Prepatellar knee joint bursitis: zviratidzo uye kurapa

Bursitis chirwere umo iyo periarticular bag inopisa. Izvi zvirwere zvinowanikwa mumakona nemabvi ezviko. Pamarudzi ose e periarticular inflammation, iyo yakawanda yakawanda preapatellar bursitis yemabvi akabatanidzwa. Ichi chirwere chinowanzovapo pakati pevanhu vanobatanidzwa mune zvemitambo, mushure mekukuvara.

Prepatellar bursitis: chii ichocho?

Mumucheto wepamusoro wemabvi akabatanidzwa ndiwo prepatellar periarticular bag (pre-patellar bursa). Icho chiri pamusoro pemabhedha. Bursa yakazadzwa nemvura inokurudzira kusunungura pasina uye inodzivirira kubatana kubva kuwedzera kwekukanganiswa. Kuvhiringidza kwebhagi kunonzi prepatellar bursitis. Zvinoratidzwa sei?

MuInternational Classification of Diseases ICD-10, prepathel bursitis yakanyorwa pasi pemutsetse M70.4. Nechirwere chakadaro, kufamba kwechimiro chechirwere chiri mu periarticular bag kunovhiringidzika. Mafomu anokonzera - mumvura yakasunungurwa kubva mumidziyo yeropa munguva yekuputika. Muchikamu chemvura chinogona kuwana utachiona, izvo zvinokonzera kupisa kwekuita.

Zvirwere zvemuviri zvinotanga kurwisana nehutachiona, nhamba huru ye lymphocytes inotumirwa kunzvimbo yekuvhiringidzika - masero ekudzivirira emuviri. Kuwedzera kwesimbi kunokonzera edema, iyo ndeimwe yezviratidzo zvikuru zve pre-patellar bursitis pamabvi akabatanidzwa. Mufananidzo wakaratidzwa pamusoro apa unoratidza kuti kunyanya kwebvi kunogona sei. Nemhaka yekumanikidzirwa kwemuviri wemakirini pazviri pedyo nemukati uye midzi yemitsipa, kune marwadzo mumabvi. Nokufamba kwenguva, munzvimbo yakabatana, kudyidzana kunogona kuumba, saka bursitis iri nyore kubata apo pakutanga kwekuvandudzwa kwayo.

Nei kutungamira bursitis kuchiitika?

Kazhinji kacho, kuputika kwepasitori periarticular kunokonzerwa nehupamhi hwemabvi pamusana wakaoma. Vanhu vane mararamiro anoshingaira vari pangozi yekuvandudza prepathel bursitis. Asi iyi haisi iyo chete inokonzera kuvhiringidza muhombodo ye intra-articular. Izvi zvinotevera zvinokonzera bursitis zvinogona kuonekwa:

• Anowanzovhiringidza mabvi;
• Kudonha uye kumire pamabvi panguva yebasa (somuenzaniso, bursitis inowanzogara mumatenga, vagadziri vemagwatidziro egoroti, vachengeti vemakateti, plumbers);
• Kurwisa utachiona muhutano kuburikidza nekukanda uye maronda;
• Zvirwere zvinotapukira - brucellosis, tuberculosis, gonorrhea, syphilis (izvi zvirwere zvakaoma nekudzingisa mukati meBurgsa);
• Matambudziko emagetsi (chirwere cheshuga, kuneta, gout);
• Zvirwere zvinodzivirira (rheumatoid arthritis, systemic lupus erythematosus).

Asi chero zvikonzero zvinokonzera kuputika, zviratidzo zvebursitis zvinotanga kuonekwa mushure mekukuvara kwebvi. Dzimwe nguva zvinogona kunge zvichinyunyuta, asi kunyange kukuvadzwa zvishoma kungakonzera kukura kwekuputika. Kana murwere ane pre-patellar bursitis pamabvi akabatanidzwa, zviratidzo uye kurapwa zvinotarisana nemhando yechirwere uye kuvapo kwehutachiona hwehutachiona.

