Ululu mu mgwirizano wa m'chiuno umasintha moyo wamba, kulepheretsa munthu kusuntha ndi kukwaniritsa ntchito zawo. Kuchotsa chizindikiro chodziwika n'kotheka pamene chifukwa cha chisokonezo pakugwira ntchito kwa mgwirizano ndi chikhalidwe chowawa chidzafotokozedwa.
Ululu mu mgwirizano wa chiuno - zifukwa
Mgwirizano wa chiuno ndi waukulu kwambiri. Thanzi ndi ntchito yoyenera yothandizira amalola munthu kutenga malo alionse a thupi ndikuyenda momasuka. Munthuyo sazindikira ntchito ya mgwirizano wofunikira umenewu mpaka mavuto atulukamo. Kutaya kwa kuyenda, kupweteka, kusautsika, kupweteka, kupweteka m'madera ena - zonsezi zimachepetsa moyo wokhazikika ndipo zimapangitsa wodwalayo kusiya zinthu zina.
Zomwe zimapweteka zimayika pamalo amodzi omwe amatha kugwiritsira ntchito chifuwa cha mimba, koma amatha kupitilira kumadera ena, mafupa, minofu, mitsempha, mitsempha. Kupweteka m'chiuno, zomwe zimayambitsa zomwe zimabisala mu zotupa, zingakhale chitsime cha kusintha kosasintha. Choncho, chithandizo cha matendawa chiyenera kuyamba mwamsanga pokhapokha atapezeka kuti ali ndi vuto loyenda bwino komanso kuoneka kowawa. Zina mwa zofunikira zomwe zimapweteka m'magulu ndi zovulala, kuwonongeka kwa makapisozi, malo ozungulira, mitsempha, matenda opatsirana ndi matenda ochepetsa matenda.
Matenda a ziwalo za m'chiuno
Matenda a mitsempha yamatumbo amawoneka chifukwa cha matenda opweteka omwe amayamba chifukwa cha kukula kwa matenda, matenda osokoneza bongo, mavuto a chitetezo cha mthupi. Matenda aakulu a ziwalo za m'chiuno ndi awa:
- coxarthrosis ;
- matenda opatsirana;
- pseudogout;
- nyamakazi ya nyamakazi ;
- synovial chondromatosis;
- Matenda a Legg-Calvet-Perthes ;
- matenda a shuga osteoarthropathy.
Matendawa a ziwalo za m'chiuno ali ndi zizindikiro zosiyana, zovuta komanso zovuta. Choncho, zopweteka ndi coxarthrosis za kuphatikizana ndi chiuno ndi zosasunthika komanso zimapezeka m'mapiri, mabowo kapena kumbuyo. Kupweteka kwa nyamakazi m'chiuno kumapezeka nthawi ndi nthawi ndipo kuli ndi mphamvu zochepa. Ndi arthrosis, kupweteka kwa mgwirizano wa chiuno kumaphatikizana ndi kufooka kwa kuyenda.
Ululu m'chiuno pamene mukuyenda-zimayambitsa
Kupweteka kwa mgwirizano wa m'chiuno pamene mukuyenda kungakhale chifukwa cha zifukwa zosiyanasiyana, kotero katswiri ayenera kudziwa momwe angapewere matendawa atatha kufufuza. Pali zifukwa zinayi zofunikira za kupweteka kwa mgwirizano wa m'chiuno pamene mukuyenda:
- ululu umene umayambitsidwa ndi zotsatira za kupsinjika mtima: kusokoneza ndi kugonjetsa, kuvulaza, kupopera, kupweteka;
- zozizwitsa za mawonekedwe a ziwalo, matenda okhudzana ndi iwo: chondromatosis, kudumpha minofu ya m'chiuno, bursitis, nyamakazi, osteoporosis ;
- Matenda owopsa: Matenda a nyamakazi, nyamakazi ngati matenda a lupus, gout, rheumatism, psoriasis, matenda opatsirana, matenda a myalgia of fibrous;
- Kuwopsa kwa matenda osalimba: coxarthrosis, dysplasia, osteochondrosis, myopathy, herin inguinal, neuralgia.
