Amayambitsa, Zizindikiro ndi mankhwala a arthrosis a bondo

Arthrosis ya bondo yolumikizana ndi njira yomwe imawononga zinthu zomwe zimapangika mwendo wam'munsi. Popita nthawi, matendawa amatha kubweretsa kulumala. Kuthandiza kothandizika ndikotheka pokhapokha ndikumvetsetsa zomwe zimayambitsa matenda, mawonekedwe a maphunzirowa, kusiyana kwa matendawa pamagawo osiyanasiyana. Chithandizo chimakhala ndi mankhwala komanso kugwiritsa ntchito mankhwala azikhalidwe

Mbali zazikuluzikulu za matendawa

Arthrosis amatchedwa chiwonongeko cha cartilage ndi mapindikidwe a nyumba zopangika. Uwu ndi ndondomeko yosintha yomwe ndi yovuta. Pathology imabweretsa kusapeza bwino, kupweteka komanso kupuwala miyendo. Ngati chithandizo chikulembedwera mpaka patapita nthawi - pamakhala chiopsezo chodzala ndi miyendo yonse.

Matendawa amafala kwambiri mwa akazi, omwe amakhala ndi zaka zopitilira 40. Matendawa atha kukhala mbali ziwiri mwachilengedwe kapena angakhudze mwendo umodzi wokha. Zina mwazomwe zimayambitsa ngozi ndi mitsempha yambiri, matenda a mtima. Knee arthrosis imayendera limodzi ndi kufewetsa minofu yama cartilage, kupangika kwake. Ngati iwa ndikulephera kukwaniritsa ntchito zake, fupa limawululidwa, zakudya zake ndi metabolism zimasokonekera, ndipo ntchito yotsika imachepa.

Osteoarthritis ya bondo imakhala ndi pafupipafupi kwambiri. Malinga ndi malipoti ena, zimachitika mwa munthu aliyense wachisanu wodwala.

Chifukwa chiyani matenda a arthrosis a bondo amachitika?

Knee arthrosis ilibe chifukwa chimodzi. Nthawi zambiri kuposa izi, kuphatikiza komwe kumayambitsa zoopsa kumapangitsa izi.

Izi zikuphatikiza ndi izi:

• Knee kuvulala ndi kuvulala. Itha kukhala kuwononga, kutayikirana kapena kuvulaza. Zomwe zimayambitsa matenda a bondo kwa odwala. Pambuyo pa zoopsa arthrosis amachitika chifukwa cha kusokonezeka kayendedwe ka ma axel ena olowa. Kuchepetsa mphamvu ya chiwalo, komwe kumapangitsa magazi kulowa m'magazi a miyendo, kumathandizanso kusintha kwachilengedwe.
• Kuwonongeka kwa meniscus. Kuvutikaku kumachitika mosiyana, monga nthawi zambiri kumayambitsa arthrosis ndipo kumafuna chisamaliro chapadera kuchokera kwa wodwala ndi adokotala. Pathology imatha kuchitika izi.
• Kulemera kwambiri pamaondo. Arthrosis ndi wothandizirana pafupipafupi. Izi ndizofunikira kwambiri kwa iwo omwe asankha kufulumira kubweretsa mawonekedwe awo olimba ndikuchita izi popanda kufunsa dokotala. Nthawi zina, mafupa samalimbana ndi katunduyu ndikuyamba kupunduka. Chimenechi chimayamba gawo loyamba la matendawa. Choopsa kwambiri kwa bondo ndikuthamanga masewera olimbitsa thupi ndi squats. Ngati munthu sawerengera katundu, amavala nsapato zosayenera ndi malo olakwika - gawo logwirizanalo limachotsedwa, limakhala lochepa thupi. Ma microtraumas otero samatsatiridwa ndi zizindikiro zooneka. koma amadziunjikira ndikuipiraipira thupi. Mukamasankha pulogalamu yochita masewera olimbitsa thupi, ndikofunikira kuganizira zaka komanso momwe zimakhala. Ndipo chinthu chabwino ndikutembenukira kwa katswiri, apo ayi kuphunzitsa kumangobweretsa mavuto.
• Kuchulukitsa thupi. Chinanso chomwe chimapangitsa kuti munthu avutike kwambiri ndi kunenepa kwambiri. Katundu wambiri wam'mawondo amabweretsa zowawa kwa menisci ngakhale popanda kuvulala komanso kupweteka. Zowonongeka zotere ndizovuta kukonza ndipo nthawi zambiri zimayambitsa matenda. Nthawi zambiri, ndi kunenepa kwambiri, munthu amakhala ndi mitsempha ya varicose. Kuphatikizika kwa mikhalidwe kumeneku kumadzetsa njira yowonjezereka yamatendawa.
• Matenda amatsenga a mawondo. Vutoli limawonedwa ndi kusunthika kwamphamvu m'matanthwe a olumikizana.Izi zitha kuonedwa ngati chinthu chabwino, chifukwa munthu amatha kuchita masewera olimbitsa thupi osiyanasiyana. M'malo mwake, izi zili ndi mbali inanso - yolumikizana yomwe imadutsa microtraumatization, yomwe imatsogolera pakupangika kwa matenda. Mkhalidwe wamatumbowu ulinso ndi chikhalidwe chimodzi: munthu amakhala ndi gawo lowonjezereka la ululu. Ndiye kuti, zoopsa zikafika, siziperekezedwa ndi zomwe zimayambitsa matendawa ndipo zimapangitsa kuti matendawo apezeke.
• Matenda olowa. Osteoarthritis yamaondo amatha kupikisana ndi maziko a matenda omwe alipo. Mwachitsanzo, arthrosis nthawi zambiri imakhala yovuta ya nyamakazi. Itha kumayendera limodzi ndi matenda amisempha, otakasika, amisala. Kuwonongeka kwa cartilage, pamenepa, kumachitika motsutsana ndi maziko amadzimadzi otumphuka ndi kutupa kwa olumikizana.
• Metabolic matenda. Ndikusowa kwa mavitamini, michere ndi zinthu zina. Vutoli limatha kukhala mu kusakwanira kwa zinthu izi kapena matenda am'mimba kapena matumbo. Ngati wodwala ali ndi matenda am'matumbo ang'onoang'ono - zinthu zopindulitsa zimadutsa thupi kupita ndikuyenda ndipo minyewa siyilandira zofunika, zomwe zimapangitsa kuwonongeka kwawo pang'onopang'ono. Pakhoza kukhalanso kuchuluka kwa michere, yomwe imafuna kuti awonjezere kumwa kuchokera kunja.
• Kupanikizika pafupipafupi. Ngati wodwalayo amakhala akusangalala mosalekeza, akukumana ndi kupsinjika, izi zimayipa machitidwe onse mthupi. Magazi ndi kagayidwe kachakudya amavutika.

Monga mukuwonera, pali zifukwa zambiri zamatendawa ndipo zonse zimakhudza mwachindunji kapena m'njira zina. Pazotsatira zamatsenga, kukhudzana kwanthawi yayitali ndikofunikira.

Matendawa amayamba pang'onopang'ono ndipo m'magawo oyamba alibe zizindikiro zamankhwala. Wodwala sawona kusintha kwake ndipo satenga njira zowathetsera. Izi zimatsogolera pakukula kwa matendawa komanso magawo ake ena.

Zizindikiro za matenda am'mimba zimadalira gawo la arthrosis la bondo. Kuphatikizika kwa bondo kumatha kulipirira kuwonongeka kwa nthawi yayitali, koma, pang'onopang'ono, pali mawonekedwe omwe amapangitsa wodwalayo kupita kwa dokotala ndipo ndiwo maziko opangira matenda.

Chizindikiro choyamba ndi kupweteka komanso kusasangalala. Poyamba, amawoneka ofooka kwambiri ndipo mowoneka osadandaula wodwalayo. Kuphatikiza apo, ululu umawoneka kawirikawiri, pambuyo poyeserera kwambiri, ndikusowa pambuyo pakupuma. Odwala amasokoneza matenda omwe amadziwika ndi matendawa ndi momwe amagwira ntchito mopitilira muyeso ndipo samasungira kufunikira kulikonse. Pang'onopang'ono, ululuwo umakulirakulira ndipo umachitika pafupipafupi.

Imatha kuperekanso kuthamanga, kuyenda ndi katundu wina, chifukwa, imakhala yosalekeza. nthawi yomwe ikufunika kuti muchepetse kupwetekedwa imayamba. Wodwalayo amakana kuyenda maulendo ataliatali, kuleka kukweza miyeso ndikuchepetsa kuyenda kwake tsiku ndi tsiku. osakumananso ndi zowawa izi.

Kusintha kwa kapangidwe ka bondo kumatha kutsagana ndi matendawa mosiyanasiyana. Pa chiyambi - uku ndikutupa pang'ono. Popita nthawi, zimachuluka ndipo zimadziwika kwa ena.

Kutupa kwa zida za periarticular ndizodziwika bwino wa arthrosis. Kusintha kosasintha kwa kuphatikizira kumayambitsa njira zina zotupa. Madzi amadzisonkhanitsa m'chipinda cholumikizira, chimakankhira mathero amitsempha ndi mitolo yam'mimba. Nthawi zina, kutupa kwa thumba lolumikizana kumabweretsa kuwoneka kwa cyst ya Baker. Ili ndi vuto lomwe limayenda ndi arthrosis ya bondo yolumikizana ndipo limatha kuthandizidwa ndikuchita opareshoni.

Kumera m'matumbo a mafupa ndi chizimba cha arthrosis. Uku ndikumveka kolimba komwe kumachitika nthawi imodzimodzi ndikumva zowawa ndikusiyana ndi kukhazikika kwa thupi ndi kugwada mwamphamvu kwa bondo.

Kuwonongeka kwa ntchito yolumikizira ndi chifukwa cha chithunzi cha matenda a bondo arthrosis.Wodwala sangatulutse kusunthika ndi kusunthika kwa thupi chifukwa cha ululu wolimba. Kuphatikiza ndi kupindika komanso kupweteka, chizindikiro ichi chikuwonetsa gawo lomaliza la matendawa. Pang'onopang'ono, kusunthika kumakhala kochulukira ndipo, monga chotulukapo, wodwalayo amataya kwathunthu kusuntha.

Gulu la bondo arthrosis

Choyamba, pali mitundu ingapo ya bondo arthrosis, kutengera zifukwa zomwe zidayambitsa. Matendawa amatha kukhala oyambilira komanso owonjezera.

Arthrosis ya pulayimale imakhudza bondo, lomwe silinkagwiritsidwa ntchito kale mu pathological process. Izi zimachitika pang'onopang'ono, motsutsana ndi maziko a matenda akulu kapena njira zina mthupi. Koma gonarthrosis yachiwiri ndi mkhalidwe womwe mwachilengedwe umapitiliza ndi matenda a traular path kapena kuvulala.

Ponena za kuthekera kwanyumba, arthrosis imatha kukhala yodziwika bwino kapena yapakati. Ngati matenda am'mimbayo amakhudza bondo limodzi - kwambiri, chomwe chimayambitsa ndi kuvulala. Kufukula kwakumbuyo kumakhudza miyendo yonse iwiri. Komabe, ndikofunikira kudziwa kuti ngakhale ma arthrosis apakati amatha kuchitika mosiyana. Nthawi zina, matendawo amayambika, pomwe winayo amakula kwambiri.

Kutengera ndi thunthu la arthrosis, pali mitundu yake:

• ofananira nawo, omwe amakhala pamtunda kunja kwa bondo,
• medial - ili mkati,
• kuwonongeka pamunsi pamunsi pa olowa (mutu wa tibia),
• kuwonongeka kwa malo apamwamba (makina amtundu wa femur,
• matenda a patella
• kutenga nawo mbali konse kwa bondo.

