Tib neeg ob txhais ceg, tshwj xeeb tshaj yog cov pob qij txha me me ntawm ko taw, muaj kev ntxhov siab ntau txhua hnub, hnyav lub cev, feem ntau ntau dhau. Yog hais tias concomitant kab mob ntawm musculoskeletal system koom nrog no, ces cov ntaub so ntswg cartilaginous ntawm cov pob qij txha hnav tawm thiab ua rau deforming arthrosis ntawm ob txhais taw. Kev puas tsuaj ntev ntawm cov pob txha mos ntawm ob txhais ceg tshwm sim ntau zaus hauv cov txiv neej thiab poj niam hnub nyoog plaub caug xyoo. Tus kab mob no yog systemic. Rau qee qhov, tag nrho cov pob qij txha ntawm lub cev raug kev txom nyem, tab sis cov kev hloov pauv mus rau cov uas raug rau qhov siab tshaj plaws. Nws tag nrho yog nyob ntawm txoj kev ua neej, kev ua ub ua no, caj ces predisposition thiab qee yam provoking yam. Kab lus no yuav piav qhia txog qhov ua rau, tshwm sim ntawm arthrosis ntawm ko taw, cov tsos mob thiab kev kho mob ntawm tus kab mob.
cov ntaub ntawv dav dav
Txhua cov pob qij txha ntawm ko taw tau raug tus kab mob, tab sis pob taws thiab metatarsophalangeal ntiv tes xoo feem ntau cuam tshuam. Tus kab mob manifests nws tus kheej tsis tau tsuas yog nyob rau hauv cov neeg tom qab plaub caug xyoo, tab sis kuj nyob rau hauv ib tug hluas hnub nyoog. Cov kis las koom nrog hauv gymnastics, dhia, ntaus pob, sib tw feem ntau ntsib cov tsos mobtus kab mob no.
Tus kab mob hu ua osteoarthritis yog txuam nrog kev puas tsuaj rau cov pob qij txha, pob txha mos thiab cov txheej txheem inflammatory hauv cov ntaub so ntswg uas cuam tshuam lawv cov metabolism thiab cov ntshav microcirculation. Raws li qhov tshwm sim ntawm qhov no, qhov mob hnyav tshwm sim, cov ntiv tes yog khoov, thiab pob kws tshwm nyob rau hauv qhov chaw siab. Txhua qhov kev txav mus los yog nrog kev mob. Sim tsis txhob cuam tshuam qhov cuam tshuam ntawm kev sib koom ua ke, tus neeg hloov lub nra mus rau sab ntug ntawm ko taw. Raws li qhov tshwm sim, qhov kev hloov pauv, kev qaug zog tshwm sim, kev ua haujlwm thiab kev ua haujlwm muaj peev xwm txo qis.
Ua rau kab mob
Ntau tus ntseeg tias qhov laj thawj tseem ceeb ntawm osteoarthritis yog kev laus ntawm lub cev thiab cov pob txha mos ntxiv vim yog kev siv lub cev hnyav thiab ntau yam uas ua rau lawv degeneration. Cov xwm txheej tseem ceeb ua rau kev txhim kho ntawm arthrosis ntawm ko taw:
- congenital yam ntxwv ntawm tus qauv ntawm ko taw - tiaj tus taw, tsim cov pob qij txha tsis raug, ib ceg ceg ntev dua li lwm tus, dav ko taw;
- pawg ntseeg;
- joint overload - kev ua si, ntev sawv;
- overweight;
- mob ko taw - dislocations, sprains;
- ncig khau khau;
- ua txhaum ntawm cov txheej txheem metabolic;
- kab mob ntawm endocrine system;
- permanent hypothermia;
- cov txheej txheem mob hauv pob qij txha.
Txhua yam no pab txhawb rauKev loj hlob ntawm pathology.
Cov tsos mob ntawm osteoarthritis ntawm ko taw
Cov tsos mob ntawm tus kab mob tshwm sim nyob ntawm qhov txawv txav ntawm cov pob qij txha ntawm ko taw. Tus kab mob muaj kev kawm ntev, nws yuav siv sij hawm ntau xyoo los txhim kho. Nrhiav kev pab los ntawm kws kho mob thaum muaj mob hnyav lossis ntiv tes deformed. Tus kab mob no mus txog peb theem ntawm kev loj hlob, nrog rau ntau yam tsos mob:
- Thawj. Tsis muaj cov cim qhia txawv. Cov neeg mob yws ntawm ceg qaug zog tom qab taug kev ntev. Mob tsis tshua muaj thiab ploj tag tom qab so. Ntau tus xav tias qhov tsos mob no yog kev ua haujlwm ntau dhau thiab tsis ua tib zoo saib rau nws. Tsis tas li ntawd, ib qho crunch tshwm nyob rau hauv cov pob qij txha ntawm ko taw, tab sis qhov no tsis yog ib qho cim ntawm tus kab mob.
