ImpiloIzifo nemibandela

Chondromalacia ka kwedolo: izimbangela, izimpawu, uphethwe futhi ukwelashwa

Ukuze uphile ukuphila okugculisayo wonke umuntu kubaluleke kakhulu ukuze bakwazi kalula futhi ngokuphepha ukuhambisa, kodwa, ngeshwa, asebekhulile kanye nabantu abasha ngokuvamile aba izifo ezahlukene esitho lapho ngisho ukuhamba elula kuba nzima. Omunye wabo - kuyinto chondromalacia kwedolo. Ngegama kuyacaca ukuthi lesi sifo sithinta ngamadolo, okuyizinto emalungeni eyinkimbinkimbi kunazo emzimbeni womuntu. Umsebenzi wawo oyinhloko - ukuqinisekisa ukuhamba imilenze. Kabi kwedolo kuhlale ukuqina ezithile ukunyakaza, futhi khona izinkinga ezinkulu nakakhulu nge emalungeni kuholela ukukhubazeka. Kwedolo yakhiwa sebuningini izingxenye, futhi ngamunye ungaqala ukusonteka, okuholela ukwehlukanisa izifo ezithile. Lesi sihloko sinikeza ulwazi mayelana nokubhujiswa uqwanga phezu ithambo ezincane, okuthiwa ama-patella.

Isakhiwo kwedolo

Ukuze ukucabanga ngokucacile onjani sifo - chondromalacia amadolo ukukhumbula lokho izingxenye aqukethe amadolo ethu. isisekelo zabo ziyisiliva ala mathambo amabili amakhulu (ethangeni eliphezulu futhi tibia engezansi) kanye nelilodwa ithambo ezincane (patella ngokuthi patella edume). I patella kuyinto ingalo ezengeziwe flexion / ukwandiswa kwedolo. Anakho obubili - elingaphandle, anolaka ngaphezulu, futhi kwangaphakathi, ngaphezulu isicaba, embozwe uqwanga. I patella ine round ukuma okungajwayelekile, lapho base elingalodwa (ngenhla) futhi ekupheleni (ngezansi). Kuzo zonke izinhlangothi lizungezwe ithambo nemisipha amancane, ngakho-ke kungenzeka ukuthi kancane sigudluke bacondze etindzaweni letehlukene.

Ngaphezu amathambo amadolo kukhona nemisipha, capsule, izembozo futhi ivikela kukhishwa khona lonke ilunga, meniscus bese uqwanga. I capsule has a 6 izikhwama, 3 zazo esisogwini patella - amabili phambi kanye elilodwa ngemuva. Bakha kubaluleke kakhulu umsebenzi uketshezi ngokuhlanganyela lwamalunga.

Isakhiwo uqwanga

Ukuze sibhekisele esimweni lapho ngedolo kwenzeka ngokuzumayo, abantu baye eside wasebenzisa inkulumo ethi "tuck knee". Kwezokwelapha, kulesi simo ubhekwa isifo, kukuthi ikhambisana kancani ne shift of ingxenye ngokuhlanganyela, futhi wabhekisela njengoba chondromalacia kwedolo. Kusho ukubhujiswa uqwanga patella esehlanganise elingaphakathi yayo. I ukushuba we uqwanga kule ndawo - kufike 10 mm. It has an nokunwebeka, kodwa ngesikhathi esifanayo, ukuthungwa aminyene futhi surface bushelelezi. Indima uqwanga - ukunyakaza ukunciphisa ngomshikisho amathambo kanye ukuncela ukushaqeka imithwalo. Ngo oyiyo, uqwanga hyaline kuyinto nokunwebeka kakhulu, kodwa hhayi njengoba eliqinile le njengoba fibrocartilage, okuyinto ngesisekelo menisci. It yakhiwa amanzi (80%), izinto eziphilayo (15%) kanye nosawoti wamaminerali (5%). Ukudla uketshezi yayo ngokuhlanganyela.

Izizathu ukubhujiswa uqwanga

Chondromalacia e kwedolo Kungahlonzwa ngomshini ngasiphi yobudala. Izimbangela zesifo zimi kanje:

- amadolo ukulimala;

- ukusonteka amalunga omzimba;

- azalwa naso futhi wathola ngenxa yizifo ezithile anomalies kakhulu ekuthuthukeni esikhundleni izingxenye;

- izinguquko ezihlobene nokukhula, ezifana ekunciphiseni kumiswa lwamalunga uketshezi ukunikezela uqwanga.

