Kev mob caj dab ntawm ko taw yog qhov mob ntawm cov pob qij txha, tshwm sim los ntawm kev mob ntawm ib feem ntawm ko taw. Qhov no yog ib tug heev tsis kaj siab thiab mob pathology, uas yog nrog los ntawm deformation. Yog li ntawd, muaj teeb meem thaum taug kev, xaiv khau, nrog rau kev puas siab puas ntsws.
Taw taw yog siv rau kev sib npaug thaum taug kev lossis sawv, pab thawb tawm thaum tsiv. Nyob rau hauv lub xub ntiag ntawm kiag li deformity, nrog rau qhov tshwm sim ntawm kev mob caj dab ntawm ko taw, nws tsis muaj peev xwm ua tau raws li qhov yuav tsum tau ua, vim hais tias cov load yog pauv mus rau lub duav thiab lub hauv caug pob qij txha, uas yog fraught nrog heev txaus ntshai txim..
Tus yam ntxwv ntawm tus kab mob
Taw yog ua los ntawm ntau cov pob qij txha thiab cov pob txha me. Lawv yuav tsum tau nyiaj dhau kev ntxhov siab txhua hnub.
Kev mob caj dab ntawm ko taw tuaj yeem tshwm sim hauv cov neeg ntawm txhua lub hnub nyoog, ua rau muaj kev hloov pauv hauv cov pob qij txha, lawv deformation thiab mob siab. Tus kab mob yuav tsum tau kho tam sim ntawd. Tus kws kho mob yuav tsum tau sau cov tshuaj. Hauv zos pom electrophoresis nrog tshuajtxhais tau tias, kev siv cov kua tsib thiab kho av nkos.
Tsis tas li ntawd, kev tawm dag zog kho mob thiab zaws tau pom zoo, uas tus neeg mob tuaj yeem ua ntawm nws tus kheej. Yog tias tus kab mob hnyav heev, tus kws kho mob yuav pom zoo rau kev phais.
hom tsiaj
Muaj ntau yam laj thawj rau kev txhim kho ntawm ko taw mob caj dab, daim duab uas qhia meej txog cov yam ntxwv ntawm cov kab mob. Nws yog tsim nyog sau cia tias tus kab mob tsis tshwm sim ntawm nws tus kheej, thiab lwm yam kab mob ua haujlwm raws li qhov yuav tsum tau ua ua ntej. Cov kws kho mob paub qhov txawv ntawm cov kab mob ko taw xws li:
- mob caj dab rheumatoid;
- reactive;
- post-traumatic;
- ntawm cov hauv paus chiv keeb metabolic;
- secondary osteoarthritis.
mob caj dab Rheumatoid yog tus cwj pwm los ntawm qhov tseeb tias nws provokes kev loj hlob ntawm cov tshuaj tiv thaiv autoimmune. Tom qab kev kis kab mob dhau los, lub cev tiv thaiv kab mob tsis muaj zog, uas yuav siv cov hlwb noj qab haus huv rau cov kab mob thiab pib tua lawv. Nws yog ib qho tsim nyog sau cia tias hom kab mob no tsis tshua muaj tshwm sim, nrog rau qee yam cim qhia thiab xav tau kev kho mob nyuaj.
mob caj dab ntawm metabolic keeb kwm yog tus cwj pwm los ntawm qhov tseeb tias nws txoj kev loj hlob yog raws li cov kab mob metabolic. Gouty mob caj dab ntawm ko taw yog qhov tshwm sim ntau tshaj plaws thiab tshwm sim vim qhov tso tawm ntawm uric acid. Cov pob zeb me tshaj plaws ntawm ntsev pib muab tso rau hauv kab noj hniav ntawm cov pob qij txha, ua rau muaj kev tiv thaiv kab mob. Qhov no ua rau mob, deformity thiab tsis xis nyob.
Reactive lossis kis mob caj dab tshwm sim vim muaj kab mob sib kis. Qhib qhov txhab uas cuam tshuam rau kev sib koom ua ke tuaj yeem ua rau muaj kev phom sij. Vim li no, cov kab mob pathogenic tau nkag mus rau cov pob txha mos thiab lub hnab sib koom ua ke. Tsis muaj kev phom sij tsawg tuaj yeem ua rau foci ntawm mob thiab kis kab mob.
Kev mob caj dab tom qab mob caj dab tsis tas yuav kis tau. Tom qab ib qho kev raug mob yav dhau los, qhov kev sib koom tes kaw kuj tseem tuaj yeem ua tau. Kev ua txhaum ntawm lawv cov anatomical kev ncaj ncees ua rau o. Secondary osteoarthritis tshwm sim nyob rau hauv cov neeg mob uas muaj mob los ntawm arthrosis. Raws li cov txheej txheem dystrophic hauv cov ntaub so ntswg ntawm cov pob qij txha tsis zoo, deformation thiab o tshwm sim.
