Ankylosis kuoma kwekufambisa majoini, izvo zvinogona kunyange, mumamiriro ezvinhu akaipisisa, zvichiita kuti zvisafambe zvachose. Chiratidzo chinopfuura chirwere pachacho, chinowanikwa, kunyanya, munyaya ye rheumatism, nenzira ye osteoarthritis, uye inogonawo kuva sequel yekutyoka, kana kunyange kukonzerwa nehutachiona, sezvakaitika. yeimwe arthritis.

Mukuwedzera, inogona kukonzerwa nezvirwere zvekudzivirira muviri, zvakadai se rheumatoid arthritis, kana semugumisiro wekuputika, zvakadai seankylosing spondylitis, inobata musana.

Majoini ese anogona kukanganiswa. Ngozi yeankylosis inotevera kuputsika inogona kudzivirirwa kuburikidza nekugadzirisa. Kugara uchirovedza muviri inzira yakanaka yekuchengetedza njodzi yeankylosis.

Tsanangudzo yeankylosis

Ankylosis inogona kukanganisa majoini ese: inotsanangurwa sekuderera kana kubviswa kwekufamba kwejoint. Zvinoenderana nekuomarara kunogona kuve kwese kana chidimbu, uye kwenguva pfupi kana zvachose.

Mubatanidzwa inzvimbo yekubatana pakati pemapfupa maviri, bhonzo ne cartilage, kana bhonzo nezino. Iyo zvakare kazhinji kazhinji inogadzirwa nefibrous tissue, ligaments uye tendon. Tendon mabhendi ezvinyama zvakaomarara zvinobatanidza tsandanyama kumapfupa, mhasuru dzinobatanidza mapfupa kune mamwe mapfupa pamajoini, uye dzine mafibhi akawandisa kupfuura matendon. Dzimwe nguva kune zvakare synovial tishu inonamira majoini, seaya ari mugokora nemabvi.

Kazhinji, mubatanidzwa unofambisa (kunze kwemazino): ankylosis saka inodzivisa kufamba kwayo nokukurumidza apo chibatanidzwa ichi chinokanganisa.

Ankylosis inowanzobatanidzwa pamwe neosteoarthritis, chirwere chejoini chinokonzerwa nekukukurwa kweshwashwa, kana kuti arthritis, iyo inonyanya kuzvimba kwejoini. Mune zvimwe zviitiko, ndiwo mhedzisiro yekukuvara kwetsinga zvichikonzera kushomeka kwemhasuru.

Zvikonzero zve ankylosis

Zvikonzero zvinogona kukonzera ankylosis ndezvi:

• rheumatic zvikonzero : zvinobatanidzwa nekusakara nekubvaruka kwekashwa mujoini, inonziwo osteoarthritis. 
• zvikonzero zvinotapukira : Zvirwere zvinogona kuva chikonzero cheArthritis, somuenzaniso Lyme arthritis (inokonzerwa nehutachiona nebhakitiriya Borrelia burgdorfori). Uye zvakare, sepsis inogona zvakare kugadzira ankylosis, ichikonzera hutachiona hwearthritis, kana hutachiona huchipararira neropa uye hutachiona hunopararira mumuviri, uye kunyanya mujoini. Tuberculosis inogonawo kuva chikonzero cheankylosis mumuzongoza, kumashure, nekukanganisa ma discs pakati pe vertebrae.
• zvinoshungurudza zvinokonzeresa : Kutevera kuputsika, majoini anogona kupa neankylosis, kunyanya kana chiitiko chekuderera kwekuderera kwekuputsika.
• Immunological zvinokonzera : Izvi ndizvo zvakaita zvirwere zve autoimmune, kunyanya rheumatoid arthritis. Mune iyi pathology, kune Rheumatoid Factor (RF), iyo inogona kuderedzwa, haikonzeri kukuvadzwa kwemajoini zvakananga asi inokonzera kuzvimba kwechipenyu. Izvi, kuburikidza neauto-immune type mechanism, zvinozokonzera kuparadzwa kwejoint. 
• Mukuwedzera, ankylosis yemuzongoza, chimwe chirwere che autoimmune, ndiko kushanduka kwechisikigo kwechirwere chinoputika chinokanganisa musana, unonzi ankylosing spondylitis. Zvinokonzera kurasikirwa kwe elasticity mumuzongoza.
• Pakati pezvimwe zvirwere zve autoimmune zvinokonzera ankylosis, tinowana chirwere cheHorton, pseudo-rhizomelic arthritis (PPR), kana lupus. Zvirwere zveautoimmune, nekugadzira ma-auto-antibodies akanangana nemuviri, uye kunyanya matishu anobatanidza (tishu inosunga nhengo dzakasiyana-siyana uye matishu emuviri pamwechete), zvinokanganisawo matishu akabatana aripo mumajoini.
• Mukuwedzera, a heterotopic ossification, kana kugadzirwa kwe-extra-osseous soft tissue, inogonawo kuva chikonzero cheankylosis, mugokora semuenzaniso.

