Vanenge makumi matatu kubva muzana vevarwere vanoshanda kubasa rekurapa, rinorayirwa pamwe chete kurapwa. Kusvikira munguva pfupi ichangopfuura, chirwere chakadaro chakaonekwa kune vamwe vapfudzi, asi ikozvino "vaduku": zvirwere zvakabatana zvinowanzokonzera vechidiki nhasi. Kana iwe uchiziva zviratidzo zvezvirwere zvakadaro munguva, saka zviri nyore kurwisa nezvirwere.
Zvirwere zvezvibatanidza - kuronga
Iri boka rinosanganisira maitiro akawanda. Zvirwere zvose zvezvibatanidzwa zvinowanzomiririrwa neshamwari dzinotevera maererano nehutachiona:
- Kuvhiringidzika kunokonzerwa nechirwere chetachiona, chirwere chinopararira kana kuti chirwere chisingawaniki. Chirwere ichi chinokura nokukurumidza. Icho chiri pamwe chete nekuremera kukuru uye kurwadziwa. Kune boka iri rezvirwere zvinosanganisira arthritis, gout, hoff's disease .
- Kuparara kwechigadziro kunokonzerwa nokupfeka kwemajoints uye kuparadzwa kwezvinyama zvegumbo. Chirwere chinokura zvishoma nezvishoma. Mumiririri akajeka weboka iri ndiosteoporosis .
- Congenital joint damage. Kune boka iri rezvirwere rinotakura Marfan syndrome .
- Pathology ye periarticular tissues. Zvirwere zvakadaro zvinowanzoitika mushure mekukuvara kukuru kana kuwedzerwa kunetseka.
Mukuwedzera, zvirwere izvi zvinogona kukanganisa manotsi akadai:
- famba;
- hip;
- ulnar;
- mabvi;
- joints of brushes;
- ankle.
Pakutanga zvirwere zvose zvinogona kunge zvakaparadzana zvikaita mapoka akadai:
- primary - simuka zvakananga mubatanidzwa;
- yechipiri - inobatanidza kune dzimwe zvirwere zvinowanikwa mumuviri (somuenzaniso, kukura kune dzimwe nguva zvirwere zvepachikafu).
Zvirwere zvekubatana - zvinokonzera
Vatsoropodzi vemararamiro akadaro akawanda. Kazhinji zvirwere zvakabatana zvinoitika nekuda kwezvikonzero zvinotevera:
- hutachiona - vamiririri vane tuberculous mycobacterium, gonococci, brucellae, streptococcus;
- kurwisa;
- endocrine zvinetso;
- kushungurudzika mubasa remagetsi emagetsi, zvichikonzera kusunungurwa kwemakoroni emakroticone;
- nhaka;
- zvakaipa zvedzidzo;
- vascular factor;
- Zvokudya zvishomanana zvisingabhadharwi zvinokosha zvema micro-uye macroelements;
- kunyanya kunetseka pamajoini;
- kukuvadzwa;
- dampness uye kutonhora;
- miitiro yakaipa;
- kushandiswa kwenguva refu kwemishonga inorwadza (Nimesulide, Diclofenac kana Indomethacin).
Zvirwere zvekubatana - zviratidzo
Zviratidzo zvinopesana zvichienderana nekurwara kwakaita muviri. Kazhinji zvirwere zvakabatana zviratidzo zvinotevera:
- mhuka dzakawanda munzvimbo yakakanganiswa;
- kukanganiswa kwezvibatanidzwa;
- kurwadziwa (pazororo uye pashure pemutoro);
- kuoma;
- Rash paganda pedyo nenharaunda yakakanganiswa.
Nzira yekurapa joints?
Usati watanga kurwisana nechirwere ichi, chiremba achagadza kunyatsoongorora kumurwere. Murumbidze kwaari, kurapwa kwemajoini kuchave kwakanyatsobudirira. Kuti zvive zvakajeka, murwere anogona kugoverwa zvidzidzo zvakadai uye ma laboratory:
- kurohwa kwemajoini emvura;
- arthroscopy;
- kuongorora ropa;
- X-ray;
- tomography.
Mukuwedzera, kana ichiongororwa, chiremba anoteerera zvakanyatsonaka kumhan'arwere omurwere. Maererano nemigumisiro yakawanikwa, chiremba anorayira kurapa kwakanakisisa. Kana zviputi zvikuvadza, kurapa kunogona kuitika sekutevera:
- kuchengetedza;
- chirurgic;
- zvimwe.
Conservative therapy inotarirwa kuderedza kushungurudzika kunorwadza, normalizing ropa rinopera uye kuderedza kuputika kwezvibatanidzwa. Mukuwedzera, iyo inobatsira pakuvandudzika kwemagadzirirwo emagetsi mumagetsi echetilaginous. Kana chiremba akawana kuti kuputika kwokutanga kwemajoini, anowanzorayira kurapa nekuchengetedza. Kurapa kwakadaro kunosanganisira zvinotevera manipulations:
- kutora mishonga uye kubvisa;
- kushandisa therapy;
- manual therapy;
- physiotherapeutic treatment;
- phytotherapy;
- massage.
