Osteoarthritis shine ci gaba mai lalacewa mara kumburi na guringuntsi.
A sakamakon canje-canje na degenerative-dystrophic, haɗin gwiwa a hankali ya rasa ayyukansa, ƙaddamarwa-tsawowar motsi a cikinsa ya zama da wahala sannan kuma gaba ɗaya ba zai yiwu ba.
Haɗin gwiwa haɗin gwiwa ne na ƙasusuwa masu motsi. Jikin ɗan adam ya ƙunshi irin waɗannan haɗin gwiwa sama da 200, waɗanda ke ba da kowane nau'in motsi na kwarangwal. Ana yin zamiya kyauta a cikin su godiya ga santsin saman guringuntsi na hyaline da lubrication synovial.
Tare da arthrosis, guringuntsi na hyaline ya zama siriri kuma a hankali ya rushe, ya zama m, kuma lubrication synovial ya zama kasa don motsawa kyauta. A sakamakon haka, rikici yana faruwa, wanda ke hana motsi a cikin haɗin gwiwa kuma yana haifar da lalacewa ta ci gaba.
Arthrosis yana daya daga cikin cututtukan degenerative-dystrophic na tsarin musculoskeletal. Suna shafar fiye da kashi 30% na mutanen da ke tsakanin shekaru 45 zuwa 65, kuma fiye da kashi 65% na mutanen da suka wuce shekaru 65. Abin da ya faru yana da faɗin dogaro da shekaru.
Mafi sau da yawa, cutar tana shafar manyan gidajen abinci - gwiwa (gonarthrosis), hip (coxarthrosis), da kafada. Daga cikin ƙananan haɗin gwiwa, haɗin gwiwar hannu, ƙafa da kashin baya sun fi shafa.
A ƙarshen mataki na cutar, ankylosis (cikakken immobilization) na haɗin gwiwa yana faruwa. A wannan yanayin, kawai magani na tiyata zai yiwu - cirewa da maye gurbin tare da endoprosthesis.
A mataki na 1 - 3 na arthrosis, magani mai ra'ayin mazan jiya yana yiwuwa, dalilin da ya sa shi ne don rage gudu da kuma dakatar da lalata haɗin gwiwa, sake dawo da nama na guringuntsi a hankali, inganta ayyukan (motsi), ƙara yawan motsi, sauƙi na jin zafi. bayyanar cututtuka da kumburi.
A cikin asibiti, ana samun waɗannan manufofin ta hanyar haɗaɗɗun amfani da reflexology, na ganye da hanyoyin physiotherapy na magungunan gabas.
Dalilan arthrosis
Dalilin cutar shine rinjaye na lalacewa na guringuntsi na hyaline akan tsarin farfadowa. Wannan yana nufin cewa guringuntsin guringuntsi ya lalace kuma ya lalace a ƙarƙashin damuwa da sauri fiye da yadda zai iya murmurewa.
Wannan yana faruwa ne saboda aikin abubuwa biyu - ƙarar lodi da / ko jinkirin dawowa.
Don sake farfado da guringuntsi na hyaline, ana buƙatar collagen, wanda aka samar a cikin jiki tare da haɗin hanta.
Wannan sashin ba wai kawai yana shiga cikin haɗin collagen ba, wajibi ne don haɗin gwiwa, amma kuma yana da alhakin matakin zafin jiki.
Daga ra'ayi na likita, dalilin duk cututtukan sanyi, ciki har da arthrosis, shine raguwa a matakin zafin jiki. Wannan na iya faruwa, musamman, saboda rashin isasshen aikin hanta.
Duk arthrosis nasa ne na degenerative, cututtuka na dystrophic. Ci gaban su yana farawa da dystrophy, wato, yunwar nama saboda rashin isasshen jini.
