Chondromatosis wa bondo: kufotokoza zizindikiro, amachititsa ndi mankhwala

Mmodzi wa owopsa pathologies synovium Mosakayika chondromatosis bondo. Kuti zimayambitsa, zizindikiro ndi mankhwala a matenda, ndi mfundo zokwanira, kuphunzira nkhaniyi nkhani ya mazana a ntchito za sayansi ndi mankhwala, koma mpaka lero asayansi sanapeze chida champhamvu kulimbana matenda.

Kufotokozera chondromatosis

Mukayamba mawu awiri pofotokoza matenda, tikhoza kunena kuti ndi ndondomeko pathological wa ossification zimfundo ndi. Ndi chitukuko cha matenda a synovium minofu mofulumira kukhala dongosolo kwambiri wandiweyani, imbaenda zikamera wa zotupa ambiri chosaopsa ndi kupindika nthambi. Mu nambala yosatheka milandu chondromatosis bondo olowa wodwalayo kumabweretsa chilema.

Komanso, kuopseza yaikulu matenda ndi zobisika panopa ake. Nthawi zambiri, matendawo kwa nthawi yaitali sanali kuonekera. Mu masiteji yoyamba ya amaganiziridwa kukula pathological wa chichereŵechereŵe minofu kuli kovuta chifukwa pakalibe ululu mu mtima. Kusintha kumachitika pang'onopang'ono, ndi kuzindikira matenda zambiri zotheka pa nthawi imene zidutswa kugwera chichereŵechereŵe regrown interarticular mosinthanasinthana.

Zinthu ndi chiopsezo matenda

matenda kukuchitika amadalira zinthu zimene imfayo izo. Mwachitsanzo, mbiriyakale banja - mmodzi wa zambiri zimayambitsa chondromatosis mafupa. Zizindikiro ndi mankhwala a matenda, mu nkhani iyi komanso ndi makhalidwe ena. Chondromatosis zimachitika mu amuna zaka 20 mpaka 40. Mu matenda ubwana sikawirikawiri anatsimikizira. Mwa zifukwa zingapo kwa kuchuluka kwa chichereŵechereŵe tisaiwale:

• matenda chamoyo - ndi ingress wa tizilombo toyambitsa matenda ukuchititsa kuti anthu ayambe nthenda amuzolengedwa magazi, imbaenda alibe nembanemba synovial;
• disruptions mu kagayidwe wa zimakhala articular;
• zolimbitsa thupi kwambiri, zokhudza chikhalidwe cha bondo;
• tima masewera;
• matenda a dongosolo minofu ndi mafupa.

Ndi nthawi ndi dokotala: Zizindikiro ndi kuwonekera kwa matenda olowa

Apanso ndi ofunika powasamalira chakuti matenda wabisika. Nthawi zambiri izo wapezeka mu njira ya ndime ya mayeso njira. Mpaka ndiye, mpaka zotupa kufika kukula centimeter, wodwalayo sangathe kuchita zizindikiro ndi zizindikiro chondromatosis. Chithandizo bondo angapindule kwambiri ngati muyamba nthawi yomweyo, ndiye, pamene woyamba Alamu "mabelu" ..:

• uncharacteristic crunch mu nthambi pamene galimoto kapena ngakhale ang'ono thupi yaikulu;
• akuvutika ndi akuvutika ululu pa mpumulo;
• mavuto perturbation (zambiri akusonyeza pamaso pa zophuka lalikulu);
• kutupa miyendo pafupi bondo;
• malungo kutupa m'deralo.

Kodi ndifunika kuyezedwa kwa amaganiziridwa chondromatosis?

Pamene mukundiitana katswiri pa mtima ayenera kukhala okonzeka kukumana Kupenda mabuku a bondo. Kusankha mwanzeru zochita zina zachipatala dokotala mulole pokhapokha matenda khalidwe. Zotsatira za kafukufuku kudzakuthandizani kupereka ziyenera chokwanira zimfundo wodwalayo, kukhala ya miyeso ogwira achire kusintha kusowa magazi kuti madera okhudzidwa ndi mvulayi chondromatosis ndi kubwezeretsa kupanga wabwinobwino wa madzimadzi synovial. Only mwaluso wapangidwa ndi akatswiri dongosolo kungapereke kusokoneza pofuna kukwaniritsa kusintha dystrophic mu zimakhala ndi.

njira matenda

Osadziŵa mtima chondromatosis bondo, madokotala anamutuma kuti ndimeyi wa kutsatira matenda:

• X-ray - adzakhala molondola kudziwa siteji ya matenda;
• US - makamaka Kafukufuku wasonyeza chiwerengero cha zotupa kuti tafika zamitundu zazikulu;
• Arthroscopy - imatengedwa kuti ndi njira zambiri zothandiza pa matenda, chifukwa kumafuna kusalola m'dera zida endoscopic m'dera limodzi ndi kuyendera ake zithunzi zambiri;
• Kujambula kapena CT jambulani - njira yabwino kwambiri kuphunzira ndi kuphunzira bondo, kutanthauza kugwiritsa ntchito kusiyana madzimadzi;
• zitsanzo zosankhidwazi kwachilengedwenso mfundo biopsy - akutsimikiza matenda chiyero.

Dziwani kuti ambiri mwa njira pamwamba tikulimbikitsidwa kuti muyende mwa wodwalayo pokhapokha kudziwika zizindikiro khalidwe la matenda pa radiographs.

