Dysplastic coxarthrosis m'chiuno olowa: gulu, chithandizo

Dysplastic coxarthrosis ndi ndondomeko osachiritsika, matenda dystrophic. Nthawi zina amakwiya ndi kobadwa nako - m'chiuno olowa woterewu monga m'pofunika kuti yachibadwa chamoyo. zodabwitsazi ambiri amatchedwa "dysplasia."

Kodi ndi chiyani?

Dysplastic coxarthrosis m'chiuno amakhala ndi chakuti nsonga ya fupa olowa olumala mchikakamizo cha mawonekedwe a pachithunzichi amakhala osasamba, acetabulum - kuya nthenda. Pa ntchafu fupa amasintha gawo proximal. Kafukufuku akusonyeza nthenda khosi-kutsinde njingayo.

The matenda ambiri mwa akazi liri lokhazikika. Pachiopsezo - zaka 30 mpaka 40, ngakhale malinga ndi madokotala ena - mpaka 55. Ngati atathana diskongruentnost pamalo zimfundo, kumachititsa kudwala matenda pafupifupi kawiri.

Kangati?

Kafukufuku wasonyeza kuti dysplastic m'chiuno arthrosis a m'chiuno olowa - ndi matenda pafupipafupi. Pakati pa anthu, ali m'magulu monga osachiritsika, dystrophic kudwala okhudza mfundo, coxarthrosis, malinga ndi ofufuza ena, opezeka mu nkhani iliyonse chachinayi. Koma asayansi ena amanena kuti amawapeza mu 77% odwala. The maphunziro odziwika bwino kwambiri pa nkhani anapangidwa 2006 motsogozedwa Finland Antti Eskelinen, ndipo mu 1996 S. V. Sergeevym, 2001 - VI Ugnivenko.

Akatswiri European amati kuchuluka kwa matenda pakati pa anthu akuluakulu a ku Ulaya mu 7-25%. Zoyenera ntchito kafukufuku ikuchitika mu 1965 ndi 1996. Ngati mukuphunzira ziwerengero matenda pathological a dongosolo minofu ndi mafupa, zimaonekeratu kuti dysplasia - ndi za 16.5% milandu ndi sayansi. Against maziko a chotero amaposa za funso la mmene tiyenera kuchitira dysplastic coxarthrosis, m'chiuno, izo zimakhala zofunika kwambiri. 60% odwala onse m'kupita kutaya maluso ntchito, ndi 11,5% olumala.

Dysplastic coxarthrosis N'chiyani?

Gulu la subtypes matendawa zochokera Zizindikiro:

• mu ubale kusintha olowa anatomical (monga ndondomeko kutchulidwa?);
• chichereŵechereŵe kusintha articular (onse yogwira nyamakazi?).

Mu mankhwala amakono, gulu ntchito kutchedwa Crowe. dongosolo, amene amaweruza mmene kusuntha m'dera la femoral mutu fupa. Okwana pali 4 subtypes matendawa.

Dysplastic coxarthrosis 1 digiri anasonyeza proximal kusamuka kwa osapitirira hafu msinkhu umene ndi mafupa a chiuno kudzakhala mkati 10%. Mbali yachiwiri ikukhudza zizindikiro kusamutsidwa 50-75% 10-15% motero. Dysplastic coxarthrosis kalasi 3 - ndi kuchepetsa ndi 75-100%, 15-20%. Pomaliza, gawo lachinayi - kumene kusamutsidwa kwachitika kuposa kuchuluka kwa fupa mutu, kuti ndi mafupa a chiuno limasonyeza kuphwanya malo ndi 20 peresenti.

Hartofilakidis dongosolo gulu

chiphunzitso Izi zikusonyeza ganizilani kuchuluka mutu femur m'chigawo cha atasintha ake cranial. Komanso kuphunzira chikhalidwe cha acetabulum ndi, amati udindo woona ndi kuzindikira udindo wa mutu wachibale kwa izo. Gawo ili la coxarthrosis dysplastic chimasiyanitsa madigiri atatu kudwala.

Mu yoyamba matenda M'mimbamo dysplasia yafotokozedwera chakuti maganizo athandizira lalikulu kuposa wabwinobwino, ndiye, pali subluxation. Dysplastic coxarthrosis madigiri 2 terminology ichi, anapezeka ndi dislocation otsika, subluxation, mkulu kusamutsidwa mutu. Matendawa kudziwa neoarthrosis kugwirizana ndi maganizo woona. Chithunzi anapanga ndi boma chithunzi amaoneka ngati chithunzi ndi "8". Onyenga maganizo, fupa mutu kucheza. Pomaliza, mtundu wachitatu wa kudwala - ndi dislocation wathunthu. Onyenga, zoona acetabular M'mimbamo M'mimbamo olekanitsidwa ndi osalumikidwa. Thighbone chikugwirizana yekha ndi M'mimbamo onyenga.

