Prepatellyarny bursitis wa bondo: Zizindikiro ndi Chithandizo

Bursitis - matenda imene kuvutika thumba periarticular. kudwala kumachitika chigongono ndi bondo mafupa. A mitundu yonse inflammations periarticular zambiri anati prepatellyarny bursitis bondo olowa. matenda ndi wofala anthu amene amagwira ntchito mwachangu masewera pambuyo kuvulala.

Prepatellyarny bursitis: ndichiyani?

Pamwamba pa bondo olowa ndi prepatellyarnaya periarticular thumba (prepatellyarnaya bursa). Malowa ali pamtunda pamwamba kneecap lapansi. Sac wodzazidwa ndi madzimadzi lomwe amalimbikitsa ufulu kutsetsereka ndi kuteteza olowa kuchokera mikangano owonjezera. Kutupa thumba limeneli prepatellyarnym otchedwa bursitis. Kodi izo kumaonekera?

Gulu mayiko a Matenda ICD-10 prepatellyarny bursitis kutchulidwa pansi pa M70.4 code. Mu matenda amenewa akuswa lamulo zachilengedwe a madzimadzi mu thumba periarticular. Anapanga exudate - madzimadzi anamasulidwa Mitsempha pa kutupa. Nkhani opatsa kachilomboko, lomwe limathandiza kuti ndondomeko yotupa.

chitetezo cha m'thupi imayamba kulimbana ndi matenda, ndi malo a kutupa anatumiza ambiri lymphocytes - maselo mthupi. The kuchuluka kwa lymph amachititsa edema, yemwe ali mmodzi mwa zizindikiro zazikulu prepatellyarnogo bursitis bondo olowa. Photos choperekedwa pamwambapa, zikusonyeza mmene angakhale aakulu kutupa kwa bondo. Chifukwa cha lymph kukakamiza zimakhala pafupi ndi misempha mizu, pali ululu bondo. M'kupita kwa nthawi, m'dera la olowa akhoza kupangidwa abscess Choncho bursitis mosavuta kuchitira pa chiyambi cha chitukuko.

Chifukwa pali prepatellyarny bursitis?

Nthawi zambiri, kutupa thumba periarticular chifukwa nkhonya lakuthwa ndi bondo lake pa pamwamba zovuta. Kubereka osauka bursitis prepatellyarnogo anthu atengeke kutsogolera moyo yogwira. Koma uwu si chifukwa chabe kutupa mu thumba kwapakati pa-articular. Inu kusankha zimayambitsa zotsatirazi bursitis:

• pafupipafupi kuvulala bondo;
• kukwawa ndipo anagwada pa kuphedwa kwa ntchito (mwachitsanzo, bursitis ndi ofala pakati roofers, pavers parquet, pamphasa okonza, openta);
• kukumenya mwachindunji ku matenda olowa kudzera kukanda ndi choipa;
• Opatsirana matenda - brucellosis, TB, chinzonono, chindoko (pathologies zovuta suppuration mkati sac);
• matenda kagayidwe kachakudya (shuga, kunenepa, gout);
• matenda autoimmune (nyamakazi, zokhudza zonse lupus erythematosus).

Koma chirichonse chimene chimayambitsa kutupako, bursitis zizindikiro kuonekere pambuyo choipa bondo a. Nthawi zina zingakhale choipa zazing'ono, koma ngakhale pang'ono kuwonongeka zingachititse chitukuko kutupa. Ngati wodwala matenda prepatellyarny zizindikiro bursitis bondo ndi chithandizo kumatengera ndi mawonekedwe a matenda ndi pamaso pa ndondomeko opatsirana.

Zizindikiro za mitundu pachimake cha matenda

Pachimake bursitis prepatellyarny umafika mwadzidzidzi, zizindikiro kuwonjezera kwa masiku angapo. Matendawa ali ndi makhalidwe ndi zizindikiro zotsatirazi:

• Pali kupweteka kwambiri mu kneecap lapansi. Munthu angathe kudalira pa maondo ake, kukhudza malo aliwonse kutupa amayambitsa kupweteka.
• Pali chotupa limbika patella ndi reddening wa khungu.
• Movement mu mafupa a odwala ndi zochepa.
• Kuchuluka thupi kutentha, pali malaise ambiri.
• ululu ndi woipa pamene akufufuza mpata kutupa.

Zizindikiro za mawonekedwe aakulu a matenda

Popeza mankhwala chokwanira cha bursitis pachimake amakhala aakulu. Matenda yotupa ndondomeko kumachitika ndi kuthamanga yaitali pa bondo olowa ndi okalamba. zizindikiro matenda a kutupa ndi yosiyaniranapo. Pali ululu, redness ndi kutupa kwa bondo olowa. Khalani thicker mpanda wa seminare, chifukwa cha ichi, malo olowa akhoza ziwonjezeke kukula kangapo. Pali kumverera kwa apezeka mkati patella chifukwa mapangidwe makutu mpanda wa thumba periarticular.

