Chirwere chakadai, seArthrosis chebvi rinobatanidza, chiri kutungamira pakati pezvimwe zvipembenene zvakagadzikana muhuwandu hwezvakaitika, uye vazhinji vevarwere vari vakadzi. Mune mishonga yezvechiremba, arthrosis yemauto aya anonzi gonarthrosis. Funga kuti nei chirwere ichi chichikura, kuti chinoratidzika sei uye chinorapwa.
Osteoarthritis - zvinokonzera
Kuti tinzwisise chimiro uye zvinokonzera arthrosis, regai tishandure kutema. Mabvi akabatanidzwa anomiririrwa nehuwandu hwakawanda hwezvivakwa - bone, tendon, ligament, vascular, nervous. Iko kumucheto wepamusoro wekubatanidzwa ndiko kuguma kweparal yehudyu, muganhu wakaderera unomiririrwa nechikamu chepamusoro chetibia, mberi kwayo inogadziriswa ne patella, uye kumashure - nematumbo.
Izvo zvinyorwa zvinotarisana zvinokonzerwa nemucheka wemukati, iyo yakareba 5-6 mm. Iyi sarudzo inoita kuderedza mabasa uye inoderedza kupesana kwekufamba-kwema-extensor kufamba. Irotilage inowanikwa nekugara ichiyerera mvura inogadzirwa ne synovial membrane, iyo inogadzirisa chisingaiti chepamusoro chekubatana. Nekushaikwa kwezvokudya, mhuka dzinotapira muviri dzinova dzakapfava, dzinorasikirwa nekusimba kwayo, dzinoputika uye dzinotanga kupera zvishoma nezvishoma, kurasikirwa kwayo.
Kushanda kwekateketeti kusingabatsiri kunokonzera kuwedzera mumutambo pamapfupa emapfupa, anotanga kuora uye kukura senzira yekudzivirirwa nenzira yezvipembenene uye zvinoputika. Dhigenerative michakato inobatsirawo synovial membrane, ligaments, muscle fibers. Zvose izvi zvinokonzera kuoma mukufambisa kwekubatana uye kuputsika kwemakumbo echikwata kubva panzvimbo yakarurama. Iyi ndiyo yekugadzirwa kweArthrosis yemabvi akabatanidzwa.
Arthrosis pathological zvinowanzosimuka nekuda kwezvikonzero zvakakonzera zvinokonzera, zvichiita kuti kuve nekuvhiringidzika kwekugoverwa kwezvinyorwa zvegumbo, iyo huru iyo inotevera:
- congenital features ( joint dysplasia );
- kushungurudzika pamwe kwekuvhiringidza kunokanganisa chimiro chemapfupa, magamente, masisumu, maitiro echetilaginous (matambudziko, kuputsika, kuputika, kupera);
- pathology ye musculoskeletal system, umo mutoro uri pamubatanidzwa unoparadzirwa zvisina kufanana ( scoliosis , kyphosis , flat feet);
- izvo zvakashandurwa pamabvi (somuenzaniso, kubvisa meniscus );
- mitoro yakawandisa pamakumbo mashoma anokonzerwa nemitambo kana basa;
- kunyanya kubata muviri, kusagadzikana;
- overweight;
- zvirwere zvinowirirana nemisidha yakareba kwenguva refu yemisumbu kana midziyo yemakumbo;
- kuvhiringidza maitiro mumakiti akabatanidzwa (zvichienderana nerheumatoid arthritis , arthritis ne systemic lupus erythematosus, purulent zvirwere);
- kukanganisa kwemagetsi emagetsi mumuviri, endocrine pathologies;
- kukwegura kwomuviri.
Osteoarthritis yemabvi - zviratidzo
Ihwo hutachiona hunokura zvishoma nezvishoma, zvishoma nezvishoma, pakutanga zvisinganzwisisiki kumurwere, zvino-zvichikonzera kusagadzikana zviduku, uye zvadaro zvinotungamirira ku zviratidzo zvakakomba, uye dzimwe nguva - kuremara. Pasinei zvikonzero zvinokonzera arthrosis emabvi akabatanidzwa, tichifunga nezvekuwedzera kwehutachiona hwezvirwere mumatumbu, zvidimbu zvitatu zvegonarthrosis zvinoratidzika, imwe neimwe inogona kuonekwa nekliniki chaiyo yemifananidzo.
