Patellofemoral arthrosis ntawm lub hauv caug ob leeg: nta ntawm tus kab mob thiab kev kho mob

Patellofemoral arthrosis ntawm lub hauv caug ob leeg - ib tug tej yam kev kho mob lub sij hawm, yog lug siv rau kev mob ntawm pathologies txuam nrog rau tsis ncaj ncees lawm txoj kev loj hlob ntawm ob leeg pob txha mos.

Cov ua ntawm tus kab mob

Patellofemoral arthrosis tshwm sim rau ntau yam yog vim li cas, nyob rau hauv particular, xws li:

• deformation ntawm tus txha;
• kab mob kev loj hlob thiab tau hauj lwm ntawm lub hauv caug;
• nce load rau lub hauv caug;
• advanced muaj hnub nyoog.

Tus kab mob no yuav tshwm sim nyob rau hauv lub xub ntiag ntawm ib yam ntawm cov yog vim li cas los yog tag nrho cov ntau yam ntawm pathologies thiab kev ntshawv siab.

Nta ntawm tus kab mob thiab cov tsos mob

Osteoarthritis ntawm lub hauv caug patellofemoral ob leeg tshwm sim mas vim ntev loads nyob rau hauv ib tug tej yam cheeb tsam ntawm lub cev. Thaum lub sij hawm, lub pathology yuav txav mus nyob rau hauv arthrosis. yus los ntawm xws li cov tsos mob rau cov syndrome:

• kev xav ntawm txhav taw;
• mob ncus thiab crunch nyob rau hauv lub patella;
• tsis xis nyob thiab kev mob thaum koj sim mus khoov koj lub hauv caug.

Cov tsos mob ntawm tus kab mob no yog kev lom zem ntau nyob rau cov neeg kawm ntawv ntawm nws heev. Tus thawj degree yog tsis cai tej yam ntxwv hloov nyob rau hauv lub cheeb tsam ntawm lub patella, thiab kom paub txog tus kab mob loj hlob muaj peev xwm yuav los ntawm lub xub ntiag ntawm rub tsis xis nyob nyob rau hauv lub hauv caug. Nyob rau hauv rooj plaub rau tus neeg mob qhia tau hais tias ib tug ua tiav tas, tejzaum nws nrog cov tshuaj pleev daim ntawv thov ntawm no. Tsis tas li ntawd nws yog tsim nyog nyob rau hauv lub neej yav tom ntej kom tsis txhob overloading lub hauv caug.

Qhov thib ob degree yus nyob rau hauv tias cov qauv pib hloov thiab kev puas tsuaj mus rau lub pob txha mos. Clinically, nws manifests nyob rau hauv daim ntawv ntawm cov mob mob heev, ua thaum tsiv lub hauv caug, uas tej zaum yuav txwv tsis pub tus neeg mob lub locomotor kev ua si. Nyob rau hauv cov ntaub ntawv uas yuav tsum tau tom ntej kev soj ntsuam thiab kev kho mob.

Raws li rau lub 3 degrees ntawm pathology, thaum nqa tawm X-ray koj yuav saib tau lub deformation ntawm patellofemoral sib koom tes, uas ua lub hais rau kev phais.

kev pab yog

Kev tshawb nrhiav patellofemoral arthrosis ua tau tsuas yog clinically. Tus kws kho mob ua probing cov txheej thiab sab hauv sab ntawm lub hauv caug ob leeg. Ntxiv kuaj ntsuam xyuas thiab kev soj ntsuam kev xeem rau mob yog tsis yuav tsum tau. Chiv, tus kws kho mob txiav txim seb tus mob kis los ntawm kev displacing lub patella laterally. Nyob rau hauv cov ntaub ntawv no, tus neeg mob yuav tsum tau coj ib tug xis txoj hauj lwm dag rau nws rov qab, kiag li so ob txhais ceg.

Nws muaj peev xwm feem ntau tshwm sim ob sab sib dho patellofemoral arthrosis, uas yog vim li cas mob yuav tsum kev. Nyob rau hauv tej rooj plaub, rau kabke ntawm tus mob yog nqa tawm X-ray thiab ultrasound diagnostics.

symptomatic kev kho mob

Nyob rau hauv lub xub ntiag ntawm loj loads thiab pathologies ntawm cov pob txha mos cov ntaub so ntswg yuav tshwm sim patellofemoral hauv caug arthrosis. Kev kho mob nyob rau hauv cov ntaub ntawv no yog aimed ntawm xa cov uas twb muaj lawm mob thiab kho tshiab ntawm puas cov pob txha mos thiab pob qij txha. Rau me mob yog feem ntau txaus ntawm ib tug symptomatic txoj kev kho, uas txhais tau tias los ntawm nws tus kheej:

• yuav txo tau nyob rau hauv lub cev muaj zog ua si;
• tuav cryonics cov txheej txheem;
• koom haum saib xyuas ntawm cov tshuaj nyob rau hauv cov ntaub so ntswg articular (txhaj).

