Constrictive mitsempha: chithandizo

Akuti constrictive mitsempha wotchedwa kusintha pathological m'chigawo cha tendons ndi Mitsemphayi ozungulira izo, imbaenda zonse kukhotetsa malo chala (kawirikawiri ndi zala pang'ono) manja. Chifukwa chakuti pa chiyambi cha matenda kudina kutambasuka phalanx, iwo ali dzina lina - "kumawombera chala".

Mbiri ya kuphunzira ligamentita stenotic

Kwa nthawi yoyamba za matenda 1850, akutchulidwa mu zolemba zake Dr. Nott (by njira, matenda pambuyo pake dzina lake). Iye analankhula za chodabwitsa chimene odwala kudandaula mavuto otani pamene akuyesa limbitsani kapena kukhotetsa chala. Ndipo mu 1887, Dr. Shenbern anapanga sitepe yoyamba, imene anagawa "pathological chingwe."

Kuyambira pamenepo, gulu la mauthenga apadera media, mutu umene unali constrictive mitsempha, mankhwala ndi njira yopezera nthendayi. A 1966 Russian dokotala NP Shastin amanena ntchito opaleshoni ntchito njira, amene adayitana asang'ambe ligamentotomiey.

ndi matenda okha

Mitsemphayi Constrictive anatchula polyetiological (T. E. zimachitika pa zifukwa zambiri) kuyan'anila za tendon ndi Mitsemphayi mu polumikizira. Iwo amakhala ndi kuwonongeka kwa tendons mu lumina fibrotic njira anachititsa ndi yotupa njira compressing khalidwe tyazhe zomwe zikugwirizana minofu ndi mafupa.

Munthu aliyense maburashi pali otchedwa Mitsemphayi annular amene akugwira chala wopindidwa mu udindo uwu, kuteteza izo kuchokera Limbitsani wosaloleka. Apa zambiri kumachitika pamene matenda Knott compressive kutupa. Pamene mitsempha lino mwapang'ono ndi unakhuthala tendon, zomwe zimabweretsa pa nthawi Mbali yaikulu ya matenda - kalekale wopindidwa chala.

Amene kwambiri atengeke stenosis ligamentitu

Kufikira tsopano, zimayambitsa constrictive zala mitsempha si bwinobwino. Akukhulupirira kuti chifukwa cha matenda ndi microtrauma ndi mtundu wa dzanja, chifukwa zomwezo akhaapatisa kwa nthawi yaitali.

Izi zimachitika makamaka anthu ntchito pa benchi, kapena amene ali ndi ntchito Pochita pafupipafupi kayendedwe Kumvetsa. Choncho, matenda amatchulidwa kuti gulu la akatswiri. Ndipo koposa zonse zimene akuvutika oimba, olandira ndalama, owotcherera, odula ndi osema miyala.

Kaŵirikaŵiri kungachititse anati matenda ndipo zosiyanasiyana aakulu kutupa Mitsemphayi ndi zimfundo: nyamakazi, . Misempha, etc., komanso shuga.

Ena Olemba kuti mitsempha ndi matenda otengera kwa makolo. Koma maphunziro kuti otsimikiza kapena kukana mfundo iyi sizinachitike maphunziro.

Zochita za matenda ana

Constrictive mitsempha ana ali osowa. Ndipo chifukwa chachikulu pakuwonekera kwake, madokotala otchedwa kukula mofulumira nyumba ya munthu aliyense zimakhala mu polumikizira. Ndiko kuti, awiri a tendon Pankhaniyi kumawonjezera mofulumira kuposa lumen wa mitsempha annular, imbaenda ku mtundu wa nkhondo pakati pawo, zikubweretsa kutupa aakulu. Iwo n'kukumana ndi kusintha osachiritsika mu tendon ndi Mitsemphayi.

Nthawi zambiri, ana ongoyendayenda kuti chaka chimodzi mpaka zaka zitatu, ndipo nthawi zambiri pa chala choyamba. Mwatsoka, malongosoledwe zokwanira chodabwitsa ichi palibe.

Makolo ayenera zindikirani kuti mwana sadzachitanso akuwatsimikizira chala, ndipo pa maziko ake pali ang'ono, mtola-kakulidwe, thickening. Izi zizikhala nthawi ya kutumiza mokakamizidwa kwa katswiri, mwinamwake matenda kungachititse kuti okhazikika amakakamizidwa malo chala.

Zizindikiro zazikulu za stenosis ligamentita

Constrictive mitsempha ndi symptomatic: Mwachitsanzo, pamene kukanikiza pa tsinde la kundivutitsa chala, ululu umakhala pachimake.

• Ife yafupika chala magwiridwe.
• Ululu, ndi njira, silitchula yekha mu icho, icho kuperekedwa m'manja ngakhalenso mkono.
• Patsinde pa chala zingakhale zopweteka kumva Knobs zolimba, ndipo iye kapena mfundo za mafupa ake akhoza pathupi.
• Chala zambiri dzanzi.
• Pambuyo yaitali kulephera kuyenda burashi, zizindikiro kukhala makamaka yowala.

