Coxarthrosis ye 3 degrees: kurapwa kwekubatana kwechiuno kunoshanda uye pasina kupindira

Coxarthrosis yezinga rechitatu ndiyo danho rekupedzisira rekudzikisa osteoarthrosis wekubatanidzwa kwechiuno. Kurambidza mukurapa kwechirwere kunogona kutungamirira kumapfupa necrosis. Vanachiremba vakawanda vanoona zvakakosha panguva ino kupa varwere chirwere chete muchimiro chekupindira, asi vamwe vanachiremba vanonoka kushanda, uye vanoedza kushandisa kurapwa kwerapa. Chero zvazvingava, kurapwa kwe coxarthrosis yezinga rechitatu kunzvimbo yakaoma uye inobata basa.

Zviratidzo zvikuru zvechirwere

Zviratidzo zvechirwere ichi zvakanyanya kutaurwa. Coxarthrosis yekubatanidzwa kwechiuno chechidimbu chechitatu inoratidzwa nezvinhu zvinotevera:

• Zvinorwadza zvinotyisa usiku;
• Kushungurudzika kwemaitiro akarara okurara;
• Inosuruvarisa kana kuora mwoyo;
• Kushushikana, kusanyengera kwezvikamu (zvikurukuru mushure mekugara kwenguva refu);
• Kushamwaridzana kushamba;
• Lameness (inosiyanisa imwe-sided coxarthrosis yehup 3 digiti).

Mikana yekuremara

Ne chirwere chakadai se coxarthrosis chekubatanidzwa kwechiuno chechidimbu chechitatu, kurapwa kunofanira kukurumidza. Zvakakosha kuyeuka kuti panguva iyi, kurapa kwakanyanya zvikuru. Kuregererwa kwechirwere kunotungamirira kukuremara. Kubva kune mamwe marudzi ebasa munhu achazorega kusununguka: zvinoita kuti nguva chete yekudzorerwa, uye zvichida nokusingaperi. Chokutanga, basa rinobatanidzwa nekuedza kwakasimba rinofanira kunge risingakwanisi, uye rwechipiri, basa rekugadzirira rinogonawo kuva muedzo mukuru.

Varwere vane coxarthrosis yegiredhi 3, vanachiremba vanowanzogadzira boka rechipiri rekuremara. Iri boka rinobatanidza varwere vanozvimiririra uye vanozvishumira ivo pachavo muupenyu hwezuva nezuva, asi vanogona kungoita mamwe marudzi ebasa. Iri boka rekuremara rinogadziriswa kwenguva yakati, mushure mokunge zvakakosha kuongorora rwechipiri.

Kurapa kurapa kwecoxarthrosis

Kurapa kwechirongwa kunotarirwa kuderedza kusuruvara nekugadzirisa zvakakonzerwa zvakasanganiswa pamusoro. Sezvo mutemo, munyaya iyi chiremba anorayira dambudziko rekurwisa-kupisa zvinodhaka, zvakadai saNimesulide, Ibuprofen uye Voltaren.

Muzvinyorwa zvinonzi zviratidzo, majekiseni e corticosteroids anoshandiswa. Izvi zvakakosha kuitira kuti asiye kupisa. Kuvandudza mararamiro emagetsi, kusimbisa nekudzorera kushandiswa kwemishonga ine nzvimbo yevasodilating. Munguva pfupi yapfuura, iyo inonzi inonzi chondroprotectors, iyo inobatsira kudzorera maruti, inoshandiswawo zvikuru, inoita kuti zvive nyore kugumisa chirwere chinopfuurira.

Chimwe chikamu chakasiyana mukurapa kwekuchengetedza muviri ndeye physiotherapy. Anyanzvi ane ruzivo achanyora maitiro akadaro asingazokonzeri marwadzo uye nenguva imwechete anobatsira kukura uye kutaurira hamstrings.

Kupindira kwokuvhiya

Kazhinji, matanho ose ekurapa anobatsira chete pamatanho ekutanga uye anopa chete zororo renguva pfupi. Nechirwere chakadai sa coxarthrosis yezinga rechitatu, chirwere chacho chinogona kuva chemhando mbiri:

• Pasina prosthetics;
• Nechinzvimbo chechinzvimbo chekubatanidza.

