Arthrosis is a chronic disease, accompanied by pathological changes in the cartilage of the hyalin and later in neighboring tissues, joint capsules and synovial shells.
Defeat is a dystrophic and degenerative in nature, which leads to a change in the structure of articular tissues, the loss of their functionality.In accordance with the information of the same statistics, the arthrosis is 12% of the total population of the planet.All episodes of the disease fall from 62% to 65% to 65% to 60 years old.
30-35% of joint damage to this pathology are in 40-60 years of patients.About 3% are young people in their 20-40s.
What is this?
In simple words, arthrosis is a chronic disease that has developed progressive degenerative-dystrophic changes in common due to violation of metabolic processes.The most common is the joint pathology, 6-7% of the population is diagnosed.With age, the incident increases sharply.
Most, with arthrosis, small joints of the brush in the pathological process (10 times more often in women), thoracal and cervical spine, as well as intermediate combinations of the knee and hip joints.Artroos of knee and hip compounds, the violation of clinical manifestations and a leader in a leader affecting the quality of life.
Arthrosis is characterized by a comprehensive damage to articular and supportive devices:
- Chondritis - Inflammatory changes in the cartilage of the compound;
- Osteit - Subject to participate in the pathological process of bone structures;
- Sinovit - inflammation of the interior of the joint capsule;
- Burit - Defeat of Perioseman Bags;
- Reactivated inflammation of soft tissues (muscles, subcutaneous fiber, ligamentaous devices) in the entrance combination (peredicular inflammation).
The disease was discovered by 2% of people under 45 years of age, 65 and 65-64 years old and 65-85% in 65-85%.The biggest clinical importance is an arthrobis of large and medium joints of limbs due to their living standards and the adverse effects of patients.
Types of arthros
Depending on the reason for the pathological process, the initial arthrosis is different in the middle and idiopathic compound.
It is not known as a medium, secondary disease as a result of an injury or infection, and the cause of the idiopathic form.In addition to the classification of the disease, the localization of the destructive changes in the arthropist, depending on the reason for the pathological process, differs:
- Gonarthroz is the most common type of pathology characterized by damage to knee joints.Most, most gonarthrosis in people with chronic metabolic diseases in the abdominal air are found in poor immunity.Knee arithic is progressing for a long time and gradually leads to the full loss of motor function.
- The main cause of degenerative processes in this area of the shoulder combination is the main reason for the development of the shoulder joint or excessive cargo in this zone, for example, wear heavy treasures on the shoulders.
- Ankle Artroos - The main reasons for the development of degenerative processes in the middle of ankle are injured, displacement, stretching, fractures.In some cases, the development of a pathological process can provoke an autoimmune disease - rheumatoid arthritis.The ankle arthrosis tends to women wearing dancers, high heels, athletes.
- Development of cervical regional absorption or arthrosis - Reasons develop neck injuries, osteocondrosis, obesity, inactive lifestyle.People working on a computer with risk are in offices.In addition to severe pain in the neck, patients prevent the dizziness, consciousness inhibition, memory and fatigue.These symptoms are related to the compression of a vertebral artery entering the brain of nutrients and oxygen.
- The main reason for the occurrence of the formation of the coxertoposis of the hip combination is the main reason for the formation of the compound.People over 45 years of age.
- Osteoarthrosis of the fingers - develops the same reason as spondylarthroos.
- Polirthosis is characterized by damage to multiple joints, which are progressive degenerative processes, ligaments, muscles and tissue joints are involved in the pathological process.
- Spondylarthrosis - Destructive destruction is subject to the tissues of the spinal column, that is, the department.Spondylartatrosis is progressing in the background of a female sex hormones, because in a woman's risk group during menopause.
Reasons for arthros
The formation of the arthropist is facilitated for two reasons - the lack of full nutrition that provides minerals for vitamins, tissue recovery.Each person carries a load of joints.Athletes and dancers, physical work, more than loads of legs, which requires high-level nutrition of bone joints and high levels.The support apparatus of a quiet lifestyle wears more slowly, and at the same time requires periodic renewal of pieces.
Therefore, the main condition of the destruction and deformation of joints is to demolish frequent nutrition, metabolic diseases.
We list the factors that contribute to articular compounds and metabolic disorders:
- Muscle weakness and proper opening of joints.The weakening of one or more muscles increases the burden of the combination and spreads in the uneven bone combination.Invalid muscle loading, straight legs, scoliosis, with these "harmless" diseases, wear cartilage tissues, arthrosis appears.