Magawo a matendawa amagawidwa koyambirira, kukulitsidwa komanso mochedwa:

1. Gawo 1 limatchulidwanso choyambirira. Zimayendera limodzi ndi mawonekedwe owoneka bwino. Pakadali pano, kuwonongedwa kwa kapangidwe ka cartilage ndikungoyamba kumene. Makhalidwe ake akusintha pang'onopang'ono, komabe njira zoperekera ndalama sizifunikebe. Pakadali pano, munthu amamva kuwawa pang'ono, kupweteka kwakanthawi. Kuuma kwa mayendedwe kumamvekanso, makamaka kumayambiriro kwa kuyenda.
2. Gawo lachiwiri limayendera limodzi ndi zizindikiro zazikulu. Kusintha kwa cartilage kumapita patsogolo ndikuwonongeka kwa fupa, mawonekedwe a synovial, ndi zida zina zowonekera zimayamba. Njira yolipira imayatsidwa yomwe imalowa m'malo mwa ntchito yolumikizana. Zowawa zimakhala zowawa ndikuchuluka. Pali kusintha kwa minofu ya minofu, kusuntha pang'ono. chikhalidwe crunch. Nthawi zina kusintha kwamkati kumachitika - bondo limakhala lotentha kukhudza. Khungu pamwamba limasanduka lofiira, kutupa kumawonedwa.
3. Gawo lachitatu likuwonetsedwa ndi zizindikiro zazikulu. Fupa limasokonekera mosasinthika ndipo njira zowalipirira sizitha kubwezeretsanso zinchito za kapangidwe kake. gawo la kubwezera limayamba.

Gawo lililonse lili ndi zizindikiro zake zamagetsi. Izi ndizofunikira kuti muzindikire komanso kulandira chithandizo.

Pacithunzi-thunzi, mutha kuona kupendekeka kwapakati pakati pa malo owoneka bwino, kukula kwa mafupa ndi kufooka kwa mafupa. Kutengera siteji. kukula kwa zizindikiro izi kumasiyanasiyana.

Kutengera mtundu wamatendawo, matendawa ndiosiyanitsidwa:

Mitundu yonse iyi ya arthrosis imakhala yofanana ndi matendawo ndipo imachitika mosiyanasiyana. Kuchulukana kumayendera limodzi ndi zizindikiro zowawa kwambiri, kupweteka kwambiri komanso kuwonda. Pakukhululuka, Zizindikiro sizivutitsa wodwala; Ntchito yothandizira bondo arthrosis ndikuchepetsa kuchuluka kwa kuchuluka ndikukulitsa nthawi yachikhululukiro.

Njira zamakono zochizira arthrosis

Mankhwala a arthrosis amakhalanso ndi mankhwala osokoneza, othandizira opaleshoni, osagwiritsa ntchito mankhwala. Kusankhidwa kwa njira kumatengera gawo la matenda, matenda am'mbuyomu, zaka za wodwalayo komanso chikhalidwe chake.

Mankhwala omwe amagwiritsidwa ntchito matendawa amagawidwa m'magulu otsatirawa:

• Analgesics. Amagwiritsidwa ntchito kuti athetse ululu. Amakhala mankhwala opatsirana. Izi zikuphatikizapo analgin, paracetamol.
• Mankhwala osokoneza bongo oletsa kuponderezana. Gululi limaphatikizapo diclofenac, aceclofenac, etoricoxib, meloxicam, lornoxicam, nimesulide, diacerein. Pali mankhwala oyambitsa pakamwa komanso jakisoni. Mankhwala amachepetsa kutupa ndi kutupa, amachepetsa ululu komanso kusapeza bwino.
• Chondroprotectors. Amagwiritsidwa ntchito kukonza kapangidwe ka kapangidwe ka cartilage. Gululi lili ndi mankhwala monga chondroitin sulfate ndi glucosamine sulfate. Kuphatikiza kwake kungagwiritsidwe ntchito. Pali mafomu apiritsi, komanso mayankho a jakisoni.
• Narcotic analgesics. Amagwiritsidwa ntchito kupweteka kwambiri. Mankhwala ndi tramadol. Amapweteka kwambiri komanso amathandizira wodwalayo.
• Mankhwala owonjezera. Amagwiritsidwa ntchito kukonza mkhalidwe wa wodwala ndipo amakhala ndi chizindikiro. Kwa izi, mafuta ozikidwa diclofenac, triamcinolone, betamethasone acetate amagwiritsidwa ntchito.

Mankhwala osagwiritsa ntchito mankhwala

Kumwa mankhwala sikumveka popanda kusintha njira yamoyo. Kwa odwala omwe ali ndi bondo arthrosis, mfundo zotsatirazi ndizofunikira kwambiri:

• olimbitsa thupi
• kusintha kwa thupi
• kugwiritsa ntchito zida zapadera. amene amachepetsa katundu paliponse,
• katundu malire
• kutikita minofu ndi kudzilimbitsa
• physiotherapy.

Chithandizo cha opaleshoni ya arthrosis chimagwiritsidwa ntchito pambuyo pake. Zimaphatikizira kulowa m'malo molumikizana. Pazakuyenda kwakanthawi kwa njirayi, idaphunziridwa mosamala ndikusinthidwa. Zachidziwikire, njira yabwino ndiyakuti muyambe kulandira chithandizo munthawi zoyambirira ndikupewa opaleshoni. Koma, ngati palibe njira ina. kuchedwetsa kulowererapo sikuyenera.

Opaleshoniyo imakhala yolowetsa yanu ndi chipangizo chamakina. Imayenda pamafupa osiyanasiyana a bondo, imagwira ntchito yake ndipo imathandizira kupirira zosiyanasiyana.

Opaleshoni ya bondo arthrosis amachitika pambuyo pa contraindication kuti amatsimikiza. Dokotala wothandizira wamatsenga yekha ndi amene ayenera kugwira ntchito m'chipinda chogwiritsira ntchito mwapadera. Nthawi ya postoperative imaphatikizanso kukonzanso, physiotherapy ndi physiotherapy. Pang'onopang'ono, wodwalayo amaleka kuvutika kusuntha ndipo amatha kuyendanso mwachangu, kuiwalako za zowawa.

Chithandizo cha arthrosis ya mafupa olowa ndi njira yayitali, yomwe iyenera kuphatikizapo njira zingapo zowonekera. Ndiwachitetezo chachiwiri chomwe chimachotsa zovuta ndikuwongolera moyo wa wodwalayo.

Chithandizo cha anthu

Njira zamankhwala achikhalidwe sizichita mbali yofunika pakuthandizira. Chowonadi ndi chakuti arthrosis imakhala njira yopangira makina. zomwe zimafunikira njira zosinthira komanso zinthu zothandiza kwambiri. Komabe, monga chithandizo chamankhwala, mankhwala ena wowerengeka angagwiritsidwe ntchito. Ndikwabwino kutembenukira ndikachotseredwa, pakatipa. Kupanda kutero, ndikungowononga nthawi ndikuwonongeka pang'onopang'ono m'malo a minofu. Musanayambe chithandizo chodziyimira nokha, pitani kuchipatala. Ena maphikidwe amatha kukhala ndi allergen, ndipo nthawi zina amaphatikizidwa mu magawo ena a matendawa.

Kuti muchepetse mkhalidwe wa wodwalayo, othandizira oterewa ochokera ku mankhwala azomera ndi zinthu zina amagwiritsidwa ntchito:

• kuti mupera ndikofunika kutola mphukira za mbatata. zomwe zimawoneka pa mbatata mchaka. Nthambi zokhazokha zimayenera kutsukidwa ndikutsukidwa. Iwayikeni mu mbale yoyera ndikutsanulira vodka kotero kuti imaphimba zikumera. Masabata atatu yankho limalowetsedwa, kenako liyenera kusefedwa. Pukutani bondo ndi kulowetsedwa chifukwa cha ululu.
• Tengani mutu umodzi wa adyo ndi 200 ml ya mafuta a masamba. Adyo wosankhidwa, onjezerani mafuta kwa sabata limodzi. Lemberani pakhungu ndikuchoka usiku.
• Kupera kwinanso, komwe kumathandiza kumva zopweteka, kumakhala ndi mpiru, camphor, dzira loyera ndi vodka. Zigawo zonse ziyenera kusakanikirana ndikugwiritsa ntchito pogaya katatu pa tsiku. Njira yogwiritsira ntchito ndi milungu iwiri.
• Sakanizani dongo la zodzikongoletsa (mutha kutha kukhala wabuluu ndi kefir mpaka misa yambiri yotsekemera Wotani osakaniza ndi ntchito compress usiku umodzi. amathandizira kuthetsa ululu.
• Sungunulani dzira la nkhuku mu viniga. Izi zimatenga masiku angapo. Kenako, muzotsatira zosakaniza, muyenera kuwonjezera 100 g batala. Ikani pamalo abwino ozizira kwa masiku 5. Gwiritsani ntchito ma compress omwe amafunikira kuyikidwa usiku. m'masiku 7.

Chonde dziwani kuti zigawo za anthu ophikira wowerengeka ziyenera kukhala zachilengedwe, zogwirizana ndi zaukhondo komanso zaukhondo. Gwiritsani ntchito ziwiya zoyera kuti muzisungira, osasiya zosakanikirana zopanga powunika kapena zotentha, komanso zitetezeni kwa ana.

Kugwiritsa ntchito njira zachikhalidwe kumafunikira maphunziro atali. Ngati wodwalayo atsimikiza kuchitira njirazi pafupipafupi, muziphatikize ndi bondo la odwala - azikhala ndi tanthauzo. Chofunikira ndi malingaliro abwino ndi chidaliro kuti uchira.

Kupewa

Monga mukuwonera, kusiya njira ya kusinthika kwa cartilage ndikovuta kwambiri. Knee arthrosis imapitabe pang'onopang'ono ndikupangitsa kuti wodwalayo awonjezeke. Cholinga cha mankhwalawa ndikuti ayimitse kusinthaku ndikuyenda mokwanira. Wodwala amayenera kukhala wodwala matenda ake ndikutsatira malangizo onse a dokotala. Pempho loyambirira lothandizira - kuthekera kosamalira magwiridwe antchito ndi olowa ndi kapangidwe kake, kupewa opareshoni ndi kulumala.

Zomwe zimayambitsa matenda a bondo

Osteoarthrosis wa bondo, kapena gonarthrosis, ndi njira yachilengedwe yopanga-dystrophic, ikukhudza ndikuwononga mawonekedwe onse a olowa, pamapeto pake ndikuwononga kuyenda kwake. Gonarthrosis amakhudza 15-30% ya anthu padziko lapansi, koma, ngakhale akupanga mankhwala, ziwerengero sizikuyenda bwino. Osteoarthritis ya bondo ndi matenda onenepa kwambiri, cholowa, zaka komanso moyo. Okalamba ambiri amadwala nawo, makamaka azimayi onenepa opitirira zaka 40. Matendawa amakwiya kwambiri. Pambuyo pa zaka 65, pamene bondo likutha, kuphatikizapo chifukwa cha kusintha kwa mahomoni, gonarthrosis pamlingo wina kapena wina imawonedwa mu 65-85% ya anthu. Zovuta za kubadwa kwa bondo zomwe zimayambitsa matendawa kuubwana ndizotheka, mwachitsanzo, kusowa kwa mafuta owonjezera mkati. Zowopsa zilizonse pabondo, kuphatikizapo opaleshoni, zimawonjezera mwayi wokhala ndi gonarthrosis. Gululi limaphatikizaponso anthu omwe amagwira ntchito yochita masewera olimbitsa thupi, komanso othamanga.

Zizindikiro zakuwonongeka kwa bondo

Matendawa amakula pang'onopang'ono ndipo amatha kubweretsa zovuta zina pazaka. Poyambirira, arthrosis samayenda ndi zopweteka, koma kusunthira kumalo "okhwima" kwambiri, kumapangitsa ululu wolimba ndi kuletsa kwa olowa. Bondo lomwe lili ndi matenda pang'onopang'ono limayamba kusintha mawonekedwe, limachulukana kukula, mwendo umatha kutenga mbali yachilendo kumanzere kapena kumanja. Zimakhala zovuta ngakhale kuchita zoyambira zomwe zimagwirizana ndi kuyenda, kusintha malo amthupi kuchokera kumadima mpaka pamlingo ndi kumbuyo, kukhala pansi ndikuimirira. Ngati sanalandire, arthrosis ya bondo imabweretsa kulumala.

Nyamakazi ndi arthrosis siziyenera kusokonezedwa, izi ndi matenda osiyanasiyana, ngakhale nyamakazi imatha kutsagana ndi arthrosis ndipo imathandizanso kuti muzitha kudziwa koyambirira. Nyamakazi ndi kutupa kwa olowa, kawirikawiri pachimake, ndipo nyamakazi imachedwa kuchepa ndikuwonongeka kwa cartilage ndi minofu yamafupa, yomwe imakhala yolimba.

