Nyamakazi - Kodi N'chiyani? Nyamakazi 2, kalasi 3: chithandizo

Anthu oposa zaka 40, makamaka amayi, onenepa zambiri akumva ululu mu maondo. kusapeza Izi si kugona usiku, kuvumbitsira zovuta kusuntha. Ndipo nthawizina zilibe ngakhale moyo wabwinobwino! Ndikatha kumfunsafunsa adokotala anandiuza - "gonarthrosis". Ndi chiyani icho? Chifukwa iye anayamba kwa inu? Ndipo kodi n'zotheka kuti ndibwerere koloko?

kudwala khalidwe

Si anthu ambiri kuzindikira matenda a kumva "gonarthrosis" icho chiri. Tikuyankhula zokhudza matenda osachiritsika. Iwo amakhala ndi zotupa ndi kusintha wotsatira mu chichereŵechereŵe minofu. Pa nthawi yomweyo kwambiri yafupika ntchito olowa. matenda sioneka pang'onopang'ono wawononga minofu connective.

Musachepetse kudwala. Kuyenera bwino, ngati anapezeka ndi gonarthrosis icho chiri! Kudwala matenda amakhudza mbali zonse ziwirizi ndi. Lolani chichereŵechereŵe, fupa, Mitsemphayi, synovial Kakhungu minofu.

Mchikakamizo cha zinthu zina ndi chisokonezo mu zakudya za chichereŵechereŵe lapansi. Kupanda zinthu zofunika amakwiya alibe. Chifukwa ndi selo imfa. Kwambiri yafupika elasticity, kulimba kwa minofu connective. Wodwala wapanga ndi "wouma olowa".

kupitilira Komanso cha matenda kumayambitsa kulephera olowa kugwira ntchito zofunika. Pa padziko tinatake tozungulira chichereŵechereŵe anapanga ndi kukula. Mothandizidwa ndi kusintha ngati mu fupa, zowononga za Mitsemphayi lapansi. Wodwalayo amakhala kupereŵera kwambiri kwa sayenda. Ndipo mu gawo zotsogola a minofu ya manja.

Zimayambitsa matenda

Pali malo ambiri kudwala chimapangitsa. Monga ulamuliro, gonarthrosis bondo olowa amayamba ndi osakaniza zinthu zingapo:

• kuchuluka katundu olowa (kukhala akuluakulu, kuthamanga, kunyamula zitsulo);
• fractures fupa yokhudza bondo olowa;
• mitsempha chophukacho,
• zingapweteketse chichereŵechereŵe wosanjikiza - meniscus;
• onenepa.

Kudwala akufotokozera osati kamodzi, koma zaka zingapo kukhudzana ndi zinthu n'koopsa. Pamene osakaniza zifukwa matenda m'kati mofulumira kwambiri.

Zina mwa zifukwa

matenda ena ndi zikhalidwe akhoza imathandizira pa chitukuko cha matenda. Anthu ali pangozi anthu amene akumana ndi mavuto otsatirawa:

1. mitsempha Varicose wa malekezero a m'munsi.
2. Ofooka mitsempha-capsular mphambano chipangizo (majini anatsimikiza), n'zothandiza olowa laxity.
3. Nyamakazi (kutupa bondo), kubala etiology osiyana - psoriatic, gout, rheumatoid, zotakasika.
4. Matenda a dongosolo kuwombola.
5. Kudwala innervation zimfundo, khalidwe la spinno- kapena zoopsa choipa ubongo.

mitundu ya matenda

Madokotala kuganizira limagwirira wa kudwala, ndi kuzindikiridwa magulu ziwiri:

1. Pulayimale gonarthrosis. Matendawa akufotokozera mu umoyo yachibadwa olowa. Iye sanali yoyamba choipa chilichonse, kutupa. Zimayambitsa matenda mizu mwa matenda kuwombola dongosolo, kugwiritsa ntchito mankhwala m'thupi, kutengera za kumtundu yaitali. Nthawi zambiri kukhala amgwirizano gonarthrosis. Pathological ndondomeko chimakwirira m'mawondo onse. Ngakhale nthawi zina pali kuwonongeka mmodzi ndiye amaganiza. Pulayimale gonarthrosis achilendo makamaka achikulire anthu.
2. Secondary. kudwala Izi akufotokozera mu kuvulala, ndi zotupa, inflammations. gwero la matenda akhoza anasamutsa kutumikira opaleshoni olowa. Matendawa amapezeka anthu a mibadwo yonse. Secondary gonarthrosis zambiri unilateral.

mawonetseredwe chipatala zimene zimachitika mu mtima mu chitukuko cha matenda, ali mwachindunji amadalira kupitirira za ndondomeko osachiritsika mu limodzi. Malinga mlingo wa lakutali 3 gonarthrosis. Aliyense amakhala ndi zizindikiro zake.

