Ibhokisi elihlangene lithembeke kakhulu ku-pathology njenge-hemarthrosis, evezwa ekuphumeni kwegazi emgodleni ohlangene. Lokhu kubangelwa indawo yalesi sakhiwo esihlangene nesiyinkimbinkimbi. Ngokuvamile, idolo elihlangene lilimale ngenxa yokudlala imidlalo, ukwenza umsebenzi ohlobene nomthwalo emadolweni noma lapho wenza umsebenzi wesikole.
Izimbangela ze-hemarthrosis yamadolo ahlangene
I-Haemarthrosis yamadolo ehlangene ingenzeka ngenxa yemivimbo, ngezilonda zangaphakathi (ukuphuka kwe-meniscus noma i-capsule, ukuhlukanisa, ukuphuka). Ngenxa yalokho, emgodleni ohlangene, igazi elifakiwe lixubene nomswakama we-synovial, kudalwe ama-clots aqhubeka nokuvuthwa okuqhubekayo. Kukhona ukunyuka kwengcindezi ye-intra-articular, ukubhebhetheka nobuqotho bezintuthwane ze-cartilage kuphazamiseka. Konke lokhu kusebenza njengesisekelo esihle sokuthuthukiswa kwezinqubo zokuvuvukala-ukuguqulwa emgodleni ohlangene.
Futhi, lesi sifo singase senzeke ngenxa ye-hemophilia - isifo esihambisana nesifo sokuqhaqhazela, lapho ukuphuma kwegazi ngokuzenzekelayo kumalunga kuvame ukubonwa.
Ukubonakaliswa kwe-hemarthrosis emadolweni
Ubukhulu bezimpawu ze-hemarthrosis zesondo elilungile noma lesokunxele lixhomeke ekungenikeni kokudabuka. Ukusola ukuthi i-pathology kungenzeka ngokulandela izimpawu:
- ubuhlungu endaweni yokulimala;
- ukwanda okubonakalayo kwamadolo emvuthweni;
- ukuvuvukala emadolweni;
- ukuhamba kahle kwamadolo;
- i-cyanosis yesikhumba esifundeni esihlangene;
- ukwanda kwendawo endaweni yokushisa (isikhumba se-hyperthermia phezu kwe-joint);
- ukuphazamiseka kokusebenza kwamadolo.
Ezimweni ezimbi, idolo lihlangene ngokuphelele nomsebenzi walo. Uma ukuphuma kwegazi emgodleni ohlangene kuqhubeka, ukuzwa kwemizwa kwanda. Uma i-palpation emadolweni ehlangene, ukushintshashintsha kunqunywa.
I-Hemarthrosis, ehlobene ne-hemophilia, kungenzeka ingabonakali ngokwayo isikhathi eside. Ngesikhathi esifanayo, ukusebenza kwamapayipi wegilament kanye nokubhujiswa kwezicubu ze-cartilaginous kufihlwe.
Imiphumela ye-hemarthrosis yehlangothini lamadolo
Lapho i-hemarthrosis emadolweni evuka, izinqubo zokwehla kwamangqamuzana egazi zenzeka ngokukhululwa kwezinto eziyingozi, okubangela ushintsho lwezinto eziphilayo ezingxenyeni zomzimba. Kukhona futhi ushintsho ekujikelezeni kwendawo.
Umphumela waleso sifo kungaba ukuguqula ifomu elingapheli, lapho izinqubo ezithathelwanayo nezivuvukala zivame ukukhula. Ngakho, ngenxa ye-hemarthrosis ingahlakulela:
- i-synovitis ;
- i-bursitis;
- i-arthritis ye-purulent.
Futhi, ukukhubazeka kuyingozi ngenxa yokuthi kungenzeka ukuphuma emiceleni ye-fibrin nokuthuthukiswa kokunamathela kwezicubu ezibomvu kuhlangene.
Ukwelashwa kwe-hemarthrosis wehlangothini lamadolo
Ukwelashwa kwe-hemarthrosis kuqala ngokususwa kwegazi emgodleni ohlangene, okumele wenziwe ngokushesha ngangokunokwenzeka. Ngenxa yalokhu, ukufakwa kwesikhumba kusetshenziselwa ukugcina izimo ze-aseptic, emva kwalokho ukuhlanzwa nokuphathwa kwezidakamizwa ze-analgesic nokulwa nokuvuvukala kwenziwa. Lezi zinqubo zenziwa ngaphansi kwe-anesthesia yendawo. Ukulungiswa kwezici zokugcoba nakho kuqaliswa ukuyeka ukuphuma kwegazi. Ezimweni ezimbi kunconywa ukuba wenze i-arthroscopy ngokususwa kwegazi emgodleni wehlangothini lamadolo.
Ngaphezu kwalokho, ukubopha okunamandla kokuhlanganiswa okuthintekile kwenziwa, ukusetshenziswa kwe-bandage yokucindezelwa nokuphoqeleka nge-gypsum lingeta. Izinqubo ze-Physiotherapy zibekiwe:
- izinqubo ezishisayo;
- magnetotherapy , njll.
Emva kokukhishwa kwe-gypsum kuboniswa ukugqoka idolo elikhethekile, kanye nokuzivocavoca kokwelashwa okungenani izinyanga eziyisithupha.