Arthrosis ko osteoachrosis na gwiwa hadin gwiwa wani cuta ne wanda ke faruwa a kan asalin canje-canje na Dystrophic tare da ci gaban da aka makala da ci gaban nama. Akwai dalilai da yawa da suka shafi ci gaban cutar, amma dukansu suna haifar da cin zarafi na metabolism a cikin Carelage. A cikin littattafan likitanci, ana kiranta hadin gwiwa a gwiwa.
Dangane da ƙididdiga, Gagarthrosis ya mamaye jagorar jagora cikin yawan abin da ya faru a tsakanin sauran fasahar. Cutar tana kawo rashin jin daɗi, wanda zai iya ci gaba cikin zafi yayin tafiya da hutawa.
Sanin bayyanar cututtuka na farko zai taimaka wajan ci gaban cututtukan fata da warkar da shi a cikin farkon matakai.
Dalilai
Dangane da rarrabuwar likita, akwai firamare da sakandare da sakandare ko arthrosis na gwiwa hadin gwiwa.
Arthrosis na gwiwa hadin gwiwa na gwiwa na iya faruwa a kan asalin cututtuka daban-daban ko kuma a matsayin rikicewar su. A lokacin da, saboda ba a sani ba ko kuma a asibiti hoto, ana kiranta ainihin dalilin, amma idan ana kiran dalilin, to idan ana kiransa sakandare.
Arthrosis yana haifar da shekaru kusan dukkanin mutane, a matsakaici, wannan lokacin ya fara bayan shekaru 45-50 na rayuwa.
A hanya da pathogeneis na firamare da sakandare na sakandare iri daya ne kuma basu dogara da sanadin abin da ya faru.
Mafi yawan dalilan Arthrosis da osteoachrosis na gwiwa hadin gwiwa sune:
- rauni lalacewa ga gwiwa;
- hadin gwiwa a ciki da waje;
- rage daga daya reshe;
- hypermal hypermiko na hadin gwiwa;
- chondroblast dysplasia;
- Clintinosis na Carelage;
- osteomyelitis na femur da Tibiya;
- Rheumatoid Arthritis ko zane na wani Etiyanci;
- glucose metabolism;
- Cututtukan metabolic da cututtukan hormon.
Raunin raunin. Bayan sun sami rauni a gwiwa a cikin hadin gwiwa, kumburi tare da babban abin da ya dace da kwatancen na iya ci gaba. Bayan bacewar wakilai na ProanFlammator, da matakai na gyara ko Arthrosis an kunna shi.
Mafi sau da yawa, cutar tana faruwa a kan bango karaya tare da lalata jijiya da lalacewar jaka da kuma gurin gyaran hadin gwiwa.
Nakasassu na haihuwa. Valgus ko bambance bambancen ɓarna da yawa ana samun sau da yawa kuma ba tare da gyara daidai ba zai iya rikitarwa ta hanyar canje-canje na ƙwayar cuta a gwiwa. Wannan na faruwa saboda gaskiyar cewa ɗayan gwanayen ya faɗi fiye da nauyin fiye da yadda ya kamata.
Rage daga kowane daga cikin ƙananan ɓarna. Kazalika da nakasar, a cikin cututtukan cututtukan ciki, a cikin yanayin ci gaban cutar, rarraba rashin nauyi a gwiwowi yana taka rawar.
Hypermors na gwiwa. A cikin wannan halin, sa na guringage nama na gwiwa hadin gwiwa na gwiwa na iya faruwa tare da m tsagewa da kuma lalacewa a cikin arthrosis. Hypermorsion sau da yawa yana haifar da discaragguran ra'ayi da sprains na haɗin gwiwa.
Hannun -haired dysplasia. Saboda rashin ci gaban motar motar a cikin gwiwa hadin gwiwa, wani ci gaban cuta ta nama ta faru.
Clintinosis na hadin gwiwa. Pathogenesis ya dogara da ajiya na satar gishiri a cikin haɗin gwiwa da samuwar wani takamaiman hazo, wanda ke haifar da canji tare da m ostearthritis.
Osteomyelitis. Cutar na kumburi wanda lalata kasusuwa da gidajen abinci ke faruwa. Na farko, andlososis kuma kawai sclerosis an kafa.
Arthritis na kowane aiki. Mafi haɗari sune Arthratis na Rheumatoid, tare da cututtukan ƙwallon zuciya da gidajen abinci.
Ciwon sukari, kamar cuta na metabolism, yana haifar da cin zarafin kwararar abinci mai gina jiki a cikin haɗin gwiwa da sprout na guringuntsi.
