Labo ababhekana nezifo ezihlangene bavame ukuthakazela: i-arthritis ne-arthrosis -yini umehluko phakathi kwabo. Lezi zifo zithinta umuntu wesithathu wabantu abaneminyaka engama-36-49, kanye nayo yonke imizuzu engu-50-70. Kulabo asebekhulile, ukukhubazeka kwenzeka kubantu abangu-90%. Lezi zifo zinokufana nokuhluka kwazo.
Uyini umehluko phakathi kwe-arthritis ne-arthrosis?
Ngokuvamile, umehluko phakathi kwalezi zifo kubonakala ngamagama abo. Kusukela ekulimeni kolimi lwesiLatini, egameni elithi kukhona isisindo "-it", khombisa inqubo yokuvuvukala eyenziwa emzimbeni. Uma igama linenhlanganisela ye--oz, ibonisa ukubhujiswa kwezicubu. I-arthritis ne-arthrosis ayiyona into. Isifo sokuqala sibonakala ngokuvuvukala nokuvuvukala kwekhanda le-synovial. Isifo sesibili ukubhujiswa kwezicubu zomzimba kanye nezinhlangothi eziseduze zamathambo.
Isizathu se-arthritis ne-arthrosis
Kunezici eziningana ezingasiza ekwakhiweni kokubili kokugula kokuqala nesesibili. Kunezinhlobo ezinhlanu "ezinjalo" ezilandelayo:
- Ukucindezeleka okukhulu okuqhubekayo kumajoyini. Ngokuvamile lesi sizathu sibonakala kubadlali.
- Ukuxuba - ukuxhumana njalo ngamanzi abandayo, iqhwa njalonjalo.
- Ukulimala kwamalungu.
- I-Genetic predisposition - izifo zizuzwa njengefa.
- Izifo ezibangelwa yi-Congenital bone kanye nezicubu ezixhumene nazo.
Ama-"provocateurs" aqondile we-arthritis afaka:
- Izifo ezithathelwanayo ezibangela ukuvuvukala;
- ukukhuluphala;
- ukudla okuncane (ngenxa yokuntuleka kwezinto ezibalulekile, uhlelo lokuvikela lomzimba luhlupheka).
I-Arthrosis yisifo esiphuthumayo, kungakhathaliseki ukuthi izifo zenye izitho nezinhlelo. Okusho ukuthi lesi sifo asihlobene nombuso jikelele womzimba. Kubangelwa yizo "provocateurs" ezinjalo:
- ukuhluleka kwe-hormonal emzimbeni;
- I-Perthes 'isifo ;
- i-hemophilia;
- ukuphuza ngokweqile komzimba ;
- ukuguqulwa kweminyaka yezicubu zomzimba.
Ukuvuselela i-arthrosis isifo samathambo singaba, uma lesi sifo singelapheki kahle. Lesi simo singokwemvelo, ngoba ngenxa yokwehla kwesimo samanzi e-synovial, ukudla kwezicubu zomzimba kuphazanyiswa. Ngenxa yalokho, kuholela ekubhujisweni kwayo. Ngenxa yalesi sizathu, kubaluleke kakhulu uma uthola izimpawu ze-alamu emzimbeni, ngokushesha uxhumane nodokotela.
Izimpawu ze-arthritis ne-arthrosis
Lezi zifo zihlukaniswa nesithombe somtholampilo. Ngaphezu kwalokho, i-arthritis kanye ne-arthrosis - ngabe umehluko phakathi kwabo, ungabona endaweni yokutholakala kwezifo. Inqubo yokuvuvukala ihlasela izindawo ezinjalo zomzimba:
- amajoyini;
- isibindi;
- inhliziyo nemithwalo yegazi;
- amaphaphu;
- izinso.
I-Arthrosis ithinta kuphela amalunga:
- i-hip;
- i-metatarsophalange ezinyaweni;
- amadolo;
- interphalangeal ezandleni.
Kunezibonakaliso ezivamile ze-arthritis ne-arthrosis. Lokhu kufaka phakathi izimpawu ezilandelayo:
- ubunzima bokuhamba;
- izinzwa ezibuhlungu;
- ukulahlekelwa kwekhono lemoto.
I-arthritis - izimpawu
Izici ezilandelayo zifakazela ukuthuthukiswa kwalesi sifo:
- ubulukhuni ekuseni;
- ukwanda kokushisa komzimba endaweni lapho inqubo yokuvuvukala eyenzekayo (le ndawo ishisa ngokuthinta);
- ukuvuvukala kwezicubu ezithambile eduze komunye ohlangene;
- ubuhlungu (ngokuphumula kanye nokuzivocavoca);
- ukubomvu kwesikhumba.
