Bursitis yog ib yam kab mob uas lub hnab periarticular ua rau mob. Qhov no pathology tshwm sim nyob rau hauv lub luj tshib thiab lub hauv caug pob qij txha. Ntawm txhua hom kab mob periarticular, prepatellar bursitis ntawm lub hauv caug pob qij txha feem ntau pom. Tus kab mob no tshwm sim rau cov neeg uas koom nrog kev ua kis las tom qab raug mob.
Prepatellar bursitis: yog dab tsi?
Nyob rau sab saum toj ntawm lub hauv caug pob qij txha yog prepatellar periarticular bursa (prepatellar bursa). Nws nyob saum lub hauv caug. Lub bursa yog ntim nrog cov kua dej, uas txhawb kev zawv zawg dawb thiab tiv thaiv kev sib koom tes los ntawm kev sib txhuam ntau dhau. Qhov mob ntawm tus kab mob no hu ua prepatellar bursitis. Nws tshwm sim li cas?
Nyob rau hauv International Classification of Diseases ICD-10, prepatellar bursitis yog teev nyob rau hauv tus lej M70.4. Nrog xws li ib tug kab mob, lub ntuj txav ntawm cov kua nyob rau hauv lub periarticular sac yog cuam tshuam. Ib qho exudate yog tsim - cov kua dej tso tawm los ntawm cov hlab ntsha thaum o. Cov kab mob tuaj yeem nkag mus rau cov kua dej, uas ua rau cov txheej txheem inflammatory.
Immune systempib tiv thaiv kab mob, ntau tus lymphocytes, tiv thaiv hlwb ntawm lub cev, raug xa mus rau qhov chaw ntawm o. Lymph flow ua o, uas yog ib qho ntawm cov tsos mob tseem ceeb ntawm prepatellar hauv caug bursitis. Daim duab saum toj no qhia tau hais tias qhov o ntawm lub hauv caug tuaj yeem ua tau. Vim lub siab ntawm cov qog nqaij hlav ntawm cov ntaub so ntswg nyob sib ze thiab cov paj hlwb, qhov mob tshwm sim hauv lub hauv caug. Sij hawm dhau mus, suppuration tuaj yeem tsim hauv thaj tsam sib koom ua ke, yog li bursitis yooj yim kho thaum pib ntawm nws txoj kev loj hlob.
Vim li cas thiaj li mob prepatellar bursitis tshwm sim?
Feem ntau, qhov mob ntawm lub hnab periarticular tshwm sim vim yog lub tshuab ntse rau lub hauv caug ntawm qhov tawv tawv. Cov neeg uas coj txoj kev ua neej nyob muaj kev pheej hmoo ntawm kev tsim cov kab mob prepatellar bursitis. Tab sis qhov no tsis yog tsuas yog ua rau o ntawm lub hnab intraarticular. Cov hauv qab no ua rau bursitis tuaj yeem paub qhov txawv:
- nrawm khaus ntawm lub hauv caug;
- crawling thiab txhos caug thaum ua haujlwm (xws li bursitis yog tshwm sim hauv cov ru tsev, cov plag tsev tawv, cov ntaub pua plag, cov kav dej);
- kis kab mob ncaj qha hauv kev sib koom ua ke los ntawm khawb thiab qhov txhab;
- kab mob sib kis - brucellosis, tuberculosis, gonorrhea, syphilis (cov kab mob no nyuaj los ntawm suppuration hauv bursa);
- metabolic disorders (diabetes, rog, gout);
- kab mob autoimmune (rheumatoid mob caj dab, kab mob lupus erythematosus).
Tab sis txawm yog qhov ua rau mob,Cov cim qhia ntawm bursitis pib tshwm tom qab raug mob hauv caug. Qee lub sij hawm nws tuaj yeem ua rau me me, tab sis txawm tias qhov raug mob me me tuaj yeem ua rau muaj kev loj hlob ntawm o. Yog tias tus neeg mob muaj prepatellar bursitis ntawm lub hauv caug sib koom ua ke, cov tsos mob thiab kev kho mob yuav nyob ntawm seb tus kab mob thiab qhov tshwm sim ntawm tus txheej txheem kis.
Keeb kwm ntawm tus kab mob hnyav
Tus mob prepatellar bursitis tshwm sim tam sim ntawd, cov tsos mob hnyav dua ob peb hnub. Tus kab mob no tshwm sim los ntawm cov tsos mob hauv qab no:
- Tseem mob heev nyob rau hauv patella. Ib tug neeg tsis tuaj yeem lean ntawm nws lub hauv caug, ib qho kev kov ntawm thaj tsam ntawm qhov mob ua rau mob.
