Isifo esinjalo, njenge-arthrosis yexolo elidityanisiweyo, likhokelela phakathi kwezinye izilonda zesigxina kwixesha eliqhelekileyo, kwaye uninzi lwezigulane zibe ngabafazi. Kwiibhanki zonyango, i-arthrosis yale ndawo ibizwa ngokuba yi-gonarthrosis. Cinga ukuba kutheni esi sifo siphula, sibonakalisa njani kwaye siphathwa ngayo.
I-Osteoarthritis - ibangela
Ukuze siqonde uhlobo kunye nezizathu ze-arthrosis, masibuyele kwi-anatomy. Ukuhlangana kwamadolo kuboniswa yinkimbinkimbi yonke yezakhiwo - ithambo, iteton, ligament, isascular, ne-nervous. Umda ongasentla womnxeba ngowokuphela komda wecala, umda ophantsi umelelwa yecandelo eliphezulu le-tibia, phambi kokuba liphelelwe ngu-patella, kwaye ngasemva - ngezihlunu.
Imihlaba ecacileyo ihlanganiswe nezicubu ezinobumba, ubunzima obuyi-5-6 mm. Esi sakhiwo senza imisebenzi yokungcolisa kunye nokunciphisa ukutshatyalaliswa kwintlambo ye-flexion-extensor. I-cartilage inikezwa ngokuqhubekayo okukhupha umkhuhlane oveliswa ngumlenze we synovial, obandakanya indawo engabonakaliyo yokubambisana. Ngenxa yokunqongophala kokutya, izicubu zomzimba zincinci, zilahleka, ziqhekeke kwaye ziqala ukuphuka kancane, zilahlekelwe iipropati zayo.
I-cartilage engasebenziyo ibangela ukwanda komthwalo kwiithambo zethambo, eziqala ukubola kwaye zikhule njengempendulo yokukhusela ngohlobo lweentlambo kunye neentshukumo. Iinkqubo ezithintekayo zichaphazela i-membrane synovial, ligaments, fibers muscle. Konke oku kubangela ubunzima ekuhambeni kokubambisana kunye nokuphambuka kwe-axis eyilungu ukusuka kwindawo echanekileyo. Oku kukuphuhliswa kwe-arthrosis yamadolo.
Iinkqubo ze-Arthrosis zonyango zivame ukuvela ngenxa yeziganeko ezinokubangela, ezikhokelela ekuphazamiseni ekunikezeni izicubu zomzimba, eziphambili zazo zilandelayo:
- iimpawu zomntwana ( i-dysplasia ehlangeneyo );
- Umonakalo ohambelana nomonakalo ochaphazela isakhiwo samathambo, iigaments, izihlunu, izicubu zomzimba (izivunguzo, ukuchithwa, ukutshatyalaliswa, ukuhluma);
- isifo se-musculoskeletal system, apho umthwalo odibeneyo usasazwa ngokungalingani (i- scoliosis , i- kyphosis , iinyawo eziphantsi);
- imisebenzi edluliselwe emadolweni (umzekelo, ukususa i-meniscus );
- imithwalo engqongqo kwimigangatho ephantsi ehambelana nemidlalo okanye umsebenzi;
- umsebenzi ophantsi kakhulu, ukungahambi kakuhle;
- u bunzima;
- izifo ezihamba kunye neengcambu zeengxube zeemisipha okanye iinqanawa zemilenze;
- iinkqubo ezivuthayo kwiimveliso ezidibeneyo (ngenxa ye- arthritis ye-rheumatoid , i-arthritis ene-systemic lupus erythematosus, izifo ezithintekayo);
- ukuphulwa kweenkqubo zokuxilisa umzimba, umzimba we-endocrine pathologies;
- ukuguga komzimba.
I-osteoarthritis yamagolo
I-pathology ikhula ngokuthe ngcembe, ngokuthe ngcembe, ngokusesikweni, ngokugqithiseleyo ingaphendulanga kwisigulane, oko kubangela ukuphazamiseka kwamancinci, kwaye ngoku koko kukhokelela kwimpawu ezinzima, ngezinye izihlandlo-ukukhubazeka. Kungakhathaliseki ukuba zeziphi izibangela ze-arthrosis zedolo, ziqwalasela ukunyaniseka kweenkqubo zokugulisa izifo kwiintlobo, iinqununu ezintathu ze-gonarthrosis ziyaziwayo, ngasinye sinokuthi sibe nesimboli esikhethekileyo seklinikhi.