- Second. Cov tsos mob ntawm osteoarthritis ntawm ko taw yog zuj zus. Kev mob hnyav pib tshwm sim, cuam tshuam nrog cov khoom me me thiab tsis dhau tom qab so ntev. Muaj qhov tuab ntawm cov pob txha taub hau thiab kev loj hlob ntawm cov ntaub so ntswg nyob ib ncig ntawm cov pob qij txha cuam tshuam. Yog li ntawd, koj yuav tsum yuav khau ib qho loj dua. Tus ntiv taw loj txav mus rau sab nraud ntawm ko taw, tsim cov pob txha protruding.
- Thib peb. Qhov mob ua tas mus li, noj tshuaj analgesics tsis tas yuav pab. Kev txav tsis zoo ntawm cov pob qij txha ntawm ko taw koom nrog deformation ntawm cov ntiv tes. Lub gait hloov, tus neeg dov ntawm ib sab mus rau sab. Yog li ntawd, tus txha nraub qaum thiab lwm cov pob qij txha raug kev txom nyem.
Kev nkag mus rau tus kws kho mob lig ua rau muaj kev loj hlob ntawm tus kab mob, thiab kev kho cov tsos mob ntawm arthrosis ntawm ko taw yuav nyuaj, uas yav tom ntej yuav dhau mus.ua rau kev tsis taus.
Diagnosis
Txhawm rau kuaj mob, cov haujlwm hauv qab no tau ua:
- kev sib tham nrog tus neeg mob, thaum lub sijhawm hnov cov lus tsis txaus siab, tau sau anamnesis;
- kev tshuaj xyuas pom;
- kuaj ntshav thiab zis;
- paj duab hluav taws xob - X-rays dhau los ntawm ko taw, ib daim duab tau txais los ntawm tus kws kho mob tuaj yeem pom cov qauv pob txha thiab tag nrho cov qauv uas twb muaj lawm;
- nuclear magnetic resonance ua rau nws kawm tau cov ntaub so ntswg;
- xam tomography yog ua nyob rau theem pib ntawm tus kab mob;
- ultrasound - tsis tshua siv rau kev kuaj mob, tab sis siv los taug qab cov mob pob txha thiab pob qij txha;
- pob txha scintigraphy txawv arthrosis los ntawm lwm yam pathologies;
- puncture - kua dej los ntawm kev sib koom ua ke, thiab kev sim kuaj tau ua tiav txhawm rau txiav tawm cov kab mob gout thiab kis kab mob.
Txhua txoj hau kev saum toj no tshuaj xyuas thaj tsam articular, tso cai rau koj kom pom cov duab tiav ntawm lub xeev ntawm pathology thiab txiav txim siab theem ntawm arthrosis. Tom qab kuaj xyuas zaum kawg, tus kws kho mob tau sau ntawv kho mob rau arthrosis ntawm ko taw.
Kev kho mob
Deforming arthrosis yog kho raws li tus neeg mob sab nraud. Cov neeg mob uas mob hnyav thiab xav tau kev phais yuav raug mus pw hauv tsev kho mob. Thaum kho hauv tsev, tus neeg mob yuav tsum ua raws li tag nrho cov lus qhia ntawm tus kws kho mob, uas tej zaum yuav yog kws kho mob, kws kho mob rheumatologist, kws kho mob lossis kws phais. Kev xaiv kws kho mob nyob ntawmkab mob ua rau kev puas tsuaj rau kev sib koom tes. Ib chav kawm nyuaj ntawm kev kho mob feem ntau yog sau tseg, suav nrog:
- los ntawm kev saib xyuas kev kho mob;
- kev hloov pauv kev ua neej;
- kev kho neeg;
- kev cuam tshuam kev phais.
Kev ua neej ntawm tus neeg mob arthrosis
Yuav kom muaj kev noj qab nyob zoo, koj yuav tsum tso tus cwj pwm uas ua rau muaj tus kab mob hnyav dua. Ua ntej ntawm tag nrho cov, koj yuav tsum tau txo lub load ntawm lub puas sib koom, rau qhov no:
- txwv sijhawm taug kev;
- so tsib feeb thaum tsiv;
- tsis sawv hauv ib qhov chaw ntev;
- txwv nce thiab nqis ntaiv;
- nqa tsis hnyav;
- siv tus pas nrig.
