Chondromatosis yemabvi: tsanangudzo, zviratidzo, zvinokonzera uye kurapa

Chimwe chezvinhu zvinotyisa zvikuru zvechirwere che synovial hapana mubvunzo kuti chondromatosis yemabvi akabatanidzwa. Pamusoro pezvinokonzera, zviratidzo uye kurapwa kwechirwere ichi kukwana ruzivo, mazana ezvesayenzi nemabasa ekurapa anozvipira pakuongorora nyaya iyi, asi kusvikira nhasi masayendisiti haana kuwana nzira dzakanakisisa dzokurwisa chirwere chacho.

Tsanangudzo ye chondromatosis

Kana iwe uchiedza kurondedzera chirwere mumashoko maviri, iwe unogona kutaura kuti inoratidziro yehutano hwekunyora kwezvikamu. Kana chirwere chacho chichikura, synovial membrane tissues inokurumidza kuwana chivako chakanyanyisa, chinotungamirira pakuonekwa kwezvizhinji zvezviputi zvinopisa uye kuputika kwechimiro. Mune mamiriyoni akawanda emakwenzi, chondromatosis yemabvi akabatanidza inotungamirira murwere kuremara.

Mukuwedzera, chikuru chinotyisa muhosha yacho ndechekuyerera kwayo. Kazhinji kacho, chirwere hachizviratidze kwenguva yakareba. Pazvikamu zvekutanga zvekufungidzirwa kwehutachiona hwehutachiona hwehutachiona hunenge husingaitiki nekuda kwekusavapo kwekutambudzika mumurwere. Kuchinja kunoitika zvishoma nezvishoma, uye kazhinji zvinogoneka kuona chirwere ichi chave chekare apo zvidimbu zvegoroti inokura zvinowira munzvimbo dzomukati.

Zviitiko zvekurwara uye mapoka emagariro

Nzira yechirwere ichi inowanzoenderana nechikonzero chakakonzera. Semuenzaniso, hutano ndeimwe yezvinokonzera zvikonzero zvekubatanidza chondromatosis. Zviratidzo uye kurapwa kwechirwere munyaya iyi kunewo zvimwe zvinhu. Chondromatosis inowanzoonekwa kune varume vane makore 20 kusvika ku40. Panguva imwechete muhuduku, chirwere chacho chinosimbiswa kwazvo kazhinji. Pakati pezvikonzero zvakasiyana siyana zvekukura kwetiketeti zvakakodzera kuziva:

• Kutapukira kwemuviri - ingress yepathogenic microorganisms inokonzera kusagadzikana kwechimirochemical muitiro muropa, izvo zvinoita kuti kuora kwechikamu chechinovial;
• Kukundikana mune metabolism yezvibatanidza maviri;
• Kunyanya kuora mwoyo mupfungwa, kuchinja mamiriro emakumbo emabvi;
• Intensive sports;
• Pathology ye musculoskeletal system.

Yenguva yekuona chiremba: zviratidzo uye kuratidzwa kwekubatana kwechirwere

Kamwezve, zvakakosha kubhadhara kune pfungwa yokuti chirwere chacho chakavanzwa. Kazhinji kazhinji inowanikwa panguva yekuongorora kwekudzivirira. Kusvikira maharaplasms asvika masendimita masero, murwere angave asina kunzwa zviratidzo uye zviratidzo zvechiondromatosis. Kurapa kwemajoka emabvi kuchaunza huwandu hwekubatsira, kana iwe uchichitanga pakarepo, ndiko kuti, apo "yekutanga" inotyisa "mabhero" achioneka:

• Uncharacteristic inogunzva mumakumbo panguva yekufambisa kana kunyange kudukusa muviri;
• Kubvisa uye kutora marwadzo pazororo;
• Matambudziko ekufamba (sekutonga, kuratidza kuvapo kwekukura kukuru);
• Kukudzwa kwemakumbo munzvimbo yebvi;
• Kuwedzera kwekushisa kwemuviri munzvimbo yekudzima.

Zvingave zvakakosha kuongororwa pamusana pekugombedzera kune chondromatosis?

