Periarthritis chirwere chinoputika chinowedzera mu periarticular tissues. Kazhinji, masangano makuru anoshandiswa. Periarthritis yekubatana kwemafudzi yakajairika, panguva yakangwara (mushure memakore makumi matatu), iyo inobatanidza nekushanda zvakanyanya kana kukuvadza kukuru. Kazhinji vanhu vanova rheumatologists, nokuti vanoshanda mumabasa avo vanoda nguva dzose mutoro pamazamu epafudzi.
Anatomy uye zvinokonzera chirwere chacho
Masangano acho anounganidza mapfupa emasaga uye anobvumira kufamba kumapfupa anojekesa. Izvi zvinoitika nekubatsirwa kwemasumbu. Zvinyorwa zvinyoronyoro kana zvakaoma zvine zvimwechete zvisikwa zvinoitika. Izvi zvinosanganisira:
- The joint capsule. Iko-capsule inopoteredza nzvimbo yepamusoro yemapfupa anojekesa uye inoita chivharo chakavharidzirwa.
- Articular ligaments. Yakakura yezvibatanidza zvisikwa, ichibatanidza mapfupa pamwe chete.
- Tendons. Iyi ndiyo chikamu chekupedzisira chemasumbu. Icho chiri nerubatsiro rwetambo kuti mitsipa yakanamatira yakaiswa pamapfupa.
- Muscles. Nhengo huru iyo inobvumira kuita zviito zvemotokari kumunhu wemunhu.
Nhengo dzepamusoro dzinogona kuwedzera kufamba kwemashure kupfuura mamwe masangano anokonzerwa nekugadzirwa kwemagetsi nemasumbu.
Zvimwe zvinokonzera periatritis zvezvibatanidzwa zvepamusoro nepamasese mapepa ndezvi:
- Basa rezvemhizha. Vanhu vanoshanda semapuranga, vavezi, vanyori, vemitambo, etc. vanowanzorwara, kureva, avo, nemabasa avo, kazhinji vanoita kutenderera-kutungamirira kufamba, pamwe nekufambisa maoko kumusoro uye pasi.
- Rimwe-nguva mutoro wakawandisa pamubatanidzwa wepafudzi.
- Kukuvadza (kuwa, kurohwa).
- Congenital anatomical nhengo dzezvibatanidzwa zvepafudzi.
- Kusarudzwa myocardial infarction .
- Kushungurudzika kwemashure kunokonzera kuputika mubatanidzwa wepafudzi.
Nzira yekuita sei kuongorora?
Periarteritis yekubatanidzwa kwepafudzi inozivikanwa nezviratidzo zvinotevera:
- kurwadziwa mubatanidzwa wefudzi, iyo nguva dzose yakasimbiswa mukushanda kwekutora-kutungamirira kufamba, kusimudza mavoko;
- kugadziriswa kwekufambidzana mumubatanidzwa paunoita kufamba (kuoma kwekubatana);
- kuwirirana zviitiko: kurwadziwa kwemusoro nemutsipa, shure uye kurwadziwa kwemaoko, kupera kweminwe, chizuru.
Mukuwedzera pakuunganidza zvikwangwani, rheumatologist inogadza dhigirii inotenderwa. Mazano anobatsira ekuongororwa ndeokuti ultrasound, CT, MRI, ropa test uye arthrography.
Nzira yekurapa sei periththritis yekubatana kwepafudzi?
Kuti kuderedza chirwere chinorwadza chiremba vanorayirwa kanaally kwete-steroidal anti-inflammatory drugs (Ibuprofen, Nimesil, Xefokam, Indomethacin, Diclofenac). Pakutanga kuratidzwa kwechirwere chekushandisa zvinodhaka nekudzivirira kwechinguva kwekufamba mune zvakabatanidzwa zvakakwana kuti uwane kuzorora zvakakwana.
Chigadziriswa chekufambisa chinosanganisira kusagadzikana, ndiko kusagadzikana kwekubatanidza nenzira yekugadzira bhanhire. Muchiitiko ichi, murwere anofanirwa kunzwisisa maitiro aanofanira kudzivisa. Pasina chiyero ichi, periarthritis yekubatana kwepafudzi haigoni kuporeswa nemumwe mushonga.
Ne periarthritis yekubatanidzwa kwepafudzi, maitiro emunharaunda ekurapa anoshandiswa, zvakadai samafuta, electrophoresis, compresses, blockades, maitiro (parafini, dhe remaperembudzi), hirudotherapy, laser therapy. Izvo zvinoshandiswa zvezvizoro hazvina-steroidal anti-inflammatory drugs. LFK, kushambadzira uye manyorero ekurapa zvinonyatsooneka mukurapa kwe periarthritis yekubatana kwepafudzi, kunze kwekuti inotungamirirwa mushure mokurumbidzwa kwachiremba uye nekubatsirwa kwechiremba anozivikanwa.