Domin sake farfadowa kullum, guringuntsi na articular yana buƙatar collagen, kayan gini na duniya na kayan haɗi. Wannan sinadari mai gina jiki yana hadewa a cikin jiki kuma yana shiga gidajen abinci tare da jini.
Idan jinin ya rushe saboda wasu dalilai, guringuntsi na hyaline ya rasa collagen. Tsarin farfadowa a cikin su yana raguwa. A wannan yanayin, haɗin gwiwar da ke ɗaukar nauyin nauyi - gwiwoyi, idon kafa, kwatangwalo, da kafadu - sun fi shan wahala. Gidan guringuntsi yana farawa sannu a hankali ya ruguje.
Lokacin da guringuntsi ya lalace, ɓangarorinsa sun tsage kuma suna motsawa cikin yardar kaina a cikin rami na haɗin gwiwa (abin da ake kira "mice"), yana haifar da tsutsawa, toshewa, ƙara iyakance motsi da ƙara zafi.
Wani dalili na cutar na iya zama rashi na collagen saboda rashin isasshen haɗin wannan abu a cikin jiki. Wannan na iya zama saboda, alal misali, rashin aikin hanta, wanda ke da hannu a cikin wannan haɗin gwiwa.
Abubuwan da ke haifar da ci gaban cutar na iya zama:
- kiba,
- rashin lafiyan abinci
- nauyi aiki na jiki, matsanancin wasanni,
- rauni, mahara microtraumas,
- daukan hotuna zuwa sanyi
- canje-canje masu alaƙa da shekaru (dehydration) a cikin jiki,
- anomalies na haihuwa (dysplasia, rauni na connective kyallen takarda, da dai sauransu).
Rabewa
Arthrosis da ke tasowa a kan bango na rashin lafiya na rayuwa ana kiransa na farko.
Na biyu arthrosis yana faruwa a kan bangon hanyoyin kumburi (cututtuka, ciki har da autoimmune), cututtuka na endocrin ko raunin da ya faru.
Wasu daga cikin nau'o'in cutar da aka fi sani da sunaye - gonarthrosis ( haɗin gwiwa gwiwa ), coxarthrosis ( haɗin gwiwar hip ), spondyloarthrosis (kashin baya).
Tare da ƙari na kumburi, an gano cutar a matsayin arthrosis-arthritis.
Akwai matakai guda hudu a cikin ci gaban cutar.
Arthrosis na mataki na 1st yana bayyana ta hanyar jin zafi na lokaci-lokaci da kuma ɗan ƙunshewar sararin haɗin gwiwa.
Mataki na 2 na cutar yana nufin kunkuntar sarari na haɗin gwiwa, iyakataccen motsi, samuwar ci gaban kashi (osteophytes), da nakasar haɗin gwiwa.
Mataki na 3 arthrosis yana nufin kusan bacewar sararin haɗin gwiwa, iyakance iyakacin motsi zuwa mafi ƙanƙanta, nakasar haɗin gwiwa, shigar da kyallen takarda da ƙasusuwa (osteoarthrosis, periarthrosis).
A mataki na 4, cikakken rashin motsi yana faruwa (ankylosis), sararin haɗin gwiwa ya ɓace gaba ɗaya.
Alamun arthrosis
Kamar sauran cututtukan degenerative-dystrophic na tsarin musculoskeletal, arthrosis yana tasowa a hankali.
Alamun na iya zama ba a nan na dogon lokaci, kodayake canje-canje a cikin nama na guringuntsi, ƙara da kaddarorin lubrication synovial sun riga sun fara.
Alamun arthrosis na mataki na 1 sun kara yawan gajiya a cikin haɗin gwiwa, ƙananan ciwo da ke faruwa bayan aikin jiki ko a farkon motsi bayan dogon lokaci na rashin motsi (abin da ake kira "farawa" zafi), bayan haka haɗin gwiwa yana tasowa. Matsakaicin juzu'i-tsawo da motsi na juyawa ba'a iyakance ba, kuma babu matsaloli yayin motsi.
