Sokuqaqamba kwamalunga Posttraumatic: ukwelashwa

Emalungeni ziyalimala kaningi, futhi lokhu ikakhulukazi othambekele abantu zokuphila asebenzayo futhi abasubathi. Ngu ukuvuvukala ngisho ukulimala okuncane kungaholela, lapho asathuthuka izifo ezifana ukucindezeleka kwangemva kwenhlekelele Arthritis. Joint capsule, uqwanga, imisipha, ezicubwini ngesikhathi esifanayo ulahlekelwe ubuqotho babo. Kuyini sokuqaqamba kwamalunga ukucindezeleka kwangemva kwenhlekelele? ICD kuhlanganisa isifo ngesikhathi ikhodi othize, iphuzu esizoxoxa ngalo phambili.

Ngu izifo wathi kubangele ukulimala okungatheni njalo, umuntu angase angaluboni. Lokhu kuphakamisa intuthuko elimazayo inqubo kanye ukuvuvukala ngokuhlanganyela. Futhi ngaphezu kwakho konke ukulimala zenzeka emadolweni izindololwane, iqakala. Ezimweni ezingavamile, thobelani kokunqotshwa emalungeni ehlombe iminwe.

Futhi manje ake sibheke ukuthi yiziphi izici kuvuse sokuqaqamba kwamalunga ukucindezeleka kwangemva kwenhlekelele.

Ziyini izimbangela eziyinhloko zalokhu arthritis ukucindezeleka kwangemva kwenhlekelele

Wachaza isifo eba abantu kungakhathaliseki ubudala. ukulimala abahlukahlukene kungaholela ekwakhiweni ukuvuvukala emalungeni. Ngokuvamile e zezitsha njengoba imbangela isifo:

• dislocated lapho lilimele egobolondweni lelunga nemisipha;
• ukulimala okuholela crack kumiswa uqwanga nokopha elincane;
• Ukuvevezela okuphindayo - kulimaze imithambo yegazi ngenxa kuholela ukuthuthukiswa arthritis esibuhlungu.

Siyini ngempela lesi sifo ICD ikhodi

sokuqaqamba kwamalunga Kwangemva Kwenhlekelele, futhi zonke izifo kwezokwelapha emsebenzini inekhodi ethize ukuze uhlukanise i-pathology. Ngo ukucindezeleka kwangemva kwenhlekelele sokuqaqamba kwamalunga-ICD 10 ikhodi iyatholakala kusukela M00 ukuze M25. It incike lapho yenziwe yaba yasendaweni egunjini lokuhlolwa kwezifo.

Izimpawu zesifo

Ngemva ahlukahlukene ukulimala ezincane ngokuhlanganyela - amagalelo noma kunyakaza dilations - ukubhujiswa kwezicubu ezihlukahlukene ngaphakathi noma eceleni. Lokhu kubangela ukopha nokuvuvukala olwengeziwe. Joint kancane kancane ahlahlele, ngakho isiguli singenakukwazi sinake izimpawu ohambisana yale nqubo.

sokuqaqamba kwamalunga Posttraumatic libhekene izici ezilandelayo:

• okwandisa ubuhlungu futhi ubuhlungu emalungeni ethintekile;
• pohrustyvanie ngesikhathi nokunyakaza;
• ukuhamba elinganiselwe;
• ukuvuvukala kanye ububomvu.

Uma ukulimala sibucayi, izimpawu zivame ukuba liphinyiselwe. Acute sokuqaqamba kwamalunga kuhlasimulise futhi kubonakala khona. Lokhu ngokuvamile kuholela yokuthi lokushisa lomzimba liyaphuma kakhulu, kukhona izimpawu adakwe leukocytosis.

Kubalulekile ukuqonda ukuthi ukubukeka sebuhlungwini obunzima ngemva kokulimala, okuyinto kuphela iyakhula, kumelwe afune usizo lwezokwelapha ngokushesha.

izincomo odokotela '

Manje asikhulume ngalokho olwenziwa ukuxilongwa 'Sokuqaqamba kwamalunga Obungapheli "impatho. Iqiniso lokuthi khona kwale isifo, iziguli eziningi zingase zingazi nokwazi ukuqagela. Ukufinyelela udokotela, njengoba umthetho, kwenzeka kuphela uma ubuhlungu bengasenakubekezela lapho ezihambayo ngibenze nzima.

