Yin bugun jini a cikin haɗin gwiwa zai iya haifar da ciwo da kumburi
Hemarthrosis shine lokacin likita don zub da jini a cikin haɗin gwiwa. Lokacin da kake da ciwo da kumburi a cikin haɗin kai ɗaya (monoarticular), hemarthrosis abu ne na kowa.
Abin damuwa ne ba kawai saboda ciwo ba, amma saboda yaduwar jini mai tsawo zai iya lalata guringuntsi. Nazarin da aka yi a vitro (a cikin jarraba gwajin) ya nuna yaduwar jini yana haifar da mutuwar kwayoyin da ke haifar da guringuntsi kuma ya hana samar da kayan guringuntsi.
Wannan shi ne damuwa na musamman ga marasa lafiya na osteoarthritis, waɗanda suka riga sun sami digiri na gurasar mota. Har ila yau, damuwa ne ga mutanen dake dauke da hemophilia, saboda suna fuskantar haɗari ga hemarthrosis kuma saboda haka haɗari ga lalacewa da hasara.
Ta yaya aka gano Hemarthrosis?
Duk da yake tarihin lafiyar ku, nazarin jiki da nazarin bincikenku na iya taimakawa wajen samar da ganewar asali na hemarthrosis - yana da haɗin gwiwa ( arthrocentesis ) wanda zai iya bayar da ganewar asali. Kwararka zai so ya shiga haɗin gwiwa tare da allura kuma zubar da ruwa mai haɗin gwiwa da za a bincikar da shi, kallon farko ta likitanka amma har ma za'a aika shi a dakin gwaje-gwaje don cikakken bincike.
Ruwan haɗin da ke hade da hemarthrosis shi ne yawanci m, muni ko launin ruwan kasa. Wasu halaye masu haɗari na haɗin gwiwa zasu iya ba da shawara ga abin da ke cikin hemarthrosis.
Mene ne zai iya haifar da Hemarthrosis?
Akwai yanayi mai yawa wanda zai iya haifar da hemarthrosis ciki har da:
- ciwo - rauni mai kyau ko raunin wani haɗin gwiwa zai iya haifar da zub da jini a ciki. Rashin rauni ko busawa ga gwiwa yana iya haifar da hemarthrosis da ƙumburi. A wasu lokuta, ciwon gwiwoyi kadan yana haifar da hemarthrosis, sau da yawa saboda rikitarwa ko kuma collagen. A cikin waɗannan yanayi, mai yiwuwa bazai ɗauki kullun da yawa don haifar da hemarthrosis.
- ciwon jini - hemophilia yana hade da ƙananan hemarthrosis, tare da saurin haɗuwa da haɗin gwiwa. Haka kuma za a iya ganin wannan a cikin mutanen da ke shan magani tare da masu gwagwarmaya kamar warfarin.
- ciwon daji
- neoplasms (ciwace-ciwacen ƙwayoyi) - ƙwayar cuta na iya rushe jini a cikin haɗin gwiwa, da ƙwayar cuta na iya bunkasa kayan jinin kansa kuma wannan zai haifar da hemarthrosis.
- lalacewar asibiti
- osteoarthritis - lokuttan da ake nunawa a cikin marasa lafiya wanda aka nuna a cikin marasa lafiya tare da sassan osteoarthritis, a lokuta da yawa suna haɗuwa da ƙananan haushi a cikin kullun na meniscus.
Succesful Hemarthrosis Jiyya
Jiyya ga hemarthrosis ya dogara da dalilin. Don manyan bugun jini, haɗin gwiwa zai iya yin a cikin kwanaki biyu na zub da jini don hana lalata jini zai iya haifar da haɗin gwiwa. A cikin cututtukan hemarthrosis tare da hemophilia, za'a iya ba da kullun abubuwa. Ana yin amfani da kula da ciwo da tsawa-raunin rai (RICE) a matsayin magani mai mahimmanci.
Don osteoarthritis, wasu marasa lafiya sunyi rahotanni na ciwon sukarthrosis a bayan gwiwoyi na gwiwa , yayin da wasu ke ba da rahoto a cikin gwiwoyi maras kyau.
Synovectomy (kawar da haɗin gwiwa), an yi amfani da maniscectomy da osteotomy tare da nasara lokacin da ake maganin hemarthrosis.
Wani wata hanya, wanda aka sani da ablation, yana bada iyakaciyar iyakancewa ga nau'ikan da ke da ƙwayar cuta.
Idan wannan ya faru a gare ku, likitanku zai yi kimantaccen dacewa da bayar da shawarwarin magani.
Sources:
Hemarthrosis. Na zamani. Peter A. Nigrovic, MD. Nuwamba 28, 2015.
http://www.uptodate.com/patients/content/topic.do?topicKey=~uo5pia1l.c.nms&selectedTitle=1~31&source=search_result
Hemarthrosis wanda ba tare da wata magana ba a Osteoarthritis na Knee da Arthroscopic Ablation ya bi da shi: Ra'ayin rahoton. Jaridar Chugoku-Shikoku Orthopedic Association (2005).
Maimaitawar hemarthrosis bayan gwiwa gwiwa gwiwa: Etiology da magani. Jaridar Arthroplasty (2004).
Ames PR, Maffulli N, Capasso G, Brancaccio V. "Matsanancin ciwo mai cututtukan zuciya." Jt Disk Bull. 1996; 54 (4): 258.
Kawamura H, Ogata K, Miura H, Arizono T, Sugioka Y. "Harshen bashi daga cikin gwiwa a cikin tsofaffi: ilimin halitta da magani." Arthroscopy. 1994; 10 (2): 171.
Roosendaal G, Vianen ME, Marx JJ, van den Berg HM, Lafeber FP, Bijlsma JW "Rashin haɗar jini ta haɗuwa: binciken mutum a cikin vitro." Rheum arthritis. 1999; 42 (5): 1025.
Mindy L. Simpson, MD; Leonard A. Valentino, MD. "Gudanarwa na Gurasar Haɗin gwiwa a Hemophilia: Gudanar da Ciwon Hemarthrosis." Medscape Multispecialty. 09/20/2012