Ankylosis ndizovuta kusuntha mafupa, omwe amatha ngakhale, nthawi zambiri, amachititsa kuti asasunthike. Chizindikiro chochulukirapo kuposa matenda mwaokha, chimapezeka, makamaka, pankhani ya rheumatism, mwa mawonekedwe a osteoarthritis, ndipo imathanso kukhala yotsatizana ndi kupasuka, kapena chifukwa cha matenda, monga momwe zimakhalira. nyamakazi inayake.

Kuonjezera apo, zikhoza kuyambitsidwa ndi matenda a autoimmune, monga nyamakazi ya nyamakazi, kapena chifukwa cha kutupa, monga ankylosing spondylitis, yomwe imakhudza msana.

Malumikizidwe onse amatha kukhudzidwa. Kuopsa kwa ankylosis pambuyo pa kupasuka kungapewedwe mwa kukonzanso. Kuchita masewera olimbitsa thupi nthawi zonse ndi njira yabwino yodzitetezera ku chiopsezo cha ankylosis.

Tanthauzo la ankylosis

Ankylosis imatha kukhudza ziwalo zonse: zimatanthauzidwa ngati kuchepa kapena kulepheretsa kuyenda kwa mgwirizano. Kumafanana ndi kuuma komwe kumatha kukhala kwathunthu kapena pang'ono, komanso kwakanthawi kapena kosatha.

Kulumikizana ndi malo olumikizana pakati pa mafupa awiri, fupa ndi cartilage, kapena fupa ndi dzino. Komanso nthawi zambiri amapangidwa ndi minofu ya fibrous, ligaments ndi tendons. Tendons ndi magulu a minofu yolimba yomwe imagwirizanitsa minofu ndi mafupa, mitsempha imagwirizanitsa mafupa ndi mafupa ena pamagulu, ndipo imakhala ndi ulusi wambiri kuposa tendon. Nthawi zina palinso minofu ya synovial yomwe imayika mafupa, monga omwe ali m'zigongono ndi bondo.

Nthawi zambiri, cholumikizira chimakhala choyenda (kupatula cha mano): chifukwa chake ankylosis imalepheretsa kuyenda kwake pomwe mgwirizanowu wakhudzidwa.

Ankylosis nthawi zambiri amagwirizanitsidwa ndi nyamakazi, matenda a mafupa chifukwa cha kukokoloka kwa chichereŵechereŵe, kapena nyamakazi, yomwe imakhala yotupa kwambiri m'mfundo. Nthawi zina, ndi zotsatira za kuwonongeka kwa mitsempha chifukwa cha kuchepa kwa minofu.

Zifukwa za ankylosis

Zomwe zimayambitsa ankylosis ndi izi:

• rheumatic zimayambitsa : zimagwirizanitsidwa ndi kuwonongeka ndi kung'ambika kwa cartilage mu mgwirizano, wotchedwanso osteoarthritis. 
• zoyambitsa matenda : Matendawa amatha kukhala chifukwa cha nyamakazi, mwachitsanzo nyamakazi ya Lyme (yomwe imayamba chifukwa cha mabakiteriya a Borrelia burgdorfori). Kuphatikiza apo, sepsis imatha kupanganso ankylosis, yomwe imayambitsa nyamakazi yopatsirana, pomwe kachilombo ka HIV kamafalikira m'magazi ndi majeremusi omwe amafalikira m'thupi, makamaka pagulu. Chifuwa cha TB chingakhalenso chifukwa cha ankylosis mu msana, kumbuyo, ndikukhudza ma discs pakati pa vertebrae.
• zoyambitsa zoopsa : Pambuyo pa kupasuka, ziwalozo zikhoza kusonyeza ankylosis, makamaka ngati kuchepa kwapang'onopang'ono kumachepa.
• Zifukwa za Immunological : Izi ndizochitika ndi matenda a autoimmune, makamaka nyamakazi ya nyamakazi. M'matendawa, pali Rheumatoid Factor (RF), yomwe imatha kuperekedwa, siyimayambitsa kuwonongeka kwamagulu mwachindunji koma imayambitsa kutupa kwa chamoyo. Izi, kudzera pamakina amtundu wa auto-immune, zingayambitse kuwonongeka kwa mgwirizano. 
• Kuonjezera apo, ankylosis ya msana, matenda ena a autoimmune, ndi kusinthika kwachilengedwe kwa matenda otupa omwe amakhudza msana, wotchedwa ankylosing spondylitis. Zimayambitsa kutaya kwa elasticity mu msana.
• Pakati pa matenda ena a autoimmune omwe amachititsa ankylosis, timapeza matenda a Horton, pseudo-rhizomelic arthritis (PPR), kapena lupus. Matenda a autoimmune, popanga ma-auto-antibodies omwe amalimbana ndi thupi, makamaka minofu yolumikizana (minofu yomwe imamangiriza ziwalo zosiyanasiyana ndi minyewa yamthupi palimodzi), imakhudzanso minofu yolumikizana yomwe ili m'malo olumikizirana mafupa.
• Komanso, a heterotopic ossification, kapena kupanga minofu yofewa yowonjezera-osseous, ingakhalenso chifukwa cha ankylosis, mu chigongono mwachitsanzo.