The possibility of arthrosis increases with strong physical force.
If daily loads are more than the capabilities of bone tissues, they are formed in microtraumas.Thickens in areas of injury that grow the damage and deform a partnership;
- Metabolic disorders (gastrointestinal disease - Safra, dysbiosis, gastritis, cholixes, pancreatitis, metabolic disease - diabetes);
- Psychosomatic causes - Arthosis psychosomatics confirm that the cause of the disease becomes a negative emotional situation.Muscle spasm, which form stress, violates the nutrition of all tissues (internal organs, bones, joints);
- Hereditary (metabolism type inherited, and it is possible for weak digestion, weak digestion, weak digestion, this is the basis for the development of arthrosis in old age).
Arthrosis is an important supply of mineral substances and the disease of obsolete compounds that lose their ability to be truck and destruction.Therefore, with age, the inclination to the disease increases.After 70 years, Arthroz is diagnosed with retirees.The maximum load is (a person moves - walks, stands, works, jumps), then the first signs of Artrosis occur.
The mechanism of progression of the disease
When any of the reasons violating the disease of the joint with Arthrosis, pathological processes begin to develop.The mechanism of their progress has not been fully studied, but the main stages of official medicine are known.
At the initial stage, the structure of the cartilage tissue and abnormal changes in Sinovial may occur.All this comes due to the violation of metabolic processes that do not receive enough components or disruption of some of the joint tissues.
Then, the lack of flexibility of collagen fibers and the lack of cartilage is lost to ensure the softness and elasticity of collagen fibers, with the lack of hyaluronic acid.The cartilage is gradually drying, becomes fragile and crack.Synovial capsula liquid is gradually running out and subsequently disappears.
Cartilage fabric, rudeness, solid bone neoplasms occur.At the same time, the deformation of the other combination develops the loss of pathological degeneration, dystrophy and physiological activity.These changes for the patient means the appearance of the compound pain, a bitch and inactivity.
Symptoms of Artrosis
Arthrosia is not characterized by a sharp clinical picture, changes in joints are progressive, slowly, which is gradually increasing symptoms:
- pain;
- Periodically the crisis arises in the affected association;
- joint deformation that appears and develops as the disease progresses;
- stiffness;
- Restriction of mobility (reduce the volume of active and passive movements in the affected combination)
The pain in Arthroz is stupid, while moving, in the background of an intense burden, appears until the end of the day (this patient may not allow it to fall asleep).The resistant of pain for arthrosis is non-unusable nature, usaractic and active inflammation (subchondral bone, synovial membrane, ligamenta) or a muscles of a ligamenta apparatus or perthique).
Most patients, after waking up or wake up during motor activities, noted that there are so many starting pain in the morning.Many patients identify this situation as "shared" or "collapse".
Arthrosis is a clear locality and a short place (not more than 30 minutes), sometimes accepted by patients such as "jelly" in joints.Perhaps compression, feeling of hardness.
The main symptoms of artrosis are connected to the development of jet synovite:
- at the temperature and local growth determined by the palpation of the affected compound;
- Permanent character of pain;
- increase in volume combination, swelling of soft tissues;
- progressive decrease in the volume of actions.
Stages and degree of arthropons
During the disease, the symptoms of the disease distinguish three stages, the intensity of the damage and the intensity of localization.At the same time, the differences in all three phases are the types of pieces of pathological changes.
- The first degree of the artery of the formation of the compounds is the initial stage of the disease.The lightweight of cartilage is characterized by a losing of physiological functions in a light lesion and collagen fibers.At the same time, in the first stage, the small morphological disorders of the bone tissue are recorded in the structural changes in Synovial liquid.The combination of cartilage is covered with cracks, and the localization of the patient's pathology has a little pain.
- The development of arthrosis is the development of the second degree of dynamics.This stage is characterized by a stable pain, the appearance of chrome.During the diagnosis, the morphological and district cartridges of the cartilage are recorded, bone growths are found during the diagnosis.Osteoophytees occur - Bone growths that appear during the visual examination of the destruction.At the same time, the processes of degenerative changes in the synovial capsule cause its structure.The disease in this stage can often be aggravated and regular.Pain gradually becomes permanent.