Zviratidzo zvehosha yakaoma

Acute pre-patellar bursitis inouya isingatarisirwi, zviratidzo zvinokura kwemazuva mashoma. Chirwere chacho chinoratidzwa nezviratidzo zvinotevera:

• Iko kunorwadza kwakapinza mumuto we nasolennoy. Munhu haagoni kugona pamabvi ake, chero kubata kunzvimbo yekuvhiringidza kunokonzera kunzwa kunorwadza.
• Kune dema yakasimba mudunhu repa patella nekudzikinurwa kweganda.
• Movement mubatanidzwa yakagadzikana haigone.
• Hushinho yemuviri inomuka, pane malaise yakawanda.
• Marwadzo anowedzera apo nzvimbo yekuvhiringidzika inowedzera.

Zviratidzo zvehosha isingaperi

Kana kusina kukodzera kwakadai, chirwere chinonzi bursitis chinogara chisingagumi. Chronicization yezvokuvhiringidza zvinogona kuitika nekudzvinyirira kwenguva refu pamabvi akabatanidzwa uye kuvanhu vakwegura. Zviratidzo zvekuvhiringidza zvishoma zvishoma. Marwadzo, kubwinya uye kupfugama kwemabvi akabatanidzwa achiripo. Zvinosviba kupfuura murusvingo rwechibharo, nekuda kweizvi nzvimbo yemubatanidzwa inogona kukura muhukuru kazhinji. Kune manzwiro emakumbo mukati me patella nekuda kwekuumbwa kwemakaka pamadziro e periarticular bag.

Zviratidzo zve purulent bursitis

Kana homwe yepra-articular inowana utachiona, ipapo kune kuregererwa mukati mebrasa. Zviratidzo zvechirwere zvinowedzera zvakaoma.

• Kutonhora kunowedzera zvakasimba, hupenyu hune huwandu hwomurwere hunotambudza.
• Ganda iri munharaunda inopinda inotonhora kusvika kumubata, kubwinya kunotaurwa.
• Kune kurwadziwa uye kuputika mukati memubatanidzwa.

Ndeipi migumisiro ye bursitis?

Kurwisana neppathel bursitis kunoda kurapwa nokukurumidza, zvisinei kuti abscess inogona kupararira kune mamwe maviri kana kuputsa kuburikidza. Izvi zvinotungamirira kumatambudziko:

• Kana iyo abscess inopinda mumudziyo weropa, panogona kuva neropa rinopisa - sepsis.
• Nekupararira kwekuvhiringidza uye kudyidzana pamapfupa ari pedyo, osteomyelitis inogona kutanga.
• Kana purulent kutuka inopararira kune zvakapoteredza mishonga uye lymph nodes, phlegmon uye lymphadenitis inoitika.
• Zvinyorwa zviri mukati zvinogona kupinda mu bursa zvakananga mumubatanidzwa. Zvadaro kune maitiro akaoma e purulent arthritis.
• Fistulas inoumba paganda. Iyi ndiyo mitsara ine purulent mukati iyo inoonekwa mushure mekudzivirira kuzvimiririra kwebasa mu seminari.
• Nenguva yakareba pre-patellar bursitis yemabvi, chimiro chinogona kurasikirwa nechikamu chemotokari yayo.

Izvo bursitis inowanikwa sei muhuduku

Vana vaduku havakwanisi kutora prepatellar bursitis. Kuremera kwavo kwakanyanya kuduku, uye kana mwana akawira pamabvi ake, kuputika kunenge kusingakoshi. Vana vari pasi pegore rimwe havawanzorwara nehutachiona hwehutachiona, sezvo mwana wose ane chirwere chinotapukira kubva kuna amai vake. Nzira inobvira ye bursitis muvana kukuvara uye mabvi anoputsika. Asi mwana wacho anowanzo ane mapfupa akachinja, uye kuputika kunokura nokukurumidza pamwe chete. Bursitis inogona kutanga muvana vaduku chete apo rubatsiro rwakaputsika pamabvi rwakapiwa nguva.