Kuzindikira kwa ankylosis

Ankylosis amatha kupezeka ndi dokotala, kapena ngakhale osteopath, yemwe angatchule kwa rheumatologist.

Kuzindikira kumeneku kumatha kupangidwa potengera kuyerekeza kwachipatala, chidziwitso cha radiological chomwe chimatsimikizira zachipatala, komanso nthawi zina kudzera pakuyezetsa kwa labotale. Mwachitsanzo, bioassay ya RF, kapena Rheumatoid Factor, ingathandize pa matenda a nyamakazi (komabe, RF ikhoza kupezeka muzochitika zina).

• Kuyeza kwachipatala: dokotala amayesa kupotoza, ndiko kunena kuti kukula kwa kayendetsedwe kake, poyerekeza ndi mbali inayo. Kutupa kudzawoneka ndi kutupa, kufiira, kutentha, ndi kupweteka kwambiri. Ankylosis ya mitsempha kapena mitsempha ya mitsempha idzazindikiridwa ndi kubweza kwa minofu: palpation ya minofu imapangitsa kuti athe kuzindikira kuyimitsidwa kolimba kapena kuima kofewa, kuima kofewa kapena kofewa kukhala chizindikiro cha vuto la minyewa kapena mitsempha.
• Kuwunika kwa radiological: ankylosis akhoza kapena sangawoneke pa kujambula, kutengera chomwe chimayambitsa (minofu kapena minyewa sidzawoneka pa x-ray). Pankhani ya osteoarthritis, kuchepa kwa makulidwe a cartilage kumatha kuwonedwa. N'zothekanso kuwona fupa lolimba kwambiri, kapena kukangana kwa fupa, kapena ngakhale kupunduka kwa mgwirizano wotupa. Ndi ululu watsopano uliwonse wa osteoarthritis, x-ray ndiyofunikira.
• Kuwunika kwachilengedwe: kungathandize kudziwa komwe kumachokera ankylosis, monga momwe zimakhalira chifukwa choyambitsa matenda, pomwe kuyesa kotupa kudzasokonezeka. Pankhani ya matenda a autoimmune, kuyesererako kumazindikira ma antibodies a autoimmune.

Anthu okhudzidwa

Anthu okalamba ali pachiopsezo chachikulu cha ankylosis, zaka ndi ukalamba kukhala chinthu chofunika kwambiri pa chitukuko cha osteoarthritis. Ponena za nyamakazi, akazi ndi amene amakhudzidwa kwambiri kuposa amuna, ndipo anthu a ku Caucasus ndi amene amakhudzidwa kwambiri ndi mitundu ina, monga anthu a ku Asia. Koma ndi machitidwe apano a moyo, komanso kukula kwa kunenepa kwambiri, anthu onse tsopano amakonda kukhudzidwa. Matenda a autoimmune nthawi zambiri amakhudza atsikana.

Zowopsa

Matenda a nyamakazi, chiopsezo chachikulu cha ankylosis chokhudzana ndi matenda a autoimmune, makamaka amakhudza amayi. Kupanda kuchita masewera olimbitsa thupi ndi chiopsezo cha ankylosis, monga kunenepa kwambiri komanso kuthamanga kwa magazi. Palinso chiopsezo cha majini, makamaka ngati matenda a nyamakazi amtundu wa autoimmune alipo m'banja.

