Osteoarthritis - Waa maxay? Osteoarthritis 2, Grade 3: daaweynta

Dadka ka weyn da'da 40, gaar ahaan haweenka, miisaankaagu inta badan khibrad xanuun lowyaha. raaxo Tani ma seexdaan habeenkii, ka dhigaysa in ay adag tahay in ay u guuraan. Iyo mararka qaarkood waxa aanu xitaa ku noolaadaan nolol caadi ah! Baaritaanka ka dib markii dhakhtarka cudurka - "gonarthrosis". Waa maxay? Waa maxay sababta uu u horumariyo aad ka? Oo waxaa suurtagal ah in dib u soo noqdaan saacad?

dabeecad cudurada

dad badan ma oga cudurka dhagaysiga "gonarthrosis" waxa ay tahay. Waxaan ka hadleynaa cudurka side. Waxaa lagu gartaa lesions iyo isbedelka ku xiga ee unugyada carjawda. Isla mar ahaantaana si weyn u dhimay shaqada wadajir. Cudurkaan si tartiib ah uga hornimaadno baabbi'iyaa unugyo.

Ha dhayalsan cudurada ka. Waa in la fahamsan yahay, haddii cudurka gonarthrosis waxa uu yahay! Horumarinta cudurka saamayn ku dhamaan qaybaha kulanka. Daaya carjawda, lafaha, seedaha, muruqa xuub synovial.

Under saameynta ay arrimaha qaarkood waa laga baqo ee nafaqada ee carjawda. La'aanta xubno muhiim dhirfinaya xumaanshaha. Natiijadu waxay tahay dhimashada unugyada. Si weyn u dhimay barti, ee suga kuwa of unugyo. bukaan ayaa la aasaasay ah "wadajir qalalan".

horumarka dheeraad ah oo cudurka keenta in si wadajir ah ku fashilmeen in ay qabtaan hawlaha lagama maarmaanka ah. On dusha sare ee qanjira carjawda loo sameeyay iyo u koraan. Under saameynta ay isbedel noocan oo kale ah ee lafta, yaraynta seedaha ah. bukaanka ku dhacdaa xaddidaadda weyn ee dhaqdhaqaaqa. Oo marxaladda ugu horumarsan ee atrophy muruqa.

Sababaha cudurka

Waxaa jira meelo badan oo aad cudurada dahsoon. Sida caadiga ah, gonarthrosis wada jilibka waxaa sababa isku darka ah dhawr arrimood:

• kor u load on wadajirka ah (fadhiisan-ups, ordaya, kor u miisaanno);
• jab lafta ku lug leh si wadajir ah jilibka;
• dillaac jilibka;
• dhaawac of lakabka carjawda - ogeyn,
• xad dhaaf ah.

Pathology ma uu yeesho hal mar, laakiin dhowr sano ka dib soo-gaadhista arrimaha waxyeello. Marka isku-dar ah dhowr sababood sababta cudurku sii socdo inta ka dhaqso.

sababaha halista

cudurada iyo xaaladaha qaarkood dardar kartaa horumarinta cudurka. Kuwa halista waxaa ka mid ah dadka kuwaas oo la kulmay caqabado soo socda:

1. Xidido Dhiig oo ka mid ah jirka hoose.
2. qalab tabar yar jilibka-capsular Isgoyska (hiddo goostay), oo iska xanaajin habacsanaan wadajir ah.
3. Arthritis (caabuq jilibka), oo sidda etiology kala duwan - psoriatic, turqo, rheumatoid, Waxyeelo.
4. Cudurada of nidaamka is-dhaafsiga.
5. innervation Pathology kalagoysyada, caan ku ah dhaawaca soo gaara maskaxda spinno- ama argagaxa leh.

noocyada cudurada

Dhakhaatiirta ka fiirsaneysa inay hab ay of cudurada ee, loo aqoonsaday laba kooxood oo waaweyn:

1. gonarthrosis Hoose. Cudurku wuxuu horumariyaa caafimaadka caadiga ah si wadajir ah. Waxay ahayd mid aan ka hormarey wax dhaawac, caabuq. Sababaha cudurkan waxaa lagu salka ku hayaan cudurada nidaamka sarrifka, sii dheerayn isticmaalka daroogada hormoon, cabista hidde. Inta badan waxay yeeshaan gonarthrosis laba geesood ah. habka cudur daboolayaa labada jilib. Inkastoo mararka qaar uu jiro dhaawac ah hal dhinac. gonarthrosis Hoose gaar ahaan dadka waayeelka ah hanti.
2. Sare. cudurada waxa ay ku dhaawac, burooyinka, inflammations. Isha cudurka lagu wareejin karaa si ay ugu adeegaan on qalliinka si wadajir ah. Cudurku wuxuu ku dhacaa dadka da'da ah oo dhan. gonarthrosis Secondary sida caadiga ah gooni.

daliilka Clinical ka dhaca bukaan-socodka horumarinta cudurka, waa si toos ah ay ku xidhan tahay horumarka geedi socodka side in si wadajir ah. Iyadoo ku xiran heerka uu go'doon 3 gonarthrosis ah. Mid kasta oo iyaga ka mid ah waxa lagu gartaa astaamo ay.

