The surfaces of the bones formed are special, hyalin are covered with cartilage - smooth, lowest friction power supply during the engines of articular surfaces.If Arthrosis is diagnosed, it means the destruction of cartilage.
Progress, destructive process belongs to the bones and then the joint capsule.According to the ICD 10-M15-M19, the ICD is a universal code, bone muscle and pathology of bone muscle and connective tissues.
According to medical statistics, 12% of the world's population suffers from osteoarthritis under the age of 65.But every year there is an exciting tendency to increase the number of patients.The diagnosis is not fatal, but arthros is insidious with its relapses and threat of full disability.
The mechanism that takes place
The disease gradually develops, four stages may differ in condition:
- First appears in a blood or damaged area in the spark area.Gradually, the region with the participation of traumatic factors is not restored, on the contrary, is growing.
- The body, which is trying to restore the destructive cartilage, replaces mineralized tissues that do not have a clear structure of damaged areas.Such fabric is generally smooth, sliding and with a low replacement for the cartilage of elastic hyalin.
- Gradually, the surface of the cartilage occurs in wounds and bone growth - osteophyte.
- The healthy areas of the cargo have increased several times, wear very quickly and eventually turn into a large wound of all cartilage.
If the pathological process is not stopped, the following will be subject to the following negative changes:
- Participates in the process of destroying bones;
- Synovial peel is inflamed;
- Joint capsules lose their elastic, lose more intense;
- The lumen of the joint cavity quickly decreases;
- Bones are deformed as a frictionless joint as a whole;
- The pieces of the merger are reborn, and thereby have a complete loss of the probability of action.
Types of arthros
This disease completely affects any articular surfaces!At the same time, despite the same mechanism of the same pathology, it is classified in several species.
So they separate which joints are sick:
- Knee joint or patelfmmoral arthrosis (abbreviated gonarthrosis) artrosis;
- Arthrosis of hip combination (abbreviated rudeness);
- arthrosis of shoulder combination;
- arthrosis that intervened;
- arthrosis of ankle joint;
- the arthra of the hands;
- cervical arthrosis;
- jaw artery;
- Arthrosis of the compound of the Paltenephalax;
- Iliac artrocy;
- the keyboard-acrocomy artrocy;
- temporary arthrosis;
- Heel artrocy;
- Tagli Arthrosis (abbreviated spondylarthroos) affecting the arc processes of vertebrae;
- arthrosis of facet combinations of spine combinations;
- Relatively arthrosis;
- Rib buildings arthrosis;
- Scan-plastic arthrosis.
According to the characteristics of the pathological process in the cardagin texture, they distinguish:
- Deforming arthrosis is the name of the disease by passing the terminal (final) stage;
- Arthrosoarthritis is characteristic of having a classic inflammatory process;
- chronic;
- Acute arthrosis.
Varies for reasons for the formation of pathology:
- dystrophic arthrosis of joints related to a critical metabolic disorder;
- Fracture arthrosis stems from relevant injuries;
- Post -traumatic arthrosis.
There is another classification - whether the disease is independent or caused by provocative factors:
- Primary, - a completely healthy cartilage, another name - idiopathic arthrosis or ages related to aged nursing change;
- Medium, - it is caused for many reasons.
Symptoms of Artrosis
Depending on the degree of development of pathology, all localizations have topical signs of arthrosis, vary in their intensity:
- strengthens with pain, pain, high humidity and hypothermia;
- reduction of joint mobility;
- Crisp, climbing and transition sounds in the movements of delicate surfaces;
- External changes in the unit of the combination;
- swelling and swelling;
- Redness of the skin.
Pain
The first initial signs of the laws are weak or medium, a short pain, almost never happen, but usually only appears on the joint of the joint.
When inflammatory processes go to the final stage, the patient begins to feel painless, "tooth incision" due to the patient's blood stagnation and increased pressure in a joint bag.Pain is characterized for a long time, regardless of whether the day is in any time and the rest of the area affected or in the area.
Sowearity of the compound
This symptom is characteristic of a fairly indifferent disease.At the same time, in the early stages, the patient still felt anxiety when moving in the form of some restrictions after waking up in the morning.
Patient notifications by progression of destructive reactions:
- restriction of ordinary action amplitude;
- Inability to change the position of the rest of the rest, or even attempts joint hand;
- Strong fixation (contract) in a certain position of the combination in a state of lack of motor activity for a long time.
In the end, it occurs in the form of a change in the fourth stage of pathology, ankylosis, vibration tissues to follow full operation.
Joint sounds
Only a crisis can be accompanied by any dysfunction of bones and cartilage caused by arthrosis.
However, this disease is characteristic of this voice:
- Only those pains emerge;
- accompanied by the difficulty of movement;
- It has the ability to intensify with the progress of pathology and the formation of ankylosis.
To change the appearance of the combination
In the next stages, the noticeable changes appear.Thus, the reading of the affected extreme is broken and the articular region itself is violated - it is growing in size, the shape has been changed.
All this shows the irreversible destruction of the combination, there is no new piece of fabric, not a certain structure.
If there is such a pathogenic process in the knee, it means that the cargo and plate will increase the load in the unites of the ankles that will damage them over time.
Reasons for arthros
Pathology can happen in a joint and can be spread in several.This disease is likely to occur at least one young age - the vitality is still enough to deny the body.
However, the reasons for the effects for all age groups are: There are:
- Domestic - some diseases, bad habits, unbalanced nutrition, etc.;
- External, - Injuries, a professional factor.
