I-Joint Effusion

Ukuhlanganiswa kwe-effusion kuthinta izigidi zabantu emhlabeni jikelele. Ukuvuvukala kwamadolo iyodwa into abaningi ababhekana nayo okungenani kanye ekuphileni kwabo. Lesi simo senzeka lapho uketshezi olwengeziwe lunqwabelana eduze kwelunga, okulenza libukeke likhukhumele futhi libangele ubuhlungu nokuqina.

Inani elincane loketshezi likhona ngokwemvelo ezicutshini ezihlangene. Uketshezi lungakhula ngokuphawulekayo ngenxa yezimbangela ezihlukahlukene eziholela ekuphumeni kwamalunga nezinye izimo ezifanayo. Amalunga amakhulu njengedolo cishe azobhekana nale nkinga. Iziguli ezaziyo ukuthi kungani ukuhlangana kwamalunga kwenzeka zingasiphatha kangcono isimo sazo. 

Lesi sihloko sizokusiza ukuthi ufunde konke mayelana nezimpawu ze-hip joint effusion, izindlela ezifanele zokuyixilonga, kanye nezinketho zokwelapha ezisebenzela lesi simo esingakhululekile.

Kuyini I-Joint Effusion (Ukuvuvukala Kwelunga)?

Ukuphuma ngokuhlanganyela kwenzeka lapho uketshezi olwengeziwe lunqwabelana ngaphakathi noma eduze kwelunga. Indawo ethintekile ibonakala inkulu noma ikhukhumele uma iqhathaniswa namanye amalunga akho. Noma yiliphi ilunga lingavuvukala, kodwa amadolo, amahlombe, izindololwane, namaqakala yiwona amachashaza avame kakhulu. Ukwakheka kungaba igazi, amafutha, amaprotheni, noma uketshezi lwe-synovial. Odokotela ekunakekelweni okuyisisekelo bavame ukubona amacala axhumene nawo osteoarthritis, ukuhlukumezeka, kanye ne-gout. I-Septic arthritis ibeka ingozi enkulu ngoba lokhu kutheleleka kungalimaza unomphela amalunga ngaphandle kokwelashwa okusheshayo.

Izimpawu Zokuphuma Kwamajoyini

Izimpawu ezijwayelekile ze-hip joint effusion zihlanganisa:

• Ubuhlungu obuba bubi nakakhulu ngokuhamba
• Izinkinga zokuhamba ngokuhlanganyela
• Ukuqina kanye nebanga lokunyakaza elincishisiwe
• Izindawo ezithintekile ezifudumele nezibomvu
• Umuzwa osindayo ovela ekwakhekeni koketshezi

Lesi simo singase futhi silethe imfiva, ukugodola, imihuzuko, noma ukuncipha kancane kancane kwemisipha ngokusekelwe ekutheni kungani kwenzeka.

Izimbangela Zokuphuma Kwamajoyini

I-hip joint effusion inezisusa eziningi:

• Izingozi, ukuwa, noma ukulimala kwezemidlalo kungenza amalunga avuvukale. 
• Ukuvuvukala kwamalunga kusuka ku-osteoarthritis, rheumatoid arthritis, i-gout, noma i-pseudogout ngokuvamile idala ukunqwabelana koketshezi. 
• Ukutheleleka okuhlangene (i-septic arthritis), ukusetshenziswa ngokweqile, futhi ezimweni ezingavamile, izimila nazo zingabangela lesi simo.

Ingozi Yokukhipha Ngokuhlanganyela

• Ukuvuvukala kwamalunga okuhlobene nesifo samathambo kuvame kakhulu njengoba abantu bekhula. 
• Imidlalo edinga ukunyakaza okusontayo iphakamisa izingozi zokulimala. 
• Isisindo somzimba esengeziwe sibeka ingcindezi eyengeziwe emalungeni futhi siphula izicubu zamadolo.

