Òké articular ikpere nkwonkwo: ọgwụgwọ, mwepụ

Articular òké - bụ a daa ọrịa nke bụ a bụrụ naanị ọkpụkpụ ọkpụkpụ ma ọ bụ cartilaginous ahu. Nke a bụ a na ibe akwụkwọ nke kpamkpam-ese n'elu mmiri na ikpere ma ọ bụ n'ikpere aka oghere na-eme ka ihe mgbu. Òké na-ego n'anya rapaara n'etiti njikọ ndị ọzọ karịa ime ka ọbụna ihe ahụ erughị ala. N'ihi ọdịdị nke ihe ọmụmụ ha na àgwà daa ọrịa na aha ya bụ na nsọpụrụ nke n'usoro na inyefe òké.

The òké nwere ike ịbụ nke dị iche iche nha, si a obere ọka nke osikapa ka nnukwu enweghiudi irighiri. Kacha nkịtị ọrịa na-emetụta ikpere nkwonkwo. Ma, mgbe ụfọdụ e nwere otu nke n'ikpere aka, hip na ubu ebe nke ahu. N'agbanyeghị ihe ọ bụla orunótu nke daa ọrịa, ọ bụ ihe ọ bụla ikpe na-achọ a eru na-adọ ọgwụgwọ.

The usoro nke guzobere

Ọtụtụ mgbe òké articular guzobere n'ihi ihe ọjọọ - oké mmerụ ahụ. N'oge na iku nke cartilage ma ọ bụ ọkpụkpụ izu anya a mpempe, nke bụ free ka imajijiji na nkwonkwo oghere na-akpata ihe mgbu. Tụkwasị na nke a, ndị daa ọrịa nwere ike a na-esi na-esonụ ọrịa: osteochondritis, deforming arthrosis, ogbu na nkwonkwo, ọrịa Koenig na hemarthrosis.

N'ihi nke ọrịa ndị a na nkwonkwo oghere emee particulate jụrụ. Ha na-etolite a na-akpọ Capsule, nke bụ na mgbe niile na-efegharị. Nke a kpụworo a clot bụ a obere elu-neglobulyarnogo protein - fibrin. E mesịa, ọ na-enweta connective anụ ahụ, na-akpụ a egbugbu, dị ka mpempe ọkpụkpụ.

mgbaàmà

Articular òké nwere mgbaàmà nke na-enyere ịmata ihe dị iche daa ọrịa nke ọrịa ndị ọzọ. Isi mgbaàmà nke ọrịa na-:

1. N'oké ihe mgbu n'ime ikpere, Bilie ya ele mmadụ anya n'ihu Immobilization. Nke a na-adị mgbe a iberibe dum na nkwonkwo na-egbochi. Na-egbu mgbu sensations bụ impermanent. Ha ime mgbe a onye na-agbanwe ọnọdụ nke ahu.
2. Ọzịza na mbufụt nke ikpere (n'ikpere aka). Site na nke a na-akpata na-adịgide adịgide na nkwonkwo mkpọchi. Ihe wetara ya pụta - mmebi nke cartilage na ngụkọta Immobilization nke a N'ịdị.
3. Erughị ala na nkwonkwo. Ọtụtụ ndị na-aghọ aghụghọ erughị ala na mmerụ ahụ ma ọ trauma, ọ bụ ezie na ha nwere ike malitere site mbụ mgbaàmà nke guzobere spall.

Òké articular ikpere nkwonkwo ghara gosiri. Ahụkarị ihe mgbaàmà nke ọrịa na-anọghị n'ụlọ, ma ọ bụrụ na a egbugbu ezo na inversion nke synovial akpụkpọ ahụ.

nchọpụta nsogbu

Ọ bụrụ na mmadụ mere mkpesa nke a na mberede mgbu ikpere ma ọ bụ n'ikpere aka, ọ dị mkpa iji nye mbụ enyemaka. N'ihi na nke a ebe nke kwere omume mmebi a na tightened ike na ihe na-agbanwe bandeeji. Ị nwere ike tinye na ndidi na a pụrụ iche ikpere. Ozugbo ị nwere ike kpọọ ụgbọ ihe mberede, nke ga-ewe onye ọrịa ụlọọgwụ. Ebe a nwetara dọkịta ga-enwe ike igosi ihe na-arịa: contusion, ọjọọ, spren ma ọ bụ òké articular ikpere.

