ʻO ka hope post-traumatic arthrosis kahi hoʻololi degenerative-distrophic holomua i kahi hui o kahi papa maʻamau e kū ma ke ʻano he hopena i kahi agena traumatic.
Nā kumu
Hiki i nā hōʻino liʻiliʻi ke hoʻonāukiuki i ka hoʻomohala ʻana i nā hana degenerative i ka ami. ʻO nā kumu o ka hope-traumatic arthrosis o ke kuli hui pū me:
- pathology o ka anatomical 'ole o ka ami;
- hoʻoneʻe i nā ʻāpana;
- ka hōʻinoʻana i nā hanana capsular-ligamentous;
- untimely a lawa ʻole ka hoʻōla;
- hoʻolōʻihi lōʻihi;
- ʻoki kino o nā kuli hui pū ʻia.
ʻO ka pinepine, kū kēia pathology ma muli o:
- nā haki o ke kūlike o nā ʻāpana articular;
- kahi hōʻemi nui o ke kahe o ke koko i nā mea like ʻole o ke kuli hui;
- hoʻolōʻihi hoʻolōʻihi hoʻolōʻihi ʻia.
ʻO nā kumu o ka hoʻomohala ʻana o ka arthrosis hiki ke lilo i nā haʻi intra-articular me ka neʻe a me ka trauma i nā menisci a me nā ligament (e laʻa me ka haki).
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Nā anuu
Kaukaʻi ʻia i ke kekelē o ka hōʻike, ʻekolu mau ʻāpana o nā pathology i hoʻokaʻawale ʻia.
- I - kū nā manaʻo ʻeha i ka hoʻoikaika kino ʻana, me ka neʻe ʻana o ka lālā i hoʻopili ʻia, lohe ʻia kahi crunch i ka hui. ʻAʻohe loli ʻike i ka wahi i hoʻohui ʻia. Kū ka ʻeha ma palpation.
- II - haʻi ʻeha i ka hoʻololi ʻana mai kūpaʻa i dynamics, kaupalena neʻe i ke kakahiaka, ʻoʻoleʻa, crunching ikaika i ka hui. Hoʻoholo ʻo Palpation i ka deformation o kahi ākea me nā wahi kaulike ʻole ma ka piko.
- III - ua loli ke kinona o ka ami, lilo ka ʻeha a hiki i ka maha. Hoʻonui ka manaʻo ʻeha i ka pō. Aia ka neʻe palena iki. Hoʻomaopopo ka ami i hōʻino ʻia i nā loli i ke ʻano o ke aniau.
Nā ʻano
Kaukaʻi ʻia i ka localization, ʻike ʻia kekahi mau ʻano o ka hope-traumatic arthrosis, a ʻo kēlā me kēia e wehewehe ʻia ma lalo nei.
ʻO ka hope hope o ke kuamoʻo
Uhi ke kaʻina hoʻāla i ka cartilage, nā mākala, nā ligament a me nā mea ʻē aʻe o ka ami. ʻO ka makahiki maʻamau o nā mea maʻi he 55 mau makahiki.
ʻO ka hope o ka hope o ka poʻohiwi
Hiki i ka maʻi ke hoʻopili i hoʻokahi a ʻelua paha o nā hono poʻohiwi. ʻO nā kumu o kēia pathology ko lākou neʻe a hoʻolōʻihi.
Post-traumatic arthrosis o nā manamana lima
Inā hōʻino ʻia ke kino cartilage o nā hono o nā manamana, ulu kahi hana degenerative-inflammatory.
Post-traumatic arthrosis o ka kuʻekuʻe wāwae
Kūpono kēia pathology ma muli o ka neʻe ʻana a me nā māwae.
ʻO ka hope hope o ka hui pūhū
ʻO nā kumu o ka hoʻomohala ʻana i kēia ʻano maʻi ʻo ka ligament rupture a me nā hui pū ʻino ʻē aʻe.
ʻO ka hope o ka kuʻekuʻe kuʻekuʻe wāwae
Alakaʻi nā ʻeha i kahi deterioration i ke ʻano o ka ami kuʻekuʻe lima. Hiki i nā hōʻeha paʻakikī ke hōʻeha nui i ka cartilage a me ka deformity o ka kuʻe lima, no ka hopena o ka mea e hoʻonui ai i ka lole o ke kino a hoʻohaunaele ʻia nā mīkini o ka hui.
