Myositis ntawm cov leeg nraub qaum yog ib qho kev mob ntawm cov kab mob rheumatic. Qee zaum, nws cuam tshuam tsis tau tsuas yog cov nqaij mos, tab sis kuj ntawm daim tawv nqaij. Qhov tseeb ua rau kev loj hlob ntawm tus kab mob tseem tsis tau paub meej. Tab sis cov kws tshawb fawb tau nyiam ntseeg tias qhov tseem ceeb ntawm qhov ua rau yog cov txheej txheem autoimmune. Myositis tshwm sim ntau zaus vim yog mob los yog raug mob ntawm cov hlab ntsha, cov leeg pob txha.
Predisposing factors
Ua ntej xav txog cov tsos mob thiab kev kho mob ntawm myositis ntawm cov leeg nraub qaum, koj yuav tsum paub seb yam twg tuaj yeem ua rau nws txoj kev loj hlob. Ntawm lawv yog cov hauv qab no:
- ua txhaum cov txheej txheem metabolic hauv lub cev;
- mob (cov tsos mob yuav tsis tshwm sim tam sim, tab sis tom qab 2-3 hnub);
- tsis muaj leeg nqaij spasm;
- kab mob lossis kab mob kis;
- kab mob kis ntawm cov nqaij mos;
- tshuaj lom;
- lub cev dhau ntawm cov leeg nqaij ib leeg;
- hypothermia;
- ntshai nro, ntxhov siabcondition;
- siv sijhawm ntev ntawm qee pawg tshuaj;
- kev quav cawv.
Myositis ntawm cov leeg nraub qaum hauv cov menyuam yaus feem ntau tshwm sim vim hypothermia lossis nyob rau hauv cov cua ntsawj ntshab. Pawg pheej hmoo tseem suav nrog cov neeg tsav tsheb, cov neeg ua haujlwm hauv chaw ua haujlwm, cov neeg nyob ntawm huab cua.
kab mob
Myositis ntawm cov leeg nraub qaum yog qhov sib txawv, yog li nws tuaj yeem faib raws li hauv qab no:
- Cov ntaub so ntswg puas ntawm hom kab mob tsis muaj paug. Nws muaj tus kab mob kis. Tus neeg mob muaj mob hnyav, tsis muaj zog.
- mob purulent myositis. Qhov chaw cuam tshuam tsis tsuas yog mob, tab sis kuj o. Ib tug neeg muaj kub taub hau, nws tshee hnyo. Pus tshwm nyob rau hauv cov leeg, cov ntaub so ntswg necrosis tsim. Nyob rau hauv cov ntaub ntawv no, kev phais feem ntau yuav tsum tau tshem ntawm lub purulent tsom. Yog tias qhov no tsis ua tiav, cov ntaub so ntswg mos yuav pib yaj.
- Ib yam kab mob. Qhov ua rau ntawm txoj kev loj hlob yog suav hais tias yog intoxication vim lub tsub zuj zuj ntawm cov khoom pov tseg ntawm parasites nyob rau hauv lub cev. Cov leeg ua nruj, ib tug neeg xav tias undulating bouts ntawm qhov mob. Edema txhim kho.
- Dermatomyositis. Ntxiv nrog rau cov ntaub mos muag, tus neeg mob daim tawv nqaij raug cuam tshuam.
- Ossifying myositis ntawm cov leeg nraub qaum. Qhov no yog qhov uas cov ntaub so ntswg puas tshwm sim. Hom kab mob no yog suav tias yog congenital thiab tsis tshua muaj tshwm sim. Tus kab mob no tsis tuaj yeem kwv yees tau.
- YPolymyositis. Nyob rau hauv cov ntaub ntawv no, ib tug loj tus naj npawb ntawm cov leeg raug cuam tshuam. Feem ntau hom myositis noyog autoimmune. Nws yog tus kho mob nyuaj tshaj plaws.
Raws li ICD-10, myositis ntawm cov leeg nraub qaum muaj tus lej M60.
Symptomatics
Cov kab mob uas nthuav tawm yuav tsis tshwm sim nyob rau theem pib ntawm kev loj hlob. Tus neeg mob tom qab ntawd tsim cov tsos mob hauv qab no:
- mob nraub qaum, muaj tus cwj pwm txawv, thiab hnyav dhau los ntawm kev tig, khoov, txham, hnoos;
- ua npaws (yog tias tus kab mob nyob rau theem mob hnyav);
- tsis xis nyob thiab mob ntawm palpation;
- hloov pauv ntawm daim tawv nqaij thiab qhov o ntawm thaj chaw cuam tshuam;
- kev kub ntxhov;
- nyuaj taug kev;
- muscle qaug zog.
