Ubuhlungu obukhulu kunye nokuvuvukala kwamadolo kungabonisa ukuba kwakukho umbane ogqithiseleyo emadolweni. Isifo esibizwa ngokuba yi-synovitis, oko kukuthi, ukuvuvukala kwimbumba ye-synovial yamadolo, kuyingozi kakhulu.
Iimbangela zokusetyenziswa kwamanzi emadolweni
Ukuqokelelwa kwamanzi emzimbeni kufakwe ngokuqhelekileyo kwaye kunokubangela ezininzi. Ukuze uwaqonde, kubalulekile ukufumanisa ukuba luhlobo luni lwamanzi kunye nokuthi lufike njani emadolweni.
Ixolo elidityanisiweyo likhulu kunomzimba womntu, kuba inomthwalo onzima. Le nto ebalulekileyo yomzimba wethu ikhuselwe yimbumba ekhethiweyo engabonakaliyo kunye neyomeleleyo ye-synovial, i membrane. Phakathi kwalo kunye nokudibanisa ngokwawo kukho umbane osebenzayo othoba igalelo xa ewa ngenxa yokungcolisa kunye nokuvimbela ukuxubana kwamalungu athileyo. Kwenzeka ukuba olu lukhuni kumadolo luphantsi kunyanzelekile. Kule meko, ingozi ye-arthrosis kunye neengubo ezikhawulezayo zendibano yodolo zonyuka. Ukuba kukho utywala obukhulu emadolweni, umntu uqala ukuva ubunzima obukhulu kunye neengozi zokutshiswa kwebhanki ye synovial.
Isizathu sokunyusa inani le-synovial fluid zizinto ezinjalo:
- ukulimala kwamadolo;
- ukwandiswa kwemisebenzi yemoto kunye nokuxininisa kwintsebenziswano;
- i-supercooling;
- isifo samathambo;
- usulelo lwe ntsho longwane;
- ukuqokelela kweemveliso ezixubileyo (urea) kwibhantshi;
- isifo se-arthritis esibangelwa ukuqokelela isifo sofuba, isifo segazi, i-chlamydial bacteria, staphylococci kunye nezinye izilwanyana ezincinci;
- rheumatism;
- i-rheumatoid arthritis ;
- impembelelo.
Ngokuxhomekeka kwizinto ezibangela ukuba isifo kunye nendlela esiqhubeka ngayo, ukubunjwa kwe-synovial fluid ehlanganiseni ngamadolo kungahluka. Ngoncedo lokubanjwa, inxalenye ethile yezinto eziphathekayo ithathwa ukuhlalutya. Oku kusenza sikwazi ukubona uhlobo lwe synovitis:
- ukuvuvukala kwe-aseptic (i-liquid clear without bacteria);
- ukuvuvukala okuxhasayo (ezincinci ezincinci);
- ukukhulelwa komzimba (i-epithelial lesion igxininiswe nayiphi na imicimbi ye-immune).
Iimpawu zokubuthelwa kwamanzi emadolweni zidibaniso ezibuhlungu kunye nokuvuvukala emadolweni. Izizathu zesifo asichaphazeli ukubonakaliswa kwayo.
Ukuxubha kwamanzi okuphuma kumxolo kwenzeka njani?
Kuze kube yimhla, indlela ephambili yokunyanga isigulo kukuba kususwe umkhuhlane ukusuka emadolweni ngokudibeneyo. Oku kusebenza ngokulula, kaninzi kwenziwa ngaphandle kokusetyenziswa kwe-anesthesia. Ugqirha uyifake ngokucophelela isirinji engenanto kwindawo ethile ye patella kwaye uyayigcwalisa nge-synovial fluid. Kwixesha elizayo, unyango luya kuxhomekeka ekubeni ingaba igazi, ipus, okanye i-clouding zifunyenwe ngexesha locingo. Kungakhathaliseki ukuba iziphumo, isiguli siya kuboniswa ukuphumla okupheleleyo kwiintsuku ezimbalwa ezizayo. Kwakhona, ugqirha unokwenza izinto ezongezelelweyo, umzekelo:
- Ukuzisa i-intra-articular agent ye-antimicrobial.
- Ukuzisa isilwanyana esisi-intra-articular anesthetic .
- Nika i-non-steroidal okanye i-stteroidal anti-inflammatory drugs ngendlela yamacwecwe, iigel, ioli.
Ukongezelela, ukushisa oomileyo, ukuxinwa kunye nezinye iindlela zinganconywa ukuba isigulane siphumelele ukusebenza ngokuqhelekileyo kokubambisana. Amaxesha amaninzi amiselwa ngamachiza okulwa ne-antibacterial and resorptive drugs. Ungayihoxisi ukuqokelela kwamanzi kwimeko nayiphi na into engenakwenzeka, kuba kunokukhokelela ekulahlekelweni okupheleleyo komsebenzi wamagolo. Ekuqaleni uqala ukuphatha i-synovitis, ngokukhawuleza kuya kuphelisa.