I-osteoarthritis yeminwe: izimpawu kanye nokwelapha

Ukuxilongwa okunjalo, okufana ne-arthrosis yeminwe, kubhekwe ikakhulukazi asebekhulile, ikakhulukazi abesifazane. Lokhu kubangelwa ukuthi ngenkathi yobudala, abameleli bobulili obuhle bezinguquko ze-hormone emzimbeni futhi kunciphisa ukukhiqizwa kwe-collagen. Lesi sifo sibonakala ukwehla ekuhambeni kweminwe, futhi ifomu layo elingapheli liholela ekwenzeni ukungasebenzi kwemisebenzi yezandla kanye nokuguqulwa kwamajoyina. Ukulimala kwesikhwama esivumelanisiwe kubonakala futhi. Ngakho yini i-arthrosis yeminwe? Izimpawu nokuphathwa kwalesi sifo kuzoxoxwa ngokuningiliziwe kulesi sihloko.

Izici ze-arthrosis zamalunga eminwe

Lokhu ukukhubazeka kubathinta kakhulu asebekhulile. Izakhiwo ze-articular ziphelelwa yisikhathi, isikhathi samathambo siyancipha, kunomunwe we-cartilage, ukuphazamiseka kwawo, ukuphuma kwamathambo kwenzeka. Isifo esingelashwa sithinta ukuvinjelwa kweminwe, ukubukeka kobuhlungu obunzima, okwandisa ngomthwalo emajoyini, ukunyakaza kunciphise, nokuqina kubonakala. Ezimweni ezihlulekile, umuntu akakwazi ukwenza izinto eziyisisekelo: akunakwenzeka ukuthatha imfoloko ezandleni zakhe noma ukukhipha isembozo ebhodleleni.

Izimbangela ze-pathology

Isizathu esiyinhloko sesimiso se-pathological isifo esiyimvelo. Uma othile emndenini enesifo esinjalo, khona-ke amathuba okubonakala kwawo esizukulwaneni esilandelayo nawo aphezulu.

Esinye isizathu esibangelwa i-arthrosis yamalunga eminwe kuthathwa njengomthwalo owengeziwe kule ndawo. Iqembu eliyingozi ekuthuthukiseni lesi sifo kuhlanganisa lezo zisebenzi njengopiyano, ama-masseur nabasebenzi behhovisi. Umsebenzi wezokugcina uhlobene nokuthayipha okuqhubekayo kombhalo kukhompyutha.

Lokhu kubangela ukuvela kwesifo sesifo sikashukela, izifo zesimiso se-endocrine. Ukuhlelwa kabusha kwe-hormonal yenyama yowesifazane ngesikhathi sokuya esikhathini kuholela ekunciphiseni izinga le-estrogens, okuholela ekulahlekelweni komswakama, okubangela ukuba izicubu zomzimba zibe mncane, futhi amathambo namalungu agxile.

Isizathu esivame kakhulu sokuthuthukiswa kwe-pathology kukhona ukulimala kwamajoyini esibuko kanye nemigqa yeminwe, ikakhulukazi lapho kwenzeka intukuthelo. Futhi, ukutholakala kwalesi sifo kubangela ukuhlukumeza utshwala, ukubhema, ukushisa okuvamile, ukukhulelwa komzimba obuthakathaka, ukuvezwa kwemisebe, ukuphazamiseka kwe-endocrine, ukusabela okweqile, izifo ezithathelwanayo (chlamydia).

Izimpawu

Uma i-arthrosis yeminwe ivela, izimpawu zalesi sifo zingase zihluke. Uma uhambisa iminwe yakho, kukhona ubuhlungu obukhulu futhi obuhlungu, okwathi emva kwesikhathi buba bukhuni. Kukhona ukuqina kwamajoyina, okubonakala kakhulu ohlangothini, kanti indawo ethintekile iqala ukuvuvukala. Imisipha ye-perioticular isivele isesimweni esicindezelekile. Izimpawu ezinjalo ziwuphawu lwesigaba sokuqala sesi sifo, lapho kukhona ukulahleka kokuqina kwesigxobo esikanye.

