Prepatellyarny bursitis nke ikpere: Mgbaàmà na Ọgwụgwọ

Bursitis - a ọrịa nke mkpali periarticular akpa. Nke a daa ọrịa emee na n'ikpere aka na ikpere nkwonkwo. Of niile ụdị periarticular inflammations Ọtụtụ hụrụ prepatellyarny bursitis nke ikpere nkwonkwo. Nke a na ọrịa a na-efekarị ndị na-ifịk ke egwuregwu mgbe unan.

Prepatellyarny bursitis: ihe ọ bụ?

Mgbe n'elu nke ikpere nkwonkwo bụ prepatellyarnaya periarticular akpa (prepatellyarnaya Bursa). Ọ na-emi odude n'elu okpukpu ikpere. Nwa jupụtara a ọmụmụ nke na-akwalite free eji na-echebe ndị na nkwonkwo si ngafe esemokwu. Mbufụt nke akpa a prepatellyarnym akpọ bursitis. Olee otú ọ na-egosipụta onwe ya?

The International nhazi ọkwa nke Diseases ICD-10 prepatellyarny bursitis edepụtara n'okpuru code M70.4. N'ọnọdụ dị otú a ọrịa etịbede eke ngagharị nke ọmụmụ na periarticular akpa. Kpụrụ exudate - ọmụmụ ẹkesiode ọbara arịa n'oge mbufụt. The mmiri mmiri ọdịnaya nwere ike ina oria, nke na-eme ka mkpali usoro.

Dịghịzi usoro amalite na-alụ ọgụ, ọrịa, na saịtị nke mbufụt zitere a ọnụ ọgụgụ buru ibu nke lymphocytes - ahụ na mkpụrụ ndụ. Nnubata nke Lymph akpata edema, nke bụ otu n'ime ndị isi mgbaàmà prepatellyarnogo bursitis nke ikpere nkwonkwo. Photos nyere n'elu, na-egosi otú ihe pụrụ isi ike ọzịza nke ikpere. N'ihi na nke Lymph nsogbu na nso anụ ahụ na irighiri akwara mgbọrọgwụ, e nwere ihe mgbu na ikpere. N'ime oge ahụ, ebe nke na nkwonkwo pụrụ kpụrụ etuto, bursitis mere mfe na-emeso na mmalite nke ya mmepe.

Gịnị mere e prepatellyarny bursitis?

Ọtụtụ mgbe, mbufụt nke periarticular akpa bụ n'ihi na a nkọ igbu ya ikpere na a ike n'elu. Ihe ize ndụ nke na-emepe emepe bursitis prepatellyarnogo susceptible ndị mmadụ na-eduga na-arụsi ọrụ ndụ. Ma nke a abụghị naanị akpata mbufụt na intra-articular akpa. I nwere ike mata ndị na-esonụ na-akpatara ndị bursitis:

• Ugboro ikpere unan;
• crawling na-egbu ikpere n'oge na-egbu ndị na-arụ ọrụ (eg, bursitis bụ nkịtị n'etiti roofers, pavers parquet, kapeeti cleaners, plumbers);
• a kpọmkwem hit na nkwonkwo ọrịa site ọkọ na mmerụ;
• Ọrịa - brucellosis, ụkwara nta, gonorrhea, syphilis (a pathologies mgbagwoju anya suppuration n'ime nwa);
• metabolic ọrịa (ọrịa shuga, ibu oké ibu, gout);
• autoimmune ọrịa na (ọrịa ogbu ogbu na nkwonkwo, systemic lupus erythematosus).

Ma ihe ọ bụla na-akpata mbufụt, bursitis mgbaàmà-amalite na-egosi mgbe a na ikpere mmerụ. Mgbe ụfọdụ, ọ pụrụ ịbụ a obere ihe ọjọọ, ma, ọbụna nta mmebi nwere ike ime ka mbufụt development. Ọ bụrụ na onye ọrịa chọpụtara prepatellyarny bursitis ikpere mgbaàmà na ọgwụgwọ ga-adabere na ụdị ọrịa na ọnụnọ nke ọrịa na-efe usoro.

