Bursitis (kuchokera ku Chilatini "bursa" - thumba) ndikutupa kovuta kapena kwakanthawi kwa thumba la synovial. Zomwe zimayambitsa matendawa zimatha kukhala zopweteka, kugwa, katundu wolemetsa palimodzi, matenda, zilonda, ndi mabala. Kuzindikira kwakanthawi ndi chithandizo chake nthawi zambiri kumabweretsa kuchira.
Zina zambiri
Bursa (bursa) ndi thumba lodzaza madzi lomwe limakhala mozungulira malo ndi minyewa, limafunika kuthana ndi ziwombankhanga poyenda. Pali pafupifupi 150 mwa iwo. Amortort, mafuta mafuta olumikizira mafupa, minyewa, minofu pamalumikizidwe.
Maselo a synovial omwe amakhala m'mimbamo mwa bursal amapanga zotsekemera zapadera. Amachepetsa mkangano pakati pamatenda ndipo munthu amatha kuyenda mosavuta.
Ndikutupa kwa thumba la synovial, kutulutsa kwa madzimadzi olowa kumachepa ndipo kupweteka, kuuma kwa mayendedwe, komanso khungu lofiira. Kusiyanitsa pakati pa pachimake, subacute, bursitis yanthawi yayitali. Wothandizira causative ndi wachindunji komanso wosadziwika. Njira yotupa imabweretsa kudzikundikira kwa exudate. Ndi chikhalidwe chake, amadziwika - serous, purulent, hemorrhagic.
Ndi bursitis yolumikizana mchiuno, njira yotupa imakwirira chikwama chake cha synovial. Azimayi azaka zapakati komanso achikulire nthawi zambiri amakhudzidwa ndi matendawa.
Zomwe zimayambitsa matendawa nthawi zambiri zimakhala:
- utali wosiyanasiyana wamiyendo;
- alowererepo opaleshoni;
- nyamakazi;
- scoliosis, nyamakazi, nyamakazi ya msana;
- "Bone spurs" (njira padziko mafupa);
- Kusiyanitsa kwa mahomoni;
- kusuntha mutu wa olowa;
- kuchepa kwa madzi m'thupi;
- ankylosing spondylitis;
- ziwengo;
- matenda opatsirana;
- mchere umayika.
Ndikuthamanga kwambiri, kupalasa njinga, kukwera masitepe pafupipafupi, kapena kuyimirira, pamakhala katundu wambiri pamfundo yolumikizira m'chiuno, yomwe imatha kubweretsa matenda.
Zizindikiro
Poyambitsa kufooka kwakukulu, kufooka kumawoneka:
- kupweteka kwambiri ndi kutengeka kochokera kunja kapena mkati mwa ntchafu, kutulutsa mpaka kubuoka, m'chiuno;
- kutupa kwa mawonekedwe ozungulira ndi m'mimba mwake masentimita 10;
- kutupa kwa minofu;
- kutentha thupi;
- kufiira kwa khungu.
Chifukwa cha kutupa, munthu samatha kupinda, kuwongola mchiuno. Kupweteka kumakhala kolimba poyamba, koma ngati simumayamba chithandizo, chimayamba kufooka pakapita nthawi ndipo chimakhala chosakhalitsa.
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Mitundu
Pafupi ndi chiuno, pali ilio-scallop, ischial, trochanteric cavities ndi madzi:
- Njoka. Zofala kwambiri kuposa ena. Pali ululu m'dera la mafupa omwe ali pamtunda wa chikazi ndi mitsempha yoyandikana nayo. Wodwala amakumana ndi kutupa, kusapeza pamene akusuntha, malungo, kufooka. Mpumulo, kupweteka kumachepa, koma munthuyo akamayesera kukwera masitepe, chita utsi - kumakulanso. Ngakhale usiku, ngati agona mbali yomwe yakhudzidwa, ali ndi nkhawa ndi zowawa. Nthawi zambiri amadziwonetsera mwa akazi, zifukwa zake zimakhala zolimbitsa thupi kwambiri, kunenepa kwambiri, matenda amtundu wa endocrine, kufooka kwa mafupa, kuvulala m'chiuno, chimfine, mavairasi.