- Is the third-degree active progress.At this stage, synovial fluid is almost non-degeneration and bone tissues is not sharp about each other.Joint mobility is almost completely, no pain.There is no cartilage tissue due to degenerative and atrophic changes.The third-degree treatment of arthrosis of associations is considered impossible.
In addition to these three degree development of pathology, the last stage - all joint tissues are irreversible destruction.At this stage, it is not possible to remove pain syndrome, not only to carry productive therapy.
An inflammatory process is generally no medical intervention, in cases where there is no medical intervention, it starts in the first stage.Later, it is more difficult to stop, and this may lead to the development of secondary pathologies of pathogenic microflora in the localization of the disease.
To exclude serious consequences, the treatment should start from the first degree and the intensive care measures should be used.In the final stage associated with the completely destroying of cartilage, only one methodology is allowed to drive from pain and combination - endoprostetics with endoprostetics with full or partial replacement of the components of the joint.
Conclusion
Results related to the arthrosis of continuous treatment and arthrosis:
- disability;
- deformation without the probability of recovery;
- appearance of the vertebrate;
- inactivity or inaction of the unification;
- Reduce the quality and standard of living.
The chronic course is in addition to complications, it is accompanied by pain and often pain, in addition to the complete destruction of structural components of the concern, physical work and sports.
Diagnosis
The diagnosis of arthrosis is based on the assessment of the results of the disease, and the results of instrumental research methods.The indicator changes in general and biochemical blood tests for arthrosis are not characteristic of the only active inflammatory process.
The main instrumental method for the diagnosis of Arthusos is recommended to be calculated or refused in cases not clear in the form of diagnosis.
Artroos of knee and hip compounds, the violation of clinical manifestations and a leader in a leader affecting the quality of life.
Additional diagnostic methods:
- Atramatic arthroscopy;
- Ultrasonography (the state of the thickness of articular cartilage, the state of the synovial crust, joint bags, fluid);
- Skirtigraphy (assessing the condition of the bone tissue of the bones of the joint).
How to treat arthrosis?
At the early stage, the joints are better to treat arthrosis treatment, the treatment itself must be pathogenetic and complex.Its essence is to overcome the reasons contributing to the development of this disease, to eliminate inflammatory change and restore previously lost functions.
Arthosus treatment is based on several basic principles:
- Saturation of the compound with oxygen or so-like oxygenotherapy.
- Therapy with drugs.
- Intra-focking blockade, as well as decompression of metaepifies.
- A rational approach to nutrition.
- Damaged joints should be removed from overload.If possible, in general should be minimized during treatment.
- Followed by the formed orthopedic regime.
- Classes of physiotherapy exercises.
- The passage of physiotherapy containing a magnetic and electronic, shock wave, as well as laser therapy.
- Sanatorium treatment.To do this, once a year is necessary with a doctor's recommendation, it is subject to course treatment in specialized resorts.
Preparations for Artrosis
Drug treatment is carried out in the rapidly selected arthrosis by a specialist.Self-medication is inadmissible for possible side effects (eg the negative impact of non-steroidal inflammatory drugs in the stomach mucosa).
Therapy includes the purpose of such drugs:
- AntiinFlamator medications.The startup therapy of Arthosus is comprehensive, slow down the course of life and improve the quality of life.It is worth living in a more detailed way in some treatment points.In particular, therapy in medicines includes the initial stage - it is to remove pain, as well as eliminating inflammatory processes.For this, all doctors use non-termino anti -inflamator medications.Experienced doctors do not recommend verbal use because these medications irritate the walls of the stomach.Therefore, depending on the selected drug, or intravenous or intramuscular management are used.Sometimes as an auxiliary tool, NSAIDs are used in the form of an ointment, but their absorption is extremely low, so it is impossible to show an important effect.
- Hormonal corticosteroids.When there is a stage of aggravation of arthrosis, hormonal corticosteroids are recommended.Jointly entered.In addition, you can use a special patch, ointment or tincture prepared based on pepper burning.
- The chondropolists aimed at improving cartilage and improving a high level of combination will not be overwhelmed.The course lasts a long time until the improvement occurs so long.However, if the expected effect does not exceed half of the effect, the drugs should be canceled.In addition, Introft is recommended to use drugs based on hialuronic acid, along with chondroprotants.They help the formation of a cell that is responsible for the creation of the combination of cartilage.
