Forestier nehosha: Zviratidzo neMarapirwo

Forestier nehosha kana ankylosing hyperostosis - chirwere ichi anokonzerwa tupukanana, nemavhairasi kana utachiona, uye kukundikana dzomuviri mabasa. The chirwere kunoitika apo pane kunyanya paumbwe mapfupa rinenge riri nemarunda nemarunda. The deposition pakati munyu calcium pakati vertebral discs akazoita mufambo ari nomuzongoza, kutangira kubva remuromo uye thoracal uye zvishoma nezvishoma anopararira kune dzimwe nzvimbo.

Forestier nehosha: chii?

Chokutanga, apo nemarunda nemarunda yakabatana vertebral disks, akaumba cartilaginous zvinyama, izvo zvishoma nezvishoma kuva pfupa. Somugumisiro, panguva azara chirwere karusiyamu munyu kusika vakakomba nomuzongoza mumuhara Ukobvu 1.5 cm. Kutozosvikira munguva ichangopfuura zvakanzi vaidavira kuti chete chirwere Forestier kuti kunokanganisa nomuzongoza, asi pashure nokungwarira tsvakurudzo zvakanzi yakawanikwa kuti chirwere uye dzimwe vakafumura zvikamu zvetsandanyama nemapfupa hurongwa.

Kokutanga chirwere chakadai ankylosing hyperostosis, yakawanikwa pedyo wokuFrance Forestier, tiri mubasa tsvakurudzo mune neurology, pakupera kwezana remakore rechi20. Zviitiko chirwere ichi, zvishoma zvinozivikanwa, uye ruzhinji Muzviitiko - varume pamusoro makore 40. Kunyange zvazvo pachine vakadzi uye majaya pakati varwere.

Kwakabva zita chirwere

Hyperostosis (muchiGiriki se "kuwedzera" uye "mapfupa") inozivikanwa nokutaurisa paumbwe mapfupa fuma. Ankylosis (rakashandurwa kubva muchiGiriki se "kuomarara") rinoreva kutadza kufamba uye nechando chipi chikamu zvetsandanyama nemapfupa hurongwa. Ankylosing hyperostosis - woodiness of zvetsandanyama nemapfupa ezvinhu panguva mapfundo nemarunda nemarunda.

zviratidzo

chirwere Forestier vake, vane zviratidzo zviri nyore kuvhiringidzwa zviratidzo zvimwe zvirwere zviri zvetsandanyama nemapfupa ezvinhu, anotanga kuoneka mune remuromo musana kana mumwe. Zviri munzvimbo idzi, uye kuona zviratidzo zvokutanga hyperostosis, anoonekwa ari kurambidzwa kufamba rakapinza kuderera mukana wokushandiswa nharaunda sei. Nezvahwo sick vanotsutsumwa kurwadziwa kwete simba, asi kurwadziwa pfupi kuonekwe mu kugokora, chitsitsinho, chiuno nezvimwe mapfupa.

Kakawanda zviratidzo kuitika mangwanani kana manheru maawa. Kwakadaro nguva zvikamu nokuti kuti mangwanani nomuzongoza ndiyo vakaneta nokuda kwenguva yakareba imwe nzvimbo panguva hope, uye madekwana zvetsandanyama nemapfupa hurongwa anorasikirwa wayo kuchinja nokuda zvakapfurikidza munguva kushanda zuva. Zvii zvimwe zviitiko, chirwere pachena pachayo Forestier? Zviratidzo kuoneka pashure ane kunyanyisa mutoro pamusoro anorwadza majoini kana mazhinji kugara imwe nzvimbo.

Dzimwe nguva chirwere kusvikira okupedzisira mumatanho kunoitika pasina zviratidzo zvinoonekwa. Uye dzimwe nguva nevakomana: kune zviratidzo mumakore gumi pamberi kuchinja zvinogona kuonekwa musi X-ray.

chirwere Forestier inozivikanwa nokuva pakuonekwa remuromo musana pamwe neoarthrosis shipoobraznymi outgrowths pfupa tishu. Nokuda kwaizvozvi, murume ane zvokurwara muchikamu chino nomuzongoza, atarisana kusagadzikana kana anwa zvokudya. Kana chirwere kunokanganisa thoracal nomuzongoza, pane deformation pamusoro gastric rusvingo kuti kunodzivisa ndima zvokudya kunokonzera kwazvo huro uye halitosis. Kana pfupa inotungamirwa dzvinya musana, pane chetsinga zvinetso, kunyange zvazvo kuratidzwa idzi chirwere hadziwanzowaniki.

Munzvimbo kunyanya paumbwe pfupa rinenge kuonekwe kuzvimba.

Zviratidzo, umo zvakakodzera kutaura kuti chiremba vaifungidzirwa Forestier chirwere

• Kuomarara nzvimbo sei.
• The unopinza kuderera mukana wokushandiswa pamusoro musana pakutanga uye kuguma zuva.
• Neapo kurwadziwa kugokora uye chitsitsinho mapfundo mapfupa muhudyu.
• Kuoneka nomuzongoza kuzvimba nechomukati.
• Kusagadzikana kana anwa zvokudya.
• Dumbu matambudziko pasina maronda, kana gastritis.
• Kurwadziwa mapfundo nemarunda nemarunda kuti pfupa.