X-ụzarị enen na-atụ egwu nke dọkịta. Site n'enyemaka nke ọgwụ na ahụ ike na nkà na ụzụ ọkachamara ga-enwe ike ịtụle ihe size of a òké, ebe ọ na-emi odude, na na. Ke adianade do, ọrịa ga-rụrụ kọmputa tomography. Na-enyemaka nke a dọkịta na-amụta banyere ala nke cartilage, meniscus, ọkpụkpụ. Ọzọkwa, onye ọrịa ga-ata ọbara ule: n'ozuzu na Biochemical. Mgbe ụfọdụ, ọ na-akwado a dị iche iche immunological ọmụmụ.

ọrụ

Mwepụ nke nkwonkwo òké, yiri ka a gosiri na ndidi. N'ụzọ dị mwute, daa ọrịa abụghị amenable ka mgbanwe ọgwụgwọ. On ịwa mpịakọta emetụta isi ndị na-esonụ ihe: na ogo nke nleghara anya nke ọrịa, ya udi, size, agụmakwụkwọ na na. Oge nke ọrụ kpebisiri ike n'otu n'otu. Ma ọ bụrụ na articular òké na-eduga ná ele mmadụ anya n'ihu ma ọ bụ zuru ezu Immobilization nke a N'ịdị, aka ga-ndokwa ozugbo o kwere omume.

Ọrụ, bụ mgbe ewepu agụmakwụkwọ, na-akpọ arthrotomy. First, dọkịta ekpughe nkwonkwo uji eze, mgbe ahụ, ewepu òké na esetịpụ plastic ọkpụkpụ na cartilage anụ ahụ. Nke a ga-enyere izere n'ihu deformation nke nkwonkwo. Mgbe ahụ, ụkwụ na-megharịa - idozi ya, si otú na-enye a anyịnya ala ụkwụ.

Ọgwụgwọ mgbe ịwa ahụ

Ozugbo articular òké e wepụrụ, onye ọrịa kwesịrị reparative ọgwụ:

• Iji melite ka ọbara na-mebiri emebi ntụpọ idepụta "andekalin", "Angiotrofin", "Kallikrein ebusa."
• Ọ bụrụ na e nwere ihe mgbu usoro, a na-kenyere "Gordoks" ma ọ bụ "Contrycal".
• Ọ na-atụ aro ka na-aṅụ ọgwụ na zụọ anụ ahụ na nkwonkwo, "Solkoseril", "Aktovegin" vitamin nke otu B.
• Onye ọrịa na-mkpa ọgwụ iji aka weghachi ndị fọdụrụnụ nke articular cartilage. Nke a, ka ihe atụ, "glucosamine" ma ọ bụ "chondroitin sulfate".
• Jide n'aka na-dee a ọhụrụ, ma ugbua jisiri gosi na ya a mma ọgwụ ọjọọ, "Piaskledin". Ọ bụ oké ọnụ, ma nke ukwuu n'ụzọ dị irè-echebe cartilage si n'ihu mbibi.
• Ọ dị mkpa na-a N'ezie nke injections nke hyaluronic acid. Ọ na-arụ ọrụ nke a eke nkwonkwo lubrication, ya mere budata ebelata ihe mgbu esemokwu.

Димексидом » или « Бишофитом » . Na-adịghị eme enweghị Okpomoku ọgwụ na-amụba ọbara na ejikwara ebe - compresses na "Dimexidum" ma ọ bụ "bischofite".

