Chondromatosis ka kwedolo: incazelo izimpawu, izimbangela kanye nokwelashwa

Omunye eziyingozi kakhulu pathologies synovium ngokungangabazeki chondromatosis kwedolo. On the izimbangela, izimpawu kanye nokwelashwa yalesi sifo, ulwazi olwanele, ukutadisha ngale ndaba isihloko amakhulu imisebenzi yesayensi nezokwelapha, kodwa kuze kube yilolu suku hhayi ososayensi bathole ithuluzi eliphumelelayo ulwe nesifo.

incazelo chondromatosis

Uma uzama amagama amabili ukuchaza lesi sifo, singasho ukuthi kuyinqubo zokucabanga okubangelwa isifo Ukuqina sekuyenzeka amalunga omzimba. With ukuthuthukiswa sifo ijwabu synovium ngokushesha ukuthola isakhiwo ayazika, okuholela ukuvela izimila eziningi ingozi kanye ugobile zomzimba. Ngo inombolo obuqand amacala chondromatosis amadolo ahlangene isiguli kuholela ukukhubazeka.

Ngaphezu kwalokho, olukhulu isifo elamanje yayo esicashile. Ngokuvamile, ukugula isikhathi eside akazange ukuzibonakalisa. Ezigabeni zokuqala esolwa ukukhula zokucabanga okubangelwa isifo uqwanga izicubu cishe kungenakwenzeka ngenxa ukungabi khona ubuhlungu esigulini. Izinguquko zenzeka kancane, futhi ukukhomba ukugula ngokuvamile kungenzeka ngesikhathi lapho izingcezu awela uqwanga regrown interarticular ngezikhawu.

Ingabe Zikhona Izimo Ezenza nezifo ingozi

Lesi sifo kuncike ezicini avuse ke. Ngokwesibonelo, umlando womndeni - omunye cishe izimbangela chondromatosis amalunga omzimba. Izimpawu nasekwelashweni kwezifo kungakephuzi, kulesi simo futhi babe nezici ezithile. Chondromatosis ngokuvamile kubonakala amadoda abaneminyaka engu-20 kuya kwengu-40. Esikhathini isifo ebuntwaneni kuyaqabukela baqinisekisa. Phakathi eziningana izizathu ekwandeni uqwanga Kumele kuqashelwe:

• umzimba zokuthelela - le ingress kwamagciwane kuphakamisa normal ukusabela kwamakhemikhali igazi, okuholela angakwazi ulwelwesi lwamalunga;
• ukuphazamiseka e umzimba kwezicubu articular;
• umsebenzi ngokweqile, ezithinta isimo kwamadolo;
• ezemidlalo olunzulu;
• izifo of the system zemisipha.

Sekuyisikhathi ukubona udokotela: Izimpawu kanye kuwukubonakaliswa isifo ngokuhlanganyela

Nakulokhu futhi kuyafaneleka ukunaka yokuthi lesi sifo kufihliwe. Ivame ukutholakala zitholiwe Yiqiniso ukudlula izivivinyo zokuvimbela. Kuze kube yileso sikhathi, kuze izimila ukufinyelela usayizi isentimitha, isiguli angakuzwa njengabanye ukuthi izimpawu zesifo chondromatosis. Ukwelashwa amadolo kwakuyozuzisa kakhulu uma uqala ngokushesha, okungukuthi, lapho i-alamu kuqala "izinsimbi" ..:

• ziwe uncharacteristic ezingalweni nasemilenzeni ngenkathi ushayela noma ukuzikhandla ezincane ngokomzimba;
• elalimbelesele futhi elalimbelesele ubuhlungu uphumule;
• nobunzima e perturbation (ngokuvamile ibonisa neziqu ezinkulu);
• ukuvuvukala kwemilenze eduze kwamadolo;
• imfiva ukuvuvukala endaweni.

Ingabe ngidinga zihlolwe for chondromatosis esolwa?