Zizindikiro za purulent bursitis

Ngati kwapakati pa-thumba zimakhala matenda, pali zamafinya zinangoti mkati sac lapansi. Zizindikiro za matendawa ndi chimalemera kwambiri.

• Lakuthwa kutentha limatuluka, thanzi akukhudzidwira wodwalayo chatsitsa.
• Khungu mu olowa amakhala otentha zowawa, kutchulidwa redness.
• Anamva ululu ndi throbbing mu olowa.

Kodi zotsatira kungachititse bursitis?

Zamafinya zinangoti prepatellyarny bursitis amafuna chithandizo mwamsanga, mwinamwake abscess ingafalire kuti zimakhala ena kapena kuphwanya nokha. Zimenezi zimabweretsa mavuto:

• Ngati bursts abscess mu chotengera magazi, kungakhale magazi poyizoni - sepsis.
• Mu kafalitsidwe kutupa ndi suppuration wa pafupi osteomyelitis fupa angayambe.
• Ngati purulent kutupa kufalikira kwa minofu ndi lymph ozungulira mfundo, pali abscess ndi lymphadenitis.
• The mafinya angadze ku seminare mwachindunji mu olowa. Ndiye pali choopsa mawonekedwe a purulent nyamakazi.
• Pa khungu anapanga fistulas. Ndi njira nkhani purulent kuti kuonekera patatha kudziona yojambula abscess mu seminare.
• Yaitali prepatellyarnom bursitis bondo nthambi akhoza pang'ono kutaya motility.

Kodi bursitis paubwana

Ana sali pansi prepatellyarnomu bursitis. thupi lawo ndi laling'ono kwambiri, ndipo pamene mwana imagwera pa maondo ake, kukankha akutembenukira zonyozeka. Ana osaposera chaka chimodzi bursitis kawirikawiri anadwala matenda iliyonse mwana ali chitetezo chokwanira kudzera mwa mayi. A njira zotheka bursitis matenda ana - ndi choipa bondo ndi fractures. Koma mwanayo zambiri mafupa kugawa fractures msanga coalesce. Bursitis amayamba ana okha pamene thandizo ndi bondo wosweka inaperekedwa mochedwa kwambiri.

Koma achinyamata nthawi zambiri amadwala bursitis. Bursa kutupa zambiri amapezeka mu msinkhu anyamata amene amakonda moyo yogwira, ndi wotanganidwa kwambiri ndi masewera. Izi zimachitika nthawi zambiri pambuyo pa choipa pa maphunziro. Pali china bursitis achinyamata matenda. Akangotha msinkhu kumene, ana kukula mofulumira. Nthawi zina kukula zimfundo kumbuyo kukula wamkulu wa chamoyo. Ndiyeno mu achinyamata kuyamba mavuto ndi mafupa, kuphatikizapo bondo bursitis.

matenda a matenda

Kawirikawiri matenda si zovuta kwa dokotala chifukwa cha chithunzi khalidwe la matenda. Kutupa ndi redness m'dera la kneecap ndi kale kuonekera pa kuona kunja. Komabe, nthawi zina zofunikira kusiyanitsa prepatellyarny bursitis matenda ena ndi kuvulala zimfundo ndi: nyamakazi, synovitis, osteomyelitis, tendon chophukacho. Kenako dokotalayu n'kukulemberani njira zina loyang'anira:

• X-ray wa bondo;
• Ultrasound wa bondo;
• Kujambula;
• puncture bursa kuphunzira madzimadzi olowa.

Izi zingathandize kuwunika boma la thumba periarticular, ozungulira zimakhala ndi mafupa zotsatira za kafukufuku kupanga matenda ndi mankhwala mankhwala.

Kodi kuchitira noninfectious bursitis?

Chithandizo prepatellyarnogo bursitis chiyambi opatsirana zambiri ndiwofatsa. Puncture kwapangitsa ngati seminare wakhala anasonkhanitsa magazi ambiri pambuyo kuvulazidwa. Kufunika kwa njirayi ayenera anaganiza ndi dokotala nawo, monga pali chiopsezo ka matenda.

Sitepe yoyamba ndi kupereka mpumulo wa nthambi akhudzidwa. MUNDA mwamphamvu ligated olowa bandeji compresses ntchito ngati kuli kofunika. Pamene ululu Kwalamulidwa analgesics. Pamene amphamvu ululu jakisoni "Prednisolone" mu kapisozi olowa. Chithandizo cha mitundu wokonda bursitis limatenga 7-10 masiku.

Kodi kuchiza bursitis wa bondo aakulu?

Popereka chithandizo prepatellyarnogo bursitis bondo omwe sanali steroidal mankhwala aakulu odana ndi yotupa ndi Kwalamulidwa: "diclofenac", "Nise", "Nimesil", "ibuprofen".

