Deforming ibvi kwemajoini arthrosis 2 madhigirii: mishonga uye zvinokonzera

Zvirwere zvetsandanyama nemapfupa ino vane nzvimbo inokosha pakati siyana kwevanhu zvirwere. Kakawanda achangobva akatanga kudanana chirwere chakafanana chemajoini deformans. Chii, uye chii zvayo zvekuchipatara kuratidzwa?

Chii chinonzi osteoarthritis?

Parizvino pasi chemajoini kunzwisisa chirwere, yokuvamba ane predominance kuti anogumbura uye rinoparadza zvinoriumba. Chakapararira munyika yose, asi mukurusa wevasungwa nyaya munyaya zvokurima munyika. Kwakaitwa kunyanya subchondral shwashwa guru majoini (kazhinji anovandudza chemajoini pamusoro ibvi uye muhudyu majoini). The chirwere ruchigona chronicity, kunyanya kana paine prerequisites kuti kudzikira uye sembura zvinhu. Somugumisiro kwacho ichi, kukwana kuparadzwa pfupa hurongwa pamwe deformation rekuUnited mafupa. Zvichiitika kusingarapiki uye zvinoguma nokuremara muna 90 muzana varwere (inopiwa kuti harina akatanga kukodzera kurapwa uye matanho akatorwa kubvisa zvinokonzera njodzi). Ndezvipi zvinokonzera chirwere ichi, uye kuti ndiyo hwaro kukura kuparadzwa mapfundo akapoteredza munyama? Zvakakodzera kunzwisisa zvizere.

zvinokonzera

Sezvo nezvirwere zvizhinji, osteoarthritis ine pokutangira ayo, kana kuti ude, kuburikidza raakanga kachitanga. Nei deforming arthrosis pamusoro ibvi? Zvikonzero kuti dzinotungamirira ayo kukura, sezvinotevera:

• Inosimudzira mutoro inobereka majoini. Kazhinji, vakawanda nyaya chemajoini hunotanga nokuda ndakagara mararamiro uye Kuwanikwa zvakanyanya muviri uremu. Sezvo gangaidzo, unogona kutsanangura vakawanda vanotanga zvakakwana chirwere muna vatambi vaiita akaoma mumitambo (semuenzaniso, mutsimba kana Weightlifting). Muchiitiko ichi inokudziridza kakawanda deforming arthrosis rwerudyi ibvi vadyi, sezvo weightlifters kazhinji kushandisa rokurudyi kuti rutsigiro.
• Pamberi majini kubatwa. chinhu ichi zvinowanzooneka dzakaonekwa mumhuri ine nhoroondo nhaka nhoroondo. Yaani - dzakananga antigen - HBA-27.
• Injury. Mugove chinhu ichi chinoita kusvika 20 muzana Muzviitiko chemajoini kukura. Kazhinji, kwacho kunotanga panguva yokukuvara, uye kwenguva yakareba anoramba Isimba rakadini rinogona kubudiswa. Nokufamba kwenguva, kuvapo zvinokonzera njodzi iri kwayo activation.

The pathogenesis chirwere

kukura kwacho sei? Nokupesvedzera akakunda zvinhu, pane zvishoma nezvishoma compression aripo shwashwa yaiva pakati articular hukawanika. Over nguva pane ayo kuparadzwa, ndokusaka pane kuderera pamwe nzvimbo. Zvishoma nezvishoma, shwashwa wokutanga zvachose anonyangarika, uye vagari hukawanika vanotanga varikwizire imwe. Nenzira iyi, vari zvishoma vakadzima, zvinoita kuti vasanyanye congruent. Panzvimbo dzaparadzwa pfupa macrophages uye leukocytes tama kuramba aseptic kuzvimba kwacho. Uyewo pasi pokudzora rokuzvivandudza rakaita kuti irambe zvinoita dzinotanga kuumbika pfupa itsva (mapfupa growths - osteophytes), izvo kunokanganisa Maumbirwe muhudyu, deforming uye kukonzera kuparadza. All zviratidzo izvi kuti deforming arthrosis pamusoro ibvi muhudyu uye kukonzera ayo kunotoda kuratidzwa huru. Sezvo anogona kunzwisiswa kuti yakatanga chirwere muitiro, uye sei unogona misa nayo?

kupatsanura zvirwere

Maererano zvavo kurapwa uye radiographic kuratidzwa, osteoarthritis unogona kukamurwa muzvikamu zvakasiyana siyana.

