Arthrosis wa mlingo wachitatu wa mawondo a knezo: mankhwala, zifukwa, kupewa

Kawirikawiri madokotala amamva zodandaula kuchokera kwa odwala omwe amamva kupweteka kwa m'mapazi. Sizimangokhala pa masewera, komanso nthawi yopumula. Nthawi zambiri, izi zimakhala zosavuta, koma nthawi zina zizindikiro ndizo "mabelu" oyambirira a matenda oopsya ndi owopsa omwe timadziwika nawo ngati arthrosis wa digiri yachitatu ya mawondo. Chithandizo chiyenera kukhala kulemba ndi kuwerenga, kuti zisawononge mavuto aakulu ndi zotsatira zosasinthika.

Zizindikiro za matendawa

Knee arthrosis, yomwe imatchedwa kudera lachipatala ndi gonarthrosis, imakhala ndi malo otsogolera pakati pa zonse zomwe zimadziwika ndi zilonda za sayansi ndi zizindikiro za gawo ili la gawo. Zimapangitsa kuti mliri wodwala komanso wofooka wodwalayo asokonezeke mwendo. Chomwe chiri chochititsa chidwi kwambiri, amai amavutika ndi arthrosis mochuluka kuposa amuna. Kawirikawiri, matendawa amapezeka kwa odwala patatha zaka 45.

Kwa zaka mazana ambiri, madokotala odziwa bwino ntchito akhala akuphunzira mwatsatanetsatane matendawa: zizindikiro zake, zizindikiro, njira zatsopano za mankhwala. Mmodzi mwa ofufuzawo ndi dokotala komanso pulofesa Sergei Bubnovsky. Osteoarthritis of knee joint, malinga ndi iye, amatha kuthetsedwa bwino mothandizidwa ndi maphunziro apadera ochiritsira thupi. Mofanana ndi anzake, amagwirizanitsa matendawa ndi kuika timchere m'zinthu zamagetsi, makamaka m'matumba ake ofewa, komanso m'magulu a tinthu. Pakuti arthrosis imakhala ndi pang'onopang'ono chitukuko, kuyambira ndi zovuta zazing'ono m'magazi operekera magazi.

Zizindikiro

Mu gulu lalikulu laziopsezo, kuphatikizapo oimira gawo lofooka la anthu omwe ali akuluakulu, palinso ochita masewera olimbitsa thupi, antchito omwe amathera nthawi yambiri pamapazi awo kapena akugwira ntchito yolemetsa. Poyamba, ziwalo zawo zathanzi zimayamba kuvulaza mosasangalatsa. Zomwe zimapweteka kwambiri zimakhala zikuchitika panthawi yogwira ntchito, mwachitsanzo, pamene munthu akwera masitepe. Kuwonjezera pamenepo, mwendo pamene ukugwedeza kumayamba kutulutsa makutu osamveketsa, omwe, ngati osapatsidwa mankhwala, amakhala ngati kumveka komanso kumveka kozungulira.

Zina mwa zizindikiro zikuluzikulu za arthrosis, zimayambitsa kupweteka kwa miyendo, zomwe zimawonetseredwa bwino pa nthawi ya supercooling. Ndiye pali kutupa, komwe kungasonyezenso nyamakazi. Osteoarthritis wa mawondo a knee amasiyana ndi kuti edema pa mwendo umawonekera pokhapokha panthawi yovuta kwambiri. Nthawi zonse zimaphatikizapo kukoka ululu, zomwe zimayambitsa mavuto. Maseŵera akumapeto amatha kusinthasintha miyendo, kusintha kusintha, kusasinthasintha panthawi yomwe imayimilira.

Primary arthrosis

Ichi ndi chimodzi mwa mitundu ya matendawa. Ngati wodwalayo atapezeka kuti ali ndi arthrosis pamtundu wachitatu wa bondo , mankhwalawa amalembedwa molingana ndi zomwe zimayambitsa matenda. Mu njira yoyamba ya matendawa, ikhoza kukhala zovuta zakubadwa: kubadwa kwapadera kwa minofu, mwachitsanzo, kupyapyala mapazi, dysplasia kapena kuwonjezeka kwa mawondo. Kuwonongeka kwa majeremusi osiyanasiyana kumathandizanso kuti chitukukochi chikule bwino: zimapezeka minofu yomwe imakhalapo ngakhale nthawi yomwe ziwalo zimayikidwa komanso kupanga mapangidwe a mimba m'mimba.

