Dysplastic coxarthrosis pamagaro vadyi: kupatsanura, kurapwa

Dysplastic coxarthrosis chinhu chinopedza chichiitwa, dystrophic chirwere. Dzimwe nguva chinokurwadzai munhu vachiberekwa - pamagaro vadyi hazvirevi kuva sezvo zvakakodzera kuti chakaipa muviri. Fani iyi kazhinji unonzi "dysplasia."

Chii uye chii?

Dysplastic coxarthrosis hudyu kunoratidzwa ndechokuti muromo pfupa muhudyu akaremara pasi pokudzora kwomudzimu sizvo chimiro anova kwemashifiti, acetabulum - mwero udzamu. Panguva hudyu mapfupa anochinja proximal mugove. Ongororo dzinoratidza zvemamiriro mutsipa-mugodhi angled.

The inonyanya chirwere vakadzi ndee. Pangozi - zera 30 kusvika 40 makore, kunyange zvazvo, maererano vamwe vanachiremba - kusvika 55 Kana yakatarwa diskongruentnost hukawanika mapfundo, kunowedzera mukana wokuti dzichiri chirwere kupetwa nekaviri.

kazhinji sei?

Nhamba dzinoratidza kuti dysplastic hudyu arthrosis of hudyu muhudyu - chinhu kakawanda chirwere. Pakati vamwe, vari semhosva chinopedza, dystrophic zvokurwara kukanganisa majoini, coxarthrosis, maererano vamwe vatsvakurudzi, unowanikwa ose nyaya rechina. Asi mamwe masayendisiti anoti kuti chirwere muna 77% wevarwere. The inozivikanwa zvikuru zveBhaibheri nyaya iyi dzakaitwa muna 2006 achitungamirirwa Finland Mikko Eskelinen, uye muna 1996 S. V. Sergeevym, 2001 - VI Ugnivenko.

Vatsvakurudzi European anofungidzira kuwanda hosha pakati vakura Vagari Europe iri 7-25%. Akazvipira zvokutsvakurudza mabasa kuitwa 1965 uye 1996. Kana kudzidza nokuongorora pathological zvirwere zviri zvetsandanyama nemapfupa ezvinhu, zvinova pachena kuti dysplasia - zviri pamusoro 16.5% nyaya nesayenzi. Tikafunga yakadaro yakakwirira chikamu mubvunzo sei kurapa dysplastic coxarthrosis, hudyu, zvinova kunyanya kukosha. 60% wevarwere zvose pakupedzisira vanorasikirwa kwairo basa, uye 11.5% vakaremara.

Dysplastic coxarthrosis: Chii chinoitika?

Kupatsanura pakati subtypes chirwere kwakavakirwa zviratidzo:

• vari vagari nokuchinja anatomical ukama (sezvo iziviswe chichiitwa?);
• articular shwashwa kuchinja (zvose rinoita chearthritis?).

In mushonga ano, kuti kupatsanura rinowanzoshandiswa kunzi Crowe. ino, izvo Anoongorora zvakadini ochinja munharaunda yacho femoral musoro mafupa. In zvachose mune 4 subtypes nechirwere chacho.

Dysplastic coxarthrosis 1 dhigirii akaratidza proximal misha kwete kupfuura hafu kureba kuti hwakanyatsorwisa chiuno achava mukati 10%. Danho rechipiri chokuita misha zviratidzi 50-75% 10-15% azvaitwa. Dysplastic coxarthrosis mugwaro 3 - iri zvaizopedza ne 75-100%, 15-20%. Pakupedzisira, chikuva chechina - umo misha kwakaitika kupfuura chitsama musoro mapfupa, kuti panongova chiuno anoratidza kutyora nzvimbo nokuda 20 muzana kana kupfuura.

Hartofilakidis kupatsanura hurongwa

Dzidziso iyi kunoratidza kuongorora sei zvikuru femur musoro muruwa ikachinja nzvimbo cranial. Uyewo kudzidza mamiriro ari acetabulum, anoratidza nzvimbo wechokwadi uye kuziva nzvimbo musoro hama pazviri. kupatsanura uku dysplastic coxarthrosis chinosiyanisa madhigirii matatu zvokurwara.

In wokutanga mhando chirwere mhango dysplasia chinoratidzwa pakuti kuora mwoyo chiyamuro yakakura kupfuura dzose, kureva, pane subluxation. Dysplastic coxarthrosis 2 madhigirii mazwi ichi, nechirwere yakaderera dislocation, subluxation, mukuru misha musoro. Chirwere kuona neoarthrosis chokuita mwoyo zvechokwadi. Figure akaumba nezviremera pamufananidzo sokunge munhu "8". mwoyo kwenhema, mapfupa musoro pavanenge. Pakupedzisira, wechitatu mhando zvokurwara - munhu dislocation wakakwana. Venhema, wechokwadi acetabular mhango mhango vakaparadzana uye hazvina kubatana. Thighbone kwakabatana chete mhango kwenhema.