Wokutanga mwero hosha kunoratidzwa ne Kuparadzwa chete meniscus uye shwashwa. Chikuva wakaiswa chete pahwaro radiographic uchapupu akaora uye asingauyi unooneka. The chete Zviratidzo zvingava kufundumwara uye ndinorwadziwa majoini pashure basa chero basa. Deforming arthrosis of ibvi kubatwa Panguva iyi, unogona kumba kuburikidza jimunasitikisi uye dzokurapwa zvokudya. Asi nachiremba zvose uye ugadze vanofanira kuchengeta zvakasimba!

Deforming arthrosis 2 madhigirii kunoitika Varwere vakawanda. Initial zvekuchipatara kuratidzwa vakawana zvachose hunhu uye kuoneka anenge pakarepo mushure zororo nguva kana ndichibvunza basa. It akaratidza chinokosha aienda rwakashodoka nzvimbo chete kutanga zviratidzo mapfupa resorption.

Osteoarthritis kuti dhigirii rechitatu ine zviri rechipiri pachikuva, asi kunoratidzwa muhombe erosions uye osteophytes growths.

Danho rwechina panonyanyisa. Kwake kwese zvikuru pfupa deformities pamwe kukura ankylosis.

Clinical zviratidzo chirwere

How kunzwisisa kuti hwakabva deforming arthrosis of ibvi? Zviratidzo zvepabonde kwayo pakukura zvinotevera.

Chokutanga chiratidzo kurwadziwa. Ari vachirwadziwa zvakasikwa, kunowedzera pashure nguva yokuzorora, kunyanya pashure usiku (kutanga marwadzo). Inozivikanwa mangwanani kuomarara, izvo zvinoita zvakafanana chemajoini pamwe dzinonzi rheumatoid arthritis, asi kuomarara muna chemajoini rinovapo refu kupfuura hafu yeawa.

Akatevera, zvakafanana kukosha chiratidzo maronda ari muhudyu ishoma mufambo. Kakawanda chinoratidza pacharo somugumisiro mhasuru sunga (ari kurwadziwa kumashure). In akazotevera nzendo chirwere anokonzerwa kutyora mufambo pakati mhou Fusion pakati kwakakanganisa mapfundo.

Nokufamba kwenguva, nokuda nekusagona aite basa kufamba dzakabudirira zvakazara tsandanyama atrophy. Pazuva rechipiri uye rechitatu zvokukura atrophy riri reversible, asi nomusi wechina kumumisa nesimba.

Kuwedzera tsandanyama atrophy vakachengeta kuderera nehanya uye kufamba kweropa iri nedambudziko vadyi, izvo exacerbates hosha.

mabatiro

Zvakanakisisa kupa yokuyamura kuti deforming ibvi kwemajoini arthrosis 2 inegumi. Vachiona zvakafanira kutanga kushandisa asiri zvinodhaka nzira. Nokuti zvokudya kukuru uku rutapudzo kufuta, physiotherapy uye nemakwenzi kurapwa.

With chii chinofanira zvose kutanga?

Zvose rinotanga kudya kwakakodzera uye zvaiitwa muzuva.

Kuti zvakanaka kurapa murwere kana akatanga deforming arthrosis pamusoro pebvi muhudyu, zvokudya ndiye nokugadzwa wokutanga. Rugwaro Kudya zvakafanira kurambidza nekumwisa makabhohaidhiretsi uye mafuta. Sezvo nokuti zvinyama kugadzira anoshandiswa kureva mapuroteni, yakanakisisa zvinodyiwa kuti saturate navo.

In varwere maari kune deforming arthrosis pamusoro pebvi muhudyu, jimunasitikisi inobatsira kudzorera zvakakodzera uwandu vanoshingaira kufamba uye kuvandudza ropa riyerere kuti vawirwa nenjodzi.