Magawo a matenda

Madigiri atatu azovuta zakuthwa kwa bondo amaphatikizika. Matenda akapezeka msanga, ndizosavuta kuchiza.

• 1 digiri. Chithunzi cha chipatala nthawi imeneyi sichimapangitsa odwala kufunsa dokotala. Amamva kusokonezeka pang'ono pabondo atayenda mtunda wautali, amatopa. Ululu umatha kuchitika pokhapokha ngati muchita zolimbitsa thupi zambiri (mwachitsanzo, mutatha kugwira ntchito mu kanyumba kamadzilimwe) kapena mutasinthasintha kwa bondo. Komabe, mutatenga x-ray, muwona kuchepa pang'ono kwa malo olumikizana ndi mawonekedwe a mafupa oyamba - njira za mafupa mkati molumikizana. Vutoli nthawi zambiri limapezeka mwangozi, pamayeso a akatswiri kapena mayeso ena, amatha kuthetsedwa mwachangu ndi chithandizo chamankhwala.
• 2 digiri. Zizindikiro zotchulidwa za matenda amapezeka, zomwe zimakhala zovuta kuzinyalanyaza. Ululu m'mabondo umamvekedwa nthawi zonse, makamaka mwamphamvu m'mawa ndi madzulo, ngakhale pakupuma, sichitha kwathunthu. Mphezi zimachedwetsa, mayendedwe abondo amakhala ovuta ndipo amatsogozedwa ndi mawonekedwe akhungu. Vutoli limatha kukhala ngati chidutswa cha cartilage kapena chidutswa cha mafupa kugwera molumikizana, zomwe zimawonjezera ululu komanso zimalepheretsa kuyenda. Vutoli limatchedwa "mbewa ya "ularular." Kukhazikika kwa bondo kumayambitsa kupweteka, kuwonongeka kwa olowa kumawonekera. Kutupa kumatha kujowina, kenako edema edema imachitika. X-ray imawonetsera malo ophatikizika kwambiri, mafupa ossofu, kupindika komanso kukula kwa fupa. Mankhwala othandizira amafunikira, nthawi zina kuchitira opaleshoni ndikofunikira.
• 3 digiri. Gawo lotsogola la matenda, kulumala kosalekeza. Zowawa m'mabondo ndizokhazikika, zowawa, kuyenda ndipo makamaka kuthana ndi masitepe ndikuwongolera. Poyenda mwendo uliwonse, bondo limatulutsa chamkokomo. Olumikizana ndi opunduka kwambiri, kukulitsidwa chifukwa cha kuchuluka kwa madzimadzi, ndipo kulibe kuyenda. Pa x-ray ikuwonetsa kuwonongedwa kwa minyewa ndi menisci, kukhumudwa kwa cartilage, kuchuluka kwa minofu yolumikizana. Gawo lolumikizana limatha pang'ono pang'ono. Vutoli limatha kuthetsedwa ndikusintha cholumikizira cholumikizira ndi chida chochita kupanga (endoprosthesis).

Nthawi zambiri, odwala amafufuza thandizo ndi digiri yachiwiri ya gonarthrosis, ena amakhala kale pafupi ndi lachitatu. Izi ndizofunikira makamaka kwa anthu achikulire omwe azolowera matenda amodzi, omwe amalingalira zomwe zikuchitika monga ndalama zogwirizana ndi zaka ndipo amakonda kugwiritsa ntchito mankhwala ochiritsira anthu osawerengeka.

Chithandizo cha arthrosis wa bondo ku Moscow

Malo azachipatala aku Moscow ali okonzeka kupereka chithandizo chambiri kwambiri pochiza matenda a minofu ndi mafupa, kuphatikizapo arthrosis ya bondo. Chinsinsi cha chipambano ndicho kuphatikiza ziyeneretso za dotolo ndi kupezeka kwa zida zamakono, monga zida zamagetsi. Zachidziwikire, posankha malo oti awonere kuchipatala kwautali, munthu ayenera kuganizira mitengo ya mankhwalawo, komanso kuwunika kwa odwala. Kukhazikika komwe kuli malo othandizira odwala omwe ali ndi opuwala mota kumakhalanso kofunikira.

Chifukwa chake, mitengo yotsika mtengo, kusowa kwa ma que, kusankha njira zambiri zamankhwala, kuchotsera kwakukulu kwa mitundu yosiyanasiyana ya odwala ndi omwe apuma pantchito amaperekedwa ndi Health Health People ndi Stoparthrosis malo azachipatala. Kuti athandize odwala, onse amapezeka pafupi ndi metro. Kulumikizana koyamba ndi dokotala, ngati wodwalayo angaganize zowonjezereka pamalowo, ndiye mfulu. Akatswiri a mabungwe azachipatala amadziwa bwino kwambiri matenda a gonarthrosis ndipo amasankha njira zothandizira kwambiri pochiritsira, komanso pulogalamu yothandizira komanso njira zodzitetezera. Njira ya mankhwalawa yodabwitsanso ndi zida zamakono, ngati zingafunike, zitha kuphatikizidwa ndi kuphatikiza mafupa, omwe angalole kupitiriza chithandizo popanda kuchitapo opareshoni. Chidziwitso chonse chofunikira - kuchokera pagulu la masewera olimbitsa thupi mpaka kusankha mafayilo omasuka - adzapezeka mwaulere.Odwala amatha kulandira upangiri wokwanira pafoni kapena pa intaneti nthawi iliyonse masana.

License No. LO-77-01-008730 de 6 August, 2014 idatulutsidwa ndi dipatimenti ya zaumoyo ku Moscow.

Amayambitsa gonarthrosis

Zifukwa zazikulu zomwe zitha kuyambitsa matenda ndi:

1. Kunenepa kwambiri
2. Congenital pathologies ya kukula kwa minofu ndi minyewa yomwe imayambitsa gonarthrosis mwa ana.
3. Njira zotupa mu olowa bondo (mwachitsanzo nyamakazi).
4. Mavuto a ma cell kagayidwe, matenda amanjenje.
5. Kuvulala komanso kuvulala kwa cartilage pads (menisci), kuchoka kwa olumikizana, mafupa a mafupa a miyendo.
6. Opaleshoni yochotsa maniscus kapena gawo lina.
7. Kuchita masewera olimbitsa thupi okhala ndi miyendo yambiri pamunsi pamiyendo, makamaka yosayenera chifukwa cha msinkhu wa munthu.
8. Kupindika minofu ya akazi, nthawi zambiri poyerekeza ndi maziko a kupsinjika ndi mantha.
9. Varicose mitsempha ya miyendo, mitsempha thrombosis.

Kusintha kwa mapangidwe a mafupa amakondo kumayamba pang'onopang'ono, momwe kugwira ntchito kwa intraarticular cartilage kumasokoneza chingwe cha mawonekedwe a femur komanso mawonekedwe a nkhope ya patella ndi tibia. Izi zimachitika chifukwa chakulephera kwa magazi.

Zotsatira zake, kusakwanira kwa cartilage ndi michere yoyenera kumapangitsa kuti kuyanika, kuwonongeka ndi chiwonongeko. Mafupa a fupa okhala ndi kuwonda kapena kuwonongeka kwathunthu kwa hyaline cartilage amaphatikizidwa, pomwe amapanga zophukira zowonjezera pazowonjezera.

Zizindikiro za arthrosis ya bondo

Mawonetseredwe azachipatala a gonarthrosis ndi osiyanasiyana ndipo malinga ndi kuchuluka kwa zowonongeka, zimatha kufotokozedwa bwino kapena pang'ono. Zizindikiro zotsatirazi zimatsimikizira kuchitika kwa arthrosis ya bondo lolowa:

1. Ululu wammbuyo Kumayambiriro kwa matendawa, zimakhala pafupifupi zosaoneka, koma zimawonjezeka pamene zikupita patsogolo. Kutalika kwa ululu kumatha kukhala kosiyana, kutengera mtundu wa katundu omwe mafawo adawagwirira.
2. Kubera mu molumikizana ndi kayendedwe kena. Anthu ambiri salabadira kuwonetsedwa kwa matendawa kwa nthawi yayitali, chifukwa chomwe amayamba arthrosis. Popanda chithandizo, matendawa amapita patsogolo, zomwe zimapangitsa kuwonongeka kwakukulu.
3. Kuchepetsa matalikidwe a miyendo. Nthawi zambiri, wodwalayo sangathe kuwerama mwendo mpaka kuwongoka. Izi zimachitika chifukwa choti wodwalayo akuyesa kupweteketsa mtima kupweteka, ngakhale atasowa.
4. Kuuma kwa mayendedwe. Vutoli limachitika chifukwa cholumikizira chimaletseka pang'ono ndi mafilimu achitetezo omwe amapanga mozungulira mitsempha, omwe, chifukwa cha kuwonongeka kwa mafupa, amawonekera.
5. Kugwedezeka kwa bondo pamalo aliwonse. Ndi chizindikirocho, cholumikizira chimatsekedwa pamalo amodzi ndikuyankha kuyesa konse kuti chikuyimitseni ndi kupweteka kwambiri. Nthawi zambiri, kupanikizana kumeneku kumachitika chifukwa chakuti, chifukwa chophwanya dongosolo lolumikizana, ma bondo amagazi amapitilira malire amalo omwe amakhala ndipo amakhala opanikizika m'boma lino.
6. Kutalikirana kapena kuchulukitsa kwa bondo. Chizindikiro ichi chimachitika nthawi yomwe matendawa apita kutali kwambiri ndipo ma ligaments, komanso chikwama cholumikizira, sachita ntchito zawo.

Munthu ayenera kumvetsetsa bwino kuti pambuyo pake adayamba kulandira chithandizo, kumakhala kovuta kwambiri komanso mwayi kwambiri kuti kulowererapo kwa opaleshoni kuyenera m'malo mwa olowa.

Osteoarthritis ya bondo 1 digiri

Pankhaniyi, matendawa amadziwika ndi ululu wocheperako panthawi yogwira mtima. Madzi a Synovial amatha kudziunjikira molumikizana, zomwe zimatsogolera pakupanga kwa Baker cyst. Ululu umabuka pamene mukuyenda, koma umadutsa nthawi yopuma. T minofu ya cartilage imawonongeka, koma kuwonongeka kwa kuphatikizira sikuwoneka.

Kugwiritsa ntchito radiology pakadali pano pakupanga arthrosis ndizovuta kuti mupeze matenda; njira zowonjezera zofunika pakufunika.

Minyewa ya bondo 2 madigiri

Pali kupendekera kwa malo olumikizana, minofu yama cartilage imawonongeka kwakukulu. Mu chithunzi cha x-ray, kukula kwa mafupa kumatha kuonekera. Kupweteka kwapweteka kumayendera limodzi ndi kayendedwe kalikonse komwe bondo limagwira. Kupumula, zomverera zosasangalatsa zimadutsa, koma kenako nkuwonekeranso. Crunch yodziwika bwino imawonjezeredwa kuwawa mukamayendetsa mayendedwe atasintha.

Pang'onopang'ono, ntchito yolumikizana imakhala yosatheka. Bondo limasiya kuwerama osasunthika. Kunja, adokotala amatha kudziwa kuwonongeka kwa mafupa.

Minyewa ya bondo 3 madigiri

M'malo ena, minyewa ya cartilaginous imaduliratu, ndipo mafupa amapangika. X-ray imawonetsa bwino kuchuluka kwa ma osteophytes - madamu amchere m'mbali yolumikizira. Kuphatikiza apo, matupi aufulu amatha kupezeka pamenepo.

Zosintha zakunja zikuwonekera kwambiri. Kuthana ndi zowawa, kuyimitsa kayendedwe, tsopano zalephera. Imapitilira pakulimbitsa thupi molumikizana, komanso pakupuma.

Zizindikiro

Kuzindikira kwa gonarthrosis kumakhazikitsidwa pa kafukufuku wodwala, kufufuza ndi radiology ya omwe akhudzidwa. Nthawi zina adokotala amatiuza kuti waphatikizidwa ndi wodwalayo, kaŵirikaŵiri, kugwirira bondo kapena matenda ena ake. Pazaka zokayikitsa, adokotala, pogwiritsa ntchito punction, atha kutenga nyemba zamavuto am'magazi olowa kuti aunikidwe, komabe, monga lamulo, izi sizofunikira.

