Matenda a m'chiuno olowa. Zizindikiro za matenda ncafu

Onse ziwalo ndi machitidwe ayenera liziyenda bwino. Only mu nkhani iyi n'zotheka kukhala zabwinobwino ntchito moyo. M'nkhaniyi ine ndikufuna kuti tione zizindikiro zazikulu za matenda m'chiuno olowa.

Ndi chiyani icho?

Poyamba, tifunika kumasulila terminology lapansi. ncafu ndi chiyani? Kotero, ili ndi fupa kuti mutu wake ndi anakumana ndi femur lapansi. mbali yake yaikulu:

• kusonyeza flexion-kutambasuka;
• mwayi mwendo pambali;
• pronation ndi supination, T. e. n'zotheka kuchita kayendedwe rotational.

The zifukwa

Kwenikweni m'pofunika kumvetsa zimene zili zifukwa zingachititse zosiyanasiyana matenda a m'chiuno olowa. Choncho, madokotala zotsatirazi:

1. Mawotchi kuwonongeka. Izi kusinthasintha kuvulala mwamphamvu, fractures.
2. Opatsirana chikhalidwe cha matenda. Iwo nthawi zambiri zoyambitsa mavuto osiyanasiyana ndi ntchafu olowa.
3. Tating'onoting'ono ndi tizilombo matenda, monga chimfine ndi zilonda zapakhosi (makamaka pa nkhani ya matenda Perthes ').
4. Wina chifukwa cha matenda m'chiuno olowa - kumakhala kutengera za kumtundu. Pankhaniyi, ankafufuza zolemba zamankhwala za achibale apafupi munthu kuzindikira machesi.
5. Various kagayidwe kachakudya matenda, kusowa kwa mavitamini, calcium. Pankhaniyi, thupi wofooka mafupa kukhala insufficiently amphamvu. Ndipo kungabweretse mavuto osiyanasiyana omwe angagwe mu ntchafu olowa.

Zizindikiro zazikulu

Poyamba, zingakhale zofunika kuti tione zizindikiro zosiyanasiyana za matenda m'chiuno olowa. Choncho, nthawi zambiri, ndi kugonjetsedwa kwa gawo ili la thupi ovutitsa:

1. Ululu. Iwo akhoza kukhala a chikhalidwe chosiyana. ululu ndi lakuthwa ndi yosamveka, wamphamvu ndi zolimbitsa. Izi zidalira mtundu wa matenda, ndi mlingo wa chitukuko. Nthawi zambiri zimachitika kuti chikhalidwe cha ululu m'kati mwa matenda zimasiyanasiyana. Chotsani zingakhale zosiyanasiyana othetsa ululu. Komabe, chifukwa cha pakuwonekera kwake akadali si kutha.
2. Poganizira m'chiuno limodzi zizindikiro kuti zingachitikenso, ayenera kuti zosiyanasiyana ichi matenda kuyenda. vuto kumachitika pamene onse a matenda m'chiuno olowa. Nthawi zina, kuyan'anila izi zosaoneka kwambiri, mwachitsanzo. E. The wodwalayo gait ndi pafupifupi sichinasinthe. Mu zochitika zina, ingathenso kukhala kwambiri utrudnennoy (kulephera kuyenda popanda thandizo). Ngati matenda ali mu mkhalidwe kunyalanyaza, injini ntchito za mtima ndi zonse zidzakhala zosatheka.
3. ndi zizindikiro za matenda m'chiuno olowa chiyani? Choncho, izi zingasonyeze zosiyanasiyana kusintha kunja. Nthawi zambiri, mu nkhani iyi akunena za limp, pripadanii wapansi. Nthawi zina ngakhale kufupikitsa nthambi akhudzidwa, amene chimachititsa munthu kapena kuyenda pa zala kapena kusokoneza thupi mbali imodzi.
4. zizindikiro zina: Ngati pali kutupa, kutentha kukwera (zambiri kuti zizindikiro subfebrile) ungakhalenso redness pa khungu.

arthrosis

Poyamba, muyenera kulankhula za vuto monga matenda "ntchafu coxarthrosis". Kulankhula chinenero, tsiku ndi tsiku ndi matenda anangomutchula kuti arthrosis. Nkofunika kudziwa kuti ndi matenda tithe woyamba mwa mavuto osiyanasiyana a locomotor zida wa munthu.

