Ubuhlungu ngokuhlanganyela indololwane: izimbangela yokwelashwa

Ukuzizwa ubuhlungu indololwane, akubona bonke zama uthole ngokushesha kudokotela. Nakuba emizweni ezingemnandi kule ndawo kungaba ngokuphawulekayo konakalise izinga lokuphila. Sicela uqaphele, ngaphandle iseluleko kuchwepheshe akuyona ukwenza, eqinisweni, kuze izici ezibangele ubuhlungu, awukwazi ayibulale.

kudala izinkinga

Odokotela shayela izifo eziningana kungenzeka ukuthi kuholele yokuthi kukhona ubuhlungu indololwane. Izizathu angase alale e okuvela izifo ezifana samathambo kanye arthrosis. Futhi ukuvela emizweni ezingemnandi kubangela sifo, epicondylitis, bursitis. Uma ukulimala ayikwazi ayifakiwe dislocation, ukwa noma ukuhlala ngokwahlukana inqubo joint indololwane.

Kungakhathaliseki ukuthi ubuhlungu obuhlabayo e endololwaneni akushaye noma sokuphishekela okuqhubekayo ukuzwa ezidabukile, kubalulekile ukuthola onguchwepheshe abangakwazi ukunquma ukuthi yini ebangele ukuba ke. Kungemva kwalokho linqume ukwelashwa okufanele. Kungase amanga ekuthatheni amaphilisi ezinhlungu, izidakamizwa eqeda ukuvuvukala, sokuvivinya umzimba aphoyintimenti, kodwa kwezinye izimo singase sidinge ngisho nokuhlinzwa.

Uyephuza a kudokotela wezifo ayitholakali uma ungakwazi uphumule noma yokwelula ingalo. Futhi ukuya kudokotela udinga ukuya ezimweni lapho ubuhlungu iqhubeka izinsuku eziningana, ayinandaba ebusuku noma ngesikhathi zokuphumula. Ungalindi, lapho kuba ubuhlungu babulawa joint indololwane, izimpawu pathologies ukuthi kungenziwa liphinyiselwe cha, ngisho nezinkinga ezinzima.

sokuqaqamba kwamalunga

Kaningi imbangela ukungakhululeki yisishiso amalunga omzimba. Nazo ngokufanayo, kungadalwa ukutheleleka, ukulimala, izinkinga ne umzimba, zezinzwa izifo izicubu. Kuye izici eziye zabangela lesi sifo, i-rheumatoid ukuhlukanisa, esithathelanayo, rheumatism, samathambo gouty. Uhlobo ngalunye kudinga indlela ekhethekile yokwelapha.

izimpawu Ihatilayitisi kukhona ubuhlungu ngesikhathi imizamo ukuze agobe ingalo noma donsa. Basuke iyakhula esikhathini lokuphumula futhi wakhululeka lapho ushayela. Ngaphezu kwalokho, iziguli kubika ukuvuvukala kwamalunga omzimba, ngoba ithuthukisa ukuvuvukala. Ezindaweni abathintekayo ezindaweni bangezwa ububomvu, kukhuphuke izinga lokushisa lendawo. Ngo uthi eziphambili amalunga uqale Crackle. Ngaphezu kwalokho, isimo jikelele impilo is eziwohlokayo kubantu.

Ngokwesibonelo, i-rheumatoid arthritis kuwumphumela izicubu umonakalo emalungeni eziwuhlobo Streptococcus. Nquma kunqotshwa futhi ukuqeda le nkinga ngaphandle iqhaza odokotela cishe akunakwenzeka. rheumatoid arthritis kubangelwa izilonda ezicutshini umsuka sokuhlasela kwamasosha omzimba. Lubonakala, ngaphezu ubuhlungu bamalunga, ukubukeka ngamaqhubu ngaphansi kwesikhumba.

lesion ezithathelwanayo nazo zingase zibangele ubuhlungu indololwane. Izizathu baqamekela yokuthi joint uthola ejenti viral, webhaktheriya noma fungal, okubangela okuvela isifo.

sokuqaqamba kwamalunga Gouty kubangelwa ukuvuvukala esisheshayo, okubonakala ngenxa usawoti idiphozithi yanoma uric acid. Inkinga yokugcina kubangelwa iziyaluyalu umzimba.

ukuphathwa isifo sokuqaqamba kwamalunga

Eyodwa yezindlela eyinhloko ukususa ubuhlungu, kuyinto ukwelashwa. Kodwa ngalé kwalokho kwaba ukusebenza kwezinqubo ultrasound, ukusetshenziswa uzibuthe, izicelo ngodaka. Khipha imisipha, ungasebenzisa electrotherapy. Ngokuvamile esimisiwe inqubo ezishisayo: Ukushisa ezindaweni inkinga upharafini, isigaba-nokushintshwa kwempahla, ozokerite.

