Qhov kev kuaj mob li arthrosis ntawm cov ntiv tes yog tsim rau cov neeg laus, thiab feem ntau yog poj niam. Qhov no tau piav qhia los ntawm qhov tseeb tias nrog lub hnub nyoog, kev sib deev ncaj ncees tau hloov pauv hormonal hauv lub cev thiab tsim cov collagen txo. Tus kab mob yog tus cwj pwm los ntawm kev txo qis hauv kev txav ntawm cov ntiv tes, thiab nws daim ntawv ntev ua rau kev ua haujlwm ntawm tes thiab deformation ntawm cov pob qij txha. Kuj tseem muaj kev puas tsuaj rau lub hnab articular. Yog li dab tsi yog arthrosis ntawm cov ntiv tes? Cov tsos mob thiab kev kho mob ntawm cov kab mob pathology no yuav raug tham kom ntxaws hauv kab lus.
Nthuav arthrosis ntawm cov pob qij txha ntawm cov ntiv tes
Cov kab mob no feem ntau cuam tshuam rau cov neeg laus. Articular structures hnav dhau sij hawm, pob txha ntom ntom, pob txha mos thins, tawg, thiab pob txha outgrowths tshwm. Ib qho kab mob uas tsis kho tau ua rau qhov curvature ntawm cov ntiv tes, qhov tshwm sim ntawm qhov mob hnyav, uas nce ntxiv nrog kev thauj khoom ntawm cov pob qij txha, kev txav mus los.txwv, nruj tshwm sim. Hauv cov xwm txheej siab, tus neeg tsis tuaj yeem ua cov khoom tseem ceeb: nws ua tsis tau ib rab diav rawg lossis unscrew lub hau ntawm lub raj mis.
ua rau ntawm pathology
Qhov laj thawj tseem ceeb ntawm cov kab mob pathological yog suav tias yog cov caj ces predisposition. Yog ib tsev neeg muaj tus kab mob zoo li no ces ntshe tiam tom ntej no kuj yuav muaj thiab.
Lwm qhov laj thawj rau arthrosis ntawm cov pob qij txha ntawm cov ntiv tes yog suav tias yog qhov ua rau muaj kev ntxhov siab ntxiv rau thaj tsam no. Pab pawg muaj kev pheej hmoo rau kev txhim kho tus kab mob suav nrog cov haujlwm xws li pianist, massage therapist thiab cov neeg ua haujlwm hauv chaw ua haujlwm. Cov hauj lwm tom kawg yog txuam nrog kev ntaus ntawv tas li ntawm lub computer.
Provokes qhov tshwm sim ntawm pathology ntshav qab zib mellitus, kab mob ntawm endocrine system. Cov tshuaj hormonal restructuring ntawm ib tug poj niam lub cev thaum lub sij hawm cev xeeb tub ua rau ib tug txo nyob rau hauv cov tshuaj estrogen, raws li tau zoo raws li qhov tshwm sim, noo noo tsis tshwm sim, vim hais tias cov pob txha mos ua thinner, thiab cov pob txha thiab pob qij txha yuav fragile.
Qhov feem ntau ua rau kev loj hlob ntawm pathology yog kev raug mob ntawm lub dab teg pob qij txha thiab flanks ntawm cov ntiv tes, tshwj xeeb tshaj yog thaum muaj kev mob tshwm sim. Tsis tas li ntawd, kev haus dej cawv, haus luam yeeb, mob khaub thuas, tsis muaj zog tiv thaiv kab mob, raug hluav taws xob, kab mob endocrine, kev tsis haum tshuaj, kab mob sib kis (chlamydia) ua rau muaj tus kab mob no.
Symptoms
Yog hais tias arthrosis ntawm cov ntiv tes tshwm sim, cov tsos mob ntawm tus kab mob no yuav txawv. Thaum cov ntiv tes txav mus, muaj qhov mob hnyav thiab mob, uas tom qab ib ntus dhau los ua mob ntev. Muaj ib qho thickening ntawm cov pob qij txha, uas yog pom heev los ntawm sab, thiab qhov chaw cuam tshuam pib o. Cov leeg nqaij periarticular yuav luag ib txwm nyob hauv lub xeev nruj. Cov tsos mob zoo li no tshwm sim rau thawj theem ntawm tus kab mob, thaum muaj qhov poob ntawm elasticity ntawm articular capsule.