Matenda ambiri ophatikizika amakhala ndi mawonekedwe ndi zizindikiro zofanana kwambiri ndi za munthu wamba. Chifukwa chake, ndi akatswiri okhawo omwe amatha kumvetsetsa zomwe zikuchitika ndikupanga matenda oyenerera a arthrosis a bondo. Chifukwa chake, ngati pali zizindikiro zilizonse za matenda olowa pabondo, simuyenera kuchita zodzipatsa nokha, muyenera kufunsa dokotala posachedwa. Kuzindikira ndi kuchiza kwa arthrosis ya bondo olowa (gonarthrosis) kumachitika ndi rheumatologist kapena arthrologist.

Kodi arthrosis wa bondo ndi chiyani

Kuphatikizira kwa bondo ndi njira imodzi yolumikizira mafupa a anthu, yomwe imakonda kuvulala komanso kuwonongeka kwina kwamakina. Imalumikiza tibia ndi femur, komanso sesamoid yayikulu kwambiri, yomwe imapangidwa ndi tendons ya quadriceps femoris (patella kapena patella). Malo ophatikizika amakutidwa ndi minyewa ya cartilaginous - chinthu chokulirapo, chotanuka chomwe chimazungulira chondrocyte (maselo owumbika ozungulira omwe amapangidwa kuchokera ku chondroblasts) ndikupanga membrane wokutetezani mozungulira iwo, komanso amathandizira ngati chosokoneza.

Kapangidwe ka thumbo la cartilage kamakhala ndi collagen - puloteni ya fibrillar, yomwe ndi gawo lalikulu la ulusi wophatikizika ndipo imapereka nyonga komanso kutanuka kwa cartilage - ndi glucosamine. Glucosamine ndi chinthu chomwe chimatulutsa cartilage. Glucosamine ndi gawo limodzi la chondroitin ndipo ndi gawo limodzi lamadzimadzi otsekemera - kuwala kofiirira komwe kumadzaza koloweka ndipo limagwira ngati mafuta. Ngati kuphatikiza kwa glucosamine ndi proteinoglycans kumachepa, kuchuluka kwa madzimadzi a synovial kumachepa, komwe kumayambitsa kuwonekera kwa ziwalo zolumikizana komanso kumatuluka kupweteka kwambiri, chifukwa chake chithandizo cha arthrosis cha bondo cholumikizana ndi madigiri a 1 nthawi zonse chimaphatikizapo kugwiritsa ntchito mankhwala okhala ndi glucosamine ndi chondroitin.

Zomwe zimachitika molumikizana ndi arthrosis:
1. matendawa amakhala ofewa komanso owoneka bwino, ndipo zilonda zakuya zimawonekera pansi,
2. nembanemba wophatikizika,
3. kapangidwe ka madzi osinthika, kusintha kwake kumachepa,
4. Pali gawo la michere ndi makapisozi a molumikizana,
5. olowa patsekeke lodzala ndi exudate - yotupa yotulutsa kuchokera m'mitsempha yamagazi pa kutupa pachimake.

Pakakhala chithandizo cha panthawi yake komanso chokwanira, arthrosis imabweretsa kuwonongeka kwathunthu ndi kuwonongeka kwa bondo, pomwe wodwalayo angaulule zonse zomwe sizili zachilengedwe komanso kusayenda bwino kwa olowa. Kuti aletse kuwonongeka kwa mawonekedwe a knular ndi cartilaginous omwe ali ndi arthrosis ya bondo, dokotala atha kukuwuzani endoprosthetics - opareshoni kuti athetse cholumikizira cholumikizira cholumikizira chamchiberekero chopanga chomwe chiri choyenera kukula.

Mtengo wa m'malo mwa bondo umadalira madera ndipo umatha kuyambira 20,000 mpaka 115,000 rubles.

Ngati pali umboni, opareshoniyo imatha kuchitika molingana ndi gawo lomwe lili mkati mwa dongosolo loyenera la inshuwaransi yamankhwala.

Tanthauzo la matendawa. Zomwe zimayambitsa matendawa

Minyewa ya bondo (gonarthrosis) - Ichi ndi matenda osakhazikika a mafupa olowa pakhungu ndi kuwonongeka, kuwonda ndi kuwonongeka kwa chiwongola dzanja chake (mawonekedwe am'manja a femur ndi tibia), komanso kuwonongeka kwa fupa la subchondral. Zatsimikiziridwa ndi maphunziro (arthroscopy ndi MRI) kuti, kuwonjezera pakuwonongeka kwa cartilage ya articular, menisci ndi membrane wa synovial akuphatikizidwa ndi njirayi. Gonarthrosis ndi imodzi mwazomwe zimadziwika kwambiri. Pali ma syonms ake - osteoarthrosis (OA), opunduka arthrosis. Matendawa ndivuto lofunika kwambiri pazachuma chifukwa limachulukirachulukira ndipo limakulitsa thanzi la odwala chifukwa cha kupweteka kosalekeza, kuphatikiza apo, kumabweretsa kulumala kwambiri.

Chifaniziro cha bondo cholumikizidwa ndi nthawi yayitali (kumanzere) komanso kukhudzidwa kwa arthrosis (kumanja)

Mpaka zaka zapakati pa zaka zapitazi, palibe tanthauzo lililonse logwirizana za matendawa. Pokha mchaka cha 1995, Komiti ya Osteoarthrosis yaku American College of Rheumatology, matendawa adadziwika chifukwa chamakina ndi zinthu zotsogola zomwe zimayambitsa kusalingana pakati pa njira zamatsenga komanso kaphatikizidwe ka matumbo a extracellular a articular cartilage. Zotsatira zake, zimawola ndikusintha mawonekedwe, ming'alu mawonekedwe, mafupa am'mimba komanso kuphatikizika kwa cortical wosanjikiza kwamfupa la subchondral, osteophytes amakula ndi mawonekedwe a subchondral cysts.

Zambiri zimayambitsa gonarthrosis, kuphatikizapo:

1. kuvulala kwambiri (kuphwanya thupi, kunenepa kwambiri),
2. endocrine, kutupa, kagayidwe kachakudya ndi ischemic matenda,
3. kukhalapo kwa kobadwa nako kapena kusokonezeka kwa chiŵerengero, mawonekedwe kapena bungwe lolinganiza la malembedwe achimwemwe.

Zizindikiro za arthrosis ya bondo

Minyewa ya bondo imadziwika ndi:

• pang'onopang'ono kuyamba
• kupweteka kosapweteka kwakukulu paliponse pamene mukuyenda, makamaka mukatsika ndikukwera masitepe,
• "Kulimbitsa" ,uma komanso "kupweteka koyambira" komwe kumachitika poyambira ndikusowa kapena kuzimiririka ngati wodwalayo "wasintha", atatha kuyeserera thupi kwambiri, amayambiranso.
• mawonekedwe a bondo amakhalabe chomwecho. Nthawi zina kutupa pang'ono kumadziwika, kapena madzi amadzisonkhanitsa molumikizana. Pankhaniyi, bondo limachulukira, limatupa, limasunthika, limasunthika kayendedwe komanso kulemera kumamveka.

Ndi kukula kwa matendawa, zopweteketsa mtima zimakulirakulira, zimawonekera ngakhale ndi kulimbikira komanso kuyenda kwakanthawi. Kwapafupi kutsogolo-kwamkati pa cholumikizira. Kupuma kwakutali nthawi zambiri kumathandizira kuti kuwawa kuwonjezeke. Kuchuluka kwa kayendedwe ka articular kumatha kuchepa, crunch imawoneka, ndipo ndi kupindika kwambiri mwendo, kupweteka kwambiri kumawonekera. Kukhazikika kwa zosintha zomwe zaphatikizidwa, zikuwoneka kuti zikukula. Synovitis imavutikika pafupipafupi, imakhala nthawi yayitali komanso ndimadzi ambiri.

Gawo lomaliza la gonarthrosis limadziwika kuti ululu umakhala wosasunthika, umayambitsa nkhawa osati pakungoyenda, komanso popumula, ndipo ngakhale usiku, pomwe odwala amafunikira malo abwino ogona. Kusuntha kumakhala kocheperako: ndikovuta kugwada ndikukulitsa mwendo mpaka kumapeto. Olumikizana ndi opunduka ndikuwonjezeka. Nthawi zambiri pamakhala kupindika kwa miyendo ya valgus (X-mawonekedwe) kapena varus (O-mawonekedwe O). Njirayi imakhala yosakhazikika, yopambana. Muzovuta kwambiri, mzimbe kapena ndodo zimafunikira.

Kusintha kwa malekezero am'munsi chifukwa cha bondo lamatumbo

Malinga ndi ofufuza, anthu 76% achikulire omwe akudandaula za kupweteka kwa bondo amawonetsa gonarthrosis pama radiograph. Malinga ndi ziwerengero, nthawi zambiri azimayi amadwala matendawa, omwe amalumikizidwa ndi kusintha kwa mahomoni pambuyo pa zaka 45.

Pathogenesis ya bondo arthrosis

Matenda a pulayimale ndi sekondale amadziwika.

Arthrosis yoyamba:

• cartilage yaular imawonongedwa nthawi zonse ndikusinthidwa, nthawi zambiri njirazi ndizoyenera. Ndi m'badwo, kukonzanso kwa cartilage kumachepetsa ndikuwonongeka, komwe kumatchedwa njira yakuwonongeka kapena kusinthika, kumayamba kupambana. Udindo wofunikira umaseweredwa ndi kulemera kwa munthu, chifukwa ndi kuchuluka kwa makilogalamu 70 mumasitepe 20 timanyamula makilogalamu 700 (70 kg x 10) pa mwendo uliwonse, ndipo ndi kulemera kwa makilogalamu 120, 1200 kg ndi phazi limodzi. Chifukwa chake, cartilage ofooka amangothamanga kangapo mwachangu,
• ziyenera kukumbukiridwa: kuphatikiza kumalandira michere ndipo imabwezeretseka ndikusuntha, Kukhala moyo wongokhala kumachepetsa njira za metabolic, ndipo zinthu zofunika sizikufikira
• pali umboni wotsutsana wa cholowa cha matenda. Ngati makolo anali ndi arthrosis, ndiye kuti kupezeka kwa ana kumachuluka,
• kumachitika chifukwa cha autoimmune synovial kutupa.

Second arthrosis ali ndi chifukwa:

• kuvulala (kwaphulika, kupindika kwa menisci ndi anterior cruciate ligament). Tsoka ilo, mwa munthu aliyense, mosasamala za msinkhu, zotupa izi zimadzetsa kuchulukitsa kowonjezera pa cartilage. Kupasuka kwa madera aliwonse a mafupa ophimbidwa ndi cartilage kumayendera limodzi ndi kupangika kwa zosagwirizana - "masitepe". Mu gawo ili, pakusuntha, abrasion imachitika, ndipo arthrosis imapangidwa,
• nyamakazi, matenda a Koenig (dissecting osteochondritis), zotsatira za zotupa za purulent mu zolumikizira (zoyendetsa), etc.,
• mavuto a mtima
• aakulu exudative-proliferative ndi zotupa zomatira mu olowa.

Mapangidwe a arthrosis chifukwa cha kuwonongeka kwa mkati mwa tibia

Ndi arthrosis (osteoarthrosis), kuwonjezera pakuwonongeka kwa cartilage, kutayika kwake kwa kutalika kwake komanso katundu wovuta, mafupa amaphatikizidwa pang'onopang'ono. Pansi pa katundu, kukulitsa kumachitika m'mphepete (zotulutsa), zomwe zimaganiziridwa molakwika kuti "madipoziti amchere" - ndi classical arthrosis, palibe mchere womwe umapezeka. Kupita patsogolo, arthrosis akupitilizabe "kudya" cartilage. Kenako fupa limasokonekera, mawonekedwe a cysts pamenepo, zonse zolumikizidwa zimakhudzidwa, ndipo mwendo umapinda.

Kuphatikiza pa bondo lamkati kapena lakunja, arthrosis imathanso kukhudza pakati pa patella ndi poyambira ma femondylar a femur. Njira iyi imatchedwa patello-femor arthrosis.

