Mayelana neziguli ezingu-30% ezifaka isicelo sosizo lwezokwelapha, ukwelashwa okuhlanganyelwe ngokuhlanganyela. Kuze kube yamuva, ukuhlolwa okunjalo kwafunyanwa kubantu abahola impesheni, kodwa manje "kuyinto encane": izifo ezihlangene zivame ukuthinta abantu abasha namuhla. Uma ubona izimpawu zezifo ezinjalo ngokuhamba kwesikhathi, kulula ukulwa nezifo.
Izifo zamalunga - ukuhlukaniswa
Leli qembu lihlanganisa ama-pathologies amaningi. Zonke izifo zamalunga zivame ukumelelwa yizinhlangano ezilandelayo ngokwemvelo yesilonda:
- Ukuvuvukala okubangelwa i-allergen, i-agent esebenzayo noma igciwane elingakhulelwe. Lesi sifo siphuthuma ngokushesha. Kuhambisana nokuvuvukala okukhulu nobuhlungu. Kuleli qembu le-pathologies kuhlanganisa i-arthritis, igciwane, isifo sikaHoff .
- Umonakalo owenziwe ngokweqile obangelwa ukugqoka kwamalungu kanye nokubhujiswa kwezicubu zomzimba. Lesi sifo siphuthuka kancane kancane. Ummeli oqhamukayo kuleli qembu i- osteoporosis .
- Umonakalo ohlangene we-Congenital. Kuleli qembu lezifo kuthwala iMarfan syndrome .
- Ukukhubazeka kwezicubu ze-periarticular. Izifo ezinjalo zivame ukwenzeka ngemuva kokucindezeleka okukhulu noma ukucindezeleka ngokweqile.
Ngaphezu kwalokho, lezi zifo zingathinta amalunga anjalo:
- ihlombe;
- i-hip;
- i-ulnar;
- amadolo;
- amalunga emabhulashi;
- i-ankle.
Ngokwemvelaphi zonke izifo zingahle zihlukaniswe ngokomzimba ngamaqembu anjalo:
- okuyisisekelo - vuka ngqo kuhlangene;
- eyesibili - kuyinkimbinkimbi yezinye izifo ezenzeka emzimbeni (isibonelo, ukuthuthukisa ngokungahambisani nezifo ezingokwemvelo).
Izifo zamalunga - izimbangela
Abaphikisi bezinkinga ezinjalo baningi. Izifo eziningi ezihlangene zenzeka ngezizathu ezilandelayo:
- ukutheleleka - ama-agent angama-mycobacterium anezinhlungu, i-gonococci, i-brucellae, i-streptococcus;
- ukuhlukunyezwa;
- ukuphazamiseka kwe-endocrine;
- ukuphazamiseka emsebenzini wesimiso sezinzwa, okubangela ukukhululwa kwamahomoni e-corticosteroid;
- isici esiyinzalo;
- imvelo embi;
- isici se-vascular;
- ukudla okwanele okushiywa yi-micro- and macroelements ebalulekile;
- ukucindezeleka okwandayo kumalungu;
- ukulimala;
- ubumanzi nobanda;
- imikhuba emibi;
- ukusetshenziswa kweminye imithi yobuhlungu (Nimesulide, Diclofenac noma i-Indomethacin).
Izifo zamalunga - izimpawu
Izimpawu ziyahlukahluka kuye ngokuthi yikuphi ukugula umzimba okushaye. Izimpawu eziningi zezifo ezihlangene zimi kanje:
- izicubu ezithintekayo ezindaweni ezithintekile;
- ukuguqulwa kwamalungu;
- ubuhlungu (ekuphumuleni nangemva komthwalo);
- ukuqina;
- Rash esikhumbeni eduze nendawo ethintekile.
Indlela yokuphatha amalunga?
Ngaphambi kokuqala ukulwa nalesi sifo, udokotela uzoqoka ukuhlolwa okuphelele kwesiguli. Siyabonga, ukwelashwa kwamalungu kuzosebenza kahle kakhulu. Ukuze uhlolisise kahle, isiguli singabelwa izivivinyo ezifana ne-laboratory kanye ne-laboratory:
- ukukhishwa kwe-fluid ehlangene;
- i-arthroscopy;
- ukuhlolwa kwegazi;
- I-X-ray;
- tomography.
Ngaphezu kwalokho, uma ehlolwa, udokotela uzolalela ngokucophelela izikhalazo zesiguli. Ngokusho kwemiphumela etholakalayo, udokotela ubeka ukwelashwa okuhle. Uma amalunga ephuka, ukwelashwa kungaba kanje:
- okuqaphele;
- ukuhlinzwa;
- okunye.
Ukwelashwa kwe-Conservative kuhloswe ukunciphisa ukuzwela okubuhlungu, ukujwayelekile kwegazi nokugeleza kwegazi nokunciphisa ukuvuvukala kwamalungu. Ngaphezu kwalokho, kunomthelela ekwenzeni ngcono izinqubo zamathambo ezinhlobonhlobo ze-cartilage. Uma udokotela ethola ukuthi ukuvuvukala kokuqala kwamalungu, uhlale ebeka ukwelashwa ngokuqhubekayo. Ukwelapha okunjalo kufaka phakathi okulandelayo:
- ukuthatha imithi nokuvimbela;
- sebenzisa i-therapy;
- ukwelapha okubhaliwe;
- ukwelashwa kwe-physiotherapeutic;
- i-phytotherapy;
- ukusikhipha.
