Ululu chigongono olowa: zimayambitsa chithandizo

Chisoni mu m'zigongono, osati onse kuyesera mofulumira kwa dokotala. Ngakhale zomverera zosasangalatsa mu malo awa akhoza kwambiri kusokoneza khalidwe la moyo. Chonde dziwani, popanda malangizo katswiri si zoona, mpaka zinthu zomwe zinatipangitsa ululu, inu simungakhoze kuchotsa izo.

amachititsa mavuto

Madokotala kuitana matenda angapo zotheka kuti atsogolere chakuti pali ululu chigongono. Zifukwa angagone mu pakutchulidwa matenda monga nyamakazi arthrosis. Komanso zikamera wa zomverera zosasangalatsa amachititsa gout, epicondylitis, bursitis. Ngati kuvulala sangathe lilibe dislocation, fupa lothyoka kapena kupatukana ndondomeko ya chigongono olowa.

Kaya ndi kupweteka kwambiri mu chigongono wakumenya iwe, kapena kukhala mosalekeza kupweteka kumverera, n'kofunika kupeza katswiri amene angathe kudziwa zimene zinachititsa kuti izo. M'pamene angathe mankhwala chithandizo chokwanira. Iwo akhoza kunama kutenga mankhwala othetsa ululu, mankhwala odana ndi yotupa, thupi mankhwala kusankhidwa, koma nthawi zina tingafunike opaleshoni.

Kuzengereza kudzacheza kwa katswiri palibe ngati simungathe yopuma kapena kutambasula dzanja. Komanso kupita dokotala muyenera kupita pa nthawi imene ululu amalimbikira kwa masiku angapo, nkhawa usiku kapena pa nthawi yopuma. Musadikire, pamene amakhala ululu mumamva mu chigongono limodzi zizindikiro za pathologies kuti sangathe chitaperekedwa ngakhale ndi mavuto aakulu.

nyamakazi

Nthawi zambiri chifukwa cha ululu ndi kutupa m'malo olumikizirana mafupa a. Nawonso, angathe kuyamba chifukwa cha matenda, kuvulala, mavuto ndi kagayidwe, matenda connective minofu. Malinga zinthu zimene zimayambitsa matendawo, rheumatoid kusiyanitsa, matenda, enaake ophwanya, gouty nyamakazi. Mtundu uliwonse amafuna njira yapadera mu mankhwala.

Zizindikiro nyamakazi ndi ululu ankafuna pindani mkono kapena kukokera. Iwo nakweza mu nthawi ya mpumulo ndi kuchotseredwa pamene galimoto. Komanso, odwala lipoti olowa kutupa, chifukwa akufotokozera kutupa. Mu malo anakhudzidwa m'madera angakhale nayo redness, kuchuluka kutentha m'deralo. Limati patsogolo zimfundo anayamba crackle. Komanso, boma ambiri thanzi chatsika anthu.

Mwachitsanzo, nyamakazi chifukwa cha minofu kuwonongeka zimfundo ndi mitundu Streptococcus. Kudziwa kugonjetsedwa kumeneku ndi kuchotsa vuto popanda nawo madokotala ndi zosatheka. Nyamakazi amayamba ndi zotupa za connective minofu chiyambi autoimmune. Chimadziwika, kuwonjezera molumikizana mafupa, maonekedwe a tinatake tozungulira pansi pa khungu.

Opatsirana chotupa akhoza kuyambitsa kupweteka chigongono. Zifukwa pa choona kuti olowa afika tizilombo toyambitsa matenda a mafangasi wothandizira, kuchititsa pakutchulidwa matenda.

Gouty nyamakazi chifukwa cha kutupa zotakasika, lomwe limapezeka chifukwa cha madipoziti mchere asidi uric. Vuto yamasika amayamba ndi matenda kagayidwe kachakudya.

nyamakazi chithandizo

Imodzi mwa njira zikuluzikulu za ndiyotani pakuchotsa ululu, ndi mankhwala. Koma kupyola unali mphamvu za kayendetsedwe ultrasound, ntchito maginito, matope ntchito. Kumasulidwa mavuto minofu, mungagwiritse ntchito electrotherapy. Nthawi zambiri yoikidwiratu ndondomeko matenthedwe: Kutentha m'madera vuto mu paraffin, gawo-kusintha zinthu, ozokerite.

