Pafupifupi 30 peresenti ya odwala omwe amapempha chithandizo chamankhwala, amachiritsidwa pamodzi. Mpaka posachedwapa, matenda oterowo anapezeka pakati pa anthu ogona pantchito, koma tsopano ndi "aang'ono": Matenda ogwirizana amathandiza achinyamata masiku ano. Ngati muzindikira zizindikiro za matendawa m'kupita kwa nthawi, ndizomveka kulimbana ndi matenda.
Matenda a ziwalo - kugawa
Gululi likuphatikizapo matenda ambiri. Matenda onse a manjenje amaimiridwa ndi mabungwe otsatirawa malinga ndi chikhalidwe cha zilonda:
- Kutupa komwe kumayambitsa matenda oopsa, opatsirana opatsirana kapena osatetezeka. Matendawa amayamba mofulumira kwambiri. Zimaphatikizapo kutupa kwakukulu ndi ululu. Ku gulu ili la matendawa limaphatikizapo nyamakazi, gout, matenda a Hoff .
- Kuwonongeka kwachinyengo komwe kunayambitsidwa chifukwa chokhala ndi ziwalo komanso kuwonongeka kwa minofu. Matendawa amayamba pang'onopang'ono. Woimira gululi ndi osteoporosis .
- Kuwonongeka kwa mgwirizano wa Congenital. Magulu a matendawa amanyamula matenda a Marfan .
- Matenda a ma periarticular tissues. Matenda oterewa amapezeka kawirikawiri kapena kutaya mtima kwambiri.
Kuwonjezera pamenepo, matendawa angakhudze ziwalo izi:
- phazi;
- mchiuno;
- ulnar;
- mawondo;
- ziwalo za maburashi;
- ankle.
Mwachiyambi matenda onse akhoza kukhala okhudzidwa mwa magawo oterowo:
- choyamba - tulukani mwachindunji;
- Zachiwiri - ndi zovuta za matenda ena omwe amapezeka mthupi (mwachitsanzo, kupangika ndi zochitika zapachilengedwe).
Matenda a ziwalo - zimayambitsa
Otsutsa za zoterezi ndizochuluka. Nthawi zambiri matenda ozungulirana amapezeka pazifukwa zotsatirazi:
- Matendawa - mawotchi ndi a mycobacterium, a gonococci, a brucellae, a streptococcus;
- zovuta;
- matenda a endocrine;
- zovuta mu ntchito ya mitsempha ya mitsempha, zomwe zimayambitsa kutuluka kwa mahomoni a corticosteroid;
- choloŵa choloŵa;
- chilengedwe choipa;
- chinthu chachikulu;
- Chakudya chochepa chosowa chofunika kwambiri cha micro-ndi macroelements;
- kupsyinjika kwakukulu pa ziwalo;
- kuvulala;
- dampness ndi kuzizira;
- zizoloŵezi zoipa;
- kugwiritsa ntchito mankhwala opweteka nthawi yaitali (Nimesulide, Diclofenac kapena Indomethacin).
Matenda a ziwalo - zizindikiro
Zizindikiro zimasiyanasiyana malingana ndi matenda omwe thupi lagunda. Nthawi zambiri matenda ogwirizanitsa ndi awa:
- minofu yowonongeka m'deralo;
- chisokonezo cha ziwalo;
- ululu (pa mpumulo ndi pambuyo pa katundu);
- kuuma;
- Tsamba pakhungu pafupi ndi malo okhudzidwa.
Kodi mungagwiritse ntchito bwanji ziwalo?
Asanayambe kulimbana ndi matendawa, dokotalayo adzaika mayeso oyenera kwa wodwalayo. Chifukwa chake, chithandizo cha ziwalo chidzakhala chogwira ntchito kwambiri. Pofuna kudziwa bwinobwino, wodwalayo akhoza kupatsidwa mayeso oyenerera ndi ma laboratory:
- kupuma kwa madzi amodzi;
- nyamakazi;
- kuyesa magazi;
- X-ray;
- tomography.
Kuonjezera apo, akayesedwa, adokotala amamvetsera mwatcheru madandaulo a wodwalayo. Malingana ndi zotsatira zomwe zapezeka, dokotala amapereka chithandizo chabwino kwambiri. Ngati ziwalo zikupweteka, chithandizochi chikhoza kukhala motere:
- choyimira;
- chithandizo;
- njira zina.
Thandizo la Conservative ndi cholinga chochepetsa kupwetekedwa mtima, kuyimika kwa magazi komanso kuchepa kwa ziwalo. Kuphatikiza apo, kumathandiza kuti kusintha kwa kagwiritsidwe kake kagwiritsidwe kake kamene kamakhala pamatenda. Ngati dokotala atapeza kuti kutupa kwake kwayamba koyamba, nthawi zambiri amamupatsa chithandizo. Njira zoterezi zikuphatikizapo njira zotsatirazi:
- kutenga mankhwala ndi blockade;
- mankhwala;
- mankhwala;
- thupi;
- phytotherapy;
- kusisita.