Nyob rau theem ob, cov pob txha mos ua nyias thiab deformed. Muaj qhov mob tas li, qhov kev txav ntawm cov ntiv tes yuav raug txwv, thaj chaw cuam tshuam hloov xim liab, lub cev kub nce. Puffiness pib nce ntxiv, thiab tus ntiv tes lossis txawm tias tag nrho txhais tes poob rhiab heev.
theem kawg ntawm cov kab mob xws li arthrosis ntawm cov ntiv tes yog nrog los ntawm kev puas tsuaj tag nrho ntawm pob txha mos, nrog mob hnyav, ntiv tes deformed, thiab lawv qhov ntev hloov. o thiab edema hauv cheeb tsam cuam tshuam dhau mus rau Bouchard's thiab Heberden's nodules. Kev tsim ntawm thawj zaug tshwm sim ntawm cov pob qij txha ntawm cov ntiv tes, qhov thib ob - ntawm qhov nruab nrab. Cov pob qij txha thiab pob txha yog deformed, cov ntiv tes xyaum tsis txav. Hloov cov pob txha mos, kev loj hlob tshwm sim ntawm cov pob txha periarticular.
Yog hais tias qhov no kev kho mob arthrosis ntawm cov ntiv tes tsis tau ua tiav, ces ua tiav immobilization ntawm tes yog ua tau. Cov tsim nodules feem ntau nrog cov kab mob xws li rhizarthrosis, uas cuam tshuam rau lub hauv paus ntawm tus ntiv tes xoo, cov cim qhia ntawmzoo li qub arthrosis.
Kev kuaj kab mob
txhawm rau kuaj mob arthrosis ntawm tus ntiv tes, tus kws kho mob tshuaj xyuas tus neeg mob thiab palpates thaj tsam cuam tshuam. Txhawm rau kom paub meej qhov kev kuaj mob, tus kws kho mob xa tus neeg mob mus rau x-rays thiab kuaj ntshav. Cov duab tshwm sim kom meej meej pom cov pob txha deformity, nqaim ntawm qhov khoob ntawm cov pob qij txha cuam tshuam, osteophytes. Kev kuaj ntshav yuav tsum nyob rau hauv ib txwm txwv, thiab yog tias muaj kev sib txawv, tus kws kho mob qhia tias muaj lwm yam kab mob, xws li mob caj dab.
Kev kho mob
Yog tias muaj mob caj dab ntawm cov ntiv tes, yuav ua li cas kho cov kab mob no? Qhov tshwm sim yuav ua tau zoo dua thaum ua kev kho mob nyuaj, uas suav nrog cov txheej txheem xws li:
- kho lub cev;
- acupuncture, zaws;
- siv tshuaj;
- tshuaj ntsuab;
- kev kho mob phais.
Qhov txiaj ntsig zoo tau tiav thaum siv tshuaj pleev. Lawv muaj peev xwm tshem tawm qhov mob, rov ua kom muaj zog, ua kom cov ntshav ntws mus rau thaj tsam pathological. Cov tshuaj xws li Diclofenac, Indomethacin, Voltaren-Emulgel, Dolgit-cream, Butadion.
Nyob rau theem pib, tseem muaj qhov ua tiav ntawm kev kho kom tiav rau deforming arthrosis ntawm cov pob qij txha interphalangeal thiab kho cov pob txha mos. Nyob rau theem 2-3, pathology ua irreversible. Nyob rau hauv cov ntaub ntawv no, tus kws kho mob prescribes conservative therapy aims tiv thaivntxiv cov ntaub so ntswg hloov pauv thiab kev puas tsuaj.
kev kho mob
Yog hais tias arthrosis ntawm cov pob qij txha ntawm cov ntiv tes tshwm sim, kev kho mob feem ntau yog ua nrog cov tshuaj uas tsuas yog kws kho mob yuav tsum tau sau.
