Generalizations of osteoarthritis. Osteoarthritis - description, causes, symptoms (signs), diagnosis, treatment How to diagnose an ailment

The defeat of the musculoskeletal apparatus, whether it be the nature of nature or nature, is supposed to bring in one’s own health the health of the people. There may be various changes in the traces, right up to the complete agglomeration of the friability. So let's talk about generalizations of osteoarthritis: what is it, why blame and how to rejoice.

- An ailment of a degenerative-dystrophic character, which affects the sprat of submerged joints.

Mechanism for the development of illness

Dovidka. According to ICD-10, the disease code is M15.0 "First generalized (osteo) arthrosis".

Mechanism for the development of infection of the bandages from impaired functioning of the cartilage tissue. As a result of negative inflows, the cartilage becomes more sensitive to the point of being weak, it starts to ston and crack, after which it starts to ruin.

With the development of disease, pathological changes are like cartilage, and otochuyuchi tissue.

To provoke the development of this pathological phenomenon can be the most common causes:

Illness can provoke different factors

genetic change to the development of dysfunctions of the musculoskeletal system;
curvature of the ridge ( , );
incorrectly grown brushes after;
superfluous mass of the body, which leads to strong ambitions on the suglobovі zchlenuvannya;
impaired blood circulation;
ignition processes;
shkidlivі zvichki, scho weaken the immune system and disrupt the processes of tissue life;
injuries and microtraumas;
birth anomalies of development;
endocrine disease.

So to friendly factors can be seen parts of overcooling and supernatural physical excitement.

See osteoarthritis

Depending on the reasons for the development of generalizations, osteoarthritis is classified into 2 types:

first(congenital, idiopathic) - given the form of a healthy fault through the anatomical features of the human body (congenital development in the development of cartilage tissue, weakness of the tongue and tongue);
second- develops on aphids of injuries and other ailments of the ODA. Often, as a result of running, disruption of metabolism and in.

Independently, in view of the illness, it is a serious problem, which brings with it a post-pain syndrome and dysfunction of the musculoskeletal system.

Pathology is classified through vinification

T also, the disease is subdivided into sprats of various species on the basis of the localization of the pathological process:

damage to the intervertebral globules;
osteoarthritis of the knee joints;
shoulder articulations;
kulshovyh suglobiv;
hands;
big toes stop.

Development is often guarded osteoarthritis of the distal and proximal interphalangeal joints of the upper limbs

Symptoms

Pathology seems to be growing in nature due to progressive progress. When it comes to aphids, cartilage damage often develops inflamed tissues.

Dovidka. Sound the disease of the globules with whom it looks like the disease is bilateral and symmetrical in nature.

At the initial stage, the symptoms of osteoarthritis of the generalized form are weakly pronounced. But in the world, the development of the pathological process of stink becomes more pronounced and is supplemented by other specific signs:

Ailments may have characteristic symptoms

Bill- The back of the head is weak, which is blamed for ruhi and growth intensively until evening. After the repair, the pain changes or it appears. In the world of development, ailments have become stronger and become inevitable. When the stage is started, it is likely that pain will appear at night.
A little bit stingy- Basically, the lie is manifested after sleep and the stretch of the day is known. However, you can blame it on the day after the trival rebuking at a calm camp.
Crisp in the snow- Influenced by rukhovy activity and is not accompanied by pain syndrome.
Deformation of loamy joints- There are indentations in the area of loam, which are formed through the growth of the bone tissue.
Exchange of friability- Characteristic for pіznіh stages. Appears at reduced obsyagu rukhovoї activity.

In half of the cases, one hour, several groups of subarachnoid joints, for example, lesions of the knees and shoulders, are observed at the same time.

Generalizations of arthrosis are considered typical symptoms. Characteristic manifestations already allow you to allow any type of damage to the swamps.

To confirm the diagnosis, the following diagnostic methods are used:

Radiography.
Arthroscopy.

Zastosovuyutsya different hardware methods

In this case, the main diagnostic method is radiography, and the most informative is MRI.

Celebration

The treatment of primary generalized osteoarthritis, as a secondary one, should be carried out in a comprehensive manner, from a variety of therapeutic methods.

However, You will be incomprehensible without the help of a special diet, as it improves the progression of ailments and beneficially pours into all processes in the body.

