Periarthritis wa paphewa

Periarthritis ndi matenda otupa omwe amayamba m'magulu angapo. Kawirikawiri, ziwalo zazikulu zimakhudzidwa. Periarthritis ya mapewa amodziwika kwambiri, ali wamng'ono kwambiri (pambuyo pa zaka 30), zomwe zimagwirizanitsidwa ndi kugwira ntchito mwamphamvu kapena kuvulaza kwakukulu. Kawirikawiri amuna amakhala rheumatologists, chifukwa amagwira ntchito zochita ntchito zomwe zimafuna kuti azigwira ntchito nthawi zonse.

Anatomy ndi zimayambitsa matendawa

Manjenje amagwirizanitsa mafupa a mafupawo ndipo amalola kuyenda kupita ku mafupa ophiphiritsira. Izi zimachitika ndi chithandizo cha minofu. Mankhwala ophweka kapena ovuta ali ndi minofu yomweyo. Izi zikuphatikizapo:

1. Mphindi wamagulu. Kapsule wozungulira malo ozungulira a mafupa ophiphiritsa ndipo amapanga chitseko chatsekedwa.
2. Mitsempha yopangira. Zimakhala zovuta kwambiri, kugwirizanitsa mafupa wina ndi mnzake.
3. Tendons. Iyi ndiyo gawo lomaliza la minofu. Ndili ndi chithandizo cha mitsempha yomwe minofu yowonongeka imamangiriridwa mafupa.
4. Mitundu. Chiwalo chachikulu chomwe chimalola kuchita zoyendetsa pamoto thupi la munthu.

Magulu angapo amatha kuyenda mozungulira kwambiri kuposa ziwalo zina chifukwa cha mitsempha yopangidwa ndi minofu.

Zomwe zimayambitsa periatritis za ziwalo zomanja ndi zamanzere ndi awa:

1. Zochita zamaphunziro. Anthu omwe amagwira ntchito monga amisiri, opanga matabwa, ojambula masewero, masewera a masewera, ndi zina zotero amakhala odwala nthawi zambiri, omwe ndi ntchito zawo, nthawi zambiri amapanga kayendetsedwe ka kayendetsedwe kake, komanso kuyenda mozungulira.
2. Nthawi imodzi yonyamula katundu paphewa.
3. Kuvulala (kugwa, kupweteka).
4. Zomwe zimachititsa kuti thupi likhale lopweteka.
5. Kuponyedwa kwa myocardial infarction .
6. Matenda osokonezeka omwe amatuluka m'mphepete mwa mapewa.

Kodi mungapeze bwanji vutoli?

Periarteritis ya mapewa amadziwika ndi zizindikiro zotsatirazi:

• kupweteka pamapagulu, omwe nthawi zonse amalimbikitsidwa mu ntchito ya kuchoka, kutsogolera manja awo;
• Kulepheretsa kuyenda mwa mgwirizano pakuchita kayendetsedwe kake (kuuma kwa mgwirizano);
• zochitika pamodzi: kupweteka kwa mutu ndi kupweteka, kumbuyo ndi kupweteka kwa manja, kusowa kwa zala, chizungulire.

Kuwonjezera pa kusonkhanitsa madandaulo, katswiri wa rheumatologist akukhazikitsa zovomerezeka za radiology. Njira zothandizira zothandizira ndi ultrasound, CT, MRI, kuyesa magazi ndi arthrography.

Kodi mungatani kuti muzisamalira periarthritis?

Kuchepetsa matenda opweteka madokotala amapatsidwa mankhwala osagwiritsa ntchito mankhwala oletsa kutupa (Ibuprofen, Nimesil, Xefokam, Indomethacin, Diclofenac). Paziwonetsero zazikulu za matenda a kumwa mankhwala osokoneza bongo komanso kusamutsidwa kwa kanthawi kochepa muzowonjezera ndikwanira kuti mupeze bwino.

Kuletsedwa kwa kayendetsedwe ka kayendetsedwe kake kumaphatikizapo kutayika, ndiko kutayika kwa mgwirizano pogwiritsira ntchito banding bandage. Pachifukwa ichi, wodwalayo ayenera kumvetsetsa zomwe ayenera kupeŵa mwachidule. Popanda chiyeso ichi, periarthritis ya mapewa sangathe kuchiritsidwa ndi mankhwala alionse.

Ndi ma periarthritis ophatikizana, njira zamakono zamagwiritsidwe ntchito, monga mafuta, electrophoresis, compresses, blockades, ntchito (parafini, matope achire), hirudotherapy, laser therapy. Zinthu zokhudzana ndi mafuta onunkhira ndi mankhwala osagwiritsa ntchito mankhwala oletsa kutupa. LFK, kupiritsa minofu ndi mankhwala opatsirana amathandiza kwambiri pochiza ma periarthritis a paphewa, pokhapokha ngati ataperekedwa ndi dokotalayo komanso mothandizidwa ndi katswiri wodziwika bwino.