Hosha yacho hudyu rwakashodoka. Zviratidzo hudyu chirwere

nhengo dzose uye hurongwa vanofanira kuita zvakanaka. Chete muchiitiko ichi zvinobvira kurarama sezvinongoita basa. Munyaya ino ndinoda kuongorora chikuru zviratidzo pamagaro kwemajoini chirwere.

Chii?

Pakutanga, unofanira kutsanangura kuti mazwi. Chii hudyu? Saka, ichi ndicho pfupa kuti musoro wake neVadzidzi femur. Its chikuru zvinhu:

• kushandisa flexion-kuwedzera;
• mukana kutora gumbo kurutivi;
• pronation uye supination, t. e. mukana wokuita rotational kufamba.

The zvikonzero

Hazvo zvakafanira kunzwisisa chii ndizvo zvikonzero zvinogona kukonzera zvakasiyana siyana zvirwere hudyu rwakashodoka. Saka, vanachiremba ndedzinotevera:

1. Zvokuimba kukuvara. Izvi kunosiyana kukuvara zvakaoma kwazvo, mitswe.
2. Zvirwere zvakaita chirwere. Kazhinji kutsamwisa zvakasiyana-siyana nezvinetso hudyu rwakashodoka.
3. Microbial uye kutapukirwa noutachiona, akadai dzihwa uye kwazvo huro (kunyanya panyaya Perthes 'chirwere).
4. Chimwe chinokonzera hudyu kwemajoini chirwere - nemagene kubatwa. Panyaya iyi, havawanzoiti vanachiremba zvinyorwa pedyo nehama munhu kuziva machisi.
5. Various metabolic zvinetso, kushaya mavhitaminzi, karusiyamu. Panyaya iyi, muviri simba mapfupa kuva insufficiently simba. Uye kungakonzera zvinetso zvakasiyana-siyana kuti zvingaitika mune hudyu rwakashodoka.

Huru Zviratidzo

Pakutanga, zvingava zvinokosha kufunga zvakasiyana siyana zviratidzo pamagaro kwemajoini chirwere. Saka, kazhinji, pamwe pokukundwa chikamu ichi muviri womunhu anokangaidza:

1. Pain. Vanogona kuva akasiyana hunhu. The kurwadziwa inopinza uye kungopotsera, simba uye zvine mwero. Zvose zvinoenderana norudzi chirwere, uye mwero kwayo kukura. It zvinowanzoitika kuti yezvakaita marwadzo paaiita hosha zvinosiyana. Bvisa inogona zvakasiyana siyana inonyaradza marwadzo omusoro. Zvisinei, chikonzero parinowanika ichiri haadi kunyangarika.
2. Kufunga hudyu vadyi, zviratidzo kuti zvingaitikawo, zvinofanira kutaurwa kuti siyana ichi rwokufamba zvirwere. Dambudziko iri rinowanikwa apo vose pamagaro pamwe zvirwere. Mune zvimwe zviitiko, kutyorwa ava kunyanya kuoneka, kureva. E. The murwere gait ndiye anenge kuchinja. Mune mamwe mamiriro ezvinhu, zvinogonawo kuva wo utrudnennoy (kutadza kufamba pasina rutsigiro). Kana hosha iri mumamiriro hanya, injini basa murwere uye zvose chisingazogoneki.
3. Ndezvipi zvimwe zviratidzo pamagaro kwemajoini chirwere? Saka, ichi zvingaratidza zvakasiyana nechitarisiko kuchinja. Kakawanda, muchiitiko ichi rinoreva simba, pripadanii netsoka. Dzimwe nguva zvinogona kunyange kupfupisa njodzi maoko nemakumbo, izvo chinoita munhu kana kufamba zvigunwe kana kukanganisa muviri mumwe divi.
4. Other zviratidzi: kana paine kuzvimba, tembiricha inogona kumuka (kakawanda subfebrile mavanga) rinogonawo kuva akatsvuka paganda.

arthrosis

Pakutanga, unofanira kutaura kwakadaro dambudziko sezvo chirwere "hudyu coxarthrosis". Kutaura mutauro nevakawanda, muupenyu hwezuva nezuva chirwere akataura nyore sezvo arthrosis. Zvakakosha kuziva kuti hosha pokutanga wokutanga pakati matambudziko akasiyana-siyana locomotor midziyo wemunhu.