For the normal functioning of the globules, a sufficient amount of vitamins, minerals, antioxidants, and collagen is needed.

Dovidka. Rational eating ensures the health of the exchange processes in the cartilage, the destruction of the mast in the loam, the decrease in the vag.

Koriguєtsya ration eating

A good diet for any illness should be enriched with such products:

gelatin products (jelly, jelly, sour, concentrated bouillon) - dzherelo collagen;
dairy products (syrah, sour cream, milk) - dzherelo calcium;
oily fish - dzherelo omega-3.

Before the diet, add more vegetables, fruits, legumes, cereals, shards of stench rich in vitamins and minerals, as well as cellular tissue.

In order to prevent the cartilage tissue from being exposed, it does not make it easier to get sick, next drink more of gassed drinks, peppermint tea, caviar, marinades, smoked meats, spices, sauces.

Can zastosovuvatisya only as an addition to the official one, shards of stench do not rejoice, but help to improve self-feeling sick.

To the popular benefits of non-traditional luxuries lie:

Ointment from white clay- 100 gr. clay powder zm_shati z | iz | I will become porridge as a dewy olive. Rub the zasіb into the damaged wood and deprive it for 2 years, after which it should be washed with warm water.
Ointment from- Rosemary 100 gr. propolis and add 2 tbsp. spoons of olive oil, cool. To rub the problematic litter of kilka once a day.
Compress- add 1 tbsp. spoons of hot water, honey, salt, soda. All the components of the z'ednati, mix it up and put it on the suglob, over the bandage. Leave for nothing.

Calls to reduce the severity of pain

In order to get lost, I will stand in front of zastosuvannyam any prescription, after obov'yazkovo consult with a fakhіvtsem.

- an effective way to fight against sickness and damage to the friability of loam. Zastosovuєtsya in the period of remіsії ailments that pіd hvіdnovlennya sugloba.

Important! The complex has the right to be taken by a doctor and to be vigilant under his own eyes, which will ensure the efficiency and safety of the entry.

Correctly, that regular vikonannya has the right to secure the achievement of such goals:

zmіtsnennya m'yazovy corset;
reduced blood circulation;
usunennya almost stinginess in the sphere of snow.

Have the right to blame

Irrespective of the friendly influx on the body, all the same, self-employment in physical culture and the wrong pidbir can aggravate the burning camp and make it easier to overcome the ailment.

Medical therapy

Drug therapy includes one-hour administration of drugs from various drug groups:

NPZZ(, Nіmesulіd) - help to get rid of the inflamed, bіl that swollen.
Chondroprotectors(, Arthra, Chondrolon) - necessary to start the process of regeneration of damaged cartilage tissue.
Analgesics(Tramadol) - are prescribed for severe pain syndrome and є strong drugs.
Vitamin complexes- for improvement of the body, improvement of blood circulation and metabolism.
Synovial implant implant(Synvix, Fermatron) - necessary for the filling of non-stained clay soil, as well as for changing the inflammation and cartilage destruction.

Zastosovuyutsya different medical care

So great respect is attached to the services of the priestly infusion. Non-steroidal anti-seizure gels (Diclofenac), ointments based on glucocorticosteroids (Hydrocortisone) and specialty compresses (Dimexide) are most commonly used.

Surgical intervention

Operative treatment is prescribed at the start of the stages of illness, if conservative therapy is ineffective.

Dovidka. Meta operation - restoration of the friability of the affected loam.

can be beaten in different ways:

endoprosthesis- Replacement of loose loam with a piece implant;
arthroscopy- a low-traumatic procedure that transfers the removal of damaged parts and restoration of the integrity of the cartilage;
arthrodesis- a concoction of minds for an unruly suglob, to remove the inflamed that bіl;
osteotomy- Usunennya of the cystic deformities with a path to the rosette of the cyst and closing it in a functionally visible position.

Carried out at advanced stages of illness

After the operation, the patient undergoes a three-part course of rehabilitation, which includes taking medications, physiotherapy, and massage.

Vidsutnіst lіkuvannya chi not serious appointment to the appointment of a doctor can lead to disability.

In case of friable fragility of the wounds, the deformation of the brushes is applied 3 group disability. Well, if the ailments are not able to serve themselves on their own, when they are in the carriage, they will need help, then they will bring 1 group.