Feem ntau, tus neeg mob raug yuam kom ua lub cev tsis zoo, uas qhov kev siv ntawm qhov mob ua rau txo qis. Cov tsos mob tshwm sim qeeb lossis sai thiab ci ntsa iab.
Kev kuaj kab mob
Myositis ntawm cov leeg nraub qaum xav tau kev kho mob nyuaj, tab sis tsuas yog tus kws kho mob tuaj yeem sau nws tom qab kev kuaj mob zoo ntawm tus neeg mob, suav nrog cov kev tshawb fawb no:
- Kho cov neeg mob tsis txaus siab, kuaj mob hlwb thiab palpation ntawm thaj chaw cuam tshuam.
- Magnetic resonance imaging, uas yog cov ntaub ntawv tshaj plaws.
- Electromyography.
- kuaj ntshav (ntxiv rau cov tshuaj tiv thaiv kab mob).
- Biopsy ntawm cov leeg nqaij.
Tsuas yog tom qab kuaj pom meej, koj tuaj yeem pib kho lub ntsiab.
Tshuaj kho kab mob
Ua ntejdua li kho myositis ntawm cov leeg nraub qaum nrog cov tshuaj, koj yuav tsum sab laj nrog kws kho mob. Kev xaiv tus kheej ntawm cov nyiaj yog fraught nrog teeb meem. Cov txheej txheem kev kho mob suav nrog kev siv tshuaj xws li:
| pab pawg nyiaj | yam ntxwv |
| NSAIDs | Pab pawg no suav nrog "Ibuprofen", "Diclofenac", "Movalis". Cov tshuaj nthuav tawm nquag tawm tsam cov txheej txheem inflammatory, txo tus neeg mob ntawm cov tsos mob. Lub sijhawm siab tshaj plaws ntawm kev siv NSAID yog 7 hnub. |
| Venotonics | Ua tsaug rau lawv, o tuaj yeem tshem tawm. |
| Tshuaj tua kab mob | Siv tsuas yog thaum kis kab mob. Txwv tsis pub, lawv yuav tsis ua haujlwm. |
| Tshwj xeeb npaj | Ntau pab pawg tshuaj tau siv ntawm no: cov tshuaj pleev kom sov ("Finalgon", "Kapsicam") thiab tshuaj tiv thaiv ("Nise", "Ketonal"). Thaum siv ua ke nrog cov ntsiav tshuaj, qhov ua tau zoo ntawm kev kho mob nce. |
| Cov tshuaj no tsuas yog xav tau yog tias myositis tshwm sim los ntawm cov kab mob cab. | |
| YAntipyretics | Cov tshuaj no yog siv rau theem mob ntawm kev loj hlob ntawm tus kab mob, thaum tus neeg mob qhov kub thiab txias yuav nce siab. |
| "Mydocalm" nrog myositis ntawm cov leeg nraub qaum tso cai rau koj tshem tawm spasm thiab mob. Xws li tshuajtsuas yog siv raws li kws kho mob tau sau tseg thaum lwm txoj kev tsis ua haujlwm. |
Cov tshuaj pleev rau myositis ntawm cov leeg nraub qaum tsis muaj qhov cuam tshuam thiab tso cai rau koj tshem tawm qhov mob hauv lub sijhawm luv. Yog tias muaj cov txheej txheem purulent nyob rau hauv cov ntaub so ntswg, tus kws kho mob muaj cai sau ib qho kev phais kom tshem tawm qhov tsom xam.
Kev Kho Mob Neeg
Yog tias cov tsos mob thiab kev kho mob ntawm myositis ntawm cov leeg nraub qaum nrog cov txheej txheem ib txwm muaj tseeb, ces koj tuaj yeem txiav txim siab seb puas yuav siv cov tshuaj pej xeem. Ntawm lawv tus kheej, lawv yuav tsis tuaj yeem tshem tawm tag nrho cov kab mob, tab sis ua ke nrog cov tshuaj, lawv yuav ua tiav qhov xav tau sai. Cov zaub mov hauv qab no yuav pab tau:
- Compress of boiled qos yaj ywm. Cov zaub yuav tsum tau crushed thiab tseem sov kom txuas mus rau qhov mob. Tsis tas li ntawd, lub compress yog them nrog ib txoj phuam sov. Khaws cia kom txog thaum nws txias. Tom qab tshem tawm, cov leeg yuav tsum tau rubbed.
- Nplooj ntawm cov zaub qhwv dawb yuav tsum tau kneaded, greased nrog xab npum thiab sprinkled nrog dej qab zib. Tom qab ntawd lawv raug siv rau thaj tsam cuam tshuam, npog nrog zaj duab xis thiab daim ntaub sov.