Inkinga Yokuphuma Kwamajoyinisi

Uma kushiywe kungalashwa, ukuhlanganiswa kwamalunga kungabangela: 

• Ukungasebenzi kahle kwemisipha 
• Ukulahleka kwemisipha
• I-cyst ka-Baker ngemuva kwedolo
• Ubuhlungu obukhulu
• Ukulimala okuhlangene okuhlala njalo
• Ukusabalalisa izifo

Ukuxilongwa Kwe-Joint Effusion

Ukuhlolwa ngokomzimba: Odokotela bahlola ukuvuvukala, ububomvu, nokufudumala ngenkathi behlola imingcele yokunyakaza.

Izinqubo zokuxilonga ngokuvamile zihlanganisa:

• Ama-X-ray ukuhlola izimo zamathambo kanye nezimpawu ze-arthritis
• Izikena ze-MRI ezinikeza izithombe ezinemininingwane yezicubu ezithambile
• I-Ultrasound ukubona ukwakheka koketshezi
• Ukuhlaziywa koketshezi oluhlangene (i-arthrocentesis) ukuthola ukutheleleka, ukuvuvukala, noma ukopha

Ukwelashwa Kwe-Joint Effusion

Uhlelo lokwelapha luncike ezindleleni:

• Ukuvuvukala kwamalunga: Ukuphakamisa ilunga kanye nokuphumula kungase kunciphise ukuvuvukala.
• Imithi: 
  • Imithi elwa nokuvuvukala yokunciphisa ukuvuvukala
  • Nemithi Elwa Namagciwane ngezifo
  • Imijovo ye-Corticosteroid ukunciphisa ukuvuvukala.
• I-fluid drainage (arthrocentesis): Ukukhipha uketshezi olwengeziwe kunciphisa ingcindezi futhi kwenza ukunyakaza kube ntofontofo, thumela isifanekiso samasiko/ukuzwela & ne-Routine microscopy. 
• Ukwelapha ngokomzimba: Kuyasiza ukwakha kabusha amandla emisipha eseduze futhi kubuyise ukunyakaza.

Uzoyibona Nini Udokotela

Funa usizo lwezokwelapha ngokushesha uma uhlangabezana:

• Ukuhlanganiswa kwe-effusion nge imfiva 
• Awukwazi ukuhambisa ukujoyina 
• Awukwazi ukufaka isisindo ejoyintini
• Izimpawu zokuqhekeka kwamathambo noma imithambo
• Ulahlekelwa umuzwa eduze kwelunga

Prevention

Lawa maqhinga asiza ukuvimbela ukuphuma kwamalunga:

• Isisindo esinempilo sinciphisa ukucindezeleka kwamalunga
• Imisipha eqinile ivikela amalunga - izivivinyo ezingenamthelela omncane njengokubhukuda zinenzuzo
• Gwema ukunyakaza okuzumayo okuzumayo
• Gqoka amagiya okuphepha phakathi nemidlalo noma imisebenzi eyingozi
• Phuza amanzi amaningi ukuze usize amalunga akho ahlale enempilo
• Phatha izindaba zezempilo njenge-arthritis noma i-gout ngokwelashwa okufanele

Isiphetho

I-Joint Effusion yisimo sezempilo esinzima kodwa esilawulekayo esithinta izigidi zabantu emhlabeni jikelele. Iziguli ezisiqondayo lesi simo ziyazi ukuthi kufanele zithole nini ukunakekelwa futhi zingavimbela ukulimala okuhlala njalo kwamalunga. Le nkinga ivame ukubonakala emadolweni, ehlombe, endololwaneni, naseqakaleni, nakuba ingathinta noma yiliphi ilunga.

Ukulawula ubuhlungu kuwumgomo oyinhloko lapho amalunga eqala ukuvuvukala. Idolo elivuvukalayo ngokuvamile liba ngcono ngokuphumula, ukuphakama, kanye nemithi elwa nokuvuvukala. Izimo ezimbi kakhulu zokuphuma kwamalunga zidinga nje udokotela ukuthi akhiphe uketshezi, anikeze amashothi e-corticosteroid, noma anikeze ama-antibiotics uma kukhona isifo.