I-osteoarthritis yamadolo ehlangene ihluke kwezinye iindawo zokuhlala zentlungu ngokubonakala kweentlobo ezithile zentlungu:
- "Qalisa intlungu" , eyenzeka emva kokuhlala ixesha elide kwindawo yokuphumla ekuqaleni kokunyakaza, kwaye ke uyanciphisa okanye ushiyeke kwimvelaphi yomsebenzi wemoto (emva kwekota yekota). Oku kubangelwa ukungqubuzana kweendawo eziphezulu, apho iinqununu ezincinci zamathambo kunye ne-cartilage zihlala. Ukunyakaza kokubambisana kubangela ukuxoshwa kwezi ngqungquthela eziwonakalisayo kwiingxowa zesikhwama se-articular, ekubhekiselele kuyo ukunyuka kwehla.
- "Ukuvinjelwa kwesibambano" - ngokukhawuleza ukuveliswa kwesifo ngenxa yesibonakalo "semouse ye-articular", esiqhekeza esicacile se-cartilage okanye ithambo. Isiqhekeza esiqhekezayo sidibeneyo phakathi kweendawo ezixubileyo okanye zifakwe kwiimfucu ezithambileyo, ezibangela ukuba ubuhlungu bunzima bubuhlungu kunye nokungakwazi ukwenza ukuhamba kancane kumanyano.
Gonarthrosis 1 degree
Ekuqaleni kwesi sifo, idolo alifani naluphilileyo, akukho ukuguqulwa. I-Gonarthrosis yamadolo adibene ne-degree ye-1 ibonakaliswe yintlupheko yokujikeleza kwegazi kwiinqanawa ezincinci ze-intraosse ezondla i-cartilage, ngoko iqala ukuma kwaye ilula. Oku kudibene neentlungu ezinzima emva kokusebenza kwemoto, ukuphakamisa izisindo okanye ukuhlala kwindawo yokuma ixesha elide. Ukongezelela, kunokuba nokunyakaza okufutshane kwi patella.
Gonarthrosis we-2 degree
Njengoko i-pathology iqhubekela phambili, izakhiwo zethambo, iimbumba ze-synovial, zichaphazelekayo, kwaye i-cartilage ye-nutrition impairment is aggravated. Kukho ukuchithwa kwe-capsule yombutho, ukubonakala kwe-osteophytes. I-Gonarthrosis yamadolo edibeneyo ye-2 degree libonakaliswa yimpawu zonyango, kunye neentlungu ezibonakala ngokuphindaphindiweyo, zihlala ixesha elide, zivakalelwa ngeemithwalo ezingabalulekanga. Izigulane ziyakwazi ukuqina kohambo, ukubonakala kwe-crunch. I-osteoarthritis yexolo elihlangeneyo le-2 degree livame ukubonakaliswa ngokubonakala rhoqo kwe-edema kunye nokukhubazeka kwamadolo.
I-Gonarthrosis yesilinganiso sesi-3
Xa i-arthrosis yamadolo ephakama, iimpawu zihamba ngokungaqinisekanga kwi-diagnostic. Kule nqanaba, i-cartilage ayifanelekanga, umsebenzi we-ligament kunye nomsizi uyaphazanyiswa, ukudibanisa kunye nezinyathelo ziphoxekile kakhulu (umlenze ochaphazelekayo uba ngu-O okanye u-X). Iintlungu ziphazamisa isigulane rhoqo, kukho imingcele ebalulekileyo yokuhamba emadolweni. Igalelo ibonakaliswe ukungazinzi, ukugqithisa, izigulana zidinga umhonkco okanye iintonga.
Bilateral gonarthrosis
Ngokuqhelekileyo eso sifo siqala ngexolo elilodwa, kodwa kamva okwesibini, ukunyuka umthwalo, kubandakanyeka kwiinkqubo zempilo. Kwezinye iimeko, i-arthrosis kunye nomonakalo odibeneyo wamadolo ahlangeneyo idibene neziganeko ezingaqhelekanga, ngoko izilonda zikhula ngokulinganayo. Ngomlinganiselo onzima we-gonarthrosis emibini, iimpawu zazo zichaphazela abantu asebekhulile, kunokukhokelela ekulahlekelweni ngokupheleleyo kokukwazi ukuhamba.