Osteoarthritis yemabvi akabatanidzwa akasiyana nemamwe maitiro ekurumbira kuburikidza nekuvapo kwemhando dzakasiyana dzemarwadzo:
- "Kutanga marwadzo" , anoitika mushure mekugara kwenguva refu mune imwe nzvimbo yezororo pakutanga kwekufambisa, uye zvinyorovesa kana kuti zvinyangarika pamusoro pemamiriro emotokari basa (mushure meinenge nehafu yeawa). Izvi zvinokonzerwa nekukanganiswa kwezvivako zvepamusoro, pane zviduku zviduku zvemapfupa anogumburwa uye martilage anogadzirisa. Sangano rekubatana rinotungamirira kukudzingwa kwezvipembenene izvi zvinoparadza mumapapiro ehombodo yepamusoro, iyo inosangana nayo iyo kupera kunoderera.
- "Kuvharidzirwa kwekubatana" -kukurumidza kuwedzera kurwadziwa chirwere nekuda kwekuonekwa kwe "articular mouse", iyo inopinza yekateti kana bone. Icho chinoputika chikamu chinosungirirwa pakati pezvinyorwa zvepamusoro kana kuiswa muzvinyama zvinyoro, zvichiita kuti pave nemarwadzo akaoma-kurapa uye kusakwanisa kuita kunyange kutama zvishomanana mubatanidzwa.
Gonarthrosis 1 degree
Pakutanga kwechirwere, mabvi haasi akasiyana nehutano, hapana kuora. Gonarthrosis yemabvi akabatanidzwa nedhigirii rekutanga inoratidzirwa neropa rekupararira kwepachiviri mumidziyo miduku ine intraosseous iyo inodyisa maronda, saka inotanga kuoma uye kuonda kunze. Izvi zvinosanganiswa nemarwadzo ekurwadziwa kwenguva nenguva mushure mokufambisa motokari, kusimudza zvisikwa kana kugara panzvimbo yakamira kwenguva refu. Mukuwedzera, pangangodaro kuve nekuderera zvishoma mu patella.
Gonarthrosis wechipiri chechipiri
Sezvo hutachiona huchifambira mberi, masimba emapfupa, nhengo ye synovial, inokanganiswa, uye kukanganisa kwezvokudya kunokonzera mhuka kunowedzera. Pane kuora kwekwakaputika kwekubatana, kuonekwa kweansteophytes. Gonarthrosis yemabvi ekubatanidza kwechipiri chechipiri inoratidzwa nekuwedzera kwezviratidzo, nemarwadzo anowedzera kakawanda, achigara kwenguva yakareba, achishungurudzwa nemitoro isingakoshi. Varwere vanogona kucherechedza kuoma kwemafambiro, kutaridzika kwekumhanya. Osteoarthritis yemabvi akabatanidzwa kwechipiri chechipiri inowanzoratidzwa nekuonekwa kazhinji kedema uye zvimwe kuora kwemabvi.
Gonarthrosis ye 3rd degree
Apo arthrosis yemabvi inomuka, zviratidzo zvinobva pasina mubvunzo pakuonekwa. Panguva ino, goroti inenge isipo, iyo gumbo uye musimba basa rinopwanyika, majoka nemakumbo zvakanyanya kuora (gumbo rakavhiringidzika rinova O-rakafanana kana X-rakafanana). Marwadzo anovhiringidza murwere nguva dzose, kune chiremera chikuru chekufamba mumabvi. Nharaunda inoratidzika nekusava nekugadzikana, kudarika, varwere vanoda mari kana mapfundo.
Bilateral gonarthrosis
Kazhinji chirwere chinotanga nemabvi akabatana, asi gare gare yechipiri, kuwedzera kuwedzerwa mutoro, kunobatanidzwa mukugadzirisa zvirwere. Mune zvimwe zviitiko, arthrosis ine kuwirirana kwemavi akabatana pamwe chete inosanganiswa nemhando dzenharo, saka zvipembenene zvinokura zvakasiyana. Nechiremera chakanyanya chegonarthrosis pamwe chete, zviratidzo zvaro zvinonyanya kukanganisa vanhu vakwegura, zvinogona kutungamirira mukurasika kwakakwana kwekwanisi yekufamba.
