Chondromalacia le idolo: oonobangela, iimpawu, isifo kwaye unyango

Ukuze ubomi ngokupheleleyo wonke umntu kubaluleke gqitha ukuba abe nako ngokulula nangokukhuselekileyo ukuhamba, kodwa, ngelishwa, abantu abadala, kunye nabantu abatsha basoloko izifo ezahlukeneyo omzimba apho nokuba elula ukuhamba kuba nzima. Omnye wabo - na chondromalacia idolo. Ngegama kucacile ukuba esi sifo sichaphazela amadolo, leyo amalungu kakhulu entsonkothileyo emzimbeni womntu. Owona msebenzi wabo - ukuqinisekisa nokushukumisa imilenze. Kabi kwi idolo kusoloko kukho ukuqina ethile intshukumo, kunye kwiingxaki ezimandundu kunye namalungu kukhokelela nokukhubazeka. Idolo siqulathe ezininzi iindawo, yaye ngalinye uqale deformation, ekhokelela kwizifo ezithile ngamnye. Eli nqaku linika ulwazi malunga ekutshatyalalisweni intlala phezu ithambo encinane, ngokuba patella.

Indlela emayenziwe ngayo idolo

Ukuze siyiqonde ngokucacileyo uhlobo disease nto - chondromalacia idolo ukukhumbula ukuba amalungu luqulathe emadolweni zethu. nesiseko sayo la mathambo ezimbini ezinkulu (ethangeni ongentla lesiquluba ongezantsi) kunye ithambo encinane (patella ekuthiwa patella edume). Le patella yingalo olongezelelweyo flexion / ukwandiswa kwamadolo. Yena inobuso ezimbini - engaphandle, rough ngakumbi, yaye ngaphakathi, ngakumbi atshabalalisa, Bathiwe wambu intlala. Le patella ine imilo mgaqweni ngeenxa zonke, apho isiseko ekwanti (phezulu) kunye nesiphelo (ezantsi). Macala onke kokuba ingqongwe nemisipha amathambo encinane, ngoko ukuze kancinane kwatshintsha kumacala ahlukeneyo.

Ukongeza namathambo edolweni na nemisipha, isingxobo, neendebe kwaye ikhusela lonke ilunga, meniscus kunye intlala. Le philisi uba 6 iingxowa, 3 apho akhiwe kwi patella - ezimbini ngaphambili omnye ngasemva. Avelisa kubaluleke kakhulu ukuba umsebenzi kulwelo synovia.

Ubume intlala

Ukuze sibhekisele kwindlela ababephile xa lwenzeka ngesiquphe intlungu kwedolo, abantu kudala wasebenzisa ibinzana elithi "tuck idolo". Xa amayeza, le meko kuthathwa ukuba isifo, ukuba encinane yokwenza ukubana nayiphi na inxalenye ngokudibeneyo ibizwa ngokuba chondromalacia idolo. Oku kuthetha ukutshatyalaliswa intlala patella egubungele nezibilini zayo. Ububanzi intlala kule ndawo - ubuninzi-10 mm. Ine- ilastiki, kodwa ngaxeshanye, ukuvakala exineneyo umphezulu egudileyo. Indima intlala - isindululo ukunciphisa iimpikiswano zochuku kwamathambo kunye ukufunxa imithwalo kukothuka. Kubume bayo, le intlala hyaline yi elastic kakhulu, kodwa hayi nje ixesha elide njengoko fibrocartilage, nto leyo isisiseko le menisci. Le nto ndiyibhalayo ngamanzi (80%), izinto eziphilayo (15%) kunye neetyuwa kwezimbiwa (5%). Ukudla fluid yayo ehlangeneyo.

Izizathu kutshatyalaliswe intlala

Chondromalacia kwi amadolo ukuba yintoni na unobangela nanini na ubudala. Ubangelwa sifo zimi ngolu hlobo lulandelayo:

- edolweni;

- deformation namalungu;

- naso kwaye ezifunyenwe ngenxa yezifo mgaqweni ezithile kuphuhliso amalungu indawo;

- utshintsho ezinxulumene-ubudala, ezifana ukunciphisa ukuyilwa lwamalunga intlala yonikezelo fluid.

