Arthrosis yog ib yam kab mob uas cuam tshuam rau pob qij txha. Yav dhau los, nws tau ntseeg tias qhov no pathology tshwm sim tsuas yog thaum muaj hnub nyoog laus, txij li nws yog tus cwj pwm los ntawm cov txheej txheem degenerative-dystrophic hauv cov txheej txheem cartilaginous ntawm cov pob qij txha. Feem ntau qhov no tshwm sim vim lub ntuj slowdown ntawm cov txheej txheem metabolic uas tshwm sim nrog hnub nyoog. Tab sis tus kab mob tuaj yeem tshwm sim hauv cov tub ntxhais hluas vim yog kev ua neej nyob tsis muaj zog, noj tsis txaus, lossis muaj kev ntxhov siab ntau ntxiv ntawm cov pob qij txha. Yog tias arthrosis tsis kho raws sijhawm, cov txheej txheem ntawm kev puas tsuaj ntawm cov pob txha mos tuaj yeem mus deb. Feem ntau qhov no ua rau ua tiav immobility ntawm kev sib koom tes. Kev kho mob ntawm cov kab mob pathology yuav tsum ua tiav. Feem ntau siv tshuaj kho mob rau mob caj dab. Cov tshuaj no tsuas yog tshem tawm cov tsos mob, tab sis tsis kho tus kab mob nws tus kheej. Tab sis txawm qhov no, lawv yog ib feem tseem ceeb ntawm txoj kev kho mob.
Vim li cas peb thiaj xav tau tshuaj kho mob
Arthrosis loj hlob qeeb. Thaum xub thawj, ib tug neeg yuav tsis txawmnkag siab tias ib yam dab tsi tsis ncaj ncees lawm nrog nws cov pob qij txha. Muaj mob me ntsis thaum lub sij hawm exertion, ces ib tug crunch thiab nias yuav tshwm sim thaum lub zog. Tsis zoo li qhov tshwm sim ntawm kev raug mob thiab inflammatory phenomena, mob nyob rau hauv arthrosis feem ntau tshwm sim thaum pib ntawm lub zog tom qab lub sij hawm immobility. Thiab thaum sawv ntxov muaj kev sib koom tes.
Sij hawm dhau mus, qhov mob yuav muaj zog, ntev. Yog li ntawd, cov tshuaj tua kab mob rau arthrosis yog qhov tsim nyog heev. Qhov no yog thawj theem ntawm kev kho mob. Nws yog ntshaw tias cov tshuaj raug xaiv los ntawm tus kws kho mob uas yuav coj mus rau hauv tus account tus yam ntxwv ntawm tus kheej thiab cov degree ntawm kev puas tsuaj ntawm pob txha mos cov ntaub so ntswg. Feem ntau ntawm cov tshuaj no muaj nyob rau hauv daim ntawv tshuaj xwb.
Nws tuaj yeem txo qhov mob hauv arthrosis nkaus xwb thaum cov txheej txheem degenerative nres. Koj tsis tuaj yeem ua yam tsis muaj tshuaj loog ib leeg, vim tias tus kab mob tseem yuav nce ntxiv.
Yuav ua li cas txo qhov mob arthrosis
Nyob rau theem pib ntawm tus kab mob, qhov mob feem ntau yog mob me. Lawv tuaj yeem tshwm sim thaum sawv ntxov lossis tom qab so thiab tawm mus rau lawv tus kheej tom qab ib ntus. Tab sis nyob rau hauv cov txheej txheem ntawm kev puas tsuaj ntawm cov pob txha pob txha ntawm cov pob qij txha, deformation ntawm articular nto tshwm sim, kev puas tsuaj ntawm lub taub hau ntawm cov pob txha. Cov hauv paus hniav lossis cov hlab ntsha tuaj yeem raug pinched. Tag nrho cov no ua rau mob hnyav, uas tsis ploj ntawm nws tus kheej.
Cov tshuaj kho mob tshwj xeeb yog siv rau kev mob caj dab ntawm lub hauv caug, lub duav thiab spondylarthrosis. Tom qab tag nrho, cov pob qij txha no raug rau qhov hnyav tshaj plaws, thiab feem ntau qhov mob yogmuaj zog uas tsis pub ib tug neeg txav mus.
