Osteoarthritis of ibvi dhigirii 1: kurapwa uye kudzivirira. Endoprosthesis. physiotherapy

Zuva nezuva majoini redu kutambura Tichitarisa mutoro. Hazvishamisi kuti kusakarira pamusoro nguva. Muviri - haisi motokari, kwete pakarepo pashure kupfuura rokuongorora kutsiva chinhu. Saizvozvowo, ibvi vadyi: zviri pachena kuti sprains, pathological urongwa, asi mitswe. The inonyanya chirwere chinobata chikamu ichi muviri deforming chemajoini yacho ibvi.

Description of chirwere

Osteoarthritis - a chinopedza zvokurwara. Under mutoro simba dzinosiyana shwashwa kuti mitsetse yacho intraarticular mapfupa pamusoro. Nokufamba kwenguva, izvozvo makatsemuka, shwashwa kwatanga pasi. Izvi pathological muitiro anenge kuzvimba.

Kushaya kurapwa kunotungamirira rive dete kuti shwashwa uye zvokuimba kweiyi pfupa rinenge kwayo chisimbiso. Somugumisiro, akaumba mhou growths - osteophytes. The chirwere achabatsirwa irwadziwe uye kuomarara, kunyanya panguva yechiitwa. Zvishoma nezvishoma, munhu anorasikirwa anokwanisa kuita zuva basa.

The chirwere chinonzi osteoarthritis pamusoro pebvi , vanachiremba with ari oga boka. Kazhinji, zvokurwara iri kuchengetwa mune Kuronga deforming polyarthrosis apo kutambura munzvimbo dzakawanda muviri. The chirwere kunokwanisa kuonekwa kakawanda vanhu vakwegura, uye vari boka ane ngozi zvinosanganisira vamiririri akanaka pabonde. Ibvi kwemajoini chirwere kazhinji unowanikwa vaduku uye vanoshingaira vanhu vaiita zvemitambo.

Stage okukura chirwere

kazhinji Osteoarthritis anova mumatanho akawanda:

1. The kutanga pavaipfuura chirwere kunoratidzwa zvishoma kusanzwa panguva kufamba kana nesimba. Varwere Kashoma tsvaka rubatsiro kubva chiremba ane chirwere che "chemajoini of ibvi 1 dhigirii." Treatment Panguva ino kukura hosha anosiyana zvikuru zvakanaka. Zvokurwara dzakaonekwa netsaona munguva purogiramu kuongororwa kana nokufungirana nedzimwe hosha.
2. The pakati Danho. Panguva iyi chemajoini achiperekedzwa irwadziwe, murwere anomanikidzwa kutsvaka rubatsiro vakakodzera. Subject kune Zvaifungidzirwa zvose dzakawanda yachiremba tsamba pakurapa zviitiko zvakanaka, mune zvisingawanzoitiki zviitiko, ibvi yokutsiva pamwe chakagadzirwa anodyara.
3. Wokupedzisira Danho kunoratidzwa pathological kukuvara shwashwa, osteophytes, kurwadziwa zvikuru. Kusavapo zvakakwana kurapa kukatyisidzira zvizere akaremara.

Mashoko ari munyaya ino tichataura muudzame pamusoro musiyano pakati chemajoini of ibvi 1 dhigirii, icho kurapwa kakawanda kunoita kuti pakupora zvakakwana.

The kukonzera chirwere

The prerequisites nokuti kukura chirwere ichi vanoonekwa zvimwe zvinhu, zvose kwokunze uye dzakawanda. Ivo pamwe vane kunoparadza nezvainoita pamwe nzvimbo.

The ibvi rinoumbwa mafupa, izvo mudungwe pamwe shwashwa kwamahwendefa. Izvi anatomical chinhu hwezvekukurukurirana chirongwa kukweshera, panguva imwe chete achiita mashandiro anoita depreciation. Masero izvo anoumba articular mumuhara, akaramba berekai synovial mvura. Yakabudiswa muchivande chinonditadzisa kukuvadza kuti shwashwa ndiro.