Nā ʻōuli
Hiki i ka pathology ke asymptomat no kekahi manawa a hūnā paha ma hope o ka hopena o nā hopena koena ma hope o ka hōʻeha pū. Me kahi pae holomua o ka maʻi, hiki ke mālama ʻia nā ʻōuli maʻi maʻi o ka arthrosis no kekahi manawa lōʻihi.
I nā pae mua, hōʻike ka maʻi iā ia iho:
- ʻeha;
- crunch.
Hōʻike ʻia ka maʻi maʻi Pain e nā hiʻohiʻona aʻe:
- localization i loko o ka poino wahi o kaʻaʻaʻa;
- ʻaʻohe mea hoʻāhu;
- ʻeha a huki;
- ʻoi aku ka ikaika o ka ʻeha a me ka neʻe i mua o ka manawa.
- i ka hoʻomaha, hele lākou a ala i ka neʻe ʻana.
Hoʻonui ka crunch i ka hele ʻana o ka maʻi. Pili ia i nā ʻōuli paʻa o ka hope-traumatic arthrosis. I ka manawa like, ke loli nei ke ʻano o ka ʻeha. Ua hohola lākou i loko o ka hui o ke kuli a hiki ke hoʻomālamalama ma luna a ma lalo paha o ke kuli. Lawe ka ʻeha i kahi ʻano wili, paʻa a ʻoi aku ka ikaika.
ʻO nā hōʻailona koʻikoʻi no ka hope-traumatic arthrosis o ke kuli ke ʻano o ka ʻeha a me ka ʻoʻoleʻa ke puka mai kahi hoʻomaha. Hiki i kēia mau hōʻailona ke hōʻoia mua i ka maʻi me ka hoʻohana ʻole ʻana i nā ʻano noiʻi ʻē aʻe. Hōʻike pinepine lākou ma hope o ka hiamoe.
I ka wā e hiki mai ana, me ka holomua o nā pathology, hui pū lākou:
- pehu o nā mea palupalu e pili ana;
- spasm Muscle;
- deformation o ka ami;
- mumule;
- ka hōʻino ʻana o ke kūlana naʻau a me ka noʻonoʻo o ka mea hoʻomanawanui ma muli o ka maʻi ʻeha mau.
Nā Diagnostics
Lawe ʻia ka ʻike maʻi ma muli o nā hōʻailona maʻi, nā hoʻopiʻi hoʻomanawanui a me nā anamnesis. Pono e wehewehe pono ke kauka inā ua loaʻa i nā mea maʻi ka ʻeha pū i ka wā i hala. Me kahi moʻaukala o ka trauma, piʻi ka nui o ka likelike o ka lāʻau hope post-traumatic.
Hōʻoia ʻia ka hōʻailona ma hope o ka nānā ʻana i ka mea maʻi a me ka palpation o kahi i hōʻino ʻia. Hana ʻia kahi hōʻike X-ray o ka ami. I kekahi mau hihia, kauoha ʻia ʻo MRI a CT paha e wehewehe i ka ʻike.
© Olesia Bilkei - stock.adobe.com. MRI
Ke kiʻi nei i kahi X-ray, ʻo ke kiʻi o ka maʻi penei:
- ʻO wau - ka hoʻopili ʻana i ke ākea hui, ma nā kaʻe o kahi e ulu ai ka iwi. Aia nā wahi o ka ossification cartilage.
- II - ka hoʻonui ʻana i ka nui o ka ulu ʻana o ka iwi, kahi kaha liʻiliʻi o ka wahi hui. Ke kū ʻana o ka sclerosis subchondral o ka pā hopena.
- III - deformation ikaika a paʻakikī o nā cartilaginous surfaces o ka ami. Aia ʻo nekrosis Subchondral. ʻAʻole ʻike ʻia ke āpau hui.
Lapaʻau
Pono ka maʻi i ka lapaʻau paʻakikī. I ka pae haʻahaʻa, hoʻohana ʻia ka lāʻau lapaʻau lāʻau me ka hoʻoikaika kino a me ka physiotherapy. Inā alakaʻi ʻole ʻia ka mālama conservative i ka hopena i makemake ʻia a holomua ka pathology, hana ʻia ka hana ʻoki kino.
