Tisave: chirwere uye kurapwa

Vazhinji vedu nezvinoda hwose kurwadziwa ari ibvi vadyi, kunoitika apo achifamba, akanyanyisa kunetseka, mitambo. Dzimwe nguva marwadzo achabatsirwa imwe crunching, kuzvimba, kutadza kufamba pabazi. Zviratidzo zvose izvi zvinoratidza kuti morphological kuchinja kuitika munyika ibvi. Munyaya ino, isu kunyatsotarisisa vakawanda anogumbura chirwere ibvi muhudyu, zviratidzo uye pakurapa chirwere neimwe nyaya. Tichaedza kubata chokuti kunoitawo kuti paumbwe chirwere uye sei rokuongorora mukutanga nezvishoma.

Chii Joint?

Joint - ndiwo kubatana mapfupa, panopinda marangwanda hwakapiwa simba mukana wokushandiswa, uye munhu anokwanisa kuita zvakasiyana-siyana kufamba, akadai:

• flexion / kuwedzera maoko nemakumbo,
• kutapa / adduction kuviri,
• rotational kufamba.

Majoini dzinoiswa sezvinotevera:

• nyore;
• Hudyu inoumbwa mapfupa maviri;
• Hudyu inoumbwa mapfupa matatu kana kupfuura (akaoma majoini).

Pemvura neimwe pfupa nhengo muhudyu, yakafukidzwa articular shwashwa uye dzinoratidzwa mhango chine mvura mvura. Rinorondedzerawo kwemajoini articular bhegi, synovium, meniscus - cartilaginous marongerwo mitigating ukapisa murwi kana uchityaira uye uchishandisa damper chaitika.

Kudeuka vadyi womunhu muviri ibvi rwakashodoka. The chirwere anogona kukanganisa imwe yenhengo dzayo. The ibvi vagari chakaumbwa tichibatanidza mapfupa matatu - the femur, tibia uye patella, iyo anowanzonzi mbiya. Mukuwedzera, ibvi vadyi ndiyo dzakaoma mamiriro vo - nenzira iyi vaikunga patella hunogara imwe indentation inoumbwa wokunze uye yomukati akatevedzana ari femur.

The nemamiriro ibvi muhudyu

The hukawanika vose vagari mapfupa matatu (patella, femur uye tibia) akafukidzwa shwashwa, akavonga iyo inopiwa iri zvishoma nezvishoma mumatope muitiro.

Kubva kunze mekamudzira aka ishoma - synovium. Synovial fluid iri synovial Kamudzira, zvinogara uye kugonyesa shwashwa, hwezvekukurukurirana muitiro zvishoma nezvishoma mumatope, anochengeta nguva refu utano ibvi rwakashodoka. Zvisinei, Disease, muka yomunyika yacho ibvi. Nokuda zvirwere kana kukuvara kunogona kuva zvomoto synovial fluid necheseri pakugadzirwa bursitis.

Mapfupa akasimba nzvimbo hama mumwe kupa shwashwa, yakadai se:

• Anterior cruciate shwashwa,
• posterior cruciate shwashwa,
• medial koratararo shwashwa,
• yokunze lateral shwashwa.

Bursae, izvo kazhinji vachinzi bursitis, vanobatsirawo nyore zvishoma nezvishoma mumatope enyika tsandanyama nemarunda achityaira. Govera zvikuru chebhaibheri:

• Bag pechidya tsandanyama,
• bhegi semimembranosus tsandanyama,
• bhegi semimembranosus pachavo tsandanyama,
• nadnadkolennikovaya bhegi
• podnadkolennikovaya bhegi zvakadzama,
• prepatellar subcutaneous homwe.

Ndezvipi zvirwere ibvi zvinowanza ari okurapa, funga zvakare. Zvinofanira kucherechedzwa kuti kakawanda, chikuru chiratidzo kurwadziwa pathological.

