Kusvetwa mukati memubatanidzwa kunogona kukonzera marwadzo uye kurira
Hemarthrosis ndiyo izwi rezvokurapa rekubuda ropa muchikamu. Paunenge uine kurwadziwa uye kuvhara mune imwe sangano (monoarticular), hemarthrosis inowanzokonzera.
Icho chinokonzera kushungurudzika kwete nekuda kwekutambudzika, asi nokuti nguva refu yeropa inogona kukanganisa maronda. Zvidzidzo zvakaitwa mu vitro (mu test tube) zvakaratidza kuwedzerwa kweropa kunokonzera rufu rwemasero anokonzera katetilage uye anodzivisa kubudiswa kwezvikamu zvehututi.
Izvi zvinonyanya kukoshesa varwere vehasteoarthritis, avo vakatova nehutachiona hwehatictic cartilage. Icho chiriwo kunetseka kwevanhu vane hemophilia, sezvo vari pangozi ye hemarthrosis uye saka vari pangozi yekatekete nekukuvara.
Hemarthrosis Inozivikanwa Sei?
Nepo nhoroondo yako yezvechiremba, kuongorora kwepanyama uye kuongorora kwekufungidzira kunogona kubatsira mukugadzirisa kuongororwa kwehemarthrosis - iyo inopindirana ( arthrocentesis ) inogona kupa chinangwa chekuongorora. Chiremba wako achange achida kupinda mubatanidzwa neesingano uye kubvisa kuvharana kwemanzi kuti kuongororwe, kutanga kuratidzwa nachiremba wako asi zvakare inowanzoendeswa kub laboratory kuti uongororwe zvakazara.
Mushonga unobatana unobatanidza ne hemarthrosis inowanzoita tsvuku, inopenya kana inopisa. Mamwe maitiro asina kukodzera ejoka rinogona kuratidza kuti chii chinokonzera chikonzero chako che hemarthrosis.
Chii Chinogona Kukonzera Hemarthrosis?
Pane mhando dzakawanda dzemamiriro ezvinhu anogona kukonzera hemarthrosis kusanganisira:
- kushungurudzika - kukuvadzwa kwakashata kana kuputsika kwekubatana kunogona kukonzera kubuda mukati maro. Kukuvadza kunokanganisa kana kupfugama kumabvi kunogona kukonzera hemarthrosis uye kukurumidza kukurira. Mune zvimwe zviitiko, kushungurudzika kwemabvi kunokonzera hemarthrosis, kazhinji nokuda kwehutambo hwekudzivirira kana collagen matambudziko. Mune mamiriro ezvinhu aya, zvingasatora zvakawanda zvekuputika zvachose kuti zvigume ne hemarthrosis.
- Matambudziko okubuda ropa - hemophilia inobatanidza neacute hemarthrosis, nekukurumidza kuwirirana kwekudzimba. Izvi zvinogona kuonekwa zvakare kuvanhu vari pasi pehutano nevanorwisa-coagulants dzakadai sehondo.
- neurological disorders
- neoplasms (tumor) - chiremara chinogona kuvhiringidza midziyo yeropa mubatanidzwa, pamwe nechomuviri chinogona kuwedzera ropa rayo uye izvi zvinogona kuguma ne hemarthrosis.
- kuora kwemavhu
- osteoarthritis - matambudziko e-hemarthrosis anovhiringidza ave achionekwa kune varwere vane lateral compartment osteoarthritis, kazhinji inobatanidza nechinokonzera kuputika kunoputika mune runyanga runotevera re meniscus.
Succesful Hemarthrosis Treatments
Kurapa kwe hemarthrosis kunobva pachikonzero. Nokuda kwemafupa makuru, kubatana kunobatanidzwa kunogona kuitwa mukati memazuva maviri kubva ropa kuitira kudzivirira kukanganisa ropa kunogona kukonzera musangano. Mune acute hemarthrosis ne hemophilia, zvinhu zvinogadzirisa zvinogona kupiwa. Kuchengetedza marwadzo nekuzorora-ice-compression-elevation (RICE) inowanzoshandiswa semushonga unogadzirisa.
Pamusoro peosteoarthritis, vamwe varwere vakazviti vanowanzoona hemarthrosis mushure meguti arthroplasty , asi vamwe vanotaura zvisinganzwisisiki hemarthrosis mumabvi.
Synovectomy (kubviswa kwembambo yakabatana), meniscectomy uye osteotomy yakashandiswa kubudirira kana ichibata hemarthrosis.
Imwe nzira, inozivikanwa sekubvisa, inopa kukanganisa kunongowanikwa kumaronda ane chirwere.
Kana izvi zvichiitika kwauri, chiremba wako achaita kuongorora kwakakodzera uye kupa mazano ekurapa.
Sources:
Hemarthrosis. Kusvika pari zvino. Peter A. Nigrovic, MD. Nhasi 28, 2015.
http://www.uptodate.com/patients/content/topic.do?topicKey=~uo5pia1l.c.nms&selectedTitle=1~31&source=search_result
Hontarthrosis inowanikwa muOsteoarthritis yeKnee Yakatorwa neArthroscopic Ablation: a Case Report. Nyaya yeChugoku-Shikoku Orthopedic Association (2005).
Recurrent hemarthrosis mushure mamabvi akabatana arthroplasty: Etiology uye kurapwa. Journal of Arthroplasty (2004).
Ames PR, Maffulli N, Capasso G, Brancaccio V. "Minimum trauma knee hemarthrosis." Bull Hosp Jt Dis. 1996; 54 (4): 258.
Kawamura H, Ogata K, Miura H, Arizono T, Sugioka Y. "Spontaneous hemarthrosis yemabvi kune vakwegura: etiology uye kurapa." Arthroscopy. 1994; 10 (2): 171.
Roosendaal G, Vianen ME, Marx JJ, Van den Berg HM, Lafeber FP, Bijlsma JW "Kukanganisa kwakakonzerwa neropa: munhu in vitro study." Arthritis Rheum. 1999; 42 (5): 1025.
Mindy L. Simpson, MD; Leonard A. Valentino, MD. "Kutungamirirwa kweJoint Bleeding muHemophilia: Management of Acute Hemarthrosis." Medscape Multispecialty. 09/20/2012