Umayamba matenda a zotupa articular chichereŵechereŵe. Iye pang'onopang'ono zosamveka zatha, chifukwa mu imfa ya depreciation ake katundu. Pa nthawi yomweyo komanso mmoyo fupa ndi olowa, zophuka Bony akhoza kuoneka. nkhani zina kuti Zingabukenso chifukwa coxarthrosis:

• mapangidwe cysts mu mutu wa fupa ntchafu;
• Cysts mukhoza kupanga mwa minofu ya acetabulum, kumene mutu wa fupa aikidwa;
• sclerosis zambiri amapezeka mbale olowa pamalo.

Nthawi zambiri chifukwa cha matenda amakhala ndi matenda, monga dysplasia (kumene, m'chiuno olowa). Izi underdevelopment a fupa, ndi kusiyana mu kukula kwa acetabulum ndi mutu. Zikatero pali osakwanira magazi okwanira, kuchititsa vuto monga arthrosis.

Pakati zimayambitsa matenda, madokotala atadziwa kuvulala osiyana, mikwingwirima. Pankhani microtrauma mu- ingakhalenso chifukwa cha vutoli. Ndipo, ndithudi, nthawi kwambiri kuchitira njira zosiyanasiyana yotupa. Ndipotu, iwo akhoza kuwasandutsa nyamakazi.

Symptomatology ndi sitepe coxarthrosis

Kodi ndikuuzeni mbiri ya matenda? ncafu coxarthrosis nthawi zambiri anawona izi zizindikiro:

• ululu kapena kusamva mu matako ndi groin;
• ululu bondo (Pankhaniyi nthawi zambiri izo zifika coxarthrosis mu gawo pachimake);
• Komanso imathandiza pakachitika vuto ndi nsana.

Mu yochizira matenda, pali masiteji atatu chachikulu cha matenda:

1. Choyamba. Pali ululu sporadically makamaka pambuyo zolimbitsa yogwira. Isanafalikire kaŵirikaŵiri mu bondo kapena ntchafu. Pambuyo kupumula ndi kusapeza kusiyiratu. Gait ndi locomotor ntchito pa siteji ichi ndi lomweli silinasinthe.
2. Chachiwiri. Pankhaniyi, ululu ikanakhala. Iwo isanafalikire makamaka groin kapena ntchafu. Nkofunika kudziwa kuti panthawi imeneyi mavuto akupezeka ngakhale pa mpumulo. The magwiridwe a olowa wathyoka, ntchito zake galimoto komanso chatsitsa. Pali malire a olowa chabe kayendedwe (mankhwala - contracture). Komanso olumala femoral mutu, minofu kutaya mphamvu zawo.
3. Mbali yachitatu. Pankhaniyi, ululu limodzi ndi munthu nthawizonse pa zina ndi usiku. N'zosatheka kuyenda popanda thandizo. Olowa kayendedwe koletsedweratu, amakhala ovuta kwambiri. Pang'onopang'ono, mtima nthambi kufupikitsa, anthu kusintha gait. Muli kukhotetsa mmbali ndi kuyima pa zala moyenera magalimoto.

Ngati vuto akufotokozera zambiri, eneyi chakuti kayendedwe mu olowa palibe kwathunthu.

Matendawa ndi mankhwala a coxarthrosis

Popeza kuti takambilana zizindikiro pamwamba a m'chiuno matenda olowa, ayenera kuti vutoli akhoza anapezeka ntchito radiography. Ngati ululu zolimbitsa, akhoza kuthandiza ngakhale ultrasound kapena Kujambula (maphunziro awa adzakhala ndi mpata wosankha pali kutupa).