A mataki na 2, ciwo a cikin haɗin gwiwa ya zama mafi tsanani kuma yana dadewa, yana faruwa har ma da ƙananan kaya. Lokacin motsi, ana jin ƙarar ƙara ko murɗawa. Juyawa, haɓakawa, motsi na juyawa ya zama da wahala, ƙarar su yana ƙara iyakancewa. Taurin yana tasowa.
A mataki na 3 na arthrosis, ciwon haɗin gwiwa ya zama akai-akai. Ana yin motsi a cikin haɗin gwiwa tare da wahala mai girma, an rage girman su zuwa ƙananan. Haɗin gwiwa yana da rauni sosai saboda haɓakar ƙashi kuma yana ƙaruwa da girma. Lokacin da haɗin gwiwa na kafafu ya shafi, gurgu mai tsanani yana tasowa.
A matakai 2-3 na cutar, kumburi yawanci yana faruwa tare da bayyanar cututtuka irin su kumburi, ja, ƙara zafi, da zazzabi na gida.
Ciwo tare da arthrosis na iya ƙaruwa tare da canje-canje a yanayi, dampness, sanyi, da dare, a farkon motsi ko lokacin aikin jiki, da kuma lokacin da aka katange haɗin gwiwa tare da linzamin kwamfuta.
Bincike
Ana gudanar da bincike-bincike na arthrosis bisa ga binciken, jarrabawar waje da hanyoyin hardware (X-ray, CT, MRI).
A lokacin hira, likita yayi nazarin tarihin likita, ya tambayi mai haƙuri game da alamun bayyanar, yanayin bayyanar su, da ƙari.
A farkon alƙawari a asibiti, likita, a matsayin mai mulkin, ya tambayi mai haƙuri ba kawai game da alamun cututtuka na arthrosis ba, har ma game da yanayin abinci mai gina jiki da salon rayuwa, tun da yake a cikin magungunan Gabas ana daukar jikin mutum a matsayin tsarin guda ɗaya. A cikin wannan tsarin haɗin kai akwai alaƙa na ciki.
Alal misali, yanayin haɗin gwiwa yana dogara ne akan metabolism, rigakafi, tsarin hormonal da motsi na ruwa na jiki, ma'auni na jiki.
Magungunan zamani suna rarraba arthrosis a matsayin cututtukan sanyi wanda ke tasowa a kan tushen makamashi na jiki, raguwa a matakan zafi da kuma tarin sanyi. Mahimman abubuwan da ke cikin wannan yanayin shine rashin abinci mara kyau, salon rayuwa, bayyanar sanyi da dampness.
A lokacin jarrabawar waje, likita ya kula da girman, siffar haɗin gwiwa, kewayon motsi, da kuma alamun kumburi - kumburi, ja, ƙarar gida a cikin zafin jiki.
Bayan yin nazari da yin hira da majiyyaci, likita ya aika shi don ƙarin bincike - X-ray, CT ko MRI.
A kan x-ray, likita ya ga raguwar sararin haɗin gwiwa, wanda ke nuna bakin ciki na guringuntsi. Dangane da matakin raguwa, yana ƙayyade matakin arthrosis.
Hoton x-ray yana nuna a fili osteophytes - girma tare da gefuna na kasusuwa da ke samuwa a lokacin arthrosis.
X-ray yana hango kyallen kashi da kyau, amma mara kyau yana nuna tsarin haɗin kai, taushi. Hoton maganan maganadisu (MRI) yana ba da ƙarin bayani.
Yin amfani da tomogram, likita zai iya bincika daki-daki game da yanayin guringuntsi na hyaline, da kuma synovial bursa, capsule na haɗin gwiwa, da kuma gano haɗin gwiwa "mice, " lalacewar meniscus da ligaments.
