Periarthritis ke boloetse bo bakoang ke ho ruruha bo hlahang linthong tse ling tsa nakoana. Hangata, manonyeletso a maholo a ameha. Periarthritis ea mahetleng a tloaelehile haholo, ha e sa le monyenyane (kamora lilemo tse 30), e amanang le ho sebetsa ho tlōla kapa ho lemala ho hoholo. Hangata banna ba fetoha rheumatologists, hobane ba sebetsa litsebi tse hlokang moroalo o mong le o mong mahetleng a mahetleng.
Anatomy le sesosa sa lefu lena
Manonyeletso a amahanya masapo a masapo 'me a lumella ho tsamaea ho masapo a hlahisang. Sena se etsahala ka thuso ea mesifa. Lihlopha tse bonolo kapa tse rarahaneng li na le lisele tse tšoanang tsa periarticular. Tsena li kenyelletsa:
- Capsule ea kopane. Sopsule e pota-potileng marang-rang a masapo a hlahisang 'me e etsa sebaka se koetsoeng.
- Lisebelisoa tsa motsoako. Ho na le mahlaseli a mangata a kopanyang, a hokahanya masapo.
- Tendons. Ena ke karolo ea ho qetela ea mesifa. Ke ka thuso ea li-tendon hore mesifa e otlolohileng e khomaretse masapo.
- Matšoao. Setho se seholo se lumellang ho etsa liketso tsa motlakase 'meleng oa motho.
Maqhepa a mahetla a khona ho ba le mekhabiso e mengata ho feta lihlopha tse ling tse bakoang ke li-ligamente le mesifa e tsoetseng pele.
Lisosa tsa periatritis tsa manonyeletso a letona le a letšehali ke:
- Mosebetsi oa sekolo. Batho ba sebetsang e le methapo ea mapolanka, baetsi ba mapolanka, baetsi ba lipapali, batho ba lipapali, joalo-joalo ba atisa ho kula, ke hore, bao ka boikarabelo ba bona, ba atisang ho etsa mekhoa e tsamaeang, le ho tsamaisa matsoho holimo.
- Nako e le 'ngoe mojaro o feteletseng o kopaneng lehetleng.
- Kotsi (ho oa, stroke).
- Litšobotsi tsa tlhaho tsa liphatsa tsa lefutso tsa manonyeletso a mahetla.
- Ho senyeha ha mericardial ho fokolloa .
- Matšoao a potlakileng a ho potoloha ka mahetleng.
U ka etsa joang hore u hlahlojoe?
Periarteritis ea mahetla a mahetleng a tšoauoa ke matšoao a latelang:
- bohloko bo mahetleng, maemong a mangata a matlafatsoang ts'ebetsong ea mekhoa e tlohang-pele, ho phahamisa matsoho;
- thibelo ea ho tsamaea ka lenonyeletso ha ho etsoa mehato (ho tsitsisa se kopantsoeng);
- liketsahalo tse kopantseng: bohloko ba hlooho le molala, ho khutla le matsoho, ho senyeha ha menoana, molichaba.
Ntle le ho bokella litletlebo, rheumatologist e beha radiology e hlokahalang. Mekhoa e thusang ho hlahloba e na le ultrasound, CT, MRI, teko ea mali le arthrography.
Tsela ea ho phekola periarthritis ea mahetla a mahetla?
Ho fokotsa mafu a bohloko, lingaka li bolelloa lithethefatsi tse sa sebeliseng steroidal tse khahlanong le ho ruruha (Ibuprofen, Nimesil, Xefokam, Indomethacin, Diclofenac). Lits'ebetsong tse ka sehloohong tsa lefu la ho noa lithethefatsi le thibelo ea nakoana ea mekhatlo e kopaneng ho lekane ho hlaphoheloa ka botlalo.
Thibelo ea mekhatlo e kenyeletsa ho senyeha, ke ho senyeha ha motsoako ka mokhoa oa ho lokisa. Tabeng ena, mokuli o lokela ho utloisisa hore na ke mehato efe eo a lokelang ho e qoba ka mokhoa o khethehileng. Ntle le tekanyo ena, periarthritis ea mahetla a mahetleng a ke ke a phekoloa ka meriana leha e le efe.
Ka li-periarthritis tsa mahetla a mahetla, mekhoa ea kalafo ea sebaka sena e sebelisoa, e kang mafura, electrophoresis, compresses, blockades, li-application (parafini, seretse sa meriana), hirudotherapy, laser therapy. Lintho tse sebetsang tsa mafura ke li-drug-non-steroidal tse khahlanong le ho ruruha lithethefatsi. LFK, ho silila le ho phekola meriana ho na le phello e hlakileng ea phekolo ea periarthritis ea mahetla a mahetla, hafeela li khannoa ka mor'a hore lingaka li bolelloe le ka thuso ea setsebi se tiisitsoeng.