Ụzọ ọgwụgwọ maka arthrosis

Ọrịa ogbu na nkwonkwo - ọrịa na-etolite n'ime ọtụtụ afọ na-emebi emebi na nkwonkwo ụfọdụ. Ọtụtụ mgbe, mgbanwe na-egbu mgbu na-emetụta nnukwu nkwonkwo - ikpere, hip, ubu, wdg. Mgbu na ihe isi ike na-agagharị n'ime ha na-eme ka ndụ mmadụ sie ike n'ụzọ anụ ahụ na nke mmetụta uche, ma nye eziokwu ahụ na arthrosis na-emekarị mgbe ọ dị obere, ọ nwere ike igbochi mmezu nke ihe mgbaru ọsọ ọkachamara na nke onwe. Ọ bụ ya mere ọ dị mkpa iji chọpụta ọrịa ahụ ozugbo enwere ike ma malite ọgwụgwọ zuru oke nke arthrosis.

Ọgwụgwọ nke arthrosis

N'oge mmalite nke ọrịa ogbu na nkwonkwo, a na-eji ụzọ nchekwa na-adịghị agụnye ịwa ahụ. Ka ọ dị ugbu a, ụzọ mgbazi na-eme ka o kwe omume ịkwụsị mmepe nke ọrịa ahụ, nọgide na-arụ ọrụ moto, belata ogo nke isi ihe mgbaàmà nke arthrosis na n'ozuzu mma ndụ mmadụ.

1. Ọgwụgwọ ọgwụ:
   • NSAIDs;
   • GCS;
   • chondroprotectors.
2. Usoro ọgwụgwọ PRP.
3. Mmega ahụ ọgwụgwọ.
4. Ịhịa aka n'ahụ na ọgwụgwọ ntuziaka.
5. ọgwụgwọ traction.
6. Physiotherapy.

Usoro ọgwụgwọ physiotherapy n'ọtụtụ ebe maka arthrosis:

• ọgwụgwọ magnetik;
• UHF;
• inductothermy;
• ọgwụgwọ ultrasound;
• balneotherapy;
• ọgwụgwọ ịwa ahụ.

Ọgwụgwọ na ọgwụ

Enwere nkwenye zuru ebe niile n'etiti ndị ọrịa na ịṅụ ọgwụ na-enwe mmetụta analgesic (ọnụ n'ụdị mbadamba ma ọ bụ injections - intramuscularly) bụ ụzọ kachasị mkpa iji wepụ ihe mgbu na arthrosis. N'ezie, iji ọgwụ eme ihe bụ usoro nke enyemaka mgbu ngwa ngwa, nke a ga-edepụta naanị n'oge nnukwu oge. Nke bụ eziokwu bụ na ọgwụ ndị a na-edekarị maka ebumnuche ndị a nwere mmetụta dị njọ, nke na-abawanye ogologo oge na karịsịa na-ejighị ya eme ihe. Anyị na-ekwu maka mmetụta na-adịghị mma sitere na digestive, obi, obi, ụjọ usoro, nke nwere ike dị elu nwere ike iduga onye ọrịa ahụ n'àkwà ụlọ ọgwụ (ọbara ọgbụgba afọ, ọgba aghara obi nke obi, mmetụta na imeju na akụrụ, wdg).

Ọgwụ mgbochi mkpali na-abụghị steroidal

1. Ndị NSAIDs - ọgwụ mgbochi mkpali na-abụghị nke steroid, ọtụtụ n'ime ha dị na-enweghị ndenye ọgwụ na ndị ọrịa na-ewere ya n'onwe ha. Otu a na-agụnye ọgwụ dị iche iche nke kemịkal. Ọgwụ ndị a na-akpọ mgbochi mkpali na analgesic mmetụta, nwere ike ibelata mgbu na nkwonkwo mpaghara na n'akụkụ muscle anụ ahụ, ma adịghị emetụta mmepe nke ọrịa. A na-eji ha naanị iji belata mgbaàmà na ọkwa niile nke ọrịa ahụ. Dị irè maka concomitant synovitis (mgbakọ mmiri na nkwonkwo).