Mune zvimwe zviitiko, kurapa kwakachengeteka kwezvikamu zvakakanganiswa hazvina maturo. Izvi zvinowanzoonekwa kune varwere vane fomu yakakura yechirwere. Kupindira kwokupindira ndiyo chete mukana wekuti munhu adzokere kumararamiro akagara. Izvi zvinotevera zvinogona kuitwa:
- endoprosthetics;
- arthroscopic debridement;
- osteotomy.
Matetetsi emajoints
Mukurapa kwechirwere chetakisikiti mishonga mishonga yakasiyana-siyana inoshandiswa. Kazhinji vanorwara vanorayira mabheti aya anoramba-kupisa kwete ma-steroidal majoints and cartilage:
- Meloksikam;
- Celecoxib;
- Rofecoxib;
- Ketoprofen;
- Aceclofenac.
Simba rinopesana nokuvhiringidza rinoratidzwa ne-glucocorticoid hormone. Kazhinji kazhinji inorayirwa madhiragi akadaro:
- Dexamethasone;
- Hydrocortisone;
- Triamcinolone;
- Prednisolone.
Kurapa kwemajozi pamba kunosanganisira kushandiswa kwezvinodhaka zvinotarisirwa kuwedzerazve intraarticular cartilage. Akagadzwa munyaya iyi, mahwendefa akadaro:
- Chondroxide;
- Don;
- Honda;
- Arthron;
- Movex.
Kune izvozvo, nehutano hwehutano hwakagadzirirwa uye zvinodhaka zvine calcium. Mahwendefa anotevera anowanzonyorwa:
- Osteoka;
- Rockaltrol;
- Osteogenon.
Joints for joints
Kana uchitarisa chirwere chechirwere chemashuga, majekiseni ane mapoka aya emishonga anogona kunyorwa:
- corticosteroids (Kenalog, Flosteron, Celeston);
- chondroprotectors (Alflutop);
- gas injections;
- hyaluronic acid (Sinocrom, Ostenil).
Ikokupedzisira inonzi inoshandiswa zvakanyanya, sezvo chinhu chinoshandiswa mujojeni ndicho chikamu chikuru che synovial fluid. Nyxes kumapfundo ne hyaluronic acid ndiyo inorayirwa zvidzidzo. Chimwe chikamu chinosanganisa ma 3-5, iyo nguva inofanira kuva yevhiki. Mhedzisiro yemitemo yakadaro inogona kuramba iripo gore rose.
Kurapa kwemajoini nemishonga yevanhu
Zvine utano hwakaoma, dzimwe nzira dzinogona kushandiswa. Kuchengetedza kuti muviri wevarwere hauna kukanganisa zvakashata, zvose zvinoshandiswa pamwe chete zvinoshandiswa kurapa hazvifaniri kunge zvine mishonga inokonzera mishonga. Mukuwedzera, mishonga yemagariro inofanira kutarisirwa pasi pekutarisirwa kwechiremba. Nechirwere chinoshandiswa chinogona kunge chichigadziriswa uye kuputirwa kwemishonga, pamwe chete nemafuta anogadzirwa.
Kurapa kwemajeri emasangano nekuporesa kamuti
Zvisungo:
- inflorescence wort St. John's wort - 2 tbsp. makapu;
- medicinal clover - 2 tbsp. makapu;
- hops - 2 tbsp. makapu;
- Vaseline - 50 g.
Kugadzirira uye kushandiswa
- Mishonga yemishonga inogadzirwa kuva mupfu.
- Sangananisa ne petroleum jelly kusvikira huwandu hwakafanana hunowanikwa.
- Chizoro chinogadzirirwa chinoputirwa muzvikamu zvinorwara, uye musoro uri kufukomberedza.
- Nguva yenguva inoshandiswa inobva pachikamu chechirwere.
Gymnastics for joints
Kurapa kwekuita muviri kwakaoma kunzwisisa. Paunenge uchironga hurongwa hwakadaro, mamiriro ezvinhu ose omurwere anoongororwa. Kana kurwadziwa kwakanyanya muzvibatanidza kuchionekwa panguva yekushanda, mushonga unofanirwa kumira kwenguva pfupi. Nesimba, haugone kuita gymnastics. Ropafadzo huru ichaunza zvidzidzo nguva dzose. Unofanirwa kutanga nemaitiro akareruka, kurongedza kuwedzera mutoro.
Kuchengetedza mapfundo
Iyi nzira inobatsira kwazvo. Mushure mekunyisa, kuvandudzwa kwakadaro kunonzi:
- kurwadziwa kunopera;
- kufamba kunovandudza;
- Kuzvikudza kunowedzera kuderera.
Kana chirwere chakabatana chichiongororwa, kurapwa nekusikwa kunoitwa nemaitiro. Misangano inoitwa kubva pamaminitsi gumi kusvika pa25 kaviri kana katatu pavhiki. Nguva yakatarwa inobva pane mamiriro emurwere uye danho rechirwere. Nzira yekuita massage ndeyotevera:
- stroking kufamba;
- rubbing;
- kunyorera tsvimbo yechindwe.