Osteoarthritis ea lengole: matšoao le kalafo

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Osteoarthritis ea maapo a mangoleng ke bokuli bo tsamaeang le tšenyo e liehang ea mokokotlo oa hyaline ea patella.
Matšoao a arthrosis a bonahatsoa ka bohloko le ho sisinyeha ho fokolang. Arthrosis ea manonyeletso hangata ke a mang a mathata a lefu la tsoekere. Ka nako e ts'oanang, manonyeletso a mangata haholo a utloa bohloko - mangole, maqaqailana, leoto.

Litšobotsi tsa arthrosis ho lefu la tsoekere ke life? Hona ke li-prophylaxis life tse sebetsang tsa tsoekere tse ka fanang ka tsona ho thibela tšenyo e kopaneng ea mangole?

Arthrosis - ke eng?

Arthrosis e nkoa e le lefu la senile 'me e thehiloe ka ho se lekane ha li-vithamine, lintlha tsa morao-rao le lintho tsa collagen' meleng.

Cartilage mesebetsing e kopaneng e le sebaka se sirelletsang lipakeng tsa masapo. Ho roala ha Cartilage maotong a mangoleng ho etsahala letsatsi le letsatsi ka meroalo ea makoloi - ho tsamaea, ho lula fatše, ho hloa litepisi. Ts'ebetso ena e tlameha ho tlatselletsoa ka ho theha lisele tse ncha ka har'a li-cartilage le ho pheta hape mokelikeli o kopaneng. Ka lebaka la khaello ea phepo e nepahetseng le phepelo ea mali, lefufuru le khaotsa ho khutlisetsa sebopeho sa lona, ​​mafu a kopaneng - arthrosis.

Lebitso le hlalosang arthrosis le sebelisoa, ho tloha mohatong oa bobeli oa lefu lena, ha lisele tsa mokokotlo oa mokokotlo li tsofala haholo kapa ho ba sieo ka botlalo (mohato oa boraro).
  • Ho lefu la tsoekere, mohloli o ka sehloohong oa mathata le mathata ha o na phallo e lekaneng ea mali. Mali a mokuli ea nang le lefu la tsoekere a teteane ebile a bonoa, a tsamaea butle ka har'a likepe 'me ha a fane ka lisele ka ho lekaneng le oksijene le phepo e nepahetseng. Kahoo, lefu la tsoekere le kenya letsoho ho arthrosis.
  • Ts'ebetsong ea ts'ebetso ea sele, ho bitsoang lihlahisoa tse bitsoang litšila. Tsamaiso ea tsona ea litho tsa thobalano (mala, matšoafo, senya) le eona e etsahala ka phallo ea mali. Ho phalla ha mali ha ho fane ka phallo e felletseng ea khabone le litšila tse ling. Ka hona, chefo ea intracellular le ho ruruha e thehoa.
  • Lefu la tsoekere ho 85% ea maemo a tsamaea le botenya. Boima bo feteletseng bo baka khatello ea maikutlo manonyeletsong a mangoleng a mangole. Motsoako oa ho bolaoa ke tlala ea lithane tsa lefufuru le ho eketseha ha meroalo ke o mong oa mathata a lefu la tsoekere - knee arthrosis.

Lisosa tsa arthrosis ho lefu la tsoekere

Ntle le sesosa se ka sehloohong sa lefu lena - ho ts'oaroa ha lefufuru le ho se khonehe ha ho khutlisoa, ho na le lintlha tse ling tse potlakisang ho qala ha lefu lena:

  • Meroalo e tiileng khafetsa manonong a mangoleng (botenya, ho sisinyeha ha nako e telele haholo) - theha maemo a ho koaloa ha lefufuru la hyaline (knee).
  • Ts'ebetso e tlase ea koloi - e fokotsa phallo ea mali 'me e baka mathata.
  • Microtraumas khafetsa (sebetsa ka lebelo kapa ho laolla) - e hloka hore e phetoe hape, e fole le ho eketsa limatlafatsi le lintho tse ngata tsa collagen.
  • Ramatiki - ho ruruha ha manonyeletso, hangata ho halefisa timetso ea bona - arthrosis.
  • Mathata a amanang le lilemo a syntlaase ea collagen. Sena ke proteni e nkang 25% ea karolo eohle ea protheine ea 'mele oa motho. Collagen e na le lisele life kapa life tse ka bang teng - cartilage, ligaments. Ka lilemo, collagen synthesis e fokola bathong, e halefisang arthrosis, ramatiki, dislocations le fractures.
Lisosa tse ka sehloohong tsa arthrosis ea lengole le kopaneng ke mathata a kopantsoeng a metabolism le collagen, le ho potoloha butle butle ho patella. Ke lintlha tsena tse ferekanyang phepo e nepahetseng ea lisele tsa lefufuru ebile li sa lumelle lefufuru la hyaline ho fola. Lintho tse ling kaofela li kenya letsoho ponahalong ea lefu lena pele.