Apo pachitaura kune nyanzvi, murwere anofanira kunge akagadzirira kuongorora zvakakwana mabvi akafugama. Kuita chisarudzo chakanaka pamusoro pezvekuita mabasa ekurapa chiremba anogona kungoita hutano hunoonekwa. Migumisiro yezvidzidzo ichabvumira kugovera kuongororwa kwakakwana kwemamiriro emarangano emurwere, kukura dambudziko rehutano hwehutano hwakanaka kuvandudza kuwedzerwa kweropa kune nzvimbo dzakakanganiswa uye kudzorera kushandiswa kwechigadzirwa chechinovial fluid. Izvo chete zvakagadzirirwa kuronga hurongwa hwevanyori huchabatsira kuti zvishoma nezvishoma kuenderera mberi kwekuvandudzwa kwedystrophic kuchinja mumasukisi.

Nzira dzekuongorora

Kushungurudza murwere nekondromatosis yemakumbo emabvi, vanachiremba vachamutungamirira kune zvinotevera zvipatara:

• Radiography - ichanyatsotsanangura nzvimbo yekurapa;
• Ultrasound - kazhinji kacho kuongorora kunoratidza huwandu hwemapapu eve akawana hukuru hwakakura;
• Arthroscopy - inofungidzirwa nenzira yakanakisisa nzira yekudzidzira inonyatsodzidza, sezvo inoreva kupindira kwemukati kwezvigadzirwa zvema endoscopic munzvimbo yakabatana pamwe nekuonekwa kwayo kwakanyatsoongorora;
• MRI kana CT - nzira yakanakisisa yekudzidza mabvi ndeyekudzidza kushandiswa kwemavara akasiyana-siyana;
• Shanduro yezvinyorwa zvezvisikwa zvehuputi-inotsigira hutano hwakanaka hwechirwere.

Zvakakosha kuziva kuti zvizhinji zvepamusoro zvinongororwa zvinorayirwa kuti zvidyiwe nemurwere chete mushure mekuzarura zviratidzo zvehutano pane chimiro chemavara.

Kurapa kwekondromatosis nemapiritsi: inobudirira sei?

Kubvira pakuongororwa kugadziriswa, zvinonyanya kuvimba nekurapa kwebvi rinobatanidza chondromatosis rinorayirwa kumurwere. Pazvikamu zvekutanga zvechirwere, zvinokurudzirwa kushandisa nzira dzekuchengetedza chirwere. Iyo nzira chete yekurapa maitiro, iyo iyo inotungamirirwa kurwisa zvakananga chirwere ichi, inogona kunzi ma mechanical extrusion ye maitiro. Mamwe mapoka evanhu vanochengetedza chirwere anochengetedza murwere chete chiratidzo chekubatsira. Izvi zvinosanganisira kugadziriswa kwepineti, zvinodhaka zvekuparadzanisa edema, antipyretic zvinodhaka, nezvimwewo. Kurapa kwebvi rinobatanidza chondromatosis hakugoni kumira kufambira mberi kwechirwere uye nekudzorera zvakakwana motokari yemabasa. Inobatsira chete nguva pfupi kubvisa zvimwe zviratidzo zvehutachiona, asi hahupi hupi hupi hunovimbiso hwekudzivirira kudzokazve.

Kushanda pamabvi akabatanidzwa

Imwe nzira inobatsira kune inochengeterwa kurapa inoshandiswa. Kupindira kunopindirana ne synovial chondromatosis yemabvi mumatanho ekupedzisira ndiyo mukana chaiwo wekuti murwere awanezve. Nenzira yekushanda inoita:

• Kugadziriswa kwechikwata chekudzivirira;
• Kubviswa kwezvikwama zve synovial kana zvikaitika zvakanyanya kune nzvimbo dzakakanganiswa;
• Kuisa mazinyo.

Nzira yekupedzisira yokurapwa inoshandiswa inoshandiswa kune zvakanyanya kudiwa (somuenzaniso, kana zvichidzoka zvechirwere mushure mekuvhiya kwave kuchiitwa, kukanganisa kukuru kwemuviri pasi).

Kurapa arthroscopy: chii chinoshandiswa?

