Post-traumatic arthrosis shine ci gaba mai saurin lalacewa-dystrophic a cikin haɗin gwiwa na ci gaba na yau da kullun wanda ke faruwa sakamakon fallasawa ga wakilin rauni.
Dalilin
Koda ƙananan lalacewa na iya tsokano da ci gaban lalacewar abubuwa a cikin haɗin gwiwa. Dalilin cututtukan cututtuka na haɗin gwiwa na gwiwa sun haɗa da:
- ilimin cututtuka na tsarin anatomical na haɗin gwiwa;
- ƙaura daga gutsure;
- lalacewar sifofi-haɗin jijiyoyi;
- rashin dacewa ko rashin dacewa;
- tsawaita motsa jiki;
- tiyata na maganin haɗin gwiwa gwiwa.
Mafi sau da yawa, wannan ilimin cututtuka yana faruwa ne saboda:
- take hakki na daidaituwar shimfidar shimfidar fuska;
- raguwa mai yawa a cikin samar da jini zuwa abubuwa daban-daban na haɗin gwiwa;
- tsawan tsawan wucin gadi.
Dalilin ci gaban cututtukan cututtukan zuciya na iya zama ɓarkewar ciki tare da ƙaura da rauni ga menisci da jijiyoyi (alal misali, fashewa).
Osh joshya - stock.adobe.com
Matakai
Dogaro da matakin bayyana, matakai uku na cututtukan cututtuka ana rarrabe su:
- I - majiyai masu zafi suna tashi yayin motsa jiki, tare da motsin ɓangaren da abin ya shafa, ana jin ƙarar cikin haɗuwa. Babu canje-canje na gani a yankin haɗin gwiwa. Ciwo yana faruwa akan bugun jini.
- II - bayyananniyar zafi yayin sauyawa daga tsayayyar yanayi zuwa mawuyacin hali, iyakantaccen motsi da safe, taurin kai, tsananin cushewa a cikin haɗin gwiwa. Palpation yana ƙayyade lalacewar sararin haɗin gwiwa tare da yankuna marasa daidaituwa tare da kwane-kwane.
- III - an canza fasalin haɗin gwiwa, ciwon ya zama mai tsanani ko da a hutawa. Jin zafi mai zafi yana ƙaruwa da dare. Akwai iyakance motsi. Haɗin haɗin da aka lalace yana da damuwa ga canje-canje a cikin yanayin yanayi.
Irin
Dogaro da yanayin wurin, ana rarrabe nau'ikan cututtukan cututtukan bayan-traumatic, kowannensu za'a bayyana shi a ƙasa.
Post-traumatic arthrosis na gwiwa gwiwa
Tsarin kumburi ya rufe guringuntsi, tsokoki, jijiyoyi da sauran abubuwa na haɗin gwiwa. Matsakaicin shekarun marasa lafiya shine shekaru 55.
Post-traumatic arthrosis na kafada haɗin gwiwa
Cutar na iya shafar ɗayan kafaɗun kafada ɗaya ko duka biyun. Abubuwan da ke haifar da wannan cuta sune ƙaurarsu da kuma miƙewa.
Post-traumatic arthrosis na yatsunsu
Tare da lalacewar guringuntsi na ɗamarar yatsun yatsu, tsarin ɓarna-mai kumburi yana tasowa.
Post-traumatic arthrosis na idon kafa
Wannan cututtukan cututtukan yana faruwa ne saboda kaura da kuma fasa.
Post-traumatic arthrosis na haɗin gwiwa na hip
Dalilin ci gaban wannan nau'in cuta shine fashewar jijiyoyi da sauran lalacewar haɗin gwiwa.
Post-traumatic arthrosis na gwiwar hannu hadin gwiwa
Raunin da ya haifar da lalacewa a yanayin haɗin gwiwar gwiwar hannu. Cikakkun raunin da ya faru na iya haifar da mummunar lalacewa ga guringuntsi da nakasar gwiwar hannu, sakamakon abin da ake ci gaba da sanya kayan nama kuma an lalata injunan haɗin gwiwa.
Kwayar cututtuka
Pathology na iya zama asymptomatic na ɗan lokaci ko ɓoye a bayan asalin abubuwan da suka saura bayan rauni na haɗin gwiwa. Tare da matakin ci gaba na cutar, ana iya lura da alamun cututtukan cututtukan zuciya na dogon lokaci.
A matakan farko, cutar ta bayyana kanta:
- zafi;
- crunch.
Ciwon ciwo yana da alamomi masu zuwa:
- sarrafawa a cikin lalace yankin na nama;
- babu sakaya iska;
- ciwo da ja;
- da farko mahimmancin ciwo mai raɗaɗi ya zama mai ƙarfi tare da motsi;
- a hutawa, basa nan kuma sun tashi yayin motsi.
Crunch yana ƙaruwa yayin da cutar ta ci gaba. Yana nufin daidaitattun alamun cututtukan cututtukan zuciya bayan rauni. A lokaci guda, yanayin ciwo yana canzawa. Suna yadawa a kan dukkanin haɗin gwiwa kuma suna iya haskakawa zuwa yankin sama ko ƙasan gwiwa. Ciwon yana samun karkatacciyar halayyar mutum, kuma yana da ƙarfi sosai.
Alamomin alamomi na cututtukan zuciya na bayan gwiwa na haɗin gwiwa sune bayyanar zafi da taurin kai lokacin fitowa daga yanayin hutawa. Waɗannan alamun suna ba da damar gano asalin cutar da farko har ma ba tare da amfani da wasu hanyoyin bincike ba. Mafi yawanci sukan bayyana bayan bacci.