Qhov tseem ceeb sib npaug yog qhov poob phaus:
- mus noj zaub mov tsawg;
- npaj hnub yoo mov;
- ua lub cev zaws;
- do exercise therapy.
kev kho mob
Rau kev kho mob arthrosis ntawm ko taw, ntau pab pawg tshuaj raug sau tseg uas ua lub hom phiaj tshwj xeeb:
- Non-steroidal anti-inflammatory tshuaj yog siv los txo qhov mob thiab mob. Lawv pab kom txo tau cov tsos mob ntawm tus kab mob. Nrog rau qhov txo qis hauv qhov mob, cov leeg nqaij spasms kuj reflexively txo. Qhov no ua rau kev txhim kho cov ntshav ncig, thiab ua rau muaj kev txav mus los. Lawv noj tsis pub tshaj kaum hnub, qhov zoo tshaj plaws: Ortofen, Naklofen, Diclofenac, Ibuprofen, Nurofen.
- Chondroprotectors yog txhais tau tiasrau kev kho mob ntawm arthrosis ntawm cov pob qij txha ntawm ko taw, pab txhawb kev txhim kho cov ntaub so ntswg kev noj haus thiab kev kho cov pob txha mos, uas nyuaj rau revive. Lawv muaj kev cuam tshuam thaum tus kab mob no nyuam qhuav pib tsim. Kev txais tos yog ua nyob rau hauv cov chav kawm ntev txog rau lub hlis. Thiab tsuas yog 3-4 lub hlis tom qab pib kho, cov tsos mob ntawm kev txhim kho tshwm sim. Struktum, Artra, Dona ua tau zoo.
- Analgesics - nrog rau lawv cov kev pab, lawv thaiv qhov mob hnyav uas tshwm sim nyob rau theem thib ob ntawm tus kab mob. Rau qhov no, cov tshuaj pleev "Nicoflex", "Viprosal", "Apizartron" yog sau.
- Cov ntxhia thiab cov vitamins normalizes cov txheej txheem metabolic, txhawb kev tiv thaiv kab mob. Nws raug pom zoo kom noj Vitrum, Oligovit.
Ntxiv rau cov tshuaj uas cuam tshuam rau tag nrho lub cev, rau kev kho mob arthrosis ntawm ko taw, kev kho mob hauv zos yog siv cov tshuaj pleev thiab tshuaj pleev, xws li Fastum-gel, Finalgon. Qee cov tshuaj tau txhaj rau hauv qhov sib koom ua ke, xws li Gialur, Ostenil.
Non-drug therapy
suav nrog kev kho mob, zaws thiab kho lub cev. Nrog rau lawv cov kev pab, ib tug dosed load yog tsim nyob rau hauv puas pob qij txha, uas pab txhawb rau kev kho ntawm lub zog. Cov kev tawm dag zog raug xaiv ua ke nrog tus kws kho mob, nyob ntawm qhov xwm txheej ntawm cov pob qij txha. Txhua yam kev ua ub no yuav tsum tswj thiab txhim kho kev ua haujlwm ntawm ko taw. Thaum ua cov txheej txheem, qee cov cai yuav tsum tau ua:
- pib chav kawm nrog kev tawm dag zog rau cov pob qij txha noj qab haus huv, maj mam txuas cov cuam tshuam;
- txhua qhov txav yuav tsum tsis txhob khaus heev thiab tsis ua rau mob thiab raug mob;
- load maj nce;
- kom coj cov chav kawm ua ntu zus thiab ntev.
Los ntawm kev kho lub cev rau kev kho mob arthrosis ntawm ko taw pob qij txha yog siv:
- daim ntawv thov hloov tshav kub - siv peat av nkos, ozocerite thiab paraffin (nyob rau hauv kev cuam tshuam ntawm tshav kub, cov txheej txheem metabolic txhim kho, pab txhawb kev kho pob txha mos);
- magnetotherapy - nce vascular permeability thiab tus nqi ntawm cov tshuaj tiv thaiv enzymatic;
- rays infrared txhawb qhov mob nyem thiab nres qhov mob;
- electrophoresis siv "Analgin", "Sodium salicylate" thiab "Lidocaine" nqa kev kho mob ntawm qhov mob;
- ultraphonophoresis - tshuaj "Analgin" thiab "Hydrocortisone" yog siv los tiv thaiv o thiab mob nyob rau hauv lub zog ntawm ultrasound.