Izimpawu ze-arthritis, lapho lesi sifo sithinta ezinye izitho nezinhlelo:
- ukwehla kwamandla;
- inhliziyo isigqi disorder;
- izikhukhula ;
- i-conjunctivitis;
- izinga lokushisa komzimba landa kufika ku-39 ° С;
- ukuvuthwa okubuhlungu.
I-osteoarthritis - izimpawu
Esinye sezibonakaliso eziyinhloko zalesi sifo ubuhlungu. Ziyabonakala njengendawo yokuphumula, ngakho-ke lapho umthwalo ohlangene. Ngaphezu kwalokho, izimpawu ze-arthrosis zingaba:
- wehla ekuphakameni kokuhamba;
- i-crunch (ngenxa ye-erasure yegobolondo le-cartilaginous);
- ukubola kwesigungu.
Ukwelashwa kwe-arthritis ne-arthrosis
Ngaphambi kokuqala ukwelashwa, ukuxilongwa kwenziwa. Kuhlanganisa imisebenzi enjalo:
- i-radiography;
- ukulethwa kokuhlolwa kwegazi jikelele;
- i-arthroscopy ;
- I-ultrasound yezicubu ezixhumeneyo.
Kukhona neze umehluko phakathi kwe-arthritis ne-arthrosis ekwelapheni kwezi zifo. Ukwelashwa kuncishisiwe kuya ezinyathelo ezilandelayo:
- ukuqeda ubuhlungu;
- ukugcinwa kwezicubu ezihlangene;
- ukuqeda ukuqina;
- ukunciphisa ingozi yokubuyela emuva.
Ukwelashwa kwezi zifo kuhlinzekela indlela edidiyelwe. E-arthritis, kuhloswe ukunciphisa inqubo yokuvuvukala, futhi nge-arthrosis - ukubuyiselwa kwezicubu zomzimba. Ukwelashwa kuhilela ukusebenzisa lezi zindlela:
- i-physiotherapy;
- ukuqeqeshwa ngokomzimba wokwelapha;
- ukuphathwa kwezidakamizwa;
- ukudla okunomsoco.
Umehluko endleleni yokwelapha i-arthritis ne-arthrosis ibonakala kumigomo kadokotela. Ngakho-ke, uma inqubo yokuvuvukala isifo, ama-antibiotics anqunyelwe ukwelashwa. Uma i-arthritis ye-autoimmune itholakale, ama-hormone e-steroid anqunywe. Nokho, awukwazi ukukhetha imithi ngokwakho. Ukwelashwa okunjalo akuphephile. Ekuqaleni, kungase kube nomuzwa wokuthi lesi sifo siphelile: ubuhlungu buyaphuma, ukuqina kunqamuka. Nokho, empeleni, isimo asikho njengoba kubonakala. Nakuba izimpawu ezicacile ziphela, lesi sifo siyaqhubeka.
Ama-injection, amaphilisi kanye namafutha okugcoba aphathwa nge-arthritis ne-arthrosis -yini umehluko wokwelapha okunjalo, udokotela uzokutshela ngokuningiliziwe. Uzobeka uhlelo oluhle lwezokwelapha izidakamizwa. Ukuthuthukisa umphumela, ukulungiswa kwamathambo okuphazamiseka kwenziwa. Uma ukwelapha izidakamizwa akubheki nalezi zifo, futhi zikhula zibe ifomu elibi, ukungenelela kokuhlinzwa kwenziwa.
Ngumuphi udokotela ophatha i-arthritis ne-arthrosis ehlangene?
Ukuvimbela lesi sifo ukuba singabi yindlela ehlehliwe, udinga ukuthola usizo lwezokwelapha ngesikhathi. Ngenxa yalokhu kuyadingeka ukwazi ukuthi iyiphi udokotela ophatha i-arthritis ne-arthrosis. Emitholampilo yasekhaya, uma ukwelapha lezi zifo, ochwepheshe abanjalo bahilelekile:
- I-Rheumatologist - uphathwa ngezimpawu ezincane zesifo. Udokotela uzoqhuba ukuhlolwa, athumele isiguli ekuhlolweni kwe-radiological, bese ebeka ukwelashwa okungcono.
- Udokotela ohlinzayo - usiza ukubhekana nezinzwa ezingathandeki ezingenakulinganiswa.
- I-Orthopedist - ngokukhethekile ebuhlungu obunzima.
Amafutha we-arthritis ne-arthrosis
Izindlela zokusebenza zangaphandle zinemiphumela elandelayo:
- kuthuthukisa ukujikeleza kwegazi;
- umphumela we-antimicrobial utholakele;
- ukudla okunomsoco we-cartilage;
- izinhlungu ziyancipha;
- umphumela wokufudumala unikezwa.
Indlela yokuphatha i-arthritis, i-arthrosis ekhaya, amaqembu alandelayo amafutha agcoba ayenzi kahle:
- i-vasodilators;
- ukufudumala;
- abaphulukisi ;
- anti-inflammatory .
