Hoo e ka bang 30% ea bakuli ba kopeletsang thuso ea meriana, e ngotsoe kalafo e kopanetsoeng. Ho fihlela haufinyane tjena, lefu lena le ile la fumanoa har'a bafani ba penshene, empa hona joale ke "le monyenyane": mafu a kopane a atisa ho ama bacha kajeno. Haeba u hlokomela matšoao a mafu a joalo ka nako, joale ho bonolo ho loana le maloetse.
Maloetse a manonyeletso - ho khetholla
Sehlopha sena se kenyelletsa mafu a mangata. Maloetse ohle a manonyeletso a tloaelehile a emeloa ke mekhatlo e latelang ho latela mofuta oa sefofane:
- Ho ruruha ho bakoang ke ho kula hohle, moemeli ea tšoaetsanoang kapa ho itšireletsa mafung. Lefu lena le hlaha ka potlako. E tsamaea le ho ruruha ho matla le bohloko. Ho sehlopha sena sa lefu lena ho akarelletsa ramatiki, gout, lefu la Hoff .
- Tšenyo e bakoang ke ho itšireletsa ho bakoang ke ho roala mahlahahlaha le ho timetsoa ha mahlaseli a lefuba. Lefu lena le hlaha butle-butle. Moemeli ea khanyang oa sehlopha sena ke osteoporosis .
- Tšenyo e kopanetsoeng ea Congenital. Sehlopha sena sa maloetse se jara lefu la Marfan .
- Pathology ea likarolo tsa periarticular. Maloetse a joalo a atisa ho hlaha ka mor'a ho tšereha haholo kapa ho imeloa kelellong.
Ho phaella moo, mafu ana a ka ama manonyeletso a joalo:
- mahetla;
- hip;
- ulnar;
- mangole;
- manonyeletso a lithunthung;
- ankle.
Ka tšimoloho maloetse 'ohle a ka aroloa ka lihlopha:
- e ka sehloohong - hlaha ka kotloloho ka kopanelo;
- le bobeli - ke tlhaloso ea maloetse a mang a hlahang 'meleng (mohlala, ntshetsopele khahlanong le maemo a mangata a tlhaho).
Maloetse a manonyeletso - lisosa
Bahlaseletsi ba mafu a joalo ba bangata. Hangata mafu a kopane a etsahala ka mabaka a latelang:
- tšoaetso - lihlahisoa ke mycobacterium e nang le lefuba, gonococci, brucellae, streptococcus;
- ho tsoa hohle;
- mathata a endocrine;
- ho se sebetse mosebetsing oa tsamaiso ea methapo, ho etsa hore ho be le lihomone tsa corticosteroid;
- e leng ntho ea lefutso;
- thuto ea lintho tse phelang;
- ntlha e sesebelisoa;
- lijo tse fokolang tse neng li sa amoheloa ke li-micro-macroelements tsa bohlokoa;
- ho imeloa kelellong ho manonyeletso;
- likotsi;
- mongobo le serame;
- mekhoa e mebe;
- tšebeliso ea nako e telele ea meriana ea bohloko (Nimesulide, Diclofenac kapa Indomethacin).
Maloetse a manonyeletso - matšoao
Lipontšo li fapana ho ea ka hore na 'mele o otlile ke eng. Hangata maloetse a kopantsoeng ke matšoao a latelang:
- lisele tse nyenyane tse sebakeng se amehileng;
- ho kheloha ha manonyeletso;
- bohloko (ka phomolo le ka mor'a mojaro);
- ho thata;
- Letlalo letlalong le haufi le sebaka se amehileng.
Mokhoa oa ho phekola manonyeletso joang?
Pele a qala ho loantša lefu lena, ngaka e tla khetha tlhahlobo e feletseng ho mokuli. Ka lebaka la hae, phekolo ea manonyeletso e tla atleha haholo. E le ho hlahloba ka nepo, mokuli a ka abeloa lipatlisiso tse joalo le tsa laboratori:
- ho khabisoa ha metsi a kopaneng;
- arthroscopy;
- teko ea mali;
- X-ray;
- tomography.
Ho phaella moo, ha ho hlahlojoa, ngaka e tla mamela ka hloko litletlebo tsa mokuli. Ho latela liphello tse fumanoeng, ngaka e fana ka phekolo e nepahetseng. Haeba manonyeletso a utloisa bohloko, phekolo e ka ba ka tsela e latelang:
- e hlokolosi;
- ho buoa;
- mefuta e meng.
Therapy e bolokang tlhokomelo e ikemiselitse ho fokotsa maikutlo a bohloko, a tloaelehileng a phallang mali le ho fokotsa ho ruruha ha manonyeletso. Ho phaella moo, e tlatsetsa ntlafatsong ea mekhoa ea ts'ebetso ea metsoallo meleng ea lefuba. Haeba ngaka e fumanoa e le ho ruruha ha manonyeletso a pele, hangata o fana ka litaelo kalafo. Phekolo e joalo e kenyeletsa mekhoa e latelang:
- ho noa meriana le ho thibela;
- ho ikoetlisa;
- manual therapy;
- physiotherapeutic kalafo;
- phytotherapy;
- ho silila.
