Dysplastic coxarthrosis da hip hadin gwiwa: rarrabuwa, magani

Dysplastic coxarthrosis ne degenerative tsari, dystrophic cuta. Wani lokaci yana tsokani wani nakasar - da hip hadin gwiwa ba wajen samar da kamar shi wajibi ne ga al'ada kwayoyin. Wannan sabon abu ne kullum ake kira "dysplasia."

Abin da abin da?

Dysplastic coxarthrosis hip ne halin da cewa da tip na kashi hadin gwiwa maras kyau a ƙarƙashin rinjayar da ba daidai ba siffar zama fi'ilan jifa-jifa, acetabulum - mahaukaci zurfin. A hip kashi canjãwa proximal rabo. Nazarin ya nuna mahaukaci wuyansa-shaft kwana.

Mafi na kowa cuta a cikin mata da ake gyarawa. A hadarin - shekaru 30 zuwa shekaru 40, ko da yake, a cewar wasu likitoci - har zuwa 55. Idan gyarawa diskongruentnost saman na gidajen abinci, qara da alama na tasowa cuta kusan ninki biyu.

Sau nawa?

Statistics nuna cewa dysplastic hip arthrosis na hip hadin gwiwa - shi ne mai m cutar. Daga cikin wasu, suna classified kamar yadda degenerative, dystrophic Pathology shafi gidajen abinci, coxarthrosis, a cewar wasu masu bincike, da aka samu a cikin kowane hudu hali. Amma wasu masana kimiyya ce da shi aka cuta a 77% da marasa lafiya. A mafi yawan sanannun nazarin a kan wannan batu da aka yi a shekara ta 2006 a karkashin shugabancin Finland Antti Eskelinen, kuma a shekarar 1996 S. V. Sergeevym, 2001 - VI Ugnivenko.

Turai masu bincike kimanta da na ruwan dare da cutar daga cikin yawan balagaggu na Turai, a 7-25%. Kishin da bincike ayyuka da za'ayi a shekara ta 1965 da kuma 1996. Idan ka yi nazarin statistics na pathological cuta na musculoskeletal tsarin, ya bayyana cewa dysplasia - shi ne game da 16,5% na lokuta da aka sani zuwa kimiyya. Kan bango na irin wannan babban kashi na tambaya na yadda za mu bi dysplastic coxarthrosis, hip, shi ya zama da muhimmanci musamman. Up to 60% na dukan marasa lafiya ƙarshe rasa su iya aiki domin aikin, da kuma 11.5% ne naƙasasshe.

Dysplastic coxarthrosis: Menene ya faru?

Nau'in subtypes da cutar dangane da ãyõyinMu:

• a cikin hadin gwiwa canji daga ilimin Halittar Jiki dangantaka (as furta tsari?).
• articular guringuntsi canje-canje (duka aiki amosanin gabbai?).

A zamani magani, da rarrabuwa fi amfani da kira Crowe. Wannan tsarin, wanda assesses nawa canjawa a yankin na femoral kai kashi. A total akwai 4 subtypes da cutar.

Dysplastic coxarthrosis 1 digiri bayyana proximal hijirar na ba fiye da rabin tsayinta cewa a gwada kafafuwa za su kasance cikin 10%. A mataki na biyu ya shafi hijirar Manuniya 50-75% 10-15% bi da bi. Dysplastic coxarthrosis sa 3 - an biya diyya ta 75-100%, 15-20%. A karshe, na huɗu mataki - inda hijirar ya faru fiye da adadin da kai kashi, cewa mun gwada kafafuwa nuna take hakkin matsayi da kashi 20 cikin dari ko fiye.

Hartofilakidis rarrabuwa tsarin

Wannan ka'idar ta bayyana tantance nawa da femur kai a gundumar ta sauya matsayin girman kwanyar. Har ila yau, nazarin jihar da acetabulum, bayar da shawarar da gaskiya matsayi da kuma gane matsayin da shugaban dangi zuwa da shi. Wannan rarrabuwa na dysplastic coxarthrosis bambanta uku digiri na Pathology.

