Chondromalacia of ibvi: zvinokonzera, zviratidzo, kuongorora chirwere uye kurapwa

Nokuti upenyu huzere munhu wose zvinokosha chaizvo kuti kukwanisa nyore uye zvakanaka kufamba, asi zvinosuwisa, vakwegura, uye vechiduku kazhinji vane zvirwere zvakasiyana mutezo umo kunyange nyore kufamba zvava zvinonetsa. Mumwe wavo - ndiko chondromalacia ibvi. By zita zviri pachena kuti chirwere ichi chinobata mabvi, ndiyo majoini kwazvo mumuviri womunhu. chikuru basa ravo - inonzi mufambo ari makumbo. Kusagadzikana mune ibvi anogara mumwe kuomarara rwokufamba, uye zvinetso zvakakomba zvikuru pamwe majoini kunotungamirira kuremara. Ibvi rine muzvizhinji nezvikamu, uye mumwe nomumwe anogona kutanga deformation, zvichitungamirira zvirwere nomumwe akananga. Nyaya iyi anopa mashoko pamusoro pokuparadzwa shwashwa pamusoro pemvura pfupa duku, yainzi patella.

The nemamiriro ibvi

To zvakajeka kufungidzira kwezvirwere mhando ndiyo - chondromalacia ibvi kuyeuka chii nhengo ine mabvi edu. Dzavo hwaro ndiyo mapfupa maviri huru (muchiuno uchingodzikira tibia) uye mapfupa imwe diki (patella rinonzi dzakakurumbira patella). The patella chimwezve ruoko mu flexion / kuwedzera ibvi. Ane zviso zviviri - rokunze, zvikuru ine, uye yomukati, zvakawanda flattened, akafukidza shwashwa. The patella ane kwemashifiti kumativi chimiro, sezvamakaropafadzwa yoga chawo (pamusoro) uye magumo (pasi). Kumativi ose rakakomberedzwa duku pfupa nemarunda, saka anogona zvishoma zvava kwakasiyana-siyana.

Kuwedzera mapfupa ari ibvi vari nemarunda, Kamudzira, cover uye anodzivirira yose vadyi, meniscus uye shwashwa. The Kamudzira ane 6 mabhegi, 3 izvo iri patella - maviri mberi uye chimwe shure. Ivo zvibereko zvikuru kuti basa pamwe synovial mvura.

The nemamiriro shwashwa

Kureva hurumende kana ibvi marwadzo kunoitika nokukurumidza, vanhu refu vakashandisa mashoko okuti "Tuck ibvi". Mukurapa, ichi chirwere anoonekwa kuva chirwere, ndine shoma chokuita misha upi chikamu muhudyu uye anonzi chondromalacia ibvi. Zvinoreva kuparadzwa patella shwashwa akafukidza rayo mukati. Pakukora shwashwa munzvimbo iyi - vaifanira 10 mm. It ane kwakavharwa nenyama, asi panguva imwe chete, gobvu unaku kumeso penyika. Basa shwashwa - rakaramba yokuderedza kukweshera mapfupa uye tibatsirwe kuvhunduka mitoro. In ayo mamiriro, kuti hyaline shwashwa riri kwakavharwa nenyama chaizvo, asi kwete somunhu yakasimba sezvo fibrocartilage, inova hwaro menisci. It rinoumbwa mvura (80%), makemikari zvinhu (15%) uye chicherwa munyu (5%). Zvichikuchidzira kwayo joini mvura.

Zvikonzero kuparadzwa shwashwa

Chondromalacia ari ibvi inogona chirwere chero zera. Zvinokonzera chirwere ndeinotevera:

- ibvi zvinokuvadza;

- deformation of mapfundo;

- vachiberekwa uye vawana somugumisiro zvimwe zvirwere anomalies kukura yokutsiva zvikamu;

- zera-ukama kuchinja, akadai kuderedza paumbwe synovial mvura zvitengeswa shwashwa.

Zvisinei, kazhinji pane chirwere kunoitika muna muduku, izere simba vanhu vanotenda zvakare nesimba, zvichiguma kupa mabvi avo wakanyanya kumusoro mutoro. chikamu ichi chine kunyanya vatambi, kunyanya avo vanobatanidzwa nhabvu, Weightlifting, hockey, nhamba Skating. Asi hazvisi nyanzvi vatambi chete kuva chondromalacia ibvi kwemajoini shwashwa. Mitambo iyi kutsvaka kuramba muviri wako zvakakwana chimiro, aizivikanwawo matambudziko ibvi. vanhu ava vanopa tsoka dzavo mutoro kune muduku pamwero, asi zvinokonzerwa yokuti vari kuita vasina murairidzi, kazhinji kuita zvakasiyana-siyana kurovedza nepasipo zvichiita kuti ibvi microtraumas.