I-Osteoarthritis - ukuxilongwa
Izigulana ezihlakulela idolo le-gonarthrosis zinikwe ubunzima beemviwo zokuqinisekisa ukuxilongwa, ukuchonga izizathu ezinokubangela ubunzima kunye nexinzelelo yesilonda, esingaquka:
- Imifanekiso ye-X-ray - ibonisa isimo se-menisci kunye ne-cartilage (kunye nobubanzi begap ehlangeneyo), ubukho okanye ukungabikho kwamathambo okukhula, iimpawu zokutshatyalaliswa kwethambo;
- I-ultrasound kunye ne-MRI yamalungu omdolo - ukufumana utshintsho kwizicubu ezinotsholongwane, umlinganiselo we-intra-articular fluid;
- I-CT yamacandelo amadolo - ukufunda ngokubanzi utshintsho kwizakhiwo zethambo;
- ukuhlalutya kwe-synovial fluid - imiselwe ukuvuvukala ngokubambisana ukuvavanya ukuphuhliswa kweenkqubo ezivuthayo kunye nezobuhlungu;
- i-arthroscopy - indlela yokujonga ngokuthe ngqo, apho ikhamera yevidiyo ifakwe kwisigxina esinezixhobo;
- iimvavanyo zegazi kunye nomchamo.
I-osteoarthritis yonyango oluhlangeneyo
Ngendlela yokuphatha i-arthrosis yamadolo edibeneyo kwimeko nganye, ugqirha kufuneka athethe emva kokusebenzisa iindlela zokuxilonga. Kukho nawuphi na, kufuneka uhlalutye kwixesha elide unyango ngokuthotyelwa ngokupheleleyo ngeengcebiso zonyango - kuphela ngale ndlela ungafikelela kwiziphumo ezilungileyo. Imigaqo ephambili yokonyango iquka:
- gymnastics yokwelapha;
- ukusilisa;
- ubuchwepheshe be-physiotherapy (UHF, i-electrophoresis, i- phonophoresis , i-diadynamic currents, i-magneto- ne-laser therapy);
- unyango lweziyobisi;
- Ukusetyenziswa kweempawu zamathambo.
Ukongezelela, kunokuba kuyimfuneko ukuphumeza unyango lwezilwanyana eziphambili ezenza i-arthrosis yamadolo, ukuqheleka komzimba, ukukhethwa kwezicathulo ezikhululekile. Izigulane zifanele zilungelelanise imirhasi yazo yonke imihla, zenze umsebenzi owenzayo kunye nokuphumla, ukwenzela ukuba umthwalo kumalungu afakwe. Ngeenguqu ezonakalisayo ezonakalisayo, xa unyango olusisigxina lungafanelekanga, lusetyenziselwa ukungenelelo ngoncedo - i-knee arthroplasty.
Ungasusa njani ukuvuvukala kwamadolo nge-arthrosis?
Ekubeni i-arthrosis ephosakeleyo ye-knee joint ihamba kunye nokuvuvukala kwamadolo, kubalulekile ukufunda ukuphelisa lo mqondiso, ovimba ubomi bemihla ngemihla. Izigulane, okokuqala, kufuneka zilungele ukutya ukuze umzimba ungabikho ukugcinwa kwamanzi. Ukwenza oku, kufuneka uyanciphise ukusebenzisa ityuwa, ushukela, iimveliso ezigqityiweyo, inyama, ukutya okunamafutha.
Ngokukhawuleza ukususwa kweengcali ze-edema zihlala zicebisa ukuba zenze i-Dimidexide, eyenziwa ngenxa yokukwazi ukuphucula iinkqubo ze-metabolic in the lesion. Kufuneka ukuba utyunye i-gauze, ixutywe ngamaxesha amaninzi, kwisisombululo seDimidexide esiluhlanjululwe emanzini ngamanzi, shintshisa kancane kwaye unamathele kumadolo agule. Ukumboza phezulu ngentambo yeplastiki, ubambe imizuzu engama-20-40. Iinkqubo zinokuqhutywa imihla ngemihla ubusuku kunye nekhosi yeeseshoni ezi-10-15.
