Synovitis we ngokuhlanganyela iqakala: ukwelashwa, izibuyekezo, izithombe, izizathu

Synovitis iqakala - inqubo lwamalunga igobolondo ngokuhlanganyela ukuvuvukala esibonakala ngokuba ukwakheka effusion (uketshezi begazi) ngaphakathi iqakala. Kukhona zokugula okunjalo akukhona ngokuvamile. Ezimweni eziningi, ngokuhlanganyela eyodwa kuphela ethintekayo. Uma usizo lwezokwelapha inikezwa ngesikhathi, ukuhamba esitho engezansi siya siba sibi kakhulu. Uhlamvu effusion lincike ohlotsheni zokugula.

izimbangela

Synovitis we ngokuhlanganyela iqakala singenzeka ngenxa lezi zinto ezilandelayo:

• Ukuphuca evulekile noma avaliwe ukulimala, Ukwenyela, amagciwane noma ukulimala.
• Specific ukusabela sokuhlasela kwamasosha omzimba ukuba nomfutho.
• I-Arthritis, arthrosis.
• Ukucasuka we lwamalunga ulwelwesi ukuchayeka uqwanga ukuthi kushintshiwe.
• Suppuration hematomas.
• Okungalapheki foci ezithathelwanayo.
• Ukungasebenzi kahle isimiso sezinzwa futhi innervation we ngokuhlanganyela.
• Endocrine kwezinso.
• Hit igazi ukuhambisana (hemophilia).
• Sepsis.
• ukusonteka Static we ngokuhlanganyela.
• Azalwa naso isakhiwo okungavamile kwalapho.
• A ababuthakathaka izivikeli mzimba.
• Ubuthakathaka bemisipha (azalwa naso noma bathenga).

Njengoba ubona, synovitis we iqakala kungenzeka ukuhlukumeza kancane ukusebenza evamile umzimba.

izinhlobo zokugula

Lesi sifo kungenziwa labizwa ngokuthi elandelayo:

1. ngu uhlobo inqubo sokugembula:

- Aseptic. Kulokhu, uketshezi ayitholiwe khona namagciwane abangela izifo.

- Igciwane. Lapha esikhathini samanje effusion kwamagciwane abangela ukuvuvukala ethize.

- synovitis esisheshayo we ngokuhlanganyela iqakala. He is uhlobo Ukusabela ezintweni nomzimba.

2. Uhlobo isifo:

- olunamandla. Kulokhu, synovitis we ngokuhlanganyela iqakala libhekene izimpawu libizwa. Ngokuvamile sibangelwa ngenxa ukuhlukumezeka noma lesion ezithathelwanayo.

- Okungalapheki. Lapha zokugula kwenzeka ngenxa nokunwetshiwe ukuba izici ezimbi.

3. uhlobo isifo effusion simiswe ngalendlela lelandzelako:

- oluhambisana. It libhekene khona igazi e uketshezi lwamalunga.

- Serous. Effusion ecacile, nakuba inenani eliphezulu amaseli.

- pyo. Uketshezi elinesimo tint ogqamile futhi nephunga ezingemnandi kuba turbid.

- serous-fibrous. Kulokhu, lo effusion ine viscosity anda ngenxa Imicu yotshani fibrotic.

symptomatology zokugula

Synovitis we ngokuhlanganyela iqakala - izizathu ukuthuthukiswa yayo uke wacabanga kakade - ebonakaliswa ngezindlela ezahlukene, kuya ngohlobo futhi uhlobo lesi sifo. Izimpawu ezivame kakhulu yilezi:

1. Ukungakhululeki ngesikhathi palpation we ngokuhlanganyela, emizweni ezingemnandi ukufuduka uketshezi.
2. Ububomvu kwesikhumba on endaweni ethintekile, kanye nokwenyuka kwezinga lokushisa lendawo kuso.
3. Kushelele wabuka ahlangene ukubukeka ukuvuvukala futhi edema.
4. Ubuhlungu ngokuhlanganyela ethintekile, okungase kube yashubisa ngesikhathi ukunyakaza.