Zomwe zimayambitsa, monga lamulo, ndikuchepetsa, kuwonongeka kapena kufalikira kwa patella.

Gulu ndi magawo a kukula kwa bondo arthrosis

Mosatengera chomwe chimayambitsa, magawo atatu a matendawa ndi osiyana:

• Gawo I - mawonetseredwe oyambilira. Amadziwika ndi kusintha kwakukulu mu hyaline cartilage. Mafupa a mafupa sakhudzidwa. M'mitsempha yama intraosseous ndi capillaries, magazi amawasokoneza. Cartilage imakhala youma ndipo amatayika.Ngati nthendayo imayendera limodzi pafupipafupi, ndiye kuti chotupa cha bakiteriya chimayamba. Pambuyo pamtolo wambiri pazolumikizana, ululu wosakhazikika umachitika. Kutupa pang'ono ndizotheka, komwe kumachitika pambuyo pakupuma. Palibe chosintha.
• Gawo lachiwiri - chosanjikiza cha cartilaginous ndi kupendekera kwambiri, ndipo m'malo mwake kulibe. Ma Osteophytes amawonekera kumapeto kwa mawonekedwe a articular. Makhalidwe oyenerera komanso ochulukitsa amadzimadzi amodzi a kusintha kosakanikirana - kumakhala kokhwima, kochulukira, komwe kumabweretsa kuwonongeka mu zakudya komanso mafuta opaka. Ululuwu ndiwotalikirapo komanso wowonjezereka, nthawi zambiri ndikusuntha kumawoneka. Kuchepetsa pang'ono kapena kuchepa pang'ono kwa mayendedwe kumadziwika. Kutenga analgesics kumathandizira kupweteka.
• Gawo lachitatu - kusowa kwa cartilage m'madera omwe akukhudzidwa kwambiri, kufinya kwamphamvu kwa fupa, ma osteophytes ambiri komanso kupendekera kwakanthawi kapena kusowa kwa malo olumikizana. Ululu umakhala pafupifupi, nthiti imasweka. Kusunthika kuli ndi malire, kuwonongeka kwa olowa. NSAIDs, physiotherapy, ndi njira zina zodziwika bwino zamankhwala sizothandiza.

Gonarthrosis wosakhazikika komanso wamtundu umodzi amasiyanitsidwa malinga ndi kuchuluka kwa malo omwe akukhudzidwa.

Mavuto a bondo arthrosis

Vuto lodziwika bwino kwambiri la gawo lachiwiri ndi III ndi tendovaginitis ya gulu lowonjezera la ntchafu. Izi zimawonetsedwa ndi zowawa pamtunda wamkati mwa olowa, omwe amakula ndikuyenda. Zomwe zimayambitsa ndikusasamala kwa minofu ndikusintha. Ndi kuchepa kwakanthawi kosiyanasiyana kosunthika, mapangidwe ake amakula. Kuphatikiza apo, nthawi zambiri synovitis imachitika. Gonarthrosis yoyambitsidwa imakhudza dongosolo lonse la minofu ndi mafupa, ikusokoneza ma biomechanics a msana ndi mafupa ena akulu am'munsi. Izi zimatha kuyambitsa ma disc a herniated ndi nyamakazi yamajoyina ena. Chiwonetsero chachiwiri cha bondo chimadzaza kwambiri (ngati matendawa ndi osavomerezeka), pomwe wodwalayo amateteza mwendo womwe wakhudzidwa, ndikusamutsa kulemera kwina kwathanzi.

Chithandizo cha arthrosis wa bondo

Zodzikongoletsa - anti-yotupa mankhwala, ma pinkillers, minyewa kupuma, minyewa, chondroprotectors, compress, kinesotherapy, masewera olimbitsa thupi, physiotherapy, orthoses.

Zowononga zochepa - paraarticular blockade (novocaine + mankhwalawa amachepetsa ululu ndi kutupa), kuyambitsa kondomu yopangira yoyanjana palokha, plasmolifting.

Opaleshoni - arthroscopy (njira yochepetsera zochiritsa matenda a intraarticular pathologies ndikuchotsa zowonongeka), endoprosthetics.

Njira zochizira ndizothandiza kwambiri poyambira matendawa. Amathandizira kuchepetsa ululu komanso kwakanthawi kuwonongeka kwa cartilage. Mu gawo lachiwiri, njira zogwira mtima ndizofunikira. Kukhazikitsidwa kwa hyaluronic acid kukonzekera mu gawo lolumikizana kumagwiritsidwa ntchito pochepetsa kuwonongeka ndi kuvuta koopsa. Palibe chidziwitso chotsimikizika chobwezeretsa cartilage, koma ndioyenera pamalo opaka mafuta. "PRP-tiba" (plasmolifting) - kuyambitsa kwa plasma yolumikizana ndi bondo, yomwe imachokera ku magazi a wodwalayo pang'onopang'ono. Imadyetsa cartilage ndikuthandizira kuti ibwezeretsenso, chifukwa ma cell a autoplasma amakhala ndi zinthu zambiri zokulira ndi ma cytokines, omwe amathandizira kukonzanso minofu yowonongeka.

Endoprosthetics ndi njira yodziwika komanso yothandiza yopangira opaleshoni yayikulu, yomwe imakuthandizani kuti musunthe miyendo ndikuyenda mokwanira pamoyo. Uwu ndi ntchito yapamwamba kwambiri yomwe imatenga pafupifupi ola limodzi ndi theka. Panthawi yogwira ntchito, kukonzanso kwakutali ndikukula kozungulira ndikofunikira. Pambuyo pazaka 25-30, pamene cholumikizira chopanda chija chimatha, ndikofunikira kuisinthanso.

Malingaliro

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• 2. Bagirova G. G. Nkhani zosankhidwa pa rheumatology. M: Mankhwala, 2008.256 s.
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• 4. Balabanova R. M., Kaptaeva A. K. Arthrodarin - chida chatsopano cha pathogenetic chithandizo cha matenda a nyatsi // Sayansi ndi Yothandiza Rheumatology. 2009. Ayi 2. P. 49-53
• 5. Matenda ophatikizika: malangizo kwa madokotala / ed. V.I. Mazurov. SPb. : SpetsLit, 2008.397 s.
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• 13. Koroleva S.V., Lvov S.E., Myasoedova S.E., Roslova E.P. Osteoarthrosis. Etiology ndi pathogenesis. Kuzindikira ndi kulandira chithandizo: buku lophunzitsira dongosolo la maphunziro aukadaulo a madokotala. Ivanovo, 2005.96 s.
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Kulowa

Mzimayi wokhala ndi ululu wowawa m'mbali mwa bondo lamanja wapita kuchipatala cha Statecl Institution KBSMP No. 15 ya Volgograd.

Kuphatikiza pa kupweteka m'mbali mwa bondo lamanja, wodwalayo adandaula chifukwa cha kuyenda kosaloledwa.

Ululu m'malo ophatikizika ukuwonjezeka ndi masewera olimbitsa thupi. Chimodzi mwa zinthu zotere ndi kusamalira mwana. Iye ali
Imakhala yakulemera molingana ndi kukula kwachilengedwe ndi kakulidwe, potero kumawonjezera katundu pa wodwala.

Matendawa adayamba miyezi itatu itabadwa kachiwiri atakwanitsa zaka 40.
Wodwalayo amagwirizanitsa matendawa ndikuti amunyamula mwana wamng'ono m'manja, kumusamalira ndi kumusamalira. Ali pa kudya maulendo ochepa. Pazaka zitatu miyezi yolemera 7 kg.

Wodwala ndi wokwatiwa, ana awiri. Mwa ntchito - mphunzitsi, amagwira ntchito ngati wamkulu pasukulu. Pakadali pano achokapo.

Kafukufuku

Pa nthawi yoyeserera, kusinthika kwa bondo lamanja lolumikizana ndi ma cyst omwe akungotuluka a Baker mu mawonekedwe a kubwezerera pang'ono kwa popliteal fossa ndikofunikira. Kukhazikika kwa cholunga bondo lamanja ndikumva kupweteka pang'ono, patella ndi mafoni. Kusuntha kwamtunda kumachepetsedwa ndi 25%.

Pa MRI - kuwonongeka kwakutali kwa ma meniscus amkati, Zizindikiro za matenda am'mitsempha, osteophytes ammodzi, kutsika kwa kutalika kwa cartilage.
Zotsatira za kuyesa kwa magazi ndi mkodzo - popanda matenda.
Pa arthrocentesis, oposa 50 ml a madzi oyera, achikasu achikasu opanda magazi omwe adapezeka.

Gonarthrosis amakhala mbali yoyenera. Reactive synovitis. Federal tax Service I (Yogwira ntchito posakwanira kwa olowa nawo digiri ya I).

Monga mankhwala othana ndi kutupa, mankhwalawa "Arkoksia" amagwiritsidwa ntchito Mlingo wa 60 mg / tsiku kwa masiku 7, kenako ndikugwiritsidwa ntchito kosatha.

Pofuna kupanga ma prosthetics am'madzi ophatikizika amadzimadzi, kulemera kwakukulu kwa Sinwisk 6 gilan kunagwiritsidwa ntchito (USA, New Jersey).

Asanayambitsidwe ndi Gilan, koyambirira, madzi othandizira, adachotsedwa, 1.0 ml ya Diprospana yokhala ndi 2% ya lidocaine 4.0 idayendetsedwa, ndipo adavala aseptic.

Patsiku la chisanu ndi chiwiri, bondo lamanja lidalumikizidwanso pansi ngati aseptic panja lakunja, 10 ml yamadzi amadzimadzi amachotsedwa. Yayambitsidwa 6 ml ya Synvisc. Chovala cha aseptic chimayikidwa.

Pakupita milungu iwiri, vuto la ululu limatha. Kusuntha kwamtundu wabwezeretsedwa. Miyezi iwiri itatha kukhazikitsidwa kwa Synvisc, wodwalayo adasintha kusintha kwakukulu. Kupweteka kwapafupipafupi ndi synovitis sikunawonedwe. Katundu pa miyendo wakula kwambiri, mwana akayamba kulemera, amafunika chisamaliro ndi chisamaliro.

Zotsatira zamankhwala zimawerengedwa kuti ndi zabwino, poganizira za momwe mayiyo amakhalira mwana ndi kulephera kugwiritsa ntchito thupi, physiotherapy chifukwa chogwira ntchito kwambiri kwa wodwalayo. Pofuna kulipira katundu ndi kukonza zowonongeka mu cartilage, rheumatologist adasankha njira yothandizira mankhwalawa pogwiritsa ntchito jakisoni imodzi yalemera gilan (6 miliyoni dalton) mu bondo. Potsatira mayeso pambuyo pa miyezi itatu, wodwalayo adanenanso kuti mwezi wapitawu kupweteka ndi kusasangalala kwa gawo la bondo lamanja sikunadziwike.

Pomaliza

Mlandu wamankhwala ndiwofala monga momwe zimakhalira pakukula kwa lunguzi ya osteoarthrosis ya bondo palimodzi. Chosangalatsa pamilandu chinali kusankha kwaukadaulo kwambiri pazamankhwala omwe amachepetsa maulendo omwe wodwala amayendera kupita kuchipatala: maulendo awiri mwezi woyamba, ndi mwezi uliwonse (maulendo anayi kwathunthu).

Ndikulimbikitsidwa kuti njira yothandizira gonarthrosis yothandizika ndi synovitis iyambike m'njira zophatikiza pogwiritsa ntchito maselo olemera kwambiri pamene mukutenga NSAIDs ndi makina a diprospan oyambira arthrocentesis.

Gulu ndi zotsatsa

Arthrosis ya bondo yolumikizana imatha kukhala yoyamba komanso yachiwiri. Arthrosis ya pulayimale imadziwika ngati sizotheka kudziwa bwinobwino zomwe zimayambitsa matenda. Ngati kuchepa kwa cartilage kudayambitsidwa ndi matenda ena ndi ma pathologies, kuvulala kwa bondo, arthrosis imawonedwa ngati yachiwiri, ndiye kuti, kukulira motsutsana ndi maziko a matenda oyamba.