Ntchito physiotherapy:

• kutikita;
• electrophoresis;
• mankhwala thupi;
• maginito mankhwala;
• akupanga chithandizo;
• laser mankhwala.

Ngati bursa ndi anasonkhanitsa yotupa exudate, ndi puncture imagwiridwa.

Chithandizo cha purulent bursitis

Ngati bursitis ndi chiyambi opatsirana ndi kale fester, ndiye amathera M'mimbamo ngalande. Kupanga wandiweyani singano puncture ndi mafinya anasamutsidwa. Periarticular thumba M'mimbamo kusamba ndi njira ya mankhwala ndi antiseptics. Pambuyo njirayi, wodwalayo kukuonetsedwa nthambi zina.

Mankhwala njira ya mankhwala antibacterial yotakata-sipekitiramu. Kutalika kwa mankhwala ndi za 1-3 masabata. Pamodzi ndi mankhwala antibacterial dokotala n'kukulemberani mankhwala. Ngati wodwala nkhawa zizindikiro za kuledzera (mutu, nseru, kusanza, kutentha), ndiye kuika dropper ndi yankho sodium kolorayidi, "Perftoran" "Ringers". Pambuyo kuchotsa mafinya amakhala chithandizo cha mankhwala glucocorticoid ndi physiotherapy.

opareshoni

Ndi njira kwakukulu ya opaleshoni chithandizo prepatellyarnogo bursitis bondo olowa. Kupanga ang'ambe thupilo ndi kuchotsa bursa n'kofunika kukachitika kuti chifukwa cha ululu munthu wotaya luso kuyenda ndi kudzisamalira. Izi zikutanthauza kuti mpanda wa thumba periarticular unakhuthala kuti seminare sangathe kupereka limodzi kutsetsereka. Pambuyo pa opaleshoni, wodwala mwa masiku 3-5 kuvala wapadera bondo loko. Ndiye, dokotala n'kukulemberani njira ya mankhwala thupi. Kawirikawiri pambuyo opaleshoni munthu mwezi kubwerera ku moyo wabwinobwino. Dalirani zilonda bondo akhoza kukhala miyezi 2-3.

njira Traditional mankhwala a bursitis

Home mankhwala njira akhoza kugwiritsidwa ntchito bursitis monga mankhwala wowonjezera. Iwe usanati ntchito mankhwala, dokotala anu. Bursitis angathandize compresses kwa masamba. Imathandiza kuti mapaketi ina ya mbatata, Beets ndi kabichi. Masamba ayenera kugwiritsidwa ntchito mfundo odwala usiku. Usiku woyamba pa owawa wokakamiza ena odulidwa mbatata zosaphika, kuphimba ndi filimu kugwiritsitsa ndi tepi mmwamba. Tsiku lachiwiri usiku muyenera kubwereza ndondomeko ndi Beets, ndi wachitatu - ndi kabichi.

Kodi zidzawonjezedwa kwa madzi kusamba decoction wa singano paini, cones ndi nthambi. onse zosakaniza ayenera yophika mu madzi kwa mphindi 30, kenako kumva msuzi kwa maola 24. Wokonzeka Tingafinye ayenera kukhala bulauni. msuzi ndi anawonjezera kuti madzi, ndi mphindi 20, amasamba. Zimafunika za 1.5 malita a Tingafinye. Bursitis zothandiza ntchito mkati chisakanizo cha phula ndi mafuta. M'pofunika kusakaniza popanga mu wofanana mbali. Zikuchokera kutenga supuni 1 katatu patsiku. Ndi bwino kugwiritsa ntchito njira phula 1 ora pamaso chakudya.

Momwe mungapewere matenda?

Pofuna kupewa chitukuko cha bursitis prepatellyarnogo, m'pofunika kuteteza bondo ku muyeso ndi kuvulala. Zimenezi ndi zoona makamaka kwa amene amagwira ntchito mwachangu masewera. Aliyense kulimbitsa thupi ayenera kuyamba ndi konzekera. Ngati, pa zochita masewera pali chiopsezo bondo choipa, kufunika kuteteza olowa zipangizo wapadera (bondo ziyangoyango). Izi zingathandize kuletsa anavulala kwambiri ndi mavuto mu mawonekedwe a bursitis prepatellyarnogo. Mu chithunzi pamwamba inu mukhoza kuwona limodzi la zipangizozi chitetezo kwa bondo. Pamene khungu kuonongeka ayenera mabala ndi abrasions ayenera tizilombo toyambitsa matenda nyimbo angathe kukonzedwa ndi bandeji. Izi zingathandize kupewa matenda malowedwe mu thumba periarticular. Only kulemekeza mfundo ndi chithandizo yake kungakuthandizeni kupewa choipa bursitis.