Anthu ambiri a msinkhu wawo amadandaula kuti ziwalo za zala zikuvulaza, zomwe zimayambitsa ndi chithandizo chimene chiyenera kudziwika kwenikweni, ndipo mwamsanga, mwinamwake zingayambitse kusintha kwa phalanges, kulephera kugwilitsila ntchito magalimoto ndi kuchepa kwa maburashi. Chifukwa chiyani ziwalo za zala zimakhala zowawa, ndi momwe tingachotsedwe chizindikiro chosautsa, tidzakambirana zambiri.
Mphuno ya zala zikupweteka - zifukwa
Malingana ndi chiwerengero, kupweteka m'magulu a manja a mphamvu zosiyana kumadziwika kwa munthu aliyense wa khumi kuposa makumi anayi, ndipo pambuyo pa makumi asanu ndi limodzi - kwa magawo atatu alionse. Pankhaniyi, kupweteka kumawoneka pa msinkhu uliwonse, ngakhale ubwana, nthawi zambiri chifukwa cha matenda. Poyamba, anthu owerengeka amamvetsera kupweteka pang'ono ndi kuuma kochepa komwe kumachitika nthawi ndi nthawi, koma m'kupita kwa nthawi odwala ena amamva kuti zowawa zimakhala zikuyenda nthawi zonse, kusokoneza ntchito zamalonda ndi moyo wa tsiku ndi tsiku.
Poganizira momwe ziwalozo zimakhalira, n'zotheka kusiyanitsa zifukwa zingapo zomwe zimapangitsa kuti chitukuko chikhale chitukuko cha zilonda zosiyanasiyana za ziwalo za zala ndi zowawa (zoopsa):
- matenda (ovuta komanso osapitirira);
- matenda a hormoni;
- kusokonezeka mukusinthanitsa njira;
- chithunzi;
- kusowa mavitamini ndi mchere;
- microtrauma ndi kuvulala kwa dzanja;
- chibadwa;
- zovala zokhudzana ndi zaka zokhudzana ndi zaka zochepa;
- zochitika zolimbitsa thupi;
- kukwaniritsa nthawi zonse kusuntha kosasunthika ndi manja ndi zala (kugwiritsira ntchito pa kompyuta, kugula, kusoka, kuyendetsa njira, kusewera zida zoimbira).
Matenda a ziwalo za zala
Mauthenga amodzi a zala amavutitsa, zomwe zimayambitsa ndi mankhwala kukhala ntchito zoyamba, pamene matenda ambiri ophatikizana amatha kutetezedwa, podziwa zinthu zomwe zimayambitsa matenda ndikuyesa kuteteza zotsatira zawo. Timalemba mndandanda wa matenda akulu omwe ammphindi a m'mapazi akummwera amakhudzidwa:
- Matenda a nyamakazi ndi matenda oopsa omwe amadziwika ndi chotupa chocheperachepera chazing'ono za thupi lonse. Zomwe zimayambitsa zimayenderana ndi njira zomwe zimagwira ntchito, ndipo zowonjezera zikhoza kukhala: matenda, matenda, kuvulala, zopaleshoni, ndi zina zotero.
- Mafupa a osteoarthritis ndi osowa kwambiri-osadziwika bwino omwe sakhala otupa, omwe amafotokozedwa ndi zaka zapakati pa ntchito, ntchito yeniyeni, zovuta kuchitika m'thupi, matenda opatsirana. Pachifukwa ichi kuwonjezeka kwa phalangeal malembedwe kumawonetsedwa.
- Gout ndi matenda omwe amachititsa kusokonezeka kwamadzimadzi komanso kudya mopitirira muyeso wa purines, momwe mchere wa uric acid uli ngati makina osungunuka omwe amaikidwa pamalumikizano ndi chitukuko cha zotupa.
- Matenda a Psoriatic ndi matenda osokoneza bongo odwala omwe ali ndi psoriasis odwala omwe ali ndi zifukwa zosadziwika. Amakhulupirira kuti gawo lalikulu mwa izi likhoza kusewera: chibadwidwe, kutukwana kwambiri, kuvulazidwa pamodzi, matenda, kuperewera kwa mahomoni.