Kodwa endabeni ka inkambo ezingamahlalakhona yokwelapha isifo luyindida futhi kuthatha isikhathi eside. Kungenzeka ukuvela izinguquko ezingenakuhlehliswa futhi esiwohlozayo emalungeni. Khona-ke inkinga ingaxazululwa kuphela ngosizo Ukushintshwa kwamajoyinti omzimba. Lona umsebenzi eyinkimbinkimbi, kodwa ngemuva kokuhlinzwa ngokuvamile ibuyiselwe.

Futhi ukuze bathuthukise ukuqeda izinkinga ngemva kokuhlinzwa, kubalulekile emva ukulimala ukubona udokotela. Iyoyimisa umcimbi ethile yokuhlonza isifo:-X-ray, CT, i-MRI, i-ultrasound. Lokhu kuzosiza ukucacisa khona ukulimala okungaphakathi. Futhi uma ukwelashwa iqale ngesikhathi, abaningi ngenxa yezinkinga kungagwenywa. Joint ngeke isebenze kahle, kanye nokusebenza womuntu uqhubeke.

Uma kukhona ahlekise, kubalulekile ukunakekela okuhle kwezokwelapha eziphuthumayo esigulini. Okusho ukuthi, uma sebuhlungwini obunzima, ukuvuvukala kanye ububomvu endaweni kwakunguNk lesiguli ibekwa esibhedlela ukuxilongwa kanye nokwelashwa.

Yikuphi yezinkinga kungabangela isifo sokuqaqamba kwamalunga ukucindezeleka kwangemva kwenhlekelele?

Lapho ukuzishaya indiva izimpawu ukungakhululeki e yisishiso ngokuhlanganyela imbozwe nezicubu eziseduze. Lokhu ngokuvamile kuholela PERIARTHRITIS lapho abavusa kwezicubu periarticular.

Kancane kancane, amakhefu ngokuhlanganyela phansi, sibangelwa deforming arthrosis. synovitis futhi ingathola kusukela ukusonteka ehlanganyelwe noma bursitis ukuchayeka kwegciwane uketshezi lwamalunga. Uma uqhubeka ukungasinaki ukwelashwa, ngokuhlanganyela iba ukuqina, futhi ingaqhubeka for a lifetime.

izifo Pyogenic futhi sepsis ezibhekwa yezinkinga eziyingozi kakhulu. Nakulokhu futhi kumele kugcizelelwe ukuthi kanjani lesi sifo liyadingeka, ngaphandle kwalokho joint kungaba lungasebenzi.

Yini imithi ukwelapha lesi sifo?

sokuqaqamba kwamalunga Kwangemva Kwenhlekelele (ICD-10 M00-M25) - isifo kuyingozi kakhulu futhi kudinga yindlela efanayo ukwelashwa. Kuphela udokotela kufanele bakhethe ukwelashwa lesi sifo. Futhi kufanele kwenziwe ngemva ahlolwe kahle emzimbeni. Kuyadingeka ukukhomba:

• khona ukopha;
• izicubu eye ezilimele;
• degree of ukuvuvukala.

Kulokhu, it izovunyelaniswa by yokwelapha ngempumelelo. Cishe ukuba zidinga ukuqashwa kwezidakamizwa ezithile:

