Periarthritis ntawm pob taws pob qij txha yog qhov mob hnyav ntawm ligaments thiab cov leeg nqaij ntawm articulation, uas yog nrog los ntawm qhov mob hnyav, txwv tsis pub txav ntawm sab ceg. Cov kab mob no tsis tshua muaj tshwm sim vim muaj cov qauv tshwj xeeb ntawm cov ceg no, tab sis nws tuaj yeem ua rau muaj teeb meem ntau.
piav qhia txog tus kab mob
Periarthritis ntawm pob taws pob qij txha yog tus cwj pwm los ntawm qhov tseeb tias nws cuam tshuam rau cov nqaij mos periarticular nkaus xwb. Lub articulation nws tus kheej tsis puas, yog li nws functionality tsis txwv. Qhov laj thawj tseem ceeb ntawm qhov txhab yog suav tias yog lub cev hnyav dhau ntawm pob taws, nrog rau cov kab mob sib kis ntawm cov cuab yeej txhawb nqa.
Feem ntau, tus kab mob no tshwm sim rau cov poj niam uas tau hla 40 xyoo tseem ceeb. Qhov chaw ntawm fixation ntawm tendons nyob rau hauv lub cheeb tsam ntawm lub calcaneus yog cuam tshuam. Cov txheej txheem pathological yog degenerative-dystrophic. Pob Tawb periarthritis yuav tsum tau kho ua ke,thiab koj yuav tsum tsis txhob rub nws nrog nws.
Vim txoj kev loj hlob
Ua ntej kho tus kab mob no, nws yuav tsum paub seb vim li cas nws tshwm sim. Qhov ua rau ntawm periarthritis ntawm pob taws pob qij txha yog raws li nram no:
- Ntau lub cev hnyav ntawm lub limb. Nyob rau hauv cov ntaub ntawv no, ligaments thiab cov leeg yuav tsis tiv taus lub load, thiab microdamages tshwm rau lawv. Cov kab mob no feem ntau kuaj pom hauv cov neeg ncaws pob.
- Lub cev hnyav dhau, uas cov leeg nqaij thiab ligaments muaj kev ntxhov siab heev.
- Ua txhaum cov txheej txheem metabolic hauv lub cev.
- Kab mob ntawm endocrine system.
- Kev ua txhaum ntawm kev ua haujlwm ntawm cov hlab ntsha, kab mob plawv. Hauv qhov no, cov ntaub so ntswg tsis tau txais kev noj haus zoo.
- YArthrosis, spondylosis.
- Ntau zaus hypothermia, ntev raug rau dampness.
- Kev raug mob ntawm cov nqaij mos ntawm kev sib koom tes.
- Congenital pathology ntawm cov cuab yeej txhawb nqa.
- Kev kis kab mob sib kis.
- nyuaj ua haujlwm thiab ua neej nyob.
- Tsis muaj lossis ntau dhau ntawm lub cev muaj zog.
Txiv neej predisposition (tsis muaj zog ntawm cov leeg, ligamentous apparatus) tuaj yeem ua rau periarthritis ntawm pob qij txha sab xis. Yog tias kho tau raws sijhawm, ces qhov kev ua haujlwm ntawm ko taw yuav rov qab los puv nkaus.
Cov tsos mob thiab cov cim qhia ntawm pathology
Cov tsos mob ntawm periarthritis ntawm ko taw thiab periarthritis ntawm pob taws yog feem ntau hnyav. Muaj peev xwm paub qhov txawvCov tsos mob hauv qab no ntawm tus kab mob:
- mob hnyav hauv cheeb tsam cuam tshuam thaum lub sijhawm txav mus los.
- Nyob tsis tu ncua.
- mob hnyav, txwv tsis pub txav ntawm ko taw.
- Qhov tshwm sim ntawm qhov mob nodules thiab cov ntsaws ruaj ruaj hauv thaj tsam pob taws.
