Synovitis ntawm pob taws: kho, saib, duab, vim li cas

Synovitis ntawm lub pob taws yog tus txheej txheem ntawm o ntawm synovial membrane ntawm lub pob qij, uas yog characterized los ntawm tsim ntawm effusion (biological kua hauv) hauv pob taws. Muaj xws li ib qho pathology tsis yog feem ntau. Feem ntau, tsuas yog ib qho sib koom tes xwb. Yog tias tsis muaj kev kho mob nyob rau lub sij hawm, ces qhov kev sim ntawm qhov chaw pov tseg sab nraud dua. Qhov xwm ntawm lub effusion nyob ntawm seb hom pathology.

Ua rau kev txhim kho

Synovitis ntawm lub pob luj taws ob leeg yuav tshwm sim vim cov nram qab no yam:

• Txiav nrog kev raug mob los yog raug kaw, kev qaug, ncab lossis nqaij tawv.
• Lub cev nqaij daim tawv tau ras txog ntawm lub cev mus rau qhov stimulus.
• Mob caj dab, mob caj dab.
• Kev ntsuas ntawm qhov synovium los ntawm kev txiav txim ntawm cov ntaub so ntswg cartilaginous, uas muaj kev hloov pauv.
• Suppuration hematomas.
• Cov kab mob kis tau ntev.
• Kev ua txhaum ntawm kev poob siab lossis kev txuag ntawm qhov sib koom tes.
• Endocrine pathologies.
• Ntshav hauv lub articulation (nrog hemophilia).
• Sepsis.
• Nrov deformation ntawm qhov sib koom tes.
• Congenital malformation ntawm kev sib cav.
• Tsis muaj zog tiv thaiv.
• Tsis muaj zog ntawm cov nqaij ntshiv (nrhiav tau los yog congenital).

Raws li koj tau pom, synovitis ntawm lub pob qij txha yuav tshwm sim nrog lub slightest cuam tshuam ntawm lub qub hauj lwm ntawm lub cev.

Hom mob pathology

Tus kab mob no tuaj yeem raug tso dej num raws li nram no:

1. Los ntawm qhov xwm txheej ntawm txoj haujlwm pathological:

- Aseptic. Hauv qhov no, qhov muaj cov kab mob pathogenic tsis kuaj hauv cov kua.

- Kis. Ntawm no yog nyob rau hauv cov hws muaj cov kab mob pathogenic uas ua rau muaj kev txhim kho kev mob.

- Reactive synovitis ntawm pob taws ua ke. Nws yog ib hom lus teb rau kev ua kom ua xua (allergic stimulus).

2. Los ntawm qhov ntawm lub chav kawm ntawm tus kab mob:

- Mob. Nyob rau hauv rooj plaub no, synovitis ntawm lub pob taws yog tsiag ntawv los ntawm cov tsos mob tshwm sim. Feem ntau, nws tsim tawm los ntawm kev raug mob los yog kis kab mob.

- Mob ntev. Ntawm no yog cov kab mob pathology tshwm sim vim yog lub sij hawm ntev raug rau cov tsis zoo.

3. Raws li qhov zoo ntawm effusion, tus kab mob yog raws li nram no:

- Hemorrhagic. Nws yog tsiag ntawv los ntawm xub ntiag ntawm cov ntshav nyob rau hauv lub synovial cov kua.

- Serous. Lub effusion yog pob tshab, tab sis muaj ib qho kev muaj zog ntawm cov hlwb hauv nws.

- Purulent. Cov kua yog tshwm sim los ntawm greenish tinge, ib tug tsis kaj siab thiab yog turbid.

- Serous-fibrous. Nyob rau hauv qhov no, lub effusion muaj ib qho ntxiv viscosity vim fibrous fibers.

Symptomatology ntawm pathology

Synovitis ntawm lub pob taws - yog vim li cas nws txoj kev loj hlob uas koj twb tau pom lawm - qhia nws tus kheej hauv ntau txoj kev, nyob ntawm seb hom thiab daim ntawv ntawm tus kab mob. Cov tsos mob tshwm sim feem ntau yog:

1. Tsis xis nyob thaum palpation ntawm lub pob qij, ib qho tsis hnov lus ntawm kua txav.
2. Qhov tawv nqaij ntawm daim tawv nqaij ntawm thaj tsam ntawm thaj chaw, thiab ntxiv rau hauv qhov chaw kub ntawm nws.
3. Txiav tawm lub nrig ntawm lub sib tsoo vim yog cov tsos ntawm o thiab o.
4. Qhov mob hauv cov pob txha, uas tej zaum yuav mob heev dua thaum lub zog.