Rinotanga chirwere ichi articular shwashwa maronda. Zvishoma nezvishoma ichiparara, kwezvinoshandiswa, zvichiguma nokurasikirwa ayo depreciation zvivako. Panguva iyoyo zvakare inobata pfupa uye vadyi, mhou growths anogona kuonekwa. Other nyaya Zvingamukawo nokuda coxarthrosis:

• nokuumbwa cysts musoro yehudyu mapfupa;
• Cysts zvingaite zvakare muna zvinyama zviri acetabulum, apo musoro pfupa anoiswa;
• kuoma dzimwe nhengo dzomuviri rinowanzoberekera ndiro joini hukawanika.

Kakawanda chinokonzera chirwere ichi anova chirwere, kufanana dysplasia (Chokwadi, pamagaro vadyi). underdevelopment Iri pfupa, uye musiyano iri kukura acetabulum uye musoro. Pakadaro ndipo kukwana ropa rakawanda, kukonzera dambudziko akadai arthrosis.

Pakati zvinokonzera chirwere, vanachiremba kunongedza kukuvara siyana, mavanga. Kana totaura microtrauma kakawanda kunogona kuva chikonzero dambudziko iri. Uye, chokwadi, nguva kukosha kurapa siyana anogumbura kwendangariro. Pashure pezvose, vanogona kuvatarira kupinda chearthritis.

Symptomatology uye danho coxarthrosis

Chii chinogona kuudza nhoroondo chirwere? hudyu coxarthrosis kakawanda kuonekwa anotevera zviratidzo:

• kurwadziwa kana kusagadzikana mune magaro uye panosangana makumbo;
• marwadzo ari ibvi (mu iyi unowanzosangana totaura coxarthrosis iri rikwanise Danho);
• anoonawo kuti dambudziko, uye nomuzongoza.

In okurapa, pane chikuru zvinhanho zvitatu chirwere:

1. First. Pane marwadzo pano neapo kunyanya pashure kushingaira muviri. Vemunyika kakawanda chaizvo ibvi kana hudyu. Mushure achizorora kunetseka nokupera. Gait uye locomotor basa Panguva iyi ichiri kuchinja.
2. Second. Panyaya iyi, marwadzo yaizova kusimba. Zvinonzi vemunyika kunyanya groin kana pahudyu. Zvakakosha kuziva kuti panguva iyi kusagadzikana kunoitika kunyange zororo. The functionality of muhudyu raputsika, ayo gwenya basa uyewo kuipa. Pane kukamurwa vagari pusa kufamba (mu mushonga - contracture). Also akaremara femoral musoro, tsandanyama vanorasikirwa simba ravo.
3. Danho rechitatu. Panyaya iyi, marwadzo ari pamwe nomunhu nguva dzose zororo uye usiku. Impossible kufamba pasina rubatsiro. Joint sangano kukunyimai zvikuru, vane zvakaoma chaizvo. Zvishoma nezvishoma, murwere muzvidimbu kupfupikisa, munhu gait kuchinja. Unofanira kufonyora padivi umire nezvigunwe chinonengaidza motokari.

Kana dambudziko hwapedyo mberi, inotungamirira kune chokwadi kuti sangano iri pejoinhi chose vasipo.

Chirwere uye Mabatirwo coxarthrosis

Zvatakurukura pamusoro zviratidzo pamagaro kwemajoini chirwere, zvinofanira kutaurwa kuti dambudziko iri rinogona chirwere kushandisa radiography. Kana mwero marwadzo, unogona kubatsira kunyange Ultrasound kana MRI (zvidzidzo izvi ichapa mukana kusarudza pane kuzvimba).