Yog tus kab mob no kho tsis tau, nws loj hlob sai. Tus neeg mob tsim pob taws pob taws thiab tuaj yeem ua tsis taus.
kab mob
Raws li ICD 10, periarthritis ntawm pob qij txha muaj tus lej M05-M14. Tus kab mob tuaj yeem faib raws li hauv qab no:
- Raws li qhov chaw ntawm cov txheej txheem pathological: bursitis, tendinitis, capsulitis, fasciitis.
- Los ntawm keeb kwm: thawj, theem nrab (tso tshwm sim los ntawm lwm yam kab mob).
- Nyob ntawm qhov xwm txheej ntawm tus kab mob: mob thiab mob ntev.
Feem ntau, periarthritis ntawm pob taws pob taws (ko taw), kev kho mob uas tus kws kho mob yuav tsum tau sau, yog cov tsos mob tshwm sim thiab mob hnyav.
Kev kuaj mob nta
Kev kho cov kab mob ntawm cov pob qij txha, periarthritis ntawm ko taw, tshwj xeeb tshaj yog, pib nrog kev kuaj xyuas tiav ntawm tus neeg, suav nrog cov txheej txheem xws li:
- X-ray. Ua tsaug rau nws, muaj lwm yam pathologies raug cais tawm.
- Ultrasound (qhov o ntawm cov leeg yog txiav txim siab).
- MRI lossis CT. Qhov kev tshawb fawb no suav hais tias yog cov ntaub ntawv tshaj plaws. Cov kws tshaj lij muaj lub sijhawm los tshuaj xyuas cov ntaub so ntswg cuam tshuam hauv cov khaubncaws sab nraud povtseg, ntsuas lawvmob. Tomography tso cai rau koj los txiav txim qhov ua rau ntawm txoj kev loj hlob ntawm cov txheej txheem pathological.
- Kev kuaj ntshav thiab zis. Lawv kuaj pom qhov mob hauv lub cev. Hauv qhov no, kev kuaj mob rheumatic yuav tsum tsis zoo.
Tsis tas li, tus kws tshaj lij sau cov neeg mob cov lus tsis txaus siab, sau nws cov anamnesis.
Cov ntsiab cai dav dav rau kev kho mob periarthritis
Kev kho pob qij txha periarthritis yuav tsum ua kom tiav. Nws tau ua raws li cov hauv qab no:
- tshaj tawm cov tsos mob;
- pab mob;
- restoration of limb mobility;
- inhibition ntawm kev txhim kho cov txheej txheem kev puas tsuaj hauv kev sib koom ua ke;
- kev tiv thaiv kev nyuaj siab.
Txhawm rau ua tiav qhov no, koj yuav tsum siv ntau yam kev kho mob.
Nyob zoo ib tsoom niam txiv kwv tij neej tsa sawv daws.
Txhawm rau tshem tawm cov tsos mob tsis zoo, cov tshuaj hauv qab no tau muab rau tus neeg mob:
- NSAIDs: Diclofenac, Ibuprofen. Lawv tshem tawm qhov mob, mob thiab lwm yam tsos mob. Cov tshuaj no tau sau rau hauv daim ntawv ntawm cov tshuaj pleev, ntsiav tshuaj, gel. Lub sijhawm ntawm lawv daim ntawv thov tsis pub dhau 7 hnub.
- Painkillers: "Nise", "Analgin", "Spasmolgon"
- Steroids: Diprospan, Hydrocortisone. Lawv tau nkag mus rau hauv cov kab noj hniav periarticular thiab tshem tawm cov txheej txheem inflammatory. Cov tshuaj no feem ntau tsis tso cai.
- Chondroprotectors: "Don", "Artra". Lawv normalize cov metabolism hauv articulation nws tus kheej, tiv thaivKev puas tsuaj ntawm pob txha mos.
- Multivitamin npaj.
Yog tias ib tug neeg hnov mob hnyav, ces nws raug txhaj tshuaj Novocaine.
