Zizindikiro za m'chiuno bursitis, diagnostics, chithandizo cha mankhwala wowerengeka, mankhwala, zithunzi

Kutupa kwa m'chiuno limodzi imbaenda ululu ndi kuchepetsedwa sayenda m'chiuno ntchito amatchedwa bursitis. Kudwala ndi zofala pakati pa akazi ndi angayambe pa maziko a thupi zimamuchulukira, matenda concomitant kapena mutamwa wothandizila opatsirana. M'nkhaniyi, tione zimene m'chiuno bursitis. Zoyambitsa, zizindikiro, matenda ndi mankhwala a matenda nawonso tikambirana chimango mutuwo.

Lingaliro la bursitis

Bursitis - ndi yotupa matenda zokhudza synovial periarticular thumba kapena sac. Bursa pafupi mfundo fupa - phewa, m'zigongono, bondo, ntchafu - n'kumaganiza absorbers mantha kutsegula mikangano pamene kutsetsereka ndi minofu ndi mafupa. Bursae muli madzi, zomwe mchikakamizo cha zinthu zina akhoza kukhala chofuna.

Femur yodziwika Bony protrusion wotchedwa wamkulu trochanter. Mwa ichi mapangidwe minofu Ufumuyo, kuonetsetsa uziyenda a m'chiuno olowa. Kuti skewer ntchafu bursa pafupi, zomwe zingabuke kuyabwa ndi kutupa zomwe zingachititse kuti chitukuko cha m'chiuno bursitis.

Ndi pafupi m'chiuno olowa ndi zikwama zina synovial, koma nthawi zambiri kutupa amapezeka atatu a iwo:

• trochanteric thumba;
• ilio-pectinate thumba;
• ischial thumba.

mitundu ya bursitis

The yotupa ndondomeko akuwuka mu thumba trochanteric amachititsa kudwala wa dzina chomwecho - trochanteric bursitis (trochanter). Mtundu uwu wa bursa lili trochanter wamkulu wa ntchafu. Pamene kutupa amayambitsa kupweteka m'dera la trochanter wamkulu - ziyerekezo pa fupa la femur (kunja). Kubwalo thumba izi subtrochanteric bursa kutupa amene amapezeka zofanana kutupa kwa trochanteric bursa ndipo kunatha njira yomweyo.

A Chisa-iliac bursa inali kutsogolo kwa minofu lumbar-iliac. The kudwala mu bursa umenewu umatipatsa bursitis iliac scalloping. Popeza thumba limeneli chikugwirizana ndi M'mimbamo ya olowa, kutupa amakumbukira Cox (kutupa m'chiuno ndondomeko olowa). Ululu zimachitika ntchafu zapambuyo-pamwamba (basi pansipa groin ndi). Mu ukugwirizana m'chiuno olowa kumatheka ululu pangabuke edema kapena kutupa.

Chikwama Sciatic isanafalikire pa malo minofu ubwenzi ndi tuberosity ischial. Kutupa mu imbaendesa munthu ku bursitis sciatic, amene amakhala ndi ululu pamene kupinda m'chiuno.

Zizindikiro za bursitis a m'chiuno olowa

Chiwonetsero chachikulu cha bursitis ndi ululu mu ntchafu limodzi lomwe advantageously chimafikira pamodzi pamwamba kunja kwa femur lapansi. magawo oyambirira a matenda yodziwika ndi ululu waukulu komanso kwambiri. Ndi pofuna kukwaniritsa matenda ululu si motero.

Kudwala zimatengera mtundu aakulu. M'chigawo cha kutanthauzira kwa ndondomeko yotupa amapezeka kutupa zimafunika pa mawonekedwe anamaliza ndi amakhala ndi kugwirizana zofewa. Mawonekedwe a bursitis aakulu sayambitsa kuyan'anila za ntchito za olowa akhudzidwa. Odwala lipoti kupanda ululu chotentha n'kusindikiza.

Mu pachimake siteji kudwala kuchuluka kwa madzi mu M'mimbamo wa akhudzidwa thumba ukuwonjezeka - cysts anapanga wodzazidwa ndi exudate, - zizindikiro zapadera bursitis a m'chiuno.

