Osteoarthritis - Luyini? Osteoarthritis 2, Ibanga 3: ukwelashwa

Abantu engaphezu kwengama-40, ikakhulukazi abesifazane, ukhuluphele ngokuvamile bayabuzwa ubuhlungu emadolweni. Lokhu ukungakhululeki akusho ukulala ebusuku, kwenza kube nzima ukuhambisa. Futhi ngezinye izikhathi lokho akusho ngisho ukuphila ukuphila okuvamile! Ngemva luhlolo udokotela wathola - "gonarthrosis". Kuyini lokhu? Kungani wakha ke kuwe? Futhi kungenzeka isikhathi emuva?

zokugula isici

Ababaningi abantu bona sitholakele ukuzwa "gonarthrosis" kuyini. Sikhuluma isifo esiwohlozayo. It libhekene izilonda futhi ushintsho yabenza nezicubu uqwanga. Ngesikhathi esifanayo kakhulu ziyancipha umsebenzi ngokuhlanganyela. Lesi sifo esikhohlisayo kancane ubhubhisa ezicutshini.

Ungayithathi kalula egunjini lokuhlolwa kwezifo. Kufanele kuqondwe, uma kwatholakala ukuthi nginesifo gonarthrosis siyini! Ukuthuthukisa lesi sifo sihlasela zonke izakhi ze-okuhlangana kuyo. Vuma uqwanga, amathambo, imisipha, lwamalunga ulwelwesi kwemisipha.

Ngaphansi kwethonya izici ezithile kuliphazamise nokudla uqwanga. Ukuntuleka kokukhulumisana izakhi ezibalulekile kuphakamisa ukonakala. Umphumela yokufa kwamangqamuzana engokwemvelo. Kakhulu ziyancipha kuyaqina, ukuqina zezicubu zezinzwa. Isiguli zaba "ngokuhlanganyela ezomile".

inchubekelembili kwaleso sifo kuholela ekuhlulekeni ngokuhlanganyela ukwenza imisebenzi ezidingekayo. On kobuso Izigaxana uqwanga akhiwa futhi ukhule. Ngaphansi kwethonya shintsho ithambo, kunciphisa we nemisipha. Isiguli sithola komkhawulo abalulekile ukuhamba. Futhi esigabeni eziphambili kakhulu kwemisipha yoma.

Izimbangela zesifo

Kukhona imithombo eminingi zokugula ecashile. Njengomthetho, gonarthrosis we ngokuhlanganyela amadolo kubangelwa inhlanganisela yezici ezimbalwa:

• anda umthwalo joint (-sit-ups, egijima, nokuphakamisa izinsimbi);
• ithambo waphuka ehilela joint amadolo;
• ukudabuka umsipha;
• ukulimala uqwanga ungqimba - meniscus;
• ukhuluphele.

Pathology eba hhayi kanye, kodwa iminyaka eminingi ngemva kokungenwa izici elimazayo. Lapho inhlanganisela izizathu ezimbalwa ezenza isifo siqhubeka ngokushesha okungaka.

engcupheni

izifo ezithile nemibandela ungakwazi ukusheshisa ukuthuthukiswa lesi sifo. Labo abasengozini bahlanganisa abantu abaye babhekana zinselele ezilandelayo:

1. varicose emithanjeni wemikhawulo aphansi.
2. Engaqinile kudivayisi umsipha-capsular kwalapho (kunqunywa zofuzo), ingqondo Ukunganaki ngokuhlanganyela.
3. Isifo sokuqaqamba kwamalunga (ukuvuvukala amadolo), ebizwa omsakazo ezahlukene - psoriatic, sifo, samathambo, esisheshayo.
4. Izifo kohlelo exchange.
5. Pathology innervation amalunga, nobuntu spinno- noma kuhlasimulise nokulimala engqondweni.

izinhlobo izifo

Odokotela ucabangela indlela leli zokugula, ukhombe izingxenye ezimbili ezibalulekile:

1. gonarthrosis Primary. Lesi sifo eba impilo evamile ngokuhlanganyela. Wayengafani kwandulelwe yikuphi ukulimala, ukuvuvukala. Izimbangela lesi sifo zisekelwe izifo exchange uhlelo, okuthatha isikhathi eside ukusetshenziswa kwezidakamizwa hormone, yofuzo. Ngokuvamile ukuthuthukisa gonarthrosis zamazwe amabili. inqubo sokugembula ihlanganisa kokubili ngamadolo. Nakuba kwezinye izimo kukhona umonakalo eyodwa emaceleni. gonarthrosis Primary eyinqaba abantu ikakhulu abadala.
2. Secondary. Lokhu zokugula ikhulela ukulimala, izimila, inflammations. Umthombo sifo udluliswe ukukhonza phezu obuthe thuthu. Lesi sifo kwenzeka kubantu babo bonke ubudala. gonarthrosis Secondary ngokuvamile sohlangothi olulodwa.

ukubonakaliswa Clinical ezenzeka isiguli ekuthuthukiseni lesi sifo, encike ngqo kwi ukuqhubeka inqubo esiwohlozayo endaweni ngokuhlanganyela. Kuye ngezinga of ezicezile 3 gonarthrosis. Ngamunye wabo libhekene izimpawu zaso.