Esigabeni sesibili i-cartilage iba mncane futhi ikhubazeke. Kukhona ubuhlungu obuqhubekayo, ukunyakaza kweminwe kuyancipha, indawo ethintekile iphenduka ebomvu, izinga lokushisa lomzimba likhuphuka. I-Puffiness iqala ukwandisa ngisho nangaphezulu, futhi umunwe noma yonke ibhulashishi ilahlekelwa ukuzwela kwayo.

Isigaba sokugcina sesifo, njenge-arthrosis yeminwe, sihambisana nokubhujiswa okuphelele kwe-cartilage, ngobuhlungu obukhulu, iminwe yokubola, nezinguquko ngobude. I-Tumescence nokuvuvukala endaweni ethintekile kudlula emagqumeni kaBushard noGeberden. Ukwakhiwa kokuqala kwenzeka emahlanganisweni aphezulu eminwe, okwesibili - phakathi. Amalunga namathambo aphelile, iminwe ishiya ukuhamba. Ama-appendages esikhundleni se-cartilage kumathambo angaphandle.

Uma, kuleli cala, akukho ukwelashwa kwe-arthrosis yeminwe, kungenzeka ukuthi ungakwazi ukusivimbela ngokuphelele isandla. Ama-nodules akhiwe ngokuvamile ahambisana nesifo esinjengesi-rizartroz, esithinta isisekelo sesithupha, izimpawu ezifana ne-arthrosis evamile.

Ukuxilongwa kwesifo

Ukuze uhlolisise i-arthrosis yeminwe, udokotela uhlola isiguli futhi anikeze indawo ethintekayo. Ukuze kucacise ukuxilongwa, udokotela uthumela isiguli emisebeni ye-radiograph kanye negazi. Ukukhubazeka kwamathambo, ukugxilwa kwezingxenyana zamalungu angathintekile, nama-osteophyte angabonakala ngokucacile emifanekisweni etholakalayo. Ukuhlolwa kwegazi kufanele kube ngaphansi kwemingcele evamile, kanti uma kukhona ukwehlukana, udokotela uqala ukuvela kwezinye izifo, ezibi kakhulu, isibonelo, isifo samathambo.

Izindlela zokwelapha

Uma i-arthrosis yeminwe ivele, indlela yokuphatha ngayo Lokhu kuphila? Umphumela uzosebenza kakhulu uma wenza ukwelashwa okuyinkimbinkimbi, okufaka izindlela ezinjengokuthi:

• I-Physiotherapy;
• Ukuphambana, ukusikhipha;
• Ukusetshenziswa kwemithi;
• Imithi yendabuko;
• Ukwelapha okuhlinzwa.

Umphumela ophawulekayo uthola uma usebenzisa amafutha. Ziyakwazi ukuqeda ubuhlungu, ukubuyisela ukuhamba, ukwandisa ukugeleza kwegazi endaweni yesifo. Imithi enjalo ihlanganisa "i-Diclofenac", "i-Indomethacin", "i-Voltaren-Emulgel", i- "Dolgit-cream", "i-Butadion".

Esikhathini sokuqala, ithuba lokuphelela okuphelele kwe- deforming arthrosis yamalungu e- interphalangeal nokubuyiselwa kwezicubu zesikhumba kusekhona okuhle. Esikhathini sesibili sesi-3, ukukhubazeka kungenakuphika. Kulesi simo, udokotela ubeka imithi yokwelashwa ehlose ukuvimbela izinguquko ezengeziwe nokubhujiswa kwezicubu.

Imithi

Uma i-arthrosis ivela emahlanganisweni eminwe yezandla, ukwelashwa kuvame ukwenza ngemikhiqizo yokwelapha, okumele yenziwe ngumdokotela kuphela.