Nyusa ukubuyiselwa uqwanga lusiza ukusetshenziswa laser noma HILT-therapy. Lezi zindlela nazo zibe nomphumela eqeda ukuvuvukala kanye analgesic.

Ukwelashwa nokuvikelwa samathambo kuthatha izidakamizwa eqeda ukuvuvukala, izidakamizwa cytotoxic, ngisho immunosuppressive. Ngaphezu kwalokho, Physiotherapy kunikezelwe. Udokotela ukuncoma amalungiselelo ezifana "MTX", "Remicade", "Almag".

Uma kwatholakala ukuthi ubuhlungu emalungeni indololwane izandla Kuvezwe ngenxa ukusabalala ukutheleleka, ngisho ngaphambi kokumiswa uhlobo esiqondile amagciwane esimisiwe antibiotic. Zagijima ngokushesha baqala ukuba iphathwe ngemithambo yegazi ukuze umuthi ufikile endaweni ethintekile eliningi eyanele. Ngezinye izikhathi beqala wagwaza ngqo joint ethintekile. Ingase futhi kanyekanye nika nezidakamizwa nonsteroidal antiinflammatory. Lapho sokuqaqamba kwamalunga ngokuvamile esetshenziswa antibiotic "Ceftriaxone" "Ciprofloxacin", "nafcillin", "Vancomycin" kanye nabanye (kuye ngohlobo ukutheleleka).

Ukwelashwa nokuvikelwa samathambo kuthatha amaphilisi ezinhlungu kanye Physiotherapy aphoyintimenti. Kodwa ngokuvamile lokhu kunganele. Khona-ke kuphakama umbuzo mayelana nesidingo ukuhlinzwa. Ngokuvamile ubuhlungu obuhlabayo e endololwaneni ungaya kuphela ngemva Ukushintshwa kwamajoyinti omzimba noma ukususwa esinqunyiwe. Kodwa ukwamukela sokwenziwa kuyadingeka kuphela ezimweni ezimbi kakhulu lapho izindlela ezivamile musa nemiphumela esikhathini eside.

urarthritis

Iyasebenza, eziningi imikhiqizo kwakheka emzimbeni uric acid. It oluhlala nekucala zibekwe amalunga omzimba. Lesi sifo esithile njengoba sokuqaqamba kwamalunga gouty ezaziwayo. Vuma kuwo, njengoba umthetho, amadoda abaneminyaka engu 40-50. Izinto eziyingozi ezingabangela i ekuthuthukiseni lesi sifo zihlanganisa ufuzo, ukudla ukudla okunamafutha, inyama kanye notshwala. Futhi, kulethe kungaba psoriasis, polycythemia, giperparatioz futhi eziningi nezinye izinkinga.

Kodwa izindololwane gouty sokuqaqamba kwamalunga kuthinta ezingavamile kakhulu. Lesi sifo kungaphansi xaxa joint ukuthi uzwane kuqala. Nokho uma ekuseni ubuhlungu babulawa ngendololwane ngakwesokudla (noma kwesobunxele), okuyinto eyenza kungenzeki ukuziyisa ukwenza noma iyiphi inhlangano, noma iyiphi touch siba sibi isimo sakho kuphela, kungenzeka ukuba usola ukuthuthukiswa sifo. Kuthatha indawo ngokuvamile ezinsukwini ezimbalwa ngaphandle iyiphi indlela yokwelapha. Kodwa uma ulinde phandle kwalesi sikhathi futhi akazange ukubona udokotela, kunobungozi ukuthi isifo kuzodlula kwifomu ezingamahlalakhona. urolithiasis Ngakho ukulimala kwezinso kutholakala ukuthi uphethwe yini, uric acid aqoqana emzimbeni.

Gouty ukwelashwa sokuqaqamba kwamalunga awunakuba khona ngaphandle kokuthethelela ukudla kuhlanganisa ukuphuza uketshezi oluningi, ngokudla fresh imifino, izithelo kanye izithelo. Ukuvinjelwa ziyokuwa utshwala, amafutha idliwe inani inyama nosawoti kuyehla kube okungenani. Ngaphezu kwalokho, kubalulekile ukuba wandise ingxenye yawo ngokomzimba - kuyasiza ukwehlisa inqubo sebethule uric acid emalungeni.

arthrosis

Kancane kancane kaningi ukuza odokotela, iziguli abakhononda ukungakhululeki lapho ezihambayo, okuyinto zenzeka isimo ukuphumula, ukungqubuzana kwezingqimba ezinkulu njalo amalunga. Kodwa abantu abaningi aye esibhedlela lapho ukuqaphela ukusonteka amalunga. Lokhu kwenzeka ngokuvamile arthrosis.