Kuti upinde mukati mechikwata chehombodo yepamusoro, nyanzvi haifaniri kushandisa nzira yakasununguka. Rudzi urwu rwekuvhiya runoreva kusagadzikana uye kushungurudzika kwemasukisi, izvo zvisingagoni kutaurwa nezvenzira ye arthroscopy, yataurwa kare senzira yekuongororwa. Chinonyanya kukosha sechiremba ndechokugona kubvisa kunyange kukuvadza kuduku kunowanikwa pamwe nekuita zviduku zviviri zviduku. Nadzo, arthroscope inotangwa-chigadzirwa chakakosha, pamagumo acho chinoshandiswa kachidiki khidhiyo kamera, nezvimwe zviridzwa zvechiremba. Iko rinotarisa mufananidzo chaiwo wekondromatosis yemabvi akabatanidzwa, izvo zvinobvumira chiremba kuchengetedza mamiriro acho ari pasi pekutonga, kuita basa rairo rechokwadi rekubvisa matumbo.

Iyi nzira yekuvhiya yakagadzirirwa kubvisa chikamu chakakanganiswa chemazino, menstaments, manipulations ne cartilage inobatwa. Mukuenzanisa nemasikirini ekushanda, imwe yezvakanaka zvearthroscopy ndeyekusakosha kunokosha. Kuti uwane rusununguko rwemasumbu uye hutano hwehutano, huwandu hwakawanda hwemamiriyoni mashanu hwakaitwa. Mune izvi arthroscopy inogadzirisa basa rinokosha kupfuura rimwe rechiremba - kuti ave nechokwadi chekuona zvakanyanya zvekuita mukushandiswa kwekomboti.

Mashoko ekudzorera shure kweArthroscopy

Kana tichitaura nezvenguva yekuporeswa mushure mekurapwa, kupindira kusati kwaro hakusi kwekutanga. Mushure mokunge arthroscopy, varwere vane mabvi ekubatanidza chondromatosis vanogadziriswa zvikuru nekukurumidza, nokuti:

• Zvinokwanisika kumira kune rutsoka nemutoro unotsigira zuva rimwechete mushure mekugadzirisa;
• Varwere vanogona kuenda vasina kutsigirwa kwezuva rechipiri kana rechitatu;
• Mhemberero dzevakwegura dzakapera hafu: kubva mavhiki mashanu kusvika kune matatu;
• Kudzokera kumitambo zvinogona kuva mwedzi 1.5-2 mushure mekushanda;
• Kudzokera kune imwe nzira yekare yehupenyu uye kuwedzerwa kushanda mumuviri zvichida mumwedzi 3-4.

Kureba kwekugara muhurumende yepatient isingasviki - kubva pa1 kusvika kwemazuva matatu mushure mekunyengedzwa. Kureba kwekugara muchipatara nemashure ekuvhiringidzika kwemazuva makumi maviri nemaawa makumi matatu nemakumi matatu. Izvo zvinodhura zvekuvhiyiwa kweArthroscopy yemabvi ekubatanidza chondromatosis ndiyo chete inokanganisa kurapwa uku. Mutengo wechirongwa wacho unowanikwa zvikuru pane zvimwe zvinhu:

• Kuoma kwechirwere;
• Nzvimbo yekurapa (bhaariji yebazi kana kliniki yega yega);
• Mari yezvinhu zvakabatana, mishonga, endoprostheses, implants, vagadziri, nezvimwewo.

Matambudziko echondromatosis pasina kurapwa

Kuvonga kushanda panguva yakakodzera, murwere ane mukana wose wekubvisa chondromatosis nokusingaperi. Kusava nehanya nemaitiro akangwara, kukura kwavo kuchaita kuti zvisiyane nekunyanya kushanda. Uyezve, chindromatosis isina kubatwa inoshanda sechiitiko chakanaka chekuitika kune dzimwe, kwete zvirwere zvisinganyanyi kuipa (coxarthrosis, gonarthrosis, rheumatism) isingagoni kurapwa. Pakutanga zviratidzo kana kusafungira pamusoro pavo zvinokosha, pasina kunonoka, kutarisana nekutaurirana kumunhu wemasana.