Osteoarthritis - kuongororwa
Varwere vanosimbisa gumbo pamwe chete gonarthrosis vanogoverwa kuoma kweongororo kusimbisa kuongororwa, kuona kuti zvinokonzera sei uye kukonzera kwechionda, izvo zvingasanganisira:
- X-ray imaging - inoratidza mamiriro evanhu e-menisci nekartilage (pamwe nehupamhi bwegati rakabatanidzwa), kuvapo kana kusavapo kwemapfupa ekukura, zviratidzo zvekuparadzwa kwemapfupa;
- Ultrasound uye MRI yezvibatiso zvemabvi - kuona kuchinja muzvinyoro zvishoma, chiyero chemukati-articular fluid;
- CT yezvikamu zvemabvi - nokuda kwekunyatsodzidza kwekuchinja mune zvivako zvepafu;
- kuongororwa kwe synovial fluid - inorayirwa kuvhara kwekubatana kuti iongorore kukura kwezvokuvhiringidza uye dystrophic zvirongwa;
- arthroscopy - nzira yekutsanangurira kuongororwa, umo muvhidhiyo kamera inopindirwa mukati memubatanidzwa;
- ropa uye urini miedzo.
Osteoarthritis yemabvi akabatanidzwa - kurapwa
Nekurapa arthrosis yemabvi akabatanidzwa munyaya imwe neimwe, chiremba anofanira kutaurira mushure mekuita maitiro ekuongororwa. Chero mamiriro ezvinhu, iwe unofanirwa kurongedza mune kwenguva refu kurapwa nekuzorora zvakakwana nekuongororwa kwezvokurapa - chete nenzira iyi unogona kuwana zvibereko zvakanaka. Nheyo dzemitemo yekurapa dzinosanganisira:
- therapeutic gymnastics;
- massage;
- physiotherapy techniques (UHF, electrophoresis, phonophoresis , diadynamic currents, magneto- uye laser therapy);
- drug therapy;
- kushandiswa kwemapfupa emagetsi.
Mukuwedzera, zvingave zvakakosha kuti uite kurapwa kwezvirwere zvakanyanya zvinokonzera arthrosis emabvi, kuenzanisa kwehutano hwemuviri, kusarudzwa kwehombodo dzakanaka. Varwere vanofanira kunyatsogadzirisa kuronga kwavo kwezuva nezuva, kushandura basa rekuita nekuzorora, kuitira kuti mutoro uri pazvibatanidze uiswe. Nekunonzi kushatisa kuchinja, apo kurapa kwakachengetedza hakubatsiri, kunoshandiswa pakupindira chirwere - knee arthroplasty.
Nzira yekubvisa kupfugama kwemabvi neArthrosis?
Sezvo kuora mwoyo kweArthrosis yemabvi akabatanidzwa kunowirirana nekuputika kwepabvi pamabvi, zvakakosha kudzidza kubvisa chiratidzo ichi, chinodzivirira hupenyu hwezuva nezuva. Varwere, kutanga kwezvose, vanofanira kuchinja kuidya kuitira kuti muviri usaonekwe kuchengetedza mvura. Kuti uite izvi, iwe unoda kuderedza kushandiswa kwemunyu, shuga, semi-kupedza michina, nyama, mafuta ekudya.
Kunyatsobviswa kwekutorwa kwevanyori veEedema vanowanzokurudzira kuti vaite zvakasimba neDimexide, iyo inoita nekuda kwekwanisi yekuvandudza zvirongwa zvemagetsi mujecha. Zvakakosha kudonha chidimbu chejizei, chakapetwa kanoverengeka, muDimexide rinoshandiswa rinoshandiswa mumvura nemvura, shingairira zvishoma uye kusungira kumabvi ane chirwere. Kuvhara kumusoro nekuputika kwepurasitiki, gara kwemaminitsi makumi maviri nemakumi mana. Nzira idzi dzinogona kuitwa zuva rega rega husiku neyechikamu chegumi zve10-15.
