Matenda yotupa. chigongono bursitis

Mawu akuti "bursitis" mankhwala ndi yotupa ndondomeko mu synovial matumba (periarticular). Izi cavities kagawo ngati ali wothandiza gawo minofu. Iwo zili minofu zofewa pakati pa fupa minofu ndi gawo yotundumukira kunja kwa mpanda (m'malo kuthamanga mawotchi).

Kutupa limodzi ndi ululu, redness, kutupa. Iwo amakonda kukhala angayambe m'chiuno, bondo m'mfundo phewa, nthawi zambiri anaona ndiponso bursitis wa chigongono olowa. Matendawa kofala pakati othamanga ndi anthu wamwamuna.

Bursitis chigongono olowa angayambe chifukwa kuwonongeka (contusion, kumva kuwawa, kuvulala, chilonda zing'onozing'ono), yomwe INGATHE kuyambitsa matenda pyogenic tizilomboto. Kawirikawiri anati pakutchulidwa a zotupa ngati zimamuchulukira zimfundo ndi kuwonjezeka lakuthwa zinthu zolimbitsa thupi kapena yaitali makina mkwiyo. Chifukwa cha matenda akhoza kukhala ndi matenda, ndi kusuntha ndi lymph mfundo ya foci septic (erysipelas, zilonda decubitus, osteomyelitis, zithupsa etc.).

Pali zimayambitsa sekondale ndipo, chifukwa cha zomwe chigongono bursitis amapezeka. Zikuphatikizapo nyamakazi, gout ndi zina zotero. Nthawi zina, chifukwa cha kutupa sangathe adzakhazikika.

Chigongono bursitis angayambe mawonekedwe yopweteka kwambiri kapena yokhalitsa.

Mawonekedwe pachimake matenda kawirikawiri kumaonekera kupweteka kwambiri kwambiri ndi ovuta amene kumawonjezera ndi kayendedwe ka malo akhudzidwa. M'dera pamwamba likulu la kutupa analenga adzakhale Chowawa kwambiri, zotanuka kutupa. Chimakhudza eyiti khumi masentimita awiri. Pali ululu kuwonjezeka usiku. Komanso mu mawonekedwe pachimake amakhala ndi kutupa, redness, malungo (mpaka 40º). Progressive ndondomeko ndi kusintha kwa minofu zofewa zingachititse phlegmon.

Mawonekedwe pachimake cha matenda sizikutha. Pankhaniyi, ululu waukulu nthawi mwaonapo Komabe, wautali Inde matendawa. siteji aakulu limodzi ndi mapangidwe thumba mu madipoziti periarticular kashiamu kuti chifukwa kutupa ndi chidwi malire a zoyendayenda.

Tikumbukenso kuti matenda a matenda si limodzi ndi mayesero zapadera kapena maphunziro. Makamaka ikuchitika kudziwa zimayambitsa wodwala pa anayendera ndi kafukufuku. Pamene amaganiziridwa bursitis anagwira ultrasound. Pa nthawi yomweyo timaphunzira olowa ndi periarticular thumba anaulula kusintha zimakhala ndi, pamaso pa madzi. Mu zina, anatumizidwa X-ray, ndi kovuta makamaka - Kujambula. Ngati ndi kotheka, tione madzimadzi imachitika puncture periarticular thumba. kusanthula Zimenezi zimatithandiza kudziwa chikhalidwe cha kutupa, kudziwa mankhwala a zomera tizilombo tating'onoting'ono.

Kwa matenda enieni zambiri, madokotala nthawi zambiri amagwiritsa ntchito njira zosiyanasiyana kafukufuku zovuta lapansi.

Kodi kuchitira bursitis chigongono

Monga ulamuliro, pachimake kutupa wochititsidwa mankhwala ndiwofatsa, amene sikutanthauza alowererepo pa opaleshoni. Pambuyo pa zimenezi immobilization chotupa fixation kuvala kapena bandeji. Olowa iyenela mu malo anakweza. Kuvomerezedwa zina. Pa malo yotupa ikuchitika nthawi kutikita thumba la ayezi mwa nsalu. Kugwiritsa monga kukonza malo chofuna ndi bandeji zotanuka kapena kuvala. Monga ulamuliro, zinthu izi kuchirikiza machiritso mofulumira.

mpumulo Zizindikiro kulimbikitsa mankhwala odana ndi yotupa. Kuti atsogolere ntchito ululu, mankhwala opha m'deralo (procaine hydrocortisone). Pa kudziwika ndi mankhwala zamatenda zinalembedwa. Pambuyo mofulumira ululu amalangiza kutentha youma, ntchito bandeji Wisniewski mafuta.

Mu kutupa aakulu zambiri zofunikira kugwiritsa ntchito njira kwambiri. Childs, zinkakhala m'dera ndi anamulasa ndi exudate kuchotsedwa ndi kusamba njira, kenako ankameteramo ubweya wa hydrocortisone ndi mankhwala. Malinga zovuta wochita kutupa akhoza kuchitika mpaka kasanu. Purulent bursitis chigongono amafuna opaleshoni. Pa nthawi yomweyo pali ndithu machiritso yaitali opaleshoni mabala, kotero njira imeneyi ntchito zikafika poipa.