Ukudleka - Iyintoni? Osteoarthritis 2, IBakala 3: unyango

Abantu abangaphezu kweminyaka engama-40, ingakumbi abasetyhini, nemizimba ngokufuthi amava iintlungu emadolweni. Le ukuqaleka akuthethi ukulala ebusuku, yenza kube nzima ukuhamba. Kwaye ngamanye amaxesha Ayinaxesha ukuphila ubomi obuqhelekileyo! Emva yoviwo ugqirha bene - "gonarthrosis". Yintoni na? Kutheni waba nto kuwe? Yaye ngaba kunokwenzeka ukuba ukubuyisela iwashi?

zokugula Uphawu

Abantu abaninzi beqaphela uxilongo wokuxoxwa "gonarthrosis" yintoni na. Sithetha malunga nesifo sisiba mandundu. Lubonakala yi izilonda utshintsho ezalandela emva koko ekwabhengezwa ijwabu intlala. Ngelo xesha yehla kakhulu umsebenzi ngokuhlangeneyo. Esi sifo singanyangekiyo kancinci utshabalalisa kwizicwili.

Musa kalula ngezifo. Kufuneka iqondwe, ukuba unesifo gonarthrosis yintoni loo nto! Ukuphuhlisa sifo sichaphazela zoonke okuhlangana. Bayekeni intlala, ithambo, nemisipha, lwamalunga ndizayo kwezihlunu.

Phantsi yempembelelo yeemeko ezithile isiphazamiso isondlo kweli intlala. Ukungabikho izinto ezibalulekileyo afune angakwazi. Isiphumo cell ukufa. Ngokuphawulekayo kunciphise luthambe, ukuqina yethishyu nokuqina. Isigulane na oyile "joint elomileyo".

Ngokubhekele phaya phambili kwesi sifo kukhokelela ukusilela ngokudibeneyo ukwenza imisebenzi eyimfuneko. Phezu komhlaba maqhuqhuva intlala akhiwa futhi zikhule. Phantsi yempembelelo utshintsho esinjalo ithambo, kuphungulwe le nemisipha. Isigulane nakho umda elibalulekileyo ukuhamba. Kwaye eziphambili kakhulu ibakala yoma kwezihlunu.

Ezibangela isifo

Kukho imithombo emininzi ngezifo ngxabano. Njengoko umthetho, gonarthrosis welungu idolo ibangelwa intlanganisela yezinto ezininzi:

• anda umthwalo kwi joint (bahlale-ups, ukubaleka, phakamisa iintsimbi);
• kwamathambo ezibandakanya joint idolo;
• uqhekeko lungu;
• ukulimala intlala maleko - meniscus;
• amavila.

Pathology iphuhlisa akukho kanye, kodwa iminyaka eliqela emva kokuba sesichengeni izinto umonakalo. Xa indibanisela izizathu ezininzi zokuba esi sifo sanda kakhulu ngokukhawuleza.

ubungozi

izifo ezithile iimeko ukukhawulezisa uphuhliso sifo. Abo abasengozini kuquka abantu abaye bajamelana le mingeni ilandelayo:

1. ngemithambo Varicose kweqondo asezantsi.
2. Amandla isixhobo kuhlangana lungu-capsular (zemfuza uzimisele), Nokumphikisa komama ngokudibeneyo.
3. Arthritis (ukudumba idolo), sithwele umyalezo ezahlukeneyo - psoriatic, sifo, samathambo, izidubuli.
4. Izifo benkqubo lotshintshiselwano.
5. Pathology innervation amalungu, uphawu yokwenzakala kwengqondo spinno- okanye ezibuhlungu.

iintlobo zezifo

Amagqirha kucingwa indlela leli ngezifo, ezichongiweyo amaqela amabini eziphambili:

1. gonarthrosis Primary. Esi sifo senzeka kwimpilo yesiqhelo ehlangeneyo. Yena akazange kwakhokelwa Nakuphi na ukwenzakala, ukudumba. Izinto ezibangela le sifo zisekelwe kwindlela okunanisa izifo, ndoyolula ukusebenzisa iziyobisi hormone, yofuzo. Amaxesha amaninzi ukuphuhlisa gonarthrosis mazwe. inkqubo yezifo iquka amadolo omabini. Nangona kwezinye iimeko kukho umonakalo elinye macala. gonarthrosis Primary abantu abayinqobo kakhulu abadala.
2. Secondary. Le ngezifo senzeka ukulimala, nangezilonda, inflammations. Umthombo esi sifo zingadluliselwa ukuba asebenze kwi-obuthe thuthu. Isifo livela abantu babo bonke ubudala. gonarthrosis Secondary ngokuqhelekileyo unilateral.

obubonakala Clinical ukuba kwenzeka isigulana ekuphuhlisweni sifo, axhomekeke ngqo kwi ukuqhubela phambili inkqubo sisiba mandundu kwi joint. Kuxhomekeka iqondo ezingasese 3 gonarthrosis. Ngamnye kubo luphawulwa iimpawu zayo.

