Bursitis (site na Latin "bursa" - akpa) - nnukwu ma ọ bụ nke na-adịghị ala ala mbufụt nke akpa synovial. Isi mmalite nke ọrịa ahụ nwere ike ịbụ ihe otiti, ọdịda, ibu dị na nkwonkwo, ọrịa, ọnya, na mgbu. Nchọpụta na ọgwụgwọ oge na-eduga na mgbake zuru oke.
Ozi Izugbe
Bursa (bursa) bu oghere nke juputara na mmiri nke di gburugburu nkwonkwo na akwara, odi nkpa ka ichota ihe nkpuchi nke esemokwu n'oge mmeghari. Enwere ihe dị ka 150 n'ime ahụ.Ha na-etezi, na-ete mmanu nkwonkwo n'etiti okpukpu, akwara, akwara na nkwonkwo.
Mkpụrụ ndụ synovial ahụ na-ekpuchi oghere oghere na-emepụta mmanu pụrụ iche. Ọ na - ebelata esemokwu n’etiti anụ ahụ na onye ahụ nwere ike ịmegharị ngwa ngwa.
Na mbufụt nke akpa synovial, ntọhapụ nke mmiri nkwonkwo na-ebelata na ihe mgbu, nkwesi ike nke mmegharị, na ịcha ọbara ọbara. Mata ọdịiche dị n'etiti nnukwu, subacute, ala ala bursitis. Ihe na-akpata ihe nnochi anya doro anya na nke ekwesighi. Usoro mkpali na-eduga na nchịkọta nke exudate. Site na ọdịdị ya, a na-ekewa ya - serous, purulent, hemorrhagic.
Site na bursitis nke nkwonkwo hip, usoro mkpali na-ekpuchi akpa synovial ya. Womenmụ nwanyị nke etiti na ndị agadi na-arịa ọrịa a.
Ihe na-akpata ọrịa na-abụkarị:
- ogologo ụkwụ dị iche iche;
- ịwa ahụ;
- ọrịa ogbu na nkwonkwo;
- scoliosis, ogbu na nkwonkwo, arthrosis nke lumbar spain;
- "Ọkpụkpụ spurs" (usoro dị n'elu ọkpụkpụ);
- adịghị mma hormonal;
- Mwepụ nke isi nke nkwonkwo;
- akpịrị ịkpọ nkụ nke ahụ;
- ankylosing spondylitis;
- nke ahu anataghi;
- nje virus;
- nkwụnye nnu.
Jogba mwe muga n’ịgba ọsọ, ịgba ígwè, ịrị steepụ ugboro ugboro, ma ọ bụ iguzo ọtọ, ibu dị n’elu nkwonkwo úkwù, nke pụrụ ịkpata ọrịa.
Mgbaàmà
Banyere ndabere nke oke ahụ ike, adịghị ike pụtara:
- nnukwu ihe mgbu na ọkụ ọkụ site n'èzí ma ọ bụ n'ime apata ụkwụ, na-enwu gbaa, ukwu;
- ọzịza nke ọdịdị gbara gburugburu na dayameta 10 cm;
- ọzịza nke anụ ahụ;
- ụba okpomọkụ;
- acha ọbara ọbara nke anụ ahụ.
N'ihi mbufụt, mmadụ enweghị ike ehulata, dozie hip ahụ. Mgbu ahụ siri ike na mbụ, mana ọ bụrụ na ịmaliteghị ọgwụgwọ, ọ ga - adịwanye ike karịa oge ma usoro a ga - adịghị ala ala.
Ks Aksana - stock.adobe.com
Inddị
Na nso nkwonkwo hip, e nwere ilio-scallop, ischial, cavities trochanteric nwere mmiri:
- Agwo Ndị nkịtị karịa ndị ọzọ. Mgbu na-egosi na mpaghara nke oke ahụ dị n'akụkụ akụkụ nke femur na akwara na akwara dị n'akụkụ. Onye ọrịa ahụ na-enwe ọzịza, ahụ erughị ala mgbe ọ na-akpụ akpụ, ahụ ọkụ, adịghị ike. Na izu ike, ihe mgbu na-ebelata, mana mgbe mmadụ gbara mbọ ịrị steepụ, mee squats, ọ na-abawanye. Ọbụna n'abalị, ọ bụrụ na ọ dinara n'akụkụ akụkụ ahụ metụtara, ọ na-echegbu onwe ya banyere ihe mgbu. Ọ na-egosipụtakarị onwe ya na ụmụ nwanyị, ihe kpatara ya nwere ike ịbụ mmega ahụ nkịtị, oke ibu, ọrịa endocrine system, osteoporosis, mmerụ ahụ hip, oyi, nje.
