Irin wannan cututtuka, kamar yadda arthrosis na gwiwa gwiwa, yake jagoranci tsakanin sauran raunin haɗin gwiwar da ke faruwa, tare da yawancin marasa lafiya marasa lafiya. A cikin magungunan likita, arthrosis na wannan harshe ana kiransa gonarthrosis. Ka yi la'akari da dalilin da ya sa wannan cuta ta tasowa, ta yaya yake nuna kanta kuma an bi shi.
Osteoarthritis - haddasawa
Don fahimtar yanayin da kuma haddasa arthrosis, bari mu juya zuwa jikin mutum. Ƙungiyar gwiwa tana wakiltar wani nau'i na sifofi - kashi, tendon, ligament, vascular, jin tsoro. Ƙananan iyakar haɗin gwiwa shine ƙarshen cinyar cinya, iyakar ƙasa tana wakiltar sashen mafi girma na tibia, a gabansa yana da iyakancewa da patella, kuma a baya - by tsokoki.
Ƙungiyoyi masu siffantawa suna layi tare da nama na cartilaginous, wanda kauri shine 5-6 mm. Wannan tsari yana aiwatar da ayyuka na damping kuma ya rage friction a cikin ƙungiyoyi masu sassaucin ra'ayi. Ana samar da guringuntsu ta ruwa mai gudummawa wanda ake samarwa da membrane wanda ya kasance wanda ba a haɗe ba. Tare da rashin abinci na abinci, nau'in cartilaginous ya zama bakin ciki, ya rasa haɓakarta, ƙyama kuma ya fara raguwa, ya rasa dukiyarsa.
Kwayoyin da ba ta aiki ba yana haifar da karuwa a cikin nauyin da aka yi akan yatsun nama, wanda zai fara lalata kuma yayi girma a matsayin wani abu mai karewa a cikin nau'i-nau'i da yaduwa. Ayyukan da ke tattare da ƙwayoyin cuta sun shafi tasirin membrane, haɗi, ƙwayoyin tsoka. Duk wannan yana da wahala a cikin motsi na haɗin gwiwa da kuma rarraba maɓallin iyakoki daga matsayi daidai. Wannan shine ci gaban arthrosis na gwiwa gwiwa.
Ka'idodin tsarin Arthrosis sau da yawa yakan haifar da dalilai masu tasowa, wadanda ke haifar da rushewa a cikin samar da kayan cartilaginous, babban abu ne kamar haka:
- siffofi na al'ada ( haɗin gwiwa dysplasia );
- Rashin haɗar haɗari da cututtuka wanda ya shafi tsarin kasusuwa, hagu, tsokoki, ƙwayoyin cartilaginous (raɗaɗɗoya, ƙyama, fractures, sprains);
- ilimin lissafi na tsarin ƙwayoyin cuta, inda aka rarraba nauyin a kan haɗin gwiwar ( scoliosis , kyphosis , ƙafafun kafa);
- aikin sarrafawa a kan gwiwa (misali, don cire meniscus );
- Ƙananan naurori a kan ƙananan ƙaranan da suka shafi wasanni ko aiki;
- kuma low jiki aiki, immobility;
- nauyi;
- cututtuka tare da tsofaffin ƙwayoyin tsoka na tsokoki ko tasoshin kafafu;
- ƙwayoyin kumburi a cikin haɗin gwiwa (saboda rheumatoid arthritis , arthritis tare da tsarin lupus erythematosus, purulent cututtuka);
- cin zarafi na rayuwa matakai a jiki, endocrine pathologies;
- tsufa na jiki.
Osteoarthritis na gwiwa - bayyanar cututtuka
Harkokin halitta suna tasowa a hankali, sannu a hankali, da farko kusan wanda ba zai iya ganewa ga mai haƙuri ba, to, yana haifar da rashin tausayi, kuma baya haifar da bayyanar cututtuka, kuma wani lokacin - ga rashin lafiya. Ko da kuwa abubuwan da ke haifar da arthrosis na gwiwa gwiwa, suna la'akari da yawan matakan da ake yi a cikin kyallen takarda, nau'o'in digiri na uku na ƙananan ƙwayoyin cuta sun bambanta, kowannensu na iya nunawa ta hoto na musamman.