Matenda a pulasitiki amayamba chifukwa cha kuchepa kwa mitsempha ya bondo popanda zinthu zina zolakwika m'thupi. Ikhoza kukhala "chida" cha chisokonezo cha njira zowonongeka. Chovuta chenicheni cha arthrosis ndi chovuta kukhazikitsa, makamaka ngati ali okalamba omwe mzere umene uli pakati pa matenda oyambirira ndi achilendo ndi wovuta komanso wosadziwika.

Zifukwa za mtundu wachiwiri wa matendawa

Zinthu zina zimayambitsanso matendawa. Osteoarthritis wa mawondo a mawondo a mawonekedwe achiwiri kawiri kaŵirikaŵiri amapangidwa chifukwa cha zisonkhezero zakunja. Mwachitsanzo, ikhoza kuwonongeka mwachangu: fractures kapena traumas, pambuyo pake thupi lonse lasweka. Chinthu chinanso cha matendawa chimakhalapo kwa akatswiri ochita masewera olimbitsa thupi. Kaŵirikaŵiri amapezeka kuti ali ndi chizoloŵezi chochita mwamphamvu nthawi zonse, kayendetsedwe ka mphamvu kapena kowoneka. Mwa njira, kunenepa kwambiri kumabweretsa arthrosis, limodzi ndi kupsyinjika kwakukulu kwa kulemera kwakukulu kumalo a m'munsi mwake.

Mtundu wachiwiri wa matendawa umayambira pambali ya matenda a mtima ndi azimayi. Kawirikawiri mawonekedwe ake amachititsa kuti atherosclerosis, varicose mitsempha, gout, psoriasis, nyamakazi ndi zina zotero. Nthawi zina, matenda osiyanasiyana amodzi, matenda osokoneza mahomoni, matenda osokoneza bongo, mavuto a endocrine, kusowa kwa zinthu zofunika - calcium, phosphorous ndi vitamini, ndizo chifukwa.

Zizindikiro za siteji 3

Chifukwa cha kulemala kosalekeza kawirikawiri amayamba kulemera kwa bondo lachitatu , omwe mankhwala ake sangathe kuthetseratu mavuto onse a matendawa. Zizindikiro zazikulu za matendawa ndi:

• Kusuntha kwaumunthu kuli kochepa, ali ndi matalikidwe aang'ono. Nthawi zina sizingatheke.
• Mitundu yozungulira kuzungulirayi imathamangitsidwa, imasonyeza nthawi zonse.
• Maonekedwe a O- kapena X omwe ali ngati mapiri a m'munsi amatha.
• Kukula kwa mgwirizano ukuwonjezeka chifukwa cha kukula kwa fupa ndi kusungunuka kwa madzi m'thupi.
• Ululu umakhala wopweteka komanso wosatha. Matenda onse pamilingo amakhala ovuta.
• Kuwombera pa bondo ndi kuphwanya kuli phokoso kwambiri, amamveka kwa ena. Onetsetsani ndi kayendetsedwe kalikonse.

Ngati mukupanga X-ray, zikuwoneka kuti nyumba zopangidwa ndi intra-articular - menisci ndi ligaments - zawonongedwa. Pankhaniyi, kutuluka kwathunthu kwa mitsempha yotchedwa cartilaginous, maonekedwe a sclerosis ndi fusion mu chiphatikizo chophatikizana cha mafupa ogwirizana angakhoze kuwonedwa.

Chithandizo chachikulu

Matendawa ndi abwino kuti asathamange, mwinamwake chithandizocho chidzakhala chotalika komanso chachiwawa. Kodi mungachiritse bwanji arthrosis wa bondo? Choyamba, magawo oyambirira a madokotalawa akulimbikitsidwa kuti athandizidwe mothandizidwa ndi njira zowonetsera. Izi zimathandiza kuchepetsa kulemera kwa thupi, kuchepetsa katundu kumapazi apansi, kulimbitsa minofu, matenda oyenera a mitsempha ndi zina zotero. Kawirikawiri zotsatilazi zapamwambazi, odwala amamva bwino, mkhalidwe wawo umakhala wabwino.