Zvinokonzera marwadzo

Kurwadziwa ibvi vadyi kunoitika nokuda kwezvikonzero zvinoverengeka, izvo zvinogona nehasha mumapoka mapoka mana. Idzi dzinosanganisira:

• Patella kutsemuka, contusion pamusoro pebvi muhudyu, osteochondral kutsemuka - kureva zvinokuvadza.
• ibvi pamwe chirwere, uye zvokurwara pamusoro pebvi mamiriro, izvo zvinosanganisira:
  • gonartroz - arthrosis of ibvi muhudyu;
  • zvokurwara of meniscus - meniskopatiya chikofu meniscal chikofu Baker;
  • dysplasia dzakawanda (condyles) pfupa;
  • Koenig nehosha;
  • bursitis ari ibvi vadyi;
  • Osgood, Osgood-Schlatter chirwere;
  • popliteal tenopatiya and said.

• Zvokurwara kunotevera-siyana enyika muviri kuti marwadzo anoratidza kupinda ibvi rwakashodoka. abnormalities kwakadaro kungaita kuti musana kuvhiyiwa, hudyu kukuvara, uye vamwe.
• Systemic zvirwere, zvakadai lupus erythematosus, Charcot arthropathy, chirwere Paget vake, fibromyalgia. Kuwedzera systemic zvokurwara, marwadzo anogona kukonzera tiibhii kana chirwere cheLyme - kukanganisika kuti semhosva ane zvirwere zviri ibvi rwakashodoka.

Treatment kusvika zvirwere zvose ibvi Rinoshandisa nheyo akawanda - kuderedza marwadzo, bundu; simbisa mapfupa; kuwedzera kurovedza muviri. Zvisinei, tinofanira kuyeuka kuti zvinokosha kuchengetedza utano hwakanaka, nekuti chimiro ibvi kwemajoini zvirwere kubatsira zvinhu zvinotevera:

• kufutisa;
• kunyanya muviri;
• zvirwere zvetsandanyama nemapfupa gadziriro - vachiberekwa kana vawana panguva upenyu;
• Professional mitambo;
• zera (vanhu vakura kazhinji kutambura nezvirwere zviri mapfundo);
• chechikadzi (munhukadzi).

Ngatikurukurei vakawanda chirwere yacho ibvi rwakashodoka.

Chii chearthritis?

Pakutanga kwenhamba yokuremara nyaya yomuka somugumisiro mabvi chirwere, zvinokosha kuvazivisa chirwere zvose - yemajoini of ibvi. Zvokurwara kunokanganisa zvinhu zvose ibvi - the synovium, Kamudzira, shwashwa. Pasina kurapwa yemajoini kunotungamirira kukurasikirwa nezvaanogona dzevanhu kufamba zvakanaka. Kune akawanda marudzi ehosha:

• Dzinonzi rheumatoid arthritis - chimiro zvokurwara, zvinokonzera vasina aizvinzwisisa;
• post-dzechimwe chearthritis - a zvokurwara kuti anova pamusoro colour kukuvara ake;
• reactive chearthritis - chirwere icho kunokonzerwa hweHIV munyama, pashure kutambura chepfu muviri;
• yemajoini deformans - zvokurwara iyo achiumbwa pasi necheshure vachivavhiringidza uye atadze kushanda zvakanaka pamusoro kweropa hurongwa;
• gouty chearthritis - chirwere icho kukonzerwa kuvhiringidzika muviri mumuviri.

Uyewo kusiyanisa chikuru chearthritis, kunoitika zvakananga pejoinhi pamusana kukuvara, uye yechipiri arthritis, sezvamakaropafadzwa kushoma kunotanga chero nyama dzomuviri, uye pamusoro aibuda node kana ropa anopinda ibvi rwakashodoka.

Zviratidzo zvechirwere zvokurwara. Anouya kurapwa yemajoini

Kuwedzera marwadzo munguva chirwere vakachengeta kuzvimba uye akatsvuka, dzimwe nguva simuka purulent pezvakaitwa pamwe yakakwirira tembiricha muviri.