- Tseem mob o ntawm thaj tsam ntawm patella nrog reddening ntawm daim tawv nqaij.
- Kev txav mus los ntawm cov kab mob sib koom ua ke yog txwv.
- Kub nces, dav dav yog hnov.
- Mob hnyav thaum soj ntsuam thaj tsam ntawm qhov mob.
Cov tsos mob ntawm tus kab mob ntev
Thaum tsis muaj kev kho mob txaus, mob bursitis yuav mob ntev. Chronization ntawm cov txheej txheem inflammatory tuaj yeem tshwm sim nrog lub siab ntev ntawm lub hauv caug sib koom tes thiab hauv cov neeg laus. Cov tsos mob ntawm qhov mob sib txawv me ntsis. Mob, liab thiab o ntawm lub hauv caug pob qij txha tseem nyob. Cov phab ntsa ntawm cov bursa ua tuab, vim qhov no, qhov sib koom ua ke tuaj yeem nce qhov loj me ob peb zaug. Muaj ib qho kev xav ntawm pob hauv lub patella vim yog tsim cov quav ntawm phab ntsa ntawm lub hnab periarticular.
Cov cim qhia ntawm purulent bursitis
Yog tias tus kab mob nkag mus rau hauv lub hnab ntim khoom, suppuration tshwm sim hauv bursa. Cov tsos mob ntawm tus kab mob no hnyav dua.
- Qhov kub nce siab, kev noj qab haus huv ntawm tus neeg mob hnyav zuj zus.
- Daim tawv nqaij ntawm thaj tsam ntawm qhov sib koom ua kom kub rau qhov kov, liab yog hais.
- Tshuaj mob thiab throbbing hauv pob qij txha.
Qhov tshwm sim ntawm bursitis yog dab tsi?
Festering prepatellar bursitis yuav tsum tau kho tam sim ntawd, txwv tsis pub cov abscess yuav kis mus rau lwm cov ntaub so ntswg los yog tawg ntawm nws tus kheej. Qhov no ua rau muaj teeb meem:
- Yog ib qho abscess tawg mus rau hauv cov hlab ntsha, ntshav lom - sepsis yuav tshwm sim.
- Thaum o thiab suppuration kis mus rau cov pob txha nyob ze, osteomyelitis yuav pib.
- Yog purulent o kis mus rau ib puag ncig cov ntaub so ntswg thiab lymph nodes, phlegmon thiab lymphadenitis tshwm sim.
- Cov ntsiab lus Purulent tuaj yeem tau txais los ntawm bursa ncaj qha rau hauv kev sib koom ua ke. Tom qab ntawd muaj ib hom mob purulent mob caj dab.
- Fistulas daim tawv nqaij. Cov no yog cov channel nrog cov ntsiab lus purulent uas tshwm sim tom qab muaj kev ywj pheej ntawm kev tawg ntawm qhov abscess hauv bursa.
- Nrog rau lub sijhawm ntev prepatellar bursitis ntawm lub hauv caug sib koom ua ke, tus ceg ceg tuaj yeem ua rau lub cev tsis muaj zog.
Yuav ua li cas bursitis tshwm sim hauv menyuam yaus
Cov me nyuam yaus tsis yoog rau prepatellar bursitis. Lawv qhov hnyav me dhau, thiab thaum tus menyuam poob rau hauv lub hauv caug, lub tshuabhloov mus ua insignificant. Cov menyuam yaus hnub nyoog qis dua ib xyoos kuj tsis tshua muaj mob bursitis, vim txhua tus menyuam muaj kev tiv thaiv kab mob kis los ntawm leej niam. Ib txoj hauv kev ua tau rau bursitis hauv cov menyuam yaus yog kev raug mob thiab pob txha ntawm lub hauv caug. Tab sis ib tug me nyuam feem ntau muaj cov pob txha hloov tau, thiab cov pob txha tawg sai sai. Bursitis tuaj yeem pib tsuas yog hauv cov menyuam yaus thaum lub hauv caug pob txha raug kho lig dhau lawm.
