Jekeseni wolowa mchiuno

Jakisoni wam'chiuno ndiwombera wamankhwala m'chiuno mwake. Mankhwalawa amatha kuthandiza kuthetsa ululu ndi kutupa. Zitha kuthandizanso kuzindikira komwe kumayambitsa kupweteka m'chiuno.

Pochita izi, wothandizira zaumoyo amalowetsa singano m'chiuno ndikulowetsa mankhwala olowa. Woperekayo amagwiritsa ntchito nthawi yeniyeni ya x-ray (fluoroscopy) kuti awone komwe angayike singano palimodzi.

Mutha kupatsidwa mankhwala okuthandizani kupumula.

Kwa ndondomekoyi:

• Mudzagona patebulo la x-ray, ndipo m'chiuno mwanu mudzatsukidwa.
• Mankhwala ogwiritsira ntchito dzanzi adzagwiritsidwa ntchito pamalo opangira jakisoni.
• Singano yaying'ono idzawongoleredwa m'gululi pomwe woperekayo amayang'ana kuyika pazenera la x-ray.
• Singano ikakhala pamalo oyenera, utoto wochepa wosiyanitsa umabayidwa kuti wothandizira athe kuwona komwe angayike mankhwalawo.
• Mankhwala a steroid amalowetsedwa pang'onopang'ono olowa nawo.

Pambuyo pa jakisoni, mudzakhalabe patebulo kwa mphindi 5 mpaka 10. Wopezayo amakupemphani kuti musunthire mchiuno kuti muwone ngati zikupwetekabe. Kuphatikizana kwa m'chiuno kumakhala kowawa pambuyo pake pamene mankhwala ogwidwa ndi dzanzi atha. Pakhoza kukhala masiku angapo musanaone kupweteka kulikonse.

Jekeseni wa mchiuno umachitidwa kuti muchepetse kupweteka m'chiuno komwe kumayambitsidwa ndi mavuto m'mafupa kapena m'matumba anu. Ululu wa m'chiuno nthawi zambiri umayambitsidwa ndi:

• Bursitis
• Nyamakazi
• Labral misozi (misozi mu cartilage yomwe imayikidwa pamphepete mwa fupa lachitsulo)
• Kuvulaza kulumikizana ndi chiuno kapena malo oyandikana nawo
• Kugwiritsa ntchito mopitirira muyeso kapena kupsyinjika chifukwa chothamanga kapena ntchito zina

Jakisoni wa m'chiuno ungathandizenso kuzindikira kupweteka kwa m'chiuno. Ngati kuwombera sikuthetsa ululu masiku angapo, ndiye kuti olowa m'chiuno sangakhale gwero la ululu wam'chiuno.

Zowopsa ndizosowa, koma zingaphatikizepo:

• Kulalata
• Kutupa
• Khungu lakhungu
• Matupi awo sagwirizana mankhwala
• Matenda
• Magazi olowa
• Kufooka mwendo

Uzani wothandizira wanu za:

• Mavuto aliwonse azaumoyo
• Matenda aliwonse
• Mankhwala omwe mumamwa, kuphatikiza mankhwala owonjezera
• Mankhwala aliwonse ochepetsa magazi, monga aspirin, warfarin (Coumadin), dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban powder (Xarelto), kapena clopidogrel (Plavix)

Konzani patsogolo kuti wina akutsogolereni kunyumba mutatha.

Pambuyo pa jakisoni, tsatirani malangizo aliwonse omwe wothandizira wanu amakupatsani. Izi zingaphatikizepo:

• Kupaka ayezi m'chiuno ngati muli ndi kutupa kapena kupweteka (kukulunga ayezi thaulo kuti muteteze khungu lanu)
• Kupewa ntchito yovuta tsiku la njirayi
• Kumwa mankhwala opweteka monga mwauzidwa

Mutha kuyambiranso ntchito zachilendo tsiku lotsatira.

Anthu ambiri samva kuwawa pambuyo pobayidwa m'chiuno.

• Mutha kuwona kupweteka kwakuchepa mphindi 15 mpaka 20 pambuyo pa jakisoni.
• Ululu ukhoza kubwerera m'maola 4 mpaka 6 pamene mankhwala ogwidwa ndi dzanzi atha.
• Pamene mankhwala a steroid ayamba kukhudza masiku 2 mpaka 7 pambuyo pake, kulumikizana kwanu m'chiuno sikuyenera kumva kupweteka.

Mungafunike jakisoni wopitilira umodzi. Kutenga kwakanthawi kumatenga nthawi yayitali bwanji kumasiyana pamunthu ndi munthu, ndipo zimatengera zomwe zimapweteka. Kwa ena, amatha milungu ingapo kapena miyezi.

Kuwombera kwa Cortisone - mchiuno; Jekeseni wa m'chiuno; Majekeseni a intra-articular steroid - mchiuno

Tsamba la American College of Rheumatology. Majekeseni olowa (zolumikizira limodzi). www.rheumatology.org/I-Am-A/Patient-Caregiver/Treatments/Joint-Injection-Aspiration. Idasinthidwa mu June 2018. Idapezeka pa Disembala 10, 2018.

Naredo E, Möller I, Rull M.Kupuma ndi jekeseni wa mafupa ndi minofu ya periarticular ndi mankhwala amkati. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, olemba. Zamatsenga. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 44.

Zayat AS, Buch M, Wakefield RJ. Arthrocentesis ndi jakisoni wamafundo ndi minofu yofewa. Mu: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, olemba. Kelly ndi Firestein's Bookbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: mutu 54.