Muaj ntau txoj hauv kev los daws qhov mob. Rau arthrosis, cov hauv qab no feem ntau siv:
- kev tswj hwm intramuscular ntawm non-steroidal anti-inflammatory tshuaj lossis analgesics;
- novocaine blockades;
- kev txhaj tshuaj ntawm cov tshuaj hormonal;
- siv tshuaj loog ointments;
- compresses;
- noj tshuaj kho qhov ncauj.
YAnalgesics thiab antispasmodics
"Analgin" yog hais txog cov tshuaj tua kab mob uas tsis yog tshuaj. Qhov no yog cov tshuaj nto moo tshaj plaws thiab dav. Tab sis vim muaj ntau cov kev phiv, nws tau dhau los ua tsawg thiab siv tsawg. Ntxiv mus, nrog arthrosis, nws tsuas tuaj yeem txo qhov mob me thiab nruab nrab.
Qee zaum mob hauv arthrosis tshwm sim vim cov leeg nqaij spasm vim o lossis khaus ntawm cov pob txha puas lawm. Hauv qhov no, antispasmodics yuav pab, uas txo qhov mob los ntawm kev so cov leeg. Cov no yog Baclofen, Mydocalm, Sirdalud. Lawv feem ntau zam tau zoo thiab muaj ob peb contraindications.
NSAIDs: daim ntawv thov nta
Cov tshuaj tsis-steroidal anti-inflammatory feem ntau yog siv los txo qhov mob hauv arthrosis. Lawv muaj peev xwm txo tau qhov mob, o, hyperemia, txo qhov mob. Muaj ntau hom NSAIDs. Lawv feem ntau yog ua los ntawm cov organic acids. Yog li ntawd, lawv tuaj yeem ua rau qhov chaw ntawm lub plab zom mov. Tsis tas li ntawd, cov cuab yeej no cuam tshuamcov ntshav muaj pes tsawg leeg, txo nws cov coagulability, cuam tshuam kev ua haujlwm ntawm ob lub raum. Yog li ntawd, lawv tsuas yog noj nyob rau hauv cov tshuaj thiab nyob rau hauv nruj me ntsis ntau npaum.
Ntxiv rau, qhov tshwj xeeb ntawm NSAIDs yog tias cov tshuaj sib txawv muaj qhov sib txawv. Piv txwv li, "Diclofenac" lossis "Indomethacin" ua haujlwm hauv zos, txo qhov mob ntawm theem ntawm cov ntaub so ntswg. Thiab "Paracetamol" cuam tshuam rau hauv nruab nrab paj hlwb, suppressing mob impulses. Yog li ntawd, feem ntau siv ob qho tshuaj los yog cov tshuaj complex.
NSAIDs zoo tshaj plaws
Txhua yam, muaj txog 40 hom tshuaj sib txawv los ntawm pawg no. Tab sis tsis yog txhua tus ntawm lawv muaj qhov sib npaug zoo rau kev mob pob qij txha. Feem ntau, ntau cov tshuaj kho mob rau arthrosis uas muaj NSAIDs yog siv:
- "Aspirin" yog cov tshuaj muaj npe nrov tshaj plaws thiab siv tau ntev. Nws relieves mob thiab o, thiab tseem yuav pab kom qeeb ntawm kev puas tsuaj ntawm pob qij txha. Tab sis cov nyhuv ntawm acetylsalicylic acid tsis muaj zog, yog li nws tsuas yog pab tau thaum pib ntawm tus kab mob.
- "Indomethacin" yog ib qho tshuaj tua kab mob ntau tshaj plaws rau arthrosis. Tom qab tag nrho, cov tshuaj no sai sai relieves mob, nws kuj yog zoo rau tshem tawm o thiab o. Nws tuaj yeem muag tau raws li lub npe Metindol, Indotard, Indobene, Rheumatin.
- "Diclofenac" thiab kev npaj raws li nws feem ntau tau sau tseg rau arthrosis. Nws qhov kev ua tau zoo sib npaug, cov tshuaj sai sai txo qhov mob thiab mob. Muaj ntau yam khoom raws li diclofenac: Ortofen, Diclofen,Diklobene, Rapten, Naklofen, Baraten thiab lwm yam.