Iimpawu idigri sifo 1

Kunzima kakhulu ukuba ukujonga lokuqala inqanaba lophuhliso sifo. utshintsho kwabangelwa nezihlunu le intlala ayikwazi ukubonwa-X-reyi. Uxilongo isekelwe phezu inkcazelo iimpawu sisigulane.

Oogqirha baye bafumana iimpawu ezithile ziimpawu ubungakanani-1:

• intlungu leziNdlu;
• uza nokuncipha phantsi kwamadolo ngokwayo;
• uhlobo Ukuhl buhlungu;
• ukuqina joint, olwenzeka emva kokuhlala ixesha elide, ukulala;
• ukwanda ubuhlungu emva umthambo okanye emi;
• nobunzima kakhulu kwi joint emva lokuhlala-ups, umgama elide;
• iindumbisa kwedolo, ngokuqhelekileyo ukudlulisela yabo.

ayini

Kweli nqanaba, yeyokuba isebenza ngokwaneleyo ngokuchasene ezimbi ezifana gonarthrosis edolweni. Treatment sikuko isicelo:

• ukuyifundisa;
• massage;
• imithambo zonyango.

Izigulane bayacetyiswa ukuba ukunciphisa ubunzima. Izigulane Joints akuyonto ukulayisha.

Symptomatology degrees 2

Kweli nqanaba Kucacile umsantsa exineneyo imithana neziqu ithambo - osteophytes. Nkqu ebonakalayo edolweni kuyabonakala komtshiso oko. -X ray ngokuthembekileyo ukufumanisa gonartroz degrees-2.

Kweli nqanaba sifo asenokubonisa ukuba mpawu zilandelayo:

1. Iintlungu yenzelwe kabi kwamalungu okanye ngaphakathi entlanganweni.
2. Ebudeni bohambo usiva kwemeko kwi edolweni.
3. Intlungu liba obukhulu, ixesha elide. Emva kokuba abanye inyamalala.
4. Ngentsasa of nzima yokulungisa kwamadolo.
5. Kwi ngokuhlwa okanye ebusuku, kukho neentlungu amathole.
6. umlenze ngokupheleleyo ayikho unbent.
7. ukudumba abangaboni ebonakalayo edibeneyo, imiqondiso sokuqala uhlobo.

Ekubeni kungekho kungenzeka ngokuqhelekileyo Wayitsala gonartroz umlenze degrees 2 kudale ugobile lomqolo. Ngokuthe ngcembe baqale ukwakha kule utshintsho emzimbeni.

Iindlela yokujongana ngezifo

isidanga Xa esi sifo kucetyiswa 2 ezilandelayo unyango:

• ukunciphisa umthwalo kwi joint;
• iiseshoni zonyango Physical;
• amayeza, kubandakanywa anti-ukudumba, iintlungu, iziyobisi, hondroprotektory;
• ukuyifundisa.

Hospital grade 3

Inyathelo esibonakala ziinguqu ezibalulekileyo yaye maxa wambi ayibuyiseki umva kwi entlanganweni. Radiograph ubonisa deformation ezinzulu lobume intlala. Isigulana rhoqo ziintlungu, apho phantse akuthethi kudambe.

Ukudleka degrees 3 umntu ezi mpawu zilandelayo:

1. intlungu njalo edolweni, leyo elizimeleyo umsebenzi yesigulane.
2. Ngokuqatha kuphela ukuhamba. Isigulane lo undim usisiqhwala.
3. Ngexesha utshintsho yemozulu ukuqaleka olukhulayo.
4. Edolweni gqitha naqhama ubukhulu. Ngenxa ukuqhubeka zophendlo lwezifo inkqubo ekwenziweni uzuza O-ezimilise okanye X-ezimile.

Ukuba gonarthrosis degrees 3 ekhatshwa ukudumba kwesikhumba (synovitis), nkcwe idolo kakhulu. imisele zayo sekumnandi phantse ngokupheleleyo. On imiphezulu kwicala ngaphambili Buze lobulali ukuba uzinzo ethambileyo.