Kana isu nezvazvo zvinhanho maviri chirwere rokutanga, mishonga pano vachava kuchinja. Chinangwa chikuru chiremba - kupa zvakajairika kwemajoini mufambo. Wechitatu Danho kunoda zvakasiyana: kutungamirira zvinodhaka izvo huchabvisa kuzvimba, anogonawo kushandiswa siyana chinomiririra mvura majoini. In anokosha nguva anogona kuratidzwa endoprosthesis.

Perthes chirwere

Hako vanofanirawo kufunga chirwere Perthes hudyu. Zvinokosha kucherechedza kuti chirwere kazhinji inokanganisa vana pakati pemakore 3 12 makore. Panguva imwe cheteyo vanotambura kakawanda kudarika vakomana. Zvisinei, chirwere kuwanikwa muna vasikana zvatowedzera.

Chii Perthes chirwere ari muhudyu muhudyu? Saka, ichi kunyanya pathological muitiro kana kuvhiringidzwa romuzvarirwo kweropa iri muhudyu musoro, izvo chinokonzera dambudziko akadai necrosis. Zvakakosha kuziva kuti pane zvose yaitsigira divi uye bilateral kukuvara.

Nhasi, vanachiremba havana kuzouya rwakafanana mhedziso, chii chiri kukonzera chirwere ichi. Pavaipfuura chirwere Perthes zvinotevera:

1. Atanga kurasikirwa chakaipa ropa Kusasvika femoral musoro necrosis hwapedyo.
2. Secondary musoro mapfupa pakakuvara munharaunda nokuparadzwa.
3. Necrotic zvinyama zviri zvishoma resorbed. Izvi zvinotungamirira kuti pane kupfupikisa pakati femoral mutsipa.
4. Nzvimbo necrosis rinokura connective tishu.
5. Connective zvinyama zviri zvishoma nezvishoma vanotanga pfupa.

The kupora kwacho iyi kunoenderana pavaipfuura chirwere kuregeredzwa. Kana nguva kutanga kurapwa, kupora yakazara kunobvira. Zvikasadaro, musoro anogona kuputsa kupinda akawanda mitezo, izvo kazhinji kunotungamirira zvisizvo nayo, splicing akaremara.

Vachataura sei kutarisa Perthes chirwere pamagaro muhudyu, mufananidzo. Just kutarisa mifananidzo vana vanorwara kunzwisisa kuti chirwere ichi uyewo kunokonzera kuchinja chitarisiko (semuna. E. Ingangova claudication kuzviremadza vachigurisira pacharo). chirwere ichi chiri pamwe nemarwadzo. Panguva kutanga richava mikukutu, vanotanga kuonekwa munguva kufamba. Pangave zvishomanana simba kana pripadanie pamusoro akuvara gumbo. Other zvekuchipatara Zviratidzo zvinochengetwa. In ichi uye zvose nengozi, nokuti vanhu vane zvichemo akafanana kashoma kutendeukira kune podiatrist. Kana paiva compression nokutyora, marwadzo ari yekudyidzana kunowedzerwa, lameness akamboona hasha, zviri pachena zvinoonekwa nevamwe. Pane kukamurwa kufamba, vachifamba kwakaoma. Anogona kuwedzera muviri tembiricha kuti subfebrile zviratidzo.

Hosha chirwere kushandisa radiography. Treatment anotora nzvimbo weDhipatimendi Orthopedics, hereinafter - murwere. Ya kuchinja kurapwa: inenge 12-14 mwedzi. Kuvhiya kupindira kungaratidzwa chete wakakura zvikuru kacho.

Pakupedzisira zvinokosha kuziva kuti kana isu funga zvirwere zvakasiyana-siyana zviri hudyu majoini vana, tiri kazhinji kutaura chirwere.