Kulimbikitsa kubwezeretsa chichereŵechereŵe amathandiza ntchito laser kapena HILT-mankhwala. Njirazi komanso ndi odana ndi yotupa ndi analgesic zotsatira.

Mankhwala a nyamakazi ndi kumwa mankhwala odana ndi yotupa, mankhwala cytotoxic, ndipo ngakhale immunosuppressive. Komanso, anatumizidwa physiotherapy. Sing'anga amalangiza kukonzekera monga "MTX", "Remicade", "Almag".

Ngati anapezeka kuti ululu molumikiza chigongono manja zayamba chifukwa cha kufala kwa matenda, ngakhale pamaso pa kukhazikitsidwa kwa mtundu enieni mabakiteriya yoikidwiratu mankhwala. Nthawi yomweyo anayamba kuperekedwa kudzera m'mitsempha mankhwala a wafika pa zinkakhala m'dera wambiri chokwanira. Nthawi zina kuyamba kubaya mwachindunji mu olowa akhudzidwa. Angagwiritsidwenso imodzi perekani ndi mankhwala nonsteroidal antiinflammatory. Pamene nyamakazi nthawi zambiri ntchito maantibayotiki "Ceftriaxone" "Ciprofloxacin", "nafcillin", "Vancomycin" ndipo ena (malingana ndi mtundu wa matenda).

Mankhwala a nyamakazi ukuchitika othetsa ululu ndi physiotherapy kusankhidwa. Koma nthawi iyi si kokwanira. Ndiye funso n'lakuti za kufunika kwa opaleshoni. Nthawi zambiri kupweteka kwambiri mu chigongono mukhoza kupita pokhapokha m'malo olowa kapena tsankho kuchotsa. Koma kungovomereza prosthesis n'kofunika pokha pokha kwambiri komwe njira za makolo sabala zotsatira yaitali.

urarthritis

Mu ntchito, chiwerengero cha mankhwala anapanga mu thupi la asidi uric. Iwo amasonkhana ndi liyamba waikamo mu malo. matenda makamaka chikudziwika ngati gouty nyamakazi. Amadwala izo, monga ulamuliro, amuna zaka 40-50. Zifukwa kwa kudwala matenda komanso chibadwa, zakudya mafuta, nyama ndi mowa. Komanso chothandizira akhoza kukhala psoriasis, polycythemia, giperparatioz ndi chiwerengero cha mavuto ena.

Koma elbows gouty nyamakazi amakhudza yosowa kwambiri. Matendawa zambiri phunziro kwa olowa ya chala choyamba. Koma ngati muli m'mawa ankamva kupweteka mumamva mu chigongono lake lamanja (kapena kumanzere), zomwe zimachititsa kuti n'zosatheka kuti gulu lililonse, kukhudza aliyense worsens okha chikhalidwe chanu, n'zotheka akuganiza chitukuko cha gout. Izo zikuchitika kawirikawiri mu masiku ochepa popanda mankhwala aliwonse. Koma ngati inu dikirani kunja nthawi imeneyi ndi sanaone dokotala, pali chiopsezo kuti matenda ndidzadutsa mu mawonekedwe aakulu. Choncho impso kuwonongeka matenda urolithiasis, asidi uric amasonkhana mu thupi.

Gouty nyamakazi chithandizo N'zosatheka zakudya kuti kumwa mowa wambiri madzi, kudya masamba atsopano, zipatso ndi zipatso. Chiletso adzagwa mowa, mafuta ankadya kuchuluka kwa nyama ndi mchere yafupika yochepa. Komanso, m'pofunika kuwonjezera ntchito yawo thupi - bwino m'mbuyo ndondomeko ya mafunsidwe asidi uric mu malo.

arthrosis

pang'ono A zochepa zambiri kwa madokotala, odwala amene akudandaula cha ululu pamene kusuntha, amene kutenga malo mu mkhalidwe mpumulo, ndi crunch zonse mafupa. Koma anthu ambiri kupita kuchipatala akaona ndi mapindikidwe a mafupa. Izi zimachitika kawirikawiri mu arthrosis.

matenda yodziwika osati ululu wofatsa pa chigongono olowa, amene zimayambitsa kugona mu kukonzanso minofu cartilaginous komanso zotupa amene kulepheretsa kayendedwe. Vutolo limachitika chifukwa cha nkhawa kwambiri pa limodzi ndi nyamakazi kungakhale chifukwa cha nyamakazi, mahomoni wolephera kapena kuvulala.

