Bursitis Prepatellyarny ka kwedolo: Izimpawu kanye Ukwelashwa

Bursitis - ubulwelwe lapho abavusa isikhwama periarticular. Lokhu zokugula kwenzeka indololwane kanye kwamajoyinti. Kuzo zonke izinhlobo inflammations periarticular avame waphawula bursitis prepatellyarny we ngokuhlanganyela kwedolo. Lesi sifo sivame uma abantu ezizibandakanyile kwezemidlalo ngemva ukulimala.

Prepatellyarny bursitis: kuyini?

Phezulu joint amadolo kuyinto prepatellyarnaya isikhwama periarticular (prepatellyarnaya Bursa). Itholakala ngaphezu ivi. Sac agcwele uketshezi egqugquzela khulula beya futhi ivikela ngokuhlanganyela kusukela ngomshikisho ngokweqile. Ukuvuvukala lokhu prepatellyarnym isikhwama ngokuthi bursitis. Kanjani ukuthi kuziveza?

I-International Ukwahlukanisa Diseases ICD-10 prepatellyarny bursitis ifakwa ohlwini ngaphansi M70.4 ikhodi. Ngo leso sifo ephula ezinyakazayo engokwemvelo oketshezini isikhwama periarticular. exudate Kwakheka - uketshezi ukhululeka imithambo yegazi ngesikhathi ukuvuvukala. Okuqukethwe liquid kungaba ungenwe, okuyinto enomthelela ukuvuvukala.

Amasosha omzimba iqala ukuze alwe namagciwane, kusayithi ukuvuvukala wathumela inqwaba lymphocyte - amangqamuzana omzimba. Ukufika lymph kubangela edema, okuyinto ingenye izimpawu eziyinhloko prepatellyarnogo bursitis we ngokuhlanganyela kwedolo. Izithombe enikeziwe oboniswe ngenhla, ubonisa ukuthi singakanani kungaba ukuvuvukala kabi edolweni. Ngenxa lymph ingcindezi kwezicubu eseduze nezinzwa izimpande, kukhona ubuhlungu kwedolo. Ngokuhamba kwesikhathi, indawo ngokuhlanganyela zingase zimiswe ithumba, ngakho bursitis kulula aphathe ekuqaleni sokuthuthuka.

Kungani kukhona prepatellyarny bursitis?

Ngokuvamile, ukuvuvukala isikhwama periarticular kungenxa buhlungu kakhulu nobuka-edolweni endaweni eqinile. Ingozi yokuba bursitis prepatellyarnogo abantu singangena ehola yokuphila asebenzayo. Kodwa lokhu akulona esibangela ukushisa esikhwameni naphakathi-articular. Ungakwazi ukugqamisa izimbangela ezilandelayo bursitis:

• ukulimala edolweni njalo;
• kukhasa waguqa ngamadolo ngesikhathi sokwenza umsebenzi (isib, bursitis abavamile roofers, pavers amapulangwe aphansi, ukhaphethi zokuhlanza, Plumbers);
• hit ngqo e ukutheleleka ngokuhlanganyela ngokusebenzisa ukuzinwaya ukulimala;
• Izifo ezithathelwanayo - brucellosis, isifo sofuba, isipatsholo, ugcunsula (lezi pathologies nzima suppuration ngaphakathi komgodlana);
• isifo umzimba (isifo sikashukela, ukukhuluphala ngokweqile, sifo);
• izifo sokuhlasela kwamasosha omzimba (rheumatoid arthritis, i-systemic lupus erythematosus).

Kodwa noma yini imbangela ukuvuvukala, bursitis izimpawu ziqala ukuvela ngemva edolweni. Ngezinye izikhathi kungaba olimele, kodwa ngisho ukulimala okuncane kungabangela ukuthuthukiswa ukuvuvukala. Uma isiguli kutholakala ukuthi uphethwe yini prepatellyarny izimpawu bursitis amadolo kanye nokwelashwa kuzoya ngesimo sifo khona inqubo ezithathelwanayo.