A nan gaba, tare da ci gaba da ilimin cututtuka, shiga:
- kumburi na kayan laushi masu kusa;
- jijiyoyin tsoka;
- nakasawa daga haɗin gwiwa;
- gurgunta;
- lalacewar yanayin tunani da halayyar mai haƙuri saboda rashin ciwo mai ci gaba.
Diagnostics
Ana yin ganewar cuta bisa ga alamun asibiti, gunaguni na haƙuri da anamnesis. Dole ne likita ya bayyana ko akwai wasu raunin haɗin gwiwa a cikin rayuwar mai haƙuri. Tare da tarihin rauni, yiwuwar yuwuwar cututtukan bayan-traumatic yana ƙaruwa sosai.
An tabbatar da ganewar asali bayan binciken mai haƙuri da bugun jini na yankin da aka lalata. Ana yin hoton X-ray na haɗin gwiwa. A wasu lokuta, an tsara MRI ko CT don bayyana ganewar asali.
Les Olesia Bilkei - stock.adobe.com. MRI
Lokacin daukar hoto, hoton cutar kamar haka:
- Na - taƙaita sararin haɗin gwiwa, tare da gefunan da haɓakar ƙashi take. Akwai yankuna na gishiri.
- II - ƙaruwa a girman girman ci gaban ƙashi, taƙaita tsananin sararin haɗin gwiwa Bayyanar cututtukan ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙarshen faifan ƙarshen awo.
- III - nakasawa mai tsanani da kuma taurin saman guringuntsi na haɗin gwiwa. Necrosis na ƙasa yana nan. Ba a ganin gibin haɗin gwiwa.
Jiyya
Cutar na bukatar hadadden magani. A mataki mai sauƙi, ana amfani da maganin ƙwayoyi tare da aikin motsa jiki da kuma aikin likita. Idan magani mai ra'ayin mazan jiya ba ya haifar da tasirin da ake buƙata kuma cututtukan cututtuka suna ci gaba, ana yin aikin tiyata.
Manufar far shine a hana lalata kayan guringuntsi, sauƙaƙa ciwo, dawo da haɗin gwiwa tare da inganta rayuwar mai haƙuri.
Magungunan ƙwayoyi
Don cututtukan cututtukan zuciya, an ba da shawarar waɗannan kwayoyi:
- Chondroprotectors. Suna hana lalata guringuntsi kuma suna da tasirin kariya akan matrix.
- Masu gyara tsarin rayuwa. Sun ƙunshi ƙwayoyin bitamin da ma'adinai da abubuwa masu amfani.
- Magungunan NSAID. Yana rage zafi da kumburi. Ana amfani da magungunan yayin ɓarkewar cutar.
- Hyaluronic acid.
- Magunguna don inganta microcirculation a yankin da abin ya shafa.
- Glucocorticosteroids. An tsara shi in babu tasirin maganin ƙwayoyi.
- Hanyoyi don amfani na waje (man shafawa, mala'iku) dangane da abubuwan shuka da asalin dabbobi.
Jiki
Anyi amfani da farfadowa mai rikitarwa don inganta hanyoyin tafiyar da rayuwa a cikin guringuntsi, rage zafi da rage saurin haɗin gwiwa.
Hanyoyin magani na jiki:
- Hanyar duban dan tayi;
- shigar da ruwa;
- electrophoresis;
- magnetotherapy;
- ozokerite da aikace-aikacen kakin zuma;
- karin magana;
- barotherapy na gida;
- maganin bifoshite;
- acupuncture;
- gyaran fuska
© auremar - stock.adobe.com
Yin aikin tiyata
Tare da ci gaba na arthrosis, duk da magungunan mazan jiya kuma idan aka nuna, likita na iya ba da umarnin maganin tiyata.
Ana amfani da hanyoyin tiyata masu zuwa:
- endoprosthetics;
- jijiyoyin filastik;
- haɗin gwiwa;
- ciwon sikila;
- gyaran kafa;
- maganin arthroscopic.
Yin aikin shine ɗayan matakai na jiyya kuma baya kawar da cutar.
Magungunan gargajiya
Ana amfani da girke-girke na maganin gargajiya a matsayin adjunct don maganin farko. Amfani da su ya fi tasiri a matakin farko na cutar ko don rigakafin ta.
St John's wort, burdock, nettle da sauran shuke-shuke ana amfani dasu azaman anti-inflammatory, decongestant and regenerating agents. Ana amfani dasu don shirye-shiryen tinctures, kayan shafawa, man shafawa da sauran hanyoyi don amfanin ciki da waje.
Rikitarwa
Sakamakon ci gaban cututtukan cututtukan zuciya bayan-traumatic, ankylosis, subluxation da kwangilar haɗin gwiwa na iya faruwa.
La Alila-Medical-Media - stock.adobe.com
Hasashen da rigakafin
Sakamakon cutar ya dogara da tsananin da dacewar magani. A wasu yanayi, maido da haɗin gwiwa gaba ɗaya ba zai yiwu ba. Ingantaccen magani shine mafi kyawun zaɓi, akwai kusan kusan ragowar tasirin saura.
Ba za a iya dawo da wuraren da aka lalata na kayan guringuntsi ba. Babban burin farfadowa shine dakatar da ci gaban cutar. Late neman taimakon likita, rashin kulawa da tsarin da kuma tsufa mai haƙuri na iya ƙara ɓarkewar dabarun rashin lafiyar.