Kana Crowe zvinoshanda nzira kana unofanira kuziva kubudirira kuvhiya kupindira, asi Hartofilakidis kwakakurumbira nokuda kudekara kushandiswa. Zvinofanira kurangarirwa kuti Crowe haabvumiri napo kufungawo tsoziva mwoyo zvikuru siyana nokuda dysplasia. Izvi anobereka matambudziko arthroplasty dysplastic coxarthrosis: kushaya ruzivo achigadzirira zano zvakajeka pave nezvinetso pakutevedzera zvomusejari kupindira.

Zvisinei, Hartofilakidis anewo zvimwe nokusakwana. nzira iyi haikwani kuti chamber nzvimbo proximal chikamu. Kureva, kuchinja izvi kukanganisa zvikuru nokushanda. Kusarudza pfungwa kurapwa, zvakakodzera kushandisa dzakasiyana kupatsanura: sezvo avo anoratidza dysplasia uye vanoongorora chemajoini.

Osteoarthritis: zvinoitika sei?

Saka, apo anoita bilateral dysplastic coxarthrosis? Sei mamwe subtypes chirwere chacho? Kuti kaviri joini chiduku?

Chinhu chokutanga chiri pasi akaipa kuchinja - ndiyo vagari mvura. It richikora, inova viscous. Zvikonzero izvi zvinogona kuva akasiyana chaizvo, asi mugumisiro ndiye chete - shwashwa haagamuchiri lubrication zvakakodzera, nokuda iyo unoomesa. Shwashwa pamusoro wakafukidzwa makatsemuka diki, roughness. The zvinyama anova wakawondereiko kudai mazuva ose pamusoro nguva, izvo makatsamwisa simba kukweshera mune mapato ose. The majoini vakakamurwa maduku uye duku daro. Nekuti shwashwa anova kuonekwa pasi pemvura pfupa, iyo inotungamira kuwedzera kufurirwa, uye maonero - kuti deformation. Naizvozvo dysplastic coxarthrosis inonziwo deforming.

Chii chakazoitika?

Zvinosuruvarisa chinopedza pezvakaitwa vari haagarimo nokuchinja kwemajoini mvura. Nokufamba kwenguva, zvakashatirisa ropa aibuda kune munyama, muviri kunova nomumugwagwa kwaitora nguva pane ndozvakajairwa, sezvo midziyo hakurevi kutenderedza pamwe aida basa mupfumi hunoshatisa zvinoriumba, kusanganisira okisijeni, ropa.

Nokufamba kwenguva, mumwe bilateral dysplastic coxarthrosis hunokonzera tsandanyama atrophy pakati njodzi richiripo. Asi zvinhu zviri kuchinja nzvimbo kwenguva refu, zvishoma nezvishoma, saka murwere kazhinji haana kuona kuchiita chirwere. Mune zvimwe zviitiko, chirwere iri yakawedzera, icho pamwe chete kurwadziwa majoini. Nguva inowanzodeedzwa "reactive kuzvimba." Zvizhinji marwadzo chirwere kunokonzera munhu kushanyira chiremba, uye chete ipapo kekutanga chirwere "dysplastic coxarthrosis".

Zvinokonzera chirwere

Dysplastic coxarthrosis zvingaitika nokuda zvakasiyana-siyana:

• Nezvinetso kweropa, zvichitungamirira kushayika kwezvokudya zvinovaka muviri uye zvinyama kuwanda haina oxidized panguva aida zvakadini metabolic zvinogadzirwa kuti Activate makemikari anoparadza kukanganisa shwashwa.
• Mechanical Nokumukira mutoro pamusoro pejoinhi iri kwazvo. Saka kubatira nevatambi, vanhu vachitambura kubva kufuta. Nokuti chechipiri dambudziko runowanzoitika muviri, ropa aibuda insufficiency, mamwe kwakakanganisa kunokanganisa mapfundo.
• Nemakemikari kuita, metabolic matambudziko, hormone.
• Makuvaro, mitswe, dislocations, kazhinji Nokumukira chirwere pane muduku.
• muzongoza zvokurwara.
• Zvirwere, anogumbura pezvakaitwa kukanganisa mapfundo.
• Aseptic necrosis.
• Vachiberekwa zvirwere.
• Ndakagara mararamiro.
• kuchinja Age-ukama.