A cikin farko da irin rashin lafiya rami dysplasia aka bayyana, a gaskiya cewa ciki shigar fi girma fiye da al'ada, da cewa shi ne, akwai wani subluxation. Dysplastic coxarthrosis 2 digiri a wannan terminology, kamu da low sāke wuri, subluxation, high kawar da shugaban. Ganewar asali domin sanin neoarthrosis hade da gaskiya ciki. Figure kafa da hukumomi a cikin hoton kama wani adadi "8". Arya ciki, kashi shugaban mu'amala. A karshe, na uku irin Pathology - cikakken sāke wuri. Arya, gaskiya acetabular rami rami rabu da ba su da alaka. Thighbone an haɗa kawai tare da ƙarya kogo.

Idan Crowe m hanya a lokacin da kana bukatar ka gane tasiri na m baki, da Hartofilakidis tartsatsi saboda da sauƙi na amfani. Yana dole ne a tuna da cewa Crowe ba da damar kamar yadda ta yiwu la'akari daidai nawa ciki bambanta saboda dysplasia. Wannan ya haifa matsaloli arthroplasty dysplastic coxarthrosis: da rashin bayanai da shiri na bayyananne shirin halitta matsaloli a aiwatar m shisshigi.

Duk da haka, Hartofilakidis ma yana da wasu imperfections. Wannan hanya da ke sa shi ba zai yiwu ba ga waƙa da matsayi na proximal part. Wato, wadannan canje-canje ƙwarai shafi da aiki. Don zaɓar da dabaru na jiyya, wajibi ne a yi amfani daban-daban rarrabuwa: kamar yadda waɗanda suke cewa gani dysplasia da kimantawa osteoarthritis.

Osteoarthritis: yadda yake faruwa?

Saboda haka, inda ya aikata wani hadin dysplastic coxarthrosis? Ta yaya ne wasu subtypes da cutar? Shigarsu hadin gwiwa yayin da?

Abu na farko da cewa shi ne batun korau canje-canje - shi ne cikin hadin gwiwa ruwa. Yana thickens, shi ya zama mai danko sosai. A dalilai domin wannan zai iya zama mai daban-daban, amma sakamakon ne guda - da guringuntsi ba sami dace lubrication, saboda abin da ta kafe. Guringuntsi surface an rufe tare da kananan fasa, roughness. A nama zama sirara kan lokaci, wanda tsokani karfi gogayya a duk ƙungiyoyi. A gidajen abinci kasu karami da kuma karami nesa. Saboda guringuntsi zama a bayyane a karkashin surface na kashi, wadda take kaiwa zuwa kara matsa lamba, da kuma a fuskar - to nakasawa. Saboda haka dysplastic coxarthrosis kuma aka sani da deforming.

Abin da ke gaba?

Abin baƙin ciki, degenerative matakai ba su tsare canje-canje na hadin gwiwa ruwa. A tsawon lokaci, gaji da damuwa da jini ya kwarara zuwa kyallen takarda, metabolism zama hankali fiye da na kullum, kamar yadda tasoshin ba kewaya tare da so aiki arziki amfani aka gyara, ciki har da oxygen, jini.

A tsawon lokaci, wani hadin dysplastic coxarthrosis sa tsoka atrophy na shafa reshe. Amma canje-canje suna faruwa na dogon lokaci, a hankali, don haka da haƙuri sau da yawa ba a lura da ci gaban da cutar. A wasu lokuta, kullum cutar da aka dada tabarbare, wanda yana tare da ciwo mai tsanani a cikin gidajen abinci. A lokacin da aka yawanci ake kira "amsawa kumburi." Yawa zafi ciwo sa wani mutum ya ziyarci wani likita, kuma kawai sai a karon farko kamu "dysplastic coxarthrosis".

A Sanadin cutar

Dysplastic coxarthrosis iya faruwa saboda wani iri-iri na dalilai:

• Matsaloli tare da jini wurare dabam dabam, abu don tamowa, kuma nama jari ba oxidized a da ake so matakin na na rayuwa kayayyakin da cewa kunna hallakaswa enzymes shafi cikin guringuntsi.
• Inji sa load a kan hadin gwiwa ne bayan da lissafi ba. Saboda haka yiwuwa ga 'yan wasa, mutanen da fama da kiba. Domin na biyu matsalar hali na metabolism, jini ya kwarara insufficiency, wanda kara adversely rinjayar da gidajen abinci.
• Biochemical halayen, na rayuwa da matsaloli, hormonal.
• Raunin da ya faru, samu karaya, dislocations, sau da yawa suka sa cuta a wani matasa shekaru.
• kashin baya Pathology.
• Kamuwa, kumburi tafiyar matakai shafi gidajen abinci.
• Aseptic necrosis.
• Nakasar cuta.
• Sedentary salon.
• Age da alaka da canje-canje.