Osteoarthritis na ƙungiyar gwiwa ta bambanta da sauran cututtuka ta jiki ta wurin kasancewar nau'i na musamman:
- "Fara farawa" , wanda ya faru bayan jinkirin zama a cikin hutawa a farkon motsi, sa'an nan kuma yalwata ko ɓacewa daga baya na aikin motar (bayan kimanin kashi huɗu na sa'a). Wannan shi ne saboda raguwa da ɗakun hanyoyi, wanda ƙananan gutsurewa na kasusuwa da kasusuwa suka zauna. Rashin motsi na haɗin gwiwa yana haifar da fitar da waɗannan ƙananan ƙirar cikin ɓoye na jaka, a cikin abin da cutar ta ƙasa.
- "Blockade na haɗin gwiwa" - kwatsam na ciwon ciwo mai saurin kwatsam saboda bayyanar "linzamin kwamfuta", wanda shine maƙarƙashiyar ƙwayoyi ko ƙashi. An rarraba gunkin ɓarna tsakanin sassan jikin mutum ko kuma an sanya shi cikin kyakyawa mai laushi, yana haifar da ciwo mai wuya da cike da rashin yiwuwar yin ma'ana a cikin haɗin gwiwa.
Gonarthrosis 1 digiri
A farkon cutar, gwiwa bai bambanta da lafiya ba, babu wani ɓarna. Gonarthrosis na hadin gwiwar gwiwa na digiri na farko shine halin jini na ƙwayar jini a cikin ƙananan ƙananan jiragen ruwa wanda ke cin abincin guringuntsi, saboda haka yana fara bushewa da ƙananan. Wannan yana haɗuwa da ciwo mai kwakwalwar lokaci bayan motsa motsa jiki, ɗauke da ma'auni ko zama a cikin matsayi na dogon lokaci. Bugu da ƙari, akwai ƙananan kumburi a cikin patella.
Gonarthrosis na biyu digiri
Yayinda alamomi ke ci gaba, raguwa kashi, membrane na synovial, an shawo kan shi, kuma rashin ciwon gurasar ƙwayoyi suna kara karuwa. Akwai nakasar daga cikin kamusin haɗin gwiwa, bayyanar osteophytes. Gonarthrosis na karamin gwiwa na digiri na 2 yana nuna karuwar yawan bayyanar cututtuka, tare da ciwo da ke nunawa da yawa sau da yawa, har abada, ana jin damu da kayan aiki maras muhimmanci. Marasa lafiya na iya lura da karfin da ƙungiyoyi suka yi, bayyanar ƙwaƙwalwa. Osteoarthritis na ƙungiyar gwiwa na mataki na biyu sau da yawa ana nunawa ta hanyar bayyanar da harshenma da wasu nakasar gwiwa.
Gonarthrosis na digiri na uku
Lokacin da arthrosis na gwiwa ya taso, bayyanar cututtuka ba su da shakka a ganewar asali. A wannan mataki, guringuntsi yana kusan bazuwa, haɗin gwiwar da muscle yana rushewa, haɗin gwiwa da ƙwayoyi suna da nakasar (ƙwayar da aka shafa ya zama O-shaped ko X-shaped). Raunin zai dame mai haƙuri kullum, akwai matukar muhimmanci akan motsi a cikin gwiwa. Gait yana da halin rashin lafiya, tsallewa, marasa lafiya suna buƙatar katako ko kullun.
Bilder gonrosrosis na bilateral
Sau da yawa cutar ta fara ne tare da hadin gwiwar gwiwa daya, amma daga bisani na biyu, samun karuwa mai yawa, yana da hannu a cikin matakai. A wasu lokuta, arthrosis tare da haɗin gwiwa na gwiwa gwiwa yana hade da halayen innate, to, kwayoyin zasu ci gaba da daidaitawa. Tare da matsanancin matsayi na cinikin ƙwayar ƙwayar cuta, wanda alamun da ya fi dacewa da tsofaffi, zai iya haifar da asarar damar da za a iya motsawa.
