Chii chinonzi kupinda kwemabvi, ndeichi uye chinoitwa sei
Zvemukati
Kupinda mukati kunosanganisira kupa jekiseni necorticosteroids, anesthetics kana hyaluronic acid yekurapa kukuvara, kuzvimba kana kuderedza marwadzo. Maitiro aya anoitwa, kazhinji, mumajoinhi akadai semabvi, musana, hudyu, bendekete kana tsoka, kunyange zvichikwanisika kuitwa mumhasuru kana tendoni.
Chinangwa chekupinda mukati ndechekurapa chirwere panokuvara kana kuzvimba, kunyanya mumatambudziko akaipisisa kana pakange pasina kuvandudzwa nemamwe mapiritsi kana mishonga yekurapa, ichishandiswa zvakanyanya mukurapa arthrosis, kuwedzera kune zvakare kubatsira kupora tendonitis., epicondylitis kana maronda anoitika nekuda kwekuita kwemitambo, semuenzaniso.
Chero ani anopinda majoini ndiye chiremba.
Chii ichochi
Kunyangwe zvichikwanisika kuitwa munzvimbo dzakasiyana dzemuviri, senge mhasuru uye tendon, kupinda mukati memasangano ndiko kwakanyanya. Zvinogona kugadzirwa nemhando dzakasiyana dzemishonga, inosarudzwa nachiremba zvichienderana nechinangwa chikuru, chingave chekuderedza marwadzo, kudzikisa kuzvimba kana kuwedzera huwandu hwesynovial fluid, inova mvura inoita senge mhando yemafuta. mukati memajoini.
Nekudaro, pamusoro pekudzora marwadzo, kupinda mukati kunobatsira kurwisa kufambira mberi kwekubatana, kupfeka kuzvimba uye kugadzirisa mashandiro ejoini, zvichibvumira hupenyu hwakanaka.
Mimwe mishonga inogona kushandiswa mukupinda ndeiyi:
1. Anesthetics
Anesthetics inowanzo shandiswa kuitira kurwadziwa kwakanyanya kana kusingaperi uye, kazhinji, inokurudzira zororo mushure mekushandisa kwayo. Nekuda kwekukasira uye kwenguva pfupi mhedzisiro, anesthetics inowanzo shandiswa kusimbisa kuti sosi yemarwadzo iri kunyange mukati memubatanidzwa, kutsanangura zvirinani kurapwa kana kuronga kuvhiya, semuenzaniso.
2. Corticoids
Corticosteroids mishonga inorwisa-kuzvimba ine simba uye inogona kuiswa yoga kana pamwe neanesthetic, kuitira kurwisa kurwadziwa nekuzvimba mukati mejoini. Corticosteroid infiltration inowanzoitwa yega yega mwedzi mitatu uye hazvikurudzirwe kuita zvakanyanyisa kunyorera munzvimbo imwechete, nekuti izvi zvinogona kuwedzera njodzi yemhedzisiro uye zvinokuvadza.
Mimwe mikuru corticosteroids inoshandiswa mukupinda kwemajoini Methylprednisolone, Triamcinolone, Betamethasone kana Dexamethasone, semuenzaniso, uye mhedzisiro yavo pamubatanidzwa unogara pakati pemazuva kusvika mavhiki.
3. Hyaluronic acid
Hyaluronic acid chinhu che synovial fluid, inova girisi rechisikigo riripo mukati memapfundo, zvisinei, mune zvimwe zvirwere zvinodzikira, senge osteoarthritis, panogona kuve nekurasikirwa kweiyi lubrication, inova inokonzeresa mazhinji ezviratidzo.
Muzviitiko izvi, chiremba anogona kubaya acid iyi mubatanidzwa, muchirongwa chinonzi viscosupplementation, iyo inokwanisa kugadzira firimu inodzivirira iyo inononoka kufambira mberi kwekupfeka uye kubvisa marwadzo.
Kazhinji, kurapwa kwacho kunosanganisira 1 kunyorera pavhiki, kwemavhiki matatu kusvika mashanu, uye, kunyangwe mhedzisiro yacho isiri yekukasira, ichitangwa zvishoma nezvishoma maawa makumi mana nemasere mushure mekuita, mhedzisiro yacho inogara kwenguva refu, uye inogona kugara kwemwedzi yakati wandei. Ona mhedzisiro, zvinopesana uye mutengo wehyaluronic acid majekiseni.
Zvinoitwa sei
Maitiro ekupinda ari nyore asi anofanirwa kungoitwa nachiremba ane ruzivo, muhofisi yechiremba, inoda kuti utachiona hweganda uye kushandiswa kwezvinhu zvisina kuchena.
Pakutanga, anesthesia yemuno inoitwa uyezve mushonga unoshandiswa, izvo zvinogona kuitwa nekubatsirwa kweiyo ultrasound kana radiographic kuongororwa, kunyatso kuona nzvimbo yacho. Maitiro akazara ekubatanidzwa kweanopinda anotora kubva pamaminetsi maviri kusvika mashanu uye kunyangwe zvichikonzera kumwe kurwadziwa, zvinyoro uye zvinotakurika.
Mushure mekuita, kupora kwakazara kunofanira kuoneka mu1 kusvika 2 mavhiki. Avo vanoita kurovedza muviri havafanirwe kudzokera kunodzidziswa muvhiki yekutanga uye, kana zvichinetsa kufamba usina kukamhina, chiremba anogona kupa zano rekushandisa madondoro kudzivirira kukuvadza musana kana rimwe ibvi.
Uye zvakare, zvirinani, mushure mekupinda mukati munhu anofanira kuramba achiita kurapwa kwemuviri, hydrotherapy uye kusimbisa mhasuru kusimbisa mhasuru, kugadzirisa kufamba kwemajoini akabatwa, kudzikisa marwadzo, kuwedzera kusununguka uye kudzikisira kufambira mberi kweArthrosis, nekudaro kuiswa kweprosthesis.
Zvimwe zvinokanganisa
Mushure mejekiseni mubatanidzwa, zvakajairika kuva nekuzvimba zvishoma uye kurwadziwa uye ndosaka zvichikurudzirwa kuzorora kuti mushonga ushande. Ngozi yehutachiona iripowo, asi yakanyanya kuderera.
Maitiro aya anofanirwa kudzivirirwa nevanhu vanoshandisa anticoagulant zvinodhaka, vane zvirwere zvinokanganisa kugwamba kweropa kuitira kuti pasave nenjodzi yekubuda ropa, kana nevakadzi vane nhumbu nevakadzi vanoyamwisa. Izvo hazvifanirwe zvakare kuitwa kune vanhu vane allergies kana vane hutachiona mudunhu. Mukuwedzera, inofanira kushandiswa nekuchenjerera mumitambo, sezvo corticosteroids uye anesthetics inogona kuonekwa mukuongororwa kweropa uye iri pakurongwa kwemishonga inorambidzwa.