2. GKS - glucocorticosteroid ọgwụ nwere ike mgbochi mkpali na analgesic mmetụta. Ọ bụ ihe amamihe na dị irè iji nye ha periarticularly. Otú ọ dị, ndị ọrịa na-enwekarị àgwà ọjọọ maka iji ọgwụ ndị a eme ihe na ọgwụgwọ, nke jikọtara ya na mmetụta ndị nwere ike ime: nsogbu na-efe efe, mmebi nke ligaments, elu articular, na cartilage degeneration. Ma site na nchịkwa periarticular, ihe ize ndụ nke nsogbu ndị a dị ntakịrị.

3. Chondroprotectors - bekee bụ eke mmiri nke cartilage anụ ahụ, nke, mgbe e were ọnụ, na-eme ka gradual mweghachi nke cartilage, normalize ya njupụta na elasticity. A na-ejikarị ihe ndị a na-arụ ọrụ na-ejikọta ma tinye ya na ọgwụ dị iche iche na ngwaahịa enyemaka. Chondroprotectors anaghị enwe mmetụta analgesic ngwa ngwa; mmụba na-amalite site na iji ọgwụ ogologo oge dabere na ha, nke jikọtara ya na mweghachi akụkụ nke anụ ahụ cartilage. Akwadoro na ọkwa niile nke ọrịa ahụ.

Usoro ọgwụgwọ PRP

Otu n'ime ụzọ kachasị ọhụrụ nke ọgwụgwọ mweghachi, nke a na-eji eme ihe maka mmerụ egwuregwu na ọrịa degenerative-dystrophic nke nkwonkwo, bụ ọgwụgwọ PRP (PRP - plasma-rich platelet) ma ọ bụ biorevitalization plasma, autoplasma therapy. A na-eji usoro a na-arụsi ọrụ ike na mba ọzọ.

Isi ihe nke usoro ahụ nwere ịgbanye plasma nke nwere platelet ozugbo n'ime ebe mmerụ ahụ, na nke a, nkwonkwo. A na-enweta ọgwụ maka nchịkwa site na ọbara nke onye ọrịa, ya mere a na-ewere usoro ahụ ọ bụghị naanị na ọ dị oke irè, kamakwa ọ dị mma maka ụmụ mmadụ. Ihe na-eto eto na ihe ndị ọzọ na-arụ ọrụ ndụ (serotonin, bradykinin, prostaglandins, wdg) dị na plasma nwere ụbara platelet na-enye aka n'ịkwalite usoro mmeghari na njikọ nke ihe ndị bụ isi nke ha.

A na-agbaba plasma nke nwere platelet n'ọgaranya ma periarticularly na ozugbo n'ime nkwonkwo emetụtara, si otú ahụ na-enweta mweghachi nke anụ ahụ, bụ isi nke cartilage.

Usoro a kacha dị irè na nkebi 1-2 nke ọrịa ogbu na nkwonkwo. Na-egosiputa nsonaazụ dị mma ma na-enye gị ohere igbu oge mmepe ngwa ngwa nke ọrịa ahụ n'ihi ntọhapụ nke ihe na-eto eto site na platelet. Usoro a dị ọhụrụ, mana egosila na ọ na-arụ ọrụ nke ukwuu. A na-eji ọgwụgwọ PRP mee ihe na mbụ na ịwa ahụ; taa a na-eji usoro ahụ eme ihe nke ọma n'ọtụtụ ebe ọgwụ, gụnyere rheumatology na orthopedics, neurology na cosmetology. Ịme ọgwụgwọ autoplasma na-enye gị ohere ịbawanye ndụ nke nkwonkwo na-enweghị ihe ọ bụla ọzọ na-eme ihe ike.

Ihe nchekwa mmiri Synovial - otu ọgwụ na-adabere na hyaluronic acid, nke a na-agbanye ozugbo n'ime oghere nkwonkwo (injection) ma na-arụ ọrụ nke mmiri na-ekpo ọkụ na-ekpo ọkụ n'ọnọdụ ahụ mgbe mmiri mmiri synovial nke anụ ahụ fọrọ nke nta ka ọ ghara ịdị (ọ bụ nke a na-enye ọrụ nke mmanu nke articular elu). A na-eji ya eme ihe na njedebe nke arthrosis.

A na-akpọkwa ọgwụ ndị dị n'otu a "prostheses synovial fluid", "ihe ndị na-anọchi anya mmiri mmiri synovial". Mmetụta mgbe nchịkwa nke ọgwụ ahụ gasịrị na-adịte aka - site na 6 ruo ọnwa 13, dabere na ọgwụ eji eme ihe.