Traditional nzira dzinoshandiswa zvakakwana kuti zviite ehurumende uye kwete nguva dzose inobudirira. Kazhinji, avo kushandiswa kunotungamirira kuti kuwedzera ezvinhu.

mishonga

Treatment deforming arthrosis ari muhudyu muhudyu sezvo ibvi, iyo ineffectiveness vasiri zvinodhaka nzira, zvinofanira kutakurirwa kunze achishandisa zvinodhaka. Aishandisa zvinodhaka akasiyana mapoka, asi zvinodiwa vachiri akapiwa Anti-anogumbura zvinodhaka uye zvinodhaka-yokutsiva shwashwa. Zvairatidza kuti vashandise dzimwe nzira akasiyana.

Kana murwere haakonzeri nechinouya raikura ibvi arthrosis deformans giredhi 2, mishonga inogona kuitwa symptomatically. Nokuti chinangwa ichi anoshandiswa NSAIDs. Yainyanya kushandiswa munowanika "Meloxicam", "Nimesulide" "Indomethacin". The zvinodhaka maviri okutanga dzinoshandiswa nomuromo kana jekiseni, uye "Indomethacin" dzinowanzotsigi- kushandiswa muungano.

Kana X-ray achiratidza pfupa chirwere, nechirwere unoiswa - deforming ibvi kwemajoini arthrosis 2 inegumi. Treatment mumamiriro ezvinhu akafanana izvi zvakanakisisa pachishandiswa kuzvitsinhanisa mishonga. Shandisa munowanika "Chondroitin" vitreous.

kuvhiya kurapwa

Izvi mhando yokurapa pachikuva wechipiri chirwere haawanzopiwi kushandiswa. Zvisinei, deforming arthrosis pamusoro ibvi muhudyu kubata zvakanaka panguva ino. Hapana chinokosha kutyorwa kwemajoini basa, inofamba hama kuti vakaponeswa. Kakawanda muchibereko idzva kwemajoini pamusoro, kanenge - zvizere prosthesis. Mabatirwo deforming arthrosis ari muhudyu muhudyu hakusi chaizvo zvairatidza kuti pachinhanho ichi chirwere, asi kudzivirira (kunyanya kana pane nokukurumidza kunoita), zviri nani kupedza nayo panguva ino.

Pashure pokuvhiyiwa, murwere anogona kufamba mukati memazuva 5-7 mushure muchibereko yacho prosthesis.

Kukundikana kutevera aseptic ezvinhu anogona kuva zvakaoma kunzwisisa kuti zvingaita kuti reoperation pamusoro pejoinhi.

dziviriro chirwere

Sezvo zviri pachena kubva zvikonzero inotisvitsa kukura chirwere, yakanakisisa kudzivirira ichi chinhu mararamiro utano uye zvakakodzera kugovera basa uye zororo.

Healthy mararamiro zvinosanganisira zvokudya zvakakodzera, kurovedza nezuva. Kana zvichibvira, kusiya kudyiwa kofi uye midzimu, sezvo izvi zvinhu kubatsira karusiyamu kurasikirwa kubva pamuviri, uye kuchiita kwacho.

A nomugumisiro wakanaka kuderera kuparadzwa kurongedza iri chemajoini Mitambo uye dzokurapwa muviri. Zvakanyanyokosha kuita zviitwa mumvura, sezvo hwezvekukurukurirana rairo kufamba uye anoderedza marwadzo.

Havapindiri, uye navamwe vari nekwevanorwa pfungwa. Deforming ibvi arthrosis 2 inegumi, izvo vanobvuma zvakanaka kurapwa pachipatara pacho mabasa zvinogona zvishoma apora ipapo. Physiotherapy hunoita dzimwe kudzorerwa hosha shwashwa vadyi hukawanika. Health plesieroorde takashongedzerwa yakanaka zvivako nokuti nzira idzi, zvinoita vamwe vavo chinokosha chishandiso kudzivisa deforming chemajoini.