Kunyanya, masangano ose anopa chikonzero chakanaka, pakati pemigumisiro inogona kungonyora zvinetso zvinosangana nekuputika. Nechirwere chakadai se coxarthrosis chekubatanidzwa kwechiuno chechidimbu chechitatu, kuvhiyiwa ndiyo nzira yakanakisisa yekurapa.

Kugadzirira kushanda

Pane imwe nguva isati yambovhiyiwa, murwere anoda kuongororwa kwechiremba. Inosanganisira radiography, electrocardiograms, kuongororwa kwebhakato reropa uye urini.

Zvakakosha pakufanirwa kuchengeta chokwadi chokuti nguva yekutanga mushure mokuvhiya, mumwe munhu akabatsira murwere mumba.

Nhanho yekuporesa nekudzoka zvakare inobva pane hupenyu hwemamiriro emisungo. Ndicho chikonzero vanachiremba vanokurudzira kwete zvakare zvakanyanya, asi vachiri kuita mitambo. Zvakanaka kushambira, kufamba uye kutambanudza.

Kusarudza hupenzi hwekushanda

Basa racho rinoitwa pasi pesimba reanesthesia. Chiremba anovhiya achabvisa chibatanidzwa uye panzvimbo yayo achaisa hupfeko, iyo ine maitiro akakomberedzwa ane dzakawanda mashumo maitiro ayo mapfupa achakura mune ramangwana. Izvi zvinokubvumira iwe kuti uite nzvimbo yehutano yakavimbika. Vabatsiri veprosthesis vane fasteners uye samende kubva ku-acrylic. Tsvimbo inoitwa yeitanium, bhora pachayo yakaitwa ye molybdenum, chromium kana cobalt, zvimwe zvikamu masimbi, plastiki, ceramics.

Pakusarudza hupfeko, vanachiremba vanowanzoteerera mararamiro emurwere, muzera rake, danho rechirwere. Vanowanzopa zvakasiyana-siyana izvo zvichagara kwemakore gumi. Pamwe chete, pane anenge makumi mashanu emhando dzeprostheses, asi sekutonga, pakati pechina ne5.

Zvakaipa zvinokonzerwa nekuvhiyiwa

Kunyange zvazvo rudzi urwu rwebasa runobudirira zvakanyanya muzviitiko zvakawanda, zvinetso zvinogona kuitika. Njodzi dzinobatanidza nekushanda dzinosanganisira:

1. Kupfeka kweprosthesis. Mubatanidzwa wekugadzirira une hupenyu hwehupenyu hwehupenyu. Nhengo dzemafupa, izvo mushure mokunge basa racho richikura uye kusimbisa hutachiona, pakupedzisira rinotanga kuora, izvo zvinoita kuti kuderedzwa kweprosthesis. Izvozvo zvinosanganisira marwadzo muhudyu uye munzvimbo inogomera.
2. Kuora kwekusimba. Iyo nzira inokonzerwa nekuti zvinyoro zviduku zvakapoteredza musangano wekugadzira zvine nzvimbo yekuvhara. Iwe unogona kuona kuomesera mukuderera kwehutano hwemotokari basa.
3. Cluster yeropa. Zviratidzo zvekugadzirisa uku ndeye edema panzvimbo yekusimudza uye kuwedzera kwekushisa kwemuviri. Munhu wacho ane kupera kwekufema, kukoromora, kurwadziwa mubhokisi, izvo zvinogona kutungamirira kumapinimine embolism kana mukati moutin thrombosis. Saka, kana chero zviitiko zvakadaro zvikaonekwa, haufaniri kunonoka uye zviri nani kuenda pakarepo kuchipatara.
4. Kuchena, chills, kubudiswa munzvimbo yaishanda, kurwadziwa. Zvose zviratidzo izvi zvinongoratidza kuti zvakakosha kuti tibvunze chiremba.

Nguva yekudzorera

Mumaawa ekutanga mushure mekuvhiyiwa, murwere anogadzirirwa kune zvigunwe zvechiuno panzvimbo yakasarudzwa (yakarongeka). Nokuti munhu uyu akaisa mushure, uye pakati pemakumbo mune mutezi chaiwo.

Kuti hubatanidzwa hushande nekukurumidza, munhu anofanira kudzidza kuti angasimuka sei uye aende oga oga pakarepo. Pakuvamba, vashandi, ipapo mapfundo nematanda anobatsira neizvi. Kusuruvara hakufaniri kuva chipingamupinyi chekudzoka.