Osteoarthritis - ganewar asali
Ma'aikatan da ke bunkasa ciwon gwiwoyi na gwiwa suna sanya ƙaddamar da gwaje-gwajen don tabbatar da ganewar asali, gane mawuyacin haddasawa da rashin karfin kututtuka, wanda ya haɗa da:
- Hotuna X-ray - nuna halin manisci da guringuntsi (tare da nisa daga haɗin haɗin gwiwa), kasancewa ko rashin ci gaban kashi, alamu na lalacewar kasusuwa;
- Duban dan tayi da MRI na gwiwar gwiwa - don gano canje-canje a cikin kyallen kyakkewa, adadin ruwan da ke ciki;
- CT na gwiwa gwiwa - domin nazari game da canje-canje a cikin sassan kwayoyin;
- nazarin aikin ruwa na synovial - an tsara shi don kumburi na haɗin gwiwa don tantance cigaban ci gaba na ƙwayoyin cuta da ƙwayoyin cuta na dystrophic;
- arthroscopy - hanyar hanyar dubawa ta kai tsaye, wanda aka saka kyamarar bidiyon a cikin mahaɗin haɗin gwiwa;
- jini da fitsari.
Osteoarthritis na gwiwa gwiwa - magani
A kan yadda zaku bi da maganin gwiwoyin gwiwa a cikin kowane akwati, likita ya kamata ya fada bayan yin aikin bincike. A kowane hali, kana buƙatar kunnuwa don dogon magani tare da cikakkiyar cikakkiyar takaddama tare da shawarwarin kiwon lafiya - kawai ta wannan hanya zaka iya cimma sakamako mai kyau. Babban mahimmancin maganin sun hada da:
- Gymnastics na likita;
- tausa;
- dabarun aikin likita (UHF, electrophoresis, phonophoresis , canjin diadynamic, magneto- da laser farfesa);
- magani magani;
- aikace-aikace na gyare-gyare kothopedic.
Bugu da ƙari, yana iya zama wajibi ne don gudanar da maganin manyan cututtukan da ke haifar da arthrosis na gwiwa, daidaitawar nauyin jiki, zaɓi na takalma mai dadi. Dole ne marasa lafiya su tsara tsarin su na yau da kullum, gyaran aikin jiki da hutawa, don haka an ɗauko nauyin a kan gidajen. Tare da bayyana canje-canje masu lalacewa, lokacin da magungunan rikitarwa basu da tasiri, yin amfani da maganin ƙwaƙwalwa - tsaka-tsaka.
Yadda za a cire kumburi na gwiwa tare da arthrosis?
Tun da ƙananan arthrosis na gindin gwiwa yana tare da kullun gwiwa, yana da muhimmanci a koyi yadda za a kawar da wannan bayyanar, wanda ke hana rayuwar yau da kullum. Magunguna, da farko, ya kamata su daidaita abincin su don kada jiki ya kasance yana riƙe da ruwa. Don yin wannan, kana buƙatar ƙimar amfani da gishiri, sukari, kayan ƙayyade-ƙullun, nama, abinci masu nama.
Tabbatar da kaucewa kwararrun masana kimiyya sau da yawa sukan bayar da shawarar yin compresses tare da Dimexide, wanda ke aikatawa saboda ƙarfin inganta tsarin ƙwayoyin cuta a cikin lahani. Dole ne a shayar da wani gauze, sau da yawa sau da yawa, a cikin bayani mai tsami Dimexide diluted cikin ruwa tare da ruwa, dan kadan dan kadan kuma hašawa ga gwiwa mai rauni. Rufe saman tare da kunshin filastik, riƙe don minti 20-40. Ana iya gudanar da tsarin yau da kullum don dare tare da hanya na 10-15 zaman.