Noko ke, amaxesha amaninzi isifo kwenzeka esibayeni, zizele abantu amandla ababonakalisa ngamandla kakhulu, nto leyo enika ngamadolo umthwalo omkhulu ngokugqithiseleyo. Olu didi ibandakanya ikakhulu iimbaleki, ingakumbi abo babandakanyeka ekhatywayo, weightlifting, hockey, Lula. Kodwa akukho midlalo kuphela ukuphuhlisa chondromalacia idolo intlala ngokuhlangeneyo. ezemidlalo efuna ukugcina umzimba wakho kwimilo egqibeleleyo, iingxaki eyaziwa edolweni. Aba bantu banikela iinyawo zabo umthwalo kangangoko encinane, kodwa ke ngenxa yokuba abazenzayo ngaphandle umqeqeshi, kaninzi yenza iindidi olulandelenayo engachananga, nto leyo microtraumas kwamadolo.

Phakathi kwezinye izizathu, ebangela ukutshatyalaliswa hyaline intlala, zezi:

- an ukungalingani kwezihlunu;

- ukulimala amacandelo femoral kunye tibial welungu idolo;

- uhlukunyezwe le patella;

- amavila (nabantu abatyebe kakhulu ehamba rhoqo kakhulu ukulayisha amalungu abo omzimba asezantsi);

- unxiba izihlangu ntofontofo anokudala umthwalo owongezelelweyo kwi joint edolweni;

- azalwa okanye ukukhubazeka ezifunyenwe.

ngezigaba

Kuxhomekeka kwindlela kude bemkile ngokutshatyalaliswa intlala le chondromalacia edolweni yahlulwe kumanqanaba amane:

- wokuqala, apho deformation kuqalisa kuphela, iimpawu Noko ke kancinane, kwaye unyango lusebenza ngokwaneleyo;

- owesibini, luphawulwa imbonakalo microcracks kwi intlala, ebangela izenzakalo buhlungu ngokwaneleyo perceptible;

- wesithathu, apho nditshaye luyanda, kwezinye iimeko ekufikeleleni amathambo;

- wesine, eyona ayihoyekanga, kufuna unyango entsonkothileyo kakhulu yaye kubize.

Cinga izinga iinkcukacha.

isidanga sokuqala

Chondromalacia 1 degree of edolweni luphawulwa kukuba kwi intlala kuvela uhlobo yokuqala - it zomzimba iqala ukuthambisa ngcembe yaye babe itywina yalula ezincinane buqapheleke kwi kumphezulu ehlangeneyo. Xa ohlohliweyo, zinokubangela ukungakhululeki wobulali kuphela, abantu abaninzi kangaka iliphawu enjalo yokungahoywa.

Yiyiphi enye into uphawu kokuqala esi sifo? Ezi iimpawu zokuqala yagcwala emadolweni okanye into unqakrazo efana, buqapheleke ingakumbi xa umntu enentsholongwane esuka ukuchopha esikhundleni sakhe, benyuka ngezinyuko, ukwenza imithambo ezithile, umzekelo, egobile umlenze ukuze kwesithende wachukumisa ngeempundu, uze ke elungi-. Ukuba yaziswe efakwe emva elide ehleli ngemilenze onke.

Ukuba iimpawu ezinjalo ngoko nangoko qhagamshelana gqirha, unyango uyakunyinelwa kwindlela yogcino lwamandla, ukutya kunye lokuthathwa nezongezo zokutya - hondroprotektorov.

besigaba sesibili

Chondromalacia 2 degrees ze idolo uqala ngenxa isidanga izifo alunyangwanga 1 ngexesha ilondoloza tight isingqi ubomi kunye nomsebenzi emzimbeni. Kweli nqanaba intlala leyo wakubo zibe zomzimba, iintanda, indawo monakalo kodwa azidluli kwi-13 mm. Man uva intlungu iintshukumo ezibukhali (ukuvuka kubo esitulweni, ekuqaleni ukubaleka okanye ukuhamba, imithambo, efuna flexion kunye nokwandiswa imilenze). I degree yesibini buqapheleke yaye zibukeke. Xa lawubetha edolweni mbile, oko kwaqapheleka kwesikhumba kunokwenzeka. Unyango kule kunokwenzeka emithethweni kwaye ziquka unyango emzimbeni, ngokuthatha amayeza, umda imithwalo. Kulo mzekelo, eyona njongo iphambili oogqirha - ntlungu, uze ndakhe intlala.

degree wesithathu

Chondromalacia 3 degrees ze idolo ithathwa enzima phantse lakho nokutshatyalaliswa uhlobo umzimba intlala. Usaqhubeka flake ku kwimicu, ubunzulu kunye nenani iintanda kulo kwandisa, kwaye indawo deformation sele kakhulu ngezantsi-13 mm. Eli nqanaba le sifo kwenzeka kwiintlobo oyingozi futhi ezigulo ezondeleyo. Xa umntu uziva buhlungu elibukhali kwi edolweni, akukhathaliseki nokuba wenza iintshukumo ezibukhali okanye agudileyo eqhubekayo. Yeempawu zibandakanya:

- ukudumba ulusu yomguli joint;

- iLand ukuhamba;

- ubunzima obukhulu xa enza squats.