Uma synovitis we iqakala (isithombe ozibona sihloko) Uyinhloboni ezithathelwanayo, khona-ke kwangathi kakade abonisa lapho izimpawu zokudakwa: imfiva, ukwanda izinga lokushisa jikelele, ukungakuthandi ukudla, ukujuluka kanye nobuthakathaka.

Kumele kuqashelwe ukuthi ifomu okukhulu sifo ukuzibonakalisa ngokukhanyayo. Ngokuphathelene Yiqiniso okungamahlalakhona, it libhekene izinkathi exacerbation kanye nabo bonke abanye ukuthi ulandele nomunye.

Izici of sitholakele isifo

synovitis we iqakala ukwelashwa ngokuhlanganyela kumele okuqalwe ngemva nje kokuthi i ukusazi ngokunembile isifo esikuphethe senziwa. Ukuze wenze lokhu, qiniseka ukuthi uxhumane nodokotela wakho, ngubani uzoqoka izifundo ezilandelayo:

• Ukuhlaziya igazi, okungase kuboniswe ukwandisa ezimhlophe cell segazi. Lokhu kuyokunika ithuba ukufakazela ukuba khona kwamandla i ukuvuvukala.
• luhlolo histological we effusion, okuzokwenza ukunquma uhlamvu yayo.
• X ray. Akusikho futhi ulwazi, kodwa ngeke ukunikeza ithuba sizocabangela izinguquko ekuphakameni isakhiwo emalungeni. Okungukuthi, kuyoba lula ukuthola imbangela lesi sifo.
• CT noma i-MRI ukuhambisana. Lezizifundo sizoxoxa ngokuhlanganyela ngokuningiliziwe esiphezulu.

Ngenxa uphethwe efanele kudokotela angakunika umuthi ukwelashwa okufanele.

Yini yezinkinga singenzeka?

Uma bayalimala, noma kukhona isifo emzimbeni, bese ungakwazi ukuthuthukisa synovitis we ngokuhlanganyela iqakala. Ukwelashwa (ukubuyekezwa amalungiselelo okwelapha kanye zokupheka kazwelonke zinhle kakhulu) kuyokwenzeka ngokushesha ukuqeda zokugula futhi ukuba sigweme imiphumela. Nokho, ukuntuleka zokwelapha kungase kumkhathaze ukubukeka yezinkinga:

1. Ngokuhamba kwesikhathi, ukuhamba nasemilenzeni aphansi siba sibi.
2. Uma ukuvuvukala kuqala ukuyithonya kwezicubu ezizungezile kanye nemisipha, kungaba razitsya panarthritis futhi periarthritis.
3. Uma effusion ama-bacterium, ukuntuleka ngelashwe ukuthuthukisa izifo ezifana nesifo sokuqaqamba kwamalunga suppurative.
4. Imvelo ezithathelwanayo lesi sifo kuphakamisa ujenene yegazi elinobuthi - sepsis, okungaba yingozi kubantu.

Ukungabi khona ukwelashwa okugcwele oluphelele kuzoholela ukukhubazeka engelapheki. Ikakhulukazi uma kukhona izinguquko emalungeni.

zokwelapha ezivamile

Ngakho uma kwatholakala ukuthi nginesifo synovitis we iqakala ngokuhlanganyela, ukuphathwa sihlinzekela ukuqaliswa manipulations ezifana:

• Needling ukuhambisana ngayo nefunda ngayo hhayi kuphela exudate eqoqwe ukuhlaziywa okwalandela, kodwa futhi iqondiswa izinto elwa namagciwane.
• Immobilization we iqakala usebenzisa ngebhandeshi Friend noma imbande. Lokhu kuzokwenza umlenze ukuqinisekisa lokuphumula okuphelele. traffic Extra ngeke ukuletha ubuhlungu, kodwa futhi ukuyithukuthelisa ukunwetshwa ukuvuvukala.
• Ukusetshenziswa non-steroidal izidakamizwa eqeda ukuvuvukala, "Nimesulide", "Diclofenac". Abenzi kuphela ukwehlisa izimpawu yenqubo sokugembula, kodwa futhi ukuba inciphise zabelwe exudate.
• Glucocorticosteroids, uma effusion ngokuhlanganyela aqoqana esiningi, futhi ubuhlungu unamandla kakhulu. Kulokhu, indlela "Dexamethasone".
• Ukwelashwa amafomu ezingamahlalakhona zokugula eyenziwa ukusetshenziswa enzyme inhibitor "Contrycal".
• Imithi elwa namagciwane ngoba ifomu esithathelanayo "Azithromycin".
• Physiotherapy zokukhwabanisa: UHF, electrophoresis.
• Usebenzisa esikhathini nokuvuselelwa.

