Bursitis (e tsoang ho Latin "bursa" - mokotla) ke ho ruruha ho matla kapa ho sa foleng ha mokotla oa synovial. Mehloli ea lefu lena e ka ba ho otloa, ho oa, moroalo o boima lenonyong, tšoaetso, maqeba le ho khaoha. Ho hlahlojoa le kalafo ka nako e nepahetseng hangata ho tla lebisa ho foleng ka botlalo.
Lintlha tse akaretsang
Bursa (bursa) ke mokoti o tlatsitsoeng ka mokelikeli o nang le mokelikeli o fumanehang ho potoloha manonyeletso le mesifa, ho hlokahala ho koala lisele tsa khohlano nakong ea motsamao. 'Meleng ho na le tse ka bang 150. Li fokotsa mafura, li tlotsa manonyeletso lipakeng tsa masapo, mesifa, mesifa manonyellong.
Lisele tsa synovial tse koahelang mokoti oa bursal li hlahisa setlolo se khethehileng. E fokotsa khohlano lipakeng tsa lisele mme motho a ka tsamaea habonolo.
Ka ho ruruha ha bursa, sephiri sa mokelikeli o kopaneng se fokotsehile mme bohloko, ho satalla ha motsamao le bofubelu ba letlalo bo a hlaha. Khetholla pakeng tsa acute, subacute, bursitis e sa foleng. Moemeli oa causative o totobetse ebile ha a khethehe. Ts'ebetso ea ho ruruha e lebisa ho bokelleng ha exudate. Ka tlhaho ea eona e khetholloa - serous, purulent, hemorrhagic.
Ka bursitis ea lenonyello la noka, ts'ebetso ea ho ruruha e koahela mokotla oa eona oa synovial. Basali ba lilemo tse mahareng le botsofaling ba na le ts'oaetso hangata.
Lisosa tsa lefu lena hangata ke:
- bolelele ba maoto a fapaneng;
- ho buoa;
- ramatiki;
- scoliosis, ramatiki, ramatiki ea lumbar mokokotlo;
- "Bone spurs" (e sebetsa holim'a masapo);
- ho se leka-lekane ha li-hormone;
- hlooho ea lenonyello ho fallisoa;
- ho felloa ke metsi 'meleng;
- ankylosing spondylitis;
- ho kula;
- tšoaetso ea vaerase;
- letsoai.
Ka ho matha ka matla, ho palama baesekele, ho hloa litepisi khafetsa, kapa ho ema, ho na le mojaro o fetelletseng lenonyellong la letheka, o ka lebisang ho kuleng.
Matšoao
Khahlanong le semelo sa malaise e akaretsang, bofokoli boa hlaha:
- bohloko bo boholo le maikutlo a tukang a tsoang kantle kapa kahare ho serope, a phatsimang ho ea mokokotlong, nokeng;
- ho ruruha ha sebopeho se chitja ka bophara ba cm 10;
- ho ruruha ha lisele;
- mocheso o eketsehileng oa 'mele;
- bokgubedu ba letlalo.
Ka lebaka la ho ruruha, motho a ke ke a koba, a otlolla letheka. Bohloko bo ba matla qalong, empa haeba o sa qale ka kalafo, e ea fokola ha nako e ntse e tsamaea 'me tšebetso e ba e sa foleng.
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Mefuta
Haufi le lenonyeletso la letheka, ho na le li-ilio-scallop, sciatic, masoba a trochanteric a nang le mokelikeli:
- Noha. E tloaelehileng haholo ho feta tse ling. Ho na le bohloko sebakeng sa bophahamo ba masapo karolong e ka morao ea 'mele ea mesifa le e haufi. Mokuli o ba le ho ruruha, ho se phutholohe ha a tsamaea, feberu, bofokoli. Ho phomola, bohloko boa kokobela, empa ha motho a etsa boiteko ba ho hloa litepisi, etsa squats, ea matlafala. Esita le bosiu, haeba a robala ka lehlakoreng le amehileng, o tšoenyehile ka bohloko. Hangata e iponahatsa ho basali, mabaka e ka ba ho ikoetlisa ka tsela e feteletseng, boima bo feteletseng, mafu a sistimi ea endocrine, lefu la masapo, likotsi tsa letheka, sefuba, livaerase.