Kuderedza Vhoriyamu synovial mvura panguva ibvi chemajoini 1 dhigirii nokuda kwezvikonzero zvinotevera:

• Statistical zadzisa.
• Metabolic zvirwere.
• Microtrauma of shwashwa.
• Hosha yacho kwemakemikari anobudiswa hurongwa.
• Intraarticular mitswe.

Sezvatinokura, kugona muviri kudzorera shwashwa ipfupi, saka vechidiki chisingawanzoitika chirwere ichi. Genetic kubatwa, vanachiremba kureva ngozi. Kana yepedyo dzaimbova nezvinetso zvetsandanyama nemapfupa ezvinhu, zvinokwanisika kuti nezera, matambudziko chete vacharatidza vana.

Kufutisa sechinhu chikuru chinodiwa kuti kukura chirwere. Kufuta rine kuramba kumanikidzwa pamusoro rezasi kuviri, zvichiita anogona kuva chemajoini. Munguva pfupi nguva chirwere kunzwisisa uye yekudyidzana kunokanganisa huri upenyu.

Zviratidzo chemajoini of ibvi 1 dhigirii

Dystrophic chirwere kunokonzerwa maronda ari shwashwa, zvichitungamirira cracking walnut uye kurasikirwa elasticity akajairwa munyama. Kutanga pathological muitiro achabatsirwa imwe Micro-pamwero kuchinja munzvimbo yacho articular shwashwa, iyo rinobatanidza kutyora simba masero, uye kufa kwavo.

Chirwere achiri padanho ayo pakukura inowanzopiwa dzinoratidzwa anotevera zviratidzo:

• Pakuonekwa kusagadzikana mune ibvi.
• The panowanikwa marwadzo pashure muviri.
• Maitiro crunch ari pejoinhi.
• Kukamurwa motokari amplitude.
• Fast gumbo kuneta.

On radiographs anogona kufunga zvishomanana aienda iri articular mhango wongoramba. Sezvo kuchiita chirwere kunoitika erasing shwashwa, iro rinobatanidza paumbwe mapfupa kunozvikurudzira. The zvokurwara iri pamwe deformation pamusoro muhudyu, uye zviri kwese kuva 2 kana 3 inosiyana chemajoini kukura.

chirwere matanho

Deforming chemajoini of ibvi kunoda kuverenga uye unyanzvi ainoita kurapwa. Kana zviratidzo zvokutanga anoratidza chirwere, unofanira kuona chiremba kana podiatrist. Kusimbisa zvachose chirwere nyanzvi prescribes misoro ongororo:

1. Radiography of majoini pamaberere maviri.
2. CBC kuona kukosha ESR.
3. Nemakemikari bvunzo ropa C-reactive mapuroteni, alkaline phosphate, uye RA chinhu (kuwedzera parameters izvi zvinoratidza mavambo chiitiko anogumbura).
4. MR.

Maererano migumisiro yose miedzo chiremba inosimbisa chirwere, uye anosarudza inonyatsobudirira pakurapa chemajoini yacho ibvi.

zvinodhaka kurapa

Pakurapa chirwere ane mabasa akawanda panguva imwe chete: kubviswa marwadzo kusanzwa, kuzoita kuti sei zvivako uye resumption kuti motokari basa. Get yakanaka mugumisiro zvinogoneka chete nenguva mharuro mushonga. Zvikasadaro, ungada ibvi kutsiviwa.

Apo kazhinji anotanga kurapwa? Chokutanga, kana tichiziva mhosva chirwere, unofanira kuedza kuchigadzira. Varwere kufutisa uremu inokurudzirwa, kana matambudziko pamwe hormone kana muviri kunofanira kutungamirira zvose kuitwa kudzorera utano. Kana zvokurwara Rinobatanidzwa kunyanya muviri, zviri nani kwechinguva kushandura kukura kwebasa mabasa uye kupira zvemitambo.

Ibvi chemajoini Treatment kunosanganisira yaunodya pamusoro analgesics. Mishonga kazhinji ushandiswe prices kuitira kuderedza kusagadzikana mune pejoinhi. In anozivikanwa synovial kuzvimba uye kurwadziwa vakashandisa corticosteroids. zvinodhaka izvi vane iziviswe Anti-anogumbura uye marwadzo maturo pane hormone analgesics. Kubvisa spasm relaxants rinoshandiswa ( "Mydocalm", "Sirdalud").

