Bursitis (daga Latin "bursa" - jaka) mummunan ciwo ne na jakar synovial. Tushen cutar na iya zama bugu, faɗuwa, kaya mai nauyi akan haɗin gwiwa, kamuwa da cuta, raunuka, da yankewa. Samun asali da magani kan haifar da mafi yawan lokuta.
Janar bayani
Bursar (bursa) kamar rami ne wanda yake cike da ruwa wanda yake kusa da gabobi da jijiyoyi don kwantar da nama a yayin motsi. Akwai kusan su 150 a cikin jiki Suna amortize, sa mai haɗin gwiwa tsakanin ƙasusuwa, jijiyoyi, tsoka a gabobin.
Kwayoyin synovial din dake ruf da bututun bursal suna samar da mai na musamman. Yana rage gogayya tsakanin kyallen takarda kuma mutum na iya motsawa cikin sauƙi.
Tare da kumburi na jakar synovial, asirin ruwan ruwan yana raguwa kuma zafi, taurin motsi, da jan fata suna bayyana. Rarrabe tsakanin m, subacute, na kullum bursitis. Wakilin haddasawa takamaiman kuma ba takamaiman ba. Tsarin kumburi yana haifar da tarin exudate. Ta hanyar yanayinta, an rarrabata - mai ƙarfi, mai rarrafe, zubar jini.
Tare da bursitis na haɗin gwiwa na hanji, tsarin kumburi ya rufe jakar synovial. Mata masu matsakaita da tsufa galibi suna iya kamuwa da cutar.
Sanadin cutar yawanci:
- tsayin kafa daban;
- aikin tiyata;
- rheumatoid amosanin gabbai;
- scoliosis, amosanin gabbai, arthrosis na lumbar kashin baya;
- "Bone spurs" (matakai akan farfajiyar ƙasusuwa);
- rashin daidaituwa na hormonal;
- ƙaura daga shugaban haɗin gwiwa;
- rashin ruwa a jiki;
- ankylosing spondylitis;
- rashin lafiyan;
- cututtukan ƙwayoyin cuta;
- Adadin gishiri.
Tare da yin tsalle-tsalle mai tsayi, hawan keke, hawa hawa a kai a kai, ko a tsaye, akwai lodin da ya wuce kima a kan haɗin gwiwa, wanda zai haifar da rashin lafiya.
Kwayar cututtuka
Dangane da asalin rashin lafiyar jiki, rauni ya bayyana:
- ciwo mai zafi da ƙonewa daga waje ko ciki na cinya, suna ta sheƙawa zuwa duwawu, ƙashin ƙugu;
- kumburi siffar mai zagaye tare da diamita 10 cm;
- kumburin kyallen takarda;
- ƙara yawan zafin jiki;
- jan fata.
Saboda kumburi, mutum ba zai iya tanƙwara ba, daidaita ƙugu. Ciwon yana da ƙarfi da farko, amma idan baka fara jiyya ba, zai zama mai rauni a kan lokaci kuma aikin ya zama na kullum.
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Irin
Kusa da haɗin gwiwa na hip, akwai ilio-scallop, ischial, cavities trochanteric tare da ruwa:
- Serpentine. Mafi na kowa fiye da wasu. Akwai ciwo a yankin na ƙimar girma a gefen femur da jijiyoyi da jijiyoyi. Mai haƙuri yana fuskantar kumburi, rashin jin daɗi yayin motsawa, zazzabi, rauni. A hutawa, ciwon yana lafawa, amma lokacin da mutum yayi ƙoƙarin hawa matakala, yi tsugunno - sai ya ƙara ƙarfi. Ko da daddare, idan ya kwanta a bangaren da abin ya shafa, yana cikin damuwa game da ciwo. Sau da yawa yakan bayyana kansa a cikin mata, dalilan na iya zama yawan motsa jiki, nauyi mai yawa, cututtukan tsarin endocrin, osteoporosis, raunin hanji, sanyi, ƙwayoyin cuta.
