Constrictive shwashwa: kurapwa

Term constrictive shwashwa inonzi pathological shanduko mamiriro pakati nemarunda nemarunda rakapoteredzwa, iyo inotungamirira kuramba atsaudzire munwe nzvimbo (kashoma, mumwe minwe shoma) maoko. Nokuti kuti pakutanga hosha iri kuwedzera phalanx the clicks, ine rimwe zita - "mukakachurwa munwe".

Nhoroondo kudzidza stenotic ligamentita

Kokutanga pamusoro chirwere muna 1850, anotaurwa zvaainyora Dr. Nott (zviya, chirwere yakazopiwa zita vakamutevera). Akataura pamusoro Chiitiko umo varwere vanotsutsumwa matambudziko anomuka kana kuedza kutwasanudza kana vanokunga munwe. Uye muna 1887, Dr. Shenbern akaita danho rokutanga, panguva iyo akatsemura "pathological netambo."

Kubvira ipapo, boka specialized Vezvenhau mashoko, musoro wakanga constrictive shwashwa, kurapwa uye nzira rokuongorora chirwere ichi. Chiremba 1966 Russian NP Shastin vataurira kushandisa kuvhiya kuvhiyiwa nzira, iyo akadana zvishoma invasive ligamentotomiey.

Chii chirwere pachavo

Constrictive nemarunda raireva polyetiological (t. E. kunoitika nokuda zvakawanda) kutyorwa mudzira nemarunda zviri zvemaoko. It kunoratidzwa vanotaura zviri nemarunda iri lumina fibrotic migero anokonzerwa ane kushoma munyika compressing unhu tyazhe iyo richibatanidza tsandanyama kuti pfupa.

Mumwe munhu brushes pane inonzi annular nemarunda izvo abate hwakakungwa nomunwe munzvimbo ino, yokudzidzivirira kubva kunze komutemo kutwasanudza. Pano kazhinji kunoitika apo chirwere Knott compressive kuzvimba. Kana shwashwa ichi vari kujekesa uye thickened mudzira, izvo zvinokonzera pamusoro nguva huru chepfungwa chirwere - zvachose hwakakungwa chigunwe.

Ndivanaani zvikuru kubatwa stenosis ligamentitu

Kusvikira zvino, zvinokonzera constrictive shwashwa minwe vasiri zvakanaka kunzwisisa. Zvinofungidzirwa kuti hwaro chirwere ichi vari microtrauma uye tisawirirane ruoko, nokuda chete nzvimbo vakamanikidzwa navo kwenguva refu.

Izvi zvinoitika kunyanya vanhu vanoshanda panguva pabhenji, kana vaya vane kushanda apo kuita kakawanda rwakabata masangano. Naizvozvo, maperembudzi kunotaurwa muchikwata che kwenyanzvi. Uye vazhinji vose vanotambura vaimbi, cashiers, welders, ivo navavaki.

Kunotungamirira vakati chirwere uye zvakasiyana-siyana chirwere kuzvimba nemarunda uye mapfundo: arthritis, . Rheumatism, nezvimwewo, uyewo cheshuga mellitus.

Vamwe vanyori vanoti shwashwa ndiyewo nhaka chirwere. Asi ongororo kuti anogona kusimbisa kana kuramba kutaura ichi havana inoitwa.

Weboka chirwere muvana

Constrictive shwashwa muvana hariwanikwi. Uye chikuru chikonzero parinowanika, vanachiremba akadana kukurumidza kukura wacho hurongwa uye nyama iri chiningoningo. Kureva kuti, dhayamita of mudzira iri nyaya kunowedzera kupfuura lumen ari annular shwashwa, iyo inosvitsa munhu rudzii kunetsana pakati pavo, zvichitungamirira chisingaperi kuzvimba. It pakupedzisira inotungamirira chinopedza zvachinja mudzira nemarunda.

Kakawanda, vana vari kuratidzwa kubva gore rimwe makore matatu, uye kakawanda napagumwe roruoko. Zvinosuruvarisa tsananguro yakakwana Fani iyi ichiri asipo.

Vabereki vanogona kuona kuti mwana haawanzotauri rinokoka munwe, uye panguva yayo panova, pizi kadikidiki, thickening. Izvi zvinofanira kushumira ive chiitiko rokubva zvivabatsire kune nyanzvi, zvikasadaro chirwere kuchaita kuti zvachose kumanikidzwa nzvimbo nomunwe.

The chikuru zviratidzo stenosis ligamentita

Constrictive shwashwa ndiko symptomatic: somuenzaniso, apo chinokutsimbirirai mujinga vachimunetsa munwe, marwadzo hunowedzera chakasimba.

• We akaderedza chigunwe functionality.
• Marwadzo, panzira, haripi tsanangudzo mairi chete, anogona kupiwa muruoko uye kunyange honokono.
• Mujinga nomunwe inogona kurwadza kunzwa zvakasimba zvokuchunisa, uye iye kana mumwe mapfundo ake anogona kuzvimba.
• Munwe kazhinji bindira.
• Pashure kwenguva refu kutadza kufamba mumakwenzi, zviratidzo kuva kunyanya yakajeka.