Lesi sifo libhekene ubuhlungu omnene hhayi kuphela ngesikhathi ngokuhlanganyela indololwane, ogama izimbangela baqamekela kabusha izicubu cartilaginous kodwa izimila okuyinto ithiye ukunyakaza. It kuvela ngenxa ukucindezeleka ngokweqile joint, kanye arthritis kungaba yi arthritis, ukwehluleka hormone noma ukulimala.

Khetha yokwelapha lezi zinkinga kungaba onguchwepheshe. Lomjovo kungenzeka asidi i-hyaluronic, izinqubo physiotherapeutic, massage, ukuqondiswa kwamathambo. Zimise ejenti ezihlobene hondoprotektoram. Lawa izidakamizwa njenge "Artra", "Alflutop", "Don", "rumalon", "Struktum" nabanye. Ezimweni ezimbi kakhulu kungase emkhakheni wezitho zokwenziwa kunesidingo.

Izimpawu epicondylitis

Ngenxa ubunjalo yobuchwepheshe abantu bazizwe umthwalo static phezu imisipha ibhodi lemisindo. Abanenkinga enjalo ezibhekene ithenisi abadlali, masseurs, milkmaids, ababazi. Lokhu umthwalo kungaholela izinqubo esiwohlozayo ezindaweni lapho imisipha anamekwe uyadabuka elincane imisipha. Lena bonke ngenxa yokuthi kukhona ubuhlungu indololwane.

Epicondylitis inkinga ezivamile ezibhekene abantu bakula ubuchwepheshe. Kodwa kungaba futhi zenzeka ngemuva sindisa, isibonelo, ngemva bephakamisa izinsimbi ezisindayo (barbells) noma ukudluliselwa esandleni sakhe ibanga elide isikhwama esisindayo.

Epicondylitis libhekene ubuhlungu ingxenye ngaphandle kwe endololwaneni, okungase akhipha kuya ibhodi lemisindo. It kwandisa nge ukunyakaza, palpation epicondyle elise nge ingxenye elingaphandle humerus. Lapho esephumule, ezimweni eziningi, iziguli ungakhathazeki. Uma ungakwazi ukubamba isandla sakho izinto nesineke, kungenzeka ukuthi wena epicondylitis. Izifo nayo ephelezelwa yoma kwemisipha, okuyinto banesibopho ukwandiswa ibhodi lemisindo, futhi umphumela waba ukuthi kukhona ukungabi namizwa iminwe nobuhlungu ehlombe.

ukwelashwa epicondylitis

Kubalulekile ukwazi okulandelayo: abakwazi ukulinda ngenxa isifo, owaziwa ngokuthi "ithenisi indololwane", kuyokwenzeka uqobo. Uma kungenjalo, bangaba ezingamahlalakhona. Ngenxa yalokho, umngane wakho njalo kuyoba ubuhlungu indololwane. kuyoba Izizathu sekwephuze kakhulu ukuba kunganikezwa funa, kanye nokwelashwa imisiwe isikhathi eside.

Lapho ufaka uphethwe "epicondylitis" kubalulekile ukuthi ubeke umkhawulo umsebenzi motor lesiguli ngokuhlanganyela kanye ususe umsebenzi. Ukuze ususe edema evame ukunikezwa inqubo ultrasonic. Anesthetize indawo eziyinkinga futhi ashukumise izicubu sokubuyiselwa ngokusebenzisa HILT-ukwelashwa kanye nokwelashwa laser. Ukukhuthaza noma imisipha ingasetshenziswa electrotherapy. Resumption of ukuhamba emalungeni, ukukhululeka ubuhlungu, futhi akuthanjiswanga uphawu kungenzeka emva aphoyintimenti ukushaqeka-wave ukwelashwa. Ziyakwazi ngenhlanhla nalolo ngokuba epicondylitis.