Ngendlela ezingapheliyo umntu uba rhoqo buthuntu intlungu iqaqamba ngelixa ukuhamba, mbi, umzekelo, xa benyuka ngezinyuko. Amaxesha amaninzi ezi ntshukumo zihamba kunye kwemali okanye konqakrazo ngokwamanakanibe wavakalisa.

elide unyango degree lwesithathu yaye kuziindleko, kwaye oogqirha azisoloko akuqinisekisi recovery ngokupheleleyo intlala. Kuba ntlungu kunye nokufunyanwa yokuqala intlala inyama zidla emiselweyo ngenaliti ukuya entlanganweni edolweni ukuya izosebenza kuphela liyincutshe onamava - amathambo okanye umothuko. Ukususa inkqubo yokukrala nga ukwabela izitofu intramuscular kunye ukuyifundisa.

degree yesine

Chondromalacia idolo degrees 4 joint kwenzeka xa isigulane na ukunyanga ngamadolo, okanye zaxhonywa akwanelanga, umzekelo, yima kuphela intlungu. Kweli nqanaba zezonakaliswa intlala ibaluleke kangangokuba zifike ithambo. Kwixesha elizayo, naye uqalisa ukuba ndiludilize, nto leyo phantse usoloko esikhokela nokukhubazeka. Ngaphandle 4 degree yabonisa idolo ukudumba kwaye bomvu, maxa wambi buhlungu xa uzichukumisa. Umntu deformation enjalo nzima ngokudibeneyo ukuya ngaphandle nokusetyenziswa kwezixhobo ezizodwa (imisimelelo, iintonga). Ngamanye amaxesha izigulane chondromalacia grade 4 akhalaze imandundu jikelele.

ekuxilongweni

Xa mpawu zingasentla kufuneka ziphathwe yi podiatrist, okanye, ukuba ugqirha onjalo iingcali ekliniki ukuba le traumatologist okanye ugqirha. Uxilongo iqala eneencwadi imbali yezonyango. Ugqirha ifumanise ukuba ingaba ogulayo edolweni, wathi uhlobo iintlungu, uhlolo olubonakalayo. Ngaphezu koko, izigulane ndenziwa-X-reyi (njengoko pre-kwafunyaniswa), arthroscopy (ngenkqubo ye kokukhutshelwa ezidityanelweyo lweHo- arthroscope ezincinane), MRI okanye CT scan.

Indlela yokuphatha chondromalacia idolo joint?

Kule sifo amayeza zixhomekeke iqondo ukutshatyalaliswa intlala.

Njengoko kukhankanyiwe ngasentla, xa isidanga 1 yabelwa kuphela unyango elondoloza kuquka:

- kunyanzelekile enxibe pads idolo, iqhiya okanye ithengise umhlabelo ezizodwa, kunye kinezioteypy kutshanje isoloko isetyenziswa;

- utshintsho kwinqanaba lomsebenzi ngokwasemzimbeni kweenyawo zabo;

- umzimba;

- amalungiselelo okanye izongezo zokutya kunye chondroitin sulfate okanye glucosamine.

Ngama-2 no-3 ngo-nothomalaliso yokuqala ikhutshwa phandle ukususa iimpawu arhabaxa. Emva koko, lo gqirha unakho ukumisela resection gqitha isabelo intlala. Ekugqityweni kwale nkqubo, umngxuma ehlangeneyo yoxukuxwa saline. Ukuba resection akwenzeki ukuphumeza, ugqirha umisela umzila we sibange. Izinto kuba koko iye iyathathwa intlala okunempilo isigulane ukuba izihlunu aqhele 100%.

Enye indlela unyango - inaliti ukuya edolweni odibeneyo hyaluronic acid.

Oku kuphucula umgangatho kulwelo lwamalunga, oko kuyanceda ukubuyisela izihlunu intlala, kunciphisa komtshiso oko.