- "Ibuprofen" yog cov tshuaj uas tsis yog-steroidal tshuaj tiv thaiv kab mob zoo tshaj plaws. Nws raug tso cai noj txawm tias thaum cev xeeb tub thiab lactation. Tab sis nrog mob hnyav hauv arthrosis, cov tshuaj yuav tsis tuaj yeem tiv taus. Ibuprofen muaj nyob rau hauv xws li tshuaj: Nurofen, Brufen, Motrin, Reumafen.
- "Ketorolac" tuaj yeem txo qhov mob hnyav. Nws tuaj yeem yuav los ntawm cov npe "Ketorol", "Ketalgin", "Dolak"
- Movalis yog tshuaj tiam tshiab. Nws yog qhov zoo dua los ntawm cov neeg mob. Thiab thaum siv kom raug, nws sai sai relieves mob thiab o. Nws raug nquahu kom siv nws yog tias xav tau kev kho mus ntev.
- "Phenylbutazone" yog ib qho tshuaj kho mob zoo nkauj. Nyob rau hauv cov ntaub ntawv ntawm arthrosis ntawm lub duav pob qij txha, nws yog feem ntau yog siv, txij li thaum qhov mob muaj zog heev. Tab sis vim muaj ntau cov kev phiv tshwm sim, nws raug sau tseg rau lub sijhawm luv, tsuas yog txo qhov kev tawm tsam.
tshuaj hormonal
Corticosteroid cov tshuaj hormones rau arthrosis yog siv tsawg zaus. Tsuas yog nws tsis tuaj yeem daws qhov mob hnyav los ntawm lwm txoj kev. Lawv tsuas yog siv rau kev kho lub sijhawm luv luv, vim lawv ua rau kev puas tsuaj loj dua ntawm cov pob txha mos. Tsuas yog tus kws kho mob yuav tsum xaiv cov kev kho mob zoo li no, txij li cov tshuaj hormonal muaj ntau contraindications. Cov tshuaj siv ntau tshaj plaws yog:
- "Dexamethasone."
- Kenalog.
- Y"Hydrocortisone".
Cov tshuaj niaj hnub no
Tsis ntev los no, cov tshuaj kho mob tshiab tau siv rau kev mob caj dab. Lawv tau tshwm sim tsis ntev los no, tab sis twb tau ua pov thawj lawv tus kheej li kev siv tau zoo. Yam tshuaj twg tuaj yeem siv rau arthrosis:
- "Ambene" - cov tshuaj complex muaj, ntxiv rau cov tshuaj tua kab mob, cov vitamins B.
- Droxaril tuaj yeem siv sijhawm tsawg vim muaj kev phiv.
- "Nifluril" - tshuaj raws li niflumic acid, tuaj yeem ua rau muaj kev puas tsuaj rau cov mucous ntawm lub plab zom mov.
- Mervan siv tau ntev.
- Harlef tau txais txiaj ntsig zoo los ntawm cov neeg mob thiab sai sai txo qhov mob.
painkillers rau arthrosis
Tus kab mob no, tshwj xeeb tshaj yog nyob rau theem tom ntej, tuaj yeem ua rau mob hnyav. Nrog rau kev tawm tsam ntawm arthrosis ntawm lub hauv caug lossis pob qij txha, kev txhaj tshuaj feem ntau yog ib txoj hauv kev kho mob. Ntxiv mus, cov blockades intra-articular yog qhov ua tau zoo tshaj plaws.
Ib qho ntawm cov tshuaj feem ntau rau qhov no yog Novocaine. Nws yog novocaine blockade uas tau siv hauv tsev kho mob thaum cov neeg mob uas muaj mob arthrosis tau txais. Ib qho tshuaj 1% yog txhaj rau hauv qhov nyiaj ntawm 20 ml rau hauv kev sib koom ua ke nws tus kheej lossis cov ntaub so ntswg periarticular. Kev txhaj tshuaj yog muab txhua 4 hnub ob peb zaug.
Intramuscularly lossis intravenously, tshuaj raws li cov tshuaj uas tsis yog-steroidal anti-inflammatory siv tshuaj feem ntau. Hauv qhov no, lawv ua sai dua,txo qhov mob hauv feeb. Piv txwv li, nrog kev tswj hwm ib zaug ntawm Tenoxicam, cov nyhuv analgesic kav ntev txog 3 hnub. Nws peculiarity yog hais tias nws ua rau lub hauv paus paj hlwb, suppressing mob, thiab kuj nkag mus rau hauv cov ntaub so ntswg, relieving o thiab mob.