Ngati Crowe applicable ndondomeko pamene muyenera kudziwa mphamvu za phukusi la opaleshoni, ndi Hartofilakidis ambiri chifukwa chomasuka ntchito. Kumbukirani kuti Crowe salola mmene ndingathere kuganizira mmene maganizo zosiyanasiyana chifukwa dysplasia. Izi chibala mavuto arthroplasty dysplastic coxarthrosis: chosowa mauthenga yokonza ndondomeko bwino amalenga mavuto atsatire njira opaleshoni.

Komabe, Hartofilakidis alinso ena opanda ungwiro. njira iyi kukhala kosatheka younikira udindo wa mbali proximal. Ndicho, kusintha kwakukulu bwanji ntchito. Kusankha mfundo za chithandizo, m'pofunika kutsatira gulu osiyana: monga anthu amene amasonyeza dysplasia ndi mumayesto nyamakazi.

Nyamakazi: kodi n'chiyani?

Choncho, kodi ndi amgwirizano dysplastic coxarthrosis? Kodi subtypes zina za matendawa? Kuti amaloŵamo olowa pamene?

Chinthu choyamba chimene ungasinthe zoipa - ndi madzimadzi olowa. Izo thickens, kumakhaladi viscous. The zifukwa akhoza kukhala osiyana kwambiri, koma zotsatira zake zimakhala chimodzimodzi - chichereŵechereŵe salandira kondomu moyenera, chifukwa chimene uphwetsa. Chichereŵechereŵe pamwamba ali ndi ming'alu ing'onoing'ono, roughness. minofu amakhala n'kakang'ono pa nthawi, imene chikwiyire amphamvu mikangano m'magulu onse. Zimfundo zidzasankhidwa ang'onoang'ono ndi zing'onozing'ono mtunda. Chifukwa chichereŵechereŵe zionekera pansi padziko fupa, imbaenda kuthamanga kuwonjezeka ndipo maganizo - ndi mapindikidwe. Choncho dysplastic coxarthrosis imatchedwanso deforming.

Kodi yotsatira?

Mwatsoka, njira osachiritsika ali Sichikupezeka kusintha madzimadzi olowa. M'kupita kwa nthawi, anawawidwa magazi kuti zimakhala, kagayidwe amakhala pang'onopang'ono kuposa mwakale, Zotengera sikuti zimafala ndi kufunika ntchito zigawo wolemera zothandiza, kuphatikizapo mpweya, magazi.

Pa nthawi, amgwirizano dysplastic coxarthrosis amachititsa minofu ya manja a nthambi akhudzidwa. Koma kusintha zikuchitika kwa nthawi yaitali, mwapang'onopang'ono, kotero wodwala, kawirikawiri sakhala zindikirani kupitirira kwa matenda. Nthawi zina, matenda aakulu ndi kulimbikitsa, amene anatsagana ndi kupweteka kwambiri malo. nyengo ya nthawi amatchedwa "zotakasika kutupa." ululu kwambiri syndrome chimachititsa munthu kukaona dokotala, ndiyeno kokha kwa nthawi yoyamba anapezeka "dysplastic coxarthrosis".

Zimayambitsa matenda

Dysplastic coxarthrosis kumachitika chifukwa cha zinthu zosiyanasiyana zimene zingapangitse:

• Mavuto ndi magazi, zikubweretsa kutupikana ndi minofu kudzikundikira si oxidized pa mlingo Napempha kwa mankhwala kagayidwe kachakudya kuti yambitsa michere zowononga zokhudza chichereŵechereŵe.
• Mawotchi n'zothandiza katundu pa olowa ndi osaneneka. Choncho sachedwa mpikisanowo, anthu akuvutika kwambiri. Kwa vuto lachiwiri ankaikira kagayidwe, magazi insufficiency, zomwe zina limakhudza anthu zimfundo.
• zochita amuzolengedwa, mavuto kagayidwe kachakudya, mahomoni.
• Kuvulala, fractures, dislocations, nthawi zambiri n'zothandiza matenda ali mwana.
• msana kudwala.
• Matenda, njira yotupa okhudza mfundo.
• Aseptic necrosis.
• matenda obadwa nawo.
• Amangokhala moyo.
• Age zokhudzana kusintha.