Matšoao a arthrosis: lefu le bonahala joang ho batho ba lefu la tsoekere?

Matšoao a mantlha a arthrosis ea mangole ke bohloko, ho se khone ho sisinyeha, ho ruruha ho sa feleng.

1. Qalong ea lefu lena, bohloko bo hlaha ka tšohanyetso mme ha bo nke nako e telele. Hangata, bohloko bo hlaha ha o nyoloha litepising le ha o hloella setulong (ho tloha setulong, sofa, setulo). Ka phomolo, bohloko bo feta mme o se ke oa khathatseha.

Ponahalo ea bohloko bo otileng e etelloa pele ke lilemo tse 'maloa tsa bohloko bo sa foleng ba nako e telele nakong ea ho tsamaea ha nako e telele kapa ho matha.

Ha matšoao a pele a bonolo a hlaha, o hloka ho ela hloko lijo tsa hau, ho lekola hore na ho na le collagen e lekaneng, calcium, livithamini 'meleng, le ho hlahloba boemo ba ho sisinyeha' meleng le mokhoa oa bophelo. Lingaka li eletsa batho ba nang le lefu la tsoekere hore ba tsamaee lik'hilomithara tse 3-4 letsatsi le letsatsi. Hape, ho khelosa menyu ka lijana tsa vithamini, sebelisa litlatsetso tsa collagen, emisa ho tsuba, joala le meketjana ea bosiu.

Mohato o latelang oa lefu lena o bonahala ka keketseho ea ho ruruha. Ka linako tse ling palo ea mokelikeli o bokelletsoeng ho hola ha manonyeletso ebe e ea lehlakoreng le ka morao la patella - tlasa lengole. Tumelo e joalo e bitsoa Baker cyst. Ha ho na lebaka la ho buuoa ho e phekola. Lithethefatsi tse khahlanong le ho ruruha le tse matlafatsang, ho sebelisoa lithethefatsi tsa lihormone.

3. Mohato o latelang oa tsoelo-pele ea arthrosis ho lefu la tsoekere o hlaha pejana ebile o potlakile ho feta bathong ba nang le mathata a metabolic. Bohloko bo hlaha ka mokhoa o fokolang haholo, bo bakoa ke ho sisinyeha ho fe kapa ho fe ha nako e telele kamora ho phomola nako e telele. Ho na le lerata le phahameng le utloang ka mangoleng ha le tsamaea. Moalo o emisa "ho ema", hangata manonyeletso a ka khumama a 90º feela. E fetoha tlolo e hlakileng ea sebopeho sa karolo ea sona, ho ruruha ha eona.

4. Mohato oa ho qetela oa arthrosis ea lengole ho tsoekere hangata o tsamaisana le mathata a mang a sa thabiseng - pholiso e mpe ea maqeba, ponahalo ea liso le tahlehelo ea kutlo ea maoto le maoto. Bohloko bo a ferekanya leha e se ho ikoetlisa kapa ho sisinyeha. Leha a sa utloe hantle ka maoto le matsoho, a entsoe ka lefu la tsoekere, bohloko bo hlorisa motho. Bolo ha bo khumame kapa hona ho otloloha ho isa qetellong. Ho ruruha ho atoloha ho mesifa le mesifa e haufi. Ho sitoa ho sisinyeha ka bohona ho etsa hore mokuli a holofale.