Internal reasons lead to a negative change in joint factors in the form of inflammation.Distinguish the inflammation of various origin:
- Infectious (intestinal bar and koch, viruses, chlamidia, staphylococci, pale tepona, etc.);
- Rheumatism;
- Old arthritis;
- nature of autoimmune;
- gout;
- Psoriasis.
In addition, the causes of internal exposure, congenital or acquired violations of cartilage tissue and nutrition can be related to:
- Genetic malfunctions and mutations;
- Intrauteric development anomalies, including perinatal injuries;
- old age;
- Osteoporosis, "leak" from bone tissue of components of elements;
- Hormonal disorders and overload including menopause;
- violation of normal metabolism;
- Disadvantage in nutrition of vitamins and trace elements;
- Diseases involving muscle weakness;
- Interior for a long time intoxication.
The aggravation of many diseases of the muskuloskelet skeleton also leads to cartilage degeneration.
The external causes of the development of the disease are such factors that damage the combination:
- Often hypothermia;
- dislocations;
- strong blows;
- fractures;
- Menisc injections;
- strong physical activity (eg weight lifting);
- Professional sports;
- Surgical interference.
Arthrosis rate
According to clinical manifestations and the progress of the disease, the four stages of the arthropist are different:
- The arthrosis of the 1st degree is the initial stage of the arthrosis, which is characterized by hidden symptoms in the form of adverse symptoms and weakening of muscle fibers in the form of adverse changes in the sinovial liquid, appears, only physical force;
- 2nd grade arthrosis - this is already a sense of pain, a feeling of pain, reflex neurotrophic regulation and a sound of a sound;
- Tier 3-degree arthrosis is characterized by significantly degenerative changes in the partner, the deformation of the limbs, the ligament is shortened, and the ligament is shortened;
- 4th grade arthrosis is a complete ankylosis, full contract and severe pain.
It continues in all four stages: acute complications and remission moments are possible in the pathological period.
Treatment of arthrosis
In the early stages, in the event of failing to eliminate the disease, clinically and prevention of hyalin's cartilage damage to the elimination of provocative factors, the initial stage of the initial phase and restoring the disease and restoring the joint work.
Basically, a small and moderate violence is treated by conservative methods.Surgical endoprostetics are shown in the event of a serious destruction of the cartilage, which causes the bones to be destroyed.
Moreover, the main principle in the treatment:
- A comprehensive approach to the use of several therapeutic methods;
- The purpose of the effort to eliminate the disease, which means the illness and the consequences.
Treatment with folk treatment
It is treated thoroughly, but you can add to the treatment recipes of people who offer effective treatment of health problems through herbs and beekeeping products.
Use plants:
- Programmed fat, direct inflammatory area used in bay leaves, vodka and specially designed oil in the form of decadines;
- The treatment of arthropons with honey is a reliable local potion, rubber eliminated inflammation in the form of inflammation and the nutrition of skin, muscles and cartilage;
- Cabbage leaves - Better than white cabbage - a little yogurt and it is insulated with a wool cloth and caught all night;
- In the form of squeezing the water in the water and rub to the skin;
Help the artrosis of knee combination also helps Burdock: The sheet is wrapped into an insulated wound point for the entire night.
Arthrow preparations
Drug treatment related to drug treatment is divided, due to the doses used, due to drugs:
- Artrosis, rubbing, used in the form of an ointment for lotions;
- Injections;
- Pills for arthrosis;
- Capsule.
Mint
The pharmacological industry produces a medical ointment based on natural, highly active components:
- Vishnevsky ointment;
- Heparin ointment.
Vestaren vehicle from 1% diclofenac helps: Voltaren is applied to the skin in the form of gel.
Needles
Injections were very well proven in the medicines of the group, for example, not the venadehogum and intramuscular, but also in the area of direct damage, for example.
Thus, intraarticular injections are presented to the injured article:
- Glucocorticoids, which increase the nutrition of cartilage tissue, so comfortable, increase the elasticity - diprospane, hydrocortisone, etc.
- Xondroprotectors and an intraustrical liquid analogue - mouse, carbon;
- As hyaluronic acid lubricant and analgesic.
Preparations in the form of tablets and capsules
For arthropods, which are the structural elements of the Hyaline cartilage, so much chondroprotants are in medicines, and thereby restoring it.
These drugs are produced in the form of tablets and capsules designed for oral management through the gastrointestinal tract (oral).In addition, the NSAIDS - antiflamational medications for the arthrosis of non-level groups, stops and exacerbates.
Anesthesia agents are also used in the form of Novosaine blockade.
Complex vitamins in addition to arthrosis.
The natural medicines of the local action are recommended for medical safra, apply to the skin in the form of compression.
Workouts for arthros
Special training and therapeutic gymnastics (exercise therapy), the complex proved physically operating in the unhealthy part of the body.
Dr.Bubnovsky and Evdokimenko, therapeutic exercises have developed their own complexes.
Massage with arthrosis
It affects the treatment and medical massage that improves the microcirculation and nutrition of deep tissues.
Diet with arthrosis
In this case, it is important to comply with the necessary, rational nutrition to improve the patient's condition.It is recommended that animal fats and fried foods refuse to overcome excessive removal.
First of all, the first of all, the first of all, with pain complaints of bones in the joints of bones, should go to the therapist.This would appeal to a narrow specialist who has summarizes the patient's history and asks detail.
Depending on the doctors of such profiles due to the disease and its type:
- Orthopedist;
- traumatologist;
- Surgeon;
- Rheumatologist.