Zizindikiro za digiri matenda 1

Ndi kovuta kudziwa siteji koyamba chitukuko matenda. Zinapangitsa kusintha mu zimakhala za chichereŵechereŵe sangathe kuonedwa ndi X-ray. Matendawa zachokera kufotokoza zizindikiro ndi wodwalayo.

Madokotala apeza makhalidwe ena kuti akhoza zimaonetsa mmene 1:

• ululu olowa;
• Timatha chidule pansi pa bondo yokha;
• yosamveka chikhalidwe cha ululu;
• olowa stiffness, amene amapezeka pambuyo wakhala nthawi yaitali, kugona;
• padzakhala ululu pambuyo zolimbitsa ubwenzi;
• kusapeza kwambiri olowa pambuyo akhale akuluakulu, mtunda wautali;
• kutupa bondo, kawirikawiri pa m'kupita zawo.

zochiritsira

Pa nthawi imeneyi, ndi mokwanira polimbana pathologies monga bondo gonarthrosis. Chithandizo lili mu ntchito:

• physiotherapy;
• kutikita;
• achire Zochita.

Odwala akulangizidwa kuchepetsa thupi. Odwala mfundo zofunika osati kutsegula.

Symptomatology 2 madigiri

Apa n'zoonekeratu kuchepetsa kusiyana overgrowth wa zophuka fupa - osteophytes. Ngakhale zowoneka mu bondo Tingaone kutupa. X-ray akhoza molondola kudziwa gonartroz madigiri 2.

Pa nthawi imeneyi matenda zingasonyeze zizindikiro zotsatirazi:

1. Ululu isanafalikire kusapeza mu mafupa kapena mkati mwa olowa.
2. Pa kuyenda kwa inu akumva crunch pa bondo.
3. ululu akukhala kwambiri, wautali. Titapuma ndi kusiyiratu.
4. M'mawa zovuta kuwongola bondo.
5. Madzulo kapena usiku, pali ululu ng'ombe ndi.
6. Kwathunthu mwendo si unbent.
7. Zowoneka kuonekera olowa kutupa, zizindikiro koyamba kupsyinjika.

Popeza palibe kuthekera bwinobwino kukhotetsa mwendo gonartroz madigiri 2 amakwiya kupindika msana. Pang'onopang'ono anayamba kupanga kusintha thupi.

Njira yochitira ndi kudwala kwa

Pamene matenda tikulimbikitsidwa digiri 2 mankhwala:

• kuchepetsa katundu olowa;
• magawo mankhwala thupi;
• mankhwala, kuphatikizapo odana ndi yotupa, dzanzi, mankhwala, hondroprotektory;
• physiotherapy.

Hospital kalasi 3

Gawo yodziwika ndi kusintha kwakukulu ndi zina sizingasinthe mu olowa. Radiograph limasonyeza mapindikidwe aakulu dongosolo chichereŵechereŵe. Wodwalayo zonse mu ululu, omwe pafupifupi si kuchepa.

Nyamakazi madigiri 3 ndi munthu zizindikiro zotsatirazi:

1. Zonse ululu bondo, amene zimadalira pa ntchito wodwalayo.
2. Zochepa zokha kuyenda. Wodwala wolumala.
3. Pa kusintha nyengo kusapeza wagundika.
4. Bondo ndi opunduka ndi kuchuluka kukula. Ndi kupitirira wa pathological ndondomeko articulation amapeza O woboola pakati kapena X woboola pakati.

Ngati gonarthrosis madigiri 3 limodzi ndi kutukusira kwa khungu (synovitis), bondo zitunda kwambiri. contours ake pafupifupi mwathunthu ankawachotsera kunja. Pa kutsogolo kali mbali ya protrusion isanafalikire kukhala kugwirizana zofewa.

njira otero kulimbana

kudwala aakulu zedi ndi gonartroz madigiri 3. Chithandizo zikuphatikizapo njira achire. Komabe, nthawi zambiri wodwala amafuna opaleshoni. Pankhaniyi pali njira ziwiri opaleshoni:

1. Kukonza osteotomy. Ndi phunziro kwa chiwonongeko tsankho la chichereŵechereŵe lapansi. Pankhaniyi, amachotsedwa zophuka mphambano Bony. Kuwonongedwa kwa chichereŵechereŵe atachotsedwa.
2. Endoprosthesis. opareshoni amenewa amachitidwa pa siteji patsogolo. Ngati chichereŵechereŵe ali inawonongedwa, izo kwathunthu kapena pang'ono m'malo ndi zipangizo yokumba.

mankhwala

medicaments akhoza kutumikiridwa malingana siteji ya matenda ndi zomverera payekha zamafupa. Childs, chotero mankhwala tikulimbikitsidwa ngati mtima wa amawapeza gonartroz madigiri 2.