Ankylosis, payokha chizindikiro, kumabweretsa zovuta kusuntha olowa, kapena ngakhale kusayenda kwake kwathunthu. Pakati pa zizindikiro zina, nthawi zambiri zimachitika:

• kuuma;
• kupweteka kwa thupi, ngakhale pakupuma;
• zizindikiro za kutupa, monga redness, kutupa, kumverera kwa kutentha kuzungulira olowa.
• ululu.

Choncho, kutupa kwa mgwirizano kumakhala kowawa kwambiri, chifukwa kutupa kumeneku kumayambitsa kutupa: kwenikweni, madzimadzi omwe amawonjezeka mkati mwa olowa amadziteteza ku majeremusi, chiwerengero cha maselo oyera a magazi chimawonjezeka, zomwe zimapangitsa kuti chiwerengero cha olowa chiwonjezeke. . Kulephera kusuntha cholumikizira, chotchedwa ankylosis, chidzachokera ku ululu ndi kutupa. Chifukwa pamene olowa ndi kutupa, amataya osiyanasiyana kuyenda. Ulusi, minyewa ndi minyewa, ndiye zimakhala ndi mwayi wocheperako, wotsetsereka.

Pulofesa Samantha Demaille, dokotala wamankhwala ndi kukonzanso anthu ku Espoir Center, kumpoto, anati: “Masewera onse okonzanso adzakhala kukhetsa effusion mwachangu momwe angathere, ndikulola kuti ligament ya olowa ikhale ikuyenda bwino.".

Thandizo lodziwika bwino:

• The mankhwala analimbikitsa monga mbali ya mankhwala a ankylosis ndi physiotherapy, amene angathandize kubwezeretsa kuyenda olowa. Koma nthawi zina ankylosis imakhala yosasinthika.
• Ma analgesics (kapena ochepetsa ululu) amapangidwa kuti achepetse ululu.
• Ma Immunomodulators (omwe amatchedwanso immunosuppressants) adzagwiritsidwa ntchito ngati ankylosis yoyambitsidwa ndi matenda a autoimmune.
• Mankhwala oletsa kutupa (corticosteroids) amathandizira kuchepetsa kutupa.
• Jekeseni wa Hyaluronic acid: jakisoni wamtunduwu, katatu pachaka, amakhala ngati gel oteteza, monga mafuta, pakhungu lowonongeka, komanso kupangitsa kuti zisapweteke.
• Ma prostheses: pamene ankylosis yatha, mwachitsanzo mu osteoarthritis yoopsa kwambiri, yomwe cartilage imawonongeka, mafupa amatha kuphatikizira pamodzi, zomwe zimapangitsa kuti asasunthike, komanso kupweteka kwambiri. Chithandizo chikhoza kukhala chosintha cholumikizira, pogwiritsa ntchito prosthesis ya bondo kapena m'chiuno.

Mfundo ya chithandizo cha ankylosis mu rehabilitation:

Kukonzanso, pochiza ankylosis, choyamba cholinga cha kuthetsa ululu wopweteka, choncho mwa kulembera, malingana ndi chifukwa cha ankylosis, mankhwala olimbana ndi kutupa, matenda, kapena ena.

Poyamba, olowa ayenera kusiyidwa osasunthika, pakupuma. Mgwirizano wosasunthikawu sudzalepheretsa kuyamba kwa kukonzanso kwenikweni, pogwiritsa ntchito minofu popanda kusuntha mgwirizano. “Mwachitsanzo, akatswiri a physiotherapists angapereke wodwalayo kuti agwirizane ndi minofu, kuti ayambe kulimbitsa minofu ya isometric, momwe minofu imagwira ntchito ndipo mgwirizano susuntha.", akufotokoza Pulofesa Samantha Demaille. Iye anawonjezera kuti: “Izi zimalepheretsa minofu kutaya mphamvu, ndipo imalola kuti thupi lisatengeke, kusunga minofu ya minofu. Kuphatikiza apo, thupi limasunga kukumbukira kuyenda. Kotero pamene olowa ayambanso kuyenda, izo zimatero mwachibadwa.«

Kutentha kumatha kuperekedwanso kumagulu ena, mwachitsanzo pogwiritsa ntchito botolo la madzi otentha. Kutentha kumeneku kudzathandiza kuchepetsa kutupa, motero kuchepetsa ululu.