Asi vechidiki vanowanzowana bursitis. Kazhinji kuputika kwebrasa kunoonekwa kune vakomana vezera rekuzvarwa, avo vanoita mararamiro anoshanda uye vanobatana zvikuru mumitambo. Kazhinji kazhinji izvi zvinoitika mushure mekukuvadzwa panguva yekudzidziswa. Pane chimwe chikonzero chekuyaruka bursitis. Munguva yekubudisa nguva, vana vanokura nokukurumidza. Dzimwe nguva kukura kwezvibatanidzwa zvinosara shure kwekukura kwemuviri. Uye zvino vechidiki vane matambudziko nemajoini, kusanganisira mabheti ekubatanidza bursitis.

Kuongororwa kwechirwere

Kazhinji kuongororwa hakuiti matambudziko kune chiremba nekuda kwechimiro chechimiro chechirwere. Edema uye kubwinya mu patella kunoonekwa kunyange mushure mekunge kuongorora kunze. Zvisinei, pane dzimwe nguva zvakakosha kusiyanisa prepathellar bursitis kubva kune dzimwe zvirwere nekukuvadzwa kwebato rekubatana: arthrosis, synovitis, osteomyelitis, kuparara kwetendon. Ipapo chiremba anosarudza dzimwe nzira dzekuongorora:

• X-ray yemabvi;
• Ultrasound of the knee joint;
• MRI;
• Chirango chekuvhara chinangwa chechinangwa chekuongorora kurongeka kwemvura.

Izvi zvichabatsira kutarisisa mamiriro ezvinhu epasiarticular bag, mazamu akaipoteredza nemapfupa, kuitira kuti aongorore uye anyore kurapa maererano nemigumisiro yezvidzidzo.

Nzira yekurapa sei isina kupararira bursitis?

Kurapa kwe-pre-patellar bursitis yepasina kutapukira, sekutonga, ndeyekuchengetedza. Kupora kunoitwa chete kana kune ropa rakawanda muBrasa mushure mekukuvara. Chido chekuita izvi chinofanira kugadziriswa nechiremba aripo, sezvo pane ngozi shoma yekutapukirwa.

Pachigamba chekutanga zvakakosha kupa rugare kune chikwata chinorwara. Nharaunda yemubatanidzwa yakasimba zvakasungirwa nebandanho, kana zvichidikanwa, kusungirirwa kunoshandiswa. Pain inorayirwa analgesics. Nokurwadziwa kwakanyanya, "Prednisolone" inoroverwa muhomwe yekubatana. Kurapa kweAacute bursitis kunotora mazuva anenge 7-10.

Nzira yekurapa chronic bursitis pamabvi?

Muchirapa che prepatellar bursitis pamabvi akabatanidzwa, zvisingaperi zvinopesana nekuputira kwete-steroid zvakagadzirirwa zvinorayirwa: "Diclofenac", "Naise", "Nimesil", "Ibuprofen".

Shandisai physiotherapy maitiro:

• Massage;
• Electrophoresis;
• Dzidzirai kurapa;
• Magnetotherapy;
• Ultrasound therapy;
• Laser kurapwa.

Kana kuvhiringidzika kwekemudate kunowedzera mu bursa, ipapo kuvhara kunoitwa.

Kurapa kwe purulent bursitis

Kana bursitis iri yepachivi chepamuviri uye kudyidzana kwave kwatoitika, zvino shandisa chigadziko. Ivha rinopinza rinoputirwa uye rinoputirwa kunze kwepurasitiki. Nzvimbo yepa periarticular bag inoshambidzwa nemagadzirirwo emishonga inorwisa mabhakitiriya uye antiseptics. Mushure mekuita izvi, chikamu chemurwere chinoratidza zororo.

Ipa maitiro e antibacterials emhando yakawanda yezviito. Nguva yemishonga inorwisa mabhakitiriya inenge masvondo matatu. Pamwe pamwe ne antibacterial drugs, chiremba anorayira glucocorticosteroids. Kana murwere akashungurudzwa nezviratidzo zvechimiro chekunyadziswa (kuora musoro, kusuruvara, kushambidzika, kutonhora), ipapo zvinokonzera zvinogadziriswa zve sodium chloride, "Perftoran", "Ringer". Mushure mokubviswa kwepus, imwe nzira yekurapa ne glucocorticoid madawa uye physiotherapy nzira inoitwa.