Ntxiv rau kev noj tshuaj, tus neeg mob yuav tsum tau ua kev kho lub cev. Lawv raug xaiv los ntawm tus kws kho mob tuaj koom. Thaum xub thawj, qhov kev siv ntawm kev tua yog tsawg. Ua tsaug rau qhov complex, koj tuaj yeem tsim ib ceg ceg sai. Kev kawm lub cev txhim kho cov ntshav thiab cov qog ntshav, relieves o. Nws yog txaus kom khoov thiab unbend qhov sib koom ua ke, ua ncig ncig nrog nws.
Tsis muaj txiaj ntsig tsawg yog kev kho mob periarthritis ntawm pob qij txha nrog tshuaj pleev.
kho lub cev
Ntxiv rau cov tshuaj, tus neeg mob tau txais kev kho lub cev:
- Mud applications. Lawv tso cai rau koj tshem tawm qhov mob ntawm qhov cuam tshuam ntawm ceg ceg, txhim kho kev tiv thaiv hauv zos.
- Pharmacopuncture. Cov txheej txheem no suav nrog kev tswj hwm cov tshuaj.
- Laser thiab magnetic kho. Kev kho mob hauv txoj kev no tso cai rau koj los txhim kho kev tiv thaiv, txo qhov kev siv ntawm cov txheej txheem inflammatory, txhawb cov ntshav ncig, lymph outflow. Cov kev kho mob no pab txo qhov o.
- Electro thiab vibration massage. Nws normalizes nqaij leeg, yog li ntawd, txo qhov mob ntawm lub zog.
- UHT. Ntawm no, cov ntaub so ntswg cuam tshuam tau ntxuav ntawm cov khoom tsis zoo, cov qog ntshav tawm rov qab los.
- Electrophoresis nrog tshuaj. Vim yog hluav taws xob ua, cov tshuajnkag mus tob rau hauv cov ntaub so ntswg thiab ua haujlwm zoo dua.
Acupuncture thiab acupressure yog suav tias yog ib txoj hauv kev zoo ntawm kev kho mob periarthritis. Ua tsaug rau cov txheej txheem no, cov metabolism hauv cov ntaub so ntswg cuam tshuam txhim kho, kev txav ntawm cov ceg ceg txhim kho.
Kev cuam tshuam kev phais tsis tshua muaj, vim tias tus kab mob tuaj yeem tswj tau nrog cov txheej txheem ib txwm muaj.
Kev kho mob nrog pej xeem tshuaj
Koj tuaj yeem tawm tsam pathology tsis yog nrog tshuaj, tab sis kuj nrog cov tshuaj pej xeem. Lawv muaj peev xwm txo tau qhov kev siv ntawm o, txhim kho cov txheej txheem metabolic thiab cov ntaub so ntswg khoom noj. Tab sis ua ntej siv txoj kev kho no, koj yuav tsum sab laj nrog tus kws kho mob tshwj xeeb.
Cov zaub mov hauv qab no yuav pab tau:
- Koj yuav xav tau ib lub thoob dej thiab ib nrab ib kilo ntawm quav nyab. Cov khoom siv raw yuav tsum tau boiled tshaj kub tsawg rau ob peb feeb. Nws yuav siv li ib nrab teev kom infuse. Cov kua yog lim thiab nchuav rau hauv lub phiab. Cov khoom yog siv rau ko taw da dej. Nws yuav siv sij hawm 30 feeb los coj lawv. Nyob rau tib lub sijhawm, koj yuav tsum ua kom cov dej sov tas li.
- Nyob zoo. Txoj kev kho no muaj ntau yam khoom siv uas muaj txiaj ntsig zoo uas tso cai rau tsis yog tsuas yog tshem tawm cov tsos mob, tab sis kuj tseem rov qab kho cov ntaub so ntswg. Lub compress yog tsim los ntawm zib mu, uas yog tsau rau ntawm pob taws rau tag nrho hmo ntuj thiab khi nrog ib tug sov so phuam.