Nthawi zina, mankhwala osokoneza bongo amathandizira. Izi zimafala kwambiri kwa odwala omwe ali ndi matenda apamwamba. Njira yothandizira opaleshoni ndiyo mwayi wokha kuti munthu abwerere ku moyo wamba. Ntchito zotsatirazi zikhoza kuchitika:
- endoprosthetics;
- kukangana kwakukulu;
- osteotomy.
Mapiritsi a ziwalo
Pochiza matenda ophera tizilombo tosiyanasiyana timagwiritsa ntchito mankhwala osiyanasiyana. Nthawi zambiri odwala amalembedwa mapiritsi osatsutsika omwe sali-steroidal amphatikiza ndi cartilage:
- Meloksikam;
- Celecoxib;
- Rofecoxib;
- Ketoprofen;
- Aceclofenac.
Mphamvu yotsutsa-kutupa imadziwika ndi mahomoni a glucocorticoid. Nthawi zambiri amalembedwa mankhwala awa:
- Dexamethasone;
- Hydrocortisone;
- Triamcinolone;
- Prednisolone.
Kuchiza kwa ziwalo kunyumba kumaphatikizapo kugwiritsa ntchito mankhwala osokoneza bongo. Wosankhidwa pa nkhaniyi, miyala ija:
- Chondroxide;
- Don;
- Honda;
- Mpweya;
- Movex.
Kuchita zimenezi, ndi mankhwala ovuta komanso opangidwa ndi mankhwala omwe amakhala ndi calcium. Ma mapiritsiwa nthawi zambiri amalembedwa:
- Osteoka;
- Rockaltrol;
- Osteogenon.
Amagulu a ziwalo
Pogwiritsira ntchito mankhwala osokoneza bongo, jekeseni ndi magulu ozunguza bongo amatha kulembedwa:
- corticosteroids (Kenalog, Flosteron, Celeston);
- olemba chondroprotectors (Alflutop);
- jekeseni yamagetsi;
- hyaluronic acid (Sinocrom, Ostenil).
Zomalizirazo zimatengedwa kuti ndizo zothandiza kwambiri, popeza mankhwala omwe amagwiritsidwa ntchito mu jekeseni ndiwo mbali yaikulu ya synovial fluid. Amapanga ziwalo ndi hyaluronic acid omwe amapatsidwa maphunziro. Gawo limodzi liri ndi jekeseni 3-5, nthawi yomwe imayenera kukhala sabata. Zotsatira za njira zoterezi zikhoza kupitirira chaka chonse.
Kuchiza kwa ziwalo ndi mankhwala ochiritsira
Ndi mankhwala ovuta, njira zina zingagwiritsidwe ntchito. Poonetsetsa kuti thupi la wodwala silikuwonongeka bwino, maphikidwe onse ogwiritsidwa ntchito pamodzi sayenera kukhala ndi zowonjezera zomwe zimayambitsa matenda. Kuonjezera apo, mankhwala achipatala ayenera kuyang'aniridwa moyang'aniridwa ndi dokotala. Ndi mankhwala omwe amagwiritsidwa ntchito akhoza kukhala ochepetsetsa komanso kusakaniza zitsamba, komanso mafuta odzola.
Chikhalidwe cha mankhwala ndi mankhwala a kirimu
Zosakaniza:
- inflorescence wa wort St. John's - 2 tbsp. makuni;
- mankhwala a clover - 2 tbsp. makuni;
- hops - 2 tbsp. makuni;
- Vaseline - 50 g.
Kukonzekera ndi ntchito
- Mankhwala a mankhwala amatha kukhala phulusa.
- Sakanizani ndi mafuta odzola kuti mupange minofu yofanana.
- Mafuta okonzeka amachotsedwa mu ziwalo zokhudzana ndi matenda, ndipo pamwamba pake amawakulungidwa.
- Nthawi ya ntchito imadalira pa siteji ya matenda.
Masewera olimbitsa thupi
Zochita zolimbitsa thupi ndizovuta zochitika zapadera. Mukamapanga pulogalamu yotere, mkhalidwe wa wodwalawo umayesedwa. Ngati ululu wopwetekedwa m'magulu amadziwika pa zochitikazo, chithandizocho chiyenera kuimitsidwa kwa kanthawi. Kupyolera mu mphamvu, simungathe kuchita masewera olimbitsa thupi. Phindu lalikulu lidzabweretsa makalasi ozolowereka. Muyenera kuyamba ndi zozoloŵezi zosavuta, kuonjezera mwatsatanetsatane katundu.
Kusisita kwa ziwalo
Njirayi ili ndi mphamvu zambiri. Pambuyo potikita minofu, zoterezi zimati:
- ululu umachepa;
- kuyenda bwino;
- kudzikuza kumakhala kochepa.
Ngati matenda a mgwirizano amapezeka, mankhwala ndi kusisitala amapangidwa ndi maphunziro. Misonkhano ikuchitika kuyambira 10 mpaka 25 mphindi ziwiri kapena katatu pa sabata. Nthawi imadalira mkhalidwe wa wodwala komanso siteji ya matenda. Njira yopangira misala ndi iyi:
- kuyenda;
- kusamba;
- kufinya pansi pa mtengo.