Zvinonzi kunetseka kwazvo yedzinza, masero kubatwa kune siyana Osteoarthritis. Coxarthrosis nhaka chinja hazvibviri, asi ndiyo nhaka mashandiro ari pakutsvaga specificity yacho shwashwa muviri. Kana dzepedyo hama kutambura kubva arthrosis, zvichida kutanga nevanhu inowedzera zvinoshamisa.

Sezvo vanofungidzirwa?

Medicine yave kuzivikanwa zvinotevera zviratidzo:

• kuomarara, kufamba vari "zvakasimba";
• marwadzo;
• atrophy yehudyu tsandanyama;
• vachigurisira njodzi richiripo;
• zvishomanana simba.

Kakawanda, varwere kuenda chiremba apo gumbo majoini anotanga kurwadza. Ichi chinowanikwa zvikuru nevamwe uye kuchioneka. Zvinofanira kunzwisiswa kuti kuratidzwa chirwere kunoenderana nenhanho kuti icho kwakasimbiswa.

Step chirwere zvakananga anosarudza nguva kurwadziwa Zvikamu, avo zvakanyanya uye nedunhu iyo vemunyika nezvekufadza. Mabatirwo dysplastic hudyu arthrosis ari muhudyu muhudyu zvinoratidza migumisiro yakanaka chete kana kwakatangwa mukutanga mumatanho okukura zvirwere. Asi zvinoitika Kazhinji, sezvo nounyoro majoini asina simba, uye vanhu tightening danidziro kuna chiremba.

Not akatsaukira nguva nyanzvi, varwere vanorasikirwa nguva - joinhi vaparadzwa kuwedzera zuva nezuva. Nokufamba kwenguva, mukuru mufambo akarasika, kurwadziwa kunowedzera, kunyange okutanga matanho akaoma, nyarara, iwe haugoni chete kufamba. Murume akaremara, pane atrophy yehudyu netsandanyama. Chokwadi, zvose zvinhu izvi kusimudzira chirongwa pakiriniki, asi yatova yapera.

Pain uye atrophy

Mune zvokurwara kuti tsandanyama atrophy femoral chinokurwadzai wokuwedzera marwadzo - zviri vemunyika uko nemarunda vari zvakabatanidzwa. kwazvo yakaomesesa mabvi, asi groin uye nebandauko chirwere zvishoma raidudzwa. Izvi zvinotungamirira misdiagnosis. A zvakafanana chikanganiso - tsanangudzo chemajoini ibvi muhudyu, iyo inotungamira kuti kururama kusarudza mishonga.

Osteoarthritis - kwete chete kukonzera kurwadziwa hudyu, groin nharaunda. Zvichida ichi ndicho chinhu ungira kurwadziwa chokuita kuzvimba ari mudzira, saka anogona kutaura pachavo uye kukuvara musana.

Dysplastic coxarthrosis: kurapwa. Ndokupi tatanga?

Rakanga afunga anoverengeka methodologies siyana kusvika varwere zvokurwara ichi. Chero nzira uine uye utera. Asi pane imwe Kazhinji: kuzvidzora isingagamuchiriki. Kunyange kana uri nechokwadi kuti unoziva chaizvo vanorwara, sezvo chinogona kupera, kurapwa anobvumirwa chete pasi pokudzora chiremba pamwe unyanzvi dzidzo. Zvikasadaro pane mukana kwete kunetesa chinopedza muitiro, asi chete kuwedzera navo. Zvinofanira kunzwisiswa kuti pavaipfuura chirwere zvakunoita zvikuru nzira kurapwa kwayo.

Kana chirwere rokutanga kana kuti rechipiri danho inogona kuita kuchinja kurapa. Muchiitiko chino, Mabatirwo dysplastic coxarthrosis rinoitwa kushandisa mafuta okuzora, mapiritsi uye dzakabatwa gadziriro injective. Kana diagnosing wechitatu pavaipfuura nzira, chete chete - kuvhiyiwa. arthroplasty anobudiswa panguva chirwere kwakadaro kunosanganisira kwemajoini pakutsiva nevanhu chakagadzirwa chigadzirwa. The nzira rakanyatsojeka yakaoma, zvinodhura asi inoshanda. The kudyara iri muchibereko pfupa kubva chiuno uye muhudyu. Fanana chaivo prosthesis rwakashodoka.

Chokutanga, wechipiri Danho: mushonga?

