Ino kukuli ami arthrosis o 2 degere. Ka lapaau a me ka kumu

Maʻi o ka musculoskeletal'ōnaehana i kekahi wahi nui i waena o ka kela kanaka maʻi puʻuwai. Loa pinepine nei hoʻomaka 'ana ka launa pū i ka maʻi e like osteoarthritis deformans. He aha ia mea, a me ka mea kona lapaʻau hoike ana?

He aha ka osteoarthritis?

Currently ma lalo o osteoarthritis ike maʻi, 'ia me ka predominance o hoʻoʻino a me ka luku eiiiiiaiou. Ua palahalaha ae ma ka poepoe honua, akā, no ka lehulehu nui o na hihia kaulana i loko o ka mahiʻai'āina. Loliʻano nui subchondral cartilage nui ami (loa pinepine e hoʻomōhala ana i osteoarthritis o ka iho a me ke ki kala ami). Ka maʻi mālama i ka chronicity, pakahi aku la ia ina he mea elue i ka mea hōʻemi, a ano hoomainoino aʻe. E like me ka hopena o kēia kaʻina, hapa loa ia'na o ka iwi hale a me ka deformation o ka iwi Puhi hana. Ke kaʻina Ua irreversible a me nā hualoaʻa ma ka kīnā i loko o 90 pakeneka o ka hoʻomanawanui iki mai (aka, i ka mea i ole hoʻoili i ka lapaau e pono ai, a ua ua lawe kaiapuni, e hoʻopau i ke kamepiula aʻe). He aha nō nā kumu o kēia maʻi, a me ia mea i ke kumu o ka? Acaeoey o ka make ana o na ami a me ka a puni nā'aʻaʻa? He waiwai i ike ia ma ka au mamuli.

kumu o ka

E like me ka maʻi he nui loa, osteoarthritis i kona ho omaka, a triggers, ma ka mea āna i hoʻomaka ai i hoʻomōhala. No ke aha lā i loaʻa he ino arthrosis o ke kuli? Nā kumu e alakai ai i kona ulu ana, penei:

• Hoomahuahua ae la lakou e haawe kona hanau ana ami. Maʻamau, ka hapanui hihia o ka osteoarthritis e hoʻomōhala ana i aie i ka sedentary lifestyles a me ka loaʻa nui o oi kino kaumaha. E like me ka paradox, oe ke hoakaka i ke kiʻekiʻe lawa pakeneka o ka maʻi i loko o 'âlapa komo i loko o Ka Uluwehi O Ke haʻuki (e like, hakoko a weightlifting). Ma keia hihia ka mea, e hoʻomōhala ana i loa pinepine ino arthrosis o ka akau iho la hui, e like me weightlifters i hookuu hoʻohana i ka uha mua akau, no ka kākoʻo.
• Ke alo aku o ka aaiaoe predisposition. Kēia ololi Ua pinepine 'akomi i ka ohana me ka mōʻaukala o hereditary mōʻaukala. 'Āhewa - 'ilepili antigen - HBA-27.
• Eha. Ke kaʻana like 'ana o kēia ololi hoike no ka i ka 20 pakeneka o ka hihia o ka osteoarthritis? Acaeoey. Nō kāu, ke kaʻina hoʻomaka i ka manawa o ka poino, a no ka lōʻihi manawa koe latent. Over manawa, i ke alo o ke kamepiula kumumea o kona ho'ā hope.

Ke pathogenesis o ka maʻi

Pehea ke ano o ka ulu ana kaʻina hana? Ma lalo o ka aoao o ka hoopalaimaka hoi aʻe, aia no he gradual mīkini'opihia o ka? Ueony cartilage aia ma waena o ka articular surfaces. Over manawa, aia o kona depletion, i mea no ke aha la he mea he emi i loko o ami makahiki. Ke kiʻekiʻe, ka mea cartilage, ahu iho loa ke kino, a me ka mea mau surfaces hoʻomaka e hamo i ku e kekahi i kekahi. Ma keia aoao, ka mea, i ke kiʻekiʻe o ka holoiia, i hiki aku ai i ka emi ma ka congruent. I wahi o ka poino iwi macrophages a me leukocytes E neʻe i ka malama ana aseptic li nui kaʻina. Nō hoʻi ma lalo o ka aoao o regenerative aʻe hoʻomaka e lilo hou iwi (iwi ka ulu o ke - osteophytes), i loli ai ka kinona o ka hui, ino ia, a hookonokono ana ka luku aku. I mau hoailona o ka ino arthrosis o ke kuli hui, a i kona ka papa kuhikuhiE lapaʻau hoike ana. I hiki ke hoomaopopo i ka nui o ka maʻi kaʻina hana, a pehea e hiki ke wehe 'ia ia?