Umzimba wakho uyakutshela uma kukhona okungalungile. Naka lezi zimpawu, thola ukunakekelwa okufanele, futhi uthuthukise imikhuba emihle. Ukunakekela amalunga akho ngale ndlela kukusiza ukuthi uhlale uselula futhi unethezekile njengoba uqhubeka nempilo yakho yansuku zonke.

Imibuzo Evame Ukubuzwa

1. Zikhona yini izindlela zokwelapha zasekhaya zokuvuvuka kwamalunga (effusion)?

Ungakwazi neze ukukuphatha lokhu ekhaya. Izinketho zakho ezihamba phambili zihlanganisa:

• Ukuphumula ilunga elithintekile
• Beka iqhwa kuyo imizuzu engu-15-20 izikhathi eziningana ngosuku
• Ukusebenzisa amabhandeshi okucindezela (kodwa ungasongi kakhulu)
• Ukugcina ilunga liphakeme ngaphezu kwenhliziyo yakho
• Ama-over-the-counter anciphisa ubuhlungu anciphisa kokubili ubuhlungu nokuvuvukala. 
• Amazinga akho okucindezeleka ngokuhlanganyela nawo azokwehla uma ugcina a isisindo esinempilo.

2. Yimaphi amalunga avame ukuthinteka kakhulu ngokuphuma kwamanzi?

Amalunga amakhulu abhekene nengozi enkulu yokuphuma kwamanzi. Idolo lakho liphezulu ohlwini, lilandelwa amahlombe, amaqakala, izindololwane, izinqe, nezihlakala.

3. Ingabe ukuphuma kwamalunga kuyafana nesifo samathambo?

Lezi zimo zihlukile kodwa zixhumene. Ukuphuma kwamalunga kusho ukuthi uketshezi lunqwabelana elungani, kanti isifo samathambo sisho ukuthi ilunga livuvukele. Ngokuvamile uzobona ukubonakala kwe-effusion njengenye yezimpawu ze-arthritis kunokuba isifo esihlukile.

4. Ingabe ukuhlangana kwamalunga kungazihambela ngokwakho?

Izimo ezincane ngezinye izikhathi ziphela ngokuphumula, ikakhulukazi uma ukusebenzisa ngokweqile kubangela inkinga. Uma ukuvuvukala kuvela ezimeni ezifana nesifo samathambo noma ukutheleleka, uzodinga ukwelashwa ukuze ube ngcono.

5. Ingabe ukuvivinya umzimba kungakwenza kube kubi kakhulu ukuphuma kwamalunga?

Imiphumela iyahlukahluka kumuntu nomuntu. Ukuzivocavoca okunzima kuthinta izakhiwo ezihlangene ngendlela ehlukile kuwo wonke umuntu. Ucwaningo lukhombisa okuthile okuthokozisayo - ukugijima ibanga elide akuwenzi ukuqina kwamalunga edolo noma iqakala.

6. Ingabe ukuphuma kwamalunga kuwuphawu lwesimo esibucayi?

Kungaba njalo. Kufanele uthole usizo lwezempilo ngokushesha uma:

• Ukuvuvukala kwakho kuza nomkhuhlane (ongase ubonise ukutheleleka)
• Awukwazi ukufaka isisindo ejoyintini,
• Ilunga lizizwa lifudumele noma libukeka libomvu
• Ungenile nobuhlungu obukhulu

7. Ingabe ukuhlangana kwamalunga kungabuya ngemva kokwelashwa?

Kunjalo. I-Effusion ivame ukubuya uma ungabhekani nokuthi kungani kwenzeka kwasekuqaleni. Izimo ezingalapheki njenge-arthritis zingabangela iziqephu eziphindaphindiwe ezidinga ukunakekelwa okuqhubekayo.

UDkt. Zafer Satvilkar

MBBS, MS (Ortho), FJRS
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529