Ụfọdụ na-etinye ìgwè ọgwụ ndị ọzọ - antispasmodics, muscle relaxants, B vitamin na ọgwụgwọ (elu) doses, ma ha niile nwere nanị inyeaka uru na ọgwụgwọ arthrosis.

Mmega ahụ ọgwụgwọ

Enwere ike iji ọgwụgwọ ọgwụgwọ pụrụ iche mee ihe ọbụlagodi n'oge ọgbaghara, n'oge ọ bụla nke arthrosis. Usoro ndị dị otú ahụ nwere ike ibelata ihe mgbu ma gbochie mgbochi siri ike na mmegharị nkwonkwo. Otú ọ dị, usoro ahụ adịghị amasị ndị ọrịa na-arịa ọrịa ogbu na nkwonkwo, ebe ọ bụ na ọtụtụ n'ime ha na-ehie ụzọ na nkwenye na ọ bụrụ na ihe mgbu dị mkpa iji gbochie mmegharị ọ bụla. Mmalite mgbatị ahụ n'oge, n'ụzọ megidere nke ahụ, na-akwalite mgbake ngwa ngwa na ibelata mgbaàmà, nke bụ isi mgbu.

Nke kachasị dị irè bụ ọgwụgwọ anụ ahụ n'ime mmiri, mmegharị nkwonkwo n'ebe a na-ebutu ibu (ịgha ụgha, ọdụ, nkwudo), na ije ije na-agafeghị oke n'elu ala dị larịị. Ọ bụrụ na ọ dị mkpa, dịka ọmụmaatụ, ọ bụrụ na ọ bụrụ ihe mgbu siri ike, a pụrụ itinye bandeeji pụrụ iche na nkwonkwo, ma ekwesịrị ịmalite mmụta anụ ahụ ozugbo enwere ike.

Ịhịa aka n'ahụ na ọgwụgwọ ntuziaka

Ụzọ nke mmetụta ígwè ọrụ na nkwonkwo, mọzụlụ na ligaments nwere ike ibelata ịdị njọ nke ihe mgbu, mụbaa agagharị, melite mgbasa ọbara na metabolism na mpaghara nke nkwonkwo emetụtara, na-ebelata spasms muscle, na normalize ọrụ ahụ.

ọgwụgwọ traction

N'ụlọ ọgwụ ma ọ bụ ụlọ ọgwụ ahụike, ọ ga-ekwe omume ịme ọgwụgwọ traction - nke a bụ traction nke nkwonkwo (hip, ikpere) site na iji usoro pụrụ iche na-eji ibu dị iche iche. Ezubere atụmatụ traction ọkọlọtọ maka ụbọchị 28, na-eji nwayọ na-abawanye ibu na oge mkpughe. A na-eji usoro oge gboo na nke ọgbara ọhụrụ ndị na-eji simulator eme ihe. Ịdị irè ha fọrọ nke nta ka ọ bụrụ otu, ma ndị simulators na-adịkwu mma maka onye ọrịa.

Physiotherapy

Iji usoro ọgwụgwọ anụ ahụ dị iche iche na mbido mbụ nke arthrosis nwere ike nweta ihe mgbu dị ukwuu na mmụba dị ukwuu na nkwonkwo emetụtara. Usoro ọgwụgwọ physiotherapy na-enyere aka mee ka usoro ọgwụgwọ ahụ kwụsịlata ma gbatịa oge na-enweghị mkpasu iwe.

Usoro ọgwụgwọ physiotherapy n'ọtụtụ ebe maka arthrosis:

1. Magnetotherapy - ikpughe mpaghara na mpaghara magnetik na-adị ala mgbe niile ma ọ bụ ọzọ. Na mpaghara nkwonkwo emetụtara, usoro metabolic na-eme ngwa ngwa, mgbasa ọbara na nnyefe nri na akụkụ nkwonkwo na-abawanye, a na-eme ka usoro nke ịmaliteghachi na njikọ nke ihe ndị dị mkpa maka ịrụ ọrụ nkwonkwo.

   Usoro ọgwụgwọ magnetik nwere mgbochi edematous, analgesic, mgbochi mkpali mmetụta fọrọ nke nta site na mbụ nnọkọ, nke nwere mmetụta dị mma na ọnọdụ izugbe nke onye ọrịa. A na-eji ọgwụgwọ magnetik eme ihe nke ọma n'ụlọ ọgwụ na ụlọ ọgwụ, ebe a na-eji ngwá ọrụ ahụike nke mgbanwe dị iche iche eme ihe.

