Daya daga cikin mafi yawan cututtukan da aka fi sani da tsarin musculosketetal tsarin shine Arthrosis na gwiwa hadin gwiwa (in ba haka ba gonartrosis cuta ce ta gwiwa, tare da lalata tsarin articular.
Sakamakon tafiyar matakai masu lalacewa ne ko cikakken rashin motsi na haɗin gwiwa, kuma a sakamakon - raguwar aiki, tawaya.
Yana yiwuwa a hana mummunan sakamako kawai idan an gano cewa an gano cewa an gano cewa a cikin lokaci.
Dalilai
A cewar, gwiwa Arthrosis shine firamare da sakandare. Primes na gaba ne a matsayin cuta mai zaman kanta, shine mafi sau da yawa ana gano shi a cikin tsofaffi, kuma a wannan yanayin yana faruwa ne saboda canje-canjen zamani da ke faruwa a cikin kyallen takarda. Sakandare na sakandare ya zama sakamakon sauran cututtuka da cuta a cikin jiki.
Ci gaban Goniyariyin yana ba da gudummawa ga:
- Raunin (Rage, Karaya, Lalacewar Meniscus);
- Cututtuka na tsiran shukescheteletal (Congenites nakasannin na kafafu, gwiwa dysplasia, chlonrocalcois, chlonrocalcinosis, arthritis, osteoporosis);
- akai mai nauyi akan haɗin gwiwa saboda ayyukan kwararru, wasanni masu ƙwararru;
- kiba, kiba;
- Cututtukan endcrine, gami da ciwon sukari, hypothyroidism, acrogugaly;
- cuta na rayuwa;
- Tsabtacewar kwayoyin cuta.
Bayyanar cututtuka
Kadan kumburi tare da Arthrosis na gwiwa hadin gwiwa na gwiwa yana tare da manyan manyan bayanai na asibiti - zafi da ba za su yi nasara ba. Mai tsananin da yawan bayyanar jin zafi ya dogara da zurfin lalacewar tsarin haɗin gwiwa. A matakin farko, an ji zafi ne kawai tare da kaya, sassa da sauri a hutawa. Tare da ci gaba da gonarthrosis, ciwo mai zafi yana cikin kullun, yana ƙaruwa ne yayin motsi, tare da canji a yanayi.
Sauran alamun arthrosis na gwiwa:
- crunch lokacin motsawa;
- taurin kai a cikin hadin gwiwa, keta aikin aikin;
- Da nakastar gwiwa na gwiwa (tare da sakaci da aka yi watsi da Gonagthrosis).
Gonarthrosis za a iya tare da wata-Studentis (tarawa na ruwa a cikin rami na hadin kai) da kuma sabbin hanyoyin mai kawowa (samuwar roba a bayan gwiwa).
Digiri na arthrosis
Bayyanar cututtuka na arthrosis na gwiwa ya bambanta dangane da zurfin lalacewar gwiwa ga gindin gwiwa, sabili da haka an rarrabe matakan 3.
- Arthrosis na gwiwa hadin gwiwa 1 digiri An bayyana shi da rauni mai rauni a kan kaya (a hutawa a sau ɗaya), tare da ɗan iska kaɗan bayan barci. A cikin hoton rediyo, kunkuntar da ba shi da ƙima ga rafin hadin gwiwa (kasa da na uku), kasancewar daya osteophytes (outgrowths kashi) an lura dashi.
- Arthrosis na gwiwa hadin gwiwa 2 digiri Ana tare da jin zafi da kuma halayyar halaye yayin motsi. Zafin ya ci gaba har tsawon lokaci. A safiyar safe, ƙuntatawa na amplitude na ƙungiyoyi. Hanyoyin bincike na bincike sun bayyana kunkuntar ambaliyar hadin gwiwa (fiye da rabi) da kuma osteophytes da yawa.