Uma ushayele onguchwepheshe isiguli kufanele uzilungiselele ukuba ibhekane luhlolo olunzulu kwedolo. Yenza isinqumo esifanele kwizenzo yezokwelapha Eqhubeka may udokotela kuphela ngemva kokutshelwa ngokukhubazeka kwengane izinga. Imiphumela yocwaningo kuzosiza ukunikeza ukuhlolwa ezanele amalunga lesiguli, ukuthuthukisa iqoqo izinyathelo ngempumelelo kwelapha ngcono igazi eligciniwe ukuba ezindaweni ezithintekile chondromatosis futhi ubuyisele ukukhiqizwa evamile uketshezi lwamalunga. Kuphela ngokuphumelelayo eyakhiwa ochwepheshe ohlelweni ngeke okungenani ukubambezela ukuqhubeka izinguquko dystrophic emisipheni.

izindlela ukuxilongwa

Zokusola nesineke chondromatosis amadolo, odokotela emthumela ukudlula le nqubo elandelayo emitholampilo:

• -X-ray - ngeke ukunquma ngokunembile esiteji isifo;
• US - ikakhulukazi ucwaningo luveza isibalo izimila ukuthi usufinyelele osayizi enkulu;
• Arthroscopy - ubhekwa indlela iningi ulwazi ukuxilongwa, ngoba kuhilela kokuziphatha endawo imishini endoscopic endaweni ezikanye Ukuhlolwa okubonakalayo enemininingwane;
• MRI noma-CT scan - indlela ephumelela kakhulu yokufundisa umuntu ukuba akwazi ukufunda amadolo, lokusho ukusetshenziswa Ngokuphambene uketshezi;
• impahla amasampuli engokwesayensi biopsy - kuqinisekisa isifo ubumsulwa.

Kuyaphawuleka ukuthi iningi izinqubo ngenhla Kunconywa ndima yisiguli kuphela emva ukuthola izimpawu nobuntu isifo ku radiographs.

Ukwelashwa chondromatosis amaphilisi: kanjani ngempumelelo?

Kusukela okutholakele zokuxilonga ixhomeke kulokho impatho chondromatosis amadolo ezomisa nesineke. Ezigabeni zokuqala zesifo kungcono ukusebenzisa amasu yokwelapha olandelanayo. Ukwelapha amacebo kuphela, ogama isinyathelo sibhekiswe umzabalazo ngokushesha yokulwa nezifo kusengathiwa a nokukhama zokwakheka lokukhanda. Imihlobo asele yokwelapha olandelanayo kuletha isiguli impumuzo lingaze kuphela. Lokhu kuhlanganisa ukuqashwa kukaNksz amaphilisi ezinhlungu, izidakamizwa ukuqeda edema, imithi antipyretic nokunye. D. Palliative ukunakekelwa chondromatosis amadolo ngokuhlanganyela akakwazi ukunqanda ukuqhubeka kwesifo kanye ukubuyisa ngokugcwele umsebenzi motor isiguli. Kuyasiza aqede kuphela okwesikhashana ezinye zezindlela isifo, kodwa akusho siphele lesi isiqinisekiso kancane ukuze kuvikelwe kokushelela.

ukuhlinzwa Ubuhlangano

A ehlukile ephumelela kakhudlwana ukuze ukuhlinzwa impatho olandelanayo. kokungenela koda edolweni chondromatosis lwamalunga emazingeni kamuva yithuba wangempela isiguli ukutakula. Operable ngokwenza:

• ukususwa uqwanga;
• kokususwa Bursa uma preponderance abalulekile izilonda;
• ukufakwa lokufakelwa kwezitho.

Ukuze zokugcina ukuhlinzwa resort samuntu uma ngampela (isib esimweni isifo Ukuphinda ngemva kokuhlinzwa kakade eyenziwa, ukusonteka abalulekile nasemilenzeni engezansi).

arthroscopy zokwelapha: Yiziphi izici?