Tab sis cov tub ntxhais hluas feem ntau raug kev txom nyem los ntawm bursitis. Feem ntau, qhov mob ntawm bursa tau pom nyob rau hauv cov tub hluas uas nyiam kev ua neej nyob thiab ua si nyuaj. Feem ntau qhov no tshwm sim tom qab raug mob thaum lub sij hawm kev cob qhia. Muaj lwm qhov laj thawj rau cov tub ntxhais hluas bursitis. Thaum cev xeeb tub, cov me nyuam loj hlob sai. Qee lub sij hawm kev loj hlob ntawm cov pob qij txha lags tom qab tag nrho kev loj hlob ntawm lub cev. Thiab tom qab ntawd cov tub ntxhais hluas pib muaj teeb meem sib koom ua ke, suav nrog lub hauv caug bursitis.
Kev kuaj kab mob
Feem ntau, kev kuaj mob tsis yooj yim rau tus kws kho mob vim yog daim duab ntawm tus kab mob. Edema thiab redness nyob rau hauv lub cheeb tsam ntawm patella twb pom thaum lub sij hawm kev ntsuam xyuas sab nraud. Txawm li cas los xij, qee zaum nws yuav tsum paub qhov txawv ntawm prepatellar bursitis los ntawm lwm yam kab mob thiab kev raug mob ntawm thaj chaw sib koom ua ke: arthrosis, synovitis, osteomyelitis, tendon rupture. Tom qab ntawd tus kws kho mob sau cov txheej txheem kuaj ntxiv:
- knee x-ray;
- Ultrasound ntawm lub hauv caug pob qij txha;
- MRI;
- puncture ntawm bursa los tshuaj xyuas cov kua dej sib koom.
Qhov no yuav pab ntsuasCov xwm txheej ntawm lub hnab periarticular, cov ntaub so ntswg thiab cov pob txha nyob ib puag ncig, txhawm rau txhawm rau kuaj mob thiab sau tshuaj kho raws li cov txiaj ntsig ntawm kev tshawb fawb.
Yuav ua li cas kho cov kab mob tsis kis kab mob?
Kev kho mob ntawm cov kab mob uas tsis muaj kab mob prepatellar bursitis feem ntau yog kev saib xyuas. Kev txhaj tshuaj tsuas yog ua tiav yog tias cov ntshav ntau tau sau hauv bursa tom qab raug mob. Txawm hais tias qhov txheej txheem no tsim nyog lossis tsis tsim nyog yuav tsum tau txiav txim siab los ntawm tus kws kho mob uas tuaj koom, vim tias muaj kev pheej hmoo me me ntawm tus kab mob.
Thaum thawj theem, yuav tsum tau so rau tus mob caj dab. Cov cheeb tsam sib koom yog nruj nreem qhwv nrog ntaub qhwv, yog tias tsim nyog, compresses yog siv. Rau qhov mob, tshuaj analgesics tau sau tseg. Nrog mob hnyav, txhaj tshuaj "Prednisolone" yog ua rau hauv lub hnab sib koom. Kev kho mob bursitis yuav siv sij hawm li 7-10 hnub.
Yuav ua li cas kho mob hauv caug bursitis?
Nyob rau hauv kev kho mob ntawm prepatellar bursitis ntawm lub hauv caug sib koom ua ke nyob rau hauv ib daim ntawv ntev, tshuaj tiv thaiv kab mob uas tsis yog tshuaj steroidal: Diclofenac, Nise, Nimesil, Ibuprofen.
Siv kev kho lub cev:
- massage;
- electrophoresis;
- kev tawm dag zog;
- magnetotherapy;
- kho mob ultrasound;
- laser kho.
Yog inflammatory exudate accumulates nyob rau hauv lub bursa, ces ib tug puncture yog ua.
Kev kho mob purulent bursitis
Yog hais tias bursitis yog kis kab mob thiab suppuration twb tshwm sim, ces cov kab noj hniav yog drained. koob tuabua ib qho puncture thiab tso tawm cov ntsiab lus purulent. Cov kab noj hniav ntawm lub hnab periarticular yog ntxuav nrog cov tshuaj tua kab mob thiab tshuaj tua kab mob. Tom qab cov txheej txheem no, tus kab mob no tshwm sim tau so.
Qhia rau ib chav kawm ntawm dav-spectrum tshuaj tua kab mob. Lub sijhawm ntawm kev kho tshuaj tua kab mob yog li 1-3 lub lis piam. Ua ke nrog cov tshuaj tua kab mob, tus kws kho mob tau sau cov tshuaj glucocorticosteroids. Yog tias tus neeg mob txhawj xeeb txog cov tsos mob ntawm intoxication ntawm lub cev (mob taub hau, xeev siab, ntuav, kub), ces cov tshuaj tso rau hauv cov tshuaj sodium chloride, Perftoran, Ringer. Tom qab tshem tawm cov kua qaub, ib chav kawm ntawm kev kho mob nrog cov tshuaj glucocorticoid thiab kho lub cev.