- Compress raws li horseradish. Nws muaj qhov ua kom sov. Nws yuav tsum tau ua tib zoo siv kom tsis txhob hlawv ntawm daim tawv nqaij. Ua ntej, cov zaub yog rubbed, thiab tom qab ntawd nteg tawm ntawm daim ntaub so ntswg thiab tsau rau ntawm cov ntaub so ntswg. Nws yuav tsum khaws cia tsis pub ntau tshajteev.
- Infusion nrog calendula lossis nettle. Yuav tsum tau 1 tbsp. l. ncuav ib liter ntawm boiling dej tshaj lub xaiv crushed nroj tsuag. Nws yuav siv sij hawm 20 feeb kom infuse. Tom ntej no, cov kua yog lim thiab siv rau kev sib tsoo. Koj tuaj yeem siv nws sab hauv.
Tsev neeg kho tsis yog panacea. Lawv tsis tuaj yeem tiv taus tus kab mob tas li, yog li lawv tau siv ua ke nrog cov tshuaj uas kws kho mob tau sau tseg.
Muaj Teeb Meem
Txoj kev kho tsis muaj qhov tsis pom. Cov txheej txheem inflammatory ua kom muaj zog, cov tsos mob ua kom ci. Yog tias tsis muaj kev ntsuas, ces cov teeb meem ntawm pathology tuaj yeem ua tau:
- qhov mob tsis tu ncua;
- tsis muaj peev xwm txav tau yooj yim, vim txhua qhov tig ntawm ceg ua rau cov tsos mob tsis zoo;
- poob pob taws mob.
kho tsis raug lossis tsis muaj qhov ntawd yuav ua rau cov nqaij mos necrosis. Hauv qhov no, tus neeg yuav ua tsis taus.
Tiv thaiv kab mob
Cov ntaub ntawv hais txog periarthritis, ua rau, cov tsos mob, cov tsos mob thiab kev kho mob yog qhov tseem ceeb rau txhua tus neeg mob uas muaj caj ces rau cov kab mob ntawm cov cuab yeej txhawb nqa lossis muaj keeb kwm ntawm kev raug mob. Tab sis muaj lub sijhawm los tiv thaiv kev txhim kho ntawm qhov mob. Txhawm rau ua qhov no, nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus pom zoo hauv qab no ntawm cov kws tshaj lij:
- Tsis txhob cia lub cev hnyav mus dhau qhov kev cai. Qhov hnyav ntxiv ua rau qhov hnyav ntawm qhov sib koom ua ke, ua rau microdamage rau cov ntaub so ntswg.
- Ua raws li koj txoj kev noj haus. Kev noj haus yuav tsum muaj cov khoom noj uas muaj cov vitamins thiab minerals. Tsis tas li ntawd, nws raug pom zoo kom siv cov khoom noj khoom haus.
- Nyob zoo nkawm khau. Qee zaum, nws yog qhov zoo dua los xaiv cov khoom orthopedic.
- Yog tias muaj kab mob ntawm ko taw, lawv yuav tsum tau kho kom raws sijhawm. Tib lub sijhawm, kev siv tshuaj rau tus kheej tuaj yeem ua rau muaj kev puas tsuaj loj.
- Tsis txhob raug mob pob taws.
- Ua haujlwm. Koj yuav tsum ua qhov yooj yim gymnastics rau pob taws, tshwj xeeb tshaj yog tias tus neeg muaj txoj haujlwm sedentary. Lub load yuav tsum tau dosed.
- Ua tus kheej zaws ntawm cov pob qij txha ntawm ko taw.
Ua raws li kev tiv thaiv kev tiv thaiv yuav zam kev txhim kho cov txheej txheem inflammatory.
Periarthritis ntawm pob taws yog ib yam kab mob tsawg, uas, txawm li cas los xij, txo qis tib neeg lub neej zoo. Txhua tus txheej txheem inflammatory hauv cheeb tsam no yuav tsum tau kho raws sijhawm thiab raug.