Treatment yemajoini anonyanya zvainanga okuyamura kurwadziwa, kuzvimba uye kuzoita gwenya mano ibvi rwakashodoka. zviyero izvi kubudirira vachishandisa Anti-anogumbura zvinodhaka, nezvizoro nokudziya uye kusimbisa mishonga.

nemigumisiro yakanaka mubasa kurapwa wakapiwa physiotherapy, masaja, maekisesaizi kurapa. Ndinofanira kutaura kuti matanho aya ushandiswe chete munguva ruregerero, kana muviri hauna kuchengetwa chakasimba anogumbura kwendangariro. In zvinoitirwa insolvency pakati kuchinja mabatiro kushandisa kuvhiyiwa.

Pachiimbwa kwakajairika dzokubvisa mukurapa yemajoini uye nachiremba aiwanzoshandisa zvetsika mushonga kushandisa chirimwa mbishi acho ave muzinda pachirwadza, mafuta uye neiya inoiswa muzvinwiwa zvinodhaka.

Osteoarthritis of ibvi

Funga chimwe chirwere zvakajairika of ibvi - gonarthrosis. Izvi zvinotungamirira panowanikwa abnormality mumuviri kushoma, chinoguma nokuparadzwa shwashwa rinenge ibvi, achiperekedzwa kwayo deformation uye dysfunction. Kunyanya hosha ikabuda vakadzi, kunyanya vamiririri vakwegura.

Chikungiso mashandiro kuti chidzoke kwezvirwere vanogona ubatanidzwe zvirwere - arthritis, mitswe, vadyi pfupa, bundu pezvakaitwa.

The chirwere rinowanzova zvishoma nezvishoma. Zvokurwara hwapedyo zvishoma nezvishoma, uye pakutanga, chikuru chiratidzo gonarthrosis angabvuma marwadzo nomwenje kwazvo chete kuti kunoitika pashure ezvinhu zororo. Kana uchityaira kurwadziwa anoenda kure, asi zvino, pashure rokuzorora, izvozvo anoonekazve. Kazhinji, mu gonarthrosis osteophytes rwakavapo tsandanyama, iyo inofamba varikwizire shwashwa tishu. Nekuti kukweshera rinowanikwa kuzvimba ari ibvi nzvimbo, ganda reddens akaumba edema.

Ko nesekondari gonarthrosis. The zvinokonzera zvirwere ibvi mumutsetse wokutanga haasi zvakazara elucidated, mabviro kuti kukura chirwere kunogona kwete comorbidities, asi chete munhu wechikuru zera. Secondary gonarthrosis - migumisiro ibvi kwemajoini kunotevera kana kuomesa kwezvirwere zvinotapuriranwa.

The nzira huru mune chirwere pamusoro gonarthrosis vaiona radiography. Kuchinja mabatiro kunosanganisira kubviswa marwadzo, izvo analgesics dzinoshandiswa. rinokosha mafuta akashandiswa chokubvisa edema. In mazhinji Muzviitiko chemajoini kana shwashwa yaparadzwa pamusoro yepaIndaneti, kuita kuvhiya kupindira - endoprosthesis. Panyaya iyi, ibvi joinhi kuritsiva kuvaka, iyo ambotirega anenge zvachose chidzosai motokari chaitika.

Meniskopatiya

Meniskopatiya - chirwere ikabuda panyama vanoshingaira vanhu, vatambi, uye hakubvi pasi zera. Mamiriro ezvinhu akanaka nokuti paumbwe pathological pezvakaitwa dzinobatana zvirwere - gout, arthritis, chirwere cheshuga. Kazhinji chirwere kukonzera kufuta uye simba ibvi nemarunda.

The meniscus - chaiyo yakarongeka, izvo zvinoderedza mutoro pamusoro pejoinhi panguva inofamba. Kusiyanisa mukati dzokunze menisci. Maererano nenhamba, wokutanga damage asingasviki wechipiri.