Chithandizo kumafuna kutenga mankhwala zotsatirazi:

1. NSAID othetsa ululu. Pamene matenda zambiri zoikidwa ndi mankhwala zotsatirazi: "Voltaren", "Rofika" "Celebrex", "Movalis", "Nimesil".
2. Mafuta. Mu kudwala mwina analimbikitsa kutentha wothandizila "Gevkamen", "Espoli", "Menovazin". Ngati gonartroz kobvuta ndi synovitis, odwala Kwalamulidwa mafuta "Fastum", "indometacin", "butanedioic", "ntchito".
3. Chondroprotectors. The mankhwala yabwino kwambiri, "Artra", "Artron", "Teraflex", "Don", "Chondroitin ovuta." Ndalama zimenezi adzakhala kuikidwa kwa nthawi yaitali (6 miyezi).
4. Mankhwala athandizira mkati mwa olowa. Mu Amowabu kutupa palibe nthawi zoposa 3 jekeseni mankhwala "Hydrocortisone", "Kenalog."
5. Njira asidi hyaluronic. Iwo kutumikiridwa mu chikhululukiro pambuyo kutupa olowa. Ikani mankhwala "Gialurom", "Sinokrom", "Ostenil".
6. Hot compress. Iwo ntchito kuyambitsa kotunga magazi kwa mafupa, kuwonjezera yopanga lubricating madzimadzi. Analimbikitsa compresses ya ndulu kapena mankhwala osokoneza bongo "Dimexidum", "Bischofite."

Ndithu mogwira mankhwalawa gonarthrosis ndi mankhwala "Piaskledin". Mankhwala opangidwa kuchokera akupanga za zomera za soya ndi mapeyala. The njira ya mankhwala yaitali - miyezi 6.

zolimbitsa thupi achire

Odwala ayenera kudziwa ngati matenda gonartroz icho chiri. Lifunika zocheza ndi dokotala wakuuzani.

Mu pachimake Inde mtima matenda ayenera kupereka bondo zina. M'tsogolo, onetsetsani kuyamba pang'onopang'ono timathandiza thupi. Monga ulamuliro, kokoka onse anachita atagona pa nsana wanu. Nkofunika kuti uzichita makalasi kusamala bwino. Chitani asawononge.

Pamene matenda ayenera kuzipewa:

• kukhala akuluakulu;
• yaitali kuyenda;
• flexion-kutambasuka kwa bondo;
• gulu lililonse, imene ululu ndi kumvera mu malo.

physiotherapy

Kuchepetsa kutupa mu olowa, imathandizira kubadwanso koletsa ululu, njira zotsatirazi mwina wodwala:

• diadynamic mafunde;
• electrophoresis ndi mankhwala "Novocaine";
• maginito mankhwala;
• UHF;
• laser mankhwala;
• phonophoresis ntchito mankhwala "hydrocortisone";
• ozocerite kapena paraffin osambira;
• matope.

zipangizo zoyendera magetsi mafupa

Ngati zitavuta, adokotala amalangiza orthosis wapadera. Izi ziyangoyango bondo, opangidwa ndi nsalu osasinthika omwe asagwiritse kayendedwe mu olowa. orthotics awerenge.

Nthawi zina njira yokhayo ndi opaleshoni. Mwachitsanzo, ngati wodwalayo gonarthrosis madigiri 3, mankhwala n'chotheka mu choncho kumene zilibe amadwala kufooka kwa mafupa. Pambuyo pa opaleshoni kwa miyezi 3-6, wodwalayo akufunikira konzanso. Kuikidwa ndi physiotherapy thupi mankhwala mankhwala mu chipatala chaching'ono ndi.

Pomaliza

Articular chichereŵechereŵe sangathe buluzi. Choncho n'kofunika kwambiri kuti azindikire matenda digiri koyamba ndipo nthawi yomweyo anayamba mankhwala. njira achire tilungamitsidwa kokha pamene 1 ndi 2 na- digiri gonarthrosis. Pamene kuthamanga kudwala kusintha wodwala matenda angakhoze kokha opaleshoni.