Osteoarthritis - Chii? Osteoarthritis 2, Grade 3: kurapwa

Vanhu pamusoro zera 40, kunyanya vakadzi, wakafuta kazhinji vanorwadziwa mumabvi. Izvi kusagadzikana hazvirevi kurara usiku, kunoita kuti zviome kufamba. Uye dzimwe nguva haritombotauri kurarama upenyu! Mushure kuongororwa chiremba chirwere - "gonarthrosis". Chii? Sei akava kure? Uye zvinoita kuti vadzoke wachi?

zvokurwara mamirire

Havasi vanhu vakawanda vanoziva nechirwere rokunzwikwa "gonarthrosis" chii. Tiri kutaura chinopedza chirwere. It kunoratidzwa maronda uye haizopereri Kuchinja shwashwa tishu. Panguva iyoyowo yekudyidzana ipfupi kwemajoini ushande. chirwere ichi achinyengera zvishoma nezvishoma anoparadza connective tishu.

Usarerutsa zvokurwara. Zvinofanira kunzwisiswa, kana nechirwere gonarthrosis chii! Kuva chirwere chinobata zvinhu zvose Junction. Tenderai shwashwa, mapfupa, nemarunda, synovial Kamudzira tsandanyama.

Nokupesvedzera zvimwe zvinhu zviri nyonganyonga iri zvinovaka muviri ari shwashwa. Kushaya chinokosha chinokurwadzai degeneration. Zvinoguma muchitokisi rufu. Sezvineiwo akaderedza elasticity, nekusimba connective tishu. Murwere vakaumba "vagari rakaoma".

Humwe kuchiita hosha kunotungamirira kwemajoini kutadza kuita zvakakodzera mabasa. On pemvura shwashwa nodules vari yakaumbwa uye kukura. Pasi pokudzora kuchinja kwakadaro pfupa, vachigurisira pamusoro nemarunda. Murwere ruchiramba chinokosha kukamurwa mufambo. Uye kupfuura azara tsandanyama atrophy.

Zvinokonzera chirwere

Kune mabhuku akawanda pane zvokurwara. Kazhinji, gonarthrosis pamusoro ibvi muhudyu anokonzerwa ibatanidzo zvinoverengeka:

• ikawanda mutoro pamusoro vagari (vagare kupota, kumhanya, nokusimudza masimbi);
• pfupa mitswe dzinosanganisira ibvi vadyi;
• shwashwa atsamwira;
• zvakuvadza shwashwa rukoko - meniscus;
• kufuta.

Zvokurwara hwapedyo kwete kamwe, asi makore anoverengeka pashure yokuwana kukuvadza zvinhu. Kana mubatanidzwa zvikonzero zvinoverengeka nei chirwere mberi zvikuru nokukurumidza.

zvinokonzera njodzi

Zvimwe zvirwere uye mamiriro anogona mhanyisa kukura chirwere. Avo pangozi vanosanganisira vanhu vakatarisana zvinotevera nematambudziko:

1. Varicose mutsinga repasi wamativi.
2. Simba shwashwa-capsular mhesano mudziyo (majini kwatemwa), afunge vadyi laxity.
3. Arthritis (kuzvimba ibvi), akatakura yakasiyana etiology - psoriatic, gout, RA, reactive.
4. Zvirwere exchange hurongwa.
5. Zvokurwara innervation mapfundo, hunhu spinno- kana zvinorwadza kukuvara uropi.

Mhando zvirwere

Vanachiremba tichifunga mashandiro ari zvokurwara, rairatidza mapoka makuru maviri:

1. Primary gonarthrosis. Hosha ikabuda inowanzotorwa pamwe utano. Iye haana pashure chero kukuvara, kuzvimba. The zvinokonzera chirwere ichi dzomuShoko zvirwere Exchange hurongwa, mazhinji kushandiswa kwemakemikari omuviri zvinodhaka, magene kubatwa. Kazhinji kuva bilateral gonarthrosis. Pathological muitiro rinofukidza vose pamabvi. Kunyange zvazvo dzimwe nguva kune mumwe chete angoramba achitaura kukuvara. Primary gonarthrosis yaingowanikwa kunyanya vakwegura vanhu.
2. Secondary. zvokurwara ichi anova ari kukuvara, namamota, inflammations. Anokonzera chirwere anogona kuchinjwa kushumira pamusoro pamwe pakuvhiya. The chirwere rinowanikwa mune vanhu vemazera ose. Secondary gonarthrosis Kazhinji yaitsigira divi.