- Ilium-scallop (lesapo). E tšoauoa ka ho ruruha ha sekoti sa synovial se kahare ho serope. Batho ba phelang bophelo ba ho lula fatše ba kotsing. E iponahatsa e le maikutlo a bohloko boteng, serope sa kahare, haholo ha se leka ho ema, ho lula fatše, ho phahamisa leoto. Ho utloa bohloko ho matlafala kamora ho phomola, ho robala, ho se sebetse, ha o leka ho tsoha, phahamisa letheka.
- Ischio-gluteal. E fumaneha ntlheng ea khokahano ea mesifa ea mokokotlo oa letheka ho thipa ea ischial. Mokuli o utloa bohloko sebakeng sa marako, se mpefalang haeba a lula setulong, a koba letheka, 'me a robala ka lehlakoreng le amehileng. Ischio-gluteal tuber ea eketseha. Maikutlo a sa thabiseng a mabe bosiu.
Litlhahlobo
Ngaka ea masapo e mamela litletlebo, e hlahloba sebaka se amehileng, e etsa palpation. O etsa tlhahlobo ea lefu a sebelisa tlhahlobo ea Aubert - mokuli o behiloe ka lehlakoreng le phetseng hantle mme o fana ka motsamao o 'maloa - ho hula, ho etella pele, ho phahamisa le ho theola letheka. Haeba a sa khone ho li etsa ka botlalo, sesosa sa lefu ke bursitis.
Maemong a mang, o laela MRI, X-ray, liteko tsa mali. Joale, ha ho netefatsoa hore na o fumane eng, o khothaletsa kalafo.
Kalafo
Bursitis e phekoloa ka mokhoa o felletseng. Hona ke ho noa meriana kahare, liente, lisebelisoa tsa kantle le physiotherapy.
Lithethefatsi tse seng li-steroidal tse khahlanong le ho ruruha (Ibuprofen, Indomethacin, Meloxicam, Celecoxib, Piroxicam, Diclofenac) lia thusa. Li fokotsa bohloko le ho ruruha. Ho sebelisoa lintho tsa Hormonal (Prednisolone, Hydrocortisone, Flosterone, Kenalog, Dexamethasone). Chondroprotectors (Dihydroquercetin plus, Osteo-Vit, Teraflex, Artra), livithamini, li-microelements li sebelisoa. Maemong a tsoetseng pele, ho fanoa ka lithibela-mafu (Cefazolin, Sumamed, Panklav).
Ho ikoetlisa ho eletsoa ho lekanyetsa, ha o tsamaea, sebelisa molamu, melangoana. Litlolo tse sebelisitsoeng ka holimo - Cortomycetin, Nise, Dolgit, Voltaren. Mehato e meng - laser therapy, ultrasound, electrophoresis, inductotherapy, mocheso o omileng, lits'ebetso tsa parafine, boikoetliso ba physiotherapy, ho silila.
Maemong a tsoetseng pele, ho kenella ka tšebetso ea ho buoa ho sebelisoa - mokelikeli o feteletseng o pompeloa ka tlas'a anesthesia ea lehae ka sering.
Bursa e amehileng e tlosoa (bursectomy) maemong a sa tloaelehang, ha calcification e hlaha.
Meriana ea setso e sebelisa likhakanyo tsa litlama - burdock, chamomile, yarrow, lekhasi la k'habeche le mahe a linotši. Noa seno se entsoeng ka mahe a linotši le asene ea apole cider.
Liphello le ponelopele
Maemong a mangata, lefu lena le phekoloa ka ho fetisetsa ka nako e loketseng ho setsebi le ho lemoha kapele. Ho na le menyetla eohle ea ho fola, motsamao oa khutlisoa mme bohloko bo nyamela. Empa haeba bursitis e fetoha purulent, motho a ka holofala ka lebaka la ts'enyo ea lisele tsa lefufuru.
Mathata a maemong a tsoetseng pele e ka ba - liphoso tsa letheka, meeli ea mefuta e mengata ea ho sisinyeha, ho hloka matla ha venous.
Thibelo
Ho thibela ho kula, ha ua lokela ho imetsa manonyeletso, eseng ho nka lintho tse boima, ho sebelisa lieta tsa masapo, ho laola boima ba 'mele le ho qoba likotsi. Ikoetlise ka tekano, ikoetlise 'me u matlafatse mesifa ea serope. Se ke oa lebala ka phomolo le boroko bo monate, ja hantle, ho sa kenyeletsoe lijo tse kotsi, khaotsa ho tsuba le joala.