Uye chokwadi, chikuru chikabviswa - ndiwo kombiyuta kuti kunoitika nguva dzose unoedza kufonyora kana ruramisa kuti sei chigunwe.

chirwere rwakazara

Constrictive shwashwa of thumbs, uyewo mamwe minwe ruoko, anova nezvishoma. In wokutanga danho iri mutswe uye marwadzo zvinozarurwa kwete kazhinji.

Asi mangoti kutwasanudza munwe kuti kushanda zvakakomba nokuedza, tinogona kutaura pamusoro panowanikwa kwechikuva wechipiri chirwere. Mudzira Panguva iyi kazhinji mukobvu, uye kukanganisa nomunwe dhumhira kunoitika.

Danho rechitatu uye yokupedzisira kunoratidzwa nekusagona kutwasanudza ihosha thumbs. Asi kumirira izvi zvisiri zviripo, nguva yakanakisisa kuona chiremba uye kubvisa chirwere.

diagnosing

Kana uchifungidzira munhu constrictive shwashwa kutendeukira kuna otopedu kunotevera. Chiremba anoongorora njodzi ruoko. Mukuwedzera, murwere kunodiwa kuti ive X-ray, izvo anobvumira kusiyanisa chirwere osteoarthritis kana chearthritis. Uyezve ongororo kazhinji rotsvakwa.

Nokuti kuti anotsanangurwa zvokurwara, kazhinji anova nokukurumidza, panguva kutekenyedzwa kuti kusagadzikana kana kurwadziwa rokutanga panguva kufamba nomunwe vanofanira kutanga podiatrist.

Nzira kurapa stenotic ligamentita

Kuedza nechirwere "constrictive shwashwa" kurapwa kunoenderana pavaipfuura chirwere uye mukuru mamiriro murwere. Mukutanga zvokukura kushandiswa yakarumbidza physiotherapeutic nzira, ari muchimiro nemagetsi uye phonophoresis kugadzirira kuvandudzwa microcirculation, uyewo mafomu nokushandiswa Paraffin uye somushonga anorumanya.

At yakazotevera kumwedzi, uye kana mumuviri kurapa Haapi kutarisirwa zvabuda, ushandiswe mamwe zvinodhaka - ichi chingaitika antiinflammatory uye marwadzo nevamiririri. mukurumbira chaizvo hydrocortisone majekiseni kupinda kunzvimbo iri thickening.

Murwere anoita zvaida immobilization nomunwe. An ezvinhu chinokosha kuchinja basa, uyewo kushingaira kurega yaizoitika zvinhu.

Constrictive shwashwa: Operation

Kana matanho akatorwa regai kupa zvakakodzera mugumisiro, kana apo murwere akakumbira rubatsiro panguva yechitatu pavaipfuura chirwere, akaratidza kuvhiya.

Paaiita varwere ake vakaidzwa kwetsinga pamusoro neboka, iyo kunotadzisa kwebasa mudzira. Pakazosvika nzira N. P. Shastina kuita oparesheni ichi kuburikidza pinholes vachishandisa kuraswa zviridzwa inokosha. Izvi hakurevi chipatara uye chete yokutindivadza nemakanzuru.

In kuitisa rakazaruka ligametntotomii murwere pasi vakawanda yokutindivadza, imwe incision usingabereki pfuura 3 cm. Zvino dissected masumbu. Avhiyiwa ichi, mumakwenzi ndee pachishandiswa nesuko bhandiji.

Mumwe nomumwe remapazi idzi ine zvainovhiringidzawo ayo uye unhu hwakanaka, saka vanosarudza sei chichaitwa kuvhiyiwa, chiremba anogona chete.

Vanhu kurapwa

Constrictive shwashwa kuwedzera Kugadzwa nzira tinogona zano chiremba, uye kubatwa zvavo mishonga. Inonyanya kufarirwa izvi vanonzi yakaoma nokupisa. Nokuti ichi, chakabikwa mugango iri huru mugungwa kana vanhuwo munyu, iyo zvino yakanga kudirwa zvakasimba homwe kanivhasi jira. Brush dzokai chanza kumusoro, uye akaisa bhegi pamusoro payo. Kudziya Izvi zvinogona kuitwa kaviri pazuva, tichidzivisa hypothermia pakati kurapwa.

Good sezvo anorumanya uye madhaka, nokuti iyo chinhu ivhu kuchirapa rakasanganiswa kune gobvu ruomba uye pacho iri akawedzera 5 dhizeti zvipunu womuapuro vhiniga. Izvi nemuriwo gobvu paiva nesuko iri hosha thumbs pamusoro rinoshandisirwa mu cellophane. Dzvinya kubviswa kuburikidza 2 h. Mushure ruoko, inoda zororo rakakwana uye angadziyirwa.

Asi yeuka kuti chirwere pamusoro constrictive shwashwa Mabatirwo chevarwere mishonga havagoni kupa chero chinokosha zvabuda.