Kuongororwa kweankylosis

Ankylosis inogona kuongororwa nachiremba, kana kunyange osteopath, inogona kureva rheumatologist.

Kuongororwa uku kunogona kuitwa pahwaro hwekufungidzira kwekurapa, radiological data inosimbisa data rekiriniki, uye dzimwe nguva kuburikidza nedzimwe bvunzo dzemurabhoritari. Semuenzaniso, iyo bioassay yeRF, kana Rheumatoid Factor, ichabatsira mukuongororwa kwerheumatoid arthritis (zvisinei, RF inogona kuvapo mune mamwe mamiriro zvakare).

• Kuongororwa kwekliniki: chiremba anoyera kutsauka, kureva amplitude yekufamba, nekuenzanisa nerumwe rutivi. Kuzvimba kuchaonekwa nekuzvimba, kutsvuka, kupisa, uye kurwadziwa kwakanyanya. Ankylosis yemuscular kana neurological origin ichaonekwa nekudzoreredzwa kwemisungo: palpation yemhasuru inoita kuti zvikwanise kuziva kumira kwakaoma kana kumira kwakapfava, kunyorova kana kunyorova kumira kuve chiratidzo chedambudziko retsandanyama kana retsinga.
• Radiological kuongorora: ankylosis inogona kana kusaonekwa pakufungidzira, zvichienderana nechikonzero chayo (muscular kana neurological yakabva haizoonekwe pa x-ray). Muchiitiko che osteoarthritis, kuderedzwa kwehuwandu hwehutu hunogona kuonekwa. Izvo zvakare zvinogoneka kuona denser bone, kana bhonzo-pane-bhonzo friction, kana kunyange deformation yejojo ​​rakazvimba. Nekurwadziwa kwega kwega kweosteoarthritis, x-ray inodiwa.
• Biological assessment: inogona kubatsira kuziva kwakabva ankylosis, sezviri munyaya yechikonzero chinotapukira, apo kuongorora kwekuputika kuchavhiringidzika. Nezvezvirwere zve autoimmune, iyo workup ichaona ma antibodies.

Vanhu vane hanya

Vanhu vakwegura vari panjodzi yeankylosis, zera uye kuchembera kuve chinhu chakakosha mukukura kweosteoarthritis. Pamusoro pehosha yemajoini, vakadzi vanobatwa zvakanyanya kupfuura varume, uye veCaucasus vane hanya kupfuura mamwe madzinza, akadai seAsia. Asi nezvino rhythms yehupenyu, uye kukura kwekufutisa, ruzhinji rwese zvino runowanzo kukanganiswa. Zvirwere zve autoimmune zvinowanzobata vakadzi vadiki.

Zvinhu zvinotyisa

Rheumatoid arthritis, njodzi huru yeankylosis yakabatana nechirwere che autoimmune, inonyanya kubata vakadzi. Kushaikwa kwekuita basa remuviri kune njodzi yeankylosis, sezvakaita kufutisa uye kukwira kweropa. Kune zvakare genetic risk factor, kunyanya kana zviitiko zveArthritis yerudzi rwe autoimmune iripo mumhuri.