Sankhani chithandizo cha nkhani zimenezi zitha kukhala katswiri. jekeseni Izi zikhoza kukhala hyaluronic asidi, njira physiotherapeutic, kutikita, kuwongola mafupa a msana. Akulu wothandizila zokhudzana hondoprotektoram. Awa ndi mankhwala monga "Artra", "Alflutop", "Don", "rumalon", "Struktum" ndi ena. Zikavuta kungakhale kofunika yopanga.

Zizindikiro za epicondylitis

Chifukwa chikhalidwe cha kudzinenera anthu ena amakhalanso ndi katundu malo amodzi pa minofu ya mkono wa. Ndi vuto anakumana ndi osewera tennis, masseurs, milkmaids, akalipentala. katundu Zimenezi zingachititse kuti njira osachiritsika ku malo kumene tendons amagwira kwa utaphulika ka minofu. Ichi ndi chifukwa onse kuti pali ululu chigongono.

Epicondylitis ndi vuto ambiri anakumanapo ndi anthu a kudzinenera izi. Komanso mungathe zimachitika pambuyo zimamuchulukira ndi Mwachitsanzo, pambuyo zochotsa zolemera lolemera (barbells) kapena ndi kulanda m'dzanja lake yaitali mtunda katundu thumba.

Epicondylitis amakhala ndi ululu pa gawo kunja kwa m'zigongono, limene mwina limatulutsa kuti mkono wa. Izo kumawonjezera ndi kayendedwe, palpation epicondyle ili ndi gawo akunja a humerus lapansi. Pa zina, nthawi zambiri odwala musavutike. Ngati iwe sungakhoze kuwagwira dzanja lanu zinthu wodwala, zikuoneka kuti epicondylitis. Disease nawonso limodzi ndi manja minofu, amene ali ndi udindo kutambasuka kwa mkono, ndi chifukwa chake kuli dzanzi chala ndi ululu phewa.

epicondylitis chithandizo

Nkofunika kudziwa zotsatirazi: sangathe kudikira matenda, amatchedwanso "tennis chigongono", chichitike yokha. Apo ayi, angakhale aakulu. Chifukwa, mnzako nthawi zonse adzakhala ndi ululu chigongono. Zifukwa kudzakhala mochedwa kwambiri kuyang'ana, ndi chithandizo anachedwa kwa nthawi yaitali.

Pamene inu kwabasi matenda "epicondylitis" m'pofunika kuchepetsa galimoto ntchito za wodwalayo olowa ndi kuchotsa womberani. Kuchotsa edema zambiri zotchulidwa ndondomeko akupanga. Anesthetize mabvuto malo ndi yotithandiza minofu kubwezeretsa pogwiritsa ntchito HILT mankhwala ndi chithandizo laser. Yotithandiza kapena kupumula minofu angagwiritsidwe ntchito electrotherapy. The resumption wa sayenda zimfundo mpumulo ululu, pokonza wosindikiza kutheka pambuyo poika mankhwala mantha-yoweyula. Iwo ali, poyamba, n'zofunika kwambiri epicondylitis lapansi.

