Dhiiggu wuxuu ku keeni karaa xanuun iyo barar
Hemarthrosis waa ereyga caafimaadka ee dhiig-baxa ee wadajir. Markaad leedahay xanuun iyo barar hal iskudhaf ah (monoarticular), hemarthrosis waa sabab caadi ah.
Waa arrin walaac ah maaha kaliya xanuunka, sababtoo ah ka-qaadista dhiigga oo sii dheer wuxuu dhaawici karaa kilyaha. Daraasado lagu sameeyo vitro (tubada baaritaanka) ayaa muujisay soo-gaadhista dhiigga sababta geerida unugyada keena jilicsanaanta iyo joojinta wax-soo-saarka qaybaha kilyaha.
Tani waa walaac gaar ah oo loogu talagalay bukaan-socodka osteoarthritis, oo horayba u jirey is-beddel-xummad. Sidoo kale waa walaac dadka qaba hemophilia, sababtoo ah waxay halis ugu jiraan hemarthrosis, sidaas awgeedna halis u ah dhaawaca iyo jilicsanaanta.
Sidee loo Ogaaday Xanuunka Xanuunka?
Inkastoo taariikhdaada caafimaad, baaritaan jireed iyo daraasado sawirro ah ayaa kaa caawin kara sameynta baaritaanka cudurka daacad-darradu - waa wadajir ah iskudubarid ( arthrocentesis ) kaas oo bixin kara ogeysiis dhab ah. Dhakhtarkaagu wuxuu rabi doonaa in uu la galo cirbadda isla markaana soo saaro dheecaanka isku dhafka ah si loo falanqeeyo, marka hore dhakhtarkaaga ayaa si muuqata u arki doona, laakiin sidoo kale waxaa loo dirayaa shaybaar si loogu falanqeeyo si buuxda.
Dheecaan wadajir ah oo la xidhiidha hemarthrosis caadi ahaan guduud, casaan ama casaan. Sifooyinka kale ee aan caadiga ahayn ee dheecaanka isku dhafan ayaa laga yaabaa inay soo jeediyaan waxa sabab u ah astaamaha asaasaqa.
Maxay Sababa Yahay Hemarthrosis?
Waxaa jira xaalado badan oo sababi kara dhiig-karka oo ay ku jiraan:
- Dhibaatada - dhaawac jilicsan ama jabka lafdhabarta ayaa sababi kara dhiigbax. Dhaawac isku dhejis ah ama dharbaaxo jilibka ayaa sidoo kale keeni kara hemarthrosis iyo barar deg deg ah. Xaaladaha qaarkood, dhaawaca yar ee jilibka waxa uu keenaa hemarthrosis, badanaaba waxaa sabab u ah xinjirta hoosta ka soo baxda ama kolajka. Xaaladahaan, waxaa laga yaabaa inaanay qaadin wax badan oo ah boogaha oo dhan si ay u keento cudurka daacuunka.
- Cudurka dhiigbaxa - hemophilia wuxuu la xiriiraa hemarthrosis daran, oo leh bararka degdegga ah ee degdegga ah. Tani waxaa kale oo lagu arki karaa dadka daaweynaya daawooyinka iskudhaca ah sida warfarin.
- xanuunka neerfaha
- neoplasms (burooyin) - buro ayaa kufilmaamaya marinnada dhiigga ee wadajir ah, oo lagu daray bukaanka ayaa laga yaabaa inuu yeesho dhiigiisa gaarka ah, taasina waxay sababi kartaa inuu ku dhaco hemarthrosis.
- dhaawac maskaxeed
- osteoarthritis - xaaladaha cudurka daacuunka ee isbitaallada ayaa lagu arkay bukaanka qaba osteoarthritis lateral, oo inta badan la xidhiidha jeexitaanka jirka ee jilicsan ee geeska dambe ee meniscus.
Daaweynta Hemarthrosis ee Succesful
Daaweynta for hemarthrosis waxay ku xiran tahay sababta. Cudurrada waaweyn, wadajirta wadajir ayaa laga yaabaa in la sameeyo laba maalmood gudahood ka dib dhiigbaxa si looga hortago waxyeelada dhiigga uu keeni karo wadajir. Cudurka Hemorrhydroka oo ku dhaco hemophilia, ayaa waxaa laga yaabaa in la siiyo xinjirrada. Xakamaynta xanuunka iyo nasinta-jimicsiga-sare-u-qaadista (RICE) waxaa badanaa loo adeegsadaa daaweynta xasaasiga ah.
Daawada osteoarthritis-ka, waxaa lagu soo waramayaa in qaar kamid ah bukaansoconka ay soo noqnoqonayaan ka dib markii jilibka lafdhabar u ah , halka qaar kalena ay ku dhacaan jeermis dilaac oo ku dhaca jilibka.
Synovectomy (ka qaadista maqaar-celiska), meniscectomy iyo osteotomy ayaa la isticmaalay guusha marka la daaweynayo hemarthrosis.
Farsamada kale, oo loo yaqaan abortus, waxay bixisaa xakameyn ku kooban unugyada buka.
Haddii ay taasi kugu dhacdo, dhakhtarkaagu wuxuu samayn doonaa qiimeyn ku habboon oo wuxuu bixinayaa talooyinka daaweynta.
Ilaha:
Hemarthrosis. UpToDate. Peter A. Nigrovic, MD. Nofeembar 28, 2015.
http://www.uptodate.com/patients/content/topic.do?topicKey=~uo5pia1l.c.nms&selectedTitle=1~31&source=search_result
Hemterthrosis Spontaneous Osteoarthritis ee Jilibka Lagu Qaadayo Arthroscopic Ablation: Warbixinta Xaaladaha. Wargeyska Ururka Shugoku-Shikoku ee Ortopedic Association (2005).
Hemarthrosis soo noqoshada ka dib markii jilibka loola jeedo arthroplasty: Etiology iyo daaweyn. The Journal of Arthroplasty (2004).
Ames PR, Maffulli N, Capasso G, Brancaccio V. "Jeermisk yar yar oo jilibka ah." Bull Hosp Jt Dis. 1996, 54 (4): 258.
Kawamura H, Ogata K, Miura H, Arizono T, Sugioka Y. "Jeermiska shubanka ah ee jilicsan ee dadka waayeelka ah: nafsiga iyo daaweynta." Arthroscopy. 1994; 10 (2): 171.
Roosendaal G, Vianen Me, Marx JJ, van den Berg HM, Lafeber FP, Bijlsma JW "Dhaawaca wadajirka ah ee dhiigga ku yimid: cilmi-baaris bani'aadminimo ee dadka." Arthritis Rheum. 1999; 42 (5): 1025.
Mindy L. Simpson, MD; Leonard A. Valentino, MD. "Maareynta Dhiigbax Wadajir ah ee Hemophilia: Maareynta Cudurka Hemarthrosis." Medscape Multispecialty. 09/20/2012