Zomwe zimayambitsa yachiwiri ya arthrosis ya mafupa am'mapazi ndi monga:
• dysplasias osiyanasiyana ndi ma pathologies ena momwe mumakhala kupangika kolakwika ndi mapangidwe a minofu.
• matenda a neurodystrophic a lumbar kapena khomo lachiberekero,
• kutupa kwa bondo (nyamakazi),
• kuvulala ndi microtraumas ya olowa,
• kuchotsa kwa meniscus yowonongeka kapena gawo lina (meniscectomy),
• matenda a endocrine dongosolo ndi vuto la mahomoni momwe kuchuluka kwa zochita za metabolic amachepetsa, kagayidwe kam'thupi m'mafupa kamasokonekera.

Matenda oyamba a bondo amaphatikizidwa nthawi zambiri amakhala mwa omwe amakhala moyo wongokhala, kapena, mosiyana, akukumana ndi zolimbitsa zolimbitsa thupi pa bondo. Odwala onenepa kwambiri, anthu azaka zopitilira 50, okhala kumalo osavomerezeka, odwala omwe ali ndi mitundu yosiyanasiyana ya mankhwala osokoneza bongo (osuta, osokoneza bongo, osokoneza bongo) nawonso ali pachiwopsezo chowonjezeka cha gonarthrosis.

Hypothermia wokhazikika imatha kuchititsa kutupa ndi kusinthanso kwa bondo. Chifukwa chake, anthu omwe ali ndi chizolowezi cha matenda a musculoskeletal system amalangizidwa kuti azitsatira kusintha kwa kutentha ndikusiya zochitika zomwe zimakhudzana ndi kupezeka kwa nthawi yayitali kutentha (kugwira ntchito kunja, mufiriji ndi ma freezers, etc. d.).

Amayi azaka zopitilira zaka 45 omwe akufuna kudziwa momwe angagwiritsire matenda a bondo arthrosis ayenera kudziwa kuti mtundu wocheperako wa estrogens, womwe umatha kuchitika pambuyo pa kusintha kwa thupi komanso matenda ena am'mimba: endometrial hyperplasia, uterine fibroids, fibroadenoma, endometriosis, imatha kukhala yopweteka pakukula kwa matenda. Choipa china ndimakudya osiyanasiyana omwe amachepetsa kudya zamafuta kwambiri, mavitamini ndi zinthu zina zofunika pamajoyi athanzi.

Zizindikiro zake

Kupangitsa kudalirika kwa moyo wamtsogolo kukhala kwabwino momwe kungathekere, ndikofunikira osati kudziwa momwe mungachitire ndi arthrosis ya bondo, komanso zomwe matendawa amadziwonetsa. Izi ndizofunikira kuti mudzayendere kwa nthawi yake kwa katswiri ndikuzindikira koyambirira kwa zopunduka ndi kuvulala kwina kwa bondo. Pachigawo choyambirira, matendawa amakhala ndi zofooka zochepa, chifukwa chake n`kotheka kudziwa kuti bondo la 1th degree bondo mutangopanga zida zamagetsi ndi zida zothandizira.

Zizindikiro zoyambirira za matendawa ndi monga:
1. m'mawa kuluma
2. kupweteka poyenda mukudutsa mtunda wopitilira 1-1,5 km,
3. kupweteka kwa bondo kwa nthawi yayitali (oposa maola 2 mzere) atakhala,
4. kupweteka pabondo pambuyo pakuyima nthawi yayitali,
5. kupweteka kwa bondo komwe kumachitika kumapeto kwa tsiku kapena hafu yoyamba kugona tulo.

Ngati wodwala pakadali pano salandila chithandizo choyenera, matendawa amapita patsogolo. Kuti musankhe mankhwala oyenera a arthrosis a bondo, muyenera kuyesa mayeso osiyanasiyana (MRI, complication tomography, radiography, etc.) ndikuwona kuchuluka kwa kusintha, mulingo wamadzi amitsempha yolumikizira mafupa olowa, kupindika kwa minyewa ya cartilage ndi membrane wa synovial. Zizindikiro za arthrosis ya mawondo 2 ndi 3 madigiri akuwonetsedwa patebulo pansipa.

Chithandizo cha arthrosis wa bondo kunyumba

Chithandizo cha arthrosis ya bondo olowa utha kuchitika pogwiritsa ntchito:
• njira zamankhwala
• olimbitsa thupi
• kutikita minofu.

Kugwiritsa ntchito maphikidwe a mankhwala achikhalidwe kumatheka pokhapokha mutakambirana ndi dokotala ndipo sayenera kuloweza chithandizo chachikulu chomwe chayikidwa ndi katswiri.

Kusankha kwa mankhwala ndi njira zochizira kumangotengera zaka za wodwalayo ndi matenda ake osatha, komanso pa gawo la arthrosis ndi kuchuluka kwa mapindikidwe a cartilage ndi articular pamwamba.

Osteoarthritis 1 digiri

Uwu ndi mtundu wosavuta kwambiri wa arthrosis, womwe umatha kuchiritsidwa nthawi zambiri ndikusintha pang'ono kwa mankhwala ndi zina zowonjezera: kutikita minofu, kuchita masewera olimbitsa thupi, chithandizo cha physiotherapeutic. Njira yothandiza kwambiri yothandizira bondo arthrosis, ngakhale ili gawo lake, ndi laser mankhwala. Iyi ndiyo njira yayikulu ya physiotherapy, yomwe imapereka zotsatira zoyambirira kumayambiriro kwa arthrosis.

Zimathandizira kukwaniritsa zotsatirazi:
1. kuchuluka kwa kutupa m'mitsempha yolowa kumachepa,
2. kupweteka kwambiri kumachepa
3. mchitidwe wa kusinthika kwa minofu umalimbikitsidwa,
4. kufunika kwa glucocorticosteroids ndi mankhwala ena omwe ali ndi zovuta zoyipa amatha.

Monga njira ina yothandizira laser, adokotala amatha kupatsa puloti ya magnetotherapy, acupuncture, electromyostimulation ndi electrophoresis.

Njira zonsezi ndi zothandiza pa matenda a arthrosis. ndi kusintha kwa osapitirira 20-25%, koma phindu la mankhwalawa lidzakhala lokwera ngati mungawaphatikize ndi masewera olimbitsa thupi komanso kutikita minofu.

Orthopedists ndi madokotala ochita opaleshoni amawona zabwino zomwe zimagwiritsidwa ntchito ndi masewera olimbitsa thupi omwe cholinga chake ndikulimbitsa minofu yamiyendo.

Odwala omwe ali ndi bondo arthrosis a digiri ya 1-2 amatha kupatsidwa chithandizo cha spa (panthawi yachikhululukiro chokhazikika), kuphatikizapo matope othandizira, kutentha mu sauna, ndi kusamba kwachire. Odwala onenepa kwambiri amapatsidwa zakudya zapadera, chifukwa kunenepa kwambiri ndi chimodzi mwa zinthu zofunika kwambiri pakukula kwa bondo arthrosis.

Zoyambitsa ndi Zoopsa

Kukula kwa arthrosis ya bondo yolowa, monga lamulo, sikuti chifukwa chimodzi, koma kuphatikiza kwa zinthu zingapo.

Arthrosis ya bondo yolumikizana yomwe imachitika ubwana kapena unyamata imachitika chifukwa chophwanya mapangidwe a zida za ligamentous kapena mawonekedwe a nkhope. Cholinga mu nkhaniyi ndi chibadwa chamunthu.

Nthawi zambiri gonarthrosis imayamba motsutsana ndi kumbuyo kwa zopezeka zolumikizira mafupa am'munsi (miyendo, miyendo, mabowo, misozi kapena misozi) - imakhala 20-30% ya milandu yonse yamkati ya bondo. Matendawa nthawi zambiri amapezeka zaka 3-5 pambuyo povulala, koma amatha kumatha miyezi ingapo atawonongeka. Kuchita opaleshoni yolumikizana kungakhalenso chifukwa cha gonarthrosis, chifukwa imakhala nthawi yayitali kuvulala kogwiritsa ntchito.

Chinanso chomwe chimapangitsa kuti matenda apangidwe a bondo akhale onenepa kwambiri, komwe minofu yam'mimba, makamaka mafupa a bondo, imakumana ndi katundu wambiri. Kuphatikiza apo, munthu wonenepa kwambiri nthawi zambiri amakhala ndi microtraumas kapena kuvulala kwambiri komwe kumapangitsa kukula kwa arthrosis.China chowonjezera choopsa m'gululi la anthu ndi kukhalapo kwa mitsempha yayikulu ya varicose yam'munsi yam'mphepete (kufalikira kwa magazi m'miyendo kumakulirakulira).

Osteoarthritis ya bondo yolowa imayamba ndi katundu wambiri m'munsi, osati mwa anthu onenepa kwambiri. Gulu lowopsa likuphatikizira othamanga, ovina, ndi ena oopsa pachiwopsezo cha magawo am'mphepete mwachangu ndi othamanga kwambiri. Komabe, moyo wongokhala ndi ntchito yokhazikika imakulanso chiopsezo cha matenda, chifukwa zimayambitsa kuphwanya kwa ma cellcirculation ndipo molumikizana, mafupa a trophic.

Kuphatikiza apo, arthrosis ya bondo yolumikizana imapangidwa kumbuyo kwa njira zamatenda monga nyamakazi (mafupa othandizira, mafupa am'mitsempha, nyamakazi yam'mimba, komanso ankylosing spondylitis), zovuta zama metabolic, zotsatiridwa ndikuchokera kwa mchere m'mitsempha yamatumbo, zovuta zakumaso zingapo zamatenda amitsempha, kuvulala kwa msana kuvulala kumutu.

Kupezeka kwa bondo arthrosis kumathandizidwa ndikusintha kwa thupi komwe kumachitika m'thupi la mayi nthawi yakusamba. Munthawi imeneyi, kuchuluka kwa estrogen m'magazi kumacheperachepera, komwe kumayambitsa kutsekeka kwa calcium kuchokera mthupi ndi kupangidwa kwa mafupa am'mbuyo, komwe kumawonetsedwa ndi kuwonjezeka kwa mafupa ndi mafupa.

Akatswiri ena amakhulupirira kuti vuto la m'maganizo (kusokonezeka kwa manjenje, zochitika zodetsa nkhawa) zimathandizira kukulitsa kwa arthrosis ya bondo.

Mitundu ya matenda

Kutengera ndi etiological factor, choyambirira (idiopathic) ndi mawonekedwe apamwamba a bondo arthrosis amasiyana. Komanso matendawa amatha kukhala amodzi mbali imodzi (nthawi zambiri amachitika chifukwa chovulala) komanso pakati (amakula motsutsana ndi maziko a kunenepa kwambiri, zovuta za endocrine, mwa odwala okalamba).

Matendawa amakhudzidwa makamaka ndi anthu azaka zopitilira 40 - mu gulu ili la m'badwo, arthrosis ya bondo yolumikizana imakhala yofala kwambiri mwa azimayi, pakati pa odwala azaka zazing'ono, amuna ovomerezeka.

Mlingo wa arthrosis wa bondo

Kutengera kuwonongeka kwa mawonetseredwe am'magazi, magawo atatu a arthrosis ya mafupa ophatikizika amadziwika:

1. Minofu ya Cartilaginous imawonongeka, koma kunja, kusinthika kwa gawo la bondo sikuwonekere.
2. Minofu ya cartilage imakhala yowonongeka kwambiri, kupendekera kwa gawo lolumikizidwa kumadziwika, pazithunzi za x-ray, kukula kwa mafupa kumatha kuonekera, kusakanikirana kozungulira.
3. Minofu ya cartilage imayamba kuonda, m'malo ena mafupa amapangika, pazithunzi za X-ray pali kuchuluka kwakukulu kwa ziwopsezo za minofu ya mafupa.

Mavuto omwe angakhalepo komanso zotsatirapo zake

Arthrosis ya bondo yolumikizana imatha kuthana ndi vuto la minofu ndi minyewa, kuwonongeka kwa nthambi yam'munsi. Zotsatira za matendawa zitha kukhala kuchepa kapena kutayika kwathunthu kwa miyendo, i.e., kulemala.