Mea Maluna o ka maʻi

E like me kā lākou lapaʻau a me ka radiographic hoikeana, osteoarthritis hiki ke maheleia i mau pae.

No ka mea degere mua o ka maʻi ua wehewehe aku ma ka depletion o wale ka meniscus a me ka cartilage. Ke kahua Ua waiho wale ma luna o ka muli o radiographic hoike o clinically, a, aole ia i hoike mai ai ia ia. Na hoailona wale i e kaʻehaʻeha a me aching ma na ami ma hope o ke Komisina o kekahi hana. Ino arthrosis o ke kuli lapaau ana ma keia kahua, e hiki ma kona home ma gymnastics a me pākōleaʻai. Akā, nā kuhikuhi, a hookohu pono e eu ikaika!

Ino arthrosis o 2 degere ia lŘlŘ i loko o ka hapanui o nā mea maʻi. Ka loiloi mua lapaʻau hoikeana loaa paʻa ano a me kaʻikeʻia kokoke koke ma hope o ke koena au a mālama nui hana. Ua hōʻike he nui hou o ami makahiki me ka loiloi mua hoailona o ka iwi resorption.

Osteoarthritis o ke kolu o ke degere i ka ia hiʻona me ka lua o ke kahua, akā, ua wehewehe aku ma nunui erosions a me osteophytes ka ulu o ke.

I ka ha o ke kahua o ka heaviest. No kona typical loa iwi deformities me ka hooulu ana o ka ankylosis.

Lapaʻau na hoailona o ka maʻi

Pehea e maopopo i Hawaiʻi ino arthrosis o ke kuli? Symptoms suggestive o kona ulu ana penei.

Ke symptom mua ka eha. Ua ua aching ana ma ke ano maoli, maoli he ma hope o ke au o ke koena, he po (e hoʻomaka ana ka eha,) ka oi aku ma hope. Wehewehe aku ma ka kakahiaka oolea, i mea e like me osteoarthritis me rheumatoid arthritis, akā, me ka oolea ma ka osteoarthritis mau hou ma mua o ka hapalua o ka hora.

ʻO kekahi, ua like no nui symptom o lesions o ke ami mea i kaupalena 'ia ka hoʻoneʻe. Loa pinepine ka mea, hoike mai ai ia ia iho e like me ka hopena o ke Muscle contractions (i loko o ke kāʻei kua eha). Ma nā kahua o ka hoʻonaʻauao ma hope o ka maʻi ua kauoha ae la ia e ka 'aʻe' ana i ka ka hoʻoneʻe o pokou kuʻi nukeliu ma waena o ka loli ami.

Over manawa, no ka hikiʻole, e hana hana neʻe loa e hoʻomōhala ana i Muscle atrophy. Ma nā kahua o ka hoʻonaʻauao lua a me ke kolu o ka atrophy mea reversible, akā, ma ka ha ana i kona ikaika.

Ma waho aʻeo ia Muscle atrophy malama emi ma ka pā lonoaʻili a me ke koko holo i loko o ka loli ana o hui, a exacerbates ka maʻi.

lapaʻau

E aho nō e hāʻawi aku i loko o ke ola o ka ino kukuli ami arthrosis o 2 degere. Ana ia mea e pono, e hoʻomaka ana me ka hoʻohana 'ana o ka ole-lāʻau' epekema. No keiaʻai nui me ka ho'ēmiʻana o overweight, physiotherapy a me ka hana kuʻuna ano o ka nohoʻana.

Me ka mea e pau hoʻoili?

Ua pau hoʻomaka me ka ponoʻai, a me ka regimen o ka lā.

I mea e pono hoola i ka hoʻomanawanui ina ia nui i ka ino arthrosis o ke kuli hui, i kaʻai o ka mua koho. O ka mea i kela laʻai mea pono, e hoʻopau i ka oi ana o carbohydrates a me nā bipi kūpaluʻia. No ka mea, no ka'aʻaʻa? Aiiio e hoʻohana kuhikuhi nā polokina, i ka ponoʻai mea e kūhohonu loa ia.