- Ilium-scallop (kashi). Yana da halin kumburi na ramin synovial dake cikin cinya. Mutanen da ke jagorancin salon rayuwa ba su cikin haɗari Yana bayyana kansa azaman jin ciwo mai raɗaɗi a cikin gwaiwa, cinya na ciki, musamman lokacin ƙoƙarin tashi, zauna, ɗaga kafa. Wahala yana ƙaruwa bayan hutawa, barci, rashin motsi, lokacin ƙoƙarin tashi, ɗaga ƙugu.
- Ischio-gluteal. Tana nan a wurin da aka haɗe tsokoki na bayan cinya zuwa ga bututun iska. Mai haƙuri yana jin zafi a cikin gindi, wanda ya zama mafi muni idan ya zauna a kan kujera, ya lankwashe ƙugu, ya kwanta a gefen abin da ya shafa. Erarfin tuber ischio-gluteal yana ƙaruwa. Abubuwan da ba su da kyau sun fi muni da dare.
Diagnostics
Likitan kasusuwa yana sauraren korafe-korafe, yana nazarin yankin da abin ya shafa, yana yin laushi. Yana yin ganewar asali ta amfani da gwajin Aubert - an sanya mai haƙuri a gefen lafiya kuma an ba shi ƙungiyoyi da yawa - don janyewa, jagora, ɗagawa, runtse ƙugu. Idan ba zai iya yin su cikakke ba, to dalilin cutar shine bursitis.
A wasu lokuta, yana rubuta MRI, X-rays, gwajin jini. Bayan tabbatar da cutar, ya bada shawarar magani.
Jiyya
Bursitis ana bi da shi ta cikakkiyar hanya. Wannan shine shan magunguna ta bakin, allurai, wakilan waje da kuma aikin likita.
Magungunan anti-inflammatory marasa steroidal (Ibuprofen, Indomethacin, Meloxicam, Celecoxib, Piroxicam, Diclofenac) taimako. Suna rage zafi da kumburi. Ana amfani da sinadarin Hormonal (Prednisolone, Hydrocortisone, Flosterone, Kenalog, Dexamethasone). Chondroprotectors (Dihydroquercetin plus, Osteo-Vit, Teraflex, Artra), bitamin, microelements ana amfani dasu. A cikin al'amuran da suka ci gaba, an tsara magungunan rigakafi (Cefazolin, Sumamed, Panklav).
An shawarci motsa jiki don iyakance, lokacin tafiya, amfani da kara, sanduna. Man shafawa mai shafawa a jiki - Cortomycetin, Nise, Dolgit, Voltaren. Measuresarin matakan - maganin laser, duban dan tayi, electrophoresis, inductotherapy, busasshen zafi, aikace-aikacen paraffin, motsa jiki na motsa jiki, tausa.
A cikin al'amuran da suka ci gaba, ana amfani da tiyatar tiyata - ana fitar da ruwa mai yawa a ƙarƙashin maganin rigakafin gida tare da sirinji.
An cire bursa da ya shafa (bursectomy) a cikin ƙananan lokuta, lokacin da ƙididdigar ta faru.
Maganin gargajiya yana amfani da matattarar ganye - burdock, chamomile, yarrow, ganyen kabeji da zuma. Sha abin sha da aka yi da zuma da ruwan inabin apple.
Sakamakon da hasashen
A lokuta da yawa, ana warkewar cutar tare da turawa zuwa ga gwani da gano wuri. Akwai kowane damar dawowa, motsi ya dawo kuma zafi ya ɓace. Amma idan bursitis ya zama na jini, mutum na iya zama nakasasshe saboda lalacewar kayan guringuntsi.
Rikitarwa a cikin al'amuran da suka ci gaba na iya zama - lahani na hip, iyakancewar kewayon motsi, ƙarancin iska.
Rigakafin
Don hana rashin lafiya, ba kwa buƙatar ɗaukar kayan haɗin gwiwa, ba ɗaukar abubuwa masu nauyi ba, amfani da takalmin kafa, kula da nauyi, da guje wa rauni. Motsa jiki daidai gwargwado, yi atisaye mai shimfidawa da karfafa jijiyoyin cinyar ka. Kar ka manta da hutawa da kyakkyawan bacci, ku ci daidai, ban da abinci mai cutarwa, ku daina shan sigari da barasa.