Ngati ife kulankhula za magawo awiri oyambirira a matenda, mankhwala apa adzakhala ndiwofatsa. Cholinga cha dotolo - kupereka yachibadwa olowa kuyenda. Mbali yachitatu amafuna chithandizo chosiyana: kugwiritsira mankhwala umene udzachotsa kutupa, Angagwiritsidwenso ntchito mmalo madzimadzi zosiyanasiyana malo. Nthawi yapadera, mwina atachitiridwa endoprosthesis.

matenda Perthes

Kwenikweni komanso ayenera kuganizira matenda Perthes m'chiuno. Dziwani kuti matenda nthawi zambiri imagwira ana a zaka zapakati pa zaka 3 ndi 12. Pa nthawi yomweyo amadwala zambiri kuposa anyamata. Komabe, matenda yatsoka atsikana ndi yaikulu kwambiri.

Perthes matenda a m'chiuno olowa ndi chiyani? Choncho, ino pathological ndondomeko pamene kusokonezedwa yachibadwa magazi mu ntchafu mutu, zomwe zimabweretsa vuto monga necrosis. Nkofunika kudziwa kuti pali onse unilateral ndi amgwirizano kuwonongeka.

Masiku ano, madokotala simunamudziwebe kuti mapeto wamba, kodi chinthu chachikulu chomwe matenda. Gawo la Perthes matenda otsatirawa:

1. Pambuyo chiyambi cha imfa ya kotunga yachibadwa magazi kwa femoral mutu necrosis akufotokozera.
2. Secondary mutu fupa wovulala m'dera la chiwonongeko.
3. Necrotic minofu pang'ono ndi pang'ono resorbed. Zimenezi zimabweretsa chakuti pali kufupikitsa khosi femoral.
4. malo necrosis limakula minofu connective.
5. Connective minofu ndi pang'onopang'ono m'malo ndi fupa.

The kuchira ndondomeko Pankhaniyi zimadalira siteji ya kunyalanyaza matenda. Ngati nthawi kuyamba chithandizo, kuchira zonse ndi zotheka. Apo ayi, mutu mwina kuphwanya mu magawo angapo, ndipo zikatero ntchito molakwika izo, splicing olumala.

Iwo kulankhula za mmene angapezere Perthes matenda a m'chiuno limodzi chithunzi. Tangoonani zithunzi za ana odwala kumvetsa kuti matenda kumachititsanso kusintha maonekedwe (ie. E. mukakhozetu claudication ndi nthambi zowononga yokha). matenda imeneyi limodzi ndi ululu. Poyamba adzakhala kuzimiririka, kuonekere pa kuyenda. Pangakhale pang'ono limp kapena pripadanie pa mwendo wovulala. Zizindikiro zina matenda ali anaona. Mu ichi ndi zoopsa zonse, chifukwa anthu madandaulo ofanana kawirikawiri kutembenukira kwa podiatrist a. Ngati panali psinjika wovulala, ululu ali kwambiri kumatheka, kupunduka waona zikuchepa, ndi bwino kuonekera kwa ena. Pali malire kayendedwe, kuyenda ndi zovuta. Angadwale kutentha thupi subfebrile zizindikiro.

Disease amawapeza pogwiritsa radiography. Chithandizo chikuchitika mu Dipatimenti ya zamafupa, hereinafter - wodwalayo. Kutalika kwa chithandizo ndiwofatsa: pafupifupi 12-14 miyezi. Opaleshoni alowererepo akhoza anasonyeza okha Zikavuta kwambiri.

Mapeto Dziwani kuti ngati tikambirana matenda osiyanasiyana a mafupa m'chiuno ana, zimakhala akulankhula za matenda.