Kwezinye izimo, ukwelashwa okulondoloziwe kwamajoyinti athintekile akusebenzi. Lokhu kuvame kakhulu kweziguli ezinefomu eliphambili lesi sifo. Ukungenelela kokuhlinzwa kuyindlela yokuphela komuntu ukubuyela endleleni evamile yokuphila. Imisebenzi elandelayo ingenziwa:
- i-endoprosthetics;
- ukuxoxwa kwe-arthroscopic;
- i-osteotomy.
Amathebulethi amalunga
Lapho ukwelashwa izifo ze-cartilage izicubu kusetshenziswa imithi ehlukahlukene. Ngokuvamile iziguli zinqunywe amaphilisi angekho-slamidal anti-inflammatory amajoyina ne-cartilage:
- Meloksikam;
- I-Celecoxib;
- Rofecoxib;
- Ketoprofen;
- I-Aceclofenac.
Umthelela onamandla wokulwa nokuvuvukala ubonakala ngamahomoni e-glucocorticoid. Izidakamizwa ezivame ukushiwo:
- Dexamethasone;
- I-Hydrocortisone;
- I-Triamcinolone;
- I-Prednisolone.
Ukwelashwa kwamalungu ekhaya kuhilela ukusetshenziswa kwezidakamizwa okuhloswe ngazo ukuvuselela i-intraarticular cartilage. Ebekiwe kulokhu, amaphilisi anjalo:
- I-Chondroxide;
- Don;
- Honda;
- I-Arthron;
- I-Movex.
Kulokho, ngesifo esiyinkimbinkimbi esinikezwe futhi izidakamizwa ezine-calcium. Amaphilisi alandelayo avame ukushiwo:
- I-osteoka;
- I-Rockaltrol;
- I-Osteogenon.
Amalungu amajoyina
Uma ukwelapha izidakamizwa zezincuba zomzimba, izijovo ezinamaqembu ezinjalo ezidakamizwa zingahle zenziwe:
- i-corticosteroids (uKenalog, i-Flosteron, i-Celeston);
- ama-chondroprotectors (Alflutop);
- ukujola kwegesi;
- i-hyaluronic acid (i-Sinocrom, i-Ostenil).
Lezi zinsuku zibhekwa njengeziphakathi kokuphumelela kakhulu, ngoba into esetshenziselwa ukujova iyisakhi esiyinhloko samanzi ahlanzekile. Ama-joints amajoyina ne-hyaluronic acid afundiswa izifundo. Isikhathi esisodwa sinezijovo ezingu-3-5, isikhathi esingaphakathi kwesonto okufanele sibe sesonto. Umphumela walezinqubo ungaqhubeka unyaka wonke.
Ukwelashwa kwamalunga namayeza omuntu
Ngokwelashwa okuyinkimbinkimbi, izindlela ezihlukile zingasetshenziswa. Ukuze kuqinisekiswe ukuthi umzimba wesiguli awulimazi ngendlela engafanele, zonke izindlela zokupheka ezihlangene zokwelapha akufanele ziqukathe izithako ezivusa imithi. Ngaphezu kwalokho, imithi yendabuko kufanele ilawulwe ngaphansi kokuqondiswa udokotela. Ngokwelashwa okusetshenziselwayo kungaba yizinhlayiya kanye nokuguliswa kwamakhambi, kanye namafutha okuzenzela.
Ukwelashwa kwendabuko kwamajoyina nokuphulukisa ukhilimu
Izithako:
- i-inflorescence ye-St John's wort - 2 tbsp. izinkezo;
- clover yokwelashwa - 2 tbsp. izinkezo;
- i-hops - 2 tbsp. izinkezo;
- I-Vaseline - 50 g.
Ukulungiselela nokusebenzisa
- Izitshalo zokwelapha zenziwe zibe yi-powder.
- Hlanganisa nge-petroleum jelly kuze kube yilapho kutholakala ubuningi obufanayo.
- I-ointment ekulungele igxiliwe ezinhlangwini ezigulayo, futhi phezulu kugoqwe nxazonke.
- Isikhathi sokusetshenziswa sincike esigabeni sesifo.
Ukuvocavoca kwamajoyina
Ukuvivinya umzimba kuyinkimbinkimbi yokuzivocavoca okukhethekile. Uma uthuthukisa uhlelo olunjalo, isimo jikelele sesiguli sihlolwa. Uma ubuhlungu obukhulu emajoyini abukwe ngesikhathi sokuvivinya umzimba, ukwelashwa kufanele kumiswe okwesikhashana. Ngamandla, awukwazi ukwenza izivocavoca. Inzuzo enkulu izoletha amakilasi avamile. Kufanele uqale ngokuzivocavoca okulula, ukwandisa umthwalo ngokuhlelekile.
Ukubuthwa kwamalungu
Le nqubo inekhono eliphezulu. Ngemuva kokusikhipha, ukuthuthukiswa okunjalo kubonakala:
- ubuhlungu buyancipha;
- ukuhamba kuthuthukisa;
- ukukhukhuma kuba kancane kakhulu.
Uma kutholakala isifo esihlangene, ukwelashwa ngokusikhipha umzimba kuqhutshwa yizifundo. Imihlangano iqhutshwa imizuzu engu-10 kuya kwemi-25 kabili noma kathathu ngesonto. Ubude besikhathi buxhomeke esimweni sesiguli nesigaba sesifo. Inqubo yokwenza massage kanje:
- ukunyakaza okuhambayo;
- ukuxubha;
- ukucindezela isisekelo sesundu.