Pakati pezvimwe zvikonzero, achiita kuparadzwa hyaline shwashwa, muri:

- ane kusaenzana mune tsandanyama inzwi;

- kukuvadzwa of femoral uye tibial zvinoumba ibvi muhudyu;

- kunotevera of patella;

- kufuta (vakafutisa vanhu vanofamba kuramba Takudzai chaizvo Mbabvu dzavo dzikisa);

- Kupfeka shangu zvakanaka kuti anogona kusika okuwedzera mutoro pamusoro ibvi vadyi;

- vachiberekwa kana vawana wakarebesa.

kupatsanura

Zvichienderana sei hwaenda kuparadzwa shwashwa ibvi chondromalacia rakakamurwa zvina nhanho:

- wokutanga, umo deformation kutanga chete, zvisinei zvishomanana zviratidzo, uye kurapwa zvakakwana kunobudirira;

- wechipiri, dzinoratidzwa chimiro microcracks vari shwashwa, zvichiita kurwadza zvakakwana oneka mananara;

- wechitatu, apo mutswe kunokura, mune zvimwe zviitiko kusvika mafupa;

- wechina, vazhinji vangosiyiwa, zvinoda kunzwisisa chaizvo uye zvinodhura kurapwa.

Funga mwero zvizere.

chokutanga dhigirii

Chondromalacia 1 mwero ibvi kunoratidzwa chokuti iri shwashwa ngapaonekwe tisawirirane wokutanga chaizvo - nayo zvinyama anotanga zvishoma kunyevenutsa uye kuva kuoneka duku chisimbiso nyarara panguva pamwe pamusoro. Kana chakatsindirwa, vanogona kungokonzera kusanzwa vanyoro, vanhu vakawanda vakadaro chiratidzo yokuregeredza.

Chiizve runozivisa pakatanga chirwere? Ndivo zviratidzo imwe crunch mumabvi kana chinhu chakatodzana the clicks rokutanga, kunyanya kuoneka kana munhu anosimuka kubva ake squatting chinzvimbo, vaikwira nezvikwiriso, kuita zvimwe zviitwa Somuenzaniso, anokotama kuti gumbo kuti chitsitsinho akabata magaro, uye zvadaro agadzirisa. Zvinofanira yazivisa uye soreness pashure mazhinji akagara makumbo hwakakungwa.

Kana zviratidzo zvakadaro pakarepo kutaura chiremba, kurapwa kunogona chete simba rokuponesa muoti, zvokudya uye kudya kuti Mishonga zvokuwedzera - hondroprotektorov.

rechipiri dhigirii

Chondromalacia 2 inosiyana ibvi chinotanga Somugumisiro untreated chirwere 1 dhigirii apo kuramba zvakasimba mutinhimira upenyu uye kurovedza muviri. Panguva iyi shwashwa iri stratified kupinda fibers, makatsemuka, kukuvara nzvimbo asi asingaiti pfuura 13 mm. Man anonzwa kurwadziwa unopinza kufamba (richisimuka kubva cheya, mavambo kumhanya kana vachifamba, zviitwa, izvo zvinoda flexion uye kuwedzera makumbo). The dhigirii wechipiri kuoneka uye nemaziso. Kana akarova ibvi riri uchazvimba, zvinokwanisika Hwakatsvuka ganda. Treatment muchiitiko ichi angava kuchinja uye zvinosanganisira kurapa, kunwa mushonga, vakaomerwa mitoro. Panyaya iyi, chinangwa chikuru kuvarapi - kurwadziwa, uye zvadaro chitanga kuvakazve shwashwa.

dhigirii rechitatu

Chondromalacia 3 inosiyana ibvi anonzi inorema uye akapotsa kusingarapiki kuparadzwa muviri mhando shwashwa. Anoramba flake kuna fibers, kudzama uye uwandu makatsemuka mairi kunowedzera, uye deformation nzvimbo iri kare substantially pasi 13 mm. Danho iri chirwere munogona chakasimba uye chirwere siyana. Kana munhu anonzwa rakapinza kurwadziwa ibvi, pasinei anoita unopinza kana mvere mberi kufamba. The maitiro zvinhu zvinosanganisira:

- kuzvimba ganda murwere pamwe;

- chengeto kufamba;

- matambudziko makuru kana achiita squats.