The urwere pakati femoral-acetabular impingement

Zvinokosha kucherechedza kuti uyu ndiye mumwe anomalies, izvo zvinogona chokuita hudyu rwakashodoka. Muchiitiko ichi pane kudhumhana kana kurwisana repfupa hurongwa panguva kufamba kwevanhu (richizonzi - impingement, kureva sizvo kudhumhana ..). Chaiwo zvinokonzera kuti anogona kukonzera ichi, mushonga ano haisati kuzivikanwa. Zviratidzo hudyu chirwere ichi nyaya ndeinotevera:

• marwadzo kuti ndepana imwe nzvimbo munhu, kazhinji panguva vachikotama;
• kuitwa zvimwe kufamba.

Dambudziko iri chirwere kushandisa rentgtenografii. Zvisinei, sezvo chirwere ichi zvakafanana zvikuru nedzimwe hosha, vanachiremba kakawanda vanokanganisa uye akaisa isiri zviratidzo. Kuchinja kurapwa nokuti dambudziko iri maturo chose. Kuvhiya kupindira kunokosha. Chete nenzira iyi inogona kukurira chirwere.

bursitis

Chimwe chirwere kuti Zvinokoshawo kufunga - ndiyo hudyu bursitis. Muchiitiko ichi tiri kutaura pamusoro kuzvimba ari bursa, ane chikuru basa - kudzivirira kukweshera.

Uyezve isu funga chikamu womunhu muviri pamagaro rwakashodoka. Zviratidzo zvinotevera bursitis chirwere:

1. Pain. Zviri kusachengeteka kukuru, zvikuru pomoto. Localization: kazhinji ndiwo chokunze chikamu yehudyu.
2. Sezvo dambudziko kurwadziwa riri rakagomadzwa. Zvisinei, kukura kwebasa nokuparadzirwa kwayo kunowedzera.
3. Enhanced marwadzo munguva hudyu flexion-kuwedzera. Uyewo, munhu anogona kurwadziwa kuti norutivi rwake kubva kukundwa.
4. Kana kurwadziwa purulent bursitis rwakasimba chaizvo zvokuti haikwani kuti kunyange kufamba zvakanaka.

The chikuru nzira nechirwere: kunotoda kuongororwa, palpation, auscultation kunyunyuta. Nokuti chirwere yakarurama murwere inoendeswa X-ray kana MRI. Zvikurukuru, kurapwa iri kuchinja. Mune zvisingawanzoitiki zviitiko kuvhiya kungadiwa mu yemhando chirwere.

tendinitis

We funga zvimwe matambudziko akasiyana-siyana kuti kukanganisa hudyu vadyi, zviratidzo, kurapwa. Zvechokwadi tinofanira kutaura zvakawanda pamusoro chii chaizvoizvo tendonitis. Somuenzaniso, imwe kuzvimba nemarunda panzvimbo ukama dzaro mafupa. Huru Zviratidzo munyaya iyi:

1. Sezvo vose anogumbura urongwa, akatsvuka rinowanikwa paganda.
2. Iva nechokwadi kuti marwadzo kuchamuka. Zvinonzi vemunyika munzvimbo njodzi shwashwa.
3. Uye, chokwadi, uchava kuderera gwenya basa murwere.

dambudziko iri panoonekwa kushandisa kuongorora. Ultrasound anogona yakatarwa mberi kuongorora chirwere. Treatment ari kunyanya kuchinja. Zvisinei, muna zvisingawanzoitiki kacho, zvichiratidza kuti kuvhiyiwa.

pabonde kuzivikanwa

Kazhinji, varwere vanofarira wokuti chii vanowanzobatwa chirwere ari muhudyu majoini vakadzi? Pakutanga, zvinokosha kuziva kuti yakadaro yakaoma mutsauko haako. Chero chirwere kumusoro-chinorondedzerwa inobata vanhu vose varume navakadzi vanenge zvakafanana. Zvisinei, nhamba dzinoratidza kuti huru chirwere pamagaro majoini vakadzi - ndiwo chearthritis uye arthrosis. Uyezve, zvirwere izvi zvichiitika vanhu vakwegura.

Main hudyu chirwere nevanhu - bursitis uye tendonitis. Uye zvose nokuti vakomana vari kunyanya mubasa rakaoma, uye vane zvakawanda zvakakomba mutoro pamusoro muviri. izvi zvose zvinowanzoita kuti chidzoke matambudziko akadai pamwe hudyu rwakashodoka.