Mafuta eArthrosis emabvi akabatanidzwa
Apo arthrosis yemabvi inowanikwa, kurapwa pamusha kunowanzoitwa mumatambudziko akawanda uchishandisa maitiro ekugadzira nzvimbo nenzira yemafuta, mafuta, makrisheni. Iyi mari inogona kugoverwa muzvikamu zvakasiyana:
- kwete-steroidal anti-inflammatory drugs (Diclofenac, Naise, Ketonal, Indomethacin, Voltaren, Dolobene) - kuderedza kupisa, anesthetize;
- kudziya (Apizartron, Gavkamen, Espol, Viprosal, Kapsikam, Finalgon) - vane analgesic effect nekuda kwekusimudzirwa kweropa, kuwedzera trophic cartilage uye zvinyoro zvishoma;
- chondroprotectors (Chondroxide, Chondroart, Aflutop, Teraflex) - dzokera mishonga yemajoti, inobatanidza kushandiswa kwemukati, inopedza kuoma kwezviratidzo.
Injections mumabvi akabatanidzwa neArthrosis - madhiragi
Mune zvimwe zviitiko, somuenzaniso, kana kuiswa kwekubatana kuripo kana kuti kurwadziwa kwakanyanya kunoratidzwa, majekiseni anopiwa mumabvi eArthrosis emabvi akabatanidzwa. Kugadzirira kwemukati-articular yemapoka anotevera anoshandiswa kwejojo:
- corticosteroids (Diprospan, Hydrocortisone, Triamcinolone);
- Kugadzirira kwe hyaluronic acid (Hyalurum, Synocrome, Fermatron);
- chondroprotectors (Aflutop, Dona, Hondrolon);
- anesthetic Novocaine.
Gonarthrosis mahwendefa
Ngationei mahwendefa anokwanisa kupiwa kuvarwere vane arthrosis yemabvi:
- kwete-steroidal anti-inflammatory drugs (Diclofenac, Ibuprofen, Ketoprofen, Analgin);
- chondroprotectors (Glucosamine, Chondroitin sulfate, Dona, Teraflex, Piascladin).
Osteoarthritis yemabvi akabatanidzwa - kurapwa nemishonga yevanhu
Kana kutanga gonarthrosis ichionekwa, kurapwa kunogona kuwedzerwa nemasero asiri epo, mazhinji ayo anoratidza kushanda nesimba. Semuenzaniso, gorosi inobatsira kunatsiridza kupararira kweropa kwemashuga akakomberedzwa, kuisa mararamiro ekudya, kupedza marwadzo nekuputika.
Prescription zvinoreva
Zvisungo:
- garlic - 1 musoro;
- Mafuta emiriwo - 200 mg.
Kugadzirira uye kushandiswa
- Garlic chop, mafuta.
- Isa chigadziko nemafuta tincture munzvimbo ine rima kwevhiki, nguva nenguva kuzununguka.
- Bvisa chirwere chinorwara usiku.
Gymnastics for arthrosis yemabvi akabatanidzwa
LFK neArthrosis yemabvi akabatanidzwa inoitwa mushure mekubviswa kwekurwadza kwakanyanya uye kubviswa kwekutambudzika kukuru. Gymnastics inofanira kuitwa nguva dzose, uye zuva rinofanira kupiwa iyo kwemaminitsi 30-40, ichiparadzanisa nguva ino mumaminitsi gumi. Zvakanyatsosarudzwa maitiro eArthrosis emabvi akabatanidzwa anobatsira kudzorera kushandiswa kweropa, kusimbisa masimba nemirasi, kuratidza mabasa ezvibatanidzwa. Mukuwedzera, varwere vanobatsira kufamba, kushambira, mabhasikoro, pilates.
Bandage pamabvi neArthrosis
Vanachiremba vanokurudzira kupfeka mabheti akakodzera emabvi eguti arthrosis, iyo inobatsira kuve nechokwadi chemaitiro chaiwo ekutenderera, kuita kufamba kufamba, kudzivirira kudzima. Kupfeka zvipfeko zvakadaro zvinofanira kuva kubva maawa maviri kusvika ku8 pazuva, kupfeka mushure mekuita basa. Zvakakosha kuziva kuti ungasarudza sei mabheti ekuti arthrosis emabvi akabatanidzwa zvakanaka, izvo zvaunoda kutsvaga nyanzvi. Mishonga inogona kuzaruka, yakavharwa uye yakabatanidzwa, yakagadzirwa nezvinhu zvakasiyana, ine dhigirii yakasiyana yekusagadzikana.