Don nazarin samar da jini zuwa haɗin gwiwa, angiography ta yin amfani da wakili mai bambanci (radiography, computed tomography ko magnetic resonance imaging).
Maganin arthrosis
A mataki na 4 arthrosis, ana amfani da magani na tiyata, an cire haɗin gwiwa kuma an maye gurbin shi tare da endoprosthesis. A matakai 1 - 3 na cutar, ana gudanar da magani mai ra'ayin mazan jiya.
- Magunguna.Ana amfani da maganin miyagun ƙwayoyi don sauƙaƙa alamun bayyanar cututtuka da rage ci gaban cutar. A gaban wani tsari mai kumburi, an tsara hormonal (glucocorticoid) ko magungunan marasa amfani (NSAIDs dangane da ibuprofen, diclofenac, da dai sauransu). Yawanci, ana ba da waɗannan magungunan ta hanyar allura a cikin haɗin gwiwa ko a cikin tsoka. Don rage jinkirin tsarin lalacewa na guringuntsi, an wajabta chondroprotectors.
- Injections a cikin haɗin gwiwa.Don rage gogayya da inganta gliding, ana allurar hyaluronic acid a cikin rami na haɗin gwiwa, wanda kwayoyinsa ke da ikon riƙe danshi. Allurar hyaluronic acid yana kare saman guringuntsi daga bushewa kuma yana rage lalata su.
A gaban kumburi mai tsanani da kumburi, ana amfani da allurar magungunan hormonal a cikin rami na haɗin gwiwa. - Aiki.Maganin tiyata na arthrosis ya ƙunshi maye gurbin haɗin gwiwa tare da endoprosthesis. Irin waɗannan ayyukan ana nuna su a mataki na 4 na cutar tare da ankylosis (cikakken rashin motsi).
- Physiotherapy.Don kawar da kumburi, ana amfani da hanyoyin jiyya na jiki kamar Laser far, Magnetic far, da kuma gudanar da magunguna ta amfani da halin yanzu (electrophoresis) ko duban dan tayi (phonophoresis).
Aikace-aikace na laka, damfara, da dumama suna inganta yanayin jini na gida, inganta warkarwa da dawo da nama na guringuntsi, da kuma kawar da ciwo. - Sauran jiyya.Don hana arthrosis, kazalika da hanyar taimako na jiyya, an ba da shawarar motsa jiki (jiki na jiki). Yin motsa jiki mai sauƙi a kai a kai yana inganta samar da jini zuwa haɗin gwiwa, yana ƙara yawan motsi da kewayon motsi.
Ana iya amfani da wanka mai zafi don dumama ciwon haɗin gwiwa da kuma kawar da alamun cututtuka. Maganin Balneological don arthrosis ya haɗa da irin waɗannan magunguna kamar laka ko radon baho.
Yana da mahimmanci!
Chondroprotectors ba su shafar abubuwan da ke haifar da arthrosis. Ainihin, waɗannan ba magani ba ne, amma wakilai na prophylactic. Sun ƙunshi chondroitin da glucosamine, wanda ke aiki don ƙara yawan adadin lubrication (ruwan synovial) da sauƙaƙe gliding. Rage juzu'i yana rage jinkirin lalata guringuntsi, amma baya mayar da shi.
Domin ba kawai don rage jinkirin ci gaban cutar ba, har ma don sake dawowa, ya zama dole don inganta samar da jini, kunna tafiyar matakai na metabolism da farfadowa na nama. Chondroprotectors ba sa yin wannan. Saboda haka, ana iya amfani da su azaman taimako, amma ba a matsayin maye gurbin cikakken magani ba.
Jiyya na arthrosis a wani asibiti na musamman
A cikin asibiti, ana gudanar da jiyya na mataki na 1 - 3 arthrosis ta amfani da hanyoyin phyto-, physio- da reflexology na magungunan gabas. Ana samun sakamako mai kyau a cikin fiye da 90% na lokuta na maganin wannan cuta.