Izimpawu zesifo 1 degree

Kunzima kakhulu ukunquma esigabeni sokuqala nentuthuko isifo. izinguquko kubangelwe izicubu uqwanga ayikwazi ukutholwa X-ray. Sifo kusekelwe incazelo izimpawu yisiguli.

Odokotela baye bathola ngezici ezithile ukuthi angase elichaza umsuka wendaba yesihluku 1:

• ubuhlungu emalungeni;
• lokujabulela ukusikwa ngaphansi kwamadolo uqobo;
• ubunjalo blunt zobuhlungu;
• ukuqina ngokuhlanganyela, okuyinto eyenzeka ngemva bayiphendule isikhathi eside, ilele;
• ubuhlungu lenyuka ngemva kokuzivivinya noma umile;
• ukungakhululeki ezinzima emalungeni emva Hlala-ups, ibanga elide;
• ukuvuvukala kwedolo, ngokuvamile ngokudlula kwabo.

zokwelapha

Kulesi sigaba, kubalulekile ngokwanele ngempumelelo yokulwa pathologies ezifana gonarthrosis kwedolo. Ukwelashwa liqukethe isicelo:

• Physiotherapy;
• massage;
• umzimba zokwelapha.

Iziguli belulekwa ukuba ukunciphisa isisindo. Iziguli emalungeni efiselekayo hhayi ukulayisha.

Symptomatology 2 degrees

Kulesi sigaba kusobala ukuvaleka kwegebe elingaka overgrowth ithambo neziqu - osteophyte. Ngisho zibukeke e kwedolo kungabonwa ukuvuvukala. X-ray ungakwazi thembeke ukunquma gonartroz 2 degrees.

Kuleli qophelo yesifo kungase kubonise zimpawu ezilandelayo:

1. Ubuhlungu itholakala kabi emalungeni noma ingaphakathi emalungeni.
2. Phakathi uhambo uzwa ziwe e kwedolo.
3. Ubuhlungu iba okukhulu, isikhathi eside. Ngemva lonke iphele.
4. Ekuseni kanzima ukuqondisa kwedolo.
5. Esikhathini kusihlwa, kukhona ubuhlungu amathole.
6. Ngokugcwele umlenze akuyona unbent.
7. ukuvuvukala ngokuhlanganyela yesilinganiso ebonakalayo, izimpawu kokuqala uhlobo.

Njengoba kungekho kungenzeka ngokuvamile ukuze agobe umlenze gonartroz 2 degrees kuphakamisa ugobile yomgogodla. Kancane kancane izinhlamvu ziqala ukwakheka e izinguquko emzimbeni.

Izindlela kokuqalana zokugula

degree Lapho isifo Kunconywa 2 elandelayo ukwelashwa:

• ukunciphisa umthwalo phezu ngokuhlanganyela;
• Sokuvivinya umzimba amaseshini;
• imithi, kuhlanganise eqeda ukuvuvukala, imithi ebulala izinzwa, izidakamizwa, hondroprotektory;
• Physiotherapy.

Isibhedlela grade 3

Isinyathelo libhekene izinguquko eziphawulekayo futhi ngezinye izikhathi engelapheki emalungeni. Radiograph libonisa ukusonteka bezakhamuzi isakhiwo uqwanga. Isiguli njalo nobuhlungu, okuyinto cishe akusho abohle.

Osteoarthritis 3 degrees ungumuntu zimpawu ezilandelayo:

1. ngisezinhlungwini e kwedolo, okuyinto ozimele umsebenzi lesiguli.
2. Ikhinyabezwa ukuhamba. Isiguli iyaqhula.
3. Phakathi izinguquko sezulu ukungakhululeki iyanda.
4. Kwedolo is zikhubazekile anda ubukhulu. Nge ukuqhubeka sokugembula inqubo ukuhambisana ozuza O emise nofana ebumbeke X-.

Uma gonarthrosis degrees 3 ephelezelwa ukuvuvukala isikhumba (synovitis), i-ichichima amadolo kakhulu. wabuka wayo eshelelayo cishe ngokuphelele. Ohlangothini front evele we protrusion yenziwe yaba yasendaweni kokuba ukungaguquguquki esithambile.

izindlela Kunconywe emzabalazweni

zokugula kakhulu ezinzima is gonartroz 3 degrees. Ukwelashwa kuhlanganisa izindlela zokwelapha. Nokho, ngokuvamile isiguli sidinga ukuhlinzwa. Kulokhu kukhona amasu ezimbili kuhlinzwa:

1. osteotomy sokulungisa. Kuyinto kuncike ezicekeleké we uqwanga. Kulokhu, asuswe neziqu okuhlangana bony. Ukubhujiswa uqwanga iyasuswa.
2. Endoprosthesis. eyohlinzwa enjalo wenziwa Usuqhubekile. Uma uqwanga yacekeleka phansi ngokuphelele, it is ngokuphelele noma ingxenye ithathelwe indawo izinto yokufakelwa.

imithi

ukuthaka imithi kungenzeka iqondiswa kuncike nesigaba lesi sifo futhi emizweni ngabanye wezifo zamathambo. Ngokuvamile, nokwelapha ezifana Kunconywa uma isiguli sekutholakele ukuthi sine- gonartroz 2 degrees.