Physiotherapy treatment
Stop pain, reduce inflammation, improve microsircycle and eliminate the patient's muscle cramps with Artrosis, physiotherapy:
- In the stage of aggravation.Preserve laser therapy, magnetotherapy and ultraviolet radiation
- In the remission stage.Electrophorezz and phonophorez are displayed.
In addition, heat procedures are used, sulphide, radon and sea baths.Electric stimulation is carried out to strengthen the muscles.A subtle massage in the remission stage can also be used.
Surgery
With the participation of these exposure methods, the participation of complications, the increase in the surgical treatment of the artsiah remains ineffective:
- Decompression of metaepifiz and an intraoseous blocks that lasted for a long time (decrease in intaoseus pressure in the affected area);
- Corrective osteotomy;
- An actoprothy of joints.
In the early stages of the disease, mechanical, laser or cold-blooded debate (the removal of non-rolling areas, which smoothes the surface of the damaged cartilage).This method effectively stops pain syndrome, but the temporary effect is 2-3 years.
People's treatment
Most people do not want to take pills or injiate their time.Therefore, surprisingly - how to treat arthrosis with the help of folk treatment?For most such funds aims to increase the body's tone, improve the circulation of the blood, to eliminate and eliminate pain.
Traditional medical recipes are used for the treatment of this disease:
- Egg resolution, 1: 1 is a fresh egg yolk, which is mixed with turpentine and Apple Cider vinegar, you need to close everything with wool scarf.It is recommended to make frame for 1 month 2-3 times a week.
- The pharmacy is taken with the root of eleasil.As a rule, 50 g is facing which packages.To prepare the tincture, it will receive half-pack plant roots and 150 ml of vodka vodka.The composition is mixed, placed in a dark glass and insists 12 days.If the sliders are possible before and in the morning.
- The use of boiled oatmeals also gives good results.Take three or four spoons oatmeal, pour boiling water and cook over heat for five to seven minutes.The amount of water used should provide a thick porridge receipt, which should be cooled and used as a compress.Just use the boiled flake recently.Yesterday's porridge for compress is not compatible.
- The maple leaves, netts and calendula inflorescence are carried into equal parts.As a result, you should get two tablespoons.We fold the chopped collection in a thermos, pour a liter of boiling water and leave a night.In the morning, starting in the morning, you need to take a half glass craves four to five times a day.The course to accept this recipe is two to three months.
The tinctures of the bay leaves, horseradish, garlic and rye grains are also effective.The treatment of arthrosis with folk treatment, if you combine medicinal treatment, will be most effective.
Food for arthrosis
The basic principles of nutrition for arthrosis are reduced to the following points:
- Do not eat heavy meals for the night to avoid arthrosis attack.
- Drink faction.
- Follow the weight constantly to avoid increasing body weight,
And it means additional loads in mixed combinations. - When the disease is not exacerbated, go for a walk after the meal.
- The menu must be balanced with a doctor participating.
There are no complaints about fish dishes - of course, a reasonable amount of course can be used quite.
- Do not forget about the regular setting of vitamins with food.B vitamins for patients with arthrosis are especially relevant
- He plays an important role in the treatment of Arthropocia, is appointed to a cold person.Such a meal will be a true storage of trace elements for fabrics.The most important component in the cold is a natural origin collagen.
- Vitamin B will help the production of hemoglobin.Banana, nuts, cabbage and potatoes can be "to get".It is worth facing the greenery and legumes.They will be a source of folic acid.The liver, mushrooms, dairy products, as well as eggs will be useful.They are rich in Riboflavin.
Observing the doctor's treatment regimen, the disease can be retreated and will begin to recover the tissues of damage.
Prevention
The prevention of arthropons begins with proper nutrition.You need to try to reduce the consumption of salt, as well as food that can break the metabolism.These include legumes, oily meat, alcohol.Includes cabbage, greens and fish.
To participate in physical education classes to prevent Arthosis, it is necessary to warm up.If possible, the pedestrian is better to pass several kilometers.It is also important to prevent weight and weight growth, because it will give an additional burden in inflammatory compounds.It is not recommended to take pills to lose weight because it can break metabolism in the body.
Predict
The forecast for life is convenient.The best of social and labor forecast depends on the date of diagnosis and the start of treatment, as necessary, decreases when the solution of the problem of surgical treatment is tightened.