- Ilium-scallop (ọkpụkpụ). Ejiri nkwanye nke oghere synovial dị n'ime apata ụkwụ ya. Ndị na-ebi ndụ ibi ndụ otu nọ n'ihe ize ndụ. Ọ na-egosipụta onwe ya dị ka ihe mgbu na-egbu mgbu na ukwu, n'ime apata ụkwụ, ọkachasị mgbe ị na-achọ ibili, nọdụ ala, welite ụkwụ. Ahụhụ na-esiwanye ike mgbe izu ike, ụra, enweghị ike, mgbe ị na-achọ ibili, bulie hip.
- Ischio-gluteal. Ọ dị n'akụkụ nke mgbakwunye nke mọzụlụ nke azụ nke apata ụkwụ na ischial tubercle. Onye ọrịa ahụ na-enwe ihe mgbu na akwara, nke na-akawanye njọ ma ọ bụrụ na ọ nọ ọdụ n’oche, gbanwee eriri ya, dinara n'akụkụ akụkụ ahụ metụtara. Tuber ischio-gluteal na-abawanye. Mmetụta ndị na-adịghị mma na-akawanye njọ n'abalị.
Ihe nyocha
Dọkịta orthopedic na-ege ntị mkpesa, na-enyocha mpaghara ahụ metụtara, na-eme ka palpation. Ọ na - eme nyocha site na iji nyocha Aubert - a na - etinye onye ọrịa ahụ n'akụkụ ahụike ma nye ya ọtụtụ mmegharị - ịdọrọ, duru, bulie, belata hip. Ọ bụrụ na ọ gaghị enwe ike ime ha n'ụzọ zuru oke, mgbe ahụ, ihe kpatara ọrịa ahụ bụ bursitis.
N'ọnọdụ ụfọdụ, ọ na-edepụta MRI, ụzarị ọkụ, nyocha ọbara. Mgbe ahụ, na nkwenye nke nchoputa ahụ, ọ na-atụ aro ọgwụgwọ.
Ọgwụgwọ
A na-emeso Bursitis n'ụzọ zuru ezu. Nke a bụ oriri ọgwụ n'ime, injections, mpụga mmadụ na physiotherapy.
Ọgwụ ndị na-anaghị egbochi ọgwụ mgbochi (Ibuprofen, Indomethacin, Meloxicam, Celecoxib, Piroxicam, Diclofenac) nyere aka. Ha na-ebelata ihe mgbu na mbufụt. A na-eji ihe na-eme ka mmiri ọgwụ (Prednisolone, Hydrocortisone, Flosterone, Kenalog, Dexamethasone). Chondroprotectors (Dihydroquercetin plus, Osteo-Vit, Teraflex, Artra), vitamin, microelements ka eji. N'okwu ndị dị elu, a na-enye ọgwụ nje (Cefazolin, Sumamed, Panklav).
A gwara ka emega ahụ ka ị belata, mgbe ị na-eje ije, jiri mkpisi, mkpara. Ude etinyere ude - Cortomycetin, Nise, Dolgit, Voltaren. Ọzọ jikoro - laser ọgwụ, ultrasound, electrophoresis, inductotherapy, akọrọ okpomọkụ, paraffin ngwa, physiotherapy omume, ịhịa aka n'ahụ.
N'okwu ndị dị elu, a na-eji ịwa ahụ eme ihe - a na-agbapụta mmiri dị oke n'okpuru nrịanwụ nke mpaghara na sirinji.
Wepu bursa emetụtara (bursectomy) na obere oge, mgbe ịkọwapụtara.
Omenala ogwu na-eji mkpuru ahihia - burdock, chamomile, yarrow, akwukwo akwukwo na mmanụ a honeyụ. Na-a aụ ihe ọ drinkụ drinkụ mere si mmanụ a honeyụ na apụl cider mmanya.
Nsonaazụ na amụma
N'ọtụtụ ọnọdụ, a gwọrọ ọrịa ahụ na ntinye aka na oge na-aga na ọkachamara na nchọpụta oge mbụ. Enwere ohere ọ bụla nke mgbake, mmeghari na-eweghachi ma mgbu na-apụ n'anya. Ma ọ bụrụ na bursitis ghọọ purulent, mmadụ nwere ike inwe nkwarụ n'ihi mbibi nke anụ ahụ cartilage.
Ihe mgbagwoju anya n'okwu ndị dị elu nwere ike ịbụ - ntụpọ nke apata ụkwụ, oke ngagharị, oke erughị ala.
Mgbochi
Iji gbochie ọrịa, ịkwesighi ibubata nkwonkwo ahụ, ebula ibu dị arọ, jiri akpụkpọ ụkwụ orthopedic, chịkwaa ibu, ma zere mmerụ ahụ. Mee mgbatị ahụ, mee mgbatị ahụ ma wusie ike apata ụkwụ gị. Echefula banyere izu ike na ezigbo ụra, rie nri, ewepu ngwaahịa ndị na-emerụ ahụ, hapụ ị smokingụ sịga na mmanya.