The matenda a femoral-acetabular impingement

Dziwani kuti ichi ndi chimodzi mwa anomalies, amene zikugwirizana ndi ntchafu olowa. Pankhaniyi pali kugunda kapena zipolowe za nyumba fupa pa kayendedwe anthu (choncho dzina - impingement, mwachitsanzo pachithunzichi kugunda ..). Zimayambitsa enieni zomwe zingachititse chikhalidwe ichi, mankhwala amakono sanayambebe kudziwika. Zizindikiro za matenda m'chiuno mu nkhani iyi ndi izi:

• Mavuto amene amapezeka pa malo ena a munthu, kangapo kupinda;
• zofooka za magulu ena.

vuto amawapeza pogwiritsa rentgtenografii. Komabe, monga matenda ndi zofanana kwambiri ndi matenda ena, madokotala nthawi zambiri molakwa ndi kuika matenda cholakwika. chithandizo ndiwofatsa kuti vutoli sangagwirenso ntchito iliyonse. Opaleshoni watsala kutero. Mwa njira iyi akhoza kulimbana ndi matenda.

bursitis

matenda ena kuti n'kofunika kuganizira komanso - ndi ntchafu bursitis. Pankhaniyi tikulankhula za kutupa mu bursa, amene waukulu ntchito - kupewa mikangano.

Komanso tikambirana gawo la thupi la munthu m'chiuno olowa. Zizindikiro za matenda otsatirawa bursitis:

1. Ululu. Ndi pachimake, kwambiri moto. Kutanthauzira: nthawi zambiri ndi gawo lakunja la ntchafu.
2. Monga vuto la ululu ndi khungu. Komabe, kuchuluka kwa kugawa ake kumawonjezera.
3. Kupititsa patsogolo ululu m'chiuno flexion-magetsi. Komanso, munthu angathe kupwetekedwa kugona kumbali kwa kugonja.
4. Pamene purulent bursitis ululu ndi wamphamvu kwambiri moti kukhala kosatheka kuti ngakhale kusuntha bwinobwino.

Njira yaikulu matenda: matenda bwinobwino palpation, auscultation madandaulo. Pakuti matenda molondola mtima walangizidwa ndi X-ray kapena Kujambula. Kwenikweni, mankhwala ndiwofatsa. Nthawi zina, opaleshoni ukafunidwe matenda patsogolo.

tendinitis

Ife tiganizire moposera za mavuto osiyanasiyana amene amakhudza m'chiuno olowa, zizindikiro, chithandizo. Tiyenera kufotokozanso kulankhula za zimene kwenikweni tendonitis. Mwachitsanzo, kutukusira kwa tendons mu malo ubale wake ndi mafupa. Zizindikiro zazikulu mu nkhani iyi:

1. Monga mwa njira zonse yotupa, redness limapezeka pa khungu.
2. Onetsetsani ululu adzauka. Iwo isanafalikire mu malo ya mitsempha akhudzidwa.
3. Ndipo, ndithudi, adzakhala ndichepe galimoto ntchito za mtima.

Vutoli amawapeza pogwiritsa kuyenderako. ultrasound akhoza yoti matenda zina. Chithandizo zimagwiritsa ndiwofatsa. Komabe, nthawi zina, zikuoneka kuti opaleshoni.

amadziwikira kugonana

Nthawi zambiri, odwala chidwi funso kodi nthawi zambiri matenda zimfundo m'chiuno mwa akazi? Poyamba, Dziwani kuti pali kusiyana okhwima kulibe. Aliyense matenda pamwamba ananena kuti amakhudza anthu a amuna ndi akazi pafupifupi mofanana. Komabe, Kafukufuku amasonyeza kuti matenda waukulu mu mfundo m'chiuno mwa akazi - ndi nyamakazi arthrosis. Komanso, matenda awa zimachitika anthu chifukwa cha ukalamba.

