Zviratidzo hudyu bursitis, Diagnostics, Mabatirwo chevarwere mishonga, mishonga, mapikicha

Kuzvimba hudyu muhudyu, iyo inotungamira marwadzo uye kuderedzwa mufambo hudyu basa anonzi bursitis. Zvokurwara iri zvakajairika pakati pavakadzi uye anogona musiwa pakanyorwa mumuviri zadzisa, concomitant zvirwere kana pasi pokudzora zvinokonzera zvirwere. Munyaya ino, Kunyatsoongorora zvinhu hudyu bursitis. Zvinokonzera, zviratidzo, chirwere uye kurapwa zvirwere zvicharehwawo munyaya yechinangwa musoro.

Pfungwa bursitis

Bursitis - chinhu chirwere anogumbura kunokanganisa synovial periarticular mubhegi kana zai. Bursa yakabatana pfupa majoini - mafudzi, kugokora, mabvi, hudyu - uye chiito sezvo kuvhunduka absorbers kuti vamugadzirire kukweshera apo zvishoma nezvishoma mumatope pamusoro tsandanyama kuti pfupa. Bursae ane mvura, iyo pasi pokudzora zvimwe zvinhu zvinogona kuva zvomoto.

Femur anozivikanwa mhou protrusion, unonzi mukuru trochanter. Neizvi paumbwe zvakabatanidzwa tsandanyama, nechokwadi kushanda hudyu rwakashodoka. To skewer pechidya pedyo bursa, izvo angamuka kutsamwa uye anogumbura pezvakaitwa kuti tipedzisire kukura hudyu bursitis.

Pakazosvika pedyo hudyu pamwe nezvimwe synovial mabhegi, asi kazhinji kuzvimba kunoitika muna matatu kwavari:

• trochanteric bhegi;
• ilio-pectinate bhegi;
• ischial bhegi.

mhando bursitis

Kushoma zvisaitike trochanteric mubhegi hunokonzera zvokurwara zvakafanana zita - trochanteric bursitis (trochanter). mhando iyi bursa yaiva pedyo zvikuru trochanter yehudyu. Kana kuzvimba kunokonzera marwadzo munzvimbo mukuru trochanter - fungidziro pamusoro pfupa yacho femur (yokunze). Yakabatana bhegi iri subtrochanteric bursa kuzvimba kunoitika akafanana kuti kuzvimba trochanteric bursa uye kupera nokuda chete nzira.

A muzinga-iliac bursa yaiva pamberi lumbar-iliac tsandanyama. The zvokurwara ari bursa ichi zvinotungamirira bursitis iliac scalloping. Sezvo bhegi iri chokuita mhango pakati muhudyu, kuzvimba rinotiyeuchidza Cox (kuzvimba hudyu kwemajoini muitiro). Marwadzo kuitika mune Anterior-pamusoro pezvidya (chete nechepazasi groin). In kuwedzera hudyu muhudyu kunosimudzirwa marwadzo angamuka edema kana kuzvimba.

Sciatic bhegi iri mupasi pa nzvimbo tsandanyama aida ischial tuberosity. Kuzvimba mairi kuupenyu sciatic bursitis, iyo inozivikanwa uchirwadziwa apo vaikunga hudyu.

Zviratidzo bursitis of hudyu muhudyu

The chikuru kuratidza bursitis ndiyo marwadzo ari muhudyu vadyi, izvo advantageously runosvika pamwe rokunze pechiso femur. mumatanho Early zvirwere inozivikanwa chakasimba uye kurwadziwa. With pakuzadzisa chirwere marwadzo haisi pachena kudaro.

Zvokurwara anotora chirwere chimiro. Munzvimbo localization pakati kushoma kunoitika kuzvimba iyo anotanga woita chimiro uye kunoratidzwa zvinyoronyoro kusachinja-chinja. The chirwere chimiro bursitis haakonzeri kutyorwa mashandiro anoita njodzi rwakashodoka. Varwere dzinoshuma kushaya searing marwadzo.

Mugore chenjera Danho zvokurwara uwandu emura ari mhango pakati njodzi mubhegi inowedzerawo - vakaumba cysts vakazadzwa exudate, - anokosha zviratidzo bursitis ari muhudyu.

Kana kuzvimba bursa kunoitika pasi pokudzora chirwere, purulent bursitis ikabuda ine marwadzo, kunyanya kana pabazi kutapa uye kuwedzerwa-flexion ari muhudyu. Kurutivi rwokunze yehudyu inoumbwa kuzvimba, murwere havagoni zvachose ruramisa kana kurerekera hudyu.