Izimpawu amafomu acute lesi sifo

Acute bursitis prepatellyarny kwenzeka ngokuzumayo, izimpawu ukwandisa izinsuku ezimbalwa. Lesi sifo libhekene zimpawu ezilandelayo:

• Kukhona ubuhlungu obuhlabayo ku ivi. Umuntu angeke alithole ancike ngamadolo akhe, othinta noma iyiphi into izindawo ukuvuvukala esibangela izinhlungu.
• Kukhona ukuvuvukala oluqinile patella nge reddening kwesikhumba.
• Movement emalungeni iziguli kulinganiselwe.
• Ukwandiswa lokushisa komzimba, kukhona umkhuhlane jikelele.
• Ubuhlungu buba bukhulu nakakhulu uma ephenya ukuvuvukala.

Izimpawu yefomu ezingamahlalakhona lesi sifo

In the ukungabikho ukwelashwa okufanele ngoba bursitis acute kuba amahlala khona. Okungalapheki ukuvuvukala kungenzeka nge ingcindezi isikhathi eside ku-joint nedolo kwasebekhulile. izimpawu Clinical ukuvuvukala kukhona ukuhluka. Kusese ubuhlungu, ububomvu kanye ukuvuvukala ngokuhlanganyela kwedolo. Iba odongeni mkhulu we sabefundisi, ngenxa yalokhu, endaweni ngokuhlanganyela zingandiswa ngobukhulu izikhathi eziningana. Kukhona umuzwa izigaxa ngaphakathi patella ngenxa kumiswa emphethweni udonga isikhwama periarticular.

Izimpawu bursitis ubovu

Uma naphakathi-isikhwama etheleleka, kukhona iqhubeka ngaphakathi komgodlana. Izimpawu zesifo kukhona ngoyisiwula kusinda kakhulu.

• Cijela izinga lokushisa likhuphuka, impilo jikelele isiguli liwohloka.
• Isikhumba emalungeni iba hot touch, ububomvu libizwa.
• Wezwa ubuhlungu futhi throbbing emalungeni.

Imiphi imiphumela kungaholela bursitis?

Iqhubeka bursitis prepatellyarny zidinga ukwelashwa esiphuthumayo, ngaphandle kwalokho ithumba ungasakazekela kwamanye amathishu noma aphule ngokwakho. Lokhu kuholela yezinkinga:

• Uma Ukuvutha ithumba abe isitsha esihle igazi, kungase yegazi elinobuthi - sepsis.
• Esikhathini Lokusakaza ukuvuvukala suppuration wethambo osteomyelitis eseduze zingaqala.
• Uma ubovu ukuvuvukala isakazekela enyameni ezungezile kanye lymph node, kukhona ithumba futhi lymphadenitis.
• Ubomvu kungavela sabefundisi ngqo emalungeni. Khona-ke kukhona ifomu okunzima ubovu Arthritis.
• On the isikhumba kwakhiwa fistulas. Iziteshi It okuqukethwe ubovu evelayo ngemva ithumba self-ukuphumelela esikoleni sobufundisi.
• Isikhathi eside prepatellyarnom bursitis amadolo esitho kungaba ingxenye ulahlekelwe motility.

Kangakanani bursitis ebuntwaneni

Bantwana awekho ngaphansi prepatellyarnomu bursitis. isisindo sabo sincane kakhulu, futhi lapho ingane uwela ngamadolo akhe, khahlela uphendulela abangelutho. Izingane ezingaphansi bursitis unyaka owodwa akuvamile iyagula futhi ezithathelwanayo, njengoba kid ngamunye uye amasosha omzimba wadluliselwa unina. Indlela kungenzeka bursitis isifo ezinganeni - edolweni kanye waphuka. Kodwa ingane ngokuvamile amathambo nezimo kanye waphuka ngokushesha coalesce. Bursitis ungaqala izingane kuphela uma usizo nge idolo ephukile enikeziwe sekwephuzile.