Ukuze ukungena ngaphakathi komgodi we egobolondweni lelunga, uchwepheshe akanayo ukusebenzisa amasu evulekile. Lolu hlobo lokuhlinzwa kuhilela koda nezicubu ukulimala, engesiyo inqubo arthroscopy, okukhulunywe ngaye ekuqaleni njengoba nenqubo ethile yokuthola isifo. essence yayo njengoba isilinganiso zokwelapha yikhono ukususa fana ncane of umonakalo ngokuhlanganyela, okwenza sebeziqhumbuza ezimbili ezincane. Ngabo, ukwethula i arthroscope - ngamapayipi ekhethekile, okuyinto ibekwe ekupheleni udokotela ohlinzayo encane ye-video kanye nezinye izinsimbi zomculo. I qapha ubonisa langempela isithombe chondromatosis amadolo ngokuhlanganyela evumela ukuthi udokotela ukugcina isimo ngaphansi kolawulo, kokwenza imigexo umsebenzi ngempela ukuqeda izimila.

Lolu hlobo lokuhlinzwa ukususa ingxenye obonakele we meniscus, nemisipha, manipulation umonakalo uqwanga. Uma eqhathaniswa bendabuko yokusebenza amasu omunye izinzuzo arthroscopy kuyinto invasiveness yayo encane. Ukuze ufinyelele kwezicubu nezihlanganiso iziguli ukwenza eziningana sebeziqhumbuza 5-mm. Kulokhu, arthroscopy udokotela ohlinzayo ukuxazulula izinkinga ezibalulekile - ukuqinisekisa esiphezulu inqubo ngeso e isicelo amathuluzi.

Ukuvuselelwa isikhathi ngemva arthroscopy

Uma sikhuluma isikhathi emumva ekwelapheni operable, ukuhlinzwa evulekile kuyinto ebaluleke aphansi. Ngemva iziguli arthroscopy chondromatosis amadolo ubhekene ngokuhlanganyela nokuvuselelwa okuningi ngokushesha ngoba:

• ukuma emlenzeni umthwalo ukwesekwa kungaba ngosuku olufanayo emva inqubo;
• ukuhamba ngaphandle ukwesekwa, iziguli zingase zibe ngosuku wesibili noma wesithathu;
• Siphela kanjalo isikhathi sokuphumula nezikhathi ziyancipha kabili: kusukela emasontweni 5-6 ezintathu;
• ukubuyela zemidlalo can emva kwesikhathi 1,5-2 izinyanga ukuhlinzwa;
• ukubuya endleleni yakhe yokuphila yangaphambili nokuphilela anda imisebenzi ngokomzimba kunokwenzeka e 3-4 izinyanga.

Ubude besikhathi sokuhlala ehhovisi umile sakugcina - kusukela ku-1 kuya 3 izinsuku ngemva kokuhlinzwa. Inkathi kokuhlala esibhedlela nge evulekile ukuhlukumezeka post-op imayelana 20-30 izinsuku. Izindleko eziphezulu zokuthola izidingo ukusebenza chondromatosis arthroscopy ka kwamadolo - kuphela Ububi lokhu kwelashwa. Inani kakhulu nezinqubo kuxhomeke ezicini eziningana:

• ngobucayi isifo;
• isikhala ukwelashwa (ibhajethi isikhungo noma umtholampilo yangasese);
• izinto zenani ezihlobene, imithi, stents, izimila, omfisha, njll ..

Izinkinga of chondromatosis ingelashwa

Ngenxa ukuziphatha esifike ukusebenza, isiguli has a sethubeni elihle balahle chondromatosis phakade. Ukuziba izimila kungavamile ukuba ingozi, ukukhula kwabo nakanjani kuyoholela deformity ngokuhlanganyela kanye ukungasebenzi. Ngaphezu kwalokho, chondromatosis ingelashwa yisimo esihle okuvela ezinye izifo eziyingozi ngokulinganayo (coxarthrosis, gonarthrosis, rheumatism) is engelapheki. Lapho kuvela izimpawu zokuqala noma izinsolo wabo, ngaphandle kokulibala, xhumana wezinyawo.