Chithandizo chondromatosis mapiritsi: mmene kwenikweni?

Kuyambira anapezazo ndi matenda kwakukulukulu zimatengera chimene chithandizo bondo chondromatosis uike mtima. Mu masiteji koyamba matenda izo m'pofunika kugwiritsa ntchito njira ya mankhwala ndiwofatsa. Yekha chithandizo machenjerero, amene kanthu amachitira kulimbana msanga ndi matenda angatchedwe mwamwambo akamalimbikira formations. Otsala a mitundu mankhwala ndiwofatsa akubweretsa mtima symptomatic angalimbikitse. Zikuphatikizapo poika othetsa ululu, mankhwala kuthetsa edema, mankhwala antipyretic ndi zina. D. Palliative chisamaliro chondromatosis bondo olowa sangathe kuletsa kupitirira kwa matenda ndi kwathunthu kubwezeretsa galimoto ntchito za mtima. Amathandiza yekha mongoyembekezera kuthetsa ena kuwonekera kwa matenda, koma sapereka chitsimikizo pang'ono kwa kupewa kumwa.

opaleshoni bondo

A njira yabwino kwambiri opaleshoni ndiwofatsa chithandizo. Olanda alowererepo pa bondo synovial chondromatosis pamisinkhu kenako ndi mwayi weniweni wa wodwalayo kuti apeze. Operable mwa kuchita:

• kuchotsa chichereŵechereŵe mapangidwe;
• kuchotsa bursa mu nkhani ya preponderance kwambiri a zotupa;
• unsembe wa ziwalo.

Kuti otsiriza opaleshoni achisangalalo chimake ngati kuli koyenera kutero (mwachitsanzo, mu nkhani ya zisadzachitikenso matenda pambuyo ntchito kale anachita, mapindikidwe kwambiri wa miyendo m'munsi).

arthroscopy achire: muli mbali iti?

Kudutsa mu M'mimbamo ya kapisozi limodzi Katswiri alibe ntchito njira yotseguka. Mtundu wa opaleshoni kumafuna olanda ndi minofu choipa, amene si njira ya arthroscopy, amene tamutchula kale ndondomeko matenda. Kwenikweni yake muyeso achire ndi kuthekera kochotsa ngakhale zazing'ono kuwonongeka olowa, kupanga amacheka tiwiri. Kudzera mwa iwo, timathandiza kuti arthroscope - chubu wapadera, amene aikidwa pa mapeto a kakang'ono kanema kamera ndi zipangizo zina opaleshoni. The polojekiti amasonyeza weniweni chithunzi chondromatosis bondo olowa kuti amalola dokotala kusunga zinthu lolamulidwa, kuchita moona zodzikongoletsera ntchito kuthetsa zotupa.

Mtundu wa opaleshoni kuchotsa mbali zowonongeka wa meniscus ndi, Mitsemphayi, mpheto cha kuwonongeka chichereŵechereŵe. Poyerekeza ndi njira miyambo opaleshoni wina wa ubwino arthroscopy ndi invasiveness wake wamng'ono. Kuti apeze mwayi kwa zimakhala ndi mfundo odwala kuchita angapo amacheka 5-mm. Pankhaniyi, arthroscopy dokotala kuthetsa mavuto zofunika - kuonetsetsa pazipita ndondomeko zowonera mu ntchito zipangizo.

Konzanso nthawi pambuyo arthroscopy

Ngati ife kulankhula za nthawi kuchira mankhwala a operable opaleshoni lotseguka patsogolo m'munsi. Pambuyo arthroscopy odwala chondromatosis bondo olowa likufa konzanso mofulumira kwambiri chifukwa:

• kuima pa mwendo ndi thandizo katundu akhoza kukhala tsiku lomwelo pambuyo ndondomeko;
• kuyenda popanda thandizo, odwala ndi wachiwiri kapena wachitatu tsiku;
• nthawi Downtime ndi kuchepetsedwa kawiri: milungu 5-6 atatu;
• bwererani ku ntchito zamasewera m'tsogolo 1,5-2 miyezi opaleshoni;
• kubwerera ku moyo wakale ndi zambiri mu ntchito thupi zotheka mu miyezi 3-4.

Nthawi kukhala mu ofesi n'kupuma kochepa - kuchokera masiku 1 mpaka 3 pambuyo ndondomeko. Nthawi ya anakhala ku chipatala ndi lotseguka pambuyo ntchito anakumana ndi zoopsa za 20-30 masiku. Kukwera mtengo kwa ntchito chondromatosis arthroscopy wa bondo - ndi mwayi yekha wa mankhwala. Price kwakukulukulu njira kumatengera zifukwa zingapo:

• kuopsa kwa matenda;
• chithandizo danga (bungwe bajeti kapena chipatala payekha);
• mtengo zokhudza zipangizo mankhwala, stents, amadzala, tatifupi, etc ..

Zovuta za chondromatosis Popanda kuchitapo kanthu

Zikomo khalidwe yake ya opaleshoni, wodwalayo mpata kuti tichotse chondromatosis muyaya. Kunyalanyaza chosaopsa zotupa, kukula n'kogwiritsa chilema olowa ndi kukanika. Komanso, Popanda kuchitapo kanthu chondromatosis ndi chikhalidwe nyengo pakutchulidwa matenda inanso yoopsa (coxarthrosis, gonarthrosis, la misempha) sali curable. Pa chizindikiro choyamba kapena kukayikirana wa iwo mwamsanga, kukaonana ndi podiatrist.