Calaamadaha heerka uu cudurka 1

Waxaa aad u adag in la ogaado wareega hore ee horumarinta cudurka. isbedel sababay in unugyada carjawda aan la ogaan karaa X-rays. Cilad ku salaysan yahay sharaxaad ka mid ah calaamadaha by bukaanka.

Dhakhaatiirta ayaa loo aqoonsaday sifooyin gaar ah in sifaha laga yaabaa in inta uu la egyahay 1:

• xanuun wadajirka ah;
• dareen ah foosha hoos jilibka laftiisa;
• dabeecadda blunt of xanuun;
• qallafsanaan si wadajir ah, taas oo dhacda ka dib fadhi daba dheeraaday, hurdada,
• xanuun kor u kacay ka dib jimicsiga ama Taagan,
• raaxo daran in si wadajir ah ka dib markii ay fadhiyaan-ups, masaafo dheer,
• barar jilibka ah, sida caadiga ah ay ku aflaxaan u gaar ah.

daaweynta

Marka marxaladdan, waa ku filan wax ku ool ka dhanka ah heley sida jilibka gonarthrosis. Daaweynta waxay ka kooban tahay in codsiga:

• daaweynta dabiiciga ah,
• massage,
• layliyo daweynta.

Bukaanka waxaa lagula talinayaa si loo yareeyo miisaanka. Bukaan-socodka kala goysyada suurad wacan in aan ku shuban.

Symptomatology 2 darajo

Marka marxaladdan waxaa iska cad juqda farqiga cidhiidhi ah ay sameeyaan koritaan lafta - osteophytes. Xitaa aragga ee jilibka ah waxaa lagu arki karaa barar. X-rays kalsoonaan karo go'aan ka gaari kara gonartroz 2 digrii.

On marxaladdan cudurka ayaa tilmaamaya laga yaabaa in calaamadaha soo socda:

1. Xanuun waxaa ku kooban raaxo ku jira laabatooyinka ama gudaha laabatada.
2. Inta lagu guda jiro socdaan waxaad maqli yiddidiilo ee jilibka.
3. Xanuunku wuxuu noqonayaa mid aad u daran, muddo dheer. Ka dib markii inta ka baaba'aa.
4. Subaxdii ay adag tahay in la toosi jilibka.
5. In fiidkii ama habeenkii, waxaa jira xanuun weylaha.
6. Si buuxda lugta ma aha unbent.
7. barar si wadajir ah aragga la arki karo, calaamadaha hore ee dhaawac.

Tan waxaa suuro gal ma sida caadiga ah in la leexiyo gonartroz lugta 2 darajo dhirfinaya ku dhaf-dhabarta. Tartiib tartiib bilaabaan si ay u sameeyaan in isbedel jidhka.

Hababka la tacaalida cudurada ku

degree Marka cudurka waxaa lagu talinayaa in 2 ka dib daaweynta:

• yaraynta load ku on wadajirka ah;
• fadhiyada therapy Jirka,
• daawada, oo ay ku jiraan anti-bararka, suuxinta, daroogada, hondroprotektory;
• daaweynta dabiiciga ah.

Hospital fasalka 3

Tallaabada lagu gartaa isbeddel weyn oo mararka qaarkood karin in wadajirka ah. Radiograph muujinaysaa lahayo ku guud ee qaab-dhismeedka carjawda. Bukaanku waa si joogto ah u xanuunsan, taas oo ficil ahaan ma yaraadaa.

Osteoarthritis of 3 digrii waa qof calaamadaha soo socda:

1. Xanuunka joogtada ah ee jilibka, taasoo ka madax bannaan hawlaha bukaan-socodka.
2. Si ba'an u dhaqdhaqaaqa xaddidan. Bukaanku curyaan yahay.
3. Inta lagu jiro isbedel cimilo raaxo sii xoogeysanayo.
4. jilibka ayaa la doorinaynaa oo kordhay size. Iyadoo horumarka ee dhigoodu nidaamka bahal keensataa O-qaabeeya ama X-qaabeeya.

Haddii gonarthrosis 3 digrii Ulasocto fasaska haragga (synovitis) ah, bararto jilibka si weyn. contours Its ku dhowaad gebi ahaanba smoothed baxay. On dusha kooxdiisa hore ee protrusion ku kooban isagoo joogtona ah oo jilicsan.

hababka lagu talinayo ee halganka

cudurada aad u daran waxaa gonartroz 3 digrii. Daaweynta waxaa ka mid ah hababka ku daweyn. Si kastaba ha ahaatee, inta badan bukaanka u baahan yahay qaliin. Xaaladdan oo kale, waxaa jira laba farsamooyinka qalliin:

1. osteotomy sax ah. Waxaa waajib ah in burburinta qayb ka mid ah carjawda. Xaaladdan oo kale, laga saaro ee ay sameeyaan koritaan lafaha isgoyska. Burburka carjawda waa lagaa saarayaa.
2. Endoprosthesis. hawlgal noocan oo kale ah waxaa la sameeyaa marxalad sare. Haddii carjawda waxaa gabi ahaanba la burburiyay, waxaa gebi ahaanba ama qayb ahaan lagu bedelay qalab macmal ah.

daawo

medicaments loo maamulay karaa iyadoo ku xiran marxaladda of orthopedist cudurka iyo dareenka qofka. Sida caadiga ah, daaweynta noocan oo kale ah waxaa lagu talinayaa haddii bukaanka waxa lagu baara gonartroz 2 digrii.