Ngati kutupa bursa kumachitika mchikakamizo cha matenda, purulent bursitis akufotokozera mmene muli kupweteka kwambiri, makamaka pamene nthambi atigwira ndi kutambasuka-flexion a m'chiuno. Kumbali kunja kwa ntchafu popangidwa ndi kutupa, wodwala kwathunthu limbitsani kapena kukhotetsa m'chiuno.

Kuwonjezera ululu, pali zizindikiro zina bursitis m'chiuno:

• Chotupa kutupa likutuluka, kukula awiri kungakhale kwa 10 cm;
• kutupa padziko zikwama chofuna;
• malungo;
• kuwonongeka kwa chikhalidwe ambiri.

Zizindikiro za bursitis nyama

Trochanter - matenda amenewa amapezeka osati anthu komanso nyama. Nthawi zambiri eni galu akukumana ndi kudwala kwa ziweto zawo monga hygroma - chotupa, amene anapanga padziko olecranon, mu malo chidendene fupa, komanso mu malo wamkulu trochanter m'chiuno malo. Ngati mwendo wako wandiweyani kapisozi fibrous, ndi M'mimbamo wodzala ndi madzimadzi, tikhoza kunena kuti pali hygroma (bursitis) a m'chiuno olowa. Zizindikiro agalu amaoneka motere:

• m'dera la nthambi akhudzidwa (mwendo) otentha;
• nyama amasunga nthambi kulemera;
• Agalu thupi kutentha ndi apamwamba kuposa masiku onse, nthawizina kufika mpaka madigiri 39,5;
• pansi pa khungu anapanga makina kutupa kuti mwina zokha adatseguka, ndipo kutanthauza mafinya.

The kudwala kumachitika kawirikawiri kapena nyama wamng'ono kapena wamkulu. Komanso zambiri timadwala lalikulu agalu zimasokoneza.

Bursitis kumachitika chifukwa:

• matenda wothandizila;
• molakwa anasankhidwa kuti zinyalala nyama;
• osasamba thupi ntchito;
• hypothermia.

Zina mwa zifukwa anthu

ncafu bursitis limapezeka ambiri mu akazi kusiyana ndi amuna. The kudwala ikupezeka anapezeka pa akazi wazaka zapakati kapena kuposerapo. Anyamata kawirikawiri anapezeka ndi "ntchafu bursitis." Zoyambitsa ndi mankhwala kuti chofunika kuthetsa zizindikiro za matenda angakhale munthu kwambiri. Zonse kudalira pa thupi la munthu. Komabe, pali zinthu wamba, zotsatira za imbaenda chitukuko cha kudwala.

ncafu bursitis aumbike pa maziko:

• Kuvulala kwa femur - ntchafu yako kugwa, anagunda chilichonse yaitali pamaso pa munthu pa mbali ina ya thupi mu malo yopingasa.
• Zodziwitsa asamakhale ndi nkhawa pa ntchafu olowa - pamene kukwera masitepe, ndikuthamanga mtunda wautali kupalasa njinga yaitali kukhala mu malo woongoka.
• Kudwala kumachitika pa akusowa thupi - osiyana mwendo m'litali, amene amakhudza mwachindunji pa gait anthu. Pa yemweyo synovial matumba m'chiuno imvera likuyabwa kwambiri.
• Bursitis chingachitike n'chiyani matenda concomitant, monga nyamakazi, msana pathologies (kupindika msana) ndi zina zotero.
• Opaleshoni alowererepo m'dera m'chiuno, komanso olowa m'malo akhoza kukhala choyambitsa mu chitukuko cha kudwala.
• Kukhalapo mu thupi la madipoziti kashiamu mu tendon dera trochanteric m'chiuno kumabweretsa kuyabwa ndi kutupa bursa ndi, monga chotsatira, bursitis.
• Hypothermia, wongokhala (amangokhala moyo), onenepa - bursitis makina.

Ine ndiyenera kunena kuti nthawizina kudwala amapezeka popanda chifukwa kwina.

Matendawa. anayendera

Mu matenda a m'chiuno bursitis ntchito osiyanasiyana njira. Katswiri amachititsa kucheza ndi wodwala, chifukwa cha zomwe akaone kupezeka / pakalibe matenda concomitant, nkotheka yapita alowererepo pa opaleshoni. mwapadera wapatsidwa bwinobwino wodwalayo, kuganizira zonse kuzipenya wake. The katswiri amaona madandaulo a padzakhala ululu tilinazo ndi mbali projecting ntchafu.