The zvinokonzera chirwere

Nokuda kuti ankylosing hyperostosis - isingawanzowanikwi chirwere, ayo zvinokonzera vari havaratidzi kunzwisisa. Zvinozivikanwa kuti vakawanda zvirwere anotarisana nevanhu pamusoro makore 40. Vamwe vanachiremba vanodavira kuti urema kunoitika nokuda dzinongoitika kukwegura pakati munyama uye mapfupa anozoguma anotanga atadze kushanda zvakanaka.

Vamwe funga chirwere kubva refu vari mutumbi zvomoto nzvimbo chirwere. Zvinofungidzirwa kuti chirwere chinogona kupa chaizvo kuti hyperostosis - ndiko tibhii, purulent otitis, sinusitis, uye zvimwe zvirwere.

Izvi Muitiro zvinozivikanwa kuti vanhu kutambura kubva kufutisa kana aine tsime kunyatsobudirira tsandanyama hurongwa, kazhinji kuwana chirwere Forestier vake. Rufu zvakananga kubva chirwere ichi chinogona kuitika.

Chirwere chirwere achishandisa X-ray

Kuitira kuona chirwere Forestier, maekisirei anoshandiswa kakawanda. Doctors vari kurapa ichi mhando zvarakasiya - nayo orthopedics uye traumatology. Mushure kudzidza nomuzongoza uchishandisa maekisirei uye onai kuti ndepapi chiremba ossified kunoita mhedziso pamusoro pamberi chirwere. Pasinei chokwadi kuti chirwere Forestier vake, MRI kudzidza izvo yekudyidzana kunowedzera mikana kuziva nayo achiri Danho rinowanzova yekudyidzana alters musana yakarongeka, asi dzimwe nguva kutsauka ichi harigoni kuona kupfuura ano nzira kwemakumi emakore.

Mukutanga zvokukura ankylosing hyperostosis pamusoro maekisirei haana kumbosiyana kubva spondylosis. Kutaura nechivimbo Forestier chirwere unogona chete kuonekwa, nokuomesa nzvimbo dzinoverengeka zvikamu zvetsandanyama nemapfupa hurongwa. Asi iyi ndiyo nyore kuvhiringidzwa Ankylosing spondylitis.

The chikuru kusiyana kwakaita ankylosing spondylitis kubudikidza Forestier

For Forestier nehosha kunoratidzwa:

• Bone inotungamirwa munzvimbo yacho musana discs.
• Uye wokutanga nowokupedzisira nzendo hauna kuchengetwa kana osteoporosis, kana kuchinja ropa kuongorora kana kwemajoini kukuvadzwa mune sacrum.
• varwere vose vari kukwegura.

hunhu ankylosing spondylitis:

• Vertebrae kushandura chimiro, pakuwana chimiro rectangle unopinza makona.
• Kuburikidza yakatetepa vertebrae vakaisa Matandira pfupa tishu.
• Osteoporosis aripo.
• Zvokurwara of mapfundo munharaunda yacho sacrum.
• Achiipa miedzo ropa.
• Vazhinji varwere kokutanga atarisana dambudziko uyu muduku.

lateral radiographs

Kana uchifungidzira chirwere Forestier hazvo kupedza lateral radiographs. Kunoitawo kuziva kunyanya deposition calcium munyu kwete intervertebral Disc (akadai osteochondrosis), asi zvakananga kunyika vertebral miviri pachavo. Zvinokosha kudzidza chirwere kubudikidza radiography mune simba, sezvo spondylosis kunyanya paumbwe pfupa nenhumbi kunoitika singly uye nokukurumidza hunoguma. Apo Forestier, Ukuwo, calcification kunoitika kuwedzerwa pamusoro nguva. In akazotevera nzendo chirwere pamusoro maekisirei padzakacherechedza zvekufuga Ukobvu 1.5 cm.

tsvakurudzo rabhoritari

Nokuti kuonekwa yakarurama zvokurwara uye zvakaitika dzimwe bvunzo, migumisiro izvo zvinoita kuti ritsigire kururama nechirwere. miedzo Forestier kuti ropa chirwere Haana anogumbura kwendangariro. Pangave zvishomanana kuwedzera uwandu shuga. C-reactive mapuroteni uye RA zvikonzero hatisi.

Treatment zvokurapa nzira

Saka kure hazvitaurwi chikonzero kuti pane Forestier chirwere. Nokuda kwechikonzero ichi, kurapwa kuri symptomatic. With mishonga edza kubvisa risingafadzi kunzwa inofamba. Kana kurwadziwa varwere ushandiswe glucocorticoid zvinodhaka uye analgesics. Akashandisawo antiinflammatory mafuta ( "Indomethacin", "Ibuprofen" "Diclofenac" "Voltaren" uye m. P.).