   Nnukwu uru maka ndị ọrịa nwere ọrịa ogbu na nkwonkwo bụ ikike ịme usoro ọmụmụ onwe ha nke ọgwụgwọ magnetik n'ụlọ, dị ka edepụtara ya na n'okpuru nlekọta nke dọkịta na-aga. Iji ngwaọrụ ọgwụgwọ magnetik eme ihe n'oge na-enye gị ohere ịkwụsị ịmalite mgbu, mmalite nke mkpasu iwe, ma ọ bụ mee usoro mgbochi - ya bụ, nọgide na-ahụ ike.

   A pụkwara ịkpọ akụkụ dị mma nke ọgwụgwọ magnetik mmetụta bara uru nke usoro na ọnọdụ nke obi na ụjọ usoro. N'iburu n'uche na ọtụtụ ndị ọrịa na-arịa ọrịa ogbu na nkwonkwo bụ ndị agadi na ndị agadi nwere ụdị ọrịa na-adịghị ala ala (ọbara mgbali elu, ọrịa obi na-arịa ọrịa obi, atherosclerosis, wdg), mmetụta dị nro na nkwụsi ike nke ọgwụgwọ magnetik ga-aba uru nke ukwuu.

2. Ọgwụgwọ Ultrasound A na-ejikarị ya eme ihe na mmetụta nke ọgwụ na-eme ihe na-egbu egbu, analgesic, mmetụta mweghachi - ultraphonophoresis ma ọ bụ phonophoresis. Ultrasound na-abawanye permeability nke anụ ahụ maka ọgwụ ọjọọ, n'ihi ya, a na-abawanye mmetụta ha bụ isi. Ọbụlagodi na-enweghị akụrụngwa ọgwụ, usoro ahụ na-arụ ọrụ nke ọma maka ogbu na nkwonkwo: ultrasound nwere mmetụta mebere na anụ ahụ (micromassage), na-eme ka usoro mgbochi na imegharị mpaghara na mpaghara nkwonkwo na akwara dị n'akụkụ, ma nwee mmetụta analgesic na mgbochi mkpali.

3. Ọgwụgwọ laser - otu n'ime usoro a na-ahụkarị na nke a na-ejikarị eme ihe. Mmetụta ọgwụgwọ na-adabere na mgbasawanye reflex nke arịa ọbara n'elu saịtị nke usoro pathological. Nke a na-eduga n'ọganihu na-erugharị ọbara mpaghara, ịgbalite metabolism, mwepụ nke ngwaahịa metabolic na-adịghị oxidized, na mbelata oke mgbu. Usoro ọgwụgwọ laser, n'ihi ịdị omimi ya na-emighị emi nke ntinye, nwere mmetụta nke usoro a na-akpọ ntakịrị, ebe ọ na-eme ka mmetụta ọgwụgwọ nke usoro ndị ọzọ dịkwuo mma.

4. Usoro ọgwụgwọ ebili mmiri - usoro mmetụta ike dị elu. Ọ dabere na mmetụta piezoelectric. Site n'itinye mgbapụta piezoelectric na-elekwasị anya na pathological, a na-enweta ọtụtụ mmetụta. A na-ebibi mkpụrụ ndụ ndị na-adịghị adị ndụ, nke na-eduga n'ịgbalite mgbochi mpaghara. A na-akpali mkpụrụ ndụ hibernating (adịghị arụ ọrụ), nke na-akwalite usoro mmeghari ohuru. N'otu oge ahụ, ike nke ọrịa mgbu na-ebelata nke ukwuu (ọ bụ ezie na usoro ahụ n'onwe ya na-egbu mgbu). Ihe ịrụ ụka adịghị ya na usoro a bụ iji ya otu ugboro kwa ụbọchị 4-7.

5. Ọgwụgwọ Diadynamic - usoro ọgwụgwọ mmetụta na ahụ na diadynamic pulse iyi. Mmiri diadynamic nke a na-eji na usoro a na-eme ka ndị na-anabata anụ ahụ na-ekpo ọkụ, nke na-eduga n'ụzọ na-eduga n'ịkwalite usoro physiological na-agbadata nke nkwụsị mgbu ma na-eduga ná mbelata ihe mgbu nke onye ọrịa, ruo na analgesia zuru ezu. Ya mere, usoro ndị dị otú ahụ dị irè maka oke mgbu.

