Pamusana pekukanganisa kwezvinhu zvakasiyana-siyana, kuparadzwa kwezvigunwe zvepachivi uye musoro wechikadzi nefupa rinoitika. Icho chinopedzisira chichigadzirisa-dystrophic michina, iyo ma osteophytes (kunze kwegungwa) inoumbwa uye arthrosis inokura. Ichi chirwere, aseptic necrosis yemusoro wemukadzi, maererano nechetatu rekufa kwechifu, zvinogona kutungamirira kumigumisiro yakaipa, kusvika pakuremara.
Zvinokonzera aseptic necrosis yemusoro weboshwe kana kurudyi kwevakadzi
Iyo yakatsanangurwa kuora mwoyo kwehutano hwemapfupa emapfupa inokura apo kusanganiswa kwezvikonzero zvakasiyana zvakanyorwa pasi apa:
- kugamuchira corticosteroids ;
- kukuvara kwemagetsi ejoka rekuputika;
- kuputsa kwekutengesa nzira;
- kutarisana nemirairo yeioni;
- kunwisa doro;
- chikoro-cell anemia;
- pancreatitis;
- bone bone;
- kugara uchinge uchinge uchinge wakabatanidzwa pamwe chete;
- zvirwere zvevascular system.
Kana iwe usingakwanisi kuziva chikonzero cherwere, inonzi idiopathic.
Zviratidzo zve aseptic necrosis yemusoro wevakadzi
Zviratidzo zvikuru zvechirwere ichi:
- atrophy yezvinyoro zvinyoro uye masaga;
- kurwadziwa kwemarwadzo;
- kutora huwandu hwemutoro kusvika kune gumbo rakanaka;
- kuderedza kufamba kwebato.
Uyewo, iyo yeAaseptic necrosis yemusoro wevakadzi inotarisana nechikwata chayo, pane zvine chete zvadzo:
- Pazvikamu zvekutanga zvekuwedzera kwechirwere munhu anonzwa kurwadziwa kwakanyanya, kunowanikwa nekushingaira kwemuviri uye kunogona kudzorera kuguma. Panguva imwecheteyo, huwandu hwemafambiro ehupenyu huripo huripo, huremu hwemuviri hugoverwa zvakafanana pamakumbo maviri.
- Chikamu chechipiri chinoratidzwa nekuwedzera kwehutano hwehutano, hunova huchigarire. Somugumisiro, kufamba kwekubatana kunoderera, murwere anoedza kubudisa gumbo rakakuvadzwa, izvo zvinokonzera kushamiswa kukuru kwezvinyuchi zvechiuno.
- Nhanho yechitatu inosangana nekutambudzika kukuru, kunoitika kunyange pasi pemitoro maduku. Nemhaka yeizvi, motokari inoshanda yejojo inowedzera, inofanirwa kuve yakagadziriswa uye inrophy yemishumo kwete chete yehudyu, asiwo yehin. Dzimwe nguva kupfupisa kwegumbo rakakomba kunonyatsooneka.
- Pakati pechikamu chechina, chirwere chinokonzera kuparadzwa kwakakwana kwemapfupa emapfupa, munhu haagoni kufamba pasina rubatsiro kana kushandiswa kunokosha.
X-ray mune aseptic necrosis yevakadzikadzi musoro
Iko X-ray kuongororwa ndiyo inonyanya kudzidzisa uye yakarurama nzira yekuongorora.
Mifananidzo yacho inonyatsoratidza nzvimbo dze necrosis nedzimwe dzisina kufanana kana dzakasvibiswa mubatanidzwa hwechikadzi, musoro usina kukwana, kuchinja mumamiriro ezvinhu emadzimai, marginal osteophytes. Ndinokurumbidza X-ray, unogona kunyatsotsanangura danho rechirwere.
Zvimwe kuongorora maitiro:
- Podography;
- chiyero chekutsigirwa uye kufamba kwepakati;
- MRI;
- tsanangudzo yezvinonzi intraosseous pressure.
Kurapa uye kugadziriswa kwevasptic necrosis yemusoro wemukadzi
Imwe nzira yakabatanidzwa mukurapa kwehosha inofungidzirwa ndeyotevera:
- Gymnastics yezvokurapa uye kutevedza maitiro emapfupa. Mafungiro akawandisa pamusoro pekubatana akabatanidzwa anoratidzwa.
- Kururamiswa kwekufamba. Especially recommended multichannel electrical stimulation.
- Kurapa zvinodhaka. Vascular (Kurantil), kurwadziwa kunorwadza (Ibuprofen), chondroprotectors (Rumalon, Mukartrin), vatongi
calcium metabolism (Alfacalcidol neXidiphon). - Kusagadzikana kunotarisana nekuvhara kwenguva refu (autograft inosangana neNovokain, Kurantil).
- Intra-articular zvirwere. A vitreous with oxygen inoshandiswa.
Zvinokosha uye physiotherapy ye aseptic necrosis yemusoro wemadzimai - laser, magnetic, EHF.
Kana iyo yakaratidzwa chirongwa chirongwa isingabatsiri, kupindira kwekuvhiya kunorayirwa:
- rotational osteotomy;
- autoplasty yemusoro wechikadzi we subchondral type.