Phekolo ea arthrosis ho lefu la tsoekere

Phekolo ea arthrosis e ipapisitse le boemo ba lefu la mafu.
Ho diabetes, mekhoa eohle e bohloko e tsoela pele ka potlako mme, haeba e sa phekoloe, e baka mathata a maholo. Hang ha mokuli a buisana le rheumatologist kapa orthopedist, ho na le monyetla o moholo oa ho boloka manonyeletso a le maemong a sebetsang. (Ka tlase o ka khetha le ho etsa tumellano ea mahala (tumellano e lefshoa) ho lingaka tse ntle tsa toropo)

Kahoo, re thathamisa litlhare tse ka sehloohong tse sebelisoang ho phekola arthrosis ea lengole le amanang le lefu la tsoekere:

  • Chondroprotectors - lintho tsa ho khutlisetsa lefufuru. Tsena ke chondroitin sulfate, glucosamine le hyaluronic acid. Ha li kopantsoe, li fana ka motsoako oa collagen. Collagen le glucosamine li ka tlisoa maling (matlapeng) kapa ka har'a letlalo (ho tsoa ho tranelate e kantle). Hyaluronic acid e fanoa e le ente ea intraarticular. Ho tlameha ho hopoloa hore ho khutlisoa ha lefufuru ke mohato o liehang ho nka nako e telele, ho fihlela lilemo tse 1.5-2. Chondroprotectors ha e na thuso mohatong oa boraro oa lefu lena, ha mokokotlo oa mokokotlo o felisoa ka botlalo.
  • Lithethefatsi tse khahlanong le ho ruruha - fokotsa sebaka sa ho ruruha, fokotsa ho ruruha ha manonyeletso a mangole, ho ba le phello e eketsehileng ea analgesic. Diclofenac, ketoprofen, ibuprofen, phenylbutazone, indomethacin e behiloe ka setso. Sehlopha sena sa lithethefatsi tse nang le tšebeliso ea nako e telele se sitisa tšilo ea lijo le liphio ho 20% ea bakuli ba tloaelehileng le ho 40% ea bakuli ba lefu la tsoekere. Ka hona, ho bakuli ba nang le lefu la tsoekere, ho molemo ho nkela lithethefatsi tsena lithethefatsi tse khahlanong le ho hlasimoloha (ka mohlala, lithethefatsi tsa Austria, Movalis, kapa Tenoktil, Ksefokam).
  • Li-painkiller tse arohaneng (haeba ho hlokahala) - lithethefatsi, lithethefatsi tsa corticosteroid ka mokhoa oa liente tsa intra-Expressular, hammoho le li-compress, litlolo.
  • Lithethefatsi ho fokotsa bongata ba mali.
  • Mekhoa ea ho imolla mesifa ea mesifa (ho silila le ho hlohlona - ho kokobetsa spasm le ho khutlisetsa phallo ea mali).
  • Ho buoa ke mokhoa o feteletseng oa ho phekola arthrosis ho lefu la tsoekere. Ha ho ratehe ho tlisa maloetse kalafong ea ho buuoa, hobane ho batho ba nang le lefu la tsoekere, maqeba afe kapa afe a fola hantle le hanyane ka hanyane.

Thibelo ea thibelo ea lefu la tsoekere

Hoa hlokahala ho utloisisa ho mokuli ea nang le lefu la tsoekere hore manonyeletso a thata haholo ho a phekola mme ho bonolo ho thibela phepelo ea lefu la tsoekere ho feta kamora ho phekola lefu la manonyeletso a mangole.
Thibelo e ntle ka ho fetisisa e kenyelletsa:

  • Ho ja hantle le ho silila letsatsi le leng le le leng.
  • Boikoetliso ba 'mele, ho hahlaula, ho ikoetlisa ka tsela e phetseng hantle.
  • Taolo e thata ea lik'habohaedreite ka har'a lijo le tsoekere ea mali. Ntle le moo, lingaka ha li eletse bakuli ba nang le lefu la tsoekere hore ba je lijo tse nang le meriana e tlamang. U lokela ho khetholla ho tsoa lijong tse kang ketchup ea lebenkele, soseji, mayonesiise, lihlahisoa tsa lebese tsa polokelo ea nako e telele, le lijo tse nang le khalori e ngata (bakeng sa taolo le tahlehelo ea boima ba 'mele).
  • Kaha phallo ea mali ho batho ba nang le lefu la tsoekere e fokotsehile, ho hlokahala hore nako le nako ho nkoe litekanyetso tsa livithamini, liminerale le chondroprotectors.
Osteoarthritis ea lefu la tsoekere e thatafalloa ke ho kula ha lefu lena ka potlako. Ka hona, thibelo ea letsatsi le letsatsi le taolo ea tsoekere ea mali hoa hlokahala ho thibela lefu lena le senyehang la manonyeletso a mangole.

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