Iindlela ezicetyiswayo womzabalazo

ngezifo ezinzima kakhulu ukuba gonartroz degrees 3. Unyango iquka iindlela zonyango. Noko ke, ngokufuthi isigulane kufuneka uqhaqho. Kule meko kukho iindlela ezimbini kuhlinzwa:

1. osteotomy sokulungisa. Oku kuxhomekeke intshabalalo kwenxenye ye intlala. Kulo mzekelo, zisuswe neziqu kuhlangana esisodwa. Ukutshatyalaliswa intlala isusiwe.
2. Endoprosthesis. Olo tyando lwenziwa zikwinqanaba eliqhubela phambili. Ukuba intlala ibhuqiwe ngokupheleleyo, indawo yayo ngokupheleleyo okanye ngokungaphelelanga ngemathiriyeli angengowamvelo.

amayeza

imithi linokwenziwa kuxhomekeka kwinqanaba kwesifo kunye njengokungathi ngamnye zamathambo. Ngokuqhelekileyo, kwanonyango enjalo Kucetyiswa ukuba isigulane banesifo gonartroz degrees-2.

Unyango kuquka ukuthatha amachiza zilandelayo:

1. ntlungu NSAID. Xa esi sifo idla oqeshwe yi amachiza zilandelayo: "Voltaren", "Rofika" "Celebrex", "Movalis", "Nimesil".
2. Linamafutha aqholiweyo. Xa ngezifo ukuze recommended agents ukufudumala "Gevkamen", "Espoli", "Menovazin". Ukuba gonartroz nzima synovitis, izigulane emiselweyo wamafutha "Fastum", "indometacin", "butanedioic", "umsebenzi".
3. Chondroprotectors. Amachiza kakhulu ngempumelelo, "Artra", "Artron", "Teraflex", "Don", "Chondroitin Complex." Le mali iya kuqeshwa ithuba elide (6 iinyanga).
4. Amayeza for igalelo lwangaphakathi entlanganweni. Xa ukudumba wokuthi akukho izihlandlo ezingaphezu kwama-3 bafake iziyobisi "Hydrocortisone", "Kenalog."
5. Iindlela of hyaluronic acid. Bona yaphathwa kuxolelwe emva ukudumba ngokuhlangeneyo. Faka amayeza "Gialurom", "Sinokrom", "Ostenil".
6. cutha Hot. Zisetyenziswa ukukhuthaza igazi ubonelelo entlanganweni, ukwandisa imveliso yokuqaba ulwelo. Kucetyiswa Oluma enyongweni okanye unyango iziyobisi "Dimexidum", "Bischofite."

Impela ukunyanga gonarthrosis liyeza "Piaskledin". It is a drug eyenziwe ngayo izicatshulwa yezityalo of iimbotyi zesoya kunye zeavokhado. Ikhosi konyango elide - iinyanga ezi-6 ubuncinane.

umzimba therapeutic

Izigulane kufuneka uqaphele ukuba une gonartroz yintoni na. Kuyafuneka ukuba zithathelwe ingqalelo ngugqirha ebeka.

Xa ke nokoyika isigulane sifo kufuneka anike edolweni ukuphumla. Kwixesha elizayo, qiniseka ukuba baqale kancinci azise umthambo. Njengomgaqo, yonke imisebenzi yenziwa elele ngomqolo. Kubalulekile ukusebenzisa iiklasi isilumkiso kakuhle. Imithambo ayinakulimaza.

Xa esi sifo kufuneka kuphetshwe:

• hlala-ups;
• olude;
• flexion-ukwandiswa idolo;
• nayiphi na intshukumo, ngexesha apho intlungu ziviwa kwamalunga.

ukuyifundisa

Ukunciphisa kukukrala kwi joint, ukukhawulezisa okutsha, ukuba bayeke iintlungu, le nkqubo ilandelayo recommended:

• kwemisinga diadynamic;
• electrophoresis ne ichiza "Novocaine";
• therapy magnetic;
• UHF;
• laser therapy;
• phonophoresis usebenzisa iziyobisi "hydrocortisone";
• ozocerite okanye maqula zeparafini;
• udaka.

zikagesi wamathambo

Ukuba imfuneko, ugqirha uza bancome orthosis okhethekileyo. Oku phedi amadolo, lenziwe impahla eqinileyo, apho imiqathango intshukumo kwi entlanganweni. orthotics linokukwenziwa.

Maxa wambi isisombululo kuphela uqhaqho. Umzekelo, ukuba isigulane gonarthrosis degrees 3, unyango kunokwenzeka kuphela kwimeko apho awehlelwa kwamathambo. Emva kotyando iinyanga 3-6, isigulana zidinga ukuvuselelwa. Otyunjwe ukuyifundisa, umzimba, unyango kweso sibhedlele.

isiphelo

intlala Articular ayikho nako ukuvuselela. Ngoko ke kubaluleke kakhulu ukubona sifo kwindawo ngomlinganiselo lokuqala ngoko nangoko uqale unyango. iindlela zonyango zinelungelo kuphela xa 1 st kunye gonarthrosis isidanga 2 nd. Xa kuqhutywa ngezifo ukuphucula ungakwazi kuphela uqhaqho imeko yesigulane.