Nānā wai Synovial

ʻO ka anamanaʻo wai Synovial kahi hui o nā hoʻokolohua e nānā i ka wai hui (synovial). Kōkua nā hōʻike i ka diagnose a mālama i nā pilikia pili i ka pili.

Pono kahi laʻana o ka wai synovial no kēia hōʻike. ʻO ka wai Synovial he wai mānoanoa, kala-ʻeleʻele i loaʻa i nā liʻiliʻi i nā hono.

Ma hope o ka hoʻomaʻemaʻe o ka ʻili a puni ka huina, hoʻokomo ka mea mālama ola i kahi nila ʻaila ma o ka ʻili a i loko o ka wahi hui. Kuhi ʻia ka wai ma o ke kui kele i kahi syringe sterile.

Hoʻouna ʻia ka laʻana wai i ke keʻena hoʻokolohua. ʻO ka ʻenehana ʻenehana:

• Nānā i ke kala o ka laʻana a pehea e maopopo ai
• Kahi i kahi laʻana ma lalo o ka microscope, helu i ka nui o nā hunaola ʻulaʻula a me keʻokeʻo keʻokeʻo, a nānā i nā aniani (i ka hihia o ke gout) a i ʻole bacteria.
• Ana i ka glucose, nā protein, uric acid, a me ka lactate dehydrogenase (LDH)
• Ana i ka noʻonoʻo o nā hunaola i ka wai
• Kūleʻa i ka wai e ʻike inā ulu kekahi bacteria

ʻO ka maʻamau, ʻaʻole pono kahi hoʻomākaukau kūikawā. E haʻi i kāu mea hāʻawi inā lawe ʻoe i ka mea lahilahi o ke koko, e like me aspirin, warfarin (Coumadin) a i ʻole clopidogrel (Plavix). Hiki i kēia mau lāʻau ke hoʻololi i nā hopena hōʻike a i kou hiki ke hoʻokolohua.

I kekahi manawa, e hoʻokomo mua ka mea hāʻawi i ka lāʻau numbing i loko o ka ʻili me kahi nila liʻiliʻi, e ʻū ai. Hoʻohana ʻia kahi nila nui e huki i ka wai synovial.

Hiki i kēia ho'āʻo ke kumu i kekahi mau ʻano ʻino inā pili ka piko o ka nila i ka iwi. ʻOi ke kaʻina hana ma mua o 1 a 2 mau minuke. ʻOi aku paha ka lōʻihi inā nui ka nui o ka wai e pono e hemo.

Hiki i ka hōʻoia ke kōkua i ke kuhi ʻana i ke kumu o ka ʻeha, ʻulaʻula, a i ʻole ka pehu ʻana o nā hono.

I kekahi manawa, hiki i ka hemo ʻana i ka wai ke kōkua i ka ʻeha pū ʻana.

Hoʻohana ʻia kēia hoʻokolohua ke manaʻo ʻia kāu kauka:

• Kahe i ka hui ma hope o kahi ʻeha pū
• ʻO Gout a me nā ʻano ʻē aʻe o ka rum
• ʻO ka maʻi i kahi hui

Hiki ke nānā ke ao a pākī ʻole paha i ka wai hui pono ʻole.

ʻO ka mea aʻe i loaʻa i loko o ka wai hui hiki ke lilo i hōʻailona o kahi pilikia olakino.

• Koko - ʻeha ma ka ami a i ʻole ke kahe o ke kahe o ke kino
• Pus - maʻi i loko o ka ami
• ʻO ka nui o ka wai hui - osteoarthritis a i ʻole ka cartilage, ligament, a i ʻole ʻeha meniscus

ʻO nā pōʻino o kēia hōʻike me:

• ʻO ka maʻi o ka ami - ʻano ʻē, akā ʻoi aku ka nui me nā ʻiʻini hou
• ʻO ke kahe ʻana i ka lewa hui

Hiki ke hoʻopili ʻia nā ʻeke a i ʻole ke anuanu i ka hui no 24 a 36 mau hola ma hope o ka hoʻāʻo e hoʻoliʻiliʻi i ka pehu a me ka ʻeha pū. Kaukaʻi ʻia i ka pilikia kikoʻī, hiki iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau ma hope o ke kaʻina hana. E kamaʻilio i kāu mea hāʻawi e hoʻoholo ai i nā hana e kūpono iā ʻoe.

Nānā wai hoʻopili; ʻImi o ka wai hui

• Lana ka manaʻo

El-Gabalawy HS. Nānā wai Synovial, biopsy synovial, a me nā pathology synovial. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO Kelley lāua ʻo Firestein's Bookbook of Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 53.

ʻO Pisetsky DS. ʻO ka hoʻokolohua ʻana o ka hale hana ma nā maʻi rumatika. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 257.