Nokho, ngokuvamile isifo kwenzeka abasha, egcwele amandla abantu ababonisa kakhulu ngamandla, okuholela akunika ngamadolo load yakho iphezulu kakhulu ngokweqile. Lesi sigaba bahlanganisa ikakhulu abasubathi, ikakhulukazi labo abenza football, weightlifting, hockey, sibalo ukushushuluza. Kodwa akulona abadlali professional kuphela ukuthuthukisa chondromalacia amadolo uqwanga ngokuhlanganyela. Ezemidlalo abathanda abafuna ukulondoloza umzimba wakho isesimweni ephelele, izinkinga amadolo eyaziwa. Laba bantu ukunikeza izinyawo zabo umthwalo ngezinga elincane, kodwa ngenxa yokuthi abazenzayo ngaphandle umqeqeshi, ngokuvamile zenza umzimba ngokungalungile, okuholela microtraumas kwedolo.

Phakathi kwezinye izizathu, okubangela ukubhujiswa hyaline uqwanga, yilezi:

- Ukungadli imisipha ithoni;

- ukulimala yezingxenye femoral futhi tibial we ngokuhlanganyela amadolo;

- ukuhlukumezeka we patella;

- ukhuluphele (abantu okhuluphele uhamba njalo kakhulu ukulayisha nemilenze yabo ephansi);

- Ukugqoka izicathulo ungakhululekile ukuthi ungakha umthwalo okwengeziwe ngokuhlanganyela amadolo;

- azalwa naso noma deformity kuluthola.

ngezigaba

Kuye kude kangakanani gone ukubhujiswa uqwanga we chondromalacia amadolo ihlukaniswe yaba amazinga amane:

- owokuqala, lapho ukusonteka uqale kuphela, izimpawu kungakhathaliseki ukuthi mancane kangakanani, futhi welashwe ngokwanele ngempumelelo;

- owesibili, libhekene ukubukeka microcracks oqwangeni, okubangela ubuhlungu imihlola ngokwanele lizwakale;

- owesithathu, lapho ufa luyajula, kwezinye izimo ukufinyelela ithambo;

- lesine, ukunganakwa impela, idinga ukuphathwa iyinkimbinkimbi futhi kuyabiza.

Cabanga degree of ngokuningiliziwe.

idigri yokuqala

Chondromalacia 1 degree of kwedolo libhekene yokuthi oqwangeni avele uhlobo lokuqala kakhulu - ke izicubu uqala kancane kancane ukuthambisa futhi babe zile encane uphawu kobuhlungu ngaphezulu ngokuhlanganyela. Lapho sicindezelwe, bangakwazi ibakhathaze omnene kuphela, abantu abaningi kangaka uphawu enjalo ngokunganaki.

Yini enye engingabuye nobuntu ukuqala kanjani lesi sifo? Lezi izimpawu zokuqala a ziwe emadolweni noma okuthize ukuchofoza efana, kwaphawuleka ngokukhethekile lapho umuntu evuka kusukela nokuzikhulula isikhundla sakhe, ukugibela izitebhisi ukwenza ukuzivocavoca ezithile, isibonelo, egoba umlenze ukuze isithende wathinta izibunu, bese-ke elungisa. Kufanele waziswe futhi soreness emva isikhathi eside uhleli imilenze insaliwe.

Uma izimpawu ezifana ngokushesha uxhumane udokotela, ukwelashwa kungase kungagcini okusindisa mode, ekudleni kanye edonsa Izithako zokudla - hondroprotektorov.

besigaba sesibili

Chondromalacia 2 lamadigri kwedolo iqala ngenxa isifo ingelashwa 1 degree ngenkathi sigcina Friend isigqi wokuphila futhi umzimba. Kulesigaba uqwanga wakubo ku Imicu yotshani uqhekeke, umonakalo endaweni kodwa ingeqi 13 mm. Man uyabuzwa ubuhlungu balesi ukunyakaza abukhali (ukhuphuka uvela esihlalweni, ekuqaleni ukugijima noma ukuhamba, ukuzivocavoca, edinga flexion nokwandiswa imilenze). Izinga lesibili ephawuleka futhi zibukeke. Lapho lawushaya amadolo is zingavuvukalanga, kungenzeka reddening kwesikhumba. Ukwelashwa kulokhu kungase kube ngoludala futhi zihlanganisa ukwelashwa ngokomzimba, imithi, nokukhawulela imithwalo. Kulokhu, umgomo oyinhloko lodokotela - ukukhululeka ubuhlungu, bese azoqala ukuvuselela izakhiwo uqwanga.

degree wesithathu

Chondromalacia 3 lamadigri kwedolo kubhekwa ekubhujisweni esindayo futhi cishe engelapheki lomzimba uhlobo uqwanga. Uyaqhubeka izinhlayiya zeqhwa ukuze endwangwini, ukujula inani imifantu kuwo kwandisa, futhi endaweni ukusonteka isivele kakhulu ngezansi 13 mm. Lokhu nesigaba lesi sifo kungavuka amafomu oyingozi futhi ezingalapheki. Lapho umuntu ezwe ubuhlungu obuhlabayo e kwedolo, kungakhathaliseki ukuthi sisebenza a ukunyakaza ezicijile noma bushelelezi ezithuthukayo. Izici sici zihlanganisa:

- ukuvuvukala isikhumba lesiguli ngokuhlanganyela;

- Umkhawulo ukuhamba;

- ngobunzima obukhulu lapho enza squats.