Matsalolin jiyya masu rikitarwa sun haɗa da hanyoyi da yawa (maganin moxibustion, acupressure, acupuncture, da sauransu), waɗanda ke haɓaka tasirin juna bisa ga ka'idar aiki tare.
Jiyya a cikin asibitin yana nufin kawar da dalilin arthrosis, wannan yana tabbatar da dogon lokaci da sakamako mai dorewa.
Cututtukan haɗin gwiwa suna magana ne game da rikice-rikice na tushen Bad Kan - ɗaya daga cikin tsarin kula da jiki guda uku, ma'auni wanda ke nufin lafiya, kuma rashin daidaituwa wanda ke nufin cuta. Baya ga haɗin gwiwa, wannan tushe yana da alhakin tsarin lymphatic, ruwan jiki, rigakafi, hormones, da metabolism.
Rashin daidaituwar Mummunan Kan yawanci ba ɗaya ba ne, amma cututtuka da yawa a lokaci ɗaya. Saboda haka, arthrosis kusan kullum yana tare da cututtuka masu haɗuwa, cututtuka, misali, kiba (kiba), cututtuka na numfashi na kullum, allergies da / ko yanayin rashin lafiya, cututtuka na endocrin, cututtuka na gynecological masu dogara da hormone (a cikin mata), da dai sauransu.
Maganin zamani yana dawo da ma'auni na mugun Kan gabaɗaya don haka yana kawar da sanadin gama gari na waɗannan cututtuka. Sabili da haka, tare da arthrosis, wasu cututtuka masu haɗuwa kuma suna faruwa.
Lokacin zalunta arthrosis, likita aiki ba kawai a kan yankin da ya shafa hadin gwiwa, amma kuma a kan jiki a matsayin dukan, domin mayar da ma'auni na Badk-akai. Wannan shine sirrin babban tasiri na maganin arthrosis a asibitin mu.
Tszyu ko moxo far.
Wannan hanya ta ƙunshi dumama lokaci ɗaya ko jeri na abubuwan bioactive tare da cigar wormwood ko mazugi (wanda aka yi da wormwood ko gawayi). Ju therapy shine babban maganin arthrosis a madadin magani. Ana amfani da shi duka a gida, a kan yankin haɗin gwiwa da ya shafa, da kuma a kan meridians na jiki don mayar da ma'auni na Bad Kan tushe da jiki gaba ɗaya.
Wannan hanya yana da tasiri mai mahimmanci: yana inganta yanayin jini, yana motsa jini, yana kunnawa da kuma hanzarta farfadowa da sabuntawa na kyallen takarda, yana inganta kaddarorin kuma yana daidaita girman ƙwayar synovial, kuma yana da anti-mai kumburi da sakamako na rayuwa.
Acupuncture.
Gabatar da alluran likitanci a cikin wuraren bioactive yana da anti-mai kumburi, decongestant, analgesic sakamako, da kuma inganta fitar da kumburi ruwa.
Tasiri akan abubuwan bioactive na hanta meridian yana taimakawa haɓaka aikin wannan sashin jiki kuma yana kunna haɓakar collagen a cikin jiki.
Tasiri a kan wuraren bioactive na kodan yana taimakawa inganta yanayin jini a cikin ƙananan jiki tare da gonarthrosis, coxarthrosis da sauran arthrosis na kafafu.
Acupressure.
Ƙarfin ma'ana mai ƙarfi yana inganta wurare dabam dabam na gida, yana ƙara yawan jini, yana haɓaka matakai na rayuwa da farfadowa na nama, yana kawar da tashin hankali na tsoka da spasms. Acupressure a kan meridians na jiki (Ku-nye) yana ƙara yawan ƙarfin kuzarin jiki.
Jiyya na Jiyya.
