Vakwegura vanowanzotambura nemarwadzo ekubatana, kunyanya mumaoko nemabvi. Izvi zvinoitika semugumisiro wekugadziriswa kwemasikirwo emapfupa uye martilaginous tishu. Asi pane zviitiko apo dambudziko rimwechete rinoitika kune vechidiki. Asi mumamiriro ezvinhu akadaro, iyo ichabatanidzwa nekubuda kwezvirwere zvakasiyana-siyana. Imwe yeiyi hoff's disease.
Kuti uzviongorore munguva yakafanira, iwe unofanirwa kuziva kuti chii chinokonzera kutanga, uye chii chikuru chezviratidzo zvechirwere.
Zvinokonzera Hoff's disease
Chirwere cheGoff kana lipoarthritis inonzi aseptic (isina hutachiona nehutachiona uye microbes) kuputika kwemafuta emafuta eGoff, zvichibva pamagumisiro avanoita simba ravo rekugadzirisa. Pane zvikamu zviviri zvekukura kwechirwere: chakanyanya uye chisingaperi. Kana yekutanga isina kurapwa munguva, zvino inopinda muchipiri.
Kune zvikonzero zvakasiyana-siyana zvekufambiswa kweHoff's disease mumabvi akabatanidzwa:
- kushungurudzika, kunowanikwa pazera ripi zvaro: kuwa, kupinza kana kuwedzera;
- kusanzwisisika kugadzikana pabasa: kugara pasi kana kumira pamabvi, somuenzaniso: kune vanofambisa bhasikoro kana vapolisi;
- hormonal change (kumucheto);
- nguva dzose mutoro mukuru pamabvi akabatanidzwa. Izvi zvinowanikwa mumatambi, artists, kunyanya ballet nekisikiti;
- arthrosis.
Zviratidzo zveHoff's Disease
Iyo yakajeka chikwata chechikoro chechirwere chiri nyore kuziva:
- kushaya simba kwevadriceps;
- Kuwedzerwa kwekubatana kunogumira;
- kune marwadzo akare;
- kubwinya kunoitika;
- edema yakagadzirwa inoumbwa.
Chiremba ane zviratidzo izvi anonyatsoongorora chirwere cheHoff nyore nyore, kunyange nekunzvera kwakajeka.
Zvakanyanya kuoma kuziva chirwere ichi muchigarire chisingagumi chekutengesa. Zvakakosha kuteerera nzeve dzakadaro:
- kuonekwa kwemarwadzo usiku uye apo kuedza kuvimba pachigunha chakatambudzwa;
- kuderera mumabasa e quadriceps femoris muscle;
- pedo nemabvi, maitiro matsva anoumbwa, kubudisa kutyisa pavanomanikidza pavari;
- Kubatanidzwa kwemabvi kunotanga kushanda zvakanaka.
Kuti kusimbise kuongororwa, muwedzere kuongororwa ne palpation, zvidzidzo zvinowedzera zvichadiwa: arthroscopy, MRI kana CT.
Kurapa kweHoff's disease
Kune chikamu chipi nechipi cheHoff's disease mumabvi akabatanidzwa, kune maitiro maviri ekurapa:
- radical (kushanda);
- rakachengetedza.
Nechimiro chinyoro uye chine mwero chechirwere, pangangodaro kune yakakwana uye inopesana nekuputira remapirisa, iyo ichave seyiyi:
- Kuisa mararamiro ekuzorora ejoka rakavhiringidzika, iyo inobvumirwa kuti mubhedha ugare nechisina kufamba.
- Kupinda mishonga inowanikwa pamwe chete ( corticosteroids ), kuderedza kuputika.
- Kuita zvirongwa zvemuviri (irradiation nemwenje Solluks, laser uye oxygen therapy, matope uye paraffin ozocerite applications, electromyostimulation).
- LFK, ndiko kuti, maitiro anoshandiswa pakusimbisa mitsipa yekudzivirira kwechiedza uye kudzorera kufamba kwemabvi.
Muzviitiko zvakakomba uye nekufambira mberi kweHoff's disease, vanachiremba vanokurudzira kudzorera basa pamwe chete nerubatsiro rwekupindira, kana kubvisa (kana kubvisa) chikamu chakakanganiswa chemiviri yeGoff (strangulated), pamwe nemaruva akaumbwa pamabvi. Iyi nzira yekuvhiya inoitwa nemaitiro arthroscopic.
Mushure mekushanda kwemavhiki maviri, murwere anoda kugadziriswa, izvo zvinokurudzira kuumbwa kwemitumbi yakazara mafuta uye kudzorerwa kwemaitiro ekuderera
- Physiotherapy (iyo nzira inofanana neyokuchengetedza kurapa);
- massage;
- occupations therapy therapy ;
- kugamuchira mabhati, dope uye nemvura mineralized (iodine-bromine, sulphide uye radon).
Kana uchibata chirwere cheGoff, mishonga yevanhu inogona kungogadziriswa marwadzo, saka kana iwe uchida kuita zvakanaka, unofanira kubvunza chiremba wako kana ukaona zviratidzo zvokutanga zvechirwere.