Ngendlela ezingamahlalakhona umuntu ahlangabezane njalo zibuthuntu ubuhlungu ezidabukile ngenkathi ukuhamba, okubi nakakhulu, isibonelo, uma ukhuphuka izitebhisi. Ngokuvamile ngalinye lala masonto ukunyakaza ahambisana ukungqubuzana noma ukuchofoza kalufifi wazwakalisa.

ukwelashwa lwesithathu degree eside futhi kuyabiza, futhi odokotela musa njalo isiqinisekiso babuyele ngokugcwele uqwanga. Ukuze ukukhululeka ubuhlungu futhi yokutakula ekuseni cartilage izicubu zivame ebekiwe umjovo ku joint ngamadolo eziqhutshwa kuphela uchwepheshe abanolwazi - wamathambo noma ukuhlukumezeka. Ukuze ususe ukuvuvukala bangakwazi ukunikeza imijovo esicutshini futhi Physiotherapy.

degree wesine

Chondromalacia amadolo ngokuhlanganyela 4 degrees kwenzeka uma isiguli akusho ekwelapheni ngamadolo, noma sibanikeze akwanele, isibonelo, ukumisa ubuhlungu kuphela. Kulesi sigaba nolokubhujiswa oqwangeni kubaluleke kangaka ukuthi afinyelele ithambo. Esikhathini esizayo, naye iqala sokudiliza, okuyinto cishe njalo kuholela ukukhubazeka. Ngaphandle 4 degree uzwakalise amadolo ukuvuvukala kanye ububomvu, ngezinye izikhathi ubuhlungu ukuba uyithinte. Umuntu ukusonteka enjalo nzima ngokuhlanganyela ukuhambisa ngaphandle kokusebenzisa imishini ekhethekile (izindondolo, izinduku zokuhamba). Ngezinye izikhathi iziguli chondromalacia grade 4 esekhala ukuwohloka jikelele.

ukuhlola

Lapho izimpawu ngenhla kumele selashwe udokotela wezinyawo, noma, uma udokotela onjalo onguchwepheshe emtholampilo hhayi traumatologist noma udokotela ohlinzayo. Sifo iqala yezokwelapha komlando. Udokotela uthola ukuthi isiguli edolweni, wathi ubunjalo ubuhlungu, ukuhlolwa ezibukwayo. Ngaphezu kwalokho, iziguli kwavele X-ray (njengoba pre-kutholakale ukuthi une), arthroscopy (a inqubo yethula ngalo ingaphakathi ngokuhlanganyela arthroscope ezincane), i-MRI noma-CT scan.

Indlela esiphatha ngayo chondromalacia amadolo ngokuhlanganyela?

Kulesi isifo zokwelapha kuxhomeke ngezinga elithile uqwanga ekubhujisweni.

Njengoba kushiwo ngenhla, kweyoku-1 degree inikezwa ukwelashwa ngoludala kuphela kuhlanganise:

- ayimpoqo egqoke amadolo pads, ibhandishi noma ukulungisa ngebhandeshi elikhethekile, futhi muva nje ngokuvamile sisetshenziswa kinezioteypy;

- izinguquko ezingeni lokuzivivinya ezinyaweni zawo;

- Ukwelapha umsebenzi;

- amalungiselelo noma Izithako zokudla nge chondroitin sulfate noma glucosamine.

Kweyesi-2 no-3 degrees ku yokwelapha yokuqala yenziwa elokususa izimpawu ukuvuvukala. Ngemva kwalokho, udokotela angase akunikeze resection zikhubazekile ingxenye uqwanga. Lapho beqeda le nqubo, umgodi ngokuhlanganyela siyakazwe nosawoti. Uma resection akunakwenzeka ukuba afeze, udokotela ekunika zokwakha ka ufa. Indaba for the nolwelwesi ethathwa uqwanga enempilo isiguli izicubu 100% abakujwayele.

Enye indlela yokwelapha - umjovo ku joint amadolo ka asidi i-hyaluronic.

Ithuthukisa izinga uketshezi lwamalunga, kuyasiza ukubuyisela izicubu uqwanga, kunciphisa ukuvuvukala.