ʻO ka pahuhopu o ka therapy ka mea e pale aku i ka luku ʻia o nā iwi o ka cartilage, e hoʻomaha ai i ka ʻeha, hoʻihoʻi i nā hana hui a hoʻomaikaʻi i ke ola o ka mea maʻi.
Laʻau lāʻau
No ka arthrosis post-traumatic, ua ʻōlelo ʻia nā lāʻau aʻe:
- Nā Chondroprotektor. Pale lākou i ka luku ʻana i ka cartilage a loaʻa kahi hopena pale ma ka matrix.
- Nā mea hoʻoponopono Metabolism. Loaʻa iā lākou nā huamona a me nā mineral a me nā meaola.
- Nā lāʻau NSAID. Hoʻoemi i kaʻeha a me ka mumū. Hoʻohana ʻia nā lāʻau i ka wā o ka exacerbation o ka maʻi.
- ʻAkika hyaluronic.
- Nā lāʻau lapaʻau e hoʻomaikaʻi ai i ka microcirculation ma kahi i hoʻopili ʻia.
- ʻO Glucocorticosteroids. Kauoha ʻia i ka loaʻa ʻole o ka hopena o ka lāʻau lapaʻau.
- Nā kumu no ka hoʻohana ʻana i waho (nā hamo, nā gels) e pili ana i nā mea kanu o nā mea kanu a me nā holoholona.
Physiotherapy
Hoʻohana ʻia ka laulima e hoʻomaikaʻi i nā kaʻina hana metabolic i kaʻiʻo cartilage, e hōʻoluʻolu i ka ʻeha a lohi i ka luku ʻia o ka ami.
Nā hana lapaʻau Physiotherapeutic:
- Hoʻomaʻo ultrasound;
- hoʻopulapula;
- uila uila;
- magnetotherapy;
- nā noi ozokerite a me paraffin wax;
- phonophoresis;
- barotherapy kūloko;
- lapaʻau bifoshite;
- acupuncture;
- balneotherapy.
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Hoʻopuka ʻoki kino
Me ka holomua o ka arthrosis, ʻoiai ka mālama conservative a inā i kuhikuhi ʻia, hiki i ke kauka ke kuhikuhi i ka lāʻau lapaʻau.
Hoʻohana ʻia nā ʻano ʻoki lāʻau:
- endoprosthetics;
- nā liga ea;
- arthroplasty o ka ami;
- synovectomy;
- hoʻoponopono osteotomy;
- manipula arthroscopic.
ʻO ka hana hoʻokahi wale nō o nā pae o ka mālama ʻana a ʻaʻole ʻae e hoʻopau loa i nā maʻi.
Nā Lāʻau Folk
Hoʻohana ʻia nā lāʻau lapaʻau kuʻuna e like me ka mea hoʻohui i ka lapaʻau mainstream. ʻOi aku ka maikaʻi o kā lākou hoʻohana ʻana i ka pae mua o ka maʻi a i ʻole no ka pale ʻana.
Hoʻohana ʻia ʻo St. John's wort, burdock, nettle a me nā mea kanu ʻē aʻe e like me anti-inflammatory, decongestant a me nā mea hoʻoponopono hou. Hoʻohana ʻia lākou no ka hoʻomākaukau ʻana o nā tincture, decoctions, nā hamo a me nā huahana ʻē aʻe no ka hoʻohana o loko a me waho.
Nā pilikia
Ma ke ʻano he hopena o ka holomua o ka hope-traumatic arthrosis, ankylosis, subluxation a me ka hana kuʻikahi.
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Wanana a me ka pale ʻana
ʻO ka hopena o ka maʻi e pili ana i ka paʻakikī a me ka lawa pono o ka lāʻau. I kekahi mau hihia, ʻaʻole hiki i ka hoʻihoʻi piha ʻana o ka hui ke hiki. ʻO kahi hoʻōla kūpono kahi koho maʻamau, me nā hopena residual kokoke i ka mau ʻana.
ʻAʻole hiki ke hoʻihoʻi ʻia nā wahi i wāwahi ʻia o kaʻiʻo cartilaginous. ʻO ka pahuhopu nui o ka hoʻōla ʻana e hōʻoki i ka holomua o ka maʻi. ʻO ka lohi e noi nei i ke kōkua olakino, mālama ʻole i ke kaʻina hana a me nā ʻelemakule o ka mea hoʻomanawanui hiki ke hoʻonui i ka wānana o ka papa o ka pathology.
