Nyamakazi imakhala yosokonezeka ndi arthrosis. Koma arthrosis ikugwirizana ndi kusintha kwa zaka zakubadwa mu sutuvas. Ngakhale matenda opweteka a mafupa - nyamakazi ndi polyarthritis - akhoza kudziwonetsera okha pa msinkhu uliwonse. Chinthu chachikulu sichiphonya zizindikiro zoyamba za matendawa.
Matenda a nyamakazi - ndondomeko ya matendawa
Matenda a nyamakazi ali ndi mitundu ingapo. Madokotala ambiri amadwala matenda a nyamakazi (iwo amadwala pafupifupi 1% mwa chiwerengero cha anthu onse padziko lapansi). Chomwe chimayambitsa nyamakazi, sichikudziwikabe. Poyamba ndi maonekedwe a chibadwa: kupweteka kumodzi ndi matenda a m'banja.
Kuonjezera apo, vutoli lingakhale matenda opatsirana, matenda osokoneza bongo, nkhawa yaikulu kapena hypothermia. Kafukufuku waposachedwapa awonetsanso kuti m'mizinda, nyamakazi imakhala yovuta kuposa mbale ndipo imakhala yolemera kwambiri. Pa nthawi yomweyo, amayi pakati pa odwala amaposa katatu kusiyana ndi amuna. Ndipo zaka zambiri za matendawa ndi zaka 30-55.
Momwe mungayambitsire ...
Ngati nyamakazi sichikuchiritsidwa, pakapita nthawi pangakhale chiopsezo cholephera kusuntha. Matendawa amayamba pang'onopang'ono ndipo nthawi yomweyo amakhudza ntchito za ziwalo zina zamkati, makamaka, mtima wamtima. (Ndichifukwa chake madokotala a mbiriyi amatchedwa cardiologists-rheumatologists.) Matendawa ayenera kupangidwa ndi dokotala. Kuphatikiza pa kuyang'ana maonekedwe, zimayambitsa kuyezetsa magazi, zomwe, monga lamulo, zimasonyeza kupitirira kwa chizoloŵezi cha pro-C-reactive - chiwerengerochi "chimapitirira" mu 80% a odwala nyamakazi. Kenaka x-ray ikulamulidwa. Koma poyambirira, X-ray sichidziwitsa zambiri. Kokha ngati matendawa athandizidwa kwa nthawi yaitali, chithunzichi chikuwonetsa kutaya kwa ziwalo.
... ndipo chitani
Palibe njira yothetsera matenda onsewa, choncho, mankhwala nthawi zonse amatchulidwa payekha ndipo amakhala ndi njira zosiyanasiyana komanso mankhwala. Choyamba, izi ndi mankhwala osokoneza bongo komanso anti-inflammatory drugs (mwachitsanzo, indomethacin, ibuprofen, orthophene, voltaren, diclofenac). Koma mankhwala onsewa sangathe kutengedwera kwa nthawi yaitali popanda kufunsa katswiri, popanda zovuta zoyipa, makamaka, mankhwala ovuta kwambiri, angayambe. Ndicho chifukwa madokotala amati "kupatsira mankhwala" - kumwa mankhwala kwa masiku asanu ndi asanu ndi asanu ndi awiri (7) ndi kusokonezeka kwakukulu. Kuonjezera apo, perekani mankhwala omwe amakonza matenda (chondra, arthra, struktum) pogwiritsa ntchito polysaccharides. Afunika kutenga maphunziro kwa miyezi isanu ndi umodzi. Komanso, odwala amavomereza njira za physiotherapeutic: ultrasound, electrophoresis ndi mafunde a magetsi, kuchita masewera olimbitsa thupi ndi kusisita. Koma mu nthawi ya kuchuluka kwa nyamakazi ya nyamakazi ayenera kukhala yochepa.
Kupewa
KUKHALA WOYAMBIRA. Ngati muli ndi chibadwa choyenera kuti mukhale ndi matenda a nyamakazi, komanso panthawi yomwe mumatulutsa matendawa, samalirani zomwe mumadya komanso momwe mumasunthira.
KUCHITA ZINTHU. Mu matenda a manjenje ndi zovuta kulumpha ndi kuthamanga. Koma zowawa zina zimapindulitsa. Chofunika kwambiri ndi kusambira, chifukwa madzi amachepetsa kwambiri katunduyo pamfundo. Mukhozanso kuchita yoga ndi pilates. Chinthu chachikulu ndicho kuphunzira momwe angasunge malamulo opuma ndikugawira katundu.
WAMPHAMVU WA KUTHANDIZA. Kutulukira kwa "nyamakazi" kumasintha kayendedwe kake ka kayendedwe kake. Mwachitsanzo, mmalo mogwedezeka, ndibwino kukhala pansi molunjika. Musatulukitsenso mphamvu yokoka ndikunyamula zinthu zolemetsa m'manja mwanu, muyenera kugawana zolemera pa manja onse awiri. M'malo mwa nsapato zochepa kwambiri, ndi bwino kuvala nsapato zabwino pa nsanja yaing'ono.