- Matenda opatsirana pogonana - amayamba chifukwa cha matenda opatsirana mu thupi, chifukwa cha mabakiteriya streptococci kapena staphylococci. Matendawa amatha kukhala vuto la angina, omwe amachiza matenda opatsirana.
- Matenda a tunnel ndi matenda a neuralgic omwe, chifukwa cha kupanikizika kwa mitsempha yamkati pakati pa mafupa ndi matope a dzanja, pamakhala zowawa zopweteka zomwe zimapereka ziwalo zofupika za zala - nthawi zambiri zizindikiro, zazikulu, pakati. Mafundo okha sakhudzidwa.
- Bursitis ndi yotupa, yomwe imapezeka mu thumba lachikwama, momwe synovial madzi amapangidwira ndi kuunjikira mmenemo mochuluka. Zimayambitsa nthawi zambiri kuvulala ndi matenda.
- Vibration matenda ndi katswiri wamagulu amene amapezeka pamene nthawi zambiri zimakhala zovuta kuzimveka kuchokera kumagwiritsidwe ntchito. Zipangizo zamakono zovulazidwa, zomwe zimayambitsa kupweteka.
M'mawa, malemba a zala
Ngati zidziwika kuti ziwalo za zala zimakhala zowawa m'mawa, zitatha kudzuka kapena kupumula kwautali, palinso kuuma kwina, izi nthawi zambiri zimasonyeza kukula kwa nyamakazi ya nyamakazi kapena osteoarthrosis a pamwamba pa phalanges. Kuwonjezera apo, odwala ambiri m'mawa amakhala ndi vuto lopweteka kwambiri komanso ululu wopweteka kwambiri. Kuwonjezera apo, zovuta zovuta zimatha kuchitika kwa anthu abwinobwino, pamene madzulo amatha kuvutika maganizo.
Nchifukwa chiani mapangidwe amachokera ku chimfine?
Chifukwa cha kutentha kwa mpweya, dampness, mphepo yamkuntho, ululu m'magulu a zala nthawi zambiri zimawonekera ngati chiwonetsero cha kuwonjezereka kwa matenda aakulu - osteoarthrosis , nyamakazi , zotsatira za kuvulazidwa, mikwingwirima. Muzizira, mitsempha yamagazi imatha, kusokonezeka kwa magazi kumasokonezeka, ndipo mitsempha ya cartilage imayamba kutaya zakudya zowonjezera, zomwe zimayambitsa kuuma ndi kupweteka.
Nchifukwa chiyani mafupa amatha kutentha?
Ngati ziwalo za zala zimayamba kuphulika ndipo kutentha kwa thupi kumatuluka, izi zikuwonetsa ndondomeko yotupa yotentha yomwe imakhudza ziwalo zapafupi kapena pafupi. Kuphatikizidwa kwa zizindikiro kumachitika ndi nthenda ya nyamakazi, nyamakazi yamatenda, bursitis. Zikatero, musamaze kukaonana ndi dokotala yemwe angapereke chithandizo chabwino.
Kupweteka m'magulu a zala pamene akusinthasintha
Pamene chophwanyika cha chala chapweteka pa mkono ndi kupindika, kufikitsa kayendetsedwe ka pulayimale, munthu akhoza kuganiza kuti chitukuko cha matenda amodzi opatsirana kapena zotsatira za zoopsa, zovuta kwambiri. Ngati njira zowonongeka zimapezeka m'zinthu zowoneka, ndiye kuti zovuta zowonjezereka zikhoza kuchitika.
Mgwirizano pa chala umawoneka ndi kuvulaza
Podziwa kuti chidindo cha dzanja ndikutupa ndi kupweteka, m'pofunika kupeza chifukwa chotheka. Mwinamwake, mawonekedwe a zizindikiro anali kutsogolo ndi kusokonezeka kwa makina, omwe anali chinthu chochititsa. Ngati nyamakazi ya nyamakazi imakula, kutupa kumakhala ndi maonekedwe ofanana pa mikono yonse iwiri, yomwe siyimenenso zimakhala zovuta monga matenda a nyamakazi kapena bursitis.