Mabatirwo nzira isiri zvinodhaka

The chirwere kunoitika nokuda muviri kunaka, saka foci chirwere karusiyamu zvakanyanyisa, uye dzimwe mapfupa muviri pane kushayikwa kwayo. Vanachiremba vanokurudzira kuti varwere zvokudya, izvo hunodzorwa nezvokudya akapfuma karusiyamu.

Kana uri yakarohwa Forestier nehosha nokuremara - nomugumisiro chaizvo kukurumidza kurapwa.

Of unyanzvi chokuita nokuchinja kwomuviri Migumisiro vari kuonekwa inonyatsobudirira vari:

• Physiotherapy, izvo zvinofanira kupiwa ose zuva kweinenge hafu yeawa, Zvinokurudzirwa kuti varwere vose vane chirwere kuti "chirwere Forestier" (mapikicha zvimwe zviitwa uye hurongwa dzaitaurwa chinotevera).
• Kuchirapa masaja kubva nyanzvi masseur.
• Reflexology.
• Magnetic kurapa.
• Laser mushonga.
• Phonophoresis.

Kune nzira dzekare okutambura pamwe ankylosing hyperostosis. Heano mamwe acho:

• At zvakasimba akaratidza marwadzo Zvinokurudzirwa chokuzora aizomupa doro uye Birch wotungira. Nokuti gadziriro yayo, tora 1 fő kuti vodka kana doro uye 1 mukombe Birch namabukira, sanganisa uye akaisa kuti richadzipa kwevhiki munzvimbo ine rima.
• Kuvandudza mamiriro ako, zvinokosha kunwa girazi dzinongoitika Birch muto rimwe zuva.
• Chinhu chinobatsira kuti vanoshandisa zvishandiso hunowedzera zvirwere, zvokuti muviri aiva nesimba kurwisa chirwere. 20 magiramu ose kvass upfu yakasanganiswa girazi Birch muto, 5 magiramu ose grated horseradish uye zvitatu magiramu kuti mbiriso, siya musanganiswa kusvikira mupfumi furo, kuwedzera spoon uchi. Inwa katatu pazuva pamberi zvokudya 1 spoon.
• Munzvimbo umo chirwere foci akaratidza yokurara kwiza muvhenganiswa gava mafuta namafuta muriwo ari nhamba 1: 1.
• Zuva nezuva atora nomuromo kuti 2 magiramu ose namo.

Muenzaniso akagadzirwa kuchirapa muviri

• Akatasva dhende, kuti 3 inhalation uye nedzinovengwa 3, apo Kufema zvishoma nezvishoma rokurera ake maoko pamusoro exhale - kutiva.
• Gara namabvi ako maoko enyu pedyo muviri uye ikafamba navo pasi. Ita dzakatenuka gumi, kuedza kubata huma rake pamabvi ake.
• Kugara imwe nzvimbo napo Bends shure uye dzakaonda mberi sezvo pasi napo, sokunge kuita mutumbi wave. Dzokorora chiitwa 10 nguva, pakupera vanononoka kubvapo, arching shure masekondi 30.
• Vachipfugama isa muzvanza zvigunwe kuitira kuti minwe kubata zvigunwe zvenyu. Vasingadyi makumbo ake akatanga munyonga shure. Edza kusvika umbilicus maximally kumusoro, uye mapfudzi - maximally pasi, kumbomira kuti chinzvimbo masekondi 10. Dzokorora chiitwa 10 nguva. Last Bata chinzvimbo ichi chero zvichibvira.
• Get ose mana. Arching musana wake, zvishoma nezvishoma kugara pasi pamabvi angu, pasina kutora maoko ake kure paburiro. Zvishoma nezvishoma kudzokera kutanga chinzvimbo, uye pasina kutora maoko ake. Round musana wako uye zvishoma nezvishoma vanotanga munyonga haina nhema chose pasi. Yeuka kuti muchanza kubva pauriri havagoni kubvarura. Dzokorora chiitwa 10 nguva.
• Nhema pasi pamusoro dumbu rako namaoko enyu, akatsivama panguva emaoko uye perpendicular pasi. Never achitora maoko ake kure pasi, ruramisa maoko, apo pasi Hakungatozongosiiwi woga yemichindwe. Panzvimbo ino, kufadza vanobwembura musana namanhede. Bata chinzvimbo ichi kweminiti.

• Nhema pamusoro dumbu rako panguva simudza maoko, makumbo uye chipfuva. Zvakanakisa, uriri vanofanira kuramba chete mudumbu. Bata chinzvimbo masekondi 30. Nhema pamusoro dumbu rako, makumbo rukabata uye maoko. Kuzorora munzvimbo iyi masekondi 30. Dzokorora chiitwa. Rakatumbuka maekisesaizi uye zororo, kudzokorora danho iri 5 nguva.
• Get ose mana uye ruramisa zvose makumbo uye maoko, muviri wako unofanira kuva muchimiro netriangle. Bata chinzvimbo ichi kuti masekondi 30.
• Gara pasi, utambanudzire maoko ako uye mukotamise pamusoro, kuedza kubata huma yake pasi. Bata nzvimbo kwenguva yakareba sezvingabvira.

Zviitwa kuti pakurapa Forestier nehosha zvakakwana kuita katatu pavhiki.