The chikuru chiratidzo varwere hosha kuratidzwa inonzi kombiyuta iri ibvi muhudyu uye nekutambira marwadzo. Ndinofanira kutaura, physiology hwevanhu zvokuti pane muduku meniscus ake zvakazara mura, saka marwadzo kunoitika apo meniskopatii - inopinza uye simba. In zvakawanda kukwegura zvishoma kunorwadza. Kuwedzera marwadzo pane kuzvimba, achinetseka uchifamba.

An nzira inobudirira nechirwere pamwe MRI meniskopatii ndakatendeka, panguva iyo anosarudza ukuru kukuvara meniscus. Kana nokurwadziwa kana kusunga chiyero yakakwana mushonga kuchinja. Zvisinei, kana unofanira kuputsa meniscus kuvhiyiwa.

parasynovitis

Periarthritis - chirwere ibvi nemarunda. Zvisinei, chirwere kunogonawo kukanganisa tsandanyama nemarunda. Mhaka hosha iri ruzhinji murevereri concomitant zvirwere, imwe kusaenzana mune kwemakemikari anobudiswa mugadziriro, akadzokorora hypothermia, pamwechete nemidziyo dambudziko.

Periarthritis sokuti patainzwa kurwadziwa, kuzvimba ari ibvi, pova chisimbiso, kuti varwadziwe kana achingomutambudza. Varwere dzinoshuma pokusagadzikana kana kufamba.

Vakadzi vari rinokosha zvokurwara - periarthritis zvikwama rarira tsoka, apo zvomoto zvinorwisana nemarunda. Kana izvi zvaitika hapana pakazvimba, hapana deformation ari muhudyu. The chirwere ane kushanda chete kana kupfeka shangu dzakakwirira zvitsitsinho kana apo achidzinga pamusoro gogonera hukawanika.

Periarthritis - ibvi kwemajoini chirwere, izvo kurapwa unoshanda chete kana yazivikanwa yekare kare yemagwaro.

Kuti vabudirire mubasa ravo mukurapa yakarumbidza kurerutsa injini basa, zvizhinji zororo. Batsirai kumisa marwadzo nonsteroidal zvinodhaka, zvakadai se "Diclofenac" physiotherapy.

Tendinitis of ibvi muhudyu

Tendinitis of ibvi - chirwere umo rirwadze mudzira rinenge kutoda kutyira mafupa. Pane zvirwere mumuviri vanoshingaira vanhu, nyanzvi Vamhanyi, uyewo vana uye vakwegura.

Zvakanaka zvinhu nokuti kukura chirwere unogona kuva:

• neb unodzivirira mabasa uye siyana dzichipfekeka kusagadzikana kwemuviri;
• kusaenzana of zvetsandanyama nemapfupa hurongwa;
• kunotevera kana kukuvara of ibvi;
• mumuviri nesimba guru;
• fungal noutachiona.

Tendinitis anogona musiwa rimwe gumbo kana vaviri panguva imwe chete. Panyaya iyi, njodzi vadyi kazhinji anopindura zvachinja ekunze - pane marwadzo, kuzvimba, creaking kana uchifamba.

Nokuti nechirwere kuti zvokurwara kushandisa Studies, zvose zvinoenderana apo akatanga tendinitis. Somuenzaniso, kana ari zvokurwara iri kuumbwa deposition pamusoro munyu, zviri nyore kuziva achishandisa radiography. Kana tendonitis pamusana zvinotapuriranwa, ive chiyero inobudirira kuona chirwere muri zvidzidzo murabhoritari.