Minimally invasive ịwa

Minimally invasive usoro na-ẹfep articular òké. Ịwa ahụ ọgwụgwọ nwere ike rụrụ site arthroscopy. Nke a na usoro bụ obere traumatic ka ot n'ịwa ahụ. Dibịa Bekee na-enyemaka nke a pụrụ iche ngwaọrụ - na arthroscope - abụọ n'oghere ikpere. Na otu na-ewebata ihe ngwa anya Usoro, na-atụle ya esịtidem ala via daa ọrịa. Na nke a, na foto na-ohuru na ihuenyo. The abụọ onu, dọkịta inserts a ngwá ọrụ aghụghọ. N'ihi ya, mmebi nke ndidi dị ntakiri. N'ime otu izu i nwere ike na-amalite ghara ịgbanwe.

physiotherapy agwọ ọrịa

Mgbe ịwa ahụ, onye ọrịa ga-ata ọtụtụ usoro na na-agaghịkwa na-egosipụta onwe ya òké articular ikpere. Ọgwụgwọ na ọgwụgwọ anụ ahụ ụzọ na-agụnye ndị na-esonụ manipulations:

1. Joint ịhịa aka n'ahụ.
2. Ultrasound ọgwụgwọ.
3. Apịtị ọgwụ.
4. Doo nke van: radon na turpentine.
5. Mmetụta ike ugbu a.
6. Electrophoresis sọlfọ, lithium na zinc iweghachi metabolic Filiks ke nkwonkwo.
7. Kpaliri na enzymes ewepu "ọjọọ" na-akpa ákwà.
8. Phonophoresis na analgesics maka ọgwụgwọ nke mbufụt.

Ndị a na usoro nwere ike na-ebe ke a ọgwụ ma ọ bụ ọgwụ ebe e nwere ezigbo ngwá na ukwuu ruru eru pesonel.

Na-enye ndiife dọkịta?

Anyị na-echeta otu ugboro ọzọ: naanị site ịwa eliminates sere n'elu cartilage nke ikpere nkwonkwo. Ọgwụgwọ ndiife ịgba akwụkwọ nwere ike-awa nanị dị ka ihe inyeaka mmewere, ma ọ bụ n'ihi postoperative mgbake, ma ọ bụghị dị ka onye ọzọ ọgwụ. Na nke a, ị pụrụ ime ka compresses na ndị dị otú ahụ Ezi ntụziaka:

• Tablespoon mmanụ aṅụ mix na 3 tbsp. l. apple cider mmanya. Ịtụ emetụta nkwonkwo ngwakọta, mgbe ahụ, etinyere thereto kabeeji akwukwo. Kechie ụkwụ na polyethylene na-ekpo ọkụ ịchafụ. Jide ruo mpempe akwụkwọ bụ akọrọ. N'ezie - 1 ọnwa.
• Were otu tablespoon nke acha uhie uhie na-acha anụnụ anụnụ ụrọ. Mix ntụ ntụ na mmiri ka na-etolite a uka, bụ nke yiri ka anọgidesi nke gbara ụka ude. On a ọcha owu ákwà-agbasa na abụọ n'ígwé nke ụrọ na-etinyere na nkwonkwo. Iji ikpuchi ihe a na mpaghara na ẹkenịmde ruo awa abụọ.

Ọ na-enyere ibelata ihe mgbu na a pụrụ iche bath. N'ihi ya nkwadebe gị mkpa iji otu na ọkara kilos nke atịchok epupụta. Ha finely shinkuem na jupụta na 8 lita nke esi mmiri. Mgbe mmiri cools ala na-aghọ na-anakwere maka usoro, ọ na-ahapụ ide na ụkwụ ya na otụk ebe kpamkpam submerged na efere. Anyị na-eguzo a ọkara awa. Nke a bath na-atụ aro ime otu ugboro n'ụbọchị maka 10 ụbọchị. Ndị a na-ewu ewu ụzọ ga-adị ngwa ngwa mgbake mgbe ịwa ahụ na-agwọ ya onwe ya bụ enweghi mgbu ma dị irè.