SUNGANI ZOTHANDIZA. Ambiri amatsinje odwala matenda a nyamakazi, makamaka pa matenda otchedwa gouty arthritis (kapena gout), adokotala amatipatsa zakudya zothandizira (makamaka, mowa, nyama yofiira, nandolo, chiwindi, impso ndi zakudya zina zomwe zili ndi purines zomwe zimayambitsa matendawa. Muzochitika zina zonse, ndizomveka kuti odwala atsatire zakudya, zomwe ndizochepa shuga ndi mafuta, nyama ndi masamba. Ndi bwino kupatsa ndiwo zamasamba ndi zipatso, tirigu ndi tirigu, ndi zakudya zamapuloteni (nyama, nkhuku, nsomba zamadzi ndi mkaka) ziyenera kusankhidwa ngati mafuta otsika kwambiri. Madokotala a ku India ali otsimikiza: kuti muteteze ziwalo mukamagwira ntchito, muyenera kudya ma clove awiri kapena atatu a yaiwisi yaiwisi tsiku. Komabe, kuponderezedwa kwa adyo kumakhala kovulaza: m'zinthu zambiri zimayambitsa kupweteka ndi ululu m'mimba.
Chifukwa cha nkhawa
Zizindikiro zoyamba za nyamakazi zimadzimva ngati m'mawa. Mukawona zovuta zosangalatsa, pitani kwa dokotala-arthrologist, rheumatologist kapena physiotherapist. Pano pali kufotokoza kwa zizindikiro zazikulu zomwe ziyenera kuchenjeza:
1) kutupa kwa ziwalo mmanja m'mawa. Zimakhala zopweteka komanso zofiira pang'ono;
2) atangomadzuka, kumverera kumakhala ngati zala zikulimbidwa ndi girasi yolimba, ndiye zimatha;
3) kutentha kumatuluka pang'ono;
4) Patapita nthawi, matendawa amakhudza ziwalo zina - zitsulo, mawondo, symmetrically, kumanja ndi kumanzere;
5) zizindikiro zimatchulidwa kwambiri pamene kutentha kwagwa, nyengo imasintha kapena nyengo imasintha kwambiri;
6) nthawi ndi nthawi ululu ukhoza kugonjetsa masiku angapo kapena miyezi ingapo; izi zimatchedwa kukhululukidwa, koma kachiwiri pali kuwonjezereka.
Njira za agogo aakazi
Mankhwala a anthu sangasinthe mankhwala omwe amalembedwa, koma zimathandiza kuti matendawa akhale othandiza.
Zitsamba zopangira mafuta a mtengo wa tiyi (kuphatikizapo chamomile, lavender ndi marjoram) zimathandiza kuchepetsa ululu, ndipo mafuta ofunika kwambiri a rosemary, pine ndi ginger amachititsa kuti ziwalo zikhale bwino (madontho 8-10 pa bafa). Compress yozizira ya dongo ndi madontho ochepa a mafuta omwewo amachititsa kutupa kwa ziwalo. Zomwe zimapweteka kwambiri ndizo muzu wa ginger. Ginger wouma wouma amafunika kusakaniza ziwalo zodwala, ndi kukulunga. Ndipo mizu yake yatsopano, yosweka ingadye kokha ndi mbale wamba kapena yophika kuchokera "iyo". Chinsinsi:
Ola limodzi, mizu yophwanyika yambiri imathiridwa
Magalasi awiri a madzi, wiritsani mphindi 40, fyuluta, yikani shuga kapena uchi. Amamwa pambuyo atadya.
CHITSANZO CHA OPENDA:
Antonina MOROZOVA, wodwala dokotala
Nthawi zina ziwalo za nyamakazi (kufotokozera za matendawa mumadziwa kale) odwala amapatsidwa mankhwala osungirako matope ndi njira zamagetsi. Winawake amawathandiza, koma nthawi iliyonse adokotala ayenera kuchoka kudziko lonse la thanzi. Mwamwayi, zimachitika kuti odwala amabwerera ku sanatorium ndi kuopsa kwakukulu, osati khunyu kokha, komanso matenda ena odwala. Zikhulupiriro zazikulu tsopano zaikidwa pazinthu zatsopano, zomwe zimatchedwa mankhwala ochizira - amachita mofulumira komanso mochepetsa kutupa. Gululi limaphatikizapo: ethanercept (enbrel), infliximab (remicade), ndi adalimumab (humidor). Kawirikawiri amagwiritsidwa ntchito pamodzi ndi zofunikira zina. Koma mankhwala onsewa ndi okwera mtengo, angaperekedwe kokha mu mawonekedwe ojambulidwa (subcutaneously kapena intravenously), kotero iwo sanalandirepo ntchito yaikulu kwambiri.
Pakati pa anesthetics, gulu latsopano, Coxibs, adawonekera. Ku Russia, mankhwala amodzi okha, tsellebex, tsopano akugulitsidwa. Sitikukwiyitsa m'mimba ndipo sichimayambitsa kuchulukitsa kwa matenda a atherosclerosis, matenda oopsa kapena mtima wosalimba, komanso impso ndi matenda a chiwindi. Asayansi akupitirizabe kupanga mankhwala atsopano, motero, mwinamwake, posachedwapa, nyamakazi ya nyamakazi ingathe kuimitsa ngakhale kusintha.