Ululu m'chiuno pamene mukuwuka
Ngati mgwirizano wa chiuno umapweteka mukadzuka, zifukwa ziyenera kuyesedwa pamphatikizidwe a mzimayi ndi mafupa. Vuto lalikulu lomwe limayambitsa kupweteka kumodzi ndi nyamakazi. Kutupa kwa nyamakazi kungathe kukhala purulent, psoriatic, gouty ndi rhumatoid. Zizindikiro za matenda a nyamakazi zidzamveketsa miyezi iŵiri, yotalikapo - yosakwana chaka. Ngati zizindikiro za matendawa zikudziwonetsera okha kuposa chaka, madokotala amadziŵa kuti "matenda odwala matenda a nyamakazi."
Ululu wokhala pamodzi m'chiuno cha malo okhala
Mukakhala pamalo pomwe munthu amavutitsa palimodzi, mungayesetse kusintha thupi. Nthaŵi zina kusakhala kovuta kumabweretsa zikhomo kungakhale chisonkhezero chakupweteka pamalo omwe mukukhala. Chochititsa chachikulu ndi coxarthrosis. Njira zowonongeka komanso zowonongeka zomwe zimachitika m'magulu amtunduwu zimapangitsa kuti maonekedwe a ululu akwaniritsidwe komanso kuti chisokonezo chichitike.
Ululu wokhala pamodzi m'chiuno mwachinsinsi
Kupweteka kwa mgwirizano wa chiuno kumbali yake kumatengedwa ngati chizindikiro chowopsya, kusonyeza njira zowonongeka. Chifukwa chophweka cha mkhalidwewu pamene mwendo wothandizana nawo kumapweteka ndi katundu wambiri kapena kuvulala komwe kunakhudza mgwirizano. Matenda aakulu omwe matendawa amapezeka ndi awa:
- coxarthrosis ya magawo awiri ndi atatu;
- bursitis - wodwalayo akumva ululu waukulu, akugona kumbali yothandizira;
- Tendenitis - kupweteka kudzawoneka pamene kusintha kusintha pa nthawi ya tulo;
- Matenda opatsirana - amatha kusokoneza usiku wonse pamalo alionse.
Kutsekedwa kumalumikizano a m'chiuno
Kupweteka kwa mgwirizano wa m'chiuno, kupatsa mwendo, ndi chizindikiro chowopsa cha kutupa kwa thumba loyenera - bursitis. Ululu umakhala wovuta, ukuwonjezeka ndi kuyenda ndi kufalikira pamlendo. Mu mpumulo palimodzi owonongeka adzapweteka kapena adzamva kutentha. Kufalikira pamlingo wa ululu wa m'mapazi kungathekanso ndi nyamakazi yamatsitsi. Matendawa amakula mofulumira, zomwe zimapangitsa kuti kuoneka kowawa kwambiri komanso kusokonezeka. Matenda a nyamakazi angakhale ovuta ndi sepsis, necrosis ndi kufa.
Kupweteka kwakukulu mu kuphatikizana mchiuno
Madokotala sangathe kuzindikira chifukwa chake mgwirizano wa m'chiuno umapweteka. Ululu wowawa komanso kusokonezeka kwabwino kungakhale zizindikiro za matenda osiyanasiyana a matenda opatsirana, opweteka ndi okhumudwitsa. Kuwotcha kapena kupweteka kwapachirombo m'dera la mgwirizano wa chiuno ndizofanana ndi matenda oterowo:
- Matenda a nyamakazi - kupweteka kopitirira kumapitiriza kukula kwa matenda;
- necrosis ya mutu wa chikazi-imadziwika ndi ululu waukulu, chifukwa cha mpumulo wa mankhwala amphamvu omwe amagwiritsidwa ntchito;
- bursitis - kupweteka kwa ululu wowawa kumapweteka makamaka pamene kusintha kwa phazi;
- Matenda a chifuwa chachikulu cha TB (TB) amatha kupweteka, koma akhoza kuwotcha ndi kukoka;
- Matenda a kutupa nyamakazi - ululu woopsa mu mgwirizano wa m'chiuno, zizindikiro zingakhale ndi mitundu yosiyanasiyana ya ululu;
- Matenda a Reiter - ziwalo zosiyana zimakhudzidwa;
- Matenda a nyamakazi - kupweteka koopsa kumadziwonetsera pakangoyenda.