Popeza matenda a arthrosis a bondo mu magawo oyambirira, kuchotsa kwa zomwe zimayambitsa matenda a pathological ndi chithandizo chokwanira, matendawa ndi abwino. Kuchita moyenera kumapangitsa kuti zitheke kukhululukidwa kwanthawi yayitali, komabe, chithandizo chimakhala nthawi yayitali. Pakakhala chithandizo chofunikira, komanso ngati wodwalayo samatsatira zomwe dokotala wakupatsa, arthrosis ya bondo yolowa mkati imakhala chifukwa cha kulemala.

Kodi kuchitira bondo arthrosis?

Mankhwala amodzi a gonarthrosis kulibe, monga momwe palibe mankhwala amodzi omwe angathandizire anthu onse mofanana. Pokonzekera njira zamankhwala, dokotalayo amaganizira zaka komanso momwe wodwalayo alili, gawo la matendawo, kuopsa kwa kupweteka kwamankhwala komanso kukula kwa kuphatikizika.

Kuphatikiza mankhwalawa ndikofunikira kwambiri pakumwa mankhwala osokoneza bongo, motero ndikofunikira kuphatikiza chithandizo mwanjira kuti muthetse mavuto angapo nthawi imodzi:

1. Dziwitsani mwachangu momwe mungathere. Posachedwa, muyenera kuyamba mankhwala, izi zimakulitsa mwayi wakukulitsa nthawi yachikhululukiro ndikuwonongeka kochepa kwa minofu yama cartilage.
2. Ndikofunikira kukonza chakudya cha cartilage kuti imathandizira kuchira.
3. Imwani mankhwala opweteka omwe dokotala amakupatsani.
4. Onjezani kuyendera limodzi.
5. Limbitsani minofu yozungulira cholumikizira.
6. Monga momwe mungathere kuti muchepetse kupanikizika kwa mafupa ndikuyesetsa kuwonjezera mtunda pakati pawo.
7. Yambitsani magazi mu gawo la cholumikizira.

Chifukwa chake, njira zazikulu zochizira arthrosis ndi:

• Ma NSAID ndi mankhwala osagwiritsa ntchito mankhwala a anti-yotupa omwe amadzipaka intramuscularly kapena kudzera m'mitsempha. Mankhwala osokoneza bongo amapereka nthawi yayitali komanso yamphamvu analgesic. Izi zimaphatikizapo mankhwala monga diclofenac, olfen, diclac, ibuprofen, indomethacin, ketoprofen.
• Chondroprotectors. Kukonzekera kotereku kumakhala ndi zinthu zomwe zimapanga matani a cartilage. Mankhwalawa ndi achilengedwe, amalumikizidwa bwino ndi thupi ndipo amalimbikitsa syntla collagen mwachangu. Mankhwala omwe amagwiritsidwa ntchito pa arthrosis ya bondo palimodzi amawerengedwa moyenerera monga kapangidwe, DONA, alflutop, rumalon, mucosate. Onsewa ndi mankhwala osokoneza bongo omwe amafunika kuwamwa pamaphunziro atali. Zina mwa izo ndi monga njira zovomerezeka. Njira yofunsira iyi ndiyothandiza kwambiri.
• Mankhwala a Hormonal. Gulu la mankhwalawa limagwiritsidwa ntchito popangira jakisoni wa intraarticular pamaso pa synovitis ya bondo yolowa (kutupa kwa membrane wa synovial). Cholinga cha mankhwalawa ndikuchotsa kutupa ndi ululu posachedwa. Zomwe zili pansi ndizowonongeka kwa cartilage, kuchuluka kwakukulu kwa contraindication ndi zotsatira zoyipa. Ma mahomoni opanga ogwiritsidwa ntchito kwambiri a gonarthrosis ndi awa: hydrocortisone, kenalog, diprospan.
• Kupukutira. Kuti muchite izi, mutha kugwiritsa ntchito mitundu yosiyanasiyana yamitundu, mafuta ndi mafuta. Kwambiri, akuwotha moto komanso odana ndi kutupa. Cholinga chakugwiritsa ntchito kwawo ndikupititsa patsogolo magazi am'deralo ndikuchepetsa kutupa. Mankhwala odziwika kwambiri a gululi: apizartron, finalgon, dolobene, feloran, gelamu wothamanga, nicoflex.
• Kukonzekera kwa Antenzyme. Zimasokoneza kapangidwe ka michere ina ndikuletsa kupunduka kwa mafupa. Mankhwala odziwika kwambiri a gululi ndi awa: Contrical, Ovomin, Gordox. Ndi gonarthrosis, amathandizidwa ndi intraarticularly.
• Kuchotsa toni. Ma antispasmodics monga midocalm, sirdalud, tizalud ndi drotaverin (no-shpa) amachotsa kusokonezeka kwakukulu kwa minofu mu gawo lowonongeka. Nthawi zambiri zimachitika ngati chiphuphu thupi.
• Kusintha kwa magazi. Mankhwala a Vasodilator amagwiritsidwa ntchito pochepetsa kamvekedwe ka minofu ya mkati. Mankhwalawa amathandizira kuti magazi azithamanga komanso azitha kusintha magazi. Kwa gonarthrosis, Cavinton, Trental ndi Actovegin akulimbikitsidwa. Upsavit kapena ascorutin amagwiritsidwa ntchito kulimbitsa makoma a mtima.
• Hyaluronic acid. Ndi gawo lachilengedwe la cartilage yaularular ndi madzimadzi a synovial. Chifukwa chake, kuyambitsa kwake kuphatikizira kwa bondo sikumayambitsa kutupa, kukana komanso zina. Nthawi yomweyo, kugwiritsa ntchito mankhwala monga otrovisk, synocorm kapena hyalual, kumatha kufewetsa mayendedwe ndikuchepetsa ululu womwe umayamba chifukwa cha kukokoloka kwa nkhope ya articular. Ndi gonarthrosis, mankhwala omwe amalimbikitsidwa kwambiri m'gululi ndi fermatron.

Njira za wolemba zochizira gonarthrosis zimaphatikizapo:

1. Njira ya Evdokimov,
2. Njira ya Bubnovsky,
3. Njira ya Gita.

Amakhala ndi mfundo zosiyana paziwonetserozi, koma popanda izi, aliyense adzipanga okha njira zabwino kwambiri zolimbikitsira ma bondo omwe amakhudzidwa ndi gonarthrosis.Tsoka ilo, sitikulankhula za kuchira kwathunthu.

Njira zina zochizira gonarthrosis

M'zaka zaposachedwa, njira zamakono zochizira arthrosis ya bondo zatchuka kwambiri, zomwe zingagwiritsidwe ntchito limodzi ndi mankhwala osokoneza bongo komanso monga chithandizo chodziimira pawokha. Nthawi zina, amatha kusintha kapena kuphatikizidwa ndi mankhwala.

Njira zatsopano zochizira arthrosis ya bondo:

• kinesitherapy - mankhwalawa olowa ndi ntchito yapadera yochita zolimbitsa thupi,
• mankhwala ozoni - mtundu wa chithandizo cha physiotherapeutic ndi ozoni, womwe umalowetsedwa molumikizana kapena kugwiritsidwa ntchito kunja,
• homeopathy
• mankhwalawa ndi mankhwala a Tiens - kugwiritsa ntchito kwachilengedwe popangira mankhwala mwachilengedwe monga chithandizo komanso kupewa matendawa.

Kinesitherapy imatha kuwonjezera ntchito ya minofu yowonongeka ndikuyimitsa kupitilira kwa matendawa. Njirayi imakhazikitsidwa pa kusankha kwa wodwala aliyense payekhapayekha ka zinthu zomwe "zolondola" zomwe zimatha kuchitidwa ndi wodwalayo payokha kapena kugwiritsa ntchito zida ndi zida zapadera za simulators. Kuchita izi sikumangotanthauza minofu yokha, komanso kumathandizanso kusintha magwiridwe am'thupi, ma tendon, mathero a mitsempha, mtima, kupuma, makina ndi endocrine.

Kinesitherapy imathandizira pakupanga zinthu monga ma endorphin m'thupi omwe amatha kukhala ndi mphamvu ya analgesic komanso imakhala ndi zotsatira zabwino pamaganizo a wodwalayo. Masewera olimbitsa thupi, kuchita masewera olimbitsa thupi, amakulolani:

• muchepetse olowa ndi msana
• Sinthani kayendedwe ka magazi ndi zotupa zam'mimba m'magawo akhudzidwa ndi minofu ya bondo,
• bwezeretsani kuchulukana kwa ma nyongo, ntchito yawo yolereka komanso ya matumbo,
• kukonza zakudya zophatikizira limodzi
• khazikitsani kusinthika kwa cartilage ndi minofu yamafupa,
• Chotsani ululu.

Mankhwala a Ozone, omwe akuwonjezereka kwambiri pochotsa arthrosis ya bondo, amadziwika kwambiri chifukwa chogwiritsa ntchito, kuthamanga, zotsatira zoyipa komanso kulolerana kwabwino.

Mankhwala a Ozone angagwiritsidwe ntchito:

• kunja - kugwiritsa ntchito mafuta ozonized, mafuta ndi njira yothetsera antiseptic, balneotherapy, kuyenda kozungulira muzipinda zapulasitiki zapadera,
• Pareeral - ozoni magazi ochepa autohemotherapy yaying'ono ndi yayikulu, jekeseni wa ozoni mu biologically yogwira mfundo, jekeseni wa intraarticular, makonzedwe a intravenally ozonized zokhudza thupi, mu mnofu ndi subcutaneous makonzedwe.

Njira zingapo za mankhwala a ozoni zimasankhidwa payekhapayekha kwa wodwala aliyense. Makulidwe a makolo a ozone ali ndi tanthauzo ndipo ali ndi zotsatirapo zingapo zochizira:

• zokongoletsa
• odana ndi yotupa
• bactericidal
• kusintha magazi m'magazi,
• zolimbikitsa kubwezeretsa olowa.

Kufanana ndi ozone, glucocorticosteroid mankhwala ndi chondroprotectors angagwiritsidwe ntchito. Kuphatikizikako kumawonjezera mphamvu zamachiritso a mankhwalawa ndikuchepetsa zotsatira zawo zoyipa ku cartilage.

Kuti muchepetse kupweteka, kuyambitsa kwa mpweya kumachitika m'dera lozungulira kapena mozungulira malo opweteka, komanso mkati mwa cholumikizira. Chiwerengero cha mfundo za jekeseni wamafuta ozoni amatha kusiyanasiyana kutengera momwe bondo limaphatikizira, kuyambira 2 mpaka 12 ml ya ozoni imayikidwa nthawi imodzi.

Kufanana ndi intra-articular makonzedwe a ozoni, odwala amamuyika kulowetsedwa kulowetsedwa kwa ozonized 0,9% sodium kolorayidi yankho (pafupifupi 400 ml tsiku ndi tsiku). Monga lamulo, njira ya mankhwala a ozone imakhala ndi mayendedwe a 10-12 mtsempha wa intraarticular.Pambuyo pa njira za 3-4, wodwalayo amasintha kayendedwe kazinthu zomwe zimakhudzidwa ndipo kupweteka kwamankhwala kumachepa kwambiri. Matenda amakhudzidwa ndi chithandizo cha ozone mankhwala amatha kupitilira miyezi 49.

Ngati cholumikizira sichili bwino, komanso chithandizo chamankhwala sichithandiza, kuchitira opaleshoni ntchito kumagwiritsidwa ntchito. Koma zimabwera ku izi kawirikawiri. Olumikizidwayo yomwe idakhudzidwa imatha kusinthidwa ndi ina yokumba (endoprosthetics). Koma nthawi zambiri amagwiritsidwa ntchito mu gawo III.

The axis ya miyendo kapena excision ya kusintha kwa mafupa imabwezeretseka (mafupa). Kudzera pakhungu la arthroscopic kulowererapo kumachitika. Kudzera pamakutu a bondo, cartilage yowonongeka amachotsedwa pamafupa. Kenako mankhwala amabwera.

Osteoarthritis 2 madigiri

Chithandizo cha arthrosis ya mawondo olowa pa gawo la 2 amaphatikizapo physiotherapy ndi kutikita minofu (kunja kwa nthawi yovuta kwambiri), zakudya zapadera, masewera olimbitsa thupi ndi kumwa mankhwala. Ndikofunika kwambiri kuti muchepetse katundu pazolumikizana zowonongeka: Kuyenda pang'ono, pewani kusuntha komwe kumafunikira kugwada. Ndi arthrosis yomwe ikupita patsogolo msanga, kugwiritsidwa ntchito kwa mankhwala apadera kumasonyezedwa - zida zamatsenga zomwe zimapangidwira kukonza cholumikizira odwala ndikuchepetsa kusuntha kwake.