Inkambo egcwele yokwelapha izonikeza ithuba ukwelapha ngokuphelele egunjini lokuhlolwa kwezifo.

Izici yokwelashwa kuhlinzwa

Uma yokwelapha izidakamizwa akukuniki umphumela kulindeleke, futhi lesi sifo sibe sibi, i-Udokotela angase anikeze isiguli ukuhlinzwa. Ngokwemvelo, kufanele kwenziwe nge umonakalo ubuncane. Ngaphezu kwalokho, ukusebenza - kuyinto ngesilinganiso kakhulu.

Phakathi ukungenela isihlanganisi livulekile, ingaphakathi yayo ngokuphelele bahlanza amahlule, ubomvu, imizimba angaphandle (uma kwehlukana ukulimala yatholwa). Ngaphezu kwalokho, synovium ngokuhlanganyela avuvukele sisuswa futhi ezilimele uqwanga.

Ngemva kokuhlinzwa isiguli kufanele ibhekane inkambo izinqubo nokuvuselelwa ukuthi uyobuyisela ukusebenza okugcwele ngokuhlanganyela. Izinsuku zokuqala emlenzeni kwakuyodingeka ukugqoka ukukhiya ekhethekile - umkaki. Ngokulandelayo, isiguli libonisa Physiotherapy, massage and yokuzijwayeza ekwelapheni.

Izici yokuphathwa kazwelonke

Uma athungathe synovitis we ngokuhlanganyela iqakala, ekwelapheni amakhambi abantu kuzovumela kuzuzwe nomphumela omuhle. Izibuyekezo ngoba impatho emzini ukhuluma ngani imiphumela emihle. Yiqiniso, ngaphambi kokusebenzisa okunye izinsiza imithi kudingeka kudokotela. Ngoba wena kungaba wusizo, zokupheka ezifana:

• uwoyela Laurel. Kuyasiza ukubuyisela ngokuhlanganyela kanye kuyalithinta isinqandakuvunda. Ukuze ekuwulungiseleleni bazodinga 50 g pre-oqoshiwe impahla eluhlaza, okuyinto ugcwele isigamu ilitha uwoyela zemifino (kufanele kube ungafundeki). Ngaphezu kwalokho, i-ejenti kumele sokunika ngesonto, okwathi ngemva kwalokho babuyela lungakuthonya indawo ethintekayo kuze 4 r / d.
• Wamafutha comfrey. It hhayi kuphela kusiza ukuphulukiswa okusheshayo izilonda, kodwa futhi unalo ikhono ukususa ukuvuvukala analgesic umphumela. Wamafutha ngcono ukugeleza kwegazi ezicutshini ezungeze ngokuhlanganyela. Ukuze ukulungiselela izindlela ukuthatha 150 g impahla eluhlaza bese uxhuma nge 200 of fat visceral. Hlanganisa wonke izithako endaweni embizeni ingilazi lapho cream sokunika izinsuku 10. Sebenzisa umkhiqizo endaweni ethintekile kathathu ngosuku kuyadingeka.
• Thatha ngezabelo alinganayo lezi amakhambi: valerian, St John sika wort, calendula, licorice, Thyme futhi lwebhece. Ngokulandelayo, 20 g we eluhlaza uthele 0.5 amalitha amanzi kanye thumba at ukushisa low imizuzu 7. Nzima umhluzi aphuze phezu sips ambalwa phakathi ukudla.

zokugula Prevention

Ukuze joint iqakala akakubangeli enkingeni, kodwa hhayi synovium avuvukele, zama ahambisane nalezi zinyathelo lokuvikela:

• Vimbela ngukulimala amalunga hypothermia.
• Gqoka izicathulo ukhululekile kuphela.
• Ungalayishi kakhulu izitho aphansi.

Yilokho zonke izici ukuthuthukiswa kanye nokwelashwa yalesi sifo. Hlala uphilile!