Ndipo ndithudi, chinthu chachikulu - ndi pitani amenewa amapezeka nthawi iliyonse mumayesa maondo kapena kuwongola chala anakhudzidwa.

siteji matenda

Constrictive mitsempha ya chala choyamba, komanso zala zina dzanja, akufotokozera pang'onopang'ono. Mu sitepe yoyamba poswekapo ndi ululu ali kuwonetseredwa si nthawi zambiri.

Koma mwamsanga pamene kuwongola chala ndi woyesetsa khama kwambiri, tikhoza kulankhula za kwa mawu gawo lachiwiri la matenda. Tendon pa siteji nthawi zambiri thicker, ndi kusokoneza chala kugundana amapezeka.

Yachitatu yomwenso ndi yomaliza siteji amakhala ndi kulephera kuti kuwongoka zilonda chala. Koma dikirani izi ndi sikuthandiza, nthawi yabwino kuwona dotolo ndi kuchotsa matenda.

Kupeza Vuto

Ngati mukukayikira ndi mitsempha constrictive kutembenukira kwa otopedu zoopsa. Adokotala dzanja akhudzidwa. Komanso wodwalayo ali wofunikila kuti izo ndi X-ray, amene amalola kusiyanitsa matenda kuchokera nyamakazi kapena nyamakazi. kusanthula Komanso zambiri chofunika.

Chifukwa chakuti kudwala anafotokoza, kawirikawiri akufotokozera mwamsanga, pa kumva choyamba cha ululu kapena ululu kayendedwe ka chala ayenera kuonana ndi podiatrist.

Njira amachitira stenotic ligamentita

Kuyesetsa matenda "constrictive mitsempha" chithandizo kumatengera siteji ya matenda ndi boma ambiri wodwala. Mu magawo oyambirira a ntchito analimbikitsa njira physiotherapeutic, mu mawonekedwe a magetsi phonophoresis kukonzekera kuwongolera microcirculation, komanso ofunsira ntchito paraffin ndi compresses mankhwala.

Pa nthawi ina, ndipo ngati mankhwala thupi sapereka zotsatira ankayembekezera Kwalamulidwa mankhwala owonjezera - izi zikhoza kukhala antiinflammatory ndi analgesic wothandizira. wotchuka hydrocortisone jakisoni ku malo kumene kuli thickening.

Wodwala amachita immobilization zinafunika chala. chikhalidwe zofunika kusintha ntchito, komanso wakhama kupeŵa zinthu zoopsa.

Constrictive mitsempha: Opaleshoni

Ngati miyeso anatengedwa musataye Zotsatira, kapena pamene wodwala kuti andithandize pa siteji yachitatu ya matenda, anasonyeza opaleshoni.

Pa odwala anakumana kung'ambika wa gulu, amene kumathandiza kayendedwe ka tendon lapansi. Mwa njira N. P. Shastina kuchita opaleshoni kudzera pinholes ntchito makina apadera disposable. Izi sikutanthauza chipatala ndipo kokha mankhwala oletsa ululu pamalopo.

Kuchititsa lotseguka ligametntotomii mtima pogonekedwa ndi mankhwala ambiri, ndi ang'ambe thupilo zomwe si upambana 3 cm. Ndiyeno kuligaŵa mtolo. Pambuyo opaleshoni, burashi ndi chili mwa pulasitala bandeji.

Aliyense ntchito awa ali ndi zovuta zake ndi makhalidwe abwino, kotero kusankha momwe kuchitidwa opaleshoni, dokotala zitha.

chithandizo anthu

Constrictive mitsempha kuwonjezera njira kusankhidwa mungathe, mogwirizana ndi dokotala, ndipo ankachita mankhwala wowerengeka. Wotchuka kwambiri pa zonsezi ndi otchedwa youma kutentha. Pakuti ichi, poto Frying ndi mkangano apanyanja kapena wamba mchere, zomwe anazitsanulira mwa zolimba thumba chinsalu nsalu. Burashi kutembenukira kanjedza, ndipo anaika chikwama pa izo. kwanyengo izi zikhoza kutheka kawiri pa tsiku, kupewa hypothermia pakati mankhwala.

Good monga compresses ndi matope, umene aliyense dongo achire kuchepetsedwa ndi kirimu wakuda ndi thereto anawonjezera 5 spoons mchere ndi vinyo wosasa apulo. Izi phala wandiweyani wosanjikiza pulasitala pa zilonda chala pamwamba umagwiritsidwa ntchito cellophane. Compress chikachita kuchotsedwa 2 h. Pambuyo dzanja kuti pamafunika lopuma ndi kufunda.

Koma kumbukirani kuti matenda a constrictive mitsempha chithandizo cha mankhwala wowerengeka sangapereke zotsatira kwambiri.