Diagnostics

Pakutanga, zvinofanira kucherechedzwa kuti chiitiko dzakasiyana-siyana nemarwadzo ari muhudyu vadyi hwobva bvunza chiremba wako kuti mazano. Zvechokwadi, muchiitiko ichi zvinokwanisika rokuongorora chirwere yekare kare yemagwaro. Uye zvinova nyore uye yekudyidzana shortens chirongwa kuzoita murwere. Zvikasadaro pane njodzi wakakwana immobilization pakati njodzi richiripo.

Ndedzipi dzimwe nzira ikozvino zvinogoneka rokuongorora matambudziko akasiyana-siyana kuti nehanya ndiyo hudyu?

1. Kuongorora murwere. Huge mashoko anogona "kuudza" oga, kureva. E zviratidzo. Matambudziko iwayo iro murwere anonyunyuta. Pashure pokuteerera kwavari, kazhinji chiremba anoita, kunyange rokutanga ndezvipi pamusoro chii chirwere aripo murwere.
2. Palpation. Mune zvimwe zviitiko, murwere manzwiro kukundwa nzvimbo kunogonawo anopa mhinduro mimwe mibvunzo.
3. The anowanzodanwa kushandiswa nzira chirwere zvirwere zvakasiyana-siyana pamusoro hudyu muhudyu - a radiography.
4. Varwere muvepowo kunan'anura Ultrasound (nokuti vamwe zvirwere) kana MRI (rinobva resonance kuri) iri chiitiko kuti murwere ane chokutsva.

mabatiro

Nokuda nechirwere ichi kunogona kusiya hudyu majoini? Treatment - ichi kwakakosha munyika iyi. Pashure pezvose, kana kutanga nguva, zvinokwanisika pasina zvinetso uye kuedza kukurira chirwere. chiremba Chii chinogona mishonga?

Kuchinja mabatiro.

1. Kuchirapa muviri, physiotherapy uye kukwizwa. Izvi ndizvo zvose zvaunoda chero mwero chirwere. Zvisinei, kana hosha kuoneka, kazhinji vachishandisa nzira idzi chete zvinokwanisika kutsungirira.
2. Inonyaradza marwadzo omusoro. Saka kazhinji kubvisa marwadzo uchishandisa zvisiri steroidal Anti-anogumbura zvinodhaka. Zvisinei, zvinokosha kuti kujekesa kuti havafaniri kunetseka nechirwere, asi chete batsirai hachifadzi zviratidzo. Zvinogona kuva mishonga yakadai se "Teksamen" "Celebrex", "nimulid", "Bonifen", "Diklak" uye zvichingodaro. D. Asi kushandisa mishonga izvi zvinofanira kurangarirwa kuti vane kumbonyanya guru mazita contraindications siyana .
3. Chondroprotectors. Ko zvinodhaka kuti kuvandudza mamiriro shwashwa tishu. At kwavaiwanzogara ikoko, glucosamine uye chondroitin sulfate. Ampoules: zvinodhaka "Mukosat", "hondrolon". Mapiritsi: zvinodhaka "Chondroxide", "Struktum". Ekuzora "Elastenga", "Chondroxide".
4. Zvinoreva anatsiridze kweropa iri musoro ibvi rwakashodoka. Ava zvinodhaka akafanana "stugeron", "Pentoxifylline."
5. Vanogonawo kupiwa zvakasiyana intra-articular jekiseni, Sevamiririri ose synovial zvokunwa.

Surgery - iyi ndiyo imwe nzira yavangabata dambudziko. Ari anogadzwa chokupedzisira, kana kuchinja nzira kubata dambudziko hazvibviri. Pakadaro rinowanzoberekera endoprosthesis. Ndiko, hosha vadyi yabviswa uye munzvimbo dzayo munhu prosthesis chaiyo usingabereki kuvhiringidza kwomuzvarirwo inoshanda.