Emva resection efunekayo izitofu okanye unyango okungenisa luyenziwa eyabelwe iinkqubo ukwandiswa kwendawo yokuhlala njengoko izicelo ze njengomthwebeba okanye idolo ozokerite, laser, unyango ngemagnethi, electrophoresis. Kwakhona, isigulana okuchitha ethululwayo ikhosi iivithamini kunye chondroprotectors. Phakathi amachiza ezithandwayo "Artron" yaye "Artron enzima", "Teraflex" yaye "Advanced Teraflex", "Struktum" "Chondroitin akos".

Xa degrees-4 kula manyathelo kunokunganeli, njengoko uninzi kukubuyisela kwayo intlala idolo elifana inyama joint sele kuyathandabuzeka kakhulu. Kwiimeko ezinjalo, ukwenza imisebenzi enzima iiplastiki osteochondral, stem cell abohlukeneyo, Tunneling, owakhiwa yokwaphula imiqathango yesiKhuseli ezininzi imingxunya ithambo subchondral. Ngenxa yezi nasemzimbeni ekujoliswe yenza kwizicwili, onako ukuvala iziphene intlala.

Tips awafani

Chondromalacia idolo joint - isifo kakhulu ogama iimpawu angena kubethwa ngoyaba. Zokupheka inyanga abantu abayi kuba nako ukubuyisela ijwabu intlala, kodwa kukunceda uthobe iintlungu ixesha elithile ukuze uvuyo intshukumo. Ngoko, xa lidolo ukudumba okubi namagqirha isindululo isicelo umkhenkce kwiindawo ngxaki. Cryotherapy Oku kuya kukunceda ukuba uphephe nokudumba. Koko kufuneka indawo cool Oluma ukuba shushu. Uyakwazi ukusebenzisa utywala buttercup izicatshulwa intsimi, nezompleyini, cinquefoil, ingcambu burdock ne devyasilom. Ukulungiselela tinctures esisiseko jikelele. Njengoko i encedisayo kuthetha ngaxeshanye kunye unyango engundoqo ndingasela iti esintu, umz chicory cranberry leaf. Ephelisa intlungu ukufukuka, kwaye kunceda iqhotyoshelwe esizweni igqabi ikhaphetshu entsha okanye ilaphu luyaphela xa nesisombululo propolis. Amanye amaxhwele bacetyiswa ukuba tipakani edolweni oli yemifuno Umgubo eshushu okanye bawahlikihle isiqingatha ivi yelamuni.

Enoba ngesiphumo sesicelo kwezi ndlela ezithandwayo ukutyelela ugqirha abantu abaye buhlungu ngamadolo akhe, qiniseka.

ukuvimbela

Ukuthintela chondromalacia le idolo, oogqirha ukunika ingcebiso onjalo kwabadlali:

- ukuba baqalise uqeqesho olusisiseko, kungekhona pre-ukufudumala yaye abazange zilifudumeza izihlunu;

- xa usenza naluphi na uqeqesho namandla nalo ngamadolo am amabhandeji ezikhethekileyo - zokubhala idolo.

iingcebiso jikelele, ifanele bonke abantu, ngolu hlobo lulandelayo:

- ukubukela ubunzima bakho;

- musa ukunxiba izihlangu ungakhululekanga, kwaye kubalulekile ukuba abe lisekela Arch;

- kuphephe ukwenzakala okanye imithwalo enzima ngeenyawo.

Ukongezelela kunyango, oko ukutya kubalulekile chondromalacia idolo. Kuyinto ukunqanda soda, ukutya yaba ngumsi yonke iphela, ukutya olunamafutha, izinja ezishushu. Kuyimfuneko ukuba kukunciphisa isixa carbohydrate ekutyeni kunye netyuwa uze Ukwandisa ukuthathwa iziqhamo, incindi evela kubo, ijeli, aspic, ijeli kwi agar yendalo, imveliso zobisi, intlanzi ebomvu, iinuts, zeerasintyisi.

Outlook

Amathuba usebenze ngokupheleleyo nokufunyanwa welungu idolo ekutshatyalalisweni intlala articular kuxhomekeke koko ibakala unyango sifo esiqaliweyo, kwakunye namandla ekuphulukenwe yesigulana. uqikelelo ezichanekileyo oogqirha musa ukunika, kodwa hayi imibuzo ngoluvo lokuba Guqani chondromalacia 1 degree kwakhona ngokuxhomekeke ngokupheleleyo kuzo zonke iingcebiso isigulane wamathambo. Xa isifo 2 degrees-3 emva resection le intlala kufuna kwimo ixesha elide. Xa degrees 4 articular intlala sele ngokupheleleyo ngokoqobo kwakhona, kodwa isigulane wabuyela amathuba ukuhamba yalula kunye nezinye iintshukumo.