Childs, kwa mankhwala oyenera zizindikiro zosasangalatsa mwamsanga. Koma palibe chifukwa kusiya chithandizocho. magawo onse akuthamanga zikhoza kukhala chifukwa chakuti m'kupita adzakhala ululu nthawi zonse m'zigongono, kumene kudzakhala kovuta kuchotsa, chifukwa matenda nedolechennaya angakhale aakulu.

bursitis

Ndi chotupa matenda, zoopsa kapena overvoltage olowa mu thumba lapadera kwa madzimadzi synovial amene ali olimbikitsa zotsatira pa kayendedwe, kutupa angayambe. Matenda amatchedwa bursitis. Zingayambitse ululu chigongono bwino, ndiponso kumva lolingana mu kumanzere. The matenda limodzi ndi reddening m'dera mtima, kutupa, m'dera hyperthermia. Ichi ndi chifukwa chakuti matumba selo nembanemba kubala madzimadzi muyeso, zomwe zimabweretsa oumbidwa wa olowa.

Ululu bursitis ukuwonjezeka mofanana kuwonjezera kukula thumba chigongono. Ngati Popanda kuchitapo kanthu, ndiye kuti akhoza kuchita kuletsa sayenda ya manja ake ndi dzanzi zala. Ngati exudate ndi kachilombo, izo zikusonyeza zizindikiro za kuledzera.

mankhwala a matenda

Kuti apange matenda zolondola ndi kuti tisasokoneze bursitis ndi nyamakazi, ultrasound tione zofunika. Mu mankhwala n'kofunika molondola anapereka subtype matendawa. Kudziwa kuti matenda limodzi ndi ululu kulongolola mu chigongono limodzi lomwe achuluke, pakalibe chithandizo chokwanira.

Ngati bursitis anayamba chifukwa cha kuvulala, ndiye kuchepetsa edema bwino ntchito ozizira. Chipatala akhoza ngakhale kupanga ndondomeko m'dera lotchedwa cryotherapy. Kuchokera tsiku lachiwiri ndi kale zotheka kuti konzekera m'dera akhudzidwa. Nthawi zina madokotala oterewa purulent bursitis. Pankhaniyi maantibayotiki ofunika. Kuwonjezera mankhwala zimenezi kuchititsa olowa puncture ndi kukhetsa bursa. Nthawi zina m'pofunika, ngakhale kuchotsa ake.

Serous bursitis angathe kuchiritsidwa ntchito analgesics ndipo sanali steroidal odana ndi yotupa wothandizira. "Nurofen gel osakaniza" - Ikhoza mankhwala monga "Ibuprofen", "codeine wokwana" chifukwa ntchito kunja analimbikitsa.

zotupa zoopsa

Koma si nthawi zonse, kusapeza mu chigongono uka kwa chitukuko cha matenda aliwonse. kupweteka kwambiri chigongono dislocation mwina. Ndi nthawi zambiri limodzi ndi edema ndi ngakhale dzanzi mu zinkakhala m'dera. Nthawi zambiri anakumana ndi amenewa dislocations madokotala Dokotala. Onani kuti chifukwa cha mavuto amenewo ambiri milandu ndi makolo amene amakodwa ndi dzanja la mwana kugwa kapena kusankha iyo, atagwira m'manja. Paokha kuchepetsa ndi dislocation sizingatheke, chifukwa chigongono ndi chimodzi mwa osalimba kwambiri. Kuchita zimenezi dokotala ayenera pokhapokha ndondomeko zofunika superimposed chikukonzekera bandeji.

Komanso, kupweteka kwambiri mu chigongono kumanzere (komanso kumanja) zingasonyeze wovulala. Chifukwa pakuwonekera kwake kungakhale chonyansa kugwa, ngozi kapena kachigawo. Wozunzidwayo sanayende dzanja langa kapena ngakhale kuti Usatong'olere izo. Wovulala limodzi ndi kufinya, dzanzi chala, ululu. Zizindikiro zomwezo akhoza kukhala kulekana kwa olecranon lapansi.

Pochepetsa chikhalidwe, madokotala athanso kupanga jakisoni novocaine. Nkofunika kupita X-ray, ndi matsimikizidwe a wovulala ndi osewera. Mofulumira ayambe Angagwiritsidwenso kutumikiridwa physiotherapy. Mu masiku oyambirira simungakhoze kuchita popanda mankhwala othetsa ululu. Mankhwala mankhwala monga "Sedalgin", "Ketarol" "Ibuprofen", "naproxen".