Nzira Mabatirwo tendinitis kuvimba padariro chirwere. Pakutanga, dzinobudirira dziri kuchinja - mishonga (non-steroidal zvinodhaka Anti-anogumbura mugumisiro), physiotherapy - magnets a electrophoresis. rinobatsira pakurapa ibvi muhudyu anopa yoga. Kana kumhanya weboka chirwere, kuvhiya kupindira.

dzinonzi rheumatoid arthritis

Dzinonzi rheumatoid arthritis - ndiwo systemic chirwere umo connective zvinyama zviri rirwadze. Chaiyo zvinokonzera chirwere vasina dzatangwa. Zvinozivikanwa kuti boka pangozi zvinosanganisira vanhu vane yedzinza vakaipa, uye vaya vakaderera kutapata. Wedzerai mukana wokuti chirwere kakawanda hypothermia, kushushikana, mupfungwa. The chirwere kunooneka pacharo mune varume nevakadzi, pamwe zera chinhu hakurevi kukanganisa kuitika nhamba.

chirwere anogona kunzi kuti leisurely. Dzinonzi rheumatoid arthritis hakuitiki nomuzvarirwo mumazuva mashomanana kana mavhiki, uye anovandudza zvishoma nezvishoma. Zvose rinotanga nokunzwa kuomarara muna ibvi pashure yakareba zororo mamiriro (semuenzaniso, pashure usiku kuzorora). Zvakachinja okunze kuonekwe kunorwadza nezvekufadza chokuita ibvi rwakashodoka. Zvirwere izvi mhando kutora nzvimbo mumatanho dzakawanda. Nokuti mumwe chokutambudzika chirwere dzinoratidzwa kubudikidza nezviratidzo zvavo, asi nevakawanda nekuratidza chirwere panguva mumatanho ose kukura chinhu chinorwadza chiratidzo.

Pavaipfuura Kugadzirwa chirwere. Diagnostics

Pakutanga, munzvimbo ibvi kuonekwa pakazvimba, induration, marwadzo chiratidzo kunoitika. Dzimwe nguva munhu wacho tembiricha muviri rinobuda.

Pakuzadzisa dzinonzi rheumatoid arthritis kunobatanidza synovium - nayo condenses nokuda weboka yezviri anogumbura masero.

Kana mazhinji zviitiko hosha rwakavapo kukuvara mapfupa rinenge uye shwashwa. Pane marwadzo, pane ibvi kwemajoini deformation, kutyorwa ake motokari chaitika.

Dzinonzi rheumatoid arthritis - chirwere asi ngozi, kana untreated, ari urema kunoitika, uye mune zvimwe zviitiko - rufu munhu. Similar Migumisiro kuitika nokuda kwazvo matambudziko, aunopiwa chirwere kune dzimwe nhengo uye hurongwa - kukura renal kukundikana, ndiyo kupararira kwezvirwere zvakawanda zvinotapukira kwendangariro.

Chirwere chirwere hunobva unyanzvi akawanda:

• zvekunze kuongororwa, izvo zvinotibatsira kuona zviratidzo zvakadai kuzvimba ari ibvi, ganda akatsvuka, pachena vadyi deformities;
• nemakemikari Kuongororwa ropa;
• radiography.

Marwadzo chiratidzo dzinonzi rheumatoid arthritis panobviswa kushandisa zvinodhaka pamwe nonsteroidal Anti-anogumbura mugumisiro. Kana panowanikwa maperembudzi chokuita kupararira chirwere pamuviri, nemishonga inorwisa mabhakitiriya vari ndishandise. Bvisai marwadzo kunobatsira dzose masaja uye otenda kuchirapa muviri.

bursitis

Bursitis - ane anogumbura chirwere ari bursa (bursitis). Zvokurwara ndiwo mugumisiro akuvara ibvi, uyewo zvechigarire pamwe basa nokuda rinorema chaiko nesimba. Bursitis kunogona kuva nemhaka zvirwere. Somugumisiro kuzvimba ari synovial mvura rinoungana bhegi ane microflora ngozi. Zvishoma nezvishoma ibvi hunokonzera marwadzo, kushushikana pamusoro ibvi somunhu pavanorwadziwa kusanzwa, kunzwa kuomarara kana uchityaira. Around vagari kuumbwa kuti munhu kuzvimba, kukura zvinogona kusvika 10 cm. Varwere bursitis akaona kurasikirwa kudya, zvakawanda zvive, mune zvimwe zviitiko, anogona kuwedzera muviri tembiricha. Bursitis Symptomatology zvikuru zvakafanana nemamwe kuratidzwa zvirwere ibvi, kunyanya chearthritis. Zvisinei, pane imwe musiyano unokosha pakati izvi pathologies maviri. Bursitis akachengetedzwa gwenya basa uye kugona kuita flexor uye extensor sangano.