6. Electromyostimulation - ikpughe ọkụ eletrik na anụ ahụ akwara. Site na arthrosis nke nnukwu nkwonkwo, ọrụ nke uru ahụ gbara ya gburugburu na-akụghasị, nke na-eduga na atrophy nke ụfọdụ na ibu nke ndị ọzọ. Ọgbaghara gait na-etolite. Mgbe a na-ekpughere ọkụ eletrik na-agbanwe agbanwe dị ka mmemme pụrụ iche si dị, akwara ahụ na-agbakọ n'ụzọ rhythmically, na-emepụta ụfọdụ ọrụ, nke na-eduga na mweghachi nke olu na ọrụ ha.

7. Cryotherapy - usoro ọgwụgwọ dị mfe ma dị irè, ọ dị mwute ikwu, adịkarịghị eji. Ikpughe mpaghara na obere okpomọkụ na-ebelata mmetụta nke ndị na-anabata ihe mgbu na njikọ nke ihe ndị na-arụ ọrụ ndụ na-eme ka mmepe nke mbufụt. Mgbe cryotherapy gachara, mgbasawanye reflex nke arịa ọbara na-apụta, ọbara ọgbụgba na mpaghara na-eme ngwa ngwa, na usoro mgbake na-arụ ọrụ. Usoro a na-adị irè karịsịa na ngwakọta na ọgwụgwọ ujo.

8. Balneotherapy. N'ọnọdụ ebe obibi nke sanatorium, a na-eme hydrotherapy - ụlọ ịsa ahụ ahụike, n'etiti nke radon baths dị irè karịsịa maka arthrosis. Enwere mmetụta zuru oke na ahụ nke ngwaahịa ire ere redio nke radon gbazere na mmiri. Mmetụta kachasị mkpa bụ ịgbalite usoro metabolic.

   A yiri, ọ bụ ezie na obere akpọ mmetụta bụ e ji mara nke ọgwụgwọ apịtị (peloids), hydrogen sulfide na carbon dioxide baths.

Ọgwụgwọ ịwa ahụ

A na-eji usoro ịwa ahụ na njedebe nke arthrosis, mgbe nkwonkwo nkwonkwo dị oke oke ma ọ bụ na-anọghị, nke na-emetụta ndụ onye ọrịa. N'ụwa nile, a na-eji ụzọ dị iche iche nke ngbanwe nke nkwonkwo, nke na-eme ka o kwe omume iweghachi usoro mmegharị ahụ kpamkpam ma weghachite onye ọrịa na ndụ na-arụ ọrụ n'oge ọ bụla.

A na-ekpebi usoro na oke nke ịwa ahụ site n'aka dibịa na-aga; nhọrọ ahụ dabere na paramita dị ka ọnọdụ izugbe nke onye ọrịa, afọ na ọnụnọ nke ọrịa concomitant, oke ibu na ndị ọzọ. The kasị mma pụta mgbe endoprosthetics e nwetara na-eto eto na n'etiti-afọ ndị ọrịa (fọrọ nke nta ka zuru ezu mweghachi nke nso nke ngagharị), ma na ndị agadi nwere a ịrịba mma na ọnọdụ ha, ebe ọ bụ na mgbe a ịga nke ọma ọrụ na mgbake ha nwere ike n'ụzọ zuru ezu nye onwe ha na-adị kwa ụbọchị ndụ na-akpali bụghị naanị n'ime ulo, ma na-aga n'èzí, na-enweghị ịmachi onwe ha na nkwurịta okwu.

Mgbochi

Arthrosis bụ otu n'ime ọrịa nke ije ije ziri ezi ma na-etolite karịsịa n'ihi mgbanwe ndị metụtara afọ na nkwonkwo, na-akwalite mmetụta nke ihe ndị na-adịghị mma nke mpụga. Nleba anya na ọnọdụ nke usoro musculoskeletal, mgbochi nke ọrịa nkwonkwo na ọgwụgwọ arthrosis na mmalite nke mbụ na-enye gị ohere ịnọgide na-emega ahụ ma zere nnukwu enyemaka ahụike n'ọdịnihu.