- Arthrosis na gwiwa 3 digiri Ana tare da ciwo ya ji ciwo, wanda, a cikin motsi da daddare, yana ƙaruwa. A safiyar safe tana da tsayi fiye da awa tare da exaserbbation na kumburi da aƙalla rabin sa'a - a cikin lokutan gafartawa. Motsi na haɗin gwiwa yana da iyakantacce ko batattu. A cikin hoton rediyo, da yawa osteopytes da yawa, cysts bayyane. Fiye da hadin gwiwa ya kunshi ta ninka biyu daga cikin al'ada.
Ya danganta da mataki na arthrosis na gwiwa hadin gwiwa, mai haƙuri an wajabta ra'ayin mazan jiya ko magani.
Bincike
Cikakken bayyanarwar Arthrosis na gwiwa ya hada da jarrabawar gani, gwajin dakin gwaje-gwaje (bincike na fitsari (bincike da na kwastomomi) da kuma kayan aikin halittu.
Hanyoyin bincike na gaba suna ba ku damar tabbatarwa ko musun cutar:
- Hotha;
- Duban dan tayi (duban dan tayi);
- Mri (maganadi magnetic);
- CT (an haɗa shigographography);
- Arthroscopy da Scintifraphy (tare da tuhuma na ƙari).
Yin amfani da waɗannan hanyoyin, yana yiwuwa a gano kunkuntar ramin hadin gwiwa, digiri na thinning da lalata ruwa a cikin hadin gwiwa, haɓakar osteofeofitis da foci na kafaffun guringuntsi.
Magani na ra'ayin mazan jiya
Hanyoyin ra'ayin mazan jiya na magani na iya rage zafi da kumburi, inganta wurare dabam dabam da abinci mai narkewa, ƙarfafa kayan ƙaya.
Har zuwa wannan ƙarshe, ana riƙe su:
- Magungunan magani;
- toshe;
- da ilimin motsa jiki;
- Ilimin likita na likita.
Muhimmin sashi na lura da Arthrosis shine kiyaye maganin maganin warkewa.
Conservative lura da Arthrosis na gwiwa hadin gwiwa zai yi tasiri a farkon ciyawar guringuntsi, kumburi da impaires na karkatattun kwasfa harsashi ana lura dasu.
Kwayoyi
Jiyya na magani ya haɗa da alƙawari:
- da ba -steroutal kwayoyi magunguna (NSAIDs);
- chondropotecteror;
- Hyaluronic acid.
NSAID
Rashin kwayoyi masu amfani da kwayoyi suna taimakawa kawar da kumburi, rage babban alamomin - Edema da zafi.
Shirye-shirye ana wajabta a cikin hanyar mafita (don gudanar da aiki na ciki) ko allunan, capsules (don aikin adawar baki). Capsules da Allunan daga Arthrosis na gwiwa ana ɗaukar gungun na NSAID a cikin gajerun magunguna a cikin mucosa mai tsoratarwa, suna da sauran sakamako masu illa.
Parthedari na wajabce magunguna na waje (maganin shafawa, gel, cream, cream) dangane da abubuwan da ba -ninflammatory ba. An ba da maganin ku na gida na gida har tsawon lokaci.
NSAIDs suna da sakamako na Anti -inflammatory sakamako, amma tare da amfani da tsawan tsawan bayar da gudummawa ga ci gaba lalata guringage.
NSAIDS sune jeri na alama. Suna taimakawa kawar da bayyanar cututtuka marasa kyau na cutar, amma ba su shafar yanayin guringuntsi. Ya bambanta da waɗannan samfuran, chedalroperotectors da hyaluronic acid yana iya hanzarta hanyoyin sake farfadowa da kabarin da rage lalacewa.
Chondroprocrocortors
Magungunan kungiyar chldroprotectors suna dauke da Chondroitin da Glucosamine (abubuwan da ke tattare da kabilanci na zamani) kuma suna taimakawa wajen dawo da gwiwa tare da arthrosis na gwiwa hadin gwiwa. Akwai su a cikin hanyar allunan, foda don baka na gwamnati, mafita don allura.