Mitundu yonse ya bursitis zambiri amapezeka trochanteric bursitis. Izi mawonekedwe a matenda amakhala ndi moto ululu m'dera m'chiuno. Ululu kuwonjezera pamodzi pamwamba kunja kwa femur lapansi. Woleza kovuta kupeza kwa nthawi yaitali mbali iliyonse imene zina kapena kugona. Ululu syndrome kumatheka mwa kuyendetsa yogwira - poyenda, kutchire kukakumba ndikafuna kudzithandiza, kasinthasintha mwadzidzidzi ntchafu, kukwera masitepe.

Ngati panali anavulazidwa ntchafu ndi kupweteka - amaganiziridwa pachimake bursitis. Nthawi zambiri chitukuko cha kudwala chifukwa zoopsa yoyamba wamphamvu dinani odwala zindikirani. Nthawi zina madokotala chidwi pa ntchito wodwalayo mbadwa, chifukwa matenda likutchedwa wamba pakati othamanga.

njira zina Kupenda

Kuyambira m'chiuno olowa wazunguliridwa ndi wosanjikiza minofu minofu, ndi ntchafu dera palpation anachita mu gawo loyamba la kuona ndi matenda. Ndi mpheto izi mu- ngathandizire ululu ndi kuchisonyeza. Komanso, udindo wa olowa imene ululu amakhala matalikidwe waukulu (dokotala likupita mwendo wa mtima uku).

Nthawi zambiri, matenda momveka bwino pa siteji ya bwinobwino ndi zina matenda si chofunika Komabe, wodwalayo njira zina zofufuzira awerenge milandu amene osokoneza ndiponso maganizo, kapena kupewa kuvulala zotheka ndi zinthu zina pathological.

Mwachitsanzo, X-ray mu bursitis trochanteric kudziwa calcifications mu zimakhala zofewa m'dera la trochanter wamkulu. Pa Kujambula mapanga sikani kuoneka bwino matumba kutupa malovu ndipo kudzikundikira madzi mu izo. Kuchita ultrasound kumathandizanso kudziwa kudzikundikira madzimadzi owonjezera mu thumba.

bursitis chithandizo

Njira ntchito pa matenda a bursitis, zimadalira nthawi ya matenda. Choncho, siteji yoyamba ya matenda a kuchira bwino wodwala chofunika kuchita mankhwala thupi lake, kugwiritsa ntchito mankhwala odana ndi yotupa ndi kutsatira za tsiku, mbali yaikulu ya zomwe ndi lopuma la wodwala ndi kuchepetsa amphamvu thupi kwambiri ndiponso ntchito. Kuthetsa zizindikiro za m'chiuno bursitis, mankhwala akuyamba ndi kugwiritsa ntchito mankhwala nonsteroidal odana ndi yotupa. Kungakhale onse m'kamwa mankhwala ndi zodzola, angakhale angelo, mwachitsanzo, "Diclofenac". Therapy kawirikawiri amagwiritsidwa ntchito ndi 2% novocaine njira pamodzi ndi hydrocortisone (glucocorticoid timadzi) kwa kuchotsa ululu. Odwala akulangizidwa kupewa kayendedwe kuti ululu. Kamodzi ululu ndi atazikocheza, mukhoza kuchita masewera olimbitsa thupi kuwala, umalimbana maphunziro ndi mtima wa gluteus Maximus.

Zikavuta (ngati njira pamwamba Musapereke kufunika achire zotsatira) achisangalalo ku physiotherapy - mankhwala laser mankhwala maginito, electroanalgesia, Decimeter yoweyula mankhwala Naftalan osambira. Nthawizina, mu mankhwala a bursitis othandiza extracorporeal mantha-yoweyula chithandizo.

Kulephera kwa ndondomeko izi zikuphatikizapo kukonzekera jakisoni mankhwala (ululu kwambiri m'chigawo cha kutanthauzira) ndi zina opaleshoni. Mfundo ntchito mu bursitis trochanteric ndi kuthetsa ilio-tibial thirakiti. Nthawi zina imachitika olowa excision malovu matumba. The Mapa kuchira mu ntchito zoterozo mu ambiri abwino.