Ngemva resection edingekayo imijovo noma ukwelashwa okuzivuselela wenziwa babelwa izinqubo ukwelashwa ngokomzimba njengoba izicelo wax noma amadolo ozokerite, laser, ukwelashwa kazibuthe, electrophoresis. Futhi, isiguli okuchitha isiphuzo inkambo amavithamini chondroprotectors. Phakathi kwezidakamizwa ethandwa "Artron" futhi "Artron eziyinkimbinkimbi", "Teraflex" futhi "Okuthuthukisiwe Teraflex", "Struktum" "Chondroitin akos".

Ngezinye 4 degrees zalezi zinyathelo zingase zinganeli, njengoba iningi ukubuyiselwa uqwanga we amadolo izicubu ngokuhlanganyela isivele ngabazeka kakhulu. Ezimweni ezinjalo, ukwenza imisebenzi eziyinkimbinkimbi amapulasitiki osteochondral, ekunqandeni cell ukufakelwa kwezitho mhubhe owakhiwa lokwephula umthetho sebuningini izimbobo ithambo subchondral. Ngenxa yalokho lezi ukulimala emzimbeni okubhekiswe yakha ezicutshini, elikwaziyo ukuvala ukukhubazeka uqwanga.

amathiphu abelaphi

Chondromalacia amadolo ngokuhlanganyela - isifo esiyingozi kabani izimpawu akunakugwenywa. Ungadliwa abelaphi abantu ngeke bakwazi ukubuyisela izicubu uqwanga, kodwa ukukusiza okudambisa ubuhlungu futhi isikhathi esithile ukuletha injabulo ukunyakaza. Ngakho, lapho kwedolo ukuvuvukala ngokuhlanganyela okubi kakhulu abelaphi ukuncoma isicelo ice ezindaweni inkinga. Cryotherapy Lokhu kuzosiza ukugwema edema. Ngemva kwalokho kufanele esikhundleni cool licindezele ukuxoxa. Ungasebenzisa oludakayo ezikhishwe ensimini Buttercup, usika izingcezu azidingayo ngokucophelela, cinquefoil, burdock impande ne devyasilom. Ilungiselela isithako nomuthi njengoba isimiso jikelele. Njengoba i asizayo kusho parallel ukuphathwa main ziphuze zezinkambi engamakhambi, isb Chicory cranberry leaf. Ukuqeda ubuhlungu nokuvuvukala futhi kusiza enamathiselwe besizwe fresh iklabishi leaf noma indwangu kuyidambise e isixazululo of propolis. Abanye abaphulukisi belulekwa ukuba uwuhlikihle kwedolo uwoyela ungafundeki yemifino efudumele noma bagcobe isigamu ivi lemon.

Kungakhathaliseki umphumela isicelo yezindlela ethandwa kokuvakashela udokotela abantu abaye bayiphatha kabi emadolweni akhe, isiqiniseko.

zokuvimbela

Ukuvimbela chondromalacia ka kwedolo, odokotela anikeze iseluleko esinjalo kuya abasubathi:

- hhayi ukuba aqale ukuzilolonga eyisisekelo ngaphandle lokuqala iyazifudumeza umsebenzi hhayi imisipha;

- uma kwenziwa noma yimuphi ukuqeqeshwa amandla abe ngaguqa amabhandeshi ekhethekile - amadolo pads.

izincomo Jikelele, efanelekayo bonke abantu, njengoba kulandela:

- watch isisindo sakho;

- musa ukugqoka izicathulo ungakhululekile, futhi kubalulekile ukuthi kube ne izisekelo lwaleli;

- Ukugwema ukulimala noma imithwalo esindayo ngezinyawo zabo.

Ngaphezu ukwelashwa, kuba Ukudla kubalulekile chondromalacia kwedolo. Kuyinto ukugwema soda, ukudla ngibhema ukudla oily, izinja ashisayo. Kuyadingeka ukuba inciphise carbohydrate ekudleni kanye nosawoti bese andise edonsa izithelo nesiphuzo kuzo, jelly, aspic, jelly kwi agar zemvelo, imikhiqizo yobisi, izinhlanzi obomvu, amantongomane, amagilebhisi omisiwe.

ukuba nombono ongafani ngeke

Amathuba okuphathwa yiyo operation egcwele nokuvulwa joint amadolo ekubhubhiseni uqwanga articular kuxhomeke kulokho esiteji yokuphathwa isifo iqalisiwe, kanye namakhono yokutakula isiguli. izibikezelo olunembile odokotela ningayeki, kodwa hhayi wangabaza Ebhala ngokugomela kokuthi amadolo chondromalacia 1 degree uyalulama azithobe ngokugcwele zonke izincomo nesineke wamathambo. Lapho lesi sifo 2 no-3 degrees ngemva resection we uqwanga kudinga nokuvuselelwa eside. Ngezinye 4 lamadigri articular uqwanga ngokuphelele cishe abuyiselwe, kodwa isiguli wabuyela kungenzeka ukuhamba kobuhlungu nezinye ukunyakaza.

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