Daaweynta ku lug leedahay qaadashada daawooyinka soo socda:

1. xanuun joojiyaha NSAID. Marka cudurka this waxaa badanaa loo magacaabay by dawooyinka soo socda: "Voltaren", "Rofika" "Celebrex", "Movalis", "Nimesil".
2. Waxay cadarkan. In cudurada waxaa laga yaabaa in lagu taliyo wakiilada kululaaneysa "Gevkamen", "Espoli", "Menovazin". Haddii gonartroz adag by synovitis, bukaanka qoray cadar "Fastum", "indometacin", "butanedioic", "waajib".
3. Chondroprotectors. The daroogo ugu waxtarka badan, "Artra", "Artron", "Teraflex", "Don", "Complex Chondroitin." lacagaha waxaa loo magacaabaya muddo dheer (6 bilood).
4. Dawooyinka la gelin gudaha galay wadajirka ah. In bararka wayn ee wax ka badan 3 jeer maandooriye isku durto "hydrokortisoni", "Kenalog."
5. Means of hyaluronic acid. Waxay waxaa maamula in dembidhaafka ka dib markii caabuq wadajir ah. Codso daawo "Gialurom", "Sinokrom", "Ostenil".
6. cadaadi kulul. Waxay waxaa loo isticmaalaa in kicin ququlka dhiiga ee u wadajirka ah, sii kordhaya wax soo saarka ee cabbeeyo dheecaanka. Talinayo qaniinaa bile ama caafimaad daawooyinka "Dimexidum", "Bischofite."

Waxay jeelyihiin in wax ku ool ah in daaweyn jiray gonarthrosis waa dawo "Piaskledin". Waa daroogada ka yeela dhirta of Landkruusaro iyo avocado sameeyey. koorsada daawada dheer - ugu yaraan 6 bilood.

jimicsiga daweynta

Bukaan-socodka waa in ay ogaadaan haddii cudurka gonartroz waxa ay tahay. Waxa loo baahan yahay in la qaado si dhab ah by dhakhtar kuu ah.

In koorsada ba'an ee bukaanka cudurka waa in ay bixiyaan inta kale dhaawac jilibka ah. In mustaqbalka, hubi inaad bilaabaan inay si tartiib tartiib ah bandhigo jimicsi. Sida caadiga ah, layliyada oo dhan waa la wada oofiyey aad dhabarka u jiifto. Waxaa muhiim ah in ay gutaan fasalada digniin habsami leh. Layli ha yeelina.

Marka cudurkan waa in laga fogaado,

• fadhiisan-ups,
• socod dheer;
• flexion-kordhin ah oo jilibka ah,
• dhaqdhaqaaq kasta oo, inta lagu guda jiro kaas oo xanuun la dareemay ku jira laabatooyinka ee.

daaweynta dabiiciga ah

Si loo yareeyo bararka ee wadajirka ah, dardar-cusboonaysiinta,, si ay u joojiyaan xanuunka, hannaanka socda yaabaa in lagu taliyo:

• hadda diadynamic;
• electrophoresis la daroogada "Novocaine";
• therapy magnetic;
• UHF;
• therapy laser;
• phonophoresis isticmaalka daroogada "hydrokortisoni";
• ozocerite ama bad la shito,
• dhoobo.

qalabka lafaha

Haddii ay lagama maarmaan noqoto, wuxuu dakhtarku kugula talin doonaa orthosis gaar ah. pads Tani jilibka, ee wax adag ka dhigay, oo la xadido dhaqdhaqaaqa ee wadajirka ah. hagayo la magacaabin.

Mararka qaar xalka uu yahay kaliya qaliinka. Tusaale ahaan, haddii bukaanku gonarthrosis 3 digrii, daaweynta ayaa suuragal ah keliya in kiiska halkaas oo aysan u xanuunsado tan iyo lafo. qalliinka for 3-6 bilood, bukaanka ee u baahan dhaqan-celinta ka dib markii. Magacaabay daaweynta dabiiciga ah, daaweynta jimicsi, daaweynta ee sanatorium ah.

gunaanad

carjawda Articular ma awoodo inuu soo nooleeyo. Sidaas darteed waa mid aad u muhiim ah in la ogaado cudurka at heerka bilowga ah oo markiiba la bilaabo daweynta. Hababka Daaweynta waxaa xaq kaliya marka 1 st iyo 2 nd gonarthrosis degree. Marka socda cudurada si loo hagaajiyo xaaladda bukaanka qaliinka kaliya awoodo.