Njuchi yothandizana ndi chiuno - choti muchite, momwe mungachitire
Ngati mchiuno umapweteka, choti muchite ndi momwe mungachiritse, ndi bwino kuyang'ana ndi dokotala wanu. Kusokoneza ubwino wodzikonda kumakhala ndi mavuto, kuchepa kwa kayendedwe kowonjezereka, kusintha kosasintha, ndi matenda opatsirana - owopsa. Mankhwala amachilumikizidwe, madokotala amagwiritsa ntchito njira zoterezi:
- mankhwala othandizira mankhwala: antibiotics, anti-inflammatory drugs, glucocorticosteroids, immunosuppressants, mankhwala osokoneza bongo, alkaloids;
- ochizira masewera olimbitsa thupi, akusambira;
- thupi;
- kusisita kwa malo okhudzidwa a thupi;
- endoprosthetics ndi kukonza, ntchito zothandizira;
- mankhwala amtundu: compresses, infusions, mafuta odzola.
Kuphatikizana kwa chiuno kumapweteka - kwa dokotala yemwe angayankhe
Odwala ndi ovuta kumvetsetsa mfundo iyi: Ngati mchiuno umapweteka, ndi dokotala ati apite? Ngati muli ndi mavuto ndi ziwalo zilizonse, muyenera kuyamba kukachezera wothandizira. Pambuyo kafukufuku wam'munsi ndi anamnesis, wothandizira angatumize wodwalayo ku labotale kwa maphunziro angapo. Poganizira zotsatira zomwe analandira, dokotalayo akuganiza kuti adokotala adzachita chiyani: wodwala matenda a maganizo, wodwala matenda a maganizo, katswiri wa rheumatologist, physiotherapist.
Ululu mu mgwirizano wa chiuno - mankhwala ochiritsira
Ngati wodwalayo akumva kupweteka m'chigwirizano cha m'chiuno, chithandizochi chidzaphatikizapo mankhwala osokoneza bongo. Ndondomeko ndi zigawo zikuluzikulu za chithandizo zidzadalira pa matenda omwe amapezeka. Pogwiritsa ntchito mankhwalawa, mankhwala oterowo amagwiritsidwa ntchito:
- mankhwala osagwiritsidwa ntchito poletsa kutupa: Diclofenac, Indomethacin, Piroxicam, Ketoprofen;
- Mankhwala osokoneza bongo: Metamizol, Diclofenac, Baralgin, Indomethacin (mu mapiritsi ndi makandulo);
- opioids ndi opiates (zopweteka kwambiri): Promedol, Prosidol, Morphine, Tramadol, Buprenorphine;
- oletsa chondroprotectors: Alflutop, Dona, Arthra, Teraflex;
- maantibayotiki: Cyclosporin A, Actinomycin D;
- mahomoni: Decamethasone, Hydrocortisone, Prednisolone;
- minofu yopumula: Midokalm.
Zochita zolimbitsa ululu m'chiuno cha mchiuno
Ululu mu mgwirizano wa chiuno - choti uchite chiyani? Yankhani funso limene dokotala angachite atachita kafukufuku ndikufufuza. Ngati chithandizo cha matenda osokoneza bongo sichifuna kupuma kwina konse, physiotherapist angapereke mankhwala ochizira opaleshoni. Kuchita masewera olimbitsa thupi pofuna kubwezeretsa ntchito ya odwala omwe ali ndi ziwalo akusambira. Amachepetsanso katunduwo, amalola kuti muthetse minofu ndi kubweretsa cholowacho pamalo abwino.
Kuchita masewera olimbitsa thupi kwa odwala omwe ali ndi ziwalo ayenera kuchitidwa mosamala, kuyambira ndi chiwerengero chochepa cha kubwereza. Mmodzi ayenera kumvetsera bwino za moyo wake ndi kusiya machitidwe omwe amachititsa kuti vutoli liwonjezeke. Zochita zazikulu kwa odwala omwe ali ndi ziwalo zamkati ndi awa:
- mahi mapazi;
- kuyenda ndi mawondo apamwamba;
- magulu;
- dilution ndi kuchepetsa kwa kukweza miyendo mu supine udindo;
- mapiri ali ndi miyendo yolunjika;
- mapulaneti kuchokera ku malo okhala;
- kukweza miyendo kuchokera pamtanda wokhazikika pamimba.