Zovuta ndi konzanso

The Vuto lalikulu la matenda trochanteric bursitis akuti ndi kusintha kwa pachimake kuti siteji aakulu. Mu matenda aakulu nthawi zambiri opaleshoni m'pofunika - opaleshoni.

Childs, zizindikiro za bursitis m'chiuno kutha pambuyo pazipita masabata ochepa. Komabe, pali nthawi imene mupitirizabe kusonyeza zizindikiro kwa miyezi ingapo, zimene zinachitikira tinganene kuti kudwala wadutsa mu gawo aakulu. Pankhaniyi, ululu ndi malire a kuyenda mkati mwa chiuno zimasungika.

Ngati kumene mphako zomatira capsulitis - kutupa m'chiuno olowa kapisozi, wodwalayo kumverera kwa "mazira" m'chiuno.

Mbali yakumanzere ya fano zikusonyeza olowa chofuna. Pa nthawi yomweyo pali tsankho kapena okwana kusokoneza kuyenda ake. Mbali lamanja la chithunzi umalimbikitsa boma thanzi la kapisozi pa.

Ngati pakhala opaleshoni, n'kofunika ipyole konzanso n'koyenera. Nthawi imeneyi Ndi bwino ntchito pamene galimoto zothandizira - ndodo, atali, sasinthasintha. Makamaka izo nkhawa masiku oyamba pambuyo opaleshoni. Komabe, tiyenera kuyamba kusuntha ndi kudzuka tsiku la mpheto lapansi. Zimenezi olondola minofu kukonza. A masiku angapo pambuyo opaleshoni kawirikawiri Mwamsanga ululu umene umabwera ndi ntchafu bursitis.

Chithandizo cha mankhwala wowerengeka

bursitis mankhwala ndi miyambo mankhwala mankhwala umalimbana kwenikweni mpumulo wa ndondomeko yotupa. Nthawi zambiri ntchito Mwaichi compresses absorbable.

Mwachitsanzo, mu ntchafu bursitis grater pakani 1 tbsp. ndi amsupuni sopo, kuwonjezera amsupuni uchi, anyezi grated (1 supuni). Unyinji chifukwa ali osokonezeka bwinobwino ndi kuika pa nsalu thonje. The compress umagwiritsidwa ntchito pa malo chofuna, atakulungidwa nsalu mapeyala kugwira maola 2-4. Chithandizo nthawi zonse umachitikira pasanathe masiku asanu ndi awiri.

Pali wina aluso Chinsinsi compress, amene amathandiza kuthetsa chiwonetsero cha matenda (bursitis a m'chiuno olowa) zizindikiro. Mankhwala anapangidwa pamaziko a ziwiri chikho mowa wothira ya ndulu mankhwala botolo, makapu awiri zipatso kavalo mgoza ndi aloe. The osakaniza anali theka masabata. Ndiye, bafuta ankawaviika galimoto, ntchito kwa owawa. Kupeza compress akhale kwa maola 3 4. Chithandizo ikuchitika pasanathe masiku khumi.

Pofuna kuchotsa bursitis, ntchito burdock tsamba kabichi tsamba. Izi mankhwala azitsamba ndi anticancer (achigonjetse) kwenikweni. Nthawi zambiri, mankhwala opambana mapaketi ntchito masamba a Beet shuga, mbatata ndi kabichi. Masamba kuzitikita pa grater chabwino ndi kufalikira pa masoka wosanjikiza nsalu pafupifupi 0.5-1 cm. Manga achire Aziliphimbanso malo edema (kutupa gawo) kwathunthu. Chithandizo kwa maola 2 kapena 4 pa mlungu.

Mwachidule pamwamba pa zonse, tinganene kuti bursitis - matenda amene amayamba ndi zifukwa zingapo, akuti: masewera olimbitsa thupi kwambiri, yapita popanga munthu opaleshoni, matenda wothandizira. Kudwala n'ngochiritsika, koma matenda Nkofunika kuthaŵa, ndipo pamene zizindikiro woyamba wa matenda ndi kuonana ndi aluso chitani njira achire.

Nkhaniyi anafotokoza zimene m'chiuno bursitis. Zizindikiro zithunzi zofotokoza chiwonetsero cha matenda, njira zochizira Komanso mkati mwa zipangizo za nkhaniyi.