Yog tias lwm yam txhais tau tias tsis muaj txiaj ntsig, kev txhaj tshuaj hormonal, xws li Diprospan lossis Dexamethasone, yog siv. Lawv yuav tsum tau ua raws li kws kho mob qhia. Tsis pub ntau tshaj 5 txhaj tshuaj, thiab yuav tsum tau so ntawm 5 hnub ntawm lawv.
tshuaj kho sab nraud
Qee zaum, kev siv tshuaj tua kab mob rau kev mob caj dab, nrog rau kev txhaj tshuaj, yuav tsis tuaj yeem ua tau vim muaj contraindications. Qee zaum qhov no yog qhov ua tsis tau zoo vim qhov tsis muaj zog ntawm qhov mob. Hauv qhov no, kev siv tshuaj loog sab nraud yog siv. Feem ntau cov no yog compresses nrog Dimexide. Lawv txo qhov o zoo, txo qhov mob thiab mob. Cov tshuaj no muaj cov nyhuv analgesic zoo: sib tov cov dej sib npaug, "Dimexide" thiab "Ketonal" rau kev txhaj tshuaj.
Cov tshuaj tua kab mob sab nraud rau arthrosis xws li "Bishofite", kho cov kua tsib, iodine, turpentine, vinegar, extracts los ntawm cov nroj tsuag kuj siv tau. Cov tshuaj niaj hnub tau sau ntau qhov kev paub hauv kev siv tshuaj ntsuab decoctions thiab lwm yam tshuaj los txo qhov mob.
tshuaj pleev rau qhov mob caj dab
Tshuaj nyob rau hauv daim ntawv ntawm cov tshuaj pleev los yog qab zib rau cov mob pob qij txha yog feem ntau siv. Ibyooj yim siv, lawv muaj ob peb phiv thiab zoo txo qhov mob. Tam sim no muaj ntau hom tshuaj sib txawv uas tuaj yeem muab faib ua ob peb pawg:
- NSAID-raws li tshuaj pleev yog feem ntau siv rau arthrosis. Cov no yog "Nise", "Indomethacin", "Ketonal", "Finalgel", "Butadion", "Dolgit" thiab lwm yam.
- Kev npaj muaj capsaicin, uas ua kom cov txheej txheem metabolic thiab ntshav ntws mus rau cov ntaub so ntswg. Cov no yog Nicoflex, Kapsikam, Finalgon, Espol thiab lwm yam.
- Cov tshuaj pleev uas muaj salicylic acid tsis yog tsuas yog tshuaj tua kab mob xwb, tab sis kuj muaj kev tiv thaiv kab mob. Cov no yog Viprosal, Ben-Gay, Efkamon.
- Npaj muaj muv venom, cov roj yam tseem ceeb thiab rathenia rho tawm. "Apizartron", "Gevkamen", "Sabelnik", Dikul cov tshuaj pleev thiab ntau lwm yam khoom uas tuaj yeem muas yam tsis muaj kws kho mob tshuaj.
Pab pawg
Yuav tsum kho mob arthrosis yog siv chondroprotectors. Cov tshuaj no ib leeg tsis txo qhov mob. Lawv qhov kev txiav txim yog tsom rau kev kho cov pob txha mos. Yog li ntawd, lawv kuj tuaj yeem muaj cov nyhuv analgesic, tab sis qeeb qeeb. Tag nrho cov chondroprotectors yog siv los ua ib feem ntawm txoj kev kho mob ntev.
Qhov zoo tshaj plaws yog cov khoom uas muaj ntau yam tshuaj. Nws tuaj yeem yogchondroitin, glucosamine. Cov tshuaj feem ntau yog:
- Teraflex.
- Artra.
- Dona.
- "Movex".
- "Alflutop".
Nws tsim nyog nco ntsoov tias tsuas yog cov tshuaj tua kab mob rau cov pob qij txha yuav tsis ua rau kho. Qhov no tsuas yog ib txoj hauv kev ntawm kev kho mob nyuaj. Tom qab qhov mob tau txo qis, kev kho mob yuav tsum tau txuas ntxiv, txwv tsis pub cov tsos mob yuav rov qab los.