Ukuphumelela kokusebenzisa izindlela zangaphandle akuyona ephakeme. Cishe 7% wezinto ezisebenzayo zithunyelwa ekuhlanganyeleni okuthintekile ngesikhumba. Ngenxa yalesi sizathu, odokotela batusa amafutha kuphela esigabeni sokuqala sesifo. Ngaphezu kwalokho, le mithi ingasetshenziswa njengendlela yokwelashwa eyengeziwe yokwelashwa okuyinkimbinkimbi. Isikhathi sokuphathwa kwalowo mafutha kunqunywa udokotela ngamunye esimweni ngasinye.
Ngokuvamile kunqunywe ama-anti-inflammatory and anesthetic agents:
- I-Fastum-gel;
- Nyz;
- Diclofenac;
- Dolobien;
- Indomethacin.
Ukushisa nokushisa ama-vasodilating kunquma okulandelayo:
- U-Espol;
- I-Voltaren;
- Gevkamen;
- I-Apizarthron;
- I-Nikofleks-gel.
Amathebulethi avela ku-arthrosis ne-arthritis
Izidakamizwa ezinjalo zokulwa namagciwane zingenziwa:
- ama-macrolide - Clarithromycin noma i-Erythromycin;
- tetracycline - iTetracycline, i-Doxycycline;
- fluoroquinolones - Lomefloxacin, i-Ofloxacin.
Ngaphezu kwalokho, izidakamizwa ezingekho-steroidal anti-inflammatory zingahle zibekwe i-arthritis ne-arthrosis:
- I-Nimesulide;
- Meloksikam;
- Etoricoxib;
- Celecoxib.
Phakathi kwabasebenzi be-chondroprotectors lokhu okulandelayo kuvame ukushiwo:
- I-Glucosamine;
- Chondroitin.
I-osteoarthritis, i-arthritis - ukwelashwa ngamakhambi abantu
Ekulweni nalezi zifo, izindlela ezahlukene zokuphulukisa zingasetshenziswa. Izindlela ezidumile zithandwa. Zinezinzuzo ezingenakuphika: ukutholakala, okulula kokukhiqiza kanye nemvelo. Nokho, kufanele isetshenziswe kuphela ngemva kokubonisana nodokotela. Uyazi ukuthi i-arthritis, i-arthrosis, yimuphi umehluko phakathi kwabo, ngakho kuyosiza ukukhetha ikhambi elihle. Ukwamukelwa okungalawulwa kwamalungiselelo "okuzenzela" okuzenzela akuphephile.
I-arthrosis, i-arthritis - ukwelashwa kwabantu nge-black currant
Izithako:
- amaqabunga e-black currant - 4-5 g;
- amanzi 250 ml.
Ukulungiselela, sebenzisa:
- Izinto eziwutshani kufanele zithunyelwe ngamanzi abilayo bese zifuna imizuzu engama-20 ekugeza amanzi.
- Imithi kufanele ihlungwe futhi idakwe ku-1 tbsp. isipuni kathathu ngosuku.
- Umkhiqizo osele ugcinwa ngesitsha esivaliwe esiqandisini.
Ukudla kwe-arthritis kanye ne-arthrosis ehlangene
Ukukhulula isimo seziguli kuzosiza ekudleni okukhethiwe kahle. Ukudla kwe-arthritis ne-arthrosis ngaphandle kokusetshenziswa kwemikhiqizo elandelayo:
- itiye eliqinile nekhofi;
- u-salin;
- ushokoledi;
- iziphuzo ezidakayo;
- igargarine nebhotela;
- ama-chips nama-french fries;
- i-egg yolk;
- i-cod yesibindi.
Ngemuva kokuthi udokotela ahlonzwe i-arthritis ne-arthrosis futhi wachazela isiguli ukuthi umehluko phakathi kwabo, angancoma ukudla okubandakanya ukusetshenziswa kwemikhiqizo enjalo:
- i-ginger;
- ama-alimondi;
- ama-apula;
- ubhontshisi omnyama;
- i-salmon;
- izithelo nemifino emisha;
- inkomo;
- inkukhu njalonjalo.
Ukuvimbela i-arthritis ne-arthrosis
Kulula kakhulu ukuvimbela izifo kunokulwa nabo kamuva. Izifo ze-arthrosis, i-arthritis zihlanganisa izinyathelo zokuvimbela ezinjalo:
- Ukudla okunempilo okulinganiselayo.
- Ungadluli amajoyina amaningi - okunye okusebenza ngokomqondo nangokomzimba.
- Yeka imikhuba emibi.
- Ukugcina isisindo ngendlela evamile.
- Gqoka izicathulo zamathambo.
- Vikela amalunga kusuka e-hypothermia nase-trauma.
- Yenza ama-gymnastics, ukubhukuda nezinye zezemidlalo ezingagculisi amajoyina.