Karamin hanya na shan Allunan da foda shine watanni 3. Bayan hutu, ana maimaita hanya sau 2-3. A hanya na lura da mafita ya hada da bayani 12-15, ana maimaita sau 2-3 a shekara.
Farkon sakamako na farko na jiyya tare da ana iya ganin chondroperrocroortabil kawai 'yan watanni bayan farkon farawar.
Hyaluronic acid
Hyaluronic acid an shigar da shi cikin hadin gwiwa a cikin hadin gwiwa. Magani don Arthrosis na gwiwa yana yin aikin lubrication - rufe abubuwan fasahar, don haka rage tashin hankali tsakanin su.
Magungunan warkewa tare da hyaluronic acid ya taimaka wajen kara elarge nama, wanda ya inganta motsi da hadin gwiwa, bayyanar cututtukan kumburi an rage. Magunguna sun yi haƙuri sosai, ba sa haifar da tasirin gaske. Kawai dorewa kawai shine babban farashi.
A hanya na lura da hyaluronic acid yawanci ya haɗa da allura 3-4, wanda aka aiwatar da karya na kwanaki 10-14.
Zoɓe
Idan tare da ba -steridal anti -inflammatory magunguna, ba zai yiwu a sauƙaƙa jin zafi gwiwa tare da Arthrosis ba tare da kai tsaye a cikin kyallen takarda da ya shafa ba don rage zafin da ya shafa. A cikin maganin arthrosis, articular (allura a cikin rami mai articular) da kuma gurɓataccen rami (cikin rami na periarticular (cikin rami na perianticular (cikin rami na periarticular (cikin rami na periarticular (cikin rami na perianticular) ana amfani da shinge).
Babban fa'idar hanyar shine babban aiki mai ma'ana, tunda tare da irin wannan gabatarwar da aka ƙirƙira daidai da yanki mai aiki an ƙirƙiri daidai a cikin yankin kumburi. Bugu da kari, kwayoyi ba sa fada cikin tsarin jini, wanda ya rage hadarin halayen mara kyau.
A cikin matakai na gaba na gonartrosis, gurbataccen gip strackes, osteopytes girma, saman saman suna lalata, sabili da haka, an yarda kawai asusun ajiyar waje kawai.
Kabe na gwiwa na gwiwa ga Arthrosis za a iya za'ayi amfani da maganin magunguna da corticosteroids.
Yawancin lokaci ana gabatar da maganin magunguna a hade tare da steroid kwayoyin halittar don rage zafin aikin.
Hakanan za'a iya gabatar da cutar hyaluronic da kuma chondrocortorsortors kai tsaye cikin hadin gwiwa. Amma a wannan yanayin, ba muna magana ne game da shinge ba, amma game da allurar ciki, tunda waɗannan magungunan ba su toshe hanyoyin jin zafi, amma yana haifar da tafiyar matakai na farfadowa.
Jagora da maganin Jikoki
Babban hanyoyin tasirin cututtukan fata waɗanda ake amfani da su a cikin magani na Arthroshosis sun haɗa da:
- magani na laser;
- duban dan adam;
- cyotherapy;
- farji tare da paraffin da ozoneite;
- Laka.
Babban aikin duk hanyoyin likitanci shine karfafa hanzarin jini a cikin kyallen da ke kusa, Inganta abinci mai gina jiki.
Aikin motsa jiki
Zucen Zuciya tilasta haƙuri tare da gonartrosis don iyakance ayyukan mota, sakamakon wanda ke kusa da shi na kusa da na atrophy. Wannan yanayin bai shafi kyallen takarda ba, tunda yana cikin motsi cewa abubuwan gina jiki suna shiga daga synoal ruwa zuwa cikin guringuntsi. Idan haɗin gwiwa yana cikin hutawa koyaushe, ana tsananta wa ayyukan dyestrophic.