Kiba. Tare da babban nauyi na jiki, manyan ribs suna kan gwiwoyi yayin tafiya da kuma a tsaye. Sakamakon matsin lamba na yau da kullun, jinin jini zuwa ga haɗin gwiwa na gwiwa yana raguwa, da kuma atrophy tare da dystrophy mai tasowa.
Bayyanar cututtuka
Bayyanar cututtuka tare da Arthrosis na gwiwa dogaro da mataki na tsarin ilimin. Dangane da wannan, nazarin alamomin da kuma girman haɓakarsu, zaku iya tantance sikelin canje-canje a cikin ƙwayar carilage.
Bayyanar cututtuka na gwiwa na gwiwa:
- gaban saututtukan cututtukan cuta yayin motsi;
- sorewa bayan kaya ko a hutawa;
- rage ayyukan;
- m da hadin gwiwa;
- fasahar cututtukan ruwa, karaya da subluxation;
- Jamming na wucin gadi wanda zai iya faruwa yayin juyawa da fadada hadin gwiwa.
Danna da crunch ba a lura da shi nan da nan, kuma idan sun lura, ba su biya saboda kulawa. Sauti na pathological gamuwa da ra'ayin cewa tsari tsari tare da ajiya na salts ko samuwar osteofhytes na faruwa a cikin ramin guringage.
Jin zafi yana faruwa ne saboda kirkirar kalti ko osteofhyes. Da farko, ba a bayyana cutar syndrome ba, daga baya ya bayyana kawai da safe kuma ya wuce bayan abincin rana, tare da ci gaba da cutar, da ci gaba na hutawa.
An bayyana raguwa a cikin ayyukan haɗin gwiwa a cikin taurin motsi da raguwa a amplitude. Ya danganta da mataki, ƙanƙan da motsi na iya samun wani lokaci da wucewa a hutawa.
Edema yana faruwa ne saboda kumburi da hyperersecreation na synoal ruwa. Hakanan akwai zaɓuɓɓuka lokacin da fatar ta mamaye gidajen abinci. Irin waɗannan bayyanar cututtuka na iya zama tare da zazzabi ko zazzabi.
Doka da sassauci faruwa saboda dalilin cewa tsari ya shafi ƙasusuwa da jijiyoyin gwal na gwiwoyi.
CO CAMRing wani yanayi ne da ya shafi motsi a cikin kowane yanki ya iyakance. Irin wannan alamar tana nuna sakaci da tsari da kuma buƙatar hadadden magani.
Digiri na arthrosis
Rarraba ostearthritis bisa ga wadannan alamun:
- bayyanar cututtukan radial;
- bayyanar asibiti;
- Bayanan dakin gwaje-gwaje.
Mafi yawan abin da ya fi dacewa da kuma daidaitawar ra'ayi shine radiological, yana da sauƙi kuma mai fahimta ko da mutane ba tare da ilimi ba.
Dangane da X -Rays, digiri hudu na Arthrosis a cikin Gwanin Gwanin a gwiwa an rarrabe hadin gwiwa:
- Rage raɗaɗin haɗin gwiwa yana ƙanana, kuma babu osteofhytes;
- Ba a karkatar da gibin intrspoint ba, amma akwai alamun ƙananan ƙimar allura ko osteofhy.
- Gagu na Interspoint yana da magana mai kunkuntar, akwai osteopyetes, rashin daidaituwa na haɗin gwiwa yana farawa;
- Rashin rakodin hadin gwiwa, nakasar kasusuwa, andklose da dystrophy.
Game da hoton asibiti, an rarrabe matakan da ke gaba:
- Matsakaicin digiri-bayyanar cututtuka marasa ƙarfi, suna faruwa da safe kuma wuce minti 30-60 bayan farkawa;
- Matsakaicin digiri shine bayyanar cututtuka, jin rashin jin daɗi kafin cin abincin rana, kumburi ba ta da yawa, yana ci gaba da sauri ba tare da magani ba;
- Matsakaicin digiri - halin jin zafi mai wahala, rashin jin daɗi baya wucewa har sai abincin dare, andlose, Burgis da Santis na haɗin gwiwa na gwiwa ci gaba.
Ana la'akari da gwaje-gwaje na karkatarwa, ana yin alamun soya da leiyocytes. Hakanan wajibi ne don bincika kasancewar factor na rheumatooid.
Hanyar bincike
Cigaba da cutar ta Arthrosis na haɗin gwiwa ba mai rikitarwa ba, amma yana buƙatar wasu ƙwarewa daga likita.