- Qhov chaw cuam tshuam tuaj yeem tsuas yog smeared nrog zib mu thiab insulated.
- Bodyaga. Nws yog siv los rub cov leeg mob. Qhov no yog ua ib zaug ib lub lim tiam. Txhawm rau npaj cov tshuaj, koj yuav tsum sib tov 10 g ntawm bodyagi nrog 2 tbsp. l. cov roj zaub.
- Lilac nplooj. Siv raws li ib tug compress. Lawv yuav tsum tau nchuav tshiab nrog dej npau npau rau 5 feeb. Siv sov rau qhov chaw ntawm qhov mob,npog nrog ntawv ci thiab ib daim pam. Tom qab ib nrab teev, cov compress tuaj yeem raug tshem tawm, tab sis tus neeg mob tseem yuav tau pw hauv txaj thiab so.
- Badger fat. Nws yog siv rau zaws hauv tsev. Cov khoom no pab ua kom sov thiab so cov leeg.
Txhua yam zaub mov txawv yuav tsum tau pom zoo nrog tus kws kho mob kom tsis txhob ua mob rau koj tus kheej ntau dua.
Lwm Txoj Kev Kho Mob
Thaum kawg ntawm lub sijhawm mob hnyav, koj tuaj yeem sib sau cov txiaj ntsig ntawm kev kho tshuaj siv cov hauv qab no:
- Kev kho lub cev. Ntawm no, electrophoresis nrog Dimexide, kho av nkos, cov txheej txheem thermal thiab hydrotherapy ntau dua.
- Kev kho mob qoj ib ce. Nws tso cai rau koj los txhim kho cov leeg mob, txo qis spasm, txhim kho rov qab mus, thiab tshem tawm qhov mob. Ib txheej ntawm kev tawm dag zog yog xaiv los ntawm kws kho mob. Ua ntej ua nws, tus neeg mob yuav tsum tau sov so cov leeg rau ib nrab ib teev. Maj mam, lub load tuaj yeem nce ntxiv.
- YProtein noj. Nws yog lub ntsiab lus no uas siv ib feem tseem ceeb hauv kev tsim cov leeg nqaij.
- Kev kho mob ntawm tes. Nws yuav tsum tau ua los ntawm tus kws paub txog kev paub.
- Massage rau myositis ntawm cov leeg nraub qaum. Nws tau ua tiav tom qab lub sijhawm mob hnyav ntawm tus kab mob tau tas lawm.
Kev kho tus kab mob nyuaj tso cai rau koj daws sai sai thiab tiv thaiv kev txhim kho ntawm qhov tshwm sim.
Muaj Teeb Meem
Yog kev kho tsis tau raws sijhawm, tus kab mob tuaj yeem ua rau muaj teeb meem loj:
- poobcov ntaub so ntswg ua haujlwm, cov leeg nqaij atrophy;
- ua txhaum biomechanics ntawm pob qij txha, thiab tus neeg tuaj yeem nyob tsis taus mus rau lub neej;
- txhim kho cov txheej txheem necrotic hauv cov leeg;
- ua pa tsis ua haujlwm, mob hawb pob, teeb meem nqos tshwm sim.
Txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem zoo li no, nws yuav tsum tau sab laj nrog kws kho mob thaum thawj cov tsos mob thiab qhov tsis xis nyob hauv nraub qaum.
tiv thaiv kab mob
Cov tsos mob xws li myositis tuaj yeem zam tau. Ua li no, nws txaus rau tus neeg ua raws qee yam kev tiv thaiv:
- hnav khaub ncaws raws caij nyoog, zam kev mob ntshav qab zib ntawm cov leeg, tsis txhob nyob hauv cov cua ntsawj ntshab;
- ua ib qho kev tawm dag zog lub cev kom ntxiv dag zog rau cov nqaij mos;
- txiav cawv, haus luam yeeb thiab lwm yam cwj pwm phem;
- yog tias ib tug neeg raug yuam kom siv sijhawm ntau hauv computer, ces nws yuav tsum ua kom sov txhua teev;
- noj kom zoo thiab sib npaug (cov zaub mov muaj protein yuav tsum muaj nyob hauv cov zaub mov);
- kho mob ntau yam kab mob lossis kab mob.
Myositis yog ib qho mob nyuaj thiab mob heev uas tuaj yeem kho tau sai yog tias pib kho raws sijhawm. Txhawm rau ua qhov no, koj tsis tas yuav ncua sijhawm mus ntsib kws kho mob yog tias muaj qhov tsis xis nyob tom qab.