Ukwelashwa kuhilela ukuphuza imishanguzo ezilandelayo:

1. amaphilisi ezinhlungu NSAID. Lapho lesi sifo ngokuvamile aqokwe izidakamizwa ezilandelayo: "Voltaren", "Rofika" "Celebrex", "Movalis", "Nimesil".
2. Wamafutha. Esikhathini zokugula kungenzeka Kunconywa ukufudumala ejenti "Gevkamen", "Espoli", "Menovazin". Uma gonartroz nzima synovitis, iziguli ebekiwe amafutha "Fastum", "indometacin", "butanedioic", "Umsebenzi".
3. Chondroprotectors. I imithi eminye esebenza ngempumelelo kakhulu, "Artra", "Artron", "Teraflex", "Don", "Chondroitin Complex." Lezi zimali esiyakuqokwa kuze kudlule isikhathi eside (mayelana 6 izinyanga).
4. Imithi okufakwayo lwangaphakathi ngokuhlanganyela. Ngo ukuvuvukala okuphawulekayo kungekho izikhathi ezingaphezu kuka-3 bafake izidakamizwa "Hydrocortisone", "Kenalog."
5. Esebenzisa asidi i-hyaluronic. Basuke yaphathwa ukuthethelelwa ngemva ukuvuvukala ngokuhlanganyela. Sebenzisa imithi "Gialurom", "Sinokrom", "Ostenil".
6. cindezela Zezıhlabane. Zisetshenziswa ukuze sikhuthaze kwegazi ngokuhlanganyela, okwandisa ukukhiqizwa lubricating uketshezi. Kunconywe licindezele Bile noma yezokwelapha izidakamizwa "Dimexidum", "Bischofite."

Impela ekwelapheni gonarthrosis ingumuthi "Piaskledin". Kuyinto izidakamizwa wenza kusukela ezikhishwe of izitshalo okuletha kukhompiyutha futhi ukwatapheya. Inkambo yokwelashwa eside - okungenani izinyanga 6.

umsebenzi zokwelapha

Iziguli kufanele zaziswe uma kutholakala ukuthi uphethwe yini gonartroz kuyini. Kumele ekuthatha njengento ebalulekile lokho udokotela enquma.

Ngokuhamba okukhulu nesineke isifo kumele uhlinzeke amadolo ukuphumula. Ngokuzayo, qiniseka ukuba aqale kancane kancane ukwethula umsebenzi. Njengomthetho, zonke umzimba ezenziwe elele emhlane wakho. Kubalulekile baqaphelisise amakilasi ngokushelela. Ukuzivocavoca akufanele ubuhlungu.

Lapho lesi sifo kufanele kugwenywe:

• sit-ups;
• uhambo olude;
• flexion-ukwandiswa kwamadolo;
• noma iyiphi inhlangano, phakathi kwesikhathi lapho ubuhlungu esiyitholayo emalungeni.

Physiotherapy

Ukuze kuncishiswe ukuvuvukala emalungeni, ukusheshisa kokuzalwa ukuyeka ubuhlungu, kungenzeka le nqubo elandelayo Kunconywa:

• imisinga diadynamic;
• electrophoresis ne izidakamizwa "Novocaine";
• Ukwelapha magnetic;
• UHF;
• ukwelashwa laser;
• phonophoresis usebenzisa izidakamizwa "hydrocortisone";
• ozocerite noma izindlu zokugezela upharafini;
• udaka.

Imishini wamathambo

Uma kuba khona isidingo, udokotela uyoncoma a orthosis ekhethekile. Lokhu amadolo pads, yazalwa impahla eqinile ezikhawula ukunyakaza emalungeni. orthotics angabelwa.

Ngezinye izikhathi okuwukuphela kwekhambi kuyinto ukuhlinzwa. Ngokwesibonelo, uma isiguli gonarthrosis 3 degrees, impatho kungenzeka kuphela esimweni lapho awusebenzi uhlushwa kwamathambo. Ngemva kokuhlinzwa izinyanga 3-6, isiguli zidinga ukuvuselelwa. Aqokwe Physiotherapy, umsebenzi yokwelapha, ukwelashwa esibhedlela.

isiphetho

uqwanga Articular akakwazi sikhiqize. Ngakho-ke kubaluleke kakhulu ukuthola lesi sifo i-degree kokuqala futhi ngokushesha saqala ukwelashwa. izindlela zokwelapha kuyafaneleka kuphela uma 1 st kanye 2 nd degree gonarthrosis. Lapho egijima zokugula ukuthuthukisa isimo lesiguli can kuphela ukuhlinzwa.