Chachiwiri, mankhwala opangidwa ndi mankhwala amasonyezanso. Madokotala amapereka mankhwala osagwiritsa ntchito mankhwala oletsa kutupa omwe amaletsa ululu ndi kuchotsa kutupa m'magulu. Mwachitsanzo, "Indomethacin", "Diclofenac", "Ketoprofen" ndi ena. Mwachidziwitso, palinso olemba chondroprotectors: "Artra", "Teraflex", "Elbona". Zakudya zawo zoyambirira zimadyetsa karoti yowonongeka ndi kubwezeretsa.

Mankhwala ena

Njira yopangira mankhwala imaphatikizapo jekeseni wa intra-articular. Wodwala amapatsidwa mankhwala osokoneza bongo: "Hydrocortisone", "Kenalog" kapena "Diprospan". Awa ndi mankhwala omwe amapereka chithandizo choyamba cha ululu wowawa: amangoima pang'onopang'ono ndondomeko yotupa palimodzi, kuchepetsa kupanga kwa synovial fluid, motero amabweretsa mpumulo.

Munthu yemwe akufuna kukhala ndi ziwalo zathanzi amapatsidwa mankhwala omwe amachokera ku hyaluronic acid. Zilibe zogwira mtima, koma zimatha kudyetsa katsabola ndikubwezeretsanso ku mphamvu yake yakale. Muzaka zazing'ono, thupi palokha limapanga chinthu chomwecho, koma pokhala ndi msinkhu, ndalama zake zimachepa pang'onopang'ono - izi zikhoza kukhala chifukwa china cha arthrosis. Onetsani kuti vuto la hyaluronic acid likhoza kukhala lopangidwa mwachidziwitso cha mankhwala. Kuonjezerapo, mankhwala ovutawa akuphatikizapo kugwiritsa ntchito mapangidwe opanga mavitamini: mavitamini ndi mafuta onunkhira. Zomwezi ndizoyenera kutenthetsa.

Ntchito yothandizira

Mwatsoka, popanda opaleshoniyo atalowererapo, palibe arthrosis ya digiri yachitatu ya mawondo. Kuchiza ndi njira zothandizira kungakhale zotsatirazi:

1. Kutulukira nyenyezi. Amapereka khungu lachiwiri, lomwe limapezeka kuti endoscope imapezeka. Ndi chithandizo chake, mungathe kudziwa momwe minofu imapangidwira, kutentha kwa thupi, kukula kwa kusintha kwa matenda. Ngati ndi kotheka, malo owonjezera amachotsedwa ku thanzi labwino.
2. Endoprosthetics - kubwezeretsa mawonekedwe a mawondo obisika ndi zopangira, mwachitsanzo, titaniyamu. Amathetsa vuto lakumvetsa chisoni ndikubwezeretsa mphamvu ya wodwalayo kuyenda, kusunthira. Anthu olumala dzulo akuyamba kugwira ntchito mwakhama ndikusangalala ndi moyo. Mwa njira, opaleshoni ikhoza kuchitidwa "mopanda magazi". Izi zikutanthauza kuti, prosthesis imalowetsedwa kudzera mkati mwazing'ono, zomwe zimafuna dokotala wodziwa bwino ntchito ndi ziyeneretso zoyenera.

Wodwala ayenera kukumbukira: pamene matendawa ayambitsidwa, zimakhala zovuta kwambiri kuti madokotala aziziika pamapazi awo.