1. Analgesics ukusebenza kwangaphakathi. Bona okudambisa ubuhlungu rheumatism futhi kukhathaze ngayo, ikakhulukazi uma kukhona isikhathi abukhali ngokushesha ngemva ukulimala. isicelo Kufanelekile non-steroidal izidakamizwa eqeda ukuvuvukala ( "naproxen", "Indomethacin", "Diclofenac", "aspirin" noma analgesics). Uma kukhona ubuhlungu eqinile babulawa ke linqume corticosteroids: "Prednisolone", "Diprospan" "Kenalog" nabanye.
2. izidakamizwa sangaphandle eqeda ukuvuvukala ukuthi okudambisa ubuhlungu futhi kulungele emalungeni phambi Physiotherapy. Kungcono ukuba basekele ababenakho isitshalo. Nokho, uma yakhiwa glucosamine collagen. Lokhu kuzonika yokutakula ngokuhlanganyela. Ivunyelwe ukusetshenziswa "Voltaren", "ze-collagen neze-Ultra".
3. Ukwakhiwa Lentulo uqwanga izicubu, okungukuthi Vitamin izakhiwo, isib, "Osteomed" noma "Osteovit" nutraceuticals "Digidrokvertsitina Plus" noma nemifino ezikhishwe, isb dandelion impande. Chondroprotectors futhi evame ukunikezwa, ethandwa kakhulu kubo: "Teraflex", "Chondroitin".

Ohlobene izindlela ephethwe ukwelashwa?

Ikhona yini enye indlela ukwelapha isifo sokuqaqamba kwamalunga ukucindezeleka kwangemva kwenhlekelele? Lezi zindlela musa esikhundleni imithi, kodwa ukukusiza ngokushesha buyisela joint lilimele. Lezi zihlanganisa:

• umsebenzi zokwelapha. Siyabonga kuye ababuyi ukuhamba ngenkululeko. Lapho yokulimala ngaphandle ukwa ukuzilolonga ungaqala ngemva kwesonto. Ngokushesha ukusiza ukuthuthukisa Ukuqalwa ngokuhlanganyela ngesikhathi esifanele umzimba zokwelapha. Lokhu kuyiqiniso ikakhulukazi ngesimo njalo lesi sifo, noma ithambo izicubu luyokhula futhi babe ukuqina ngokuhlanganyela.
• Umlayezo futhi Physiotherapy izindlela ukuthi ayeke ngempumelelo inqubo abhubhisayo futhi ukunciphisa ukuvuvukala. Ibonisa ukusetshenziswa izicelo inductothermy, UHF, upharafini. izindlela ezinjalo, isib, iphathwa kahle kuhlasimulise sokuqaqamba kwamalunga umunwe ngemva esisuka nezitho zomzimba ukulimala - uhlobo njalo yokulimala.

Ezimweni lapho inqubo ahamba ngamandla, ukwelashwa ngoludala akwanele. kokungenela Steel kungasiza umuntu ukuba aphinde athole kahle futhi umvumele ukuba waphinda ahole yokuphila asebenzayo.

Izinhlobo zokwelapha kuhlinzwa

Indlela tekusebenta ingelapheka amafomu eziphambili arthritis ukucindezeleka kwangemva kwenhlekelele. Isihloko has izinhlobo eziningana zokwelapha. Ngakho, kungaba:

• okuphelele noma okuyingxenye ukususwa kuhlinzwa we ulwelwesi lwamalunga (synovectomy);
• e eliletha ukuthula joint amadolo obonakele (arthroscopy);
• umsebenzi wokwakha kabusha ngokuhlanganyela (arthroplasty).

Kufanele kuqashelwe ukuthi ngokuvamile indlela wesibili ziphathwe ukucindezeleka kwangemva kwenhlekelele sokuqaqamba kwamalunga we kwedolo.

Ukubuyisela kukhishwa khona lonke ilunga kubalulekile ukuthuthukisa ukubuya ukuhamba. Lakwentako Physiotherapy. Lihambisana massage and Physiotherapy izinqubo, le ndlela isebenza kakhulu ngempumelelo.

Yikuphi ukukhetha ukudla abanesifo sokuqaqamba kwamalunga posttraumatic?

ukunakwa Ngenxa kufanele ikhokhwe futhi ukudla okunomsoco kanye umonakalo ngokuhlanganyela. Ngakho, isiguli kudingeka semali calcium Ukudla, amavithamini D A. yefilakisi imbewu kanye kwasolwandle futhi ewusizo kakhulu lesi sifo. Kodwa purines, it is hhayi Kunconywa ukuba adle protein ne usawoti isilwane. Phela, kungase kumkhathaze sifo, okuyinto ingenye imiphumela ezivamile arthritis ukucindezeleka kwangemva kwenhlekelele.