Ntxiv rau, kev noj zaub mov tshwj xeeb nrog cov ntsiab lus ntawm cov vitamins thiab kab kawm, hnav khau tshwj xeeb orthopedic thiab insoles tau pom zoo.
kev kho neeg zoo
Lawv tau siv los kho cov tsos mob txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau), nws raug siv nws cov khoom siv nws yog siv los ua cov txheej txheem). Lwm txoj kev kho mob ntawm arthrosis ntawm ko taw yog siv los txo qhov liab thiab o ntawm pob qij txha, txo qhov mob. Cov tshuaj hauv qab no tau npaj rau kev kho mob:
- Banana. Siv lub tev ntawm tsib txiv tsawb, so thiab ncuav 0.5 liv ntawm vodka. Insist rau ib hlis, thov rau rubbingko taw.
- Qej. Sib tov ob peb cloves rau hauv gruel, ntxiv zaub roj. Siv cov tshuaj sib tov rau ntawm cov kab mob sib koom ua ke hauv qab daim ntaub qhwv.
- Hops thiab St. John's wort. Sib tov 10 grams ntawm qhuav nyom rau hauv hmoov, ntxiv 50 g ntawm petroleum jelly, mix. Lubricate cov mob pob qij txha nrog cov tshuaj pleev ob zaug ib hnub twg.
- Yuav ua li cas kho arthrosis ntawm ko taw siv zib ntab, cawv, ntsev? Sib tov sib npaug ntawm cov khoom xyaw kom txog thaum sib xws ntawm qaub cream. Los ntawm lub resulting loj, ua ib tug compress ntawm lub puas sib koom thaum hmo ntuj. Vim li ntawd, qhov mob yuav txo qis.
- Da dej hiav txwv ntsev. Dissolve 250 grams ntawm hiav txwv ntsev nyob rau hauv ob litres ntawm dej sov, sib tov. Tuav koj ob txhais ceg rau 30 feeb. Tom qab cov txheej txheem, muab cov thom khwm wool.
Txhua cov zaub mov tseem tuaj yeem siv los tiv thaiv kev tiv thaiv: rau cov neeg ncaws pob, cov neeg laus, cov neeg mob pob taws thiab pob taws.
kev kho mob phais
Cov kab mob ntev ntawm arthrosis ntawm ko taw, nquag mus rau kev loj hlob, feem ntau ua rau kev puas tsuaj zaum kawg ntawm pob txha mos. Tus neeg mob yog mob hnyav, qhov sib koom ua ke yog immobilized kiag li. Hauv qhov no, tsuas yog kev ua haujlwm yuav pab tau:
- Arthroscopy ntawm kev sib koom tes. Siv nyob rau theem thib ob ntawm tus kab mob hauv cov neeg mob hluas, tab sis muab cov nyhuv ib ntus. Ib qho cuab yeej tshwj xeeb hu ua arthroscope tshem tawm cov ntshav txhaws thiab cov khoom me me ntawm cov pob qij txha puas. Qhov mob txo qis heev li.
- Arthroplasty. Kev ua haujlwm yog ua tiav nrog kev puas tsuaj tag nrho ntawm kev sib koom tes thiab qhov mob txaus ntshai. Qhov sib koom ua ke yog hloov nrog ib qho khoom siv nrog lub neej kev pab txog li 15 xyoo. Tag nrho cov haujlwm tau khaws cia.ko taw, qhov mob ploj mus. Cov neeg mob uas tau txais kev kho mob arthroplasty feem ntau tawm tswv yim zoo: ko taw arthrosis tau kho tag nrho, mob ploj mus, ib txwm ua haujlwm ko taw tau khaws cia tag. Lub sijhawm postoperative yog qhov nyuaj thiab ntev, tab sis cov nyhuv tsim nyog rau kev siv zog. Tus cwj pwm zoo pab kom rov zoo sai dua.
