Amanzi emadolweni: izimpawu nezinketho zokwelashwa
-Delile
- Izimpawu zamanzi emadolo
- Ukwelashwa ukususa amanzi emadolweni
- 1. Amakhambi
- 2. I-Physiotherapy
- 3. Ukuhlinzwa
- 4. Ukwelashwa ekhaya
Amanzi emadolweni, ngokwesayensi abizwa nge-synovitis emadolweni, ukuvuvukala kolwelwesi lwe-synovial, isicubu esilinganisa idolo ngaphakathi, okuholela ekwandeni kwenani le-synovial fluid, futhi okuholele kwizimpawu ezinjengobuhlungu, ukuvuvukala nobunzima ukunyakaza. Amanzi emadolweni ayelapheka kanti ukwelashwa kwawo kubandakanya ukuphumula, i-physiotherapy, ukusetshenziswa kwemithi futhi, kwezinye izimo, ukuhlinzwa.
Ukuqoqeka kwamanzi emadolweni kungadalwa ukushaywa ngamadolo noma yizimo ezinjengokuhlukumezeka okuqondile, okuyilapho umuntu eguqa khona ngamadolo phansi noma ngemuva kweqakala eligobekile, kepha kungavela futhi uma kwenzeka izifo ezingalapheki ezifana nesifo samathambo, isifo samathambo noma isifo samathambo, i-gout, i-hemophilia, uhlobo lokuphindaphinda.
Uketshezi lweSynovial luwuketshezi oluthambisa olukhona edolweni, olubalalele noma ophuzi ngokukhanyayo ngombala. Inani lalo lihluka phakathi kuka-2 kuye ku-3.5 ml kepha uma kwenzeka i-synovitis leli nani lingafinyelela kuma-20, 40, 80 ngisho ne-100 ml edala ubuhlungu bokungaphatheki kahle.
Izimpawu zamanzi emadolo
Izimpawu ze-synovitis emadolweni zivela ngenxa yokwanda kwe-synovial fluid ngaphakathi kwaleyojoyinti, okubangela:
- Ubuhlungu emadolweni;
- Kunzima ukuhamba nokwelula ngokugcwele umlenze;
- Ukuvuvukala edolweni;
- Ubuthakathaka bethambo nemisipha yomlenze.
Uma lezi zimpawu zikhonjwa, lowo muntu kufanele aye kudokotela wamathambo ayohlolwa. Udokotela angenza ukubhoboza uketshezi lwe-synovial ngokususa ingxenye yala ‘manzi emadolo’ bese eyithumela ekuhlolweni kwelabhorethri ukukhomba ukuthi ngabe kukhona yini ushukela noma ukwanda kwamaprotheni noma amasosha omzimba kulolo ketshezi.
Ukwelashwa ukususa amanzi emadolweni
Ukwelashwa kwamanzi emadolweni kuboniswa ngudokotela wamathambo ngokusho kwezimpawu zomuntu kanye nenani loketshezi oluqoqwe emadolweni ngenxa yokuvuvukala. Ngakho-ke, ezinye izindlela zokwelashwa yilezi:
1. Amakhambi
Ukwelashwa kwe-synovitis emadolweni kuqala ngokusetshenziswa kwezidakamizwa ezilwa nokuvuvukala, i-corticosteroids (ngomlomo noma ngomjovo), kulandele ukwelashwa ngokomzimba. Kwezinye izimo, udokotela angasusa uketshezi oluningi lwe-intra-articular ngokusebenzisa ukubhoboza.
2. I-Physiotherapy
Ngokuqondene nokwelashwa kwe-physiotherapeutic, i-electrotherapy izoba yingxenye ebalulekile yokwelashwa, njengoba kuzoqina nokuqina kwemisipha. I-Ultrasound, i-TENS, yamanje enezigaba kanye ne-laser ngezinye zezibonelo zamadivayisi akhonjiswa ekwelashweni kwe-physiotherapeutic ye-knee synovitis, ngaphambi noma ngemuva kokuhlinzwa.
3. Ukuhlinzwa
Ukuhlinzwa kuboniswa esimweni se-synovitis engapheli, lapho ubuhlungu bamadolo buhlala isikhathi esingaphezu kwezinyanga eziyisithupha ngenxa yesifo samathambo noma isifo samathambo, kungabi ncono ngemithi, i-physiotherapy noma ukubhoboza. Ukuhlinzwa kungenziwa ngendlela evulekile noma nge-arthroscopy futhi kuqukethe ukususa ingxenye enhle yezicubu ze-synovial futhi uma i-menisci nayo ithintekile, ingasuswa futhi.
Ngemuva kokuhlinzwa, umlenze ubhandishwe amahora angama-48 umlenze uphakanyisiwe ukulwa nokuvuvukala, futhi kunconywa ukuhambisa izinyawo ukugwema i-vein thrombosis ejulile. Bona ukuthi ukutakula kusuka ku-arthroscopy.
Emahoreni angama-73 ngemuva kokuhlinzwa ungaqala ukuhamba ngezinduku futhi ungaqala izivivinyo ze-isometric, ngaphandle kokunyakaza kwedolo, futhi njengoba umuntu ethuthuka, ungaqala ukuzivocavoca ngokugoba idolo nokusebenzisa izinsimbi, njalo ngaphansi kokuqondiswa yi-physiotherapist . Isikhathi sokubuyiselwa kwalokhu kuhlinzwa cishe amasonto ayisithupha kuya kwayisishiyagalombili, ekuhlinzeni okuvulekile, nasezinsukwini eziyi-7 kuya kwezingu-10, uma kwenzeka i-knee arthroscopy.
4. Ukwelashwa ekhaya
Ukwelashwa okuhle ekhaya ukukhipha amanzi emadolweni kuqukethe ukubeka isikhwama samanzi abandayo phezu kwejoyini elivuvukile nelibuhlungu, amahlandla ama-3 kuye kwayi-4 ngosuku. Ukwenza lokhu vele uthenge isikhwama sejel ekhemisi noma esitolo sezidakamizwa usishiye efrijini amahora ambalwa. Uma iqandisiwe, bopha ngamathawula wephepha bese ubeka ngqo emadolweni, uvumele ukusebenza imizuzu engaba ngu-15 ngesikhathi.
Isikhathi esiningi akunconywa ukubeka ibhodlela lamanzi ashisayo emadolweni, kuphela ngaphansi kwesincomo sikadokotela noma se-physiotherapist.
Ukuzivocavoca okuhle ukulala ngomhlane bese ugoba umlenze wakho kumkhawulo wezinhlungu, okuyiphuzu lapho liqala ukukuhlupha khona, bese welula futhi. Lokhu kuhamba kufanele kuphindwe izikhathi ezingaba ngu-20, ngaphandle kokucindezela umlenze kakhulu, ukuze kungakhuphuli ubuhlungu.