Nyob rau hauv lub xub ntiag ntawm mob yog tsim nyog los txo qhov load sib sib zog tsa rau lub hauv caug. Yog hais tias tsim nyog, ua tus taw tsim nyog los siv kho ntaub nplaum, lub hauv caug tas, elastic bandages.

Me mob yuav pab tshem tawm cryoprocedure. Ua li no, koj yuav tsum npaj dej khov cubes, muab tso rau lawv mus rau hauv lub paj rwb ntaub, daim ntau quav tso nyob rau hauv ob peb txheej, thiab thov kom tus mob nqaij ntawd. Cov packs yuav pab txo cov kev mob tom qab lub muab load rau lub hauv caug txha thiab tshem tawm cov kev nyuaj siab.

Paub li cas los kho patellofemoral arthrosis, koj yuav tau txais tshem ntawm lub syndrome nyob rau hauv thawj zaug rau theem thiab tiv thaiv tau nws kev loj hlob ntxiv, raws li zoo li lwm yam mob.

physiotherapy zaug

Nyob rau hauv nqa tawm lub complex txoj kev kho yog yuav tsum tau muaj nyob rau hauv qhov kev pab cuam ntawm kev kho mob thiab physiotherapy. Feem ntau siv laser kev kho, uas implies siv ntawm ib tug focused beam ntawm lub teeb. Zoo rau cov qauv no thaum lub sij hawm khiav 2 thiab 3 theem ntawm cov syndrome.

Patellofemoral arthrosis thiab kho tau los ntawm daim ntawv thov ntawm magnetic resonance kev kho mob, ultrasonic tawg, thermal kho, cryotherapy, electrophoresis. Qhov zoo tshaj plaws ua rau muaj cryotherapy, implying kev siv cov kua nitrogen.

tshuaj kho

Yog hais tias paub hais tias patellofemoral arthrosis, kev kho mob txhais tau hais tias nws tus kheej thiab kev siv tshuaj, nyob rau hauv particular, xws li:

• anti-inflammatories;
• hondroprotektory;
• compresses, muab tshuaj ntxuav.

Anti-inflammatory tshuaj pab tshem tawm mob heev. Lus siv cov cuab yeej xws li "diclofenac", "Ketoprofen", "Indomethacin", "ibuprofen".

Chondroprotectors siv los kho puas pob txha mos ntawm lub hauv caug ob leeg cov ntaub so ntswg. Lawv yog cov muaj nyob rau hauv cov ntsiav tshuaj daim ntawv no, raws li zoo raws li nyob rau hauv daim ntawv ntawm cov tshuaj pleev thiab cream. Ntawm cov ntsiav tshuaj yuav tsum qhia hais tias cov tshuaj "Struktum", "Don", "Teraflex" "Chondroitin". Ntawm cov tshuaj pleev thiab cream muaj proven lawv tus kheej "Voltaren", "Viprosal", "Diklak gel", raws li lawv txhim kho elasticity thiab pab ntxiv dag zog rau cov nqaij fibers. "Finalgel" thiab "Nikofleks" pab los txhim kho cov ntshav ncig.

Yuav kom tshem tawm cov kev mob thiab o, nyob rau hauv tas li ntawd muab sib txawv rubbing. Cov no cov cuab yeej yog tsim nyog los xaiv "Dimexidum", uas yog siv raws li ib tug Hlob. Duration ntawm kev kho mob yog los ntawm ib nrab ib teev mus rau ib teev. Yuav kom tshem tawm cov tsos mob ntawm osteoarthritis yuav tsum tau tag nrho cov chav kawm ntawm kev kho mob muaj 20 txheej txheem.

"Bischofite" txhawb nqa resorption ntawm arthrosis. Yog xav tau lub Desired nyhuv, koj yuav tsum ua ib tug Hlob mus rau lub hauv caug thiab qhwv nws nrog tuab woolen daim ntaub. Yuav kom txoj kev kho compresses lug thov rau kev kho mob tshuaj. Lawv pab daws qhov mob thiab o. Nws yog ib nqi nco ntsoov hais tias cov tshuaj yuav tsum tau tsuas xaiv cov mus kawm tus kws kho mob, cim tias seb thaum lub leej ntau npaum thiab ntev ntawm txoj kev kho.