Operation

Iyo inzira inoshandiswa yekushanda mishonga ye pre-patellar bursitis yemabvi akabatanidzwa. Kuita kuvhara nekubvisa bursa kunokosha mune zvakaitika apo nekuda kwekutambudzika kwakanyanya munhu anoshaya kukwanisa kufamba uye kushumira pachake. Izvi zvinoreva kuti masvingo epa periarticular bag akawedzerwa kuitira kuti bursa irege kuzobvumira kubatana kudimbura. Mushure mokuvhiyiwa, murwere anogadzira chigadziri chakakosha pamabvi kwemazuva matatu. Ipapo chiremba anonyora nzira yekurapa muviri. Kazhinji mushure mekuvhiya munhu anodzokera kune imwe nzira yehupenyu mukati memwedzi. Zvinokwanisika kuvimba pamabvi ane chirwere mushure memwedzi mitatu.

Nzira nzira dzekurapa bursitis

Mishonga yemusha inogona kushandiswa mu bursitis sechirwere chekuwedzera. Usati washandisa mishonga yemagariro, unofanira kubvunza chiremba wako. Ne bursitis, kukwikwidza kubva mumiriwo kunogona kubatsira. Iyo inobatsira kushandura mamwe mabhizimisi kubva kumapatatisi, beet uye kabichi. Miti inofanira kushandiswa kumubatanidzwa unoshungurudza usiku. Pausiku hwokutanga, maverengeka akachekwa mbatata yakasvibiswa yakaiswa panzvimbo yakaoma, yakafukidzwa nefirimu yezvokudya uye yakasungwa. Pausiku hwepiri iwe unofanirwa kudzokorora nzira ne beetroot, uye nechechitatu - ine kabichi.

Iwe unogona kuwedzera decoction yepaini masayeri, majee uye mapazi kumvura yokushambidza. Zvose zvinoshandiswa zvinoda kubika maminitsi makumi matatu mumvura, uye zvino inopa muto kwemaawa makumi maviri nemaviri. Iko tsvina yakapedzwa inofanira kuva yakaonda. Muto unowanikwa mumvura uye bhati rinotorwa kwemaminitsi makumi maviri. Ichatora anenge 1.5 litres ekutorwa. Apo bursitis inobatsira kushandiswa mukati mukati mekusanganiswa kwepropolis uye bhotela. Zvakakosha kusanganisa izvozvi muzvikamu zvakaenzana. Iyo yakagadzirwa inotorwa 1 teaspoon katatu pazuva. Zviri nani kushandisa mushonga kubva kupropolis 1 awa usati wadya.

Nzira yekudzivirira sei chirwere?

Kuti udzivise kukura kwe prepatellar bursitis, unofanira kuchengetedza mabvi ako kubva pamitoro yakawandisa nekukuvara. Kunyanya inoshushikana nevaya vanoita zvematambo. Chidzidzo chega chega chekudzidzisa chinofanira kutanga nechishuwo-up. Kana pamabasa emitambo kune ngozi yekukuvara kwemabvi, zvino unoda kuchengetedza kubatana nemamwe magetsi (mabheji emabvi). Izvi zvichatibatsira kudzivisa kukuvara kwakakomba uye zvinetso nenzira ye prepatellar bursitis. Mumufananidzo uri pamusoro apa unogona kuona imwe yezvidziviriro zvakadaro zvekudzivirira pamabvi. Mukana wekuparara kweganda, zvakakosha kuporesa maronda uye kubhururuka nokukurumidza sezvinobvira nemishonga inodhaka uye kushandisa mabheji. Izvi zvinobatsira kudzivirira utachiona mubhaperi periarticular. Kungofungisisa kwemajoini uye kurapwa kwenguva yakakodzera kwekukuvara kunobatsira kudzivisa bursitis.