Ululu m'magulu a zala - mankhwala
Anthu omwe ali ndi zowawa zapadera, zomwe zimayambitsa ndi chithandizo ayenera kufufuzidwa pamodzi ndi katswiri, chifukwa n'zosatheka kukhazikitsa bwinobwino matenda popanda kudzipindulitsa. Dziwani njira zothandizira matenda monga x-ray, ultrasound, CT ndi MRI, zikopa ndi kuyesa magazi. Malinga ndi matendawa, dokotala akufotokoza mmene angapwetekere m'maganizo a zala. Kawirikawiri perekani minofu, mankhwala opangira mankhwala, manja, mankhwala komanso mankhwala. Mankhwala osokoneza bongo angaphatikizepo mankhwala osokoneza bongo ndi awa omwe ali m'magulu awa:
- anesthetics;
- anti-inflammatory drugs;
- chondroprotectors ;
- maantibayotiki;
- chithandizo;
- corticosteroids .
Mafuta chifukwa cha ululu m'magulu a zala
Pamene kupweteka kwa mgwirizano wa zala kumasokonezeka, chithandizochi nthawi zambiri chimaphatikizapo kudula malo owonongeka a mafuta, mafuta ndi mazira:
- kutentha (Viprosal, Capsicum, Epizarthron, Gafkamen);
- anti-inflammatory-analgesic (Ketonal, Naise, Dolgit, Diklak, Diclofenac);
- Chondroprotective (Chondroxide, Arthropant).
Mapiritsi a ziwalo
Odwala, omwe ali ndi zilonda zala zazing'ono, sangathe kuchita popanda kugwiritsa ntchito mankhwala osokoneza bongo ngati mapiritsi. Kwenikweni, izi ndizokonzekera kuchokera ku gulu la mankhwala osagwiritsa ntchito steroidal anti-inflammatory omwe samangotulutsa ululu koma amamenyana ndi zotupa:
- Diclofenac;
- Indomethacin;
- Nimesulide;
- Ibuprofen;
- Ketorol ndi ena.
Komanso, nthawi zina amapatsidwa mankhwala, analgesics, matenda ochepetsa kupweteka bwino:
- Analgin;
- Chithunzi;
- Pentalgin ndi zina zotero.
Ndi mavitamini ambiri, pamene ziwalo za zala zimakhala zowawa ndipo zifukwa zimayenderana ndi chiwonongeko cha karotila, mankhwala akulimbikitsidwa ndi kugwiritsa ntchito nthawi yaitali kwa odwala chondroprotectors - mankhwala omwe amathandiza kubwezeretsanso minofu. Izi zikuphatikizapo:
- Teraflex ;
- Arthra;
- Don;
- Chondroitin zovuta.
Zilumikizi za zala ndizopweteka - zowonongeka
Mankhwala opatsirana opweteka m'magulu a zala amatha kuchotsedwa m'njira zosiyanasiyana pogwiritsa ntchito mankhwala a zitsamba. Musanayambe kupeza izi kapena mapepala a mankhwala owerengeka, muyenera kufunsa dokotala.
Njira yokhala ndi mafuta onunkhira, omwe amagwiritsidwa ntchito pa zovuta zosiyanasiyana
Zosakaniza:
- anyezi - 1 pc.;
- wokondedwa - 1 teaspoonful. supuni;
- masamba mafuta - 1 teaspoonful. supuni;
- phula - 10 g;
- udzu wa masharubu a golide - 20 g.
Kukonzekera ndi ntchito
- Dyani anyezi, kuwaza mbatata yosenda.
- Sungunulani sera ndi uchi mu madzi osamba.
- Onjezani zotsalira zosakaniza, sakanizani.
- Gwiritsani ntchito mankhwalawa kumalo opweteka a usiku, kuika magolovesi pamwamba.