Yog tias qhov muag ntawm lub pob qij txha (daim duab koj pom hauv tsab xov xwm) yog ib qho kev kis kab mob, ces tej zaum yuav muaj kev pom zoo ntawm kev qaug tshuaj: ua daus no, ua kom kub hnyiab, tsis qab los, qaug zog thiab qaug zog.

Nws yuav tsum tau muab sau tseg tias qhov mob ceev ntawm tus kab mob yuav pom tseeb nws tus kheej meej heev. Xws li rau cov hoob kawm ntev, nws yog lub sijhawm ntev los ntawm exacerbation thiab so, uas hloov txhua lwm yam.

Ntaus ntawm kev mob ntawm tus kab mob

Kev kho ntawm synovitis ntawm lub pob taws ua ke yuav tsum pib tsuas yog tom qab muaj qhov tseeb mob. Ua li no, koj yuav tsum tau nrog tus kws kho mob uas yuav sau cov kev tshawb fawb no:

• Ib txoj kev kuaj ntshav, uas muaj kev nce qib hauv cov qe ntshav dawb tuaj yeem pom. Qhov no yuav muab lub sijhawm los ua pov thawj pom tias muaj kev ywj pheej.
• Histological kev soj ntsuam ntawm lub effusion, uas yuav txiav txim seb nws cov cim.
• Radiography. Nws tsis yog xwm txheej heev, tab sis nws yuav muab sij hawm los xav txog kev hloov hauv kev sib koom tes ntawm cov sib koom tes. Ntawd yog, nws yuav yooj yim rau koj los txiav txim qhov ua rau muaj tus kab mob.
• CT lossis MRI ntawm kev sib koom tes. Cov kev tshawb fawb no yuav pab xyuas qhov sib koom tes kom ntau li ntau tau.

Los ntawm kev kuaj mob kom zoo, tus kws kho mob yuav tuaj yeem sau ntawv kom zoo.

Puas muaj teeb meem dab tsi?

Yog tias koj raug mob, lossis muaj kab mob hauv koj lub cev, koj tuaj yeem tsim ib pob luj taws. Kev kho mob (xyuas txog cov tshuaj thiab cov neeg noj zaub mov txawv heev) yuav cia koj tshem tawm cov kab mob pathology thiab tsis txhob rau txim. Txawm li cas los, qhov tsis muaj kev kho mob tuaj yeem tsim txom cov teeb meem:

1. Nrog rau lub sijhawm, qhov mobility ntawm qhov nqig nqig tsawg dua.
2. Yog hais tias qhov txheej txheem inflammatory pib rau cov nqaij thiab cov leeg nqaij, ces panarthritis thiab periarthritis tuaj yeem tsim muaj.
3. Yog hais tias effusion kab mob tam sim no, cov tsis muaj kev kho mob yuav tsim xws kab mob raws li suppurative kev mob caj dab.
4. Tus kab mob ntawm tus kab mob no yuav ua rau tus kab mob ntawm cov ntshav - sepsis, uas ua rau neeg tuag taus.

Kev tsis kho ntawm tag nro thiab txoj kev kho yuav ua rau tsis muaj kev xiam hlwb xiam hlwb. Tshwj xeeb yog qhov kev hloov tshwm sim hauv qhov sib koom tes.

Txheej Txheem Tshuaj Kho Mob

Yog li ntawd, yog hais tias mob synovitis ntawm lub pob luj taws sib koom tes, cov kev kho mob muab rau qhov kev siv ntawm tej manipulations:

• Lub puncture ntawm lub sib koom tes, los ntawm cov uas tsis tsuas yog tus exudate yog sau rau ntxiv kev soj ntsuam, tab sis antibacterial tshuaj kuj qhia.
• Qij pob txawb nrog cov nruj nruj los yog ntev. Qhov no yuav muab sij hawm los muab ib ceg ntawm kev sib haum xeeb. Cov tsaj ntau dhau yuav tsis tuaj yeem coj qhov mob, tab sis kuj ua rau kom muaj kev nthuav dav ntawm txoj kev ywj pheej.
• Kev siv cov tshuaj tiv thaiv uas tsis yog siv tshuaj tua kab mob: Nimesulide, Diclofenac. Lawv tsis tsuas yog txo cov manifestations ntawm pathological txheej txheem, tab sis kuj yuav txo qhov nyiaj ntawm exudate tso tawm.
• Kev siv cov glucocorticosteroids, yog tias muaj paj zoo nkauj ntau zuj zus hauv qhov sib koom tes, thiab qhov hnov mob heev heev. Hauv qhov no, "Dexamethasone" tsim nyog.
• Kev kho mob ntawm ib hom kab mob pathology ntev yog nrog kev pab los ntawm cov neeg ua rau cov "entrimers".
• Kev siv cov tshuaj tua kab mob hauv cov kab mob kis: "Azithromycin".
• Kev tswj tus kheej ntawm cev nqaij daim tawv: UHF, electrophoresis.
• Lub cev khov kho hauv kev kho mob lub cev rov qab kho.