Clinical kuratidzwa kuti kuitika mune murwere kukura chirwere, muri zvakananga novimba kuchinja zviri chinopedza kwacho pamwe. Zvichienderana mwero iri yoga 3 gonarthrosis. Mumwe nomumwe wavo kunoratidzwa zviratidzo zvayo.

Zviratidzo chirwere 1 dhigirii

Zviri zvakaoma kuona kutanga kwekupwanyiwa chirwere kukura. Akakonzera kuchinja munyama pamusoro shwashwa haigoni kuonekwa nenzira X-ray. Chirwere chakavakirwa tsanangudzo zviratidzo nokuda murwere.

Doctors dzinoti mamwe maitiro kuti munguva rwakadini 1:

• kurwadziwa pamwe;
• manzwiro ane marwadzo pasi ibvi pachayo;
• gomara hunhu kurwadziwa;
• vadyi kuomarara, kunoitika pashure kwenguva refu vagere, akarara;
• yakawedzera marwadzo pashure muviri kana yakamira;
• chakakomba kusanzwa ari muhudyu mushure vanogara kupota, refu kure;
• kuzvimba ibvi, kazhinji pachavo ichifamba.

kurapwa

Panguva iyi, zviri zvakakwana inobudirira pamusoro pathologies akadai gonarthrosis ibvi. Treatment ine ari kushanda:

• physiotherapy;
• masaja;
• kuchirapa muviri.

Varwere vari zano kuderedza uremu. Varwere mapfundo anodiwa kwete vapinze.

Symptomatology 2 madhigirii

Panguva iyi zviri pachena aienda pakakoromoka overgrowth repfupa growths - osteophytes. Kunyange nemaziso ari ibvi kunogona kuonekwa kuzvimba. Maekisirei anogona yakavimbika kusarudza gonartroz 2 inegumi.

On Danho iri chirwere zvingaratidza zvinotevera zviratidzo:

1. Marwadzo ari mupasi kusagadzikana mune majoini kana mukati pejoinhi.
2. Panguva kufamba iwe unzwe crunch iri ibvi.
3. The marwadzo inova zvikuru, yakareba. Pashure vamwe nokupera.
4. Mangwanani zvakaoma kutwasanudza ibvi.
5. Manheru kana usiku, pane kurwadziwa mhuru.
6. Fully gumbo hakusi unbent.
7. Nemaziso inooneka kwemajoini kuzvimba, kutanga zviratidzo epfungwa.

Sezvo pasina mukana anowanzoitwa zvakabaya gumbo gonartroz 2 madhigirii chinokurwadzai curvature yacho nomuzongoza. Zvishoma nezvishoma dzinotanga kuumbika mumuviri kuchinja.

Nzira yokubatana nayo zvokurwara

Kana chirwere inokurudzirwa dhigirii 2 inotevera kurapwa:

• achidzikisa mutoro pamusoro pamwe;
• Physical kurapa Zvirongwa;
• mishonga, kusanganisira Anti-anogumbura, dzokutindivadza, zvinodhaka, hondroprotektory;
• physiotherapy.

Hospital giredha 3

Step dzinoratidzwa zvinokosha uye dzimwe nguva kusingarapiki kuchinja pejoinhi. Radiograph zvinoratidza chakakomba deformation yacho shwashwa mamiriro. The murwere nguva pakurwadziwa, izvo chaizvo asingadi kuserera.

Osteoarthritis 3 madhigirii munhu anotevera zviratidzo:

1. Constant kurwadziwa ibvi, inova yakazvimirira murwere basa.
2. Apora mufambo. Murwere akaremara.
3. Panguva ekunze kuchinja kusagadzikana unokura.
4. The ibvi riri akaremara dzikawedzera kukura. With kuchinja ari pathological muitiro nekunyatsotsanangura anowana O-zvakaumbwa kana X-zvakaumbwa.

Kana gonarthrosis 3 madhigirii aine kuzvimba ganda (synovitis), ibvi unozvimba yekudyidzana. contours ayo anenge chose ndokudzora kunze. Nechemberi kurutivi hukawanika ari mupasi protrusion ane nyoro kusachinja-chinja.

Varumbidzwa nzira hondo

Zvikuru kwazvo zvokurwara ari gonartroz 3 inegumi. Treatment zvinosanganisira kuchirapa nzira. Zvisinei, kazhinji murwere kunoda kuvhiyiwa. Muchiitiko ichi pane vaviri zvomusejari unyanzvi:

1. Kwokururamisa osteotomy. Zviri pasi rushoma kuparadzwa shwashwa. Muchiitiko chino, kubva mhesano mhou growths. Kuparadzwa shwashwa chinobviswa.
2. Endoprosthesis. Kwakadaro kuvhiyiwa rinoitwa panguva azara. Kana shwashwa yaparadzwa chose, hazvina zvachose kana zvishoma kutsiviwa chakagadzirwa zvinhu.

mishonga

medicaments anogona kupiwa zvichienderana pavaipfuura chirwere uye munhu nezvekufadza orthopedist. Kazhinji, kwakadaro kurapa inokurudzirwa kana murwere akanzi gonartroz 2 inegumi.