Varwere vane chirwere che "chemajoini of ibvi 1 dhigirii" kurapwa anofanira zvainanga kuvandudza zvokudya kuti shwashwa tishu. For zvinangwa izvi vanoshandisa vasodilators uye antioxidants. The chikuru basa kuchinja kurapa ndohwaJehovha vanonzi hondrotektoram ( "hondrolon", "Struktum"). zvigadzirwa izvi akaumbwa dzinongoitika zvinoumba shwashwa - chondroitin uye glucosamine sulfate.

physiotherapy

Kuderedza mutoro pamusoro nedambudziko vadyi, vanachiremba vanoti muviri zvine mwero. Skiing, kushambira, cu - Daily basa kunobatsira kusimbisa tsandanyama uye kuvandudza kufamba kweropa.

Uyewo chinobatsira kuchirapa muviri kuti chemajoini of ibvi 1 dhigirii. Pasi apa ndizvo inonyatsobudirira muviri kubvisa marwadzo acho.

1. Palms kusendama kurusvingo uye akamira pamusoro nezvigunwe yake pakakwirira sezvinobvira. Nzvimbo iyi ndiyo inodiwa zvinenge 5 seconds. Dzokorora 10-12 nguva.
2. Tora asingatani chinzvimbo rezasi gumbo hwakakungwa. Right gumbo vanofanira uchasimudzirwa kureba ibvi kuruboshwe uye ruramisa. Kuti tirambe kuti chinzvimbo 5 masekonzi, pashure iyo rezasi gumbo zvakanaka. Dzokorora 10 nguva.

Kuekisesaiza inokurudzirwa kutanga zvishoma inodziya-up. Kuwanda repetitions zvinofanira yakawedzera zvishoma nezvishoma, pasina rokukwidza hunenge rwakashodoka. Classes anogona kupedza masaja. Marwadzo hakufaniri achiperekedzwa muviri. Kana mukawana chimwe kusagadzikana nani chiremba.

Diet - hwaro abudirire kurapwa

How kurapa chemajoini of ibvi muhudyu nokubatsirwa zvinodhaka, hatina kare kuudzwa. Ikozvino ngatitaurei pamusoro chii chinofanira zvokudya varwere vane chirwere ichi.

Strict Mishonga kurambidza mune chirwere ichi havasi kugamuchirwa. The chikuru basa zvokudya - kuderedza uremu. The Kudya achava siyanei kubva misimboti simba chetsika. Somuenzaniso, vanachiremba vari zano kudya napo aspic. The ndechokuti kana kubika nayo anosunungura zvinhu collagen, iyo inodiwa kuti vadzorere shwashwa.

Kufungisisa kuti kudya zvainanga uremu, zvinofanira nokungwarira akanyanyisa mu kucheneswa uye nzara. Asati kuchinja zvokudya vakwegura vanofanira bvunza chiremba wako kuti funga zvinobvira "vachida" pakati chokuita zvirwere.

Kuti usimbise mapfupa rinenge yaibatsira nomukaka zvigadzirwa (koteji chizi, chizi). Puroteni ane kunobatsirawo shwashwa patsva. In yakawanda muRugwaro zvirimo hove uye nyama, uyewo nenyemba nebhinzi.

Kuti saturate muviri pamwe simba rinodiwa makabhohaidhiretsi. Active simba hazvibviri pasina izvi zvinhu. Sarudza zvakanaka dzinonzi anononoka pane kutsanya makabhohaidhiretsi. Ekupedzisira huri kunyanya zvihwitsi uye pastries. Slow makabhohaidhiretsi usarega mafuta kuti iiswe dambudziko munzvimbo, asi saturate muviri pamwe simba (miriwo, michero, bota).