Main m'chiuno matenda amuna - bursitis ndi tendonitis. Ndipo onse chifukwa anyamata ali makamaka ankagwira ntchito mwakhama, ndipo katundu lalikulu kwambiri m'thupi. Zonsezi zambiri kumayambitsa zikamera mavuto amenewa ndi ntchafu olowa.

diagnostics

Poyamba, tisaiwale kuti likhoza zosiyanasiyana ululu mu ntchafu olowa ayenera yomweyo kufunsa dokotala malangizo. Inde, mu nkhani iyi n'zotheka matenda pa siteji oyambirira. Ndipo mosavuta ndipo kwambiri shortens ndondomeko ayambe wodwalayo. Apo ayi pali chiopsezo immobilization wathunthu wa nthambi akhudzidwa.

Kodi ndi njira ziti tsopano n'zotheka oterewa mavuto osiyanasiyana nkhawa ndi ntchafu?

1. Kuphunzira mtima. mfundo yaikulu akhoza "kunena" yekha, mwachitsanzo. zizindikiro E. Anthu mavuto amene wodwalayo anadandaula. Pambuyo kuwamvetsera, nthawi zambiri dokotala amachitira, ngakhale mfundo kuyambirira za matenda alipo mu mtima.
2. Palpation. Nthawi zina, kumverera kwa malo kugonjetsedwa wodwalayo kupereka mayankho a mafunso ena.
3. The zambiri ntchito njira yodziwira matenda osiyanasiyana a m'chiuno olowa - ndi radiography.
4. Odwala iwonso tisonyezeni ultrasound (kwa matenda ena a) kapena Kujambula (kulingalira maginito kumveka) kukachitika kuti wodwalayo kutupa.

chithandizo

Chifukwa matenda zingachititse m'chiuno mafupa? Chithandizo - izi ndi zofunika kwambiri pa nkhaniyi. Ndipotu, ngati nthawi chiyambi, n'zotheka popanda vuto ndi khama kulimbana ndi matenda. Kodi dokotala mankhwala?

chithandizo ndiwofatsa.

1. Achire thupi, physiotherapy ndi zofikisa. Izi zonse muyenera kuti digiri uliwonse wa matenda. Komabe, ngati matenda oyamba anaonekera, nthawi zambiri pogwiritsa ntchito njira zimenezi n'zotheka kupirira.
2. Othetsa ululu. Nthawi zambiri kuchotsa ululu ntchito sanali steroidal odana ndi yotupa mankhwala. Komabe, nkofunika kuti anthu amvetse kuti nkhabe kulimbana ndi matenda, koma matenda zosasangalatsa. Zimakhala ngati mankhwala monga "Teksamen" "Celebrex", "nimulid", "Bonifen", "Diklak" ndi zina zotero. D. Koma ntchito mankhwala awa ayenera kukumbukira kuti iwo ndi mndandanda mwachilungamo lalikulu contraindications osiyana .
3. Chondroprotectors. Kodi mankhwala kuti kusintha chichereŵechereŵe minofu. Pa m'munsi awo kumeneko, glucosamine ndi chondroitin sulphate. Ampoules: mankhwala "Mukosat", "hondrolon". Mapiritsi: mankhwala "Chondroxide", "Struktum". Mankhwala odzola "Elastenga", "Chondroxide".
4. Zikutanthauza kuti aziyenda bwino magazi mu mutu wa bondo olowa. Awa ndi mankhwala monga "stugeron", "Pentoxifylline."
5. Iwonso nkhani zosiyanasiyana jekeseni kwapakati pa-articular, mmalo mwa madzi synovial.

Opaleshoni - iyi ndi njira ina kuchotsa vuto. Iye kukhala yomalizira, pamene njira ndiwofatsa kuthana ndi vuto n'zosatheka. Zikatero zambiri amapezeka endoprosthesis. Ndiko kuti, olowa matenda chikutha ndi malo ake anakhazikitsa prosthesis yapadera yomwe sikusokoneza ndi kugwira ntchito bwinobwino.