Ihe ịrịba ama nke nnukwu iche nke ọrịa

Nnukwu bursitis prepatellyarny emee mberede, mgbaàmà dịkwuo maka ụbọchị ole na ole. The ọrịa e ji ndị na-esonụ mgbaàmà:

• E nwere a nkọ mgbu na okpukpu ikpere. Otu onye nwere ike ịdabere na ya na ikpere, emetụ ọ bụla ebe nke mbufụt akpata ihe mgbu.
• Na e nwere ike ọkọ na patella na a reddening nke anụ.
• Movement na nkwonkwo nke ọrịa na-ejedebeghị.
• Mụbara ahu okpomọkụ, e nwere a n'ozuzu malaise.
• The mgbu bụ njọ mgbe probing mbufụt.

Mgbaàmà nke-adịghị ala ala ụdị ọrịa

Na enweghị ezigbo ọgwụgwọ maka nnukwu bursitis-aghọ ala ala. Ala ala mkpali usoro nwere ike ime na ruo ogologo oge nsogbu na ikpere nkwonkwo na ndị agadi. Clinical ihe ịrịba ama nke mbufụt bụ ubé dị iche iche. E nwere ndị ka ihe mgbu, nācha ọbara-ọbara na ọzịza nke ikpere nkwonkwo. Bụrụnụ ndị na-thicker mgbidi nke seminarị, n'ihi na nke a, na nkwonkwo ebe nwere ike mụbara na size ọtụtụ ugboro. E nwere mmetụta nke lumps n'ime patella ruru ka e guzobere folds na mgbidi nke periarticular akpa.

Ihe ịrịba ama nke a purulent bursitis

Ọ bụrụ na ndị intra-akpa na-ebute oria, e nwere a aba aba n'ime nwa. Mgbaàmà nke ọrịa dị nnọọ arọ.

• Nkọ okpomọkụ adahade, n'ozuzu ike nke onye ọrịa ga-adị njọ.
• The akpụkpọ na nkwonkwo na-aghọ ọkụ na aka, akpọ nācha ọbara-ọbara.
• Nnọọ mgbu na throbbing na nkwonkwo.

Gịnị pụta pụrụ ịkpata bursitis?

Aba aba prepatellyarny bursitis achọ ngwa ngwa ọgwụgwọ, ma ọ bụghị etuto nwere ike igbasa na nsụkọrọ ma ọ bụ imebi onwe gị. Nke a na-eduga ná nsogbu:

• Ọ bụrụ na ndị etuto bursts n'ime a ọbara arịa, ọ pụrụ ịbụ ọbara nsi - sepsis.
• Na Mgbasa nke mbufụt na suppuration nke dị nso ọkpụkpụ osteomyelitis nwere ike amalite.
• Ọ bụrụ na purulent mbufụt agbasa na gburugburu anụ ahụ na Lymph, e etuto na lymphadenitis.
• The abu nwere ike na-abịa site seminarị kpọmkwem n'ime nkwonkwo. Mgbe ahụ, e nwere oké ụdị purulent ogbu na nkwonkwo.
• Na akpụkpọ guzobere fistulas. Ọ ọwa na purulent ọdịnaya na-egosi mgbe onwe onye na-itunanya etuto na seminarị.
• Ruo ogologo oge prepatellyarnom bursitis ikpere N'ịdị nwere ike ikpe ida motility.

Olee otú bursitis na nwata

Eto eto ụmụ na-adịghị isiokwu na-prepatellyarnomu bursitis. Ha arọ bụ oke obere, na mgbe nwa ahụ dara na ya n'ala, igba amama ntakịrị. Children n'okpuru otu afọ adịkarịghị na-arịa ọrịa na-efe efe bursitis, dị ka ọ bụla nwa ewu ọgụ-ebute site ná site na nne. A na o kwere omume ụzọ bursitis ọrịa ụmụaka - a ikpere mmerụ ahụ na fractures. Ma nwa na-abụkarị mgbanwe ọkpụkpụ na fractures ngwa ngwa coalesce. Bursitis nwere ike ịmalite na-eto eto ụmụ naanị mgbe enyemaka na a gbajiri ikpere e nyere akaha.