Kev tshwm sim
Muaj ntau yam sib txawv uas ua rau kev txhim kho ntawm ko taw mob caj dab. Ntawm cov laj thawj feem ntau, nws yog qhov yuav tsum tau ua kom pom xws li:
- kev mob nkeeg;
- autoimmune o;
- kab mob;
- genetic predisposition.
Ntau yam kev raug mob ua rau muaj kev pheej hmoo ntawm o. Kev xaiv khau tsis raug thiab tsis yooj yim ua rau muaj kev raug mob ko taw mus tas li. Lub cev surges kuj muaj qhov zoo sib xws.
Pathogenic Escherichia coli uas tau nkag mus rau hauv lub cev, cov ntaub ntawv mob tonsillitis, mob ntsws, thiab cov kab mob venereal muaj kev puas tsuaj rau cov pob qij txha. Thaum lub sijhawm ua haujlwm ntawm autoimmune o hauv lub cev, kev tiv thaiv kev tiv thaiv yog tshwm sim los ntawm kev mob ntawm cov pob txha mos, uas nwsperceives raws li pathological.
Tshwj xeeb provoking yam tshwm sim ib leeg ib leeg tawm tsam keeb kwm ntawm ntau yam kab mob tshwm sim hauv lub cev. Piv txwv li, nrog psoriasis, ntsev yog tso rau hauv cov pob qij txha. Qhov tshwm sim ntawm tus kab mob no kuj cuam tshuam los ntawm ntau lwm yam, tshwj xeeb, xws li:
- metabolic disorder;
- tus cwj pwm phem;
- kev tiv thaiv tsis zoo;
- overweight;
- hnub nyoog hloov pauv.
Raws li qhov ua rau ua rau mob caj dab ntawm ko taw pob qij txha, tus kws kho mob xaiv txoj kev kho mob uas yuav tshem tawm cov kab mob sai sai.
Cov tsos mob tseem ceeb
Cov tsos mob ntawm kev mob caj dab ntawm ko taw, daim duab uas qhia txog cov yam ntxwv ntawm cov kab mob, tej zaum yuav muaj cov tsos mob dav dav, uas tau qhia tias:
- hauv zos kub nce;
- pain;
- blushing;
- puffiness;
- kev ua haujlwm tsis zoo ntawm cov pob qij txha cuam tshuam.
Nws tsim nyog sau cia tias txhua hom mob caj dab muaj nws cov tsos mob. Nrog rau cov kab mob rheumatoid uas cuam tshuam rau cov ntaub so ntswg ntawm lub cev, muaj cov cim xws li:
- o thiab liab ntawm thaj chaw cuam tshuam;
- xav txhav pob qij txha thaum sawv ntxov;
- faus;
- mob thaum taug kev.
Nws tsim nyog sau cia tias lub xeev kev noj qab haus huv tau poob qis, thiab muaj cov cim zoo ib yam li ntwsmob khaub thuas thiab mob khaub thuas, nrog rau ua npaws. Nws yog ib qho tsim nyog yuav tsum tau kuaj ntshav, vim tias muaj cov ntsiab lus ntawm uric acid nyob rau hauv nws yuav qhia tau tias ib tug neeg tsim cov kab mob gouty.
Diagnostics
Yog tias koj muaj mob thiab taug kev nyuaj, koj yuav tsum tau hu rau tus kws kho mob orthopedist lossis kws kho mob rheumatologist. Tus kws kho mob pib ua qhov kev kuaj pom. Yog hais tias mob caj dab ntawm cov pob qij txha ntawm ko taw yog ib qho kev puas tsuaj, ces kev sab laj nrog ib tug kws kho mob yuav tsum tau. Kev ntsuam xyuas tus kab mob no yooj yim heev.
Ntawm cov txheej txheem tseem ceeb ntawm kev kuaj xyuas, nws yog ib qho tsim nyog yuav tsum tau ua kom pom tseeb xws li ultrasound ntawm cov pob qij txha, tomography, X-ray ntawm ko taw. Txhawm rau txiav txim siab qhov ua rau mob caj dab, kuaj ntshav biochemical, thiab txiav txim siab npaum li cas ntawm cov piam thaj. Qee lub sij hawm yuav tsum tau txhaj cov pob qij txha me me los kuaj xyuas cov kua dej synovial. Thaum kuaj xyuas qhov sib txawv, lwm yam pathologies ntawm ko taw yuav tsum raug cais tawm.