Amafutha e-arthrosis emadolweni ahlangeneyo
Xa i-arthrosis yamadolo ifunyaniswa, unyango ekhaya lwenziwa kwimeko ezininzi usebenzisa amalungiselelo asekuhlaleni ngendlela yeoli, ama-gel, ama-creams. Le mali ingabelana ngezigaba eziliqela:
- izidakamizwa ezingekho-steroidal ezichasayo (Diclofenac, Naise, Ketonal, Indomethacin, Voltaren, Dolobene) - ukunciphisa ukuvuvukala, i-anesthetize;
- ukufudumala (Apizartron, Gavkamen, Espol, Viprosal, Kapsikam, Finalgon) - inemiphumo yokuguquka ngenxa yokukhuthaza ukuhamba kwegazi, ukuphucula i-trophic cartilage kunye nama-soft tissu;
- i-chondroprotectors (i-Chondroxide, i-Chondroart, i-Aflutop, i-Teraflex) -buyisela izicubu zomzimba, sebenzisa ukuhlanganiswa kwe-intraarticular fluid, ukunciphisa ubunzima beempawu.
Izigulane emadolweni kunye ne-arthrosis - iziyobisi
Kwezinye iimeko, umzekelo, ukuba iimeko ezidibeneyo ezikhoyo okanye iintlungu ezinzima ziphawulwe, iilenki zinikezelwa emadolweni ngenxa ye-arthrosis yamadolo. Amalungiselelo angama-articular yale maqela alandelayo asetyenziselwa ama-injections:
- i-corticosteroids (i-Diprospan, Hydrocortisone, i-Triamcinolone);
- amalungiselelo e-hyaluronic acid (i-Hyalurum, i-Synocrome, i-Fermatron);
- i-chondroprotectors (Aflutop, Dona, Hondrolon);
- i-Noestratic i-anesthetic.
Iipilisi zeGonarthrosis
Makhe siqwalasele iziphi izibhebhile ezinokulawulwa zizigulane ezine-arthrosis zamadolo:
- izidakamizwa ezingekho-steroidal ezichasayo (Diclofenac, Ibuprofen, Ketoprofen, Analgin);
- i-chondroprotectors (i-Glucosamine, i-Chondroitin sulfate, i-Dona, iTeraflex, i-Piascladin).
I-osteoarthritis yamadolo kunye neyeza kunye nezilwanyana zomntu
Ukuba isiqalo se-gonarthrosis sifumaneka, unyango lunokuxhaswa ngeendlela ezingezizo zendalo, ezininzi zazo ezibonisa ukuphumelela okukhulu. Ngokomzekelo, i-garlic grind inceda ekuphuculeni ukujikeleza kwegazi kwimizimba ejikelezileyo, ukulungelelanisa i-cartilage ukutya okunomsoco, ukunciphisa intlungu kunye nokuvutha.
Liselo lithetha
Izithako:
- igalikhi - 1 inhloko;
- ioli yemifino - 200 mg.
Ukulungiselela nokusetyenziswa
- I-Garlic chop, uthele ioli.
- Faka isiqulatho kunye ne-oil tincture endaweni emnyama ngeveki, ngokukrakra ngezikhathi ezithile.
- Gubungela i-joint joint ukuze ubusuku.
I-Gymnastics ye-arthrosis yedolo
I-LFK nge-arthrosis yexolo elihlangeneyo lenziwa emva kokususwa kwesibindi sokuvutha nokupheliswa kwentlungu. I-Gymnastics imele iqhutywe rhoqo, kunye nemini ifanele ibekwe kuyo imizuzu engama-30-40, ukwahlula eli xesha kwixesha eli-10. Izenzo ezikhethiweyo ezikhethiweyo ze-arthrosis zamadolo ezihlangeneyo zinceda ukubuyisela ukujikeleza kwegazi, ukuqinisa imisipha kunye nemigqa, ukulungelelanisa imisebenzi yezakhiwo ezidibeneyo. Ukongezelela, izigulane zihamba ngokubalulekayo, ukubhukuda, ukuhamba ngebhayisikili, iipilati.
Ibhanti emadolweni nge-arthrosis
Oogqirha bancomela ukuba bagqoke ama-knee articles ekhethekileyo ngamadolo e-knee arthrosis, enceda ukuqinisekiswa kwesimo esilungileyo se-anatomical, ukulungiselela ukuhamba, ukukhusela ukuvuvukala. Ugqoke iimveliso ezinjalo kufuneka zivela kwiiyure ezi-2 ukuya kwii-8 ngosuku, ukugqoka ngaphambi kokusebenza ngokomzimba. Kubalulekile ukwazi indlela yokukhetha amatholo amadolo e-arthrosis ehlangene neendolo ngokufanelekileyo, apho ufuna ukubonisana neengcali. Iimveliso zingavulwa, zivaliwe kwaye zithwetshiwe, zenziwe ngezixhobo ezahlukeneyo, zinezinga elihlukileyo lokuqina.