Maemong a mang, phekolo e tsitsitseng ea manonyeletso a amehileng ha e sebetse. Sena se tloaelehile haholo ho bakuli ba nang le mofuta o tsoetseng pele oa lefu lena. Khato ea ho buoa ke eona feela monyetla oa hore motho a khutlele bophelong bo tloaelehileng. Mesebetsi e latelang e ka etsoa:
- endoprosthetics;
- phallo e kholo;
- osteotomy.
Letlapa bakeng sa manonyeletso
Ha ho sebelisoa meriana e mengata ea phekolo ea meriana ea lefuba. Hangata bakuli ba behiloe lipilisi tse sa anti-inflammatory tse sa steroidal bakeng sa manonyeletso le lefuba:
- Meloksikam;
- Celecoxib;
- Rofecoxib;
- Ketoprofen;
- Aceclofenac.
Tšusumetso e matla khahlanong le ho ruruha e khetholloa ke li-hormone tsa glucocorticoid. Hangata ho thoe lithethefatsi tse joalo:
- Dexamethasone;
- Hydrocortisone;
- Triamcinolone;
- Prednisolone.
Kalafo ea manonyeletso lapeng e akarelletsa tšebeliso ea lithethefatsi tse reretsoeng ho tsosolosa lefuba la intraarticular. E khethiloe tabeng ena, matlapa a joalo:
- Chondroxide;
- Don;
- Honda;
- Arthron;
- Movex.
Ho joalo, ka phekolo e rarahaneng e behiloeng le lithethefatsi tse nang le calcium. Hangata matlapa a latelang a ngotsoe:
- Osteoka;
- Rockaltrol;
- Osteogenon.
Lihlopha tsa manonyeletso
Ha ho phekoloa maloetse a lefuba, liente tse nang le lihlopha tse joalo tsa lithethefatsi li ka boleloa:
- corticosteroids (Kenalog, Flosteron, Celeston);
- li-chondroprotectors (Alflutop);
- liente tsa khase;
- hyaluronic acid (Sinocrom, Ostenil).
Tse ling tsa ho qetela li nkoa e le tse ling tsa tse atlehang ka ho fetisisa, kaha ntho e sebelisetsoang liente ke eona karolo e kholo ea metsi a synovial. Lihlopha tsa manonyeletso le li-acid tsa hyaluronic li fuoa lithupelo. Sehlopha se seng se na le liente tse 3-5, nako e lokelang ho ba beke. Phello ea mekhoa e joalo e ka tsoelapele ho pholletsa le selemo.
Kalafo ea manonyeletso le litlhare tsa batho
Ka phekolo e rarahaneng, mekhoa e meng e ka sebelisoa. Ho etsa bonnete ba hore 'mele oa mokuli o senyeha ka tsela e ke keng ea lekanngoa, mefuta eohle e sebelisitsoeng ea phekolo ea meriana e kopanetsoeng ha ea lokela ho ba le lisebelisoa tse bakang ho kula. Ho phaella moo, meriana ea setso e lokela ho tsamaisoa tlas'a tlhokomelo ea ngaka. Ka phekolo e sebelisoang e ka ba li-decoctions le infusions ea litlama, hammoho le mafura a maiketsetso.
Kalafo ea setso ea litho tse nang le tranelate ea pholiso
Lijo:
- inflorescence ea setho sa St. John's - 2 tbsp. likhaba;
- meriana ea meriana - 2 tbsp. likhaba;
- hops - 2 tbsp. likhaba;
- Vaseline - 50 g.
Litokisetso le tšebeliso
- Litlama tsa meriana li fokotsehile hore e be phofo.
- E kopanya le oli ea jelly e le hore ho be le boima bo kopanetsoeng.
- Mafura a loketseng a kenngoa ka manonyeletso a kula, 'me holimo ho a phuthetsoe.
- Nako ea tšebeliso e itšetlehile ka sethaleng sa lefu lena.
Li-gymnastics bakeng sa manonyeletso
Boikoetliso ba meriana ke boitsebiso bo khethehileng ba ho ikoetlisa. Ha u ntse u hlaolela lenaneo le joalo, boemo bo tloaelehileng ba mokuli bo hlahlojoa. Haeba bohloko bo matla mokhomareng bo tsejoa nakong ea boikoetliso, phekolo e lokela ho emisoa ka nakoana. Ka matla, u ke ke ua etsa li-gymnastics. Molemo o moholo o tla tlisa lihlopha tsa kamehla. U lokela ho qala ka mekhoa e bonolo, ho eketsa mojaro ka mokhoa o hlophisehileng.
Ho silila manonyeletso
Tsamaiso ena e na le katleho e phahameng. Ka mor'a ho silila, ho na le liphetoho tse joalo:
- bohloko bo fokotseha;
- ho tsamaea ho ntlafatsa;
- boikhohomoso bo fetoha haholo.
Haeba lefu le kopantsoeng le fumanoa, ho phekoloa ka ho silila ho etsoa ka lithuto. Lihlopha li khanna metsotso e 10 ho isa ho e 25 ka makhetlo a mabeli kapa a mararo ka beke. Nako e itšetlehile ka boemo ba mokuli le sethaleng sa lefu lena. Mokhoa oa ho etsa massage ke o latelang:
- ho sisinyeha ha stroking;
- ho hlola;
- ho penya setsi sa palema.