Ma-eto eto na-ata ahụhụ site na bursitis. Bursa mbufụt-abụkarị na pubati ụmụ nwoke na-n'anya ifịk si ebi ndụ, na nsịn idem ke egwuregwu. Na nke a emee Ọtụtụ mgbe ihe ọjọọ mgbe ọzụzụ. E nwere ihe ọzọ mere bursitis afọ iri na ụma ọrịa. Na mmalite oge uto, na ụmụaka na-eto eto n'ike n'ike. Mgbe ụfọdụ, ihe uto nke nkwonkwo n'azụ general uto nke organism. Na mgbe ahụ na-eto eto na-amalite nsogbu na nkwonkwo, gụnyere ikpere bursitis.

nchoputa nke ọrịa

Abụkarị nchoputa bụghị ike maka dọkịta n'ihi nke e ji mara picture nke ọrịa. Ọzịza na nācha ọbara-ọbara na ebe nke okpukpu ikpere na-ama anya na mpụga ule. Otú ọ dị, ọ bụ mgbe ụfọdụ dị mkpa ịmata prepatellyarny bursitis si ọrịa ndị ọzọ na unan nke nkwonkwo: osteoarthritis, synovitis, osteomyelitis, akaị agbawa. Ekem edepụta ọzọ ụzọ nke nnyocha:

• X-ụzarị nke ikpere;
• Ultrasound nke ikpere;
• MRI;
• ịmapusị Bursa na-amụ nkwonkwo ọmụmụ.

Nke a ga-enyere na-amata na steeti periarticular akpa, gburugburu anụ ahụ na ọkpụkpụ na ihe ndị nnyocha ka a nchoputa na idepụta ọgwụgwọ.

Olee otú na-emeso noninfectious bursitis?

Ọgwụgwọ prepatellyarnogo bursitis na-efe efe si malite bụ na-emekarị mgbanwe. Mgbapu mere naanị ma ọ bụrụ na seminarị ka akwakọba a ọtụtụ ọbara mgbe otu ihe. The mkpa maka nke a usoro a ga-kpebiri site ịga dibịa, dị ka e nwere otu obere n'ihe ize ndụ nke ibute ọrịa.

Nzọụkwụ mbụ bụ na-enye izu ike nke otụk N'ịdị. UBI tightly ligated nkwonkwo bandeeji compresses etinyere ma ọ bụrụ na ọ dị mkpa. Mgbe mgbu na-kenyere analgesics. Mgbe ike mgbu injections "Prednisolone" na nkwonkwo. Ọgwụgwọ nke nnukwu iche nke bursitis ewe ihe 7-10 ụbọchị.

Olee otú iji gwọọ-adịghị ala ala bursitis nke ikpere?

Mgbe n'imeso prepatellyarnogo bursitis nke ikpere na-adịghị ala ala na-abụghị steroidal mgbochi mkpali ọgwụ ọjọọ na-kenyere: "diclofenac", "Nise", "Nimesil", "ibuprofen".

Applied physiotherapy:

• ịhịa aka n'ahụ;
• electrophoresis;
• ọgwụgwọ anụ ahụ;
• magnetik ọgwụ;
• ultrasonic ọgwụgwọ;
• laser ọgwụgwọ.

Ọ bụrụ na ndị Bursa na-akwakọba mkpali exudate, na mgbapu na rụrụ.

Ọgwụgwọ nke purulent bursitis

Ọ bụrụ na ndị bursitis bụ ọrịa na-efe si na nwechaalarị akawanye njọ, mgbe ahụ, na-emefu oghere drainage. Mee a oké agịga mgbapu na abu kpọpụrụ. Periarticular akpa oghere na-na-asa na ihe ngwọta nke ọgwụ nje na antiseptics. Mgbe a na usoro, onye ọrịa na-egosi a N'ịdị ike.

Nye iwu ka a N'ezie nke antibacterial sara mbara-ụdịdị dị iche iche ọgwụ ọjọọ. Na oge nke ọgwụ nje ọgwụgwọ bụ banyere 1-3 izu. Ọnụ na antibacterial ọgwụ ọjọọ eme ihe dọkịta edepụta Steroid. Ọ bụrụ na onye ọrịa na-eche ihe ịrịba ama nke igbu egbu (isi ọwụwa, ọgbụgbọ, vomiting, okpomọkụ), mgbe ahụ, na-etinye a dropper na sodium chloride ngwọta, "Perftoran" "Ringers". Mgbe mwepụ nke abu eji ọgwụgwọ nke glucocorticoid ọgwụ ọjọọ na physiotherapy.