Txoj kev kho mob
Ua ntej kho mob ko taw mob caj dab, nws yog ib qho tsim nyog los txiav txim seb tus kab mob twg yuav tsum tau tawm tsam. Cov chav kawm ntawm kev kho mob tsuas yog sau los ntawm tus kws kho mob uas tuaj koom, vim txhua tus neeg xav tau ib tus neeg mus kom ze. Cov cuab yeej kho mob yooj yim suav nrog:
- tshuaj;
- kho lub cev;
- massage;
- kev ua kom lub cev kho mob.
To auxiliarycov txheej txheem yuav tsum suav nrog kev kho pej xeem, nrog rau kev kho av nkos. Cov tshuaj muaj xws li:
- non-steroidal;
- painkillers;
- tshuaj tua kab mob;
- chondroprotectors.
Yog tias cov kua dej ntau ntxiv nyob rau hauv cov kab noj hniav sib koom ua ke, yuav tsum ua kom tshem tawm nws. Physiotherapy yuav tsum tau ua nyob rau hauv parallel nrog kev kho mob ce. Cov no suav nrog kev kho paraffin, cov txheej txheem sib nqus, diadynamics. Nws yuav tsum raug sau tseg tias cov tswv yim zoo li no tuaj yeem siv tau tsuas yog nyob rau theem ntawm fading. Thaum ua kev kho mob kom tshem tawm cov tsos mob ntawm kev mob caj dab ntawm ko taw, kev kho mob kuj suav nrog kev noj zaub mov. Tsis tas li ntawd, hnav khau tshwj xeeb lossis orthopedic inserts yog qhia.
Drug therapy
Txawm hais tias cov tsos mob ntawm ko taw mob caj dab (daim duab), kev kho mob yuav tsum suav nrog kev siv tshuaj tiv thaiv kab mob thiab chondroprotectors. Kev kho tshuaj tua kab mob tsuas yog xav tau yog tias cov kab mob pathology tau tshwm sim los ntawm cov kab mob thiab kab mob. Tshwj xeeb, xws li:
- penicillins;
- Ycephalosporins;
- macrolides.
Cov tshuaj tiv thaiv kab mob feem ntau siv hauv rheumatology thiab orthopedics. Lawv siv los nres cov txheej txheem inflammatory hauv cov pob qij txha, pab txo qhov o ntawm cov ntaub so ntswg nyob ze. Cov tshuaj zoo tshaj plaws hauv pab pawg no suav tias yog:
- "Ibuprofen";
- Y "Diclofenac";
- Ketoprofen.
Lub sijhawm khofeem ntau nyob ntawm theem ntawm tus kab mob. Cov neeg mob peptic ulcers thiab gastritis yog tshuaj analgesics los yog antispasmodics los txo qhov mob. Nrog mob hnyav thiab cov txheej txheem mob hnyav, tus neeg mob tau muab tshuaj glucocorticosteroids. Txawm li cas los xij, nws tsim nyog nco ntsoov tias lawv ua rau muaj kev phiv ntau thiab ua rau cov ntaub so ntswg thinning.
Qhov kev puas tsuaj rau ligaments thiab pob qij txha tuaj yeem hais tau zoo, uas pom meej meej hauv daim duab. Cov tsos mob thiab kev kho mob ntawm ko taw mob caj dab tuaj yeem sib txawv heev, txawm li cas los xij, nyob rau hauv txhua rooj plaub, chondroprotectors raug sau rau kev kho. Tshwj xeeb, tshuaj xws li:
- "Teraflex";
- "Artra";
- "Dona";
- Structum;
- Chondroitin.
Txhawm rau ua kom cov nyhuv rov zoo dua, cov kws kho mob rheumatologist thiab orthopedists pom zoo kom sib xyaw cov kab mob hauv lub cev thiab hauv zos chondroprotectors. Lub sijhawm ntawm kev kho mob yog ob peb xyoos. Kev saib xyuas tshwj xeeb yuav tsum tau them rau kev kho mob gouty mob caj dab ntawm ko taw, txij li thaum xub thawj nws yog qhov tsim nyog los tshem tawm qhov ua rau muaj kev cuam tshuam thiab txo cov qib ntawm uric acid hauv lub cev. Qhov no tso cai rau koj kom ua tiav cov txiaj ntsig zoo.
physiotherapy techniques
Yuav kom ua tau zoo dua thiab tshem tawm cov tsos mob ntawm ko taw mob caj dab, kev kho mob yog ua los ntawm kev siv lub cev kho mob. Lawv suav nrog amplipulse therapy, magnetotherapy, diadynamic therapy.
