Chidziwitso cha Synovial

Chizindikiro cha synovial ndicho kuchotsa chidutswa cha minofu yomwe imagwiritsidwa ntchito pofufuza. Minofu yotchedwa synovial membrane.

Kuyesaku kumachitika mchipinda chogwiritsira ntchito, nthawi zambiri panthawi yogwiritsa ntchito arthroscopy. Iyi ndi njira yomwe imagwiritsa ntchito kamera yaying'ono ndi zida zopangira opaleshoni kuti ayang'ane kapena kukonza ziwalozo mkati kapena mozungulira cholumikizira. Kamera imatchedwa arthroscope. Pa njirayi:

• Mutha kulandira anesthesia wamba. Izi zikutanthauza kuti mudzakhala wopanda nkhawa komanso kugona pamene mukuchita izi. Kapena, mutha kulandira anesthesia yachigawo. Mudzakhala ogalamuka, koma gawo la thupi limodzi ndi cholumikizira lidzachita dzanzi. Nthawi zina, mankhwala oletsa ululu am'deralo amaperekedwa, omwe amangomwetsa gawo limodzi lokha.
• Dokotalayo amadula pang'ono pakhungu pafupi ndi cholumikizacho.
• Chida chotchedwa trocar chimalowetsedwa kudzera pakadulidwe kamphako.
• Kamera yaying'ono yokhala ndi kuwala imagwiritsidwa ntchito kuyang'ana mkati mwa cholumikizira.
• Chida chotchedwa biopsy grasper chimayikidwa kudzera mu trocar. Grasper imagwiritsidwa ntchito kudula chidutswa chaching'ono.
• Dokotalayo amachotsa grasper pamodzi ndi minofu. Trocar ndi zida zina zimachotsedwa. Kudula khungu kumatsekedwa ndikugwiritsa ntchito bandeji.
• Chitsanzocho chimatumizidwa ku labu kukayesedwa.

Tsatirani malangizo a omwe amakupatsani zaumoyo momwe mungakonzekerere. Izi zingaphatikizepo kusadya kapena kumwa chilichonse kwa maola angapo musanachitike.

Ndi mankhwala oletsa ululu am'deralo, mudzamva kupweteka komanso kutentha. Pamene trocar imalowetsedwa, padzakhala zovuta zina. Ngati opaleshoniyi ikuchitidwa pansi pa oesthesia yachigawo kapena wamba, simungamve njirayi.

Synovial biopsy imathandizira kudziwa matenda a gout ndi bakiteriya, kapena kutulutsa matenda ena. Itha kugwiritsidwa ntchito pofufuza zovuta zama autoimmune monga nyamakazi, kapena matenda achilendo monga chifuwa chachikulu kapena matenda am'fungus.

Kapangidwe ka synovial kapangidwe kachilendo.

Synovial biopsy itha kuzindikira izi:

• Yaitali (yayitali) synovitis (kutupa kwa nembanemba ya synovial)
• Coccidioidomycosis (matenda a fungal)
• Matenda a mafangasi
• Gout
• Hemochromatosis (kapangidwe kachilendo kazitsulo)
• Matenda a lupus erythematosus (matenda omwe amachititsa khungu, mafupa, ndi ziwalo zina)
• Sarcoidosis
• Matenda a chifuwa chachikulu
• Khansa ya Synovial (khansa yofewa kwambiri)
• Matenda a nyamakazi

Pali mwayi wochepa kwambiri wopatsirana ndikutuluka magazi.

Tsatirani malangizo osungira bala kuti likhale loyera komanso louma mpaka wothandizirayo anene kuti zili bwino kuti anyowe.

Chiwombankhanga - synovial nembanemba; Nyamakazi - synovial biopsy; Gout - chidziwitso chotsatira; Matenda olowa - synovial biopsy; Synovitis - synovial biopsy

• Chidziwitso cha Synovial

El-Gabalawy HS, Tanner S. Synovial fluid amasanthula, synovial biopsy, ndi synovial pathology. Mu: Firestein GS, Budd RC, Gabriel SE, Koretzky GA, McInnes IB, O'Dell JR, olemba. Firestein ndi Kelley's Textbook of Rheumatology. 11th ed. Philadelphia, PA: Elsevier; 2021: mutu 56.

Kumadzulo SG. Zolemba za Synovial. Mu: West SG, Kolfenbach J, olemba., Eds. Zinsinsi za Rheumatology. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 9.