Ankylosis, iyo pachayo chiratidzo, inokonzera kuoma kwekufambisa mubatanidzwa, kana kunyange mukusagadzikana kwayo kwakakwana. Pakati pezvimwe zviratidzo zvayo, zvinowanzoitika:

• kuomarara;
• muviri kurwadziwa, kunyange pakuzorora;
• zviratidzo zvekuzvimba, zvakadai sekutsvuka, kuzvimba, kunzwa kwekupisa kumativi ejoini.
• kurwadziwa.

Saka, kuzvimba kwejoinhi kunorwadza zvikuru, nekuti iyi yekuzvimba inokonzeresa kuzvimba: chokwadi, iyo fluid inowedzera mukati mejoinhi inoshandira kuzvidzivirira kubva kuhutachiona, huwandu hwemasero machena eropa hunowedzera, zvichikonzera kuwedzera kwemajoini vhoriyamu. . Kusakwanisa kufambisa mubatanidzwa, kunonzi ankylosis, kunobva pakurwadziwa uye kuzvimba. Nokuti kana chibatanidza chazvimba, chinorasikirwa nekufamba. Mafiber, tendon nemamhasuru, zvobva zvaita zvishoma mukana wekufamba, wekutsvedza.

Muzvinafundo Samantha Demaille, chiremba wezvekurapa nekurapa paEspoir centre, kuchamhembe, anotsanangura kuti: “Mutambo wose wekugadzirisa uchange uri wekudhonza effusion nekukurumidza sezvinobvira, uye kubvumira ligament yejojo ​​kuti ifambe zvakanaka.".

Kurapa kwakajairika:

• Mushonga unokurudzirwa sechikamu chekurapa kweankylosis ndeye physiotherapy, iyo inogona kubatsira kudzorera kufamba kwejoini. Asi dzimwe nguva ankylosis inoshanduka kuva isingachinjiki.
• Analgesics (kana kuti zvinoderedza marwadzo) ane chinangwa chokubvisa marwadzo.
• Immunomodulators (inonziwo immunosuppressants) ichashandiswa mune zviitiko zveankylosis inokonzerwa nechirwere che autoimmune.
• Anti-inflammatory drugs (corticosteroids) inobatsira kuderedza kuzvimba.
• Hyaluronic acid jekiseni: rudzi urwu rwejekiseni, katatu pagore, rinoshanda sejero rekudzivirira, kufanana nemafuta, pane cartilage yakakuvadzwa, zvichiita kuti isanyanya kurwadza.
• Prostheses: kana ankylosis yapera, semuenzaniso muosteoarthritis yakaoma zvikuru, iyo iyo cartilage inoparadzwa, mapfupa anogona kusvika kusvika pakusunganidza pamwe chete, zvichiita kuti arege kufamba, uye kurwadziwa kwakanyanya. Kurapa kunogona kuzosanganisira kutsiva mubatanidzwa, uchishandisa ibvi kana hudyu prosthesis.

Nheyo yekurapa kweankylosis mukugadzirisa:

Kugadziriswa, mukurapa kweankylosis, kunotanga chinangwa chekugadzirisa chisungo chinorwadza, saka nekunyora, zvichienderana nechikonzero cheankylosis, mishonga yekurwisana nekuputika, kurwisana nehutachiona, kana vamwe.

Pakutanga, kubatana kunofanira kusiiwa kusingafambiswi, pakuzorora. Ichi chibatanidzo chisingachinjiki hachizodziviriri kutanga kwekugadziriswa chaiko, nekushanda mhasuru pasina kufambisa mubatanidzwa. “Semuenzaniso, physiotherapists vanogona kupa murwere kuti abvumirane nemhasuru, kuita isometric muscle kusimbisa, umo musuru unoshanda uye mubatanidzwa haufambi.", Anotsanangura Muzvinafundo Samantha Demaille. Anowedzera kuti: “Izvi zvinodzivirira mhasuru kubva pakurasikirwa nesimba, uye inobvumira muviri kuti usabatwa, kuchengetedza tsandanyama vhoriyamu. Mukuwedzera, muviri unochengeta chiyeuchidzo chekufamba. Saka kana chibatanidza chadzokera mukufamba, chinozviita sechisikigo.«

Kupisa kunogonawo kuendeswa kune mamwe majoini, semuenzaniso nenzira yebhodhoro remvura inopisa. Kupisa uku kuchabatsira kuderedza kuzvimba, uye naizvozvo kubvisa marwadzo.