Mumazuva ekushanda, mamakumbo anogona kupera. Kuti uratidze kuwedzerwa kweropa uye kubvisa kuzvimba, vanachiremba vanorondedzera mitsara yejoyi neanticoagulants. Kuchengetedza kukura kwekuputika, murwere anofanira kutora antibiotics.

Chero pane chero zvipi zvaro zviri nani kutaurirana ne physiotherapist mukuwedzera. Nyanzvi icharatidza maitiro anobatsira kukurumidza kukurumidza nekusimbisa kwemuviri, ichapa mazano akawanda. Saka, somuenzaniso, varwere vanovhiyiwa havafanire kugara pamakumbo-mavara, vachizununguka kupfuura makumi mapfumbamwe digrii, vadzivisa kutenderera kwemuviri. Nyanzvi dzinokurudzira kufamba mumatanho mashomanana, kudzivirira mitoro uye kumanikidzwa panzvimbo yekuisa. Iyo yakakwirira yezvigaro inofanira kuva yakanaka, kwete yakadzika. Usapindira mumabasa iwayo anokonzera kurwadziwa kana kusagadzikana munharaunda.

Nguva yekudzoka mushure mekuvhiyiwa

Kazhinji kacho, varwere mushure mekuvhiya kwavo vanopedza muchipatara kwevanenge vhiki imwe chete, ndokubva vatanga kudzokera kumba. Kuwedzera kurapwa kunosanganisira kutora mishonga uye kuita maitiro. Pakutanga, vanhu vanonzwa vakaneta, nekuda kwekugara kwenguva refu pamisungo nemasangano, asi izvi zvinokurumidza kupfuura.

Njodzi, sekutonga, inobatanidzwa zvakananga nekugadzirwa kwayo pachako. Vakawanda varwere vanobudirira kukunda kusagadzikana, kana zvisina kudaro chiremba anonyora analoggesics. Kusuruvara kwakasimba munyaya ino pasina mhaka hakufaniri kuregererwa. Kana pane imwe chete, iwe unofanirwa kuenda kuchipatara pasina nguva (kunyanya kana kusagadzikana kuri pamwe chete nehutsvuku kana kuumbwa kwemvura kunzvimbo yekuvhiyiwa).

Kudzokorora kurapwa kwechiremba mune imwe nyaya hakufaniri kushaikwa, sezvo chiremba anofanirwa kuve nechokwadi kuti hapana matambudziko akavapo. Hungu, uye iwe unofanirwa kuzvipupurira kuti zvinhu zvose zvakarongeka.

Pasina rubatsiro rwokunze, vanhu vane coxarthrosis yezvigiro zvitatu, vanotanga kutama mavhareji emwedzi. Asi varwere havagoni kudzokera kumararamiro avo ekare mushure memwedzi miviri kusvika mana. Zvose zvinokakavadzana uye zvisinganzwisisiki pamusoro pekuzvidzorera zvinofanirwa kuongororwa nachiremba wako kare kuti urege kuzvikuvadza iwe gare gare.

Nzira dzokurapa dzakasiyana dzedzimwe chexarthrosis

Dzimwe nyanzvi nhasi dzinopa kurapwa kwe coxarthrosis yezinga rechitatu pasina kuvhiyiwa: mukurwisana nechirwere ichi, shini dzemasero dzinoshandiswa, kushandiswa kwaro kunokurudzira kuumbwa kwemidziyo mitsva, kusimbiswa kwezvinyorwa zvechirasi uye zvakananga kubatana kwayo pachako. Mukuwedzera, kuputika kweropa uye zvose zvirongwa zvemagetsi zvinowedzera. Somugumisiro wehutachiona panzvimbo yakaremara nemasero emadziro, kurwadziwa kunoderedzwa, uye kuwedzera kunowedzera. Kubvira kwekugadzirisa uye kusvibisa zvinopedzwa.

Migumisiro yekurapa chirwere chacho

Coxarthrosis yezinga rechitatu chirwere chakakomba zvikuru chinoita kuti zviome uye kurambidza kusununguka kusununguka, hakubvumiri kuti utungamirire mararamiro ehupenyu. Asi kunyange pamusana wekupedzisira, chirwere chinogona kurapwa, zvisinei nekudhura kwekupindira. Maitiro ezuva ranhasi anowanikwa panguva yekushanda, kunyange zvazvo achida kuchinjwa nguva, asi zvikuru kuvandudza hutano hwehupenyu.