Kana unogona kuona chirwere kwokutanga pane kutanga kukura dhigirii rechitatu, zvinokwanisika kuti vabudirire migumisiro zvakanaka kuchinja mishonga. Zvinowanzoshandiswa non-steroidal Anti-anogumbura mishonga ndivo inonyatsobudirira iri ndege nguva. Kunakisa chikuru izvi zvinodhaka - kurwadziwa nokuda simba zvaiitwa anogumbura kwendangariro. Drugs nokukurumidza kuderedza kuzvimba uye kubvisa kuzvimba.

Zvisinei, zvose zvaanazvo zvainovhiringidzawo ayo. Saka, kushandisa Anti-anogumbura mishonga dzose kunoderedza muviri anogona wokugadzirisa dzinongoitika zvigadziriswe. Uyezve, vakawanda nzira nesayenzi vane zvakawanda nemishonga, kukanganisa seboka uye pamusoro chaiyo zvomukati nenyere enyika. The kusarudza mishonga vanofanira kuvimba chiremba. Zvakasimba yakarumbidza mawa kushandisa zvinodhaka zvakawanda. Kana ushandiswe mishonga asingadi kubatsira kumisa marwadzo, unogona kuita dose akakura kana kuti kuona chiremba kuti mushonga mushonga mumwe.

Chiizve vangabatsira?

Kwazvo yakasimbiswa mishonga anogona kuwedzera midziyo. Panguva iyoyo zvinoita relaxes wakatsetseka tsandanyama, vascular lumen kunova huru. Kana nechirwere coxarthrosis, kurapa ichi zvinoratidza migumisiro yakanaka kutsanya zvakakwana.

Kudivi rimwe, kana kushandiswa zvakakodzera nemishonga boka iri pasi pokudzora chiremba mugumisiro wakanaka, hazvizovi kumirira refu. Uyewo chinokwezva duku mazita contraindications. Joint pakupedzisira anonaya, sezviri nani ropa aibuda, kureva zvinyama vari kusvitsa zvakarurama akawanda. Dilates ropa midziyo zvinodhaka vakaratidza kuti zvikuru vanobudirira pamusoro kuzvirotera marwadzo.

Asi kunewo utera. Havasi varwere vose kushivirira boka zvinodhaka, uye munhu kusashivirira chinenge chimwe chezvinonhuwira mishonga anova inapplicable. Ndisati ndatanga zvakafanira kubvunza chiremba wako, kuti akaedzwa. Kutanga kurapwa, pakutanga haana kutora mamwe mapiritsi rimwe zuva - the dose rwokuchengeta mazuva matatu okutanga, nokudzora muviri unongotaura. Kana zvose OK, unogona endai zvavakabvumirana chiremba uye mugadziri kufungisisa.

Miorelaksaty uye hondroprotektory

Miorelaksaty - mumwe mushonga kubatsira kwenyama dzemuviri. Kana nechirwere coxarthrosis, mari yakadaro dzinoshandiswa vanyatsohuongorora, asi tsvaka kubvisa kurwadza kwacho, yakasvikawo marwadzo. Kushandisa zvinodhaka zvinobatsira kuvandudza ropa riyerere kune njodzi nzvimbo. Asi zvichida mwoyo chaizvo tsinga, zvichikonzera nzwa dzungu pfungwa DZEMUNHU DZINODZORA uye pane kunzwa rakafanana vakadhakwa.

Chondroprotectors kuendeswa shwashwa kugadziriswa. Ivo vanoonekwa chimwe chezvinhu anobatsira chemajoini sezvo kuvandudza chimiro shwashwa uye inoendeswa masero anobatsira, zvinovaka ingredients. Kana mishonga yakadaro dzinoshandiswa nguva dzose, anodzivira kukura chirwere. Zvisinei, kufambira zvakwakanakira kana rikashandiswa chondroprotectors asi cherechedzai: riri akanzwa chete kwenguva. Kunyange pashure kumira kurapwa yokurera kuvandudza shwashwa zvabatwa. Zvisinei, hazvibviri kudzidzira kutora mishonga iyi munguva pamuviri, anogumbura pezvakaitwa majoini. idiosyncrasy zvinoriumba Zvinogonekawo.

kemikari kurapa

Pakupedzisira, tisingatauri hormone steroid mishonga, hazvina rave kunyenga achangopfuura makore. Vari akasuma zvakananga vakapinda pamwe injective. Mugumisiro Kazhinji anenge pakarepo pashure pakutanga kurapwa, zviri zvikuru iziviswe kana kuzvimba akarova femoral mudzira. Asi mugumisiro rakanyatsojeka makasimba, uye nzira ARV pamwe nemishonga.

Doctors vanokurudzira mumwe vadyi raitongwa hakuna kupfuura majekiseni matatu. Pakati majekiseni mbiri inofanira kuchengetedzwa kwevhiki mbiri kana kupfuura.