Kodwa intsha ngokuvamile uhlushwa bursitis. Bursa ukuvuvukala kwenzeka ukuthomba abafana abathanda yokuphila asebenzayo, futhi wagamanxa ezemidlalo. Lokhu kwenzeka ngokuvamile kakhulu ngemva kokulimala ngesikhathi sokuqeqeshwa. Kunesinye futhi isizathu bursitis intsha isifo. Ngalesi sikhathi, izingane ziyakhula ngokushesha. Ngezinye izikhathi ukukhula emalungeni ngemuva ukukhula jikelele umzimba. Bese e intsha esikhulakhulile uqale nezinkinga nge amalunga omzimba, kuhlanganise bursitis kwedolo.

sitholakele isifo

Ngokuvamile uphethwe akunzima udokotela ngenxa isici isithombe isifo. Ukuvuvukala futhi ububomvu endaweni ye ivi kakade ebonakalayo ngesikhathi luhlolo lwangaphandle. Nokho, kwesinye isikhathi kuqakathekile ukuhlukanisa bursitis prepatellyarny kusukela ezinye izifo futhi ukulimala ngisho namalungu: osteoarthritis, synovitis, osteomyelitis, umsipha ukudabuka. Khona-ke udokotela ekunika izindlela ezengeziwe lokuhlolwa:

• X-ray of kwamadolo;
• Ultrasound kwamadolo;
• MRI;
• lubhoboze Bursa ukufunda uketshezi ngokuhlanganyela.

Lokhu kuzosiza ukuhlola isimo isikhwama periarticular, izicubu namathambo ukuba imiphumela yocwaningo ezizungezile lokwenza ukuxilongwa futhi zibeka ukwelashwa.

Indlela esiphatha ngayo bursitis noninfectious?

Ukwelashwa prepatellyarnogo bursitis umsuka ezithathelwanayo ngokuvamile olandelanayo. Wokubhoboza senziwe kuphela uma sabefundisi esiye zanqwabelana okuningi yegazi ngemuva kokulimala. Isidingo salokhu inqubo kufanele lihlukaniswe udokotela ukuba khona, njengoba kukhona ingozi encane yokutheleleka.

Isinyathelo sokuqala ukunikeza okusele esitho ethintekile. INSIMU uvalwe ligated ngebhandeshi ngokuhlanganyela licindezele isicelo uma kunesidingo. Lapho izinhlungu zithi ezinqunyiwe analgesics. Lapho eqinile ubuhlungu imijovo "Prednisolone" e egobolondweni lelunga. Ukwelashwa amafomu okukhulu bursitis kuthatha cishe 7-10 izinsuku.

Indlela ukwelapha bursitis njalo kwedolo?

Lapho ekwelapheni bursitis prepatellyarnogo ka kwedolo e izidakamizwa ezingalapheki ze-non-steroidal anti-inflammatory kuyabekwa: "diclofenac", "Nise", "Nimesil", "i-ibuprofen".

Physiotherapy osetshenziswayo:

• massage;
• electrophoresis;
• ikhasi lesikhwama sasekhaya;
• Ukwelapha magnetic;
• ukwelashwa ultrasonic;
• ukwelashwa laser.

Uma Bursa zanqwabelana exudate ukuvuvukala, i wokubhoboza wenziwa.

Ukwelashwa purulent bursitis

Uma bursitis kuyinto imvelaphi ezithathelwanayo futhi kakade iphutha ikhule ke ukuchitha umgodi amanzi. Yenza obukhulu inaliti wokubhoboza futhi ubomvu ziyakhishwa. Periarticular isikhwama ingaphakathi ubizwa wageza nezixazululo kwamaphilisi kanye antiseptics. Ngemva le nqubo, isiguli kuboniswa ukuphumula zomzimba.