Kev kho Paraffin muaj txiaj ntsig zoo. Ua li no, yaj cov paraffin hauv dej da dej mus rau lub xeev ua kua thiab txias me ntsis kom nws qhov kub tsis tshaj 60 degrees. Tom qab ntawd, koj yuav tsum tau txo koj txhais taw mus rau hauv cov kua paraffin rau pob taws, tshem tawm koj ob txhais ceg thiab tos kom nws tawv. Tom qab ntawd, muab ob txhais ceg tso rau hauv ib lub hnab thiab qhwv lawv sov.
Nws tsim nyog sau cia tias kev kho paraffin yog contraindicated hauv ntshav siab, varicose leeg thiab ntshav qab zib.
Kev siv pej xeem tshuaj
Ntau tus neeg txaus siab yuav kho tus mob ko taw li cas nrog cov tshuaj pej xeem, txawm li cas los xij, nws tsim nyog nco ntsoov tias lawv yuav tsum tau ua ke nrog tshuaj thiab kho lub cev. Kev siv cov tshuaj ntsuab pab txo qhov mob, tshem tawm qhov mob thiab normalize kev txav mus los. Raws li kev siv pej xeem, koj tuaj yeem siv cov cuab yeej xws li:
- decoctions thiab infusions ntawm cov nroj tsuag rau kev tswj qhov ncauj;
- baths;
- compresses;
- apps;
- rubbing;
- tshuaj pleev.
Txhawm rau tshem tawm qhov mob, koj tuaj yeem siv hauv decoction ntawm nettle, nplooj lingonberry, calendula, txiv hmab txiv ntoo rowan. Nws kuj pom zoo kom siv cov nyiaj no ua compresses. Kev sov nrog xuab zeb lossis hiav txwv ntsev yog siv los txo qhov mob.
Cov tshuaj pleev thiab tshuaj txhuam yog cov tshuaj hauv tsev zoo heev. Koj tuaj yeem yooj yim qhwv lub pob taws nrog cov nplooj nplooj tshiab thiab taug kev zoo li no rau qee lub sijhawm. Cov pob qij txha o tuaj yeem lubricated nrog cov tshuaj pleev npaj rau lub hauv paus ntawm qhuavmustard, ntsev thiab paraffin. Cov khoom tiav lawm yuav tsum muaj cov creamy sib xws.
Cov txiaj ntsig kho mob yog siv los ntawm kev txhuam nrog cawv tinctures ntawm cov tshuaj ntsuab. Cov txheej txheem yuav tsum tau ua nyob rau hauv cov kev kawm rau 7-10 hnub.
Dieting
Thaum kho mob caj dab ntawm ko taw, yuav tsum tau sab laj nrog kws kho mob. Kev noj zaub mov kom zoo yuav tsum ua kom tiav txoj kev kho mob. Cov kua txiv tshiab yuav muaj txiaj ntsig zoo, nrog rau txhua yam zaub tshwj tsis yog rhubarb thiab sorrel. Tsis tas li ntawd, koj yuav tsum tau noj cov zaub mov uas muaj calcium ntau.
Nrog gouty mob caj dab, koj yuav tsum txwv tsis pub noj cov zaub mov uas muaj purine, uas pab tsim cov uric acid. Cov no muaj xws li haus luam yeeb thiab s alted lard thiab nqaij, s alted zaub. Tag nrho cov cereals raug pom zoo.
kho mob gymnastics
Tus kws kho mob tau sau cov kev kho mob rau tus neeg mob caj dab kom rov qab sib npaug thiab sib koom tes ntawm kev txav. Txhua qhov kev tawm dag zog ua haujlwm yuav tsum yog txhawm rau txhawm rau kho qhov qub flexion ntawm ko taw. Nws yog ib qho tseem ceeb heev rau tus neeg mob taug kev ntawm skis, uas cov luj me tau dai. Ib tug neeg yuav tsum taug kev, tsa ob txhais ceg siab nrog rau kev caij skis.
Txhua yam kab mob no yooj yim dua los tiv thaiv dua li kho tau ntev. Raws li kev tiv thaiv, koj yuav tsum ua raws li cov cai yooj yim, uas yog:
- zam kev mob ko taw;
- xaiv nkawm khau;
- zam dhauloads;
- kho mob comorbid;
- saib koj qhov hnyav;
- zam hypothermia.
Kev mob caj dab ntawm ko taw tuaj yeem tshem tawm tau zoo tsuas yog tias kev kho mob raws sijhawm thiab kev ua haujlwm ntawm kev siv tshuaj kho mob ua tiav. Nrog rau kev ua raws li tag nrho cov kws kho mob cov lus pom zoo, kev sib koom ua ke tau rov qab los, thiab kev ua neej zoo dua. Txwv tsis pub, cov txheej txheem ntawm cov ntaub so ntswg puas yuav irreversible.