Ga arthrosis, an ba da magunguna daban-daban na ganye waɗanda ke hanzarta metabolism, ƙara yawan zafin jiki, haɓaka hanyoyin dawowa cikin jiki, suna da tasirin anti-mai kumburi, da haɓaka aikin hanta da kodan.
Ma'anar taimako.
Hirudotherapy, dutse far, manual far, da girgiza igiyar ruwa far ana amfani da matsayin taimako.
Hirudotherapy yana da tasirin anti-mai kumburi kuma yana inganta yanayin jini.
Maganin zafi mai zafi yana ƙara matakan zafin jiki.
Maganin girgizawa (SWT) yana inganta yaduwar jini na gida, yana hanzarta warkarwa da dawo da haɗin gwiwa.
Tare da taimakon magungunan hannu, likita yana kawar da ciwon haɗin gwiwa, yana ƙara yawan motsi, da motsi.
Abinci don arthrosis
Don arthrosis, zafi, ana nuna abinci mai zafi.
Ana bada shawarar dumama abinci kamar kifi, rago, kaji, abincin teku, kabewa, hanta, goro, da tafarnuwa, albasa, gyada, da man sesame.
Don ƙara yawan kuzarin abinci, lallai ya kamata ku ci kayan yaji (ginger, kirfa, cardamom, cloves, barkono, turmeric, coriander, asafoetida, da sauransu).
Hot jita-jita dauke da yawa dabba connective nama, misali, arziki kashi da nama broths, suna da amfani.
Ya kamata ku ware abinci mai sanyi, abin sha mai sanyi, rage cin abinci mai sanyaya kamar sukari, man shanu, madara da kayan kiwo, kayan abinci masu daɗi, 'ya'yan itatuwa citrus, ɗanyen kayan lambu da salatin ganye, semolina, da legumes.
Rigakafin arthrosis
Don hana arthrosis, ya kamata ku guje wa abubuwan da ke haifar da rashin daidaituwa a cikin Bad Kan - sanyaya abinci mai gina jiki, salon rayuwa (rashin aiki na jiki), bayyanar sanyi, dampness.
Dumama abinci mai gina jiki, motsa jiki, musamman, tafiya, wasanni na waje da motsa jiki na jiki suna da amfani.
Tambayoyi akai-akai game da arthrosis
Shin hadadden bitamin suna da amfani ga arthrosis?
Rukunin bitamin suna tasiri tafiyar matakai na rayuwa gaba ɗaya. Amma ba su da wani takamaiman, rigakafi ko sakamako na warkewa don cututtukan haɗin gwiwa. Don kiyaye lafiyar gabaɗaya da daidaiton jiki, bitamin da ke cikin abinci sun wadatar, idan an samar da ingantaccen abinci mai gina jiki.
Shin ko da yaushe akwai kumburi tare da arthrosis?
Ba koyaushe ba. Osteoarthritis na iya kasancewa tare da arthritis, amma kumburi shine na biyu. Saboda haka, yin amfani da NSAIDs (magungunan anti-inflammatory marasa steroidal) don arthrosis ba koyaushe yana taimakawa ba kuma sau da yawa ba shi da ma'ana.
Shin zafi yana da kyau ga haɗin gwiwa?
Yin dumama don arthrosis yana taimakawa inganta yanayin jini kuma yana da amfani gabaɗaya. Amma kawai in babu wani m kumburi tsari. Don cututtukan arthritis, hanyoyin thermal da dumama suna contraindicated.
Yaya tsawon lokacin maganin arthrosis zai kasance?
Yawanci, tsarin kulawa a asibitin gyaran jiki ya ƙunshi 10 - 15 hadaddun zaman, wanda aka gudanar a kowace rana, kuma yana ɗaukar kwanaki 21-30. Bayan wannan akwai hutu na watanni 6. Bayan watanni shida, an gudanar da bincike, a kan abin da aka yanke shawarar gudanar da magani na biyu don haɓakawa da kuma ƙarfafa sakamakon.