Osteoarthritis can lead to disability

Dovidka. The group is assigned after the patient is seriously ill and is regularly confirmed (at least once per day).

The same kind of ailments can cause the onset of complications:

hemarthrosis- Internal bleeding in empty loam;
- Ignition of the sandy shell;
- Necrotic lesions of the cystic tissue.

In order to prevent the development of such problems, it is necessary to seek medical assistance every hour, even at the early stages of the disease, it is controlled and exalted.

To prevent the development of osteoarthritis, it is necessary to take the following preventive measures:

Prevention consists of simple rules

Leading a healthy way of life.
That povnotsіnne eating is correct.
Body mass control.
Unique hypothermia.
Dotrimannya regime of the day.
Pidbіr yakіsnogo and zruchnogo vzuttya.
Regular recharging.

Takozh it is necessary to undergo regular preventive examinations, which allow you to instantly reveal that rozpocha likuvannya ill.

It is especially important, as it is a factor, to heal the development of ailments.

Visnovok

With the appearance of symptoms in the dilyantsi suglobivs, they should deprive all the tests of independent exaltation. You won’t give positive results, but at the break of the illness, you can be negatively identified. Tilki competently likuvannya in likarni allow usunut symptomatology and improve the progression of ailments.

Osteoarthritis is a heterogeneous group of diseases of various etiology with similar biological, morphological, clinical manifestations and the result, which is based on the damage to all components of the sug (cartilage, subchondral cyst, synovial membrane, ligaments, capsules, capsular). It is characterized by clitin stress and degradation of the extracellular matrix of all tissues, which is blamed on aphids, macro- and micro-ears, with which abnormal adaptive inflammatory responses are activated, including pro-inflammatory pathways of the immune system. The humerus changes on the molecular level with advancing anatomical and physiological damage (including cartilage degradation, bone remodeling, osteophyte reduction, inflammation).

Cause a vindictive

For current manifestations, illness develops as a result of the interplay of various internal (age, become, defects in development, recessionary weakness) and external factors (injury, trans-world sports and profession, trans-world vaga).
In the development of disease, the key role is played by pro-inflammatory mediators and cytokines, which are vibrated not only by chondrocytes and synovocytes, but also by adipose tissue (adipocytes) and cystic tissue (osteoblasts) tissue. Chronic ignition process to cause a change in the metabolism of the cellular structures of all tissue tissues (chondrocytes, synovial cells, osteoblasts) and damage to the balance between anabolic and catabolic processes in the tissues of the body, the excess of the remains, which in the end case leads to an illness.

Basic forms

Primary and secondary osteoarthritis - develops on aphids of various illnesses, injuries of suglobs. The first vinica, as a rule, after 45 years. The most common and characteristic localization is the knee loam, interphalangeal loam of the hands, the ridge, the first toe and the kulsha loam. Women more often than people suffer from arthrosis of the knee joints and joints of the hands.

Secondary arthrosis due to its clinical manifestations does not appear like the primary one, it develops practically in any snowy areas that may have a specific cause of illness.

Factori risiku

A special place among the factors of risk development is occupied by the supra-world vaga. Thus, osteoarthritis of the knee and hip joints develops 4 times more often in obese women. It has been established that the supra-world vaga conspires as a cure for illness, and it is more obvious that it progresses, which leads to disability.

Schools for patients

If you are ill with osteoarthritis, it is recommended that you attend Schools for patients, in whom you can take away information about your illness, the degree of decreased vag (with supra-world body mass), learn liquor physical culture (exercise therapy), proper eating and the way of life. Fahіvtsі roses'explain the principles of therapy, and also give advice on your needs.

It is necessary to remember that you should come in to reduce the weight of your shoes, and it is necessary to do exercise therapy. Physical methods play an important role in the treatment of illness, shards to improve the function of the soil and increase the vibrancy and strength of the m'yaziv. Regular exercises of exercise therapy lead to a change in pain and polypshennia in the globules, and even to start the occupation of the best under the supervision of a specialist in recreational physical education, for example, in health groups. Physical exercises are carried out without static pretensions (sitting, lying by the pool). Patients with severe pain in the globules and contractures need a consultation of a specialist in exercise therapy to develop an individual program.

