Chirwere cheKönig chinonyatsozivikanwa kuna vanachiremba sekuti dissecting osteochondritis. Chirevo chechirwere chacho chave chiri muzita racho pachako - chinoparadzanisa nzvimbo yekatetila kubva pfupa, iri pedo naro, uye zvino inoshandura muvharo.
Kazhinji kacho, vechidiki vanobatwa nechirwere ichi - ndivo vakomana vane makore gumi nemashanu uye vaduku vari pasi pemakore makumi matatu nemashanu. Kakawanda kazhinji vanachiremba vanyoresa kuparadzanisa osteochondritis mune vanhu vanopfuura makumi matanhatu emakore, asi mune izvi zviitiko zvirwere zvinowanikwa kune varume.
Yakave ichinyorwa zvakare kuti chikadzi chinowanzonyangadza. Maererano nehuwandu hwekuvhiringidza, vanachiremba vakanyora urongwa hwose hwekukuvadza kumapfupa uye mapfundo ekuderera:
- Femur bone.
- Elbow joint.
- Wrist joint.
- Ankle joint.
- Tazobrenredny joint.
- The tibia.
- Patella.
Chirwere chinotakura zita rechipiri - Keninga, - mukuremekedza chiremba uyo akatsanangura chirwere ichi muna 1888.
Zviratidzo zveMuviri weKoenig
Zviratidzo zvechirwere zvinoenderana nesiteji chayo, iyo inenge yakawanda ye4:
- Munguva yemutambo wekutanga, murwere anonzwa kusagadzikana zvishoma muzvikamu - kurwadziwa, kugadzirisa kumamiriro okunze, etc. Kana iwe ukaita x-ray munguva ino, unogona kuwana chitunha chakaparadzana, chakaparadzaniswa kubva kune hutano hwakanaka hwepfupa nechechi bhenekeri.
- Synovitis inoitika panguva yechipiri, uye kurwadziwa kunowedzera. Ne x-ray, kuvimbika kwevharo rekuvhara rakaputsika, uye bhenekeri pakati pemafupa ane utano uye nzvimbo yakakanganisika inova yakareba uye yakareba.
- Pachitatu chechitatu, kuvharwa kwekubatana kunokwanisika nekuda kwekuparadzana kwakakwana kwechitunha. Kana iwe uchiita x-ray, unogona kuona shiri yakabatana.
- Mutsara wechina, chitunha chakaparadzaniswa zvachose nefupa rakagwinya, uye kune kurwadziwa kwakanyanya uye synovitis, kunyange kuvharwa kwemajoini kunowira kashoma. Ne x-rays, muviri wechiparari unoonekwa panguva iyi.
Zvinokonzera Matambudziko aKoeenig
Kusvika iye zvino, hazvizivikanwe zvachose chinokonzera chirwere cheKening. Pamwe chete neizvi, sainzi inoziva kufunga, pakati payo:
- basa rinowedzera mitambo kwenguva yakareba (vanachiremba vakawana kuti vatambi vanovaka chirwere ichi kakawanda);
- basa rakaoma rekunyama;
- kukuvadzwa;
- thromboses ;
- kubvisa endarteritis;
- kusvuta.
Zvimwe zvinhu zvinoshandiswa nehutachiwana hwehutachiona hunovhiringidzika zvinogona kuita kuti kuve nekushambadza kwemaosteochondritis. Kushaya ropa kunokonzera necrosis, uye, semugumisiro, exfoliation yematumbu.
Kurapa kweMuviri weKoenig
Kana chirwere ichi chave chichigadziriswa mumwana kana mwana wechidiki, zvino vanachiremba, sekutonga, havazogadziri kupindira uye kuporesa nekuchengetedza. Muvanhu vakuru, kurapwa kwakachengetedza hakubatsiri, kunyanya mumatanho ekupedzisira echirwere chacho. Panyaya iyi, tinogona kusiyanisa nhatu dzekurapa: kuchengetedza, kushanda, uyewo mishonga yemusha inogona kuderedza mamiriro emurwere.
Conservative treatment
Muchiitiko ichi, mishonga inoshandiswa iyo inosimbisa mhuka dzinokonzera mhuka - chondroprotectors, pamwe chete neaya anovandudza kupararira kweropa. Iyo physiotherapy inobatsirawo.
Chondroprotectors:
- aflutop;
- teraflex;
- arthra;
- don;
- structum;
- elbon;
- chondroitin;
- glucosamine;
- chondroitin sulfate and the like.
Iyi mishonga ine majekitendi akasiyana zvichienderana nezvinhu zvinoshanda izvo nyanzvi inofanira kusarudza munyaya imwe neimwe, sezvo migumisiro inowanzoitika.
Zvinodhaka zvinowedzera kupararira kweropa, zvinogona kunge zvakaita mafuta kana majekiseni. Vanosarudzwa nenyanzvi zvichienderana nesiteji chechirwere uye chirongwa chekurapa.
Operative treatment
Chirwere cheKönig chinorapwa nekuvhiya kunonzi arthrotomy. Muchiitiko ichi, svinudza majoka uye bvisa articular mouse. Munguva ichangopfuura muRussia vakatanga kudzidzira imwe nzira - mvura inoshandiswa inoshandiswa mujoka, iyo inosimbisa uye inogadzirisa bone uye martilaginous tissue.
Mushure mokuvhiyiwa, chirwere cheKönig chinopfuura, asi chibatanidzwa hachikwanisi kutakura kwenguva yakareba. Mune zvimwe zviitiko, kurwadziwa kunogona kutanga, uye mikana yekudzokorora kushanda inowedzera.
Zvirwere zvevanhu
Kurapa kwechirwere cheKoenig nemishonga yevanhu kunogona kutungamirira kuwedzera kuipa kwechimiro - kuvhiringidza kwekubatanidza, saka kana iwe uchitaura kwavari, ipapo kana mushure mekunge taudza chiremba.
Kuti ubvise zvirwere zvinorwadza, iwe unogona kushandisa matavi epaini - inofanirwa kubhurwa, inomiririrwa kwemaminitsi makumi mana, uye yakanyorova. Mubhaji nemukaka unodziya, unofanidza kuisa nzvimbo ine chirwere kwemaminitsi gumi nemashanu.
Tea inogonawo kubatsira pakusimbisa majoints kubva gentian, currant uye tambo . Tora iyo inokosha zuva rega rega, kwete kupfuura 1 mukombe pazuva kwemazuva gumi nemana.