Ma nā mea maʻi i loko ona, he mea he ino arthrosis o ke kuli hui, gymnastics e kokua i ka pono nui o ka hana ka neʻe 'ana i ka hoihoi a me ka hoʻoikaika' ana i ke koko kahe i ka loli wahi.

Traditional ki ina hana like i hoʻohana hoʻokahi wale nō, e kōkua ai i nā moku'āina i mau pono a me ka. Ma ka hapanui o hoopii, kā lākou hoʻohanaʻo ia i ka worsening kulana.

ka lapaʻauʻia

Lapaʻau ino arthrosis o ka Hip hui me ke kuli, ka ineffectiveness o ole-lāʻau 'epekema, e e lawe mai ma ka mea o ka ai'. Hoʻohana 'ia ai' o kekahi pūʻulu, akā, ua hāʻawi mai ke koho no i ka Anati-hoʻoʻino ai 'a me ka lāʻau-hope cartilage. Nāʻikepili no ka pono o kekahi mea eʻokoʻa.

Inā ka hoʻomanawanui 'aʻole ole i hana a he leo i? Ac? Kukuli arthrosis deformans papa 2, i ka iapaau ana hiki ke lawe mai symptomatically. No keia mea i hoʻohana NSAIDs. Ka loa hoʻomano hoʻohana na mea paahana, e like me "Meloxicam", "Nimesulide" "Indomethacin". Ka mua mau ai 'i hoʻohana hōʻike waha' ole ma ka pahu kui, a me ka "Indomethacin" uaʻano nui i hoʻohana Tuamotu.

Inā ka X-Ray hōʻike hoailona o ka iwi mai, i kaʻike, ua hoonoho - ino kukuli ami arthrosis o 2 degere. Iapaau ana i loko o ke kahua e like keia ua maikaʻi loa hanaia ma ka mea o ka hakahaka Inc. Pili hana e like me "Chondroitin" vitreous.

ʻoki lāʻau lapaʻau lapaʻau

Kēiaʻano o ka Inc ma ka lua o ke kahua o ka maʻi ua kākaʻikahi i hoʻohana. Eia naʻe, ino arthrosis o ke kuli ke ami hoi i hana ia mea maikaʻi loa ma kēia kahua. Aia nō i nui aʻe 'ana o ka hui hana, noi pili ana i ke ola. Loa pinepine implantation o ka hou hui ili, ma ka liʻiliʻi loa - he piha prosthesis. Iapaau ana o ka ino arthrosis o ka Hip ami mea i ho'ākāka 'ia i nāʻikepili no keia kahua o ka maʻi, akā, e pale aku (oi loa aku hoi ina he mea kekahi kokololio Holomua), e mea maikaʻi, e pana aku au i ka mea, ma kēia kahua.

Ma hope o kaʻoki kino, i ka hoʻomanawanui ke hele i loko o 5-7 lā ma hope o implantation o ka prosthesis.

Ole e hahai aseptic rula e hoʻomōhala complications i e alakai i ka reoperation ma ke ami.

maʻi Kāohi

Like mea akaka, mai na kumu alakai i ke kūpono 'ana o ka maʻi, i ka mea maikai Kāohiʻana o keia kulana o ke ola i ke Aloha Hawaii a me ka pono o ka makana o ka hana a me ka hoʻomaha.

Healthy Aloha Hawaii nā ponoʻai, kela la i keia kino. Inā hiki, e haawi mai i ka hokii o ke kope a me ka uhane, e like me kēia mau waiwai he hoʻonui i ka kalipuna emi mai ke kino, a me ka Holomua o ke kaʻina.

A maikaʻi ia i loko o ka meheu o ia i ka anai loa keʻano o ka hanaʻana i loko o osteoarthritis ka hana keaka a me ka pākōlea hoʻokō. E aho nō e lawe mai i ka hoʻokō 'ana i loko o ka wai, e like me ka mea kōkua ai i nā ka aeia ana o na hana a me ka ho'ēmi i kā eha.

Mai Mai ālai ia ', a me ke koena i loko o sanatoriums. Ino kukuli arthrosis o 2 degere, a pane pono i ka lapaau sanatorium hana hiki ke hapa 'ia, hoola iho la ilaila. Physiotherapy ka poʻea pau i kekahi hoihoi hou ia ana o ka maÿi cartilage a me ka olelo surfaces. Health hokele i hoʻolako pono me ka maikaʻi iauaeoia no kēia mau kaʻina hana, e hana i ke koena o ia ka paʻa mau mea paahana no ka Kāohiʻana o ka ino osteoarthritis.