Kev kho mob arthrosis ntawm cov ntiv taw
Thaum tus kab mob no tshwm sim, kev puas tsuaj ntawm pob txha mos thiab o ntawm cov nqaij mos nyob ib ncig ntawm lub pob qij txha. Qhov no tshwm sim los ntawm kev ua txhaum ntawm cov txheej txheem metabolic thiab ntshav ncig hauv cov pob txha mos. Tus kab mob tuaj yeem cuam tshuam rau ob tus ntiv tes xoo, thiab ob peb lossis tag nrho ua ke. Qhov no yog tshwm sim los ntawm kev sib koom tes, liab thiab o me ntsis. Kev txav mus los ua nyuaj, tus neeg pib limp. Kev hnov mob hauv arthrosis ntawm cov pob qij txha ntawm cov ntiv taw thiab txhav yog feem ntau hnov thaum yav tsaus ntuj thiab sawv ntxov. Tus kab mob no tau kuaj pom los ntawm kev kuaj X-ray. Tom qab ntawd, cov laj thawj tau tsim thiab kho tau raug sau tseg. Tus neeg mob yuav tsum hloov nws txoj kev ua neej, txo qis kev ua si ntawm ob txhais ceg thiab khoom noj khoom haus, ntxiv cov khoom noj uas muaj cov vitamins thiab kab kawm ntxiv rau kev noj haus. Txoj kev kho mob tshwj xeeb yog xaiv los ntawm tus kws kho mob. Nws yog feem ntau tsom rau kev kho tus kab mob uas ua rau tus kab mob. Kev kho mob rau arthrosis ntawm cov ntiv taw muaj xws li kev siv pej xeem tshuaj, physiotherapy, kev kho mob thiab kev siv tshuaj kho mob. Cov tshuaj hauv qab no feem ntau raug sau tseg:
- tshuaj tiv thaiv - "Indomethacin", "Ketonal";
- painkillers - "Spazmalgon", "Analgin";
- chondroprotectors - kho thiab ua kom qeeb ntawm kev puas tsuaj ntawm kev sib koom ua ke: "Artra", "Chondroitin sulfate";
- rau kev txhaj tshuaj rau hauv kev sib koom tes - "Fermatron", "Synvisk".
Nyob rau hauv cov neeg mob siab, kev phais tau ua tiav.
Qhov txawv ntawm osteoarthritis thiab mob caj dab
Ob kab mob cuam tshuam nrog kev puas tsuaj rau cov pob qij txha ntawm ko taw. Arthrosis cuam tshuam rau pob txha pob txha thiab pob txha pob txha. Nyob rau hauv mechanical kev nyuaj siab, qhov no ua rau kev puas tsuaj qeeb ntawm kev sib koom tes. Muaj ntau ntau yam ua rau muaj qhov tshwm sim ntawm osteoarthritis. Qhov tseem ceeb tshwj xeeb yog kev tawm dag zog lub cev hnyav thiab pob taws raug mob. Arthritis yog ib hom kab mob sib koom ua ke. Nws tshwm sim los ntawm cov txheej txheem inflammatory uas tshwm sim nyob rau hauv lwm yam tib neeg lub cev los yog thaum lub sij hawm yug me nyuam ntawm cov kab mob nyob rau hauv lub cev thiab yog activated thaum lub cev tsis muaj zog. Kev mob caj dab yog tus cwj pwm los ntawm kev mob hnyav ntawm tus kab mob nrog kub taub hau thiab mob hnyav hauv cov pob qij txha. Tom qab ntawd tus kab mob rov zoo dua, tab sis cov kev hloov pauv uas tau tshwm sim hauv kev sib koom ua ke, thiab arthrosis tuaj yeem tshwm sim tom qab. Cov tshuaj tiv thaiv kab mob yog siv los kho mob caj dab hauv ko taw, tab sis osteoarthritis maj mam thiab tsis muaj kev kho mob zoo.
Tiv thaiv kab mob arthrosis
Kev tiv thaiv kab mob nws raug pom zoo:
- khoom noj kom raug. Noj ntau cov zaub mov cog, txo cov rog, haus luam yeeb, ntsim khoom. Qhia cov roj ntses rau hauv kev noj haus.
- nkawm khau. Xaiv nrog ib tug yooj yooj yim ib leeg, dav ntiv taw thiab xis heels, siv orthopedic insoles.
- Saib xyuas koj tus kheej qhov hnyav.
- Siv cov ntaub qhwv yog tias muaj qhov hnyav ntawm ko taw.
- txwv tsis pub cov khoom thauj khoom ntawm ob txhais ceg.
- Taug kev tsis muaj taw thaum lub caij ntuj sov.
Arthrosis ntawm ko taw tsis yog tsuas yog cov neeg laus xwb, tab sis kuj rau cov neeg laus thiab cov hluas. Txhua yam kev pheej hmoo rau tus kab mob no tau muab faib ua sab hauv thiab sab nraud. Sab hauv muaj xws li genetic anomalies thiab physiological yam ntxwv ntawm ib tug neeg: congenital pathologies ntawm cov pob qij txha, ca taw. Sab nraud yog tsim los ntawm kev ua neej nyob thiab ib puag ncig cuam tshuam: hnav khau tsis xis nyob, ua si kis las, ntau lub cev kev ntxhov siab ntawm ob txhais ceg cuam tshuam nrog kev ua haujlwm. Paub txog cov yam ntxwv no, koj yuav tsum ua tib zoo saib xyuas cov taw thiab sab laj nrog kws kho mob hauv lub sijhawm thaum thawj cov tsos mob tshwm sim.