theem pib ntawm tus kab mob no tsis tshua kho nrog tshuaj. Feem ntau, tus neeg mob tau txais kev kho mob nrog chondroprotectors (chondroitin sulfate thiab glucosamine), uas pab kho cov pob txha mos thiab txhawb nqa nws. Nws yog qhov zoo heev nyob rau theem pib los ua physiotherapy. Kuj tseem nco ntsoov noj cov vitamins thiab minerals. Nrog kev pab los ntawm compresses sov, qhov mob yog relieved.
theem thib ob ntawm tus kab mob no nrog rau qhov mob hnyav, o thiab ua tsis zoo ntawm kev sib koom ua ke. Tus kws kho mob nyob rau hauv cov ntaub ntawv no sau cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj ("Ibuprofen", "Indomethacin", "Ketoprofen", "Butadion", "Diclofenac", "Piroxicam"), chondroprotectors thiab hyaluronic acid. Kev kho mob ntawm arthrosis yog pom zoo kom ua nyob rau hauv ib tug complex yam, yog li cov kev kho mob kuj muaj xws li kev siv cov vasodilators. Yeej, cov no yog Pentoxifylline, Agapurin, Teonikol.
Nyob rau theem peb, cov tshuaj tua kab mob muaj zog thiab cov tshuaj tiv thaiv kab mob, xws li "Nise", "Fastum-gel", feem ntau twb tau siv lawm. Kev kho phais yog nqa tawm thaum tag nrho cov txheej txheem saum toj no tau ua tsis tau zoo, thiab qhov deformation ntawm cov pob txha mos ua kom tiav.poob ntawm kev txav ntawm cov ntiv tes.
Kev kho mob hauv tsev
Yog hais tias arthrosis ntawm cov pob qij txha ntawm cov ntiv tes tshwm sim, kev kho mob kuj tau ua nyob rau hauv pej xeem txoj kev. Tab sis lawv yuav tsis yog tsom rau kev tawm tsam cov tsos mob, tab sis ntawm kev ntxiv dag zog rau kev tiv thaiv thiab kho cov metabolism.
Muaj cov hauv qab no los kho tus kab mob hauv tsev:
- kev tawm dag zog uas maj mam ua kom sov cov pob qij txha thiab ncab cov leeg;
- ua raws li kev noj haus, tab sis txwv tsis pub tshaib plab;
- mus ntsib lub tsev da dej, chav chav uas ua kom cov txheej txheem metabolic thiab softens cov leeg nqaij;
- kev siv hirudotherapy, raws li cov tshuaj muaj nyob rau hauv cov qaub ncaug ntawm leeches nyias cov ntshav thiab tshem tawm qhov mob;
- tshuaj ntsuab kho mob, tab sis qhov no, yuav tsum tau saib xyuas, vim tias kev siv ib txhij nrog cov tshuaj tiv thaiv kab mob uas tsis yog-steroidal ua rau muaj kev fab tshuaj tsis haum.
ntsuas kev tiv thaiv
Kom tsis txhob muaj cov kab mob loj heev xws li arthrosis ntawm cov ntiv tes, cov kws kho mob pom zoo kom noj cov tshuaj tiv thaiv, xws li:
- ua ib ce muaj zog;
- ua kom koj txhais tes sov, tiv thaiv hypothermia;
- noj qab nyob zoo.
Cov kev tiv thaiv zoo li no yog kev kho mob zoo tshaj plaws rau cov ntiv tes pathology.
Zoo kawg
Yog li, peb pom tias arthrosis ntawm tus ntiv tes yog dab tsi, cov tsos mob thiab kev kho mob ntawm qhov nocov kab mob kuj raug txiav txim siab. Qhov no pathology tshwm sim feem ntau nyob rau hauv lub hnub nyoog laus, thaum lub cev twb hnav tawm. Qhov mob no ua rau tsis xis nyob, thiab tom qab ntawd mob hnyav. Nws yog ib qho tseem ceeb tsis txhob pib muaj tus kab mob no, thiab yog tias tag nrho cov kws kho mob cov lus pom zoo tau ua raws, kev rov ua kom tiav yuav tshwm sim.
