamanani amancane ezinhlakeni.

Ngemuva kokuhlanzwa kwesikhumba esizungeze ilunga, umhlinzeki wezokunakekelwa kwezempilo ufaka inaliti oyinyumba esikhunjeni nasendaweni evulekile. Uketshezi lube seludonswa ngenaliti luye kusirinji oyinyumba.

Isampula loketshezi lithunyelwa elabhorethri. Uchwepheshe waselebhu:

• Ihlola umbala wesampula nokuthi ucace kanjani
• Ifaka isampula ngaphansi kwesibonakhulu, ibala inani lamangqamuzana egazi abomvu namhlophe, futhi ibheke amakristalu (esimweni segciwane) noma amabhaktheriya
• Kukala i-glucose, amaprotheni, i-uric acid, ne-lactate dehydrogenase (LDH)
• Kukala ukuhlushwa kwamaseli kuketshezi
• Uhlakulela uketshezi ukubona ukuthi kukhona yini amabhaktheriya akhulayo

Ngokuvamile, akukho ukulungiselela okukhethekile okudingekayo. Tshela umhlinzeki wakho uma uthatha igazi elincanyana, njenge-aspirin, i-warfarin (i-Coumadin) noma i-clopidogrel (i-Plavix). Le mithi ingathinta imiphumela yokuhlolwa noma ikhono lakho lokuhlola.

Kwesinye isikhathi, umhlinzeki uzoqala ngokujova umuthi onamafutha esikhunjeni ngenaliti encane, ezoluma. Kusetshenziswa inaliti enkulu ukukhipha uketshezi lwe-synovial.

Lokhu kuhlolwa kungadala ukungaphatheki kahle uma ichopho lenaliti lithinta ithambo. Inqubo ivame ukuhlala ngaphansi kwemizuzu engu-1 kuya kwemibili. Kungaba yinde uma kunesilinganiso esikhulu soketshezi esidinga ukususwa.

Isivivinyo singasiza ukuxilonga imbangela yobuhlungu, ububomvu, noma ukuvuvukala kwamalunga.

Kwesinye isikhathi, ukususa uketshezi kungasiza ekunciphiseni ubuhlungu obuhlangene.

Lokhu kuhlolwa kungasetshenziswa lapho udokotela wakho esola:

• Ukopha ejoyintini ngemuva kokulimala ngokuhlanganyela
• I-Gout nezinye izinhlobo zesifo samathambo
• Ukutheleleka ngokuhlanganyela

Uketshezi oluhlangene ngokungajwayelekile lungabukeka lunamafu noma lujiyile ngokungavamile.

Okulandelayo okutholakala kuketshezi oluhlangene kungaba uphawu lwenkinga yezempilo:

• Ukulimala kwegazi ejoyintini noma inkinga yokopha umzimba wonke
• Ubuthi - ukutheleleka ejoyintini
• Uketshezi oluhlangene kakhulu - i-osteoarthritis noma uqwanga, umgudu, noma ukulimala kwe-meniscus

Izingozi zalesi sivivinyo zifaka:

• Ukutheleleka kokujoyina - okungavamile, kepha okuvame kakhulu ngezifiso eziphindaphindwayo
• Ukopha esikhaleni esihlangene

Amaphakethe e-ice noma abandayo angafakwa ejoyintini amahora angama-24 kuye kwangama-36 ngemuva kokuhlolwa ukunciphisa ukuvuvukala nobuhlungu obuhlangene. Ngokuya ngenkinga ngqo, ungaqala kabusha imisebenzi yakho ejwayelekile ngemuva kwenqubo. Khuluma nomhlinzeki wakho ukunquma ukuthi imuphi umsebenzi ofanele kakhulu kuwe.

Ukuhlaziywa oketshezi okuhlangene; Isifiso esihlangene soketshezi

• Isifiso esihlangene

U-El-Gabalawy HS. Ukuhlaziywa kwe-Synovial fluid, synovial biopsy, kanye ne-synovial pathology. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, abahleli. Incwadi kaKelley noFirestein yeRheumatology. Umhlaka 10. IPhiladelphia, PA: Elsevier; I-2017: isahluko 53.

I-Pisetsky DS. Ukuhlolwa kwelabhoratri ezifweni zamathambo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 257.