Zvadaro, zvishoma nezvishoma, kugadziriswa kuchabatanidza kufambisa chibatanidza zvakare, nekuita kuti ishande pane inowedzera amplitudes yakakura, kuitira kuti idzoke zvakare mukufamba, zvishoma nezvishoma uye zvisingarwadzi.

Pakati pemishonga yemakwenzi:

• The hay flower (zita remishonga: uswa-ruva), inova kurapa kwezvirwere zvinopera simba, uye marudzi akasiyana earthritis.
• Izvo zvakakosha zvecajeput, zvakasanganiswa nemamwe mafuta akadai se peppermint, clove mafuta, menthol uye camphor inogona kushandiswa kurwisa tsandanyama uye marwadzo emajoini ane chekuita nechirwere cherheumatoid, uye zvakare kurwisa l osteoarthritis.
• Mukuwedzera, essence ye cajeput inogonawo kusanganiswa nemimwe miti kurwisa arthritis uye osteoarthritis: St. John's wort, aloe, mura gum, calendula ruva, rosemary leaf, the arnica flower, balsam yePeru, muchimiro che kugadzirira homeopathic.
• Kune isingaperi degenerative arthritis, nasturtium kana Nasturtium mbeu inogona kushandiswa.Tropaeolum mberis) yakasanganiswa nemidzi yedandelion uye uswa, kawa-kawa midzi, Bryonia midzi, gomo bay mashizha, swamp ledon, bittersweet stems, rhododendron mashizha.
• Kune osteoarthritis, zvakare: white mustard mbeu.
• Kune arthritis, zvakare mhodzi chena yemasitadhi, kana kunyange mistletoe uswa.
• Mukuwedzera, kurapa kwakanaka kwazvo kurwisa kuzvimba ndiko kusanganisa harpagophytum neSt. Iwo akanaka enguva refu ekurapa marwadzo ekurapa, kunyanya sezvo iwo asina hasha.

Rondedzero yacho haina kukwana, zvisinei chenjera kuti ugare uine zano rekurapa paunenge uchishandisa mishonga yemakwenzi.

• Kudzivirira kwakanakisisa kweankylosis mushure mekuputsika ndiko kugadzirisa. Saka zvakakosha kushandisa mamhasuru pasi pemakanda. Kuchengeta mhasuru kuchaita kuti kufambiswa kwejoini.
• Kana ankylosis inotanga, kugadziriswa, kunoitwa kunyanya ne physiotherapists, kuchava nechinangwa chekudzorera kufamba kwekutanga kwejoint, uye kudzivirira zvakanyanya kudonha kweamplitude yakakura. Zvisinei, kana cartilage yakakuvadzwa, hazvizokwanisi kudzokera kumamiriro ekutanga.
• Panyaya yedambudziko retsinga, misumbu, iyo inowanzokonzera kufamba kwejoini, haichaiti zvakadaro, uye chibatanidza chinova chakasimba: saka zvichave zvakakosha kushandisa hemiplegic vanhu, kunyanya, kuchengetedza kushanduka kwemaitiro. joint. majoini avo.

Nguva dzose basa rekuita muviri, kazhinji, rakasanganiswa nemararamiro ane hutano, inzira yakanaka yekudzivirira ankylosis. Kudzora kukwira kweropa, pamwe chete nekudya kwakanaka, kwakadzikama uye kuchengetedza uremu zvese zvinodzivirira kurwisa arthritis.

Saka zvakakosha kufamba nguva dzose, asiwo kurapa zvirwere zvose, kuitira kudzivirira sepsis. Iwe unofanirwa kutarisira majoini ako, uye kuremekedza mubatanidzwa unorwadza nekurega marwadzo achipfuura. Pakupedzisira, sekutaura kunoita Purofesa Demaille, "unofanira kufamba kuti usaita ngura".