An rarrabe nau'ikan matakan bincike guda biyu:
- bincike na dakin gwaje-gwaje;
- Bincike na kayan aiki.
Don madaidaicin ganewar asali, kowane ɗayan hanyoyin ya kamata a la'akari da kuma bincika hoton gaba ɗaya.
Ɗakin bincike
Idan ana zargin arthrosis, likitan da yake halarta ya nuna masu zuwa gwajin nan:
- Jin jini da fitsari;
- gwajin jini na biochemical;
- ƙudurin ƙwayoyin cuta zuwa ga factor na rheumatoid;
- Ƙayyadadden abubuwan rigakafi zuwa ƙwayoyin nasu.
Bayanin dakin gwaje-gwaje bai aiwatar da bayani game da matakin ci gaba da cutar ba.
Na kayan aiki
Cikakken kayan aikin ganowa na Arthrosis ya haɗa da waɗannan hanyoyin:
- radiog a cikin tsarin tsinkaye biyu;
- m arthroscopy;
- Bincike na UZD;
- CT;
- MRA;
- Scintibraphy (bisa ga alamu).
An yi nufin tantance canje-canje a cikin haɗin gwiwa kuma don tantance yanayin guringuntage.
Lura
Jiyya na Arthrosis na gwiwa hadin gwiwa ne mai tsawo. Tsawon lokacin jiyya ya faru ne saboda gaskiyar cewa sake gyara ƙwayar kumburi ya faru a hankali, kuma a wasu lokuta ba shi yiwuwa a dawo da haɗin gwiwa.
Hanyoyin zamani na kula da Arthrosis a cikin gwiwa a gwiwa sun hada da manyan matakan da suke niyya a cire kumburi, da kuma inganta metabolange nama.
Akwai irin waɗannan hanyoyin na magani:
- Magungunan magani;
- Motsa jiki da tausa;
- maganin mutane;
- Kuɗin Kuɗi.
Likita ya nuna jiyya dangane da tsawon lokacin cutar, mataki na ci gaba da bayyanannun asibiti.
Magunguna
Magungunan magani yana da niyya ne wajen more jin zafi da kuma rashin kumburi dauki. A saboda wannan dalili, an wajabta kwayoyi masu zuwa:
- wanda ba -sinflammator da ba;
- chondropotecteror;
- gluctocorticoid;
- cytostatic.
Allunan daga Arthrosis na gwiwa hadin gwiwa suna da tasirin sakamako, a cikin magani yana da mahimmanci don saka idanu akan yanayin gastrointestinal da kodan.
Sau da yawa, magunguna don Arthrosis an wajabta na dogon lokaci, don haka ya kamata a zaɓi mafi ƙarancin guba.
Darasi
Jiyya na Arthrosis ta amfani da maganin motsa jiki ana yin nufin ƙarfafa tsokoki da jijiyoyin gwiwa na gwiwa. Tare da dened hours a cikin carilage na rashin lafiya hadin gwiwa, metabolism ya inganta, da kuma hanyoyin sake kara aiki.
Ya kamata a zaba shi daban-daban da-cikin aiwatar da matakin cutar marassa lafiya da ƙarfin jiki.
Tausa
Massage na gwiwa hadin gwiwa yana ba ka damar inganta gudana da kuma rage rashin jin daɗi. MAFARKI YARA ZAI IYA GAME DA GASKIYA DA ANKYLESS da gidajen gwiwa.
Jama'a
Jiyya na Arthrosis na gwiwa hadin gwiwa a gida kada ya zama babbar hanyar magance chology, ko kuma yi kawai aiki a matsayin ƙari ga miyagun ƙwayoyi.
Jiyya na gidan ya hada da:
- raguwa cikin nauyi na jiki;
- Normalization na aikin aiki da bin doka da oda;
- Yaƙi da kumburi.
Tasirin anti -inflammatory yana da irin wannan ganyayyaki:
- Tincture daga thyme da St John's wort;
- gandock din;
- farin kabeji ganye;
- Infusions da dabi'a daga Dandelion da kuma Chamomile.
Aiki
An tsara aikin tare da rashin ingancin ra'ayin mazan jiya ko kuma bukatar mai haƙuri. Daya daga cikin manyan abubuwan nuni ga gidan ibada shine mataki na 4 na cutar ta hanyar halaye na radiological.
A yayin aikin, likitocin zasu iya maye gurbin hadin gwiwa tare da endoprostesis ko canza ɗayan sassansa.