An karfi da ya rinjayi gadar hali, kwayoyin predisposition zuwa daban-daban osteoarthritis. Coxarthrosis hereditary canja wuri ne m, amma shi ne rabon gādon inji ne m da bayani dalla-dalla na guringuntsi metabolism. Idan uwansa fama da arthrosis, kusantar wajen samar a cikin mutane qara da cika fuska.

Kamar yadda ake zargin?

Medicine ya gano da wadannan cututtuka:

• stiffness, ƙungiyoyi ne "m".
• zafi.
• atrophy na cinya tsokoki.
• rage ya shafa reshe.
• kadan yi ɗingishi.

Mafi sau da yawa, marasa lafiya je likita a lokacin da kafa gidajen abinci fara ciwo. Wannan yanayin na mafi rarrabe da m. Ya kamata a fahimci cewa bayyananen cuta dogara a kan matakin to wanda shi ya ci gaba.

Mataki cuta kai tsaye kayyade tsawon lokaci na zafi aukuwa, su tsanani da kuma yankin a cikin abin da sarrafa majiyai. Jiyya na dysplastic hip arthrosis na hip hadin gwiwa nuna sakamako mai kyau kawai a lokacin da aka kaddamar a farkon matakai na cin cuta. Amma da ta faru infrequently, a matsayin tausayi da gidajen abinci ba da karfi, da kuma mutane tightening gangamin likita.

Ba ya juya a lokacin da wani gwani, marasa lafiya rasa lokaci - da hadin gwiwa da aka halakar da more kuma mafi kowace rana. A kan lokaci, da motsi aka rasa, da zafi ƙaruwa, ko da matakai na farko ne tukuru, m, ba za ka iya kawai motsa. Wani mutum gurgu, akwai atrophy na cinya tsokoki. Hakika, duk wadannan siffofin inganta a yaƙin neman zaɓe a asibitin, amma ya riga ya yi latti.

Zafi da atrophy

A Pathology na tsoka atrophy femoral tsokani wani ƙarin zafi - shi ne sarrafa inda tendons suna a haɗe. Mafi wuya ciwon gwiwoyi, amma makwancin gwaiwa da cinya ciwo kasa pronounced. Wannan take kaiwa zuwa misdiagnosis. A na kowa kuskure - definition na osteoarthritis gwiwa hadin gwiwa, wadda take kaiwa zuwa wani ba daidai ba zabi na far.

Osteoarthritis - ba da tafin kafa dalili na jin zafi a cikin hip, makwancin gwaiwa yankin. Wata kila wannan shi ne amsa kuwwar da zafi hade tare da kumburi a cikin agara, don haka za su iya bayyana kansu da kuma kashin baya raunin.

Dysplastic coxarthrosis: magani. Ina kada mu fara?

Yana da aka kirkiro da wata dama daban-daban methodologies su kusanci marasa lafiya tare da wannan Pathology. Duk wani zabin da kyau da kuma kasawan. Amma akwai wani janar mulki: kai unacceptable. Ko da ba ka tabbata ka san abin da su ne marasa lafiya, kamar yadda za a iya warke, magani ne a yarda ne kawai a karkashin kulawa na likita da musamman ilimi. In ba haka ba akwai damar ba kawai don rage gudu da degenerative tsari, amma kawai exacerbate su. Ya kamata kuma a fahimci cewa mataki na cutar ƙwarai rinjayar da hanyoyin da magani.

Idan kamu farko ko na biyu mataki za a iya aikata ra'ayin mazan jiya far. A wannan yanayin, magani na dysplastic coxarthrosis yi amfani da man shafawa, Allunan, kuma gudanar injective shirye-shirye. Lokacin da diagnosing da uku mataki na hanyar, daya ne kawai - tiyata. arthroplasty samar a irin wannan ganewar asali ya shafi hadin gwiwa maye da wani wucin gadi samfurin. A hanya ne quite rikitarwa, tsada amma tasiri. A implant da maniyyi a cikin kashi na kafafuwa da kuma kwatangwalo. M nazarin halittu prosthesis hadin gwiwa.

Na farko, da mataki na biyu: da magani?