Malangizo omwe akuphatikizidwa ndi mankhwalawa atha kukhala awa:
• chondroprotectors ndi glucosamine ndi chondroitin (Teraflex, Don, Chondroxide),
• mankhwala osapweteka a antiidal (Nimesulide, Ketorolac, Ibuprofen),
• intraarticular jakisoni wa hyaluronic acid (Hyastat, Hyalgan Phidia, Sinocrom),
• jakisoni wa glucocorticosteroid mahomoni (prednisone, hydrocortisone).

Zakudya za odwala omwe ali ndi arthrosis ya bondo azikhala ndi chakudya chokwanira cha collagen.

Izi ndi:
• zinthu zokhala ndi zowonjezera za gelling (zakudya, zakudya, zonona, zofunafuna),
• Zakudya zowonjezera pectin
• mafuta a nsomba.

Pafupifupi zipatso ndi zipatso zonse zimakhala ndi ma amino acid ndi mchere wofunikira kuti mukhale ndi thanzi komanso kusunthika, koma izi zimayenera kukhala ochepa odwala matenda ashuga.

Kulumikizidwa kwa nettle ndi mandimu

Izi kulowetsedwa ayenera kumwedwa pakumwa 20-30 mphindi asanadye. Mlingo umodzi ndi 50-80 ml.

Kukonzekera kulowetsedwa, muyenera:
1. Sakanizani 100 g wa masamba owuma kapena atsopano a nettle ndi mitu itatu ya adyo,
2. dutsitsani osakaniza ndi chopukusira nyama,
3. kuwonjezera supuni 4 za mandimu,
4. sakanizani chilichonse, kuwonjezera 250 ml ya madzi otentha ndi chivundikiro,
5. kunena kwa maola 4.

Kutalika kwa mankhwalawa ndi njira iyi ndi masiku osachepera 60. Mu sabata yoyamba, kulowetsedwa kuyenera kutengedwa nthawi 1 patsiku, m'masiku a 7 - 2 kawiri pa tsiku. Kuyambira sabata lachitatu la mankhwalawa, kuchuluka kwa milingo kuyenera kuchuluka mpaka katatu patsiku.

Mafuta okondera othandizira mafupa

Mafuta awa amathandizira kuthetsa kutupa ndikuchepetsa ululu. Zotsatira zoyambirira zimadziwika pambuyo pa sabata logwiritsidwa ntchito tsiku ndi tsiku, koma kuti zitheke, zimayenera kugwiritsidwa ntchito mkati mwa masiku 30-45.

Pokonza mafuta, muyenera:
• Sungunulani supuni ziwiri za batala,
• sakanizani mafuta ndi supuni ziwiri za uchi ndi supuni imodzi ya apulosi cider viniga 6%,
• ikani osakaniza mu firiji kuti ikhale yolimba.

Idzani mafuta awa m'mawondo anu katatu patsiku (nthawi yotsiriza - asanagone).

Kusamba kwa Dandelion

Kusamba koteroko, tincture wa dandelion amagwiritsidwa ntchito. Kuti mukonzekere, muyenera kusakaniza mizu ya dandelion yodulidwa ndi 150 ml ya vodika ndikuumirira m'malo amdima kwa tsiku. Musanasambe, zomwe zili mumtsuko ziyenera kuthiridwa m'madzi ndi kusakaniza. Ndikulimbikitsidwa kuti musambire kusamba 1-2 kamodzi pa sabata. Pambuyo pa njirayi, kupweteka m'mamaondo kumachepera, ndikuyenda pang'ono pang'onopang'ono m'malo olumikizirana mafupa. Mankhwalawa amakhala othandiza kwambiri ngati mungawonjezere mchere wa mchere wa nyanja ya 150 g womwe umapangidwa ndi ayodini ndi bromine pamadzi.

Ekaterina Sergeevna, zaka 48:

“Jakisoni wa nyamakazi wokha ndi amene wandithandiza jakisoni wa hyaluronic acid. Adalasa Italian Gialgan Phidia. Kukonzekera bwino kwambiri ndi zotsalira zochepa zoyipa komanso kugwira ntchito kwambiri. Tsopano sindimva kuwawa m'mawondo, ngakhale sindinathe kutsika masitepe ndisanafike pothandizidwa. ”

Alexander Dmitrievich, wa zaka 56:

"Ndikuganiza kuti bondo arthrosis ndi matenda kotero kuti palibe ochiritsika. Mutha kuchepetsa kupwetekako pang'ono, koma kenako kudzabweranso. Panthawi yowonjezera, ndimagwiridwa ndi ficus komanso Yerusalemu artichoke. Amandithandizira kuposa mapiritsi, pokhapokha palibe zowawa pamtima ndi pachiwindi. ”

"Ndidapezekanso ndi matenda a arthrosis a bondo olowa mgawo lachiwiri. Chifukwa chake chinali cholemetsa kwambiri (nthawi imeneyo ndinkalemera kuposa 130 kg). Mankhwala, zakudya zopanda mchere, chondroprotectors, mafuta odana ndi kutupa ndi jakisoni wa mahomoni adayikidwa. Chilichonse chinkachitika mogwirizana ndi ntchitozo - arthrosis kwathunthu.

Arthrosis ya bondo yolumikizira imakhala yovuta kwambiri kwamitsempha yamafupa, yomwe imakonda kupita patsogolo mwachangu. Malangizo a mankhwalawa amayenera kusankhidwa ndi adotolo atatha kuwunika mozama komanso kuzindikira kuchuluka kwa kusakhazikika, njira za dystrophic ndi kusinthika kwa cartilage ndi articular lapansi. Kukula kwa chithandizo kumatengera kutsatira malangizo azachipatala komanso kupeza nthawi yayitali kuchipatala.

Masewera olimbitsa thupi omwe ali ndi arthrosis ya bondo

Njira iliyonse ya chithandizo cha arthrosis ya bondo yolumikizana iyenera kuchitika pokhapokha malinga ndi dokotala. Ochita masewera olimbitsa thupi amatanthauza kuyendetsa pang'onopang'ono, kuyerekezera komwe kumakhalapo kupatula squat, kupotoza olumikizana, kupumira. Ndikofunika kuchita masewera olimbitsa thupi m'mawa, kukhala pansi kapena kugona, kwa mphindi 20, kubwereza masewera olimbitsa thupi maulendo 10.

• Kugona kumbuyo kwanu, mutha kuyendetsa njinga yochita masewera olimbitsa thupi, komabe, muyenera kuwongola miyendo mofananirana ndi pansi, kusunthira miyendo mozungulira, tengani miyendo yanu kumbali, ndikuwasunthira pansi, kupondera mapazi anu ndi 10.
• Kukhala pampando wokhala ndi miyendo pansi - kuwongola miyendo yanu, ndikuwongola miyendo, ndikugwira mawonekedwewo, kuwerengera mpaka 10, kuloza kukoka bondo lililonse m'mimba ndi manja anu ndikubwerera pang'onopang'ono ku choyambirira.
• Yang'anani khoma, kuyimirira pansi, kusinthanitsa ndi phazi kumbuyo ndi kutsogolo.
• Kuyika miyendo yowongoka pampando, kumayendetsa miyendo yamtendere, ndikumapuma manja anu m'chiuno, ngati kuti mukufuna kuwongola miyendo yanu.
• Atagona pamimba pake, ndikulimbikitsa mwendo wowongoka ndikuwunyamula mpaka 3 akaunti.
• Kukhala pansi, kwezani miyendo yanu kumbali, kuzisunthira pansi, kukoka mawondo anu m'mimba mwanu pakumapuma ndikuwabwezeretsa ku mawonekedwe awo apoyamba pa exhale.

Ntchito zikuluzikulu za ochita masewera olimbitsa thupi ndi kupumula kwa minyewa yam'mimba yomwe imapangitsa kupweteka, kuwonjezera magazi m'magawo, kuchepetsa kuchepa kwa matendawa, komanso kupewa kuwonongedwa kwa cartilage. Pakuchulukitsa kwa matendawa, masewera olimbitsa thupi saloledwa.

Kodi kuchitira arthrosis kutikita minofu?

Pogwiritsa ntchito njira yowomba (pogwiritsa ntchito dzanja lanu, zala zanu, zala zokulira) kunyumba, mutha kuyeserera zoluma bondo. Ndikofunikira kudziwa momwe mayendedwe ena amakhudzira chophatikizika:

• Kutikita minofu mu mawonekedwe a kutsetsereka kumakhudza mathero a mitsempha, kumalimbikitsa magazi kuyenda bwino m'matenda olowa.
• Chifukwa cha mikwingwirima kudzera pazala zakakanikizidwa, zotsatira zabwino pa tendons, minofu ndi zonse zophatikizika zimachitika. Chifukwa chakuti mikwingwirima imakhala yofewa, zochitika zamagazi zimachitika popanda kuwonongeka kwa ma capillaries.
• Kuphatikizika kumakanikizidwa kumbali ya dzanja, ndipo nkhonya zimayikidwa m'malo a periarticular. Chifukwa chake, magwiridwe antchito amkati mwa ophatikizidwa amachulukitsidwa.
• Poyamba, zala zimasunthidwa mosavuta komanso modekha. Mikhalidweyo ikamakula, mphamvu ya nkhonya imangokulira pang'ono.Njirayi imayendetsedwa ndi ululu wololera.

Chithandizo chovuta kwambiri cha matendawa chimaphatikizapo, kuwonjezera pa njira zomwe tafotokozazi, komanso zakudya zokhwima. Zimafunikira njira yoyenera. Palibenso chifukwa chochitira zinthu monyanyira. Koma pali zolephera zingapo zomwe zikuyenera kukumbukiridwa:

1. Ma pickles osiyanasiyana ndi zakudya zomwe zimasulidwa zimafunikiranso kuchepetsedwa.
2. Chotsani mafuta zinyama pachakudya.
3. Pewani mkate ndi masikono (mutha kudya mkate wa bulauni, koma pang'ono) komanso chokoleti ndi shuga. Zakudya zopatsa thanzi kwa anthu omwe ali ndi arthrosis safunika. Kugwiritsa ntchito kwake kumakhudza kunenepa kwambiri. Ndipo izi ndizowopsa.
4. Osachepera muchepetse nyama yamafuta. Kanani kudya bakha, tsekwe, mwanawankhosa, nkhumba.
5. Chepetsa mchere wambiri. Sikuti arthrosis amatchedwanso "mchere arthrosis". Madokotala amalangizira kuwonjezera mchere pokha zakudya musanadye osati pakuphika.
6. Chepetsani kugwiritsa ntchito zonunkhira, makamaka zotentha. Amathandizira kuti pakhale ludzu komanso kusowa kwa mafuta.
7. Kuletsedwa mwamphamvu zakumwa zoledzeretsa, kusuta. Osachepera munthawi ya mankhwala.

• Chakudya cham'mawa: oatmeal m'madzi opanda mafuta ndi shuga, msuzi wa zipatso, dzira lophika
• Chakudya chamasana: kapu ya yogurt yopanda thukuta
• Chakudya chamadzulo: nyama kapena nsomba, nsomba zamasamba, tiyi wopanda shuga
• Zosakhazikika: kanyumba tchizi casserole ndi mtedza, kapu ya madzi a zipatso
• Chakudya chamadzulo: saladi wa masamba, apulo, tiyi wopanda shuga
• Chakudya chachiwiri: kapu ya kefir yopanda mafuta

Chakudyacho chingakuthandizeni kukhala ndi zakudya zofunikira. Mwachitsanzo, zakudya zingapo zomwe mumatha kudya ndipo izi ndizolandilidwa ngakhale ndi matenda otere. Choyamba, izi ndi zinthu zomwe zimakhala ndi chondoprotectors ndi collagen, ndizomwe zimapanga mafupa, cartilage, ligaments. Zakudyazo ziyenera kuphatikizapo msuzi wophika ng'ombe, makamaka fupa. Takulandilani ku menyu odzola zakudya, nyama yotseka, yothira mafuta.