Kev ua haujlwm
Yog ib txoj hauv kev zoo tshaj plaws ntawm kev kho mob ntawm prepatellar bursitis ntawm lub hauv caug pob qij txha. Nws yog ib qho tsim nyog yuav tau ua ib qho kev phais thiab tshem tawm cov bursa yog tias, vim qhov mob hnyav, tus neeg tsis muaj peev xwm taug kev thiab ua haujlwm rau nws tus kheej. Qhov no txhais tau hais tias cov phab ntsa ntawm lub hnab periarticular yog thickened mus rau qhov uas lub bursa tsis tuaj yeem txhawb kev zawv zawg ntawm qhov sib koom ua ke. Tom qab ua haujlwm, tus neeg mob hnav ib qho tshwj xeeb brace ntawm nws lub hauv caug rau 3-5 hnub. Tom qab ntawd tus kws kho mob tau sau ib chav kawm ntawm kev kho lub cev. Feem ntau, tom qab ua haujlwm, ib tus neeg rov qab mus rau lub neej li qub hauv ib hlis. Koj tuaj yeem lean ntawm lub hauv caug mob hauv 2-3 lub hlis.
Kev kho mob pej xeem rau bursitis
Kev kho tsev hauv tsev tuaj yeem siv los ua kev kho mob rau bursitis. Ua ntej siv cov tshuaj pej xeemtshuaj yuav tsum nrog koj tus kws kho mob tham. Zaub compresses tuaj yeem pab nrog bursitis. Nws yog ib qho tseem ceeb rau alternate compresses ntawm qos yaj ywm, beets thiab cabbage. Zaub yuav tsum tau siv rau qhov mob pob qij txha thaum hmo ntuj. Thawj hmo, ob peb cov qos yaj ywm nyoos yog siv rau qhov chaw mob, npog nrog zaj duab xis cling thiab qhwv. Nyob rau hmo thib ob, koj yuav tsum rov ua cov txheej txheem nrog beets, thiab thib peb - nrog zaub qhwv.
Koj tuaj yeem ntxiv ib lub decoction ntawm ntoo thuv koob, cones thiab ceg rau hauv da dej. Tag nrho cov khoom xyaw yuav tsum tau boil rau 30 feeb nyob rau hauv dej, thiab ces lub decoction yuav tsum tau infused rau 24 teev. Lub tiav lawm extract yuav tsum yog xim av xim av. Lub decoction yog ntxiv rau dej thiab da dej rau 20 feeb. Nws yuav siv li 1.5 litres ntawm extract. Nrog bursitis, nws yog ib qhov tsim nyog los siv ib tug sib tov ntawm propolis thiab butter nyob rau hauv. Koj yuav tsum sib tov cov khoom sib npaug. Cov muaj pes tsawg leeg yog noj 1 teaspoon 3 zaug ib hnub twg. Nws yog qhov zoo dua los siv cov tshuaj propolis 1 teev ua ntej noj mov.
Yuav tiv thaiv kab mob li cas?
Txhawm rau tiv thaiv kev txhim kho ntawm prepatellar bursitis, koj yuav tsum tiv thaiv lub hauv caug los ntawm kev ntxhov siab thiab raug mob ntau dhau. Qhov no yog qhov tseeb tshwj xeeb rau cov neeg uas koom nrog kev ua kis las. Txhua qhov kev tawm dag zog yuav tsum pib nrog kev sov so. Yog tias thaum lub sijhawm ua kis las muaj kev pheej hmoo ntawm kev puas tsuaj rau lub hauv caug, ces koj yuav tsum tiv thaiv kev sib koom tes nrog cov khoom siv tshwj xeeb (lub hauv caug pads). Qhov no yuav pab kom tsis txhob raug mob hnyav thiab teeb meem hauv daim ntawv ntawm prepatellar bursitis. Hauv daim duab saum toj no koj tuaj yeem pom ib qho ntawm cov tiv thaiv hauv caug. Rau daim tawv nqaij mobnpog, nws yog ib qhov tsim nyog los kho qhov txhab thiab abrasions nrog tshuaj tua kab mob kom sai li sai tau thiab siv cov ntaub qhwv. Qhov no yuav pab tiv thaiv kom tsis txhob kis mus rau hauv lub hnab periarticular. Tsuas yog ua tib zoo saib xyuas cov pob qij txha thiab kev kho mob raws sij hawm ntawm kev raug mob yuav pab kom tsis txhob bursitis.