Kuwedzera marwadzo pane mamwe zviratidzo hudyu bursitis:

• Lesion kuzvimba unomuka, kukura mune dhayamita kunogona kusvika masendimita 10;
• kuzvimba akapoteredza zvomoto mabhegi;
• fivhiri;
• Kuipa vakawanda ezvinhu.

Zviratidzo bursitis kwemhuka

Trochanter - chirwere kunoitika kwete chete muvanhu asi mhuka. Kazhinji imbwa dzinovaraidza nomubvunzo zvokurwara dzavo dzinovavaraidza sezvo hygroma - kuzvimba, iyo yakaumbwa pamusoro pemvura olecranon, chitsitsinho mapfupa nzvimbo, uyewo nzvimbo mukuru trochanter hudyu nzvimbo. Kana gumbo rako gobvu fibrous Kamudzira, mumwe mhango iyo uzere fluid tinogona kutaura kuti pane hygroma (bursitis) ari muhudyu rwakashodoka. Zviratidzo zviri Imbwa vanoonekwa sezvinotevera:

• nzvimbo njodzi muzvidimbu (gumbo) kupisa;
• mhuka anochengeta pabazi iri uremu;
• Dogs muviri tembiricha iri kupfuura dzose, dzimwe nguva uchisvika 39,5 madhigirii;
• pasi ganda aumba chinjwa kuzvimba kuti nomuzvarirwo akasvinudzwa, uye ivo inotaura pus.

The zvokurwara kunoitika kakawanda kana vane mhuka chaizvo kana vaduku. Uyewo zvimwe kubatwa chirwere guru erudzi imbwa.

Bursitis kunogona kuitika nokuda:

• rwarisa yomuchipatara;
• zvisiri kusarudzwa nokuti mhuka nemarara;
• paunowana chaiko mabasa;
• hypothermia.

zvinokonzera njodzi muvanhu

hudyu bursitis kunoitika runonyanya vakadzi pane muvarume. The chikuru zvokurwara kunokwanisa kuonekwa pana vakadzi repakati kana vakura. majaya kashoma chirwere "hudyu bursitis." Zvinokukonzera uye kurapwa kuti kunodiwa kubvisa zviratidzo chirwere kunogona kuva munhu chaizvo. Zvose achavaponesa muviri wacho. Zvisinei, pane zvakafanana zvikonzero, migumisiro iyo inosvitsa kukura zvokurwara.

hudyu bursitis achiumbwa pasi necheshure:

• Kukuvara pakati femur - yehudyu kuwa, akarova chinhu pamberi refu munhu kudivi muviri ari chinjikira chinzvimbo.
• Periodic zvisina kufanira pamusoro hudyu vadyi - kana vaikwira nezvikwiriso, ndichimhanyira refu daro kuchovha, refu kugara akarurama chinzvimbo.
• Zvokurwara kunogona kuitika panguva vasiri kushaikwa - siyana gumbo urefu, iro rine zvakananga kukanganisa vanhu gait. Panguva synovial hudyu zvikwama inozviisa zvakakomba bundu.
• Bursitis kungakonzerwa concomitant zvirwere, zvakadai dzinonzi rheumatoid arthritis, musana pathologies (scoliosis) uye zvichingodaro.
• Kuvhiya Kupindira ari muhudyu nharaunda, uyewo kwemajoini yokutsiva kungava chikungiso kukura zvokurwara.
• Kuvapo mumuviri calcium deposits vari mudzira nharaunda trochanteric hudyu kunotungamirira vasafara uye kuzvimba bursa uye, sezvo zvakaguma bursitis.
• Hypothermia, nokusarovedza muviri (ndakagara mararamiro), wakafuta - bursitis satellites.

Ndinofanira kutaura kuti dzimwe nguva zvokurwara kunoitika pasina kwokunze chikonzero.

Kuongorora chirwere. kuonorora

In nechirwere kuti hudyu bursitis rinoshandiswa zvakawanda nzira. Nyanzvi achiitisa kukurukura murwere, somugumisiro iyo vazive kuvapo / kusavapo concomitant zvirwere, zvichiita yapfuura kuvhiya kupindira. Special nzeve anopiwa kumbonyatsoongorora kuzviongorora murwere, kufunga zvose zvake zvaakacherechedza. Mazvikokota inokurukura zvichemo vawedzere marwadzo nehanya uye projecting migove pahudyu.

