Uhlalutyo lwamanzi eSynovial

Uhlalutyo lweSynovial fluid liqela leemvavanyo ezivavanya ulwelo oluhlangeneyo (lwe-synovial). Iimvavanyo zinceda ekuchongeni nasekunyangeni iingxaki ezinxulumene ngokudibeneyo.

Isampulu ye-synovial fluid iyafuneka kolu vavanyo. Ulwelo lweSynovial ngesiqhelo lulwelo olungqindilili, olunombala wengca olufumaneka ngesixa esincinci kumalungu.

Emva kokuba ulusu olujikeleze ilunga lucociwe, umboneleli wezempilo ufaka inaliti eyinyumba kulusu nakwindawo edibeneyo. Ulwelo lutsalwa ngenaliti kwisirinji engenazintsholongwane.

Isampuli yolwelo ithunyelwa elebhu. Igcisa elebhu:

• Ujonga umbala wesampula kunye nendlela ecace ngayo
• Beka isampulu phantsi kwemicroscope, ubala inani leeseli ezibomvu nezimhlophe zegazi, kwaye ujonge iikristali (kwimeko yegawuthi) okanye ibacteria
• Imilinganiselo yeswekile, iiproteni, i-uric acid, kunye ne-lactate dehydrogenase (LDH)
• Imilinganiselo yokuxinana kweeseli kulwelo
• Ikhulisa ulwelo ukubona ukuba zikhona na iibacteria ezikhulayo

Ngokwesiqhelo, akukho lungiselelo lukhethekileyo luyafuneka. Xelela umboneleli wakho ukuba uthatha igazi elincinci, njenge-aspirin, warfarin (Coumadin) okanye i-clopidogrel (Plavix). La mayeza anokuchaphazela iziphumo zovavanyo okanye amandla akho okwenza uvavanyo.

Ngamanye amaxesha, umboneleli uya kuqala afake iyeza elirhabaxa kulusu ngenaliti encinci, eya kuthi ilume. Kusetyenziswa inaliti enkulu ukukhupha ulwelo lwe synovial.

Olu vavanyo lunokubangela ukungathandeki ukuba incam yenaliti ichukumisa ithambo. Inkqubo ihlala ihlala ngaphantsi komzuzu omnye ukuya kwemibini. Inokuba ngaphezulu ukuba kukho inani elikhulu lolwelo ekufuneka lisuswe.

Uvavanyo lunokunceda ukufumanisa unobangela weentlungu, ukuba bomvu, okanye ukudumba kumalungu.

Ngamanye amaxesha, ukususa umbane kunokunceda ekunciphiseni iintlungu.

Olu vavanyo lunokusetyenziswa xa ugqirha wakho ekrokrela:

• Ukopha kwilungu emva kokulimala ngokudibeneyo
• Igawuthi kunye nezinye iintlobo zesifo samathambo
• Usulelo kumdibaniso

Ulwelo oluhlangeneyo olungaqhelekanga lunokubonakala lusibekele okanye lukhulu ngokungaqhelekanga.

Oku kulandelayo kufunyenwe kulwelo oludibeneyo kunokuba luphawu lwengxaki yezempilo:

• Ukulimala kwegazi kwilungu okanye ingxaki yokuphuma komzimba
• Ubofu - usulelo kwilungu
• Ubuninzi be-fluid edibeneyo - i-osteoarthritis okanye i-cartilage, i-ligament, okanye i-meniscus yokulimala

Iingozi zolu vavanyo zibandakanya:

• Usulelo lwendibaniselwano - olungaqhelekanga, kodwa oluqhelekileyo ngokulangazelela okuphindaphindiweyo
• Ukopha kwindawo edibeneyo

Umkhenkce okanye iipakethe ezibandayo zinokusetyenziswa kumdibaniso weeyure ezingama-24 ukuya kwezi-36 emva kovavanyo ukunciphisa ukudumba kunye nentlungu edibeneyo. Kuxhomekeke kwingxaki ngqo, ungaqala kwakhona imisebenzi yakho yesiqhelo emva kwenkqubo. Thetha nomboneleli wakho ukuba unqume ukuba yeyiphi imisebenzi efanelekileyo kakhulu kuwe.

Uhlalutyo lwamanzi oludibeneyo; Umnqweno odibeneyo wamanzi

• Umnqweno odibeneyo

U-El-Gabalawy HS. Uhlalutyo lweSynovial fluid, synovial biopsy, kunye ne-synovial pathology. Ku: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, ii-eds. Incwadi kaKelley kunye neFirestein yeRheumatology. Ngomhla we-10. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 53.

IPisetsky DS. Uvavanyo lweLabhoratri kwizifo ze-rheumatic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 257.