Isigaba sokuqala lesi sifo asivami ukuphathwa ngemithi. Ngokuvamile isiguli sithola inkambo yokwelapha ngosizo lwama-chondroprotectors (chondroitin sulfate ne-glucosamine), esiza ukubuyisela izicubu zomzimba futhi ziwondle. Kuphumelela kakhulu esigabeni sokuqala ukwenza izinqubo ze-physiotherapy. Kudingeka futhi ukuthatha amavithamini namaminerali. Ngosizo lokufudumala kucindezela isifo sobuhlungu sisusiwe.

Isigaba sesibili sesifo sihambisana nokuvela kobuhlungu obukhulu, ukuvuvukala nokuhamba kahle kwamalungu. Udokotela kuleli cala ukhetha izidakamizwa ezingekho-steroidal ezilwa nokuvuvukala (Ibuprofen, Indomethacin, Ketoprofen, Butadion, Diclofenac, Piroxicam), izimboni ze-chondroprotectors kanye ne-hyaluronic acid. Ukwelashwa kwe-arthrosis kunconywa ukuba kwenziwe ngendlela eyinkimbinkimbi, ngakho-ke, inkambo yokwelapha ihlanganisa nokusetshenziswa kwe-vasodilators. Ngokuyinhloko yi "Pentoxifylline", "Agapurin", "Theonikol".

Esigabeni sesithathu, ngokuvamile usuvele usebenzisa ama-painkillers anamandla nezidakamizwa eziphikisayo, ezifana ne- "Naiz", "i-Fastum-gel." Ukwelashwa okuhlinzekwayo kwenziwa lapho zonke izindlela ezingenhla zingasebenzi, futhi ukuguqulwa kwezicubu ezinomdlavuza kwaholela ekulahlekelweni okuphelele kokuhamba kweminwe.

Ukwelashwa Kwekhaya

Uma kukhona i-arthrosis yamalunga eminwe yezandla, ukwelashwa kwenziwa kanye nezindlela zomuntu. Kodwa ziqondiswa ukuba zingalwi nezimpawu, kodwa ziqinisa ukuzivikela futhi zibuyiselwe umzimba.

Kunezindlela ezilandelayo zokwelapha lesi sifo ekhaya:

• Ukuzivocavoca umzimba okugqugquzela ukushisa okunamandla kwamajoyini nokuthungwa kwemisipha;
• Ukuhambisana nokudla, kodwa ukudla akuvunyelwe;
• Ukuvakashela i-sauna, igumbi le-steam elisebenzela izinqubo zokusebenzisa umzimba futhi linciphisa izicubu zomzimba;
• Ukusetshenziswa kwe-hirudotherapy, ngoba izinto eziqukethwe emathini wezinhlayiya zihlanza igazi futhi ziqede isifo sobuhlungu;
• Ukwelashwa ngamakhambi, kodwa kulokhu, kufanele uqaphele, ngoba ukuphathwa ngesikhathi esisodwa ngezidakamizwa ezingezona ukuvuvukala okungeyona isifo steroid kubangela ukusabela okuqinile kwe-allergenic.

Izinyathelo zokuvimbela

Ukuze ugweme isifo esinamandla njenge-arthrosis yeminwe, odokotela batusa ukunakekelwa kwezinyathelo zokuvimbela, okungukuthi:

• Ukuzivocavoca umsebenzi owenziwe ngokomzimba;
• Gcina izandla zakho zifudumele, ungazivumeli ukuba zipholile;
• Landela ukudla okunempilo efanele.

Izinyathelo zokuvimbela ezinjalo yiyona ndlela engcono kakhulu yokwelashwa kweminwe.

Isiphetho

Ngakho-ke, sithole ukuthi yi-arthrosis yeminwe, izimpawu kanye nokwelashwa kwalesi sifo nakho kwacatshangelwa. Lezi zifo zivela ikakhulukazi kubantu asebekhulile, lapho umzimba usuphele. Lesi sifo sibangela ukuzwa okungathandeki, futhi ubuhlungu obukhulu. Kubalulekile ukungaqali leso sifo, futhi uma zonke izincomo zikadokotela zilandelwa, kutholakala ukutholakala okugcwele.