Ngokuvamile, i-ukwelashwa efanelekayo izimpawu ezingemnandi zinyamalale ngokushesha. Kodwa lokho akusona isizathu ukulahla yokwelapha. Zonke amaseshini egijima kungaba isizathu ukuthi ekugcineni iyoba ngisezinhlungwini e endololwaneni, kusukela lapho kuyoba nzima ukuqeda, ngoba nedolechennaya isifo bangaba ezingamahlalakhona.

bursitis

Nge lesion ezithathelwanayo, ukuhlukumezeka noma ngokuhlanganyela overvoltage esikhwameni ekhethekile uketshezi lwamalunga okuyinto kunomphumela ukuthambisa ku ukunyakaza, ukuvuvukala zingaqala. Lesi sifo okuthiwa bursitis. Kungabangela nobuhlungu indololwane kwesokudla, futhi lokujabulela elihambisana e ngakwesobunxele. Lesi sifo kuhambisana reddening kwendawo nesineke, ukuvuvukala, komzimba wendawo. Lokhu kungenxa yokuthi i-izikhwama cell ulwelwesi ukukhiqiza uketshezi olunqwabelene, elibangela bulging we ngokuhlanganyela.

Ubuhlungu bursitis inyuka kulingana ukwandisa ubungako isikhwama indololwane. Uma ungatholi ukwelashwa, kungaholela izivimbelo ukuhamba ezingalo zakhe futhi ndikindiki iminwe. Uma exudate ithelelekile, ekubonisa izimpawu zokudakwa.

ekwelapheni lesi sifo

Ukuze wenze i-ukusazi ngokunembile isifo esikuphethe futhi ukudida bursitis ne-rheumatoid arthritis, i-luhlolo ultrasound kuyadingeka. Ekwelapheni kubalulekile ngokunembile ukusetha subtype lesi sifo. Futhi qaphela ukuthi lesi sifo kuhambisana ubuhlungu ukubelesela emalungeni indololwane, okungase kwandise ngokungabi bikho ukwelashwa okufanele.

Uma bursitis athuthukile ngenxa yokulimala ke ukunciphisa edema kungcono ukusebenzisa abandayo. Isibhedlela ingenza ngisho inqubo sendawo okuthiwa cryotherapy. Kusukela ngosuku lwesibili isivele kungenzeka kulungele endaweni ethintekile. Ngezinye izikhathi odokotela ukuxilonga ubovu bursitis. Kulokhu imithi ngokweqile zifana nokuthela ezidingekayo. Ngaphezu ukwelashwa okunjalo futhi ukuqhuba wokubhoboza ngokuhlanganyela kanye sokukhipha Bursa. Ezimweni ezingavamile kubalulekile, ngisho nokususwa yayo.

bursitis Serous ingelapheka usebenzisa analgesics futhi okungezona steroidal ejenti eqeda ukuvuvukala. Singasho Kunconywa izidakamizwa ezifana "ibuprofen", "Codeine" ngoba isicelo yangaphandle - "Nurofen ijeli".

izilonda Kwenhlekelele

Kodwa ngaso sonke isikhathi, kabi endololwaneni bavele ukuthuthukiswa yisiphi isifo. sebuhlungwini obunzima ku dislocation indololwane singaba. Kuyinto ezimweni eziningi ephelezelwa edema ngisho ndikindiki endaweni ethintekile. Babhekana dislocations ezifana odokotela abahlinzayo ezingane. Qaphela ukuthi imbangela izinkinga ezinjalo iningi amacala kukhona abazali ababanjwe ngesandla ingane angawi noma anqume pick it up, ubambe enye entendeni. Ngokuzimela ukunciphisa dislocation akukwazi, ngoba indololwane ingenye ethambile kakhulu. Ukwenza lokhu udokotela kufanele kuphela emva inqubo kudingekile esikhulu kokungathembeki ibhandishi.

Futhi, ukuhlaba okubuhlungu endololwaneni ngakwesokunxele (kanye ngakwesokudla) zingase zibonise ukuthi ukwa. Isizathu sokuba ivela khona kungaba kubi ukuwa, ingozi noma ukushaywa unhlangothi. Isisulu Awukwazi ukuhambisa ingalo yami noma ngisho ukuba nzima ke. Ukwa ephelezelwa nokulimala, ukungabi namizwa iminwe, ubuhlungu. Izimpawu ezifanayo kungaba ukuhlukana kwazo olecranon.

Ukuze unciphise lokho isimo, odokotela bangathola ukuthi ngokushesha wenze umjovo we novocaine. Kubalulekile ukuya ze-X ray, kanye isiqinisekiso ukwa ukhonkolo. Ukuze kusheshiswe yokutakula futhi kungenzeka iqondiswa Physiotherapy. Ezinsukwini zokuqala ngeke akwenze ngaphandle amaphilisi ezinhlungu. Linqume izidakamizwa ezifana "Sedalgin", "Ketarol" "ibuprofen", "naproxen".