Patellofemoral arthrosis ntawm tus thawj thiab thib ob kauj ruam yog cov zoo thiab kho tau los ntawm daim ntawv thov ntawm intraarticular kev txhaj tshuaj. Raws li cov tshuaj siv anesthetics, yuam, hondroprotektory.

Folk hom kev kawm thiab hnav orthopedic khau

Osteoarthritis ntawm lub patellofemoral txha thiab yog kho nrog kev pab los ntawm qhov nrov hom kev kawm uas pab tau tshem ntawm tsis kaj siab txoj kev xav thiab mus cuag ib tug tseem ceeb kev txhim kho nyob rau hauv kev noj qab nyob. Normalize metabolism pab ntoo cov tuv, uas yog vim li cas nws yuav tsum tau consumed nyob rau hauv cov zaub mov, ntxiv mus rau tus thawj tais diav los yog xam lav. Nws kuj yog siv raws li ib tug tincture kev sib tsoo hauv caug. Rau qhov kev npaj ntawm cov cuab yeej koj yuav tsum tau 2 dia ntawm tws tshuaj ntsuab ncuav vodka thiab infuse nws nyob rau hauv ib tug qhuav qhov chaw tsaus.

Lug siv thiab burdock. Yuav tsum muaj ntaub ntawv rau tus mob nqaij ntawd ntawm tshiab nplooj ntawm burdock, thiab nws tseem tau mus ncab lawv ib tug me ntsis, dipped nyob rau hauv dej cawv thiab thov rau cov cheeb tsam, thiab ces muab qhwv rau lub hauv caug ntaub qhwv thiab ib tug sov so daim ntaub. Cia burdock nplooj yuav tsum tau rau lub hmo ntuj.

Thaum thawj zaug rau theem ntawm cov pathology yuav tsum tau sim kom txo tau cov load ntawm lub cev muaj zog, thiab ntxiv qhia tau hais tias kev siv ntawm tshwj xeeb txhais tau tias rau kho lub hauv caug ob leeg. Rau lub hom phiaj no, saj zawg zog lub hauv caug.

Phais pab

Yog hais tias qhov kev siv ntawm ib tug conservative kev kho tsis coj tus yam tshwm sim, cov patellofemoral arthrosis ntawm lub hauv caug ob leeg yog kho los ntawm kev phais.

Nyob rau hauv kev, arthroscopy yog ua. Lag luam txhais tau tias los ntawm ib tug ua tau zoo ntawm ib tug me me incision los ntawm kev uas lub arthroscope yog tso rau hauv cov kab noj hniav ntawm cov cuam tshuam los ob leeg. Tus ntaus ntawv yog txawm peem rau nrog ib tug yees uas tso cai rau koj mus maj mam tshem tawm cov puas cov pob txha mos thiab hloov lawv yog hais tias tsim nyog, dag daim ntaub.

Literal incision txhais tau tias nws tus kheej muaj xws li patellar txog leeg incision yog ua nyob rau hauv kev txiav txim rov qab mus rau nws cov thawj txoj hauj lwm. Tom qab muab hlais tawm lawm mas nws yeej tau mus noj ib lub chav kawm ntawm kev ncaj ncees implies ib restoration ntawm lub cev muaj zog ua si, kev ua raws li ib tug tshwj xeeb kev noj haus thiab tshwj xeeb ce. Nyob rau hauv nqa tawm lub rehabilitation ntawm lug siv herbal teas, sov tais thiab packs.

Lub ntsiab txoj kev ntawm kev tiv thaiv

Yuav kom tiv thaiv qhov tshwm sim ntawm osteoarthritis nyob rau hauv lub hauv caug sib koom tes, nco ntsoov nqa tawm tiv thaiv kev txij nkawm. Ua li no, nco ntsoov:

• coj ib tug da dej nrog cov hiav txwv ntsev;
• tsis tu ncua ua nrog muab tshuaj ntxuav cawv tincture;
• coj ib tug decoction ntawm medicinal tshuaj ntsuab;
• noj txoj cai;
• mob siab txaus lub sij hawm mus pw tsaug zog thiab so;
• txwv ntsev kom tsawg, qab zib thiab smoked khoom.

Nyob rau hauv tas li ntawd, lub prophylactic thiab kho kev siv muaj ua tshwj xeeb ce kom ntxiv dag zog rau cov nqaij ntshiv thiab ligaments ntawm lub hauv caug ob leeg. Yog hais tias koj muaj kev mob ua ntej mas nws yeej tau mus ntsib ib tug kws kho mob, vim hais tias thaum ntxov kho mob yuav pab tau kom sai sai tau tshem ntawm tus kab mob.