Munguva chirwere chimiro munhu anosangana chenguva pakunzwa vachirwadziwa marwadzo apo tichifamba, kuipa, Somuenzaniso, kana achikwira masitepisi. Kazhinji kufamba idzi pamwe ne crunch kana nomwenje akaratidza the clicks.

wechitatu dhigirii kurapwa kwenguva refu uye zvinodhura, uye vanachiremba havasi hunovimbisa kupora izere shwashwa. Nokuti kurwadziwa uye mangwanani kuzoita shwashwa rinenge vanowanzotambura ushandiswe imwe jekiseni kupinda ibvi vadyi kuti kuvhiyiwa bedzi ane ruzivo nyanzvi - vachibatsira kana kunotevera. Kubvisa kushoma anogona basa intramuscular majekiseni uye physiotherapy.

chechina dhigirii

Chondromalacia ibvi joini 4 madhigirii kunoitika apo murwere haasi kurapa mabvi, kana muchivaitirawo hazvikwani Somuenzaniso, chete kumisa marwadzo. Panguva iyi yokuparadza iri shwashwa ndiko saka zvinokosha kuti dzisvike pfupa. Mune ramangwana, iye anotanga kuputsa, izvo zvinenge nguva dzose kunounza kuremara. Externally 4 dhigirii akaratidza ibvi kuzvimba uye akatsvuka, dzimwe nguva kurwadza kuti kuubata. Munhu deformation ari muhudyu zvakaoma kudaro kufamba pasina kushandisa chinokosha midziyo (tsvimbo, madondoro). Dzimwe nguva chondromalacia mugwaro 4 varwere chokunyunyuta pamusoro vakawanda kudzikira.

Diagnostics

Kana pamusoro zviratidzo vanofanira kubatwa ne podiatrist, kana, kana chiremba yakadaro kushandisa pakiriniki kwete traumatologist kana chiremba. Chirwere chinotanga kurapwa nhoroondo muunganidzwa. Chiremba anowana kana murwere ane Kukuvara ibvi, akati hunhu marwadzo, kutarisana kuongorora. Uyezve, varwere ndavhiyiwa maekisirei (sezvazvakanyorwa kwerubwinyo rwakagara rwuripo-chirwere), arthroscopy (a nzira okuzivisa kupinda pamwe mhango duku arthroscope), MRI kana CT scan.

How kurapa chondromalacia ibvi rwakashodoka?

In chirwere ichi kurapa kuvimba mwero shwashwa kuparadzwa.

Sezvataurwa pamusoro apa, pana 1 dhigirii iri basa chete kuchinja mabatiro kusanganisira:

- rokumanikidzirwa akapfeka ibvi Mapedhi, bhandiji kana chinokosha kutara bhandeji, uye munguva ichangopfuura aiwanzoshandisa kinezioteypy;

- zvachinja padanho kurovedza muviri kuti tsoka dzavo;

- maekisesaizi kurapa;

- gadziriro kana Mishonga zvokuwedzera pamwe chondroitin sulfate kana glucosamine.

Pana 2 uye 3 madhigirii rokutanga kurapa rinoitwa kuti kubviswa anogumbura zviratidzo. Zvadaro, chiremba anogona mishonga resection akaremara mugove shwashwa. Panopera nzira iyi, pamwe mhango wosukurudzwa sesaline. Kana resection zvisingaiti kuita, chiremba prescribes ari muchibereko mitswi. Mashoko nokuti kudyara hunobviswa utano shwashwa murwere kuti zvinyama 100% vakajaira.

Chimwe nzira yokurapa - jekiseni kupinda ibvi vadyi pamusoro hyaluronic acid.

It anovandudza chatingatevedzera synovial fluid zvinobatsira kudzorera shwashwa zvinyama, zvinoderedza kuzvimba.