Vose mhando bursitis rinowanzoberekera trochanteric bursitis. chimiro ichi chirwere kunoratidzwa unopfuta marwadzo ari muhudyu nzvimbo. Pain ingangowedzera pamwe rokunze pechiso femur. Yomurwere zvakaoma kuwana nguva chero divi panguva yokuzorora kana kurara. Marwadzo chirwere dzinowedzerwa tichishingaira kufamba - kana achifamba, squatting, pakarepo vachishandisa kutenderera pazvidya, vaikwira nezvikwiriso.

Kana paiva yakakuzvuka hudyu uye kurwadziwa - vanofungidzirwa rikwanise bursitis. Kazhinji kukura zvokurwara nokuda kunotevera pashure simba tinya kuti varwere cherechedzai. Dzimwe nguva vanachiremba kuziva murwere chizvarwa basa, nokuti chirwere chinorondedzerwa muvanhu vatambi.

Dzimwe nzira ongororo

Sezvo hudyu vadyi akapoteredzwa paiva tsandanyama rinenge nebandauko nharaunda palpation kuitwa Danho rokutanga bvunzo uye nechirwere. With kumonyanisa ichi kuziva nzvimbo umo marwadzo Runonzwika. Uyezve, nzvimbo muhudyu umo marwadzo inova kupfuura amplitude (chiremba kunoita nebandauko murwere kumativi).

Kazhinji, nechirwere pachena panguva padariro kuongororwa, uye mamwe chirwere haina kuitwa, murwere mamwe nzira tsvakurudzo anogona kupiwa nyaya dziri zvakawanda uye nharo, kana kuti tidzivise makuvaro uye dzimwe kuratidzwa pathological.

Somuenzaniso, maekisirei mu trochanteric bursitis wanikidza calcifications ari zvinyoronyoro munyama munzvimbo zvikuru trochanter. On MRI kutarira pachena zvinoonekwa kuzvimba pfira mabhegi uye kuunganidza emura mairi. Achiita Ultrasound inobatsirawo kuona kuunganidza zvakawandisa mvura muhomwe.

bursitis kurapwa

Nzira inoshandiswa pakurapa bursitis, kuvimba nguva chirwere. Saka, muna kutanga kwekupwanyiwa chirwere kuti vabudirire kuzoita murwere kunodiwa kuita mumuviri kurapa kurovedza payo, kushandisa Anti-anogumbura zvinodhaka uye kuomerera zuva, chikuru chezvinonhuwira iri zororo murwere zvakakwana uye kurerutsa simba mumuviri nesimba uye basa. Kubvisa zviratidzo hudyu bursitis, zvinodhaka kurapwa rinotanga kushandiswa nonsteroidal Anti-anogumbura zvinodhaka. Zvinogona kuva zvose dzinogamuchidzanwa mishonga nezvizoro, gels Somuenzaniso, mashoko "Diclofenac". Zvipatara aiwanzoshandisa 2% novocaine mhinduro pamwe hydrocortisone (glucocorticoid kemikari) kuti kubviswa kurwadziwa. Varwere vari zano kudzivisa kufamba kuti marwadzo. Kamwe kurwadziwa iri yacho, unogona kuita chiedza muviri, zvainanga kurovedza uye nokusimbaradza ari gluteus Maximus.

In kwazvo Muzviitiko (kana pamusoro nzira regai kupa aida kuchirapa mugumisiro) kuita physiotherapy - Laser kurapa, rinobva kurapa, electroanalgesia, Decimeter chinozunguzirwa kurapa, Naftalan namabhati. Dzimwe nguva, muna kurapa bursitis unoshanda extracorporeal kuvhunduka-wave kurapwa.

Kukundikana maitirwo izvi kunotoreva jekiseni kugadzirira ane steroids (mukuru marwadzo munzvimbo localization) uye dzimwe nguva kuti kuvhiyiwa. Nheyo kushanda mune trochanteric bursitis ndiko kuvasunungura makakatanwa ilio-tibial turakiti. Dzimwe nguva zvidzidzo kwemajoini excision pfira muhomwe. The kushurudzira kupora pakuvhiya kwakadaro oruzhinji zvakanaka.

Matambudziko uye vapore

The chikuru kuomesa kwakaita trochanteric bursitis chirwere ichaongororwa kuti kuchinja kubva rikwanise kusvika chirwere pachikuva. In chirwere kakawanda Kuvhiya kunodikanwa - kuvhiyiwa.