Idan ba za ka iya gane cutar baya fiye da farkon na ci gaba da uku mataki, yana yiwuwa a cimma sakamako mai kyau na ra'ayin mazan jiya far. Yadu used ba-steroidal anti-kumburi kwayoyi ne mafi tasiri a cikin jet lokaci. Babban amfani da wadannan kwayoyi - zafi taimako saboda da karfi da tasiri na kumburi tafiyar matakai. Kwayoyi da sauri rage kumburi da kuma kawar da kumburi.

Duk da haka, dukan abin da yana da nasa drawbacks. Saboda haka, na yau da kullum amfani da anti-mai kumburi kwayoyi rage jiki ta ikon warke daga halitta sunadaran. Bugu da ƙari kuma, mafi yawan wajen da aka sani ga kimiyya da fadi da kewayon illa, shafi jiki a matsayin dukan, kuma a kan musamman gabobin da kuma sashin jiki tsarin. A zabi na magani bukatar mu dogara likita. Karfi da shawarar lokaci daya amfani da dama kwayoyi. Idan wajabta magani ba ya taimaka dakatar da zafi, za ka iya yin kashi fi girma, ko ganin likita domin takardar sayen magani magani zuwa wani.

Abin da kuma zai iya taimakawa?

Quite da kafa kwayoyi da cewa za a iya fadada tasoshin. A daidai wannan lokaci shi hūta m tsoka, jijiyoyin bugun gini lumen zama ya fi girma. Idan kamu da coxarthrosis, wannan far nuna mai kyau sakamakon azumi isa.

A daya hannun, a lokacin da yadda ya kamata amfani da magunguna a cikin wannan kungiya a karkashin kulawa da likita sakamakon ne mai kyau, shi ba zai yi jira dogon. Har ila yau, janyo hankalin mai kananan jerin contraindications. Hadin gwiwa ƙarshe recovers, kamar yadda aka bayar mafi jini ya kwarara, watau nama suna kawota a dama yawa. Dilates jini kwayoyi sun tabbatar da zama musamman tasiri da nocturnal zafi.

Amma akwai kuma kasawan. Ba dukan marasa lafiya jure da miyagun ƙwayoyi kungiyar, kuma mutum rashin ha} uri ga akalla daya bangaren na far zama inapplicable. Kafin farko shi wajibi ne don tuntubar tare da likita, samun gwada. An fara jiyya, a farko bai dauki karin kwayoyi a rana - da kashi da aka kiyaye farko kwanaki uku, iko jiki ta yi. Idan duk abin da yake yi, za ka iya ci gaba da shawarar likita da manufacturer na taro.

Miorelaksaty da hondroprotektory

Miorelaksaty - wani magani don taimaka shakata da tsokoki. Idan kamu da coxarthrosis, irin kudi ana amfani sosai a hankali, amma suka nemi su kashe spasms, cropped zafi. Da amfani da kwayoyi taimaka inganta jini ya kwarara zuwa shafa yankin. Amma watakila wani depressing sakamako a kan m tsarin, haddasa m hankali slows saukar da akwai wani ji kama da rinjayar barasa.

Chondroprotectors directed zuwa guringuntsi gyara. Su suna dauke daya daga cikin mafi amfani a osteoarthritis kamar yadda inganta tsarin guringuntsi da aka directed zuwa Kwayoyin amfani, gina jiki sinadaran. Idan irin kwayoyi suna amfani da kai a kai, tsaya a nan ba da ci gaban da cutar. Duk da haka, da m kyau sakamako lokacin amfani chondroprotectors amma sanarwa: shi ne ji kawai a cikin dogon lokaci. Ko bayan lõkacin fatara daga magani yayi inganta guringuntsi riƙe. Duk da haka, ba shi yiwuwa a gudanar da aiki da shan wadannan magunguna lokacin daukar ciki, kumburi tafiyar matakai a cikin gidajen abinci. idiosyncrasy aka gyara ne ma zai yiwu.

hormone far

A karshe, ba a ma maganar hormonal steroid magunguna, an yadada a 'yan shekarun nan. An gabatar da su kai tsaye zuwa cikin hadin gwiwa injective. A sakamakon haka ne sau da yawa gani kusan nan da nan bayan da farkon magani, shi ne mafi furta idan kumburi bugi femoral agara. Amma da sakamako ne quite da sauri, da kuma cikin shakka daga far yana tare da illa.

Doctors bayar da shawarar daya hadin gwiwa gudanar babu fiye da uku injections. Tsakanin biyu injections ya kamata a kiyaye domin makonni biyu ko fiye.