Pashure resection raida majekiseni kana rokuzvivandudza rakaita kuti irambe kurapa rinoitwa dzinopiwa chaiko kurapa nzira sezvo mafomu ose wakisi kana ozokerite ibvi, Laser, rinobva marapirwo, electrophoresis. Uyewo, murwere inopedzera pamusoro chokunwa mararamiro mavhitaminzi uye chondroprotectors. Pakati dzakakurumbira zvinodhaka "Artron" uye "Artron kunzwisisa", "Teraflex" uye "Advanced Teraflex", "Struktum" "Chondroitin Akos".

Pana 4 madhigirii zviyero izvi zvingasava zvakakwana, sezvo vakawanda kudzorerwa shwashwa ibvi kwemajoini zvinyama kwava chaizvo negakava. Muzviitiko zvakadaro, kuita kunzwisisa mashandiro osteochondral mapurasitiki, chokumisa sero transplantation, tunneling, wakaumbwa nokudziurira iri muzvizhinji kuti mumakomba ari subchondral pfupa. Somugumisiro akuvara izvi zvakanangwa muviri inoita connective zvinyama, rinogona kuvhara imwe shwashwa kuremara.

Tips varapi

Chondromalacia ibvi vagari - chirwere chakakomba vane zviratidzo hazvigoni kungotariswa. Recipes vanoporesa vanhu havazokwanisi kudzosa shwashwa rinenge asi kubatsira kuderedza marwadzo uye kwenguva yakati rebei kuunza rufaro kufamba. Saka, kana ibvi pamwe kuzvimba kusembura varapi vanoti kushandisa chando kuti dambudziko munzvimbo. Cryotherapy Izvi zvichakubatsira kudzivisa edema. Naizvozvo vanofanira kutsiva inotonhorera anorumanya ushamwari. Unogona kushandisa doro atakatora munda buttercup, Chestnut, cinquefoil, burdock mudzi pamwe devyasilom. Kugadzirira neiya inoiswa muzvinwiwa zvinodhaka sezvo musimboti. Webetsero zvinoreva muna kufanana huru kunokwanisa kunwa mishonga teas, semuenzaniso chicory cranberry shizha. Marwadzo uye kuzvimba uye kunobatsira vasiyana wedzinza yakachena makabheji shizha kana jira kudzikire munyika kugadzirisa kuti namo. Vamwe varapi vari zano chokuzora ibvi inodziya mafuta unrefined muriwo kana varikwizire hafu ndimu mbiya.

Zvisinei mugumisiro kushanda yakakurumbira nzira kushanyira chiremba vanhu vanenge kurwadzisa mabvi ake, chokwadi.

dziviriro

Kudzivirira chondromalacia pamusoro pebvi, vanachiremba kupa zano rakadaro kuti vatambi:

- kwete kutanga dzidzo, kwete kwerubwinyo rwakagara rwuripo kudziyirwa uye haana anodziya tsandanyama;

- kana kuita chero simba Chokudzidzisa pamabvi angu chaiwo mabhandeji - ibvi Mapedhi.

General kurumbidza, akakodzera vanhu vose, sezvinotevera:

- tarisa uremu yenyu;

- regai vanopfeka zvakanaka shangu, uye zvinokosha kuti vave Arch zvitsigiso;

- kudzivisa pakukuvara kana inorema patsoka dzavo.

Kuwedzera kurapwa, zvinokosha kudya kuti chondromalacia ibvi. Zviri kudzivisa soda, aisvuta zvokudya, jikichira zvokudya, imbwa inopisa. Zvakakodzera kuderedza huwandu makabhohaidhiretsi ari kudya uye munyu uye nekuwedzera yaunodya emichero facial kwavari, mondo, aspic, mondo pamusoro dzinongoitika Hagari, nomukaka zvigadzirwa, hove mutsvuku, nzungu, akaomeswa.

mataridzikiro

Mikana kunaya zvakakwana mudzimu ibvi pejoinhi nokuparadzwa articular shwashwa kunoenderana chii padanho kurapwa maperembudzi atanga, uyewo pakupora nemano murwere. Rakarurama zvakafanotaurwa vanachiremba regai kupa, asi hazvina kusava kutaura kuti ibvi chondromalacia 1 dhigirii anonaya zvakazara pasi zvose murefu vachibatsira audzwa. Apo chirwere 2 uye 3 madhigirii pashure resection pamusoro shwashwa kunoda vapore refu. Pana 4 inosiyana articular shwashwa iri zvachose kushanda yakadzorerwa, asi murwere akadzokera mukana nyarara kufamba uye mamwe masangano.