Kuwedzera kutarisana rokuongorora, kuti kuongororwa uye kurapwa nemazvo zvaiitwa nomazvo anoshanda ponji - mvura yaunodya kubva zai yokutsvakurudza.

The kutanga zvokukura chirwere sei zvakanaka kurapwa. Zvipatara zvinosanganisira anorumanya, Achiputira siyana, mubhedha murwere zororo kunoratidzwa. Kana chirwere kwapfuura kupinda chirwere pachikuva, zvakakosha kubvisa vaunganidza mvura kubva ibvi uye wash yomukati.

Gout uye Paget chirwere

Gout - chirwere kunoitika pamusana kusagadzikana Urinary muviri mumuviri uye BP uric acid. Zvinhu zvinowedzera mukana chirwere zvinosanganisira kunyanya kudya nyama uye hove, uyewo doro.

Gout runonyanya kunoitika muvarume. Chirwere kwakaratidzwa rakapinza marwadzo, Hwakatsvuka ganda munharaunda yacho ibvi rwakashodoka. In tsandanyama vakaumba nodules vaimiririra accumulations ose uric acid.

Gout chirwere kushandisa nokukanganisika ropa kuongorora uye X-ray. Panguva mushonga kuwedzera mishonga murwere ushandiswe rinokosha kudya (kudya zvidyo yakachena mukuru mu purine), ushandiswe mumuviri uye mupfungwa zororo.

In Paget nehosha kunoitika zvemamiriro mapfupa inotungamirwa, zvichiguma akaremara mapfupa marangwanda kuva pfava chaizvo.

Zvokurwara kazhinji zvinokanganisa mapfupa refu repasi wamativi, nokuwondisa mumabvi. The chirwere kunyanya kunetseka varume, kunyanya vakwegura.

Rokuongorora chirwere hakusi nyore, sezvo paine zviitiko apo murwere haasi kuona chero zviratidzo zvokurwara.

The chirwere kiyi basa reDare ropa kemisitiri, izvo pamberi chirwere mumuviri kunoratidza rakawedzera zviri imwe enzayemu - phosphatase. Uyezve zvidzidzo X-ray kudzidza.

Treatment kunosanganisira kuderedza matambudziko hunokonzera chirwere Paget vake. Basa yokurapa - zvikuru kusimbisa mapfupa. Izvi zvinoitwa nokutora gadziriro ane karusiyamu. Apo chirwere Varwere Paget kunofanira kutevera zvokudya, ita zviitwa chiitwa mishonga kudzivisa kukuvara zvinogona kutungamirira mitswe.

Saka, munyaya, isu rakafukidza dzinokosha pathological ezvinhu kukanganisa ibvi rwakashodoka. Zvisinei zvirwere ibvi,, pamaitiro, kunyange zvakawanda siyana. zvirwere zvose izvi vazhinji kukabatanidzwa zvakafanana zvinhu - pathologies munhu anosangana kuomarara pakuendeswa uye marwadzo pane nzvimbo chirwere kazhinji pakazvimba. Kudzivisa kukura zvirwere, zvakakosha pakutanga kuti akuteerere utano hwavo, udye zvakanaka, kudzivisa paumbwe muviri systemic pathologies, kwete kuunza muviri kumamiriro ezvinhu kufutisa.

Nezviratidzo chirwere wokutanga havafaniri kunonoka mushandirapamwe nyanzvi, nokuti mangwanani zvokuongorora chirwere - kiyi inobudirira kupora.