Linqume inkambo elwa namagciwane izidakamizwa ezibanzi-bohlu. Ubude yokwelashwa ngemithi elwa namagciwane imayelana 1-3 amasonto. Bekanye izidakamizwa elwa namagciwane udokotela ekunika ama. Uma isiguli ukhathazekile izimpawu zokudakwa (uphethwe yikhanda, isicanucanu, ukuhlanza, lokushisa), khona-ke ubeke weThrojani ngesixazululo sodium chloride, "Perftoran" "Ringers". Ngemva ukususwa ubomvu ukuchitha ekwelapheni glucocorticoid izidakamizwa Physiotherapy.

ukusebenza

Kuyinto indlela ezinkulu kuhlinzwa ukwelashwa prepatellyarnogo bursitis we ngokuhlanganyela kwedolo. Yenza imbobo bese ususa Bursa kuyadingeka uma kwenzeka ukuthi ngenxa ubuhlungu obukhulu umuntu ulahlekelwa ikhono ukuhamba futhi ukuzinakekela. Lokhu kusho ukuthi izindonga isikhwama periarticular uqweqwe ukuze sabefundisi ayikwazi ukunikeza ilunga beya. Ngemva kokuhlinzwa, isiguli zingakapheli izinsuku 3-5 egqoke idolo Ilokhi ekhethekile. Khona-ke, lo dokotela utjho Yiqiniso ukuze athole ukwelashwa komzimba. Ngokuvamile ngemva kokuhlinzwa umuntu ngoba ngenyanga emuva ekuphileni okuvamile. Ncika amadolo sore kungaba izinyanga 2-3.

izindlela Traditional nokwelashwa bursitis

Izindlela zokwelapha ngaphandle Ikhaya ingase isetshenziselwe bursitis njengendlela yokukwenza aphelele. Ngaphambi kokuthi usebenzise of imithi yendabuko, bonana nodokotela wakho. Bursitis kungasiza ukulibopha kusuka imifino. Kuyasiza amaphakethe enye amazambane, beet kanye iklabishi. Imifino kudingeka bonyana asetjenziswe emalungeni iziguli ebusuku. Ngobusuku bokuqala on the spot obukhulu abeke ezinye amazambane eluhlaza cut, amboze lesikwa futhi iteyipu up. Ngobusuku besibili udinga usuphinda ne beet, kanti eyesithathu - ne iklabishi.

Can ukungezwa amanzi ngenxa decoction okugeza pine izinaliti, Izigaxa amahlumela awo. Zonke izithako kufanele zifakwe emanzini imizuzu 30, bese sokunika umhluzi amahora angu-24. akhiphe Ready kufanele kube esinsundu. Umhluzi yengezwe amanzi, futhi imizuzu 20, ugeza. Idinga mayelana 1.5 amalitha akhiphe. Bursitis ewusizo ukusebenzisa ngaphakathi ingxube propolis ne bhotela. Kuyadingeka ukuxuba izithako ezingxenyeni alinganayo. Ukwakheka ukuthatha 1 ithisipuni kathathu ngosuku. Kungcono ukusebenzisa esebenzisa propolis 1 ihora ngaphambi kokudla.

Indlela yokuvimbela isifo?

Ukuvimbela ukuthuthukiswa bursitis prepatellyarnogo, kubalulekile ukuvikela kwedolo kusuka ngokweqile futhi ukulimala. Lokhu kuyiqiniso ikakhulukazi ngokuphathelene nalabo ezizibandakanyile kwezemidlalo. Amazing ngalinye kumele kuqale nge up efudumele. Uma, nasenta imisebenti nemidlalo kunobungozi edolweni, isidingo sokuvikela amadivayisi ezikhethekile ngokuhlanganyela (amadolo pads). Lokhu kuzosiza ukuvimbela ukulimala kabi kanye nezinkinga ngendlela bursitis prepatellyarnogo. Esikhathini isithombe esingenhla ungabona eyodwa yalezi amadivaysi sokuphepha kwedolo. Lapho isikhumba ezilimele kumelwe bobabili amanxeba kanye imihuzuko Cishe magciwane izingoma kungenziwa kusetshenzwe futhi ibhandishi. Lokhu kuzosiza kugwenywe Ukungena esikhwameni periarticular. maqondana kuphela emalungeni ukwelashwa esifike ngesikhathi kungakusiza ukuba ugweme ukulimala bursitis.