Ointments ga arthrosis na gwiwa gwiwa
Lokacin da aka gano maganin arthrosis na gwiwoyi, ana yin magani a gida a mafi yawan lokuta ta yin amfani da shirye-shirye na gida a cikin nau'i na kayan shafa, gels, creams. Wadannan kuɗi za a iya raba su cikin nau'ukan da dama:
- wadanda basu da magungunan cututtukan steroidal (Diclofenac, Naise, Ketonal, Indomethacin, Voltaren, Dolobene) - rage ƙonewa, anesthetize;
- Warming (Apizartron, Gavkamen, Espol, Viprosal, Kapsikam, Finalgon) - suna da tasiri mai tsanani saboda zubar da jini, inganta kayan tilasta gaji da kayan kyakyawa;
- chondroprotectors (Chondroxide, Chondroart, Aflutop, Teraflex) - mayar da nama na cartilaginous, kunna kira na ruwa mai kwakwalwa, rage yawan bayyanar cututtuka.
Injections a cikin gwiwa gwiwa tare da arthrosis - kwayoyi
A wasu lokuta, alal misali, idan an nuna fushin haɗin gwiwa ko kuma ciwo mai tsanani, an ba da injections a gwiwa don arthrosis na gwiwa gwiwa. Ana yin amfani da shirye-shirye na intanet na ƙungiyoyi masu zuwa don injections:
- corticosteroids (Diprospan, Hydrocortisone, Triamcinolone);
- shirye-shirye na hyaluronic acid (Hyalurum, Synocrome, Fermatron);
- chondroprotectors (Aflutop, Dona, Hondrolon);
- m Novocaine.
Gnarthrosis Allunan
Bari muyi la'akari da abin da za a iya amfani da allunan ga marasa lafiya wanda ke da ciwon arthrosis:
- wadanda basu da magungunan cututtuka masu amfani da cututtukan steroidal (Diclofenac, Ibuprofen, Ketoprofen, Analgin);
- chondroprotectors (Glucosamine, Chondroitin sulfate, Dona, Teraflex, Piascladin).
Osteoarthritis na gwiwa gwiwa - jiyya tare da magunguna
Idan an gano asalin gonarthrosis, za a iya inganta jiyya tare da hanyoyin da ba na al'ada ba, yawancin su suna nuna tasiri sosai. Alal misali, tafarnuwa da murya yana taimakawa wajen inganta yanayin zagaye na jini na nau'in yaduwan da ke kewaye, da daidaita yawan abincin gurasar ƙwayoyi, rage zafi da ƙumburi.
Dokar yana nufin
Sinadaran:
- tafarnuwa - 1 kai;
- man kayan lambu - 200 MG.
Shiri da amfani
- Tafarnuwa yankakken, zuba man fetur.
- Sanya akwati da tincture mai a wuri mai duhu don mako guda, ta girgiza lokaci-lokaci.
- Rubuta haɗin gwiwa don dare.
Gymnastics for arthrosis na gwiwa gwiwa
LFK tare da arthrosis na gwiwar gwiwa yana yin bayan kawar da ƙananan kumburi da kuma kawar da ciwo mai tsanani. Gymnastics ya kamata a yi a kai a kai, tare da rana ya kamata a kasaftawa zuwa ga minti 30-40, rarraba wannan lokaci a cikin minti 10-minti. Ayyukan da aka zaɓa daidai don arthrosis na gwiwar gwiwa don taimakawa wajen sake juyawa jini, ƙarfafa tsoka da halayen, daidaita al'amuran haɗin gwiwa. Bugu da ƙari, marasa lafiya suna amfani da tafiya, yin iyo, yin keke, pilates.
Bandage akan gwiwa tare da arthrosis
Likitoci sun bayar da shawarar saka takalma na musamman don gwiwa na arthrosis, wanda ke taimakawa wajen tabbatar da matsayin matattun wuri, don saurin tafiya, don hana kumburi. Sanya irin waɗannan kayayyakin ya kamata daga 2 zuwa 8 hours a rana, sawa kafin aiki na jiki. Yana da muhimmanci a san yadda za a zabi gindin gwiwa don arthrosis na kafa gwiwa a daidai, wanda dole ne ka tuntuɓi likita. Za'a iya bude kayayyakin, rufewa da kuma hinged, wanda aka sanya daga kayan daban-daban, suna da digiri daban-daban na rigidity.