Treatment kunosanganisira kutora zvinotevera mishonga:

1. NSAID inonyaradza marwadzo omusoro. Kana chirwere ichi rinowanzoshandiswa akagadzwa anotevera zvinodhaka: "Voltaren", "Rofika" "Celebrex", "Movalis", "Nimesil".
2. Mafuta. Ari zvokurwara anogona varumbidzwa nokudziya nevasori "Gevkamen", "Espoli", "Menovazin". Kana gonartroz rakaoma nokuda synovitis, varwere ushandiswe okuzora "Fastum", "indometacin", "butanedioic", "basa".
3. Chondroprotectors. The zvinodhaka zvikuru, "Artra", "Artron", "Teraflex", "Don", "Chondroitin Complex." mari idzi inofanira kugadzwa kwenguva refu (inenge 6 months).
4. Mishonga munyika mazano kupinda pejoinhi. In nemuumbi kuzvimba hapana anopfuura 3 nguva baya jekiseni zvinodhaka "Hydrocortisone", "Kenalog."
5. Achishandisa hyaluronic acid. Vari kutarisirwa mu kuregererwa mushure kwemajoini kuzvimba. Shandisa mishonga "Gialurom", "Sinokrom", "Ostenil".
6. Hot tsonyera. Ivo dzinoshandiswa kukurudzira ropa wedzerai pejoinhi, kuwedzera kugadzirwa lubricating Urume. Yakarumbidza anorumanya ari bile kana mishonga zvinodhaka "Dimexidum", "Bischofite."

Zvikuru kubudirira kurapa gonarthrosis ndiwo mushonga "Piaskledin". Zviri chinodhaka yakagadzirwa kubva atakatora zvinomera zviri soybean uye yekotapeya. Yawapiwa refu - kanenge 6 mwedzi.

kuchirapa muviri

Varwere vanofanira kungwarira kana chirwere gonartroz chii. Rinofanira ainyepa kubudikidza varwere chiremba.

In chenjera kuita murwere chirwere anofanira kupa ibvi zororo. Mune ramangwana, iva nechokwadi kuti kutanga zvishoma nezvishoma kusuma muviri. Kazhinji, kurovedza vose kwakaita avete shure kwako. Zvakakosha kuti tingwarire makirasi zvakanaka. Exercise dzirege kutadzira.

Apo chirwere ichi chinofanira kudziviswa:

• gara kupota;
• refu kufamba;
• flexion-kuwedzera ibvi;
• chero kufamba, umo marwadzo Runonzwika mapfundo.

physiotherapy

Kuderedza kuzvimba ari muhudyu, mhanyisa pakuberekwa kutsva, kumisa marwadzo, maitiro anotevera anogona akakurudzira kuti:

• diadynamic dzenzvimbo;
• electrophoresis pamwe zvinodhaka "Novocaine";
• rinobva kurapa;
• UHF;
• Laser kurapa;
• phonophoresis kushandisa zvinodhaka "hydrocortisone";
• ozocerite kana Paraffin emvura;
• madhaka.

vachibatsira midziyo yemagetsi

Kana zvinovawo zvakakodzera, chiremba achaita varumbidze rinokosha orthosis. Izvi ibvi Mapedhi, wakaitwa yakaoma zvinhu, izvo kurambidza sangano iri pejoinhi. orthotics anogona kupiwa.

Dzimwe nguva chete mhinduro iri kuvhiyiwa. Somuenzaniso, kana murwere gonarthrosis 3 madhigirii, kurapwa zvinogoneka chete zvakaitika apo haina kutambura osteoporosis. Mushure kuvhiyiwa 3-6 mwedzi, murwere vachida vapore. Akagadzwa physiotherapy, kurovedza muviri kurapa, kurapwa mune pachipatara pacho.

mhedziso

Articular shwashwa haasi kukwanisa panoda. Saka zvinokosha chaizvo kuona chirwere panguva kwokutanga nedhigirii uye pakarepo kutanga kurapwa. Kuchirapa nzira makarurama chete kana 1 ST uye 2 nd it dhigirii gonarthrosis. Kana vachimhanya zvokurwara kuvandudza murwere nemamiriro anogona chete kuvhiyiwa.