Iwo kwambiri ndi chibadwa, kutengera za kumtundu kuti nyamakazi zosiyanasiyana. Coxarthrosis cholowa kutengerapo n'zosathekadi, koma ndi cholowa limagwirira anatsimikiza mwa kulunjika kwa kagayidwe chichereŵechereŵe. Ngati achibale wapafupi akudwala arthrosis, angayambe anthu kumawonjezera kwambiri.

Monga amaganiziridwa?

Medicine kupeza zizindikiro zotsatirazi:

• stiffness, magulu ndi "mwamphamvu";
• kupweteka;
• manja minofu ntchafu;
• zowononga nthambi akhudzidwa;
• pang'ono limp.

Nthawi zambiri, odwala kupita kwa dokotala pamene zimfundo mwendo imayamba kuwawa. Mbali imeneyi ya kwambiri chosiyana ndi noticeable. Iwo ayenera kumvetsa kuti maonekedwe a matenda zimadalira mlingo imene zachitika.

matenda Gawo mwachindunji ndiyo nthawi ya nkhani ululu, mwamphamvu zawo ndi dera limene zomverera isanafalikire. Chithandizo cha dysplastic m'chiuno arthrosis a m'chiuno olowa akuwonetsa zotsatira zabwino zokha pamene unayambitsidwa mu magawo oyambirira a matenda chitukuko. Koma zimachitika infrequently, ngati mtima wa malo opanda mphamvu, ndi anthu kumanga kampeni dokotala.

Si nthawi katswiri, odwala kutaya nthawi - olowa waonongeka kwambiri ndi kwambiri tsiku lililonse. M'kupita kwa nthawi, sayenda atayika, ululu umachuluka, ngakhale njira yoyamba ovuta, sabweretsa chisoni, inu simungakhoze basi kusuntha. Munthu wolumala, pali manja minofu ntchafu. Kumene, zinthu zonse izi polimbikitsa ntchito yapadera mu chipatala, koma nthawi yatha kwambiri.

Ululu ndi manja

Mu kudwala a minofu ya manja femoral amakwiya kupweteka zina - izo isanafalikire kumene tendons ndi kufunana. Chovuta zilonda mawondo, koma groin ndi ntchafu syndrome zochepa kutchulidwa. Zimenezi zimabweretsa misdiagnosis. A kulakwitsa wamba - tanthauzo la nyamakazi bondo olowa, imbaenda kusankha ndi lolakwika wa mankhwala.

Nyamakazi - osati chifukwa chokhacho cha ululu mu ntchafu, groin m'deralo. Mwina ndi Echo ululu kugwirizana ndi kutupa mu tendon, kotero akhoza kulankhula nafe momasuka ndi kuvulala msana.

Dysplastic coxarthrosis: chithandizo. Kodi tayamba?

Iwo anali anausankha angapo njira zosiyanasiyana zolankhulirana odwala kudwala izi. Zosintha aliyense ali abwino ndi zofooka. Koma pali m'modzi Tinganene: kudzikonda zosavomerezeka. Ngakhale ngati ndinu wotsimikiza kuti mukudziwa zimene muli odwala, monga mankhwala ochiritsa, mankhwala amaloledwa yekha kuyang'aniridwa ndi dokotala ndi maphunziro apadera. Apo ayi pali mwayi sanangobwera m'mbuyo ndondomeko osachiritsika, koma zimawonjezera iwo. Tiyeneranso kumvetsetsa kuti siteji ya matendawa amakhudza kwambiri njira mankhwala ake.

Ngati matenda sitepe yoyamba kapena yachiwiri ankachita mankhwala ndiwofatsa. Pankhaniyi, chithandizo cha coxarthrosis dysplastic anachita ntchito zodzola, miyala ndi kutumikiridwa kukonzekera injective. Pamene Kupeza Vuto Mbali yachitatu ya njira imodzi yokha - opaleshoni. arthroplasty akupangidwa ku matenda imeneyi m'malo olowa ndi mankhwala kupanga. Ndondomeko imavuta kwambiri, mtengo koma ogwira. analili ndi anapatsa fupa la mafupa a chiuno ndi m'chiuno. Zofanana kwachilengedwenso prosthesis olowa.

Choyamba, gawo lachiwiri: mankhwala?

Ngati mungathe kudziwa matenda kale kuposa chiyambi cha chitukuko cha digiri wachitatu, n'zotheka kuti tikwaniritse zotsatira zabwino za mankhwala ndiwofatsa. Chimagwiritsidwa ntchito sanali steroidal odana ndi yotupa mankhwala ndi zothandiza kwambiri mu nyengo ya ndege. The mwayi waukulu awa mankhwala - mpumulo ululu chifukwa cha mphamvu zako yotupa. Mankhwala msanga kutupa m'malo olumikizirana mafupa ndi kuthetsa kutupa.