Kuti tirambe zvakajairika metabolic urongwa, zvakakodzera kushandisa muriwo kwemafuta. On ya kurapwa, vanachiremba vanoti kurega doro, sezvo runogonesa kunzwa nzara. Kudzvinyirira Nzara, zvokudya zvinofanira kutorwa mu migove diki, asi kazhinji.

Kudya kwakadaro kunobatsira kuti normalize muviri mumuviri, kunonatsiridza ropa kuparadzirwa uye kunobatsirawo pamusoro shwashwa tishu kugadziriswa. Kuchinja zvokudya akabatana zvinodhaka kurapa runoita kukunda vachiri Danho chemajoini yacho ibvi.

Mabatirwo zvavo mishonga

Basic kurapa chirwere zvakakodzera kuti mukwanisi zvinyorwa zvemabikiro kuti vanambuya vedu. Nokuti chinangwa ichi, kushandisa dzakasiyana-siyana neiya inoiswa muzvinwiwa zvinodhaka, vachidzipukuta, anorumanya uye decoctions. Zvakaitwa kare zvainanga kudzivisa kuzvimba, kubviswa tsvina kubva mumuviri.

Nokuti kurapa chemajoini anogona kugadzirira anoporesa mafuta. Izvi zvinoda kongiri kuti 200 magiramu munyu uye zvakafanana wetsanga, wedzera zvishoma wakisi kuumba creamy kusachinja-chinja. Zuva rakatevera, namafuta inogona kuzorwa kupinda njodzi munzvimbo nechiedza masaja mapato.

Excellent hunorapa mugumisiro vane mhosva pachishandiswa makwenzi uye makwenzi, uyewo Chepiri. Zvakakosha kuziva kuti pamberi kushanda mupurisa mumusha zvakakosha bvunza chiremba wako.

Kana uchida kuvhiyiwa?

Kuvhiya mabatiro kwokutanga nzendo kukura chirwere ichi ndicho kashoma zvakakodzera. Zvingava nokuda chinokosha zvinoderedza akaremara.

Kuvhiya kupindira kunosanganisira sarudzo maviri kushanda: Knee Replacement (endoprosthesis) uye kubviswa osteophytes.

Endoprosthesis yokutsiva kunosanganisira kutsiva yose vadyi kana chikamu rakagadzirwa nevanhu kudyara. Kazhinji, mashandiro yakadaro inoitwa chemajoini 2 kana 3 inegumi. Mune zvimwe zviitiko zvinokosha kushandisa kubatsirwa kutanga pavaipfuura chirwere, kana zvinodhaka marapirwo ari isashande. Ibvi yokutsiva - iri kunzwisisa mashandiro rinoda kunaya refu.

Nokuti nokubviswa osteophytes kazhinji kushandisa arthroscopy. The yose nzira rinoitwa pasi pavhidhiyo. Chiremba ane nzira podshlifovat kuchinjwa cartilaginous nomumativi bvisa osteophytes. Somugumisiro, murwere chakarasikirwa chinorwadza kusanzwa, kunonatsiridza huri upenyu.

The Kunyanya pachake anoita kunobva kunotoda muenzaniso, kuvapo yematambudziko. Panguva kutanga kwekupwanyiwa chirwere, kuvhiya kupindira Hazviwanzokosha. Kana murwere nechirwere chinonzi osteoarthritis pamusoro pebvi 3 madhigirii, mishonga inosanganisira kuvhiyiwa.

matanho

Kudzivirira kukura chirwere, vanachiremba vari zano kuti kuramba kuongorora muviri uremu uye kurapa kufutisa mune nenguva nenzira. Kugara kurovedza muviri zvakare rakaisvonaka kudzivirira chemajoini. Aenderane avo mitambo apo hapana kwazvo mutoro pamusoro ibvi vadyi: kushambira, yoga. In zvirwere anogumbura kana kukuvara vanoda nguva kutsvaka rubatsiro vakakodzera.

Kana usina kunetseka marwadzo, asi chiremba chirwere "chemajoini of ibvi dhigirii 1", kurapwa vanofanira kutanga pakarepo. Mishonga uye mumuviri kurapa zvishoma mwero pakurwara uye kudzivisa kuvhiyiwa.