- Ilium-scallop (fupa). Amadziwika ndi kutukusira kwamphako yamkati yomwe ili mkati mwa ntchafu. Anthu omwe amangokhala pansi ali pachiwopsezo. Zimadziwonetsera ngati zopweteketsa m'mimba, ntchafu yamkati, makamaka poyesera kudzuka, kukhala pansi, kukweza mwendo. Kuvutika kumakula pambuyo pakupumula, kugona, kusayenda, poyesa kudzuka, kwezani mchiuno.
- Ischio-gluteal. Ili pamalo pomwe minofu yolumikizira kumbuyo kwa ntchafu imalumikizidwa ndi chifuwa chachikulu cha ischial. Wodwala amamva kuwawa m'matako, zomwe zimaipiraipira ngati atakhala pampando, amasinthira mchiuno, ndikugona mbali yomwe yakhudzidwa. Ischio-gluteal tuber imakula. Zomverera zosasangalatsa zimakhala zoyipa usiku.
Kuzindikira
Dokotala wa mafupa amamvera madandaulo, amafufuza malo omwe akhudzidwa, amamva kupweteka. Amapanga matenda pogwiritsa ntchito mayeso a Aubert - wodwalayo amayikidwa mbali yathanzi ndikupereka mayendedwe angapo - kuti achotse, azitsogolera, akweze, atsike m'chiuno. Ngati sangathe kuzichita kwathunthu, chomwe chimayambitsa matendawa ndi bursitis.
Nthawi zina, amapatsa MRI, X-ray, kuyesa magazi. Kenako, atatsimikizira kuti ali ndi vutoli, amalimbikitsa chithandizo.
Chithandizo
Bursitis imachiritsidwa mokwanira. Uku ndikumwa kwamankhwala mkati, jakisoni, othandizira kunja ndi physiotherapy.
Mankhwala osagwiritsa ntchito zotupa (Ibuprofen, Indomethacin, Meloxicam, Celecoxib, Piroxicam, Diclofenac) amathandizira. Amachepetsa kupweteka komanso kutupa. Zinthu za mahomoni zimagwiritsidwa ntchito (Prednisolone, Hydrocortisone, Flosterone, Kenalog, Dexamethasone). Chondroprotectors (Dihydroquercetin kuphatikiza, Osteo-Vit, Teraflex, Artra), mavitamini, ma microelements amagwiritsidwa ntchito. Zikatero, mankhwala amapatsidwa mankhwala (Cefazolin, Sumamed, Panklav).
Kuchita masewera olimbitsa thupi kumalangizidwa kuti muchepetse, poyenda, gwiritsani ndodo, ndodo. Mafuta odzola kwambiri - Cortomycetin, Nise, Dolgit, Voltaren. Zowonjezera - laser therapy, ultrasound, electrophoresis, inductotherapy, kutentha kwambiri, kugwiritsa ntchito parafini, kulimbitsa thupi kwa physiotherapy, kutikita minofu.
Muzochitika zapamwamba, opaleshoni imagwiritsidwa ntchito - madzimadzi owonjezera amapopedwa pansi pa oesthesia wamba ndi syringe.
Bursa yokhudzidwayo imachotsedwa (bursectomy) nthawi zambiri, pomwe kuwerengetsa kumachitika.
Mankhwala amagwiritsira ntchito mankhwala azitsamba - burdock, chamomile, yarrow, tsamba la kabichi ndi uchi. Imwani chakumwa chopangidwa ndi uchi ndi viniga wa apulo cider.
Zotsatira ndi kuneneratu
Nthawi zambiri, matendawa amachiritsidwa ndikutumiza munthawi yake kwa katswiri ndikuzindikira msanga. Pali mwayi uliwonse wochira, kuyenda kumabwezeretsedwanso ndipo ululu umatha. Koma ngati bursitis isandulika ulesi, munthu amatha kukhala wolumala chifukwa cha kuwonongeka kwa mafupa.
Zovuta muzochitika zapamwamba zitha kukhala - zilema za ntchafu, kuchepa kwamayendedwe osiyanasiyana, kuperewera kwa venous.
Kupewa
Kuti mupewe matenda, simuyenera kunyamula malo olumikizirana mafupa, osanyamula zinthu zolemera, kugwiritsa ntchito nsapato za mafupa, kuwongolera kunenepa, komanso kupewa kuvulala. Chitani masewera olimbitsa thupi, yesetsani zolimbitsa thupi ndikulimbitsa minofu yanu ya ntchafu. Musaiwale za kupumula ndi kugona mokwanira, idyani moyenera, kupatula zinthu zoyipa, kusiya kusuta ndi mowa.