Komabe, zonse ali ndi zovuta zake. Choncho, ntchito zonse za mankhwala odana ndi yotupa amachepetsa mphamvu thupi achire njira zachilengedwe. Komanso, ambiri a njira kudziwika kwa sayansi ndi osiyanasiyana mavuto, zokhudza thupi lonse ndi ziwalo makamaka ndi machitidwe limba. Kusankha mankhwala tiyenera kukhulupirira dokotala. Wawauza ntchito munthawi yomweyo mankhwala angapo. Ngati mankhwala zotchulidwa si kuthandiza koletsa ululu, mukhoza kupanga mlingo zikuluzikulu kapena kuonana ndi dokotala kwa mankhwala mankhwala ndi mzake.

Kodi china chimene chingakuthandizeni?

bwino anakhazikitsa mankhwala ikaponda ziwiya. Pa nthawi yomweyo pansi minofu yosalala, mtima lumen amakhala akuluakulu. Ngati anapezeka ndi coxarthrosis mankhwala izi akuwonetsa zotsatira zabwino kudya mokwanira.

Pa dzanja limodzi, pamene bwino ntchito mankhwala mu gulu ili kuyang'aniridwa ndi chifukwa dokotala ndi labwino, iwo sadzakhala kudikira nthawi yaitali. Komanso amakopeka yaing'ono mndandanda wa contraindications. Olowa kenako akuchira, mogwirizana ndi magazi bwino otaya, mwachitsanzo minofu ndi aziwapatsa zedi lamanja. Dilates Mitsempha mankhwala asonyeza kuti azigwira kwambiri ndi ululu usiku.

Koma palinso zofooka. Si odwala onse kulekerera gulu mankhwala, ndi nkhanza munthuyo chigawo chimodzi cha mankhwala amakhala inapplicable. Musanayambe m'pofunika kukaonana ndi dokotala anu, dziwanani kuyesedwa. Kuyambira mankhwala, poyamba sanali kutenga mankhwala kupitirirapo patsiku - mlingo likhalebe woyamba masiku atatu, kulamulira ntchito za thupi. Ngati zinthu zili bwino kuphwandoko, mukhoza chitani dokotala analimbikitsa ndi Mlengi wa ndende.

Miorelaksaty ndi hondroprotektory

Miorelaksaty - mankhwala kuthandiza kumasuka minofu. Ngati anapezeka ndi coxarthrosis, ndalama amenewa ntchito mosamala kwambiri, koma ayesetse kuwononga spasms, cropped ululu. Kugwiritsa ntchito mankhwala amathandiza kusintha otaya magazi kwa zinkakhala m'dera. Koma mwina kumafooketsa pa wamanjenje dongosolo, kuchititsa maganizo chizungulire kubweza ndipo pali kumverera ofanana atamwa mowa.

Chondroprotectors walangizidwa chichereŵechereŵe kukonza. Iwo chimodzi cha zothandiza kwambiri nyamakazi monga kusintha kapangidwe ka chichereŵechereŵe ndi walangizidwa maselo othandiza, zosakaniza thanzi. Ngati mankhwala ntchito zonse, ayimitsa kukula kwa matendawa. Komabe, mofulumira zotsatira zabwino pamene ntchito chondroprotectors koma zindikirani: izo anamva okha yaitali. Ngakhale pambuyo kutha kwa mumaganiza chithandizo kusintha chichereŵechereŵe nditamva. Komabe, n'zosatheka kuchita kumwa mankhwala awa ali woyembekezera, njira yotupa mu malo. zigawo mbali yapadera n'zothekanso.

timadzi mankhwala

Pomaliza, osanenapo m'thupi mankhwala steroid, wakhala ambiri anayala zisakuyenda bwino. Iwo tikuuzidwa mwachindunji mu injective olowa. Chifukwa zimachitika pafupifupi nthawi yomweyo pambuyo chiyambi cha mankhwala, izo kwambiri kutchulidwa ngati kutupa anakantha femoral tendon. Koma mmene mofulumira ndithu, ndi njira ya mankhwala limodzi ndi zotsatira zoyipa.

Madokotala amalangiza olowa wina kutumikiridwa zosaposa jakisoni atatu. Pakati jekeseni awiriwa ayenera anakhalabe kwa masabata awiri kapena kuposa.