ọrụ

Ọ bụ a buu usoro ịwa ahụ ọgwụgwọ prepatellyarnogo bursitis nke ikpere nkwonkwo. Mee ihe mbepụ na-ewepụ ndị Bursa dị mkpa na ihe omume ahụ n'ihi na nke ufiop mgbu a onye na-efunari ike na-eje ije ma na-elekọta onwe ha. Nke a pụtara na mgbidi periarticular bag thickened ka seminarị apụghị inye a eji nkwonkwo. Mgbe ịwa ahụ, onye ọrịa n'ime 3-5 ụbọchị yi a pụrụ iche ikpere mkpọchi. Mgbe ahụ, dọkịta na-edepụta a N'ezie nke ọgwụgwọ anụ ahụ. Na-emekarị mgbe ịwa ahụ a mmadụ maka a ọnwa azụ kwesịrị ndụ. Ịdabere na sore ikpere nwere ike ịbụ 2-3 ọnwa.

Omenala ụzọ nke ọgwụgwọ nke bursitis

Home ọgwụgwọ ụzọ mee ihe bursitis dị ka a na-arụkọ ọgwụ. Tupu i nwere ike iji nke omenala na nkà mmụta ọgwụ, gakwuru dọkịta gị. Bursitis nwere ike inyere compresses si na akwụkwọ nri. Ọ bụ uru na ọzọ Ukwu nke poteto, beets na kabeeji. Akwụkwọ nri dị mkpa ka a etinyere nkwonkwo nke ọrịa n'abalị. N'abalị mbụ na sore ntụpọ wetara ụfọdụ ịkpụ raw poteto, ekpuchi na ịrapara film na teepu elu. On abalị nke abụọ dị mkpa ka ị na-ekpeghachi usoro na beets, na nke atọ - na kabeeji.

Nwere ike kwukwara na mmiri maka bath decoction nke pine ndudu, cones na Alaka. All Efrata kwesịrị sie mmiri 30 nkeji, mgbe inye efere ka awa 24. Njikere wepụ kwesịrị aja aja. The efere na-agbakwunyere mmiri, na 20 nkeji, a saa. Ọ chọrọ 1.5 lita wepụ. Bursitis bara uru iji n'ime ngwakọta nke propolis na butter. Ọ dị mkpa ka mix ndị Efrata ke hà akụkụ. Mejupụtara na-ewere 1 teaspoon ugboro atọ n'ụbọchị. Ọ dị mma iji a n'aka propolis 1 awa tupu nri.

Olee otú iji gbochie ọrịa?

Iji gbochie mmepe nke prepatellyarnogo bursitis, dị mkpa iji kpuchido ikpere si eme ihe gabiga ókè na mmerụ ahụ. Nke a bụ eziokwu karịsịa nke ndị na-arụsi ọrụ ike na-egwu egwuregwu. Onye ọ bụla mgbatị ga na-amalite a na-ekpo ọkụ elu. Ọ bụrụ na, n'oge egwuregwu na-eme n'ebe ahụ nwere ihe ize ndụ a ikpere mmerụ, mkpa iji chebe nkwonkwo pụrụ iche ngwaọrụ (ikpere pad). Nke a ga-nyere aka gbochie oké mmerụ ahụ na nsogbu n'ụdị prepatellyarnogo bursitis. Na foto n'elu na ị pụrụ ịhụ na otu n'ime ndị a nchekwa ngwaọrụ maka ikpere. Mgbe mebiri emebi akpụkpọ ga ma ọnyá na abrasions kwesiri disinfectant ikwọ nwere ike esichara na bandeeji. Nke a ga-enyere igbochi ọrịa penetration n'ime periarticular akpa. Naanị akwanyere nkwonkwo na-adọ ọgwụgwọ nwere ike inyere gị zere imerụ bursitis.