Kev hle uantej ntawm kev kho mob yuav ua rau kom kho tus mob pathology kom tiav.

Ntaus ntawm kev kho phais

Yog tias txoj kev siv tshuaj kho tsis ua rau qhov tshwm sim xav tau, thiab tus kab mob no ua rau mob nyhav, tus kws kho mob kuj yuav sau ntawv kho phais. Lawm, nws yuav tsum tau ua nrog tsawg heev kev poob plig. Tsis tas li, phais yog kev ntsuas huab.

Thaum lub sij hawm muaj kev cuam tshuam, lub pob qhib yog qhib, thiab nws cov kab noj hniav yog huv los ntawm cov ntshav, pus, txawv teb chaws (yog tias tau txais qhov raug mob fragmentation). Tsis tas li ntawd, qhov cov hlab ntaws ntawm daim tawv nqaij, nrog rau cov pob txha mos uas raug, tshem tawm ntawm qhov kev paub lub caj pas.

Tom qab kev khiav hauj lwm, tus neeg mob yuav tsum tau nkag mus hauv cov txheej txheem kho kom zoo dua qub, uas yuav rov qab kho kom zoo dua qub ntxiv. Thawj hnub ntawm ko taw yuav tsum tau hnav ib qho tshwj xeeb fixator - orthosis. Tom qab ntawd tus neeg mob tau qhia physiotherapy, massage thiab kho gymnastics.

Ntaus ntawm kev kho mob pej xeem

Yog hais tias koj muaj synovitis synovitis sib koom tes, kev kho mob nrog pej xeem tshuaj yuav ua tiav ib qho zoo siv. Kev txheeb xyuas txog kev kho mob hauv tsev hais tau zoo. Lawm, ua ntej siv lwm hom tshuaj, koj yuav tau nrog ib tug kws kho mob tham. Rau koj, xws li recipes yuav pab tau:

• Bay roj. Nws pab rov qab sib koom ua ke, thiab tseem muaj cov nyhuv antiseptic. Ua rau nws, koj xav tau 50 g ntawm pre-txiav raw khoom, uas yog ntim nrog ib nrab ib liter ntawm zaub roj (nws yuav tsum tau unrefined). Tom ntej no, cov khoom yuav tsum kav ntev dua ib lub lim tiam, tom qab uas lawv tuaj yeem tsuam thaj tsam ntawm 4 r / d.
• Ointment ntawm lub comfrey. Nws tsis yog tsuas yog txhawb rau thaum ntxov kho ntawm wounds, tab sis kuj muaj peev xwm los txo cov kev mob, ib qho kev phais anesthetic. Cov tshuaj pleev ua rau lub cev muaj zog rau cov nqaij uas nyob ib puag ncig sib koom tes. Los npaj qhov kev npaj, siv 150 g ntawm raw cov ntaub ntawv thiab muab nws nrog 200 g ntawm sab hauv roj. Sib tov tag nrho cov khoom xyaw thiab qhov chaw nyob rau hauv ib lub khob iav, nyob rau hauv uas ointment yuav muab infused rau 10 hnub. Thov kev pab cuam rau thaj tsam ntawm peb lub sij hawm ib hnub.
• Noj hauv proportions xws li tshuaj ntsuab: valerian, St. John lub wort, calendula, licorice, thyme thiab marshmallow. Tom ntej no, 20 g ntawm raw cov ntaub ntawv, ncuav 0.5 liv dej thiab simmer rau 7 feeb on tsawg tshaj kub. Lim lub broth thiab haus nws ob peb me me ntawm cov zaub mov.

Kev tiv thaiv ntawm pathology

Txhawm rau tiv thaiv lub pob qij txha los ntawm kev ua rau muaj teeb meem, thiab qhov sib txuam daim duab tsis tuaj yeem ua rau mob, sim soj ntsuam xws li tiv thaiv kev ntsuas:

• Tiv thaiv kev raug mob rau kev sib koom tes thiab nws cov ntshav siab.
• Hnav cov khau zoo xwb.
• Tsis txhob ntsaws qhov nquag sab nraud ntau dhau lawm.

Hais tias tag nrho cov nta ntawm txoj kev loj hlob thiab kev kho mob ntawm tus kab mob no. Noj qab nyob zoo!