Kazhinji, zviratidzo hudyu bursitis inonyangarika pashure vaifanira kubva shomanana. Zvisinei, pane zviitiko apo zviratidzo zvikaramba kwemwedzi inoverengeka, umo nyaya zvinganzi kuti zvokurwara kwapfuura kupinda chirwere pachikuva. Kana ichi, marwadzo uye kukamurwa dzomunyika mufambo ari muhudyu zvinochengeteka.

In Kana apo shaped namira capsulitis - kuzvimba hudyu kwemajoini Kamudzira, murwere ane kunzwa zviri "akachengetwa" hudyu.

Kuruboshwe Chikamu mufananidzo unoratidza zvomoto rwakashodoka. Panguva iyo pane zvishomanana kana zvachose nokuvhiringidzirwa kwayo mufambo. The rworudyi Chikamu mufananidzo kunoratidza utano mamiriro Kamudzira.

Kana kwakambovapo avhiyiwa, zvakakosha pindai zvakakodzera vapore. Munguva iyi Zvinokurudzirwa kushandisa kana kutyaira zvinoyamura - madondoro, tsvimbo, walkers. Kunyanya nezvezvitadzo mazuva okutanga mushure pakuvhiya. Zvisinei, tinofanira kutanga kufamba uye kumuka pazuva kuchinja. Izvi zvinobatsira kuti zvakarurama tishu kugadziriswa. Mazuva mashoma pashure kuvhiyiwa kazhinji haarambi marwadzo kuti zvaanoripirwa hudyu bursitis.

Mabatirwo zvavo mishonga

bursitis kurapwa pamwe zvetsika mushonga nachiremba zvainanga zvikurukuru panguva Mufananidzo kushoma. Muzviitiko zvizhinji inoshandiswa ichi chinangwa absorbable anorumanya.

Somuenzaniso, muna hudyu bursitis grater kwiza 1 tbsp. mumwe aidya chipunu sipo, kuwedzera aidya chipunu uchi, grated hanyanisi (1 spoon). The zvichiguma gobvu kusanganiswa kwazvo uye akaisa pamusoro donje jira. The tsonyera rinoshandisirwa zvomoto nzvimbo, akamonera yeshinda jira abate maawa 2-4. Treatment Kazhinji kuitwa mukati memazuva manomwe.

Pane imwe hubudirire yokubika tsonyera, izvo zvinobatsira kubvisa nekuratidzwa chirwere (bursitis ari muhudyu muhudyu) zviratidzo. Mishonga dzinoitwa pachishandiswa maviri mukombe doro hwakakanyiwa bile chemishonga bhodhoro, mbiya mbiri zvibereko bhiza Chestnut uye Aloe. Musanganiswa Raichengetwa hafu mavhiki. Zvadaro, mumwe werineni zvakakangwa mune motokari, kureva hosha panzvimbo. Akabata tsonyera kunofanira kubva 3 kusvika 4 maawa. Treatment rinoitwa mukati memazuva gumi.

Kuti kubvisa bursitis, kushandiswa burdock shizha makabheji shizha. Izvi mishonga yemakwenzi vane anticancer (kutadzisa) kushanda. Kazhinji, mushonga chetsika inopa kushandiswa muriwo packs it shuga bhiti, mbatatisi uye makabheji. Muriwo kutongokwizwa ari grater akanaka uye kupararira pamusoro dzinongoitika jira rukoko vanenge 0.5-1 cm. Kuchirapa wrap umufukidze imwe nzvimbo edema (kuzvimba mugove) zvachose. Kurapa 2 kusvika 4 maawa vhiki.

Nokupfupikisa zvose pamusoro apa, tinogona kugumisa kuti bursitis - chirwere icho anokonzerwa zvinoverengeka, zvinoti: kunyanya muviri, yapfuura maoparesheni, zvirwere nevamiririri. Zvokurwara rinorapika, asi chirwere kunokosha kwete kumhanya, uye kana zviratidzo yokutanga chirwere uye kutaura nounyanzvi avapo kuchirapa dzokuvhiya.

Nyaya anorondedzerwa zvakadzama hudyu bursitis chii. Zviratidzo mapikicha pokuenzanisira nekuratidzwa chirwere, mishonga nzira dziri akafukidza mune zvinhu zviri wenyaya iyi.