Wannan shine dalilin da ya sa ilimin ilimin motsa jiki shine bangare ne na kwayoyin halittar mazan jiya. Matsakaici na jiki aiki yana ba ku damar ƙarfafa kayan masarufi, haɓaka ikon tsarin articular, inganta taurin kai da haɓaka aikin motar gwiwa.
Darasi na motsa jiki na ci gaba da likita daban-daban ga kowane mai haƙuri, yin la'akari da zurfin rauni da kuma yanayin aiki na tsarin articular.
Janar shawarwari don gudanar da maganin motsa jiki don Arthrosis na gwiwa hadin gwiwa:
- fara azuzuwan kawai bayan dakatar da alamun alamun kumburi;
- Yi dukkanin darasi a zahiri, ba tare da motsi ba;
- Aukar yana ƙaruwa a hankali;
- Kawar da manyan kaya a kan hadin gwiwa (Ingantaccen sassauci / fadada gwiwa);
- Idan zafi ko rashin jin daɗi ya bayyana, dakatar da horo.
Tsarin ci
Tare da Gonickrosis, samfuran da ke ciki: dauke da:
- amino acid (kayayyakin kiwo, nau'in kiwo, ƙarancin -fat irin nama);
- Collagen (jita-jita tare da gelatin);
- m kits (kayan lambu mai, kifi);
- sulfur da selenium (legumes, hatsi, kabeji da apples, naman sa, kaza, qwai).
Hakanan yana da mahimmanci:
- Kawar da amfani da abincin da aka yanka, pickles, marinades;
- iyakance amfani da gishiri;
- bi zuwa abinci 5-ninka;
- Ka lura da yanayin shan giya.
Wucewar jikin mutum shine ɗayan manyan abubuwan da ke haifar da ci gaban Arthrosis na gwiwa na gwiwa. Sabili da haka, aikin marasa lafiya tare da nauyin wuce haddi shine raguwa a cikin nauyin jiki. A wannan yanayin, zaku iya cimma sakamakon kawai tare da taimakon abinci, tunda wasanni masu matukar cutarwa ga hadin gwiwar.
Don rage nauyin jiki, ana bada shawara don ware daga menu:
- irin nau'in nama da kifi;
- Kirim, kirim mai tsami da sauran kayayyakin kiwo tare da yawan masu kitse;
- Margarine, mayonnaise, sauts daban-daban;
- kayan kwalliya;
- abinci mai sauri;
- Abubuwa masu dadi.
Jiyya na Jiyya
Arthrosis na gwiwa hadin gwiwa na digiri na uku ba tabbatacce ne ga maganin ra'ayin mazan jiya, don haka aikin shine kawai hanya don mai haƙuri.
Akwai zaɓuɓɓuka biyu don sa hannu na tiyata:
- Gyara osteotomy - ne da za'ayi a matakin ci gaban ci gaban mataki na 3 na Gagorthrosis, idan an lalata guringuntsi bayyane, yana yiwuwa a cire osteofhytes;
- Karshen EntoctS - Sauyawa na haɗin gwiwa ko sassan sassan jikinta ana aiwatar da su tare da cikakken lalata guringuntsi.
Jigajanci
Canje-canje na Pathological a cikin tsarin haɗin gwiwa suna ci gaba, ba da tabbatuwa. Koyaya, tare da ganewar asali da jiyya da kyau, zaku iya dakatar da canje-canje na dynofa a cikin digiri na 1 na digiri na farko yana ba da kanta sosai don maganin ra'ayin mazan jiya.
Tare da Arthrosis na 2 na digiri, wanda ke tare da lalata guringuntsi da samuwar Osteophyes, hanyoyin masu ra'ayin mazan jiya suna ba ku damar rage gudu ko dakatar da nakasa da haɓaka ayyukan motsa jiki. Koyaya, likitoci galibi ana tilasta su zuwa shinge, arthroscopy.
Ba shi yiwuwa a warkar da Arthrosis na gwiwa na digiri 3 a cikin hanyar ra'ayin mai ra'ayin mazan jiya. Hanya guda daya tilo don dawo da motsi da gwiwa shine sa hannu.