Kenaka, pang'onopang'ono, kukonzanso kudzaphatikizanso kusuntha mgwirizano kachiwiri, powapangitsa kuti azigwira ntchito pamagulu akuluakulu, kuti abwererenso, pang'onopang'ono komanso mopanda ululu.

Zina mwa mankhwala azitsamba:

• The hay flower (dzina lamankhwala: udzu-maluwa), amene ndi mankhwala ochiritsira matenda, ndi mitundu yosiyanasiyana ya nyamakazi.
• Chofunikira cha cajeput, chophatikizidwa ndi mafuta ena monga peppermint, mafuta a clove, menthol ndi camphor angagwiritsidwe ntchito motsutsana ndi kupweteka kwa minofu ndi mafupa okhudzana ndi matenda a nyamakazi, komanso motsutsana ndi l osteoarthritis.
• Kuphatikiza apo, akamanena a cajeput amathanso kuphatikizidwa ndi zomera zina kuti amenyane ndi nyamakazi ndi nyamakazi: St. homeopathic kukonzekera.
• Kwa nyamakazi yosatha, mbewu za nasturtium kapena Nasturtium zingagwiritsidwe ntchito.Tropaeolum patsogolos) pamodzi ndi mizu ya dandelion ndi udzu, mizu ya kawa-kawa, mizu ya Bryonia, masamba a mapiri, ledon ya madambo, zimayambira zowawa, masamba a rhododendron.
• Kwa osteoarthritis, kachiwiri: mbewu za mpiru zoyera.
• Kwa nyamakazi, komanso njere zoyera za mpiru, kapena udzu wa mistletoe.
• Kuonjezera apo, chithandizo chabwino kwambiri cholimbana ndi kutupa ndikuphatikiza harpagophytum ndi Wort St. Ndi chithandizo chabwino chothandizira kupweteka kwanthawi yayitali, makamaka popeza sakhala aukali.

Mndandandawu siwokwanira, komabe samalani kuti nthawi zonse mukhale ndi malangizo achipatala mukamagwiritsa ntchito mankhwala azitsamba.

• Kupewa bwino kwa ankylosis pambuyo pa kusweka ndikukonzanso. Choncho ndikofunikira kuchita masewera olimbitsa thupi pansi pazitsulo. Kusunga minofu kumathandizira kulimbikitsana kwa mgwirizano.
• Pamene ankylosis akuyamba, kukonzanso, komwe kumachitidwa makamaka ndi physiotherapists, cholinga chake ndi kubwezeretsa kayendedwe ka mgwirizano, ndikupewa kugwa kwakukulu. Komabe, ngati cartilage yawonongeka, sizingatheke kubwerera ku chikhalidwe choyambirira.
• Pankhani ya vuto la minyewa, minofu, yomwe nthawi zambiri imayambitsa kusuntha kwa mgwirizano, sichimateronso, ndipo mgwirizanowo umakhala wolimba: padzakhala kofunika kuchita masewera olimbitsa thupi, makamaka, kuti apitirize kusinthasintha. pamodzi. mikangano yawo.

Kuchita masewera olimbitsa thupi nthawi zonse, kuphatikiza ndi moyo wathanzi, ndi njira yabwino yopewera ankylosis. Kuwongolera kuthamanga kwa magazi, komanso kudya bwino, zakudya zopatsa thanzi komanso kulemera kwa thupi ndizo zonse zomwe zimateteza nyamakazi.

Chifukwa chake ndikofunikira kuyenda pafupipafupi, komanso kuchiza matenda onse, kuti mupewe sepsis. Muyenera kusamalira mafupa anu, ndi kulemekeza olowa ululu polola ululu kudutsa. Pamapeto pake, monga momwe Pulofesa Demaille akunenera, "muyenera kusuntha kuti musachite dzimbiri".