I-Synovial effusion iyinhlanganisela yoketshezi olubonakala ngokuvuvukala kwelunga. Ngokuvamile kutholakala emadolweni futhi kubangela ubuhlungu nobunzima bokuhamba. Ngokuvamile kubangelwa umzamo omkhulu wokugijima, ukuhlukumezeka noma i-osteoarthritis. Ukuphathwa kwe-synovial effusion kuhlanganisa ukulwa nembangela yayo kanye nokwenza ubuhlungu.

I-Synovial effusion yisimo esithinta amalunga, ikakhulukazi idolo.

Ukugcotshwa kwangaphakathi kwamadolo kunikezwa uketshezi lwe-synovial noma i-synovium, okuwuketshezi oluphuzi olucacile, olusobala kanye ne-viscous, olufihliwe ngamaseli wezicubu ezihambisana nokuhlangana, okubizwa ngokuthi i-synovium. Ngaphandle kokugcoba ilunga, uketshezi lwe-synovial luphinde lube nendima yokondla uqwanga namaseli, ngaleyo ndlela lusize ekunciphiseni ukuguga nokudabuka kwezindawo ezihlangene ngesikhathi sokungqubuzana.

Endabeni ye-synovial effusion, ebizwa nangokuthi i-hydarthrosis, uketshezi oluningi lwe-synovial lukhishwa ezindaweni ezihlangene. Lokhu kunqwabelana koketshezi lwe-synovial kuvame ukubonakala edolweni, kodwa wonke amalunga ahambayo angabandakanyeka, njengesihlakala, indololwane, noma iqakala.

I-synovial effusion ithinta kakhulu abantu abasha, ikakhulukazi abasubathi, kodwa nabaculi abachayeka kakhulu ekunyakazeni kwe-synovial esihlakaleni.

Izimbangela zemishini

I-synovial effusion ingaba ngenxa ye:

• i-osteoarthritis;
• ukuhlukumezeka kwezemidlalo;
• ukucindezeleka okukhulu kwezemidlalo.

Uma kunomonakalo ku-cartilage noma i-menisci, i-membrane ehlanganisa isikhwama ezungeze isihlanganisi iphendula ngokukhiqiza uketshezi oluningi ukuze kuqhutshekwe nokugcoba ukujoyina.

Uma kuziwa ekuhlukumezeni okuhlangene okufana ne-sprain noma ukuphuka, igazi lingase libe khona ku-synovia. Kulokhu, i-hemarthrosis.

Izimbangela zokuvuvukala

I-Synovial effusion ingenzeka lapho i-synovial igula, kulandela izifo zesikhwama se-synovial namalunga:

• isifo samathambo;
• i-rheumatism yokuvuvukala njenge-gout noma i-chondrocalcinosis;
• i-rheumatoid arthritis;
• izifo eziyinkimbinkimbi ze-autoimmune;
• i-psoriatic arthritis.

Izimpawu ze-synovial effusion zingase zingabonakali ngemva kokucindezela amalunga. Kodwa-ke, i-synovial effusion ngokuvamile iholela ku:

• ukuvuvukala okubonakalayo endaweni ehlangene ethintekile, yobukhulu obuhlukahlukene, kanye nokuma okuyisiyingi okungaphezulu noma okuncane;
• ubuhlungu, ngaphandle kobukhulu bokuvuvukala. Ngempela, ama-effusions amancane angaba buhlungu kakhulu;
• ukulahlekelwa noma ukuncipha kokuhamba kwelunga, okuhambisana nobuhlungu, nokuvimbela ukunyakaza.

Ukuphathwa kwe-synovial effusion kuhlanganisa ukulwa nembangela yayo kanye nokwenza ubuhlungu.

Okokuqala kunconywa ukuthi kuvimbe ilunga elithintekile futhi ulibeke ekuphumuleni ngezinjongo ze-analgesic. Ngempela, ukuphumula kwenza kube nokwenzeka ukuvimbela iphakethe eliqukethe i-synovia ekubeni ngaphansi kokucindezeleka. Kodwa ukuvimbela idolo, noma noma yiliphi ilunga elithintekile, akusizi ukuxazulula kwe-effusion. Iphakethe leqhwa lingasiza futhi ukuvuvukala okuphansi. Uma i-effusion ilula, inkathi yokuphumula ingase yanele. Uma ukuphumula ilunga kunganele, ukubhoboza kungase kuboniswe ukukhipha uketshezi olusuka esihlanganisi.

Ngokuya ngembangela ye-effusion, izidakamizwa zingaboniswa:

• ukwelashwa ngama-antibiotic uma kwenzeka ukutheleleka;
• ukuthatha izidakamizwa ezilwa nokuvuvukala kanye nama-analgesics, izinsuku ezimbili noma ezintathu, uma kwenzeka ukuvuvukala, ukuqhuma okukhulu nokubuhlungu;
• ukungena kwe-corticosteroid noma i-visco-supplementation (i-hyaluronic acid);
• ukwenza ukuhlinzwa kwe-arthroscopic (ukuhlanza ngokuhlanganyela) noma ukufakelwa (ingqikithi noma i-unicompartmental knee prosthesis).

Ukuvimbela ukuhlukumezeka kwezemidlalo, kunconywa ukuthi:

• prakthiza umdlalo ofanelana nezinga lakhe;
• ukufudumala ngaphambi kwanoma yimuphi umsebenzi womzimba.

Ukuze uthole ama-synovial effusions axhumene ne-osteoarthritis, inhloso ukuvimbela lesi sifo ngokuthatha isinyathelo ngezimbangela zaso eziyinhloko, okungukuthi ukuguga nokukhuluphala.

Ukuze wenze ngokumelene nokukhuluphala ngokweqile, kuyadingeka ukwamukela indlela yokuphila eguquguqukayo eyenza kube nokwenzeka ukunciphisa ukuguga ngokweqile emalungeni: ukulawula noma ukunciphisa umzimba;

• khetha umatilasi oqinile;
• prakthiza umsebenzi wezemidlalo oshintshile futhi ojwayelekile;
• ukufudumala ngaphambi kokusebenza ngokomzimba;
• gwema ukuthwala imithwalo esindayo.