Gonarthrosis - arthrosis yemabvi akabatanidza, deforming arthrosis - chirwere umo mune kuparadzwa kunofambira mberi kwehutikiti.
Zviratidzo uye zvikamu zvegonarthrosis
Mukududzirwa kwechirwere, vanachiremba vanosiyanisa zvidimbu zvitatu:
- Apo gonarthrosis 1 gorosi yemarwadzo inowanikwa bedzi mushure mokunge uchinge wawedzerwa muviri. Mumumabvi, kunogona kuve nekudzidzira zvishoma, izvo zvinokurumidza kupfuura pachako. Panguva ino, zvinokwanisika kurarama nedambudziko remishonga yemagariro.
- Ne gonarthrosis yemakumbo emabvi echidimbu chechipiri, kurwadziwa kunowanzogara kana kugara, kunomuka kunyange mune imwe nzvimbo yezororo uye kunowedzera mushure mekuita zvekuita. Paunenge uchifamba, uchinja uye usingasviki gumbo mumabvi, panogona kuva nekugunzva uye kuvhara. Mabvi anotsvaira nguva dzose, maitiro aro anoonekwa anoonekwa. Mukuwedzera, kune hukama hwakabatana, hunogona kuderera zuva rese. Usiku, panogona kunge kune marwadzo mumumvuri wemhuru. Kurapa kwegonarthosis ye 2d degree kunoda kutora mishonga yakawanda yezvinodhaka, uye mishonga yevanhu inogona kushandiswa chete sevabatsira.
- Ne gonarthrosis yegiredhi 3, pane kuoneka kwakakura kwechirevo chekubatana, kurwadziwa kunogara kwenguva dzose, kuregererwa kwekufamba, kunyange kutadza kwekufamba kune rimwe gumbo rinoputika, rakaratidzirwa rakakosha. Kuchengetedza kurapwa panguva ino inowanzosaitiki uye kupindira kwekuvhiya kunodiwa.
Nzira yekurapa gonarthrosis yemabvi akabatanidzwa chechipiri chepiri?
Nechipiri chemabvi ekubatana gonarthrosis, kurapwa nemaitiro anochengetedza achiri kukwanisika, asi inofanira kuitwa pasi pechirwere chekurapa zvakasimba. Kurapa kwegonarthrosis kunosanganisira zviyero zvakawanda zvezviyero:
- Kugamuchira mishonga.
- Kana zvichikwanisika, deredza mutoro pahutano hwakakanganiswa. Neunilateral gonarthrosis yechiremba chechipiri, kushandiswa kwekayi inzira yakanaka yekuderedza mutoro, asi muhupenyu hwechirwere chechirwere, apo mabvi maviri ose akabatwa, nzira iyi haisipo uye zvakakosha kuzvidzora pachedu pamabvikiti akakwirira.
- Physiotherapy - laser, magnetotherapy , electrophoresis, low frequency vibration. Inobatsira kuderedza kunhuwa, kurwadziwa nekuputika.
- Massages, manual therapy uye maitiro ekurapa gymnastics. Vanobatsira kuvandudza kugovera ropa, kubatanidzwa pamwe chete nekudzorerwa kwemazuva ose.
- Kudya kwegonarthrosis yemabvi akabatanidzwa ne 2 nd digari inomiririra chikamu chekurapa uye inonzi yakasimudzira kuyerwa (sezvo mafuta aripo anogadzira rimwe mutoro pamagungano) uye anovimbisa kudya kwevhitamini anodiwa nemaminerari. Zvokudya zvinofanira kugoverwa (4-5 kakawanda pazuva), zvine zvishoma zvamafuta uye semunyu mashoma sezvinobvira, kuva nepfuma mumapurotini emichero nemhuka, B, C uye D. mavitamini.
Kugadzirira kurapwa kwegonarthrosis yemabvi akabatanidzwa ne 2 nd degree
Mutemo wakatarwa wokurapa gonarthrosis unosanganisira kutora mishonga yemapoka akadaro:
1. Vasina-steroidal anti-inflammatory drugs:
- Butadione;
- Diclofenac;
- Indomethacin;
- Ketoprofen;
- Meloksikam;
- Movalis;
- Piroxicam;
- Nimulid;
- Celebrex.
Iyo inoshandiswa kunyanya kubvisa marwadzo ekurwadziwa uye zvakanyanya kubvisa zviratidzo pane kuva nehutano hwemazuva kwenguva refu.
2. Hondoprotectors:
- Glucosamine;
- Chondroitin sulfate.
Aya ndiwo mishonga ine zvinyorwa zvakafanana zvezvinhu izvo zvinoumba mutsara wekodhijainous weiyo. Inobatsira pakudzorerwa kwekatekete, asi inofanira kutorwa nguva dzose, kwenguva refu. Kune rimwechete boka rinosanganisira kugadziriswa kwe hyaluronic acid, iyo inoratidzika seanogue ye articular lubrication.
3. Intra-articular injections ye corticosteroids. Dzinoshandiswa muzvikamu zviduku zvezviratidzo zvakakomba uye kurwadziwa kwakanyanya.
4. Mafuta nezvinonhuwira - zvinoshandiswa kugadzirisa kuzvimba uye kuderedza marwadzo. Pamusoro pezvinonhuwira, zvinonyanya kukosha ndezvokugadzirira zvichibva pane zvisiri-steroidal anti-inflammatory drugs:
- Butadionic;
- Indomethacin;
- Fastum-gel;
- Voltaren-gel.
Kunyanya kusimbisa kakawanda inoshandiswa zvinodhaka zvakadai seBischofite uye Dimexid .