Arthrocentesis zai iya taimakawa wajen bincikar cututtukan flammatory da wadanda basu da kumburi
Arthrocentesis, wanda ake kira a matsayin haɗin gwiwa, hanya ce inda aka ɗebo ruwa daga haɗin gwiwa ta amfani da allura da sirinji. Ana aika da ruwa a dakin gwaje-gwaje don nazarin ruwa mai zurfi .
Shaidawa
An fara amfani da Arthrocentesis don tabbatar da dalilin haɗin gwiwa . Ana cire haɗin mahaɗin yana da manufofi biyu, magungunan lafiya da kuma manufar ganowa.
Cire haɗin haɗin gwiwa zai iya rage zafi da matsa lamba akan haɗin gwiwa. A matsayin amfani ta gefe na hanya, bayan an cire ruwa mai haɗin gwiwa, za'a iya kwantar da corticosteroid a cikin haɗin gwiwa ta amfani da wannan shafin intanet wadda aka yi amfani da shi don yin arthrocentesis. Yana da kyau kuma yana "kashe tsuntsaye biyu da dutse ɗaya."
Gwaji
A cikin dakin gwaje-gwaje, ana nazarin haɗin ruwa don:
- Bayyanar: Tsarin mutum yana lura da ruwa don launi da tsabta. Haɗin haɗin gwiwar al'ada shi ne m (mintuna) kuma ya bayyana a fili ga rawaya mai haske. Ruwan haɗin gizon iska yana da damuwa kuma yana ba da shawara game da kumburi ko kamuwa da cuta. Ruwan haɗin jini mai haɗari kuma mawuyaci ne kuma zai iya haifar da rauni zuwa haɗin gwiwa.
- Binciken binciken microscopic: An haɗu da haɗin gwiwar a ƙarƙashin kwayar microscope don kasancewa da jini, kristal, da kwayoyin cuta. Haɗin haɗin gwiwar al'ada ba shi da ƙwayoyin jini. Ƙarin lambobin jini na jini suna nuna jini a cikin haɗin gwiwa. Ƙananan lambobin jini na jini zasu iya faruwa tare da kamuwa da cuta, cututtuka na jini , gout, ko pseudogout. Idan an lura da jinin jini ko jini mai tsabta, za'a iya yin lissafin tantanin halitta. Kullun suna da mawuyaci a haɗin haɗi. Uric acid lu'ulu'u suna nuna gout; Cikakken CPPD suna faruwa tare da layi. Bacteria a cikin haɗin haɗin gwiwa kuma mawuyaci ne kuma yana nuna alamun kamuwa da cuta.
- Masana kimiyya: An gwada haɗin haɗin glucose, protein, da lactic dehydrogenase (LDH). Abubuwa masu haɗari masu haɗuwa masu haɗari waɗanda zasu iya nuna ƙumburi ko kamuwa da cuta: Glucose - kasa da 40 MG / dl; Protein - mafi girma ko kuma daidai da 3 g / dl; LDH - fiye da 333 IU / L.
- Sauran nazari: Gwargwadon ruwa a cikin jaririn gwajin bayan sa'a daya don kafa kwayar cutar fibrin (fibrin shine gina jiki wanda aka kafa a yayin yaduwar jini). Kowace jini ya nuna cewa akwai matsala tare da membrane na synovial (wani nau'i na nama wanda ke haɗin gwiwa). Wani gwaji da aka sani da gwagwarmayar ƙwayar mucin (acetic acid yana kara zuwa ruwa mai tsabta ) yayi kiyasin samar da hyaluronate (wani nau'i na guringuntsi ).
Yanayi
Arthrocentesis ya gano dalilin haɗuwa da kumburi tare da sakamakon sakamakon binciken haɗin gwiwa, za'a iya ɗaukar wadannan yanayi:
- magungunan asibiti na musamman, musamman ma wadanda ba kwayoyin cutar kwayar cutar ba
- wasu magungunan cututtuka na cututtuka irin su cututtuka na gonococcal, tarin fuka, cututtuka na fungal, cutar Lyme
- crystal arthropathies, gout, da kuma pseudogout
- rheumatic cuta
- osteoarthritis
- ciwo
- hemarthrosis (zub da jini cikin sararin samaniya)
Osteoarthritis
A cikin nazarin ruwa mai kwakwalwa, ƙididdigar kwayoyin halitta da bambancin bambanci ya bambanta tsakanin wadanda basu da kumburi da flammatory. Ayyuka marasa ciwon kullun suna nuna damuwa akan osteoarthritis ko cuta zuwa haɗin gwiwa. Flammatory fusions kuma zai iya zama septic arthritis ko kuma crystal-induced arthritis.
Hakanan tantanin tantanin halitta na ruwan mahaifa da bambancin ƙididdiga wanda yake nuna alamar osteoarthritis kama da wannan:
- Bayyanar: Sunny ruwa, high danko, da kyau mucin
- Kwala: Basic calcium phosphate (BCP) lu'ulu'u, Apatite lu'ulu'u ne
- Rajistar Blood Cell (WBC): Rashin mai shan ƙurawa: 200-2000 WBC / mm3; WBC tana ƙidaya yawanci ƙananan sel 500 (mafi yawancin mononuclear, wani irin nau'in jini)
Tun da haɗin gwiwar shi ne babban tashar synovial (sararin samaniya) a cikin jikin, yana da tasiri mai mahimmanci na haɗin gwiwa da kuma shafin yanar gizo na arthrocentesis.
Daga haɗin haɗin da aka kwantar da shi kuma an yi nazari, ana iya tattara bayanai masu mahimmanci.
Sources:
Arthrocentesis na Knee. Thomsen TW et al. Jaridar New England Journal of Medicine. Mayu 11, 2006.
Ƙwararren Lafiya ta Gida. p.140-143. Mahimmanci a kan cututtuka na Rheumatic. Darasi na 12. Asusun Arthritis.