Physiotherapy mankhwala

Njira zomwe zimaphatikizapo zovuta za mankhwalawa, kuchotseratu mitsempha ya minofu, kuchotsa magazi m'magazi ndi kuchepetsa kutupa. Physiotherapy nthawi zonse amasankhidwa malinga ndi mtundu wa matenda, malo ake, mkhalidwe wa wodwala, makhalidwe a thupi lake. Malamulo onse ndi chithandizo chamankhwala, chomwe chikuwonetsedwa kwa odwala onse. Mu chipatala chapadera, munthu adzapatsidwa kukonzanso kwakukulu, komwe kumaphatikizapo kusambira matope, ndondomeko za sauna, ndi machitidwe apadera. Ntchito yofunika pano ikuwonetsedwa ndi kusintha kwa chizoloŵezi ndi kukhala kunja, zomwe zimathetsa zotsatira za nkhawa ndikulimbitsa thupi.

Ndiwothandiza kwambiri ndi kusisita bondo limodzi ndi arthrosis. Zimathandiza kuyendetsa magazi m'magazi komanso kufalitsa mitsempha ya mitsempha. Chifukwa chake, wodwala amamva bwino. Nkofunika kuti misala ichitidwe ndi mbuye woyenerera yemwe amadziwa zonse zovuta komanso zinsinsi za kugwedezeka pa bondo. Panthawi imodzimodziyo, mphamvu yachinyengo iyenera kukhala yochepa: kuyenda kovuta komanso kosavuta kumangowonjezera mavuto.

Maphunziro othandizira odwala

LFK ndi arthrosis ya mawondo a mawondo amathandiza kwambiri kulimbitsa minofu ndi kusintha kwa kayendedwe ka m'munsi mwake. Kufooka kwa minofu ndi mbali yofunikira kwambiri ya matendawa, motero chifukwa chosowa ntchito, kutaya mtima ndi kusakhoza kusuntha kungangowonjezera. Ndi machitidwe oyenerera angapezeke mu chipinda cha ma physiotherapy. Akazichita nthawi zambiri amalangiza maulendo anayi patsiku. Phunziro loyamba limapangidwa bwino m'mawa - mutangomuka. Pambuyo pa phunziro la phunziro, gonani pansi ndi kupumula.

Kawirikawiri atapanga masewero olimbitsa thupi a arthrosis a maondo, mawonekedwe a munthu amamva bwino. Chodabwitsa ichi chimaonedwa ngati chachilendo ngati sichitha kuposa theka la ola. Nthawi ikadutsa mphindi 30 kapena wodwalayo amamva ululu wosiyana, wina akhoza kunena kuti amachita zolakwika. Pankhaniyi, muyenera kufunsa dokotala kuti akuthandizeni. Zidzathandiza kukonza maphunziro anu. Mwa njira, musaiwale za maphunziro akusambira. Njira zothandizira madzi zimachepetsa kulemberana pamodzi ndikuthandizira kubwezeretsa kuyenda kwake.

Njira zamakono ndi kupewa

Knee arthrosis imatha kuchiritsidwa ndi phytotherapy. Pofika pamapeto pake, amagwiritsa ntchito zitsamba, zomwe zimaphatikizapo zipatso za mkungudza, maluwa a marigold ndi akuluberries, masamba a sapelnik ndi birch, makungwa a msondodzi ndi buckthorn, komanso St. John's wort, nettle, horsetail ndi sweet clover. Amawombera ndi kutengera mawonekedwe a tinctures, kuwonjezera apo, kuchokera ku madzi opindulitsa amapanga machiritso a lotion ndi compresses. Pambuyo pa kuyamba kwa maphunzirowo, kusintha kumachitika masabata atatu. Kuwonjezera pamenepo, polimbana ndi matendawa, mafuta osiyanasiyana ndi othandiza: nyanja ya buckthorn, lavender, eucalypt ndi ena. Izi zisanachitike mutayamba kugwiritsa ntchito mankhwala amtundu, muyenera kukaonana ndi dokotala wodziwa zambiri.

Ponena za kupewa, cholinga chake makamaka pakuwonjezeka kwa magalimoto. Munthu ayenera kulowa masewera, kuyenda mochuluka , kuthera nthawi yambiri. Chinthu china chotsimikiziranso kuti simudzadwala ndi arthrosis. Malingaliro omwe ali pamwambawa ayenera kuwonjezeredwa ndi kuchiritsidwa kwanthaŵi yake matenda a minofu ya minofu, komanso kulungamitsa kwapachibale kosabadwa pakati pa mafupa.