The main principle of exercise therapy is frequent repetition right during the day. Do not sled robiti right, dolayuchi bіl. It is right to win the right way, smoothly, step by step, increasing the vanity. It is necessary to do as little as 30–40 mins per day, 10–15 mins each time during the day. In case of osteoarthritis of the knee joint, the main ones are right, so that you can relieve the pain of the leg (for example, raise the straightened leg by 25 cm from the position lying on the back and increase the sprat of seconds); right, created for zbіlshenny obyagu ruhіv (“repair the bike”); right, scho priyat polypshennu zahalnogo aerobic camp m'yazіv (walking even mіstsevistyu at a moderate pace).

Physical adventure

It is necessary to start walking from the beginning, if you don’t call out for it, then step by step increase the trivality of walking up to 30–60 minutes (5–7 days per day). Cі aerobnі nі vantazhennya also priyat vyzhennyu vaga. Illness is due to the nobility about the peculiarities of the dry regime, the main principle of any kind of treatment in the development of the affected swamp. It is not recommended to walk and stand on one's feet, sometimes walk and walk.

Come in later

In case of osteoarthritis, it is super important to change the focus on driftwood, which is within the reach of the stasis of other pits. Should be worn on a low wide leg with a soft elastic sole, which allows you to dampen the blow, which expands along the nose during the hour of walking and injures the cartilage. Vzuttya may buti dosit wide and soft beast. In case of damage to the knee swamps, please wear knee pads, as they fix the swamps, change the instability, improve the progression of the disease. To change the trend, it is recommended to walk with a reed, as it is necessary to trim in the hands, which is adjacent to the affected snowdrift. In addition, it is important to correctly choose the height of the reed - the handle is to be put on the level of the base of the first finger of the hand. In case of bilateral severe injury of the pelvic or knee joint - going for help to the police of the Canadian type. For the presence of flatness, it is recommended to wear a special cushion (in the house and on the street) with arch support (pads that support the feet and reduce the burden on the swamp), and in the case of the singing slopes - individual pads, broken down on the floor.

It is exuberant in a complex attack on ailments, which transfers the application of non-drug and drug methods, and, if necessary, surgical intervention. If you want osteoarthritis and chronic illnesses, come in, take it individually for the skin patient, you can reduce the inflammation, improve the swelling in the snow and improve the progress. It is important that the diagnosis was made by a doctor, but there are also low cases of other diseases of the loam, similar to the manifestation of osteoarthritis.

What is the cost of drug therapy, then there is a stage, and it is individually selected by the fahivtsy. Do not engage in self-deception, but seek help. What is more correct and at the same time recognized as glee, they have more chances to turn the spent life.

Osteoarthritis or deforming osteoarthritis - tse zahvoryuvannya suglobіv, scho to be brought to the disease, scho often diagnosed. If you look at yoga in the regions of the Earth, then the number of manifested ailments becomes 20 to 40 thousand, which by itself calls anxiety. A hundred of ailments for deforming osteoarthritis fall on the living part of the population of the world. In the age of 50 years and more, the disease can be manifested in 50% of people, and after 70 years, this indicator increases to 80-90%.

Long-term care for the development of ailments allowed us to take away statistical data from any other snowy conditions. Nearly 42% of all diagnoses fall on pelvic stenosis, 34% suffer from osteoarthritis, 11% are on the shoulder, and close to 13% are the number of lesions that fall on other people. Introducing deforming osteoarthritis in the ICD, the fahivtsy identified the disease as arthrosis, naming it with the codes M15-M19. What is the deforming osteoarthrosis of the suglobs, how the veins are formed in the organism, what does it mean, and how can you get it?

The deformation of the slurry is driven through the damage of the equalities between the number of mechanical stresses on the cartilage tissue and the possibility of their compensation. Progressive imbalance lead to destruction and degeneration of cartilage. Before the mechanical challenge, doctors bring serious sports activities, gaining kilograms and an important physical practice.

Rіvnіst mіzh suglobovymi surfaces and navantazhennyam on them ushkodzhuє suglob is broken, pathological changes are blamed. The biologically ruinous process is explained simply. Hyaline cartilage is formed from chondrocytes and matrix, which grows between cartilage tissues. The purpose of the matrix is to ensure that the elasticity of the cartilage tissue is protected and that it protects it from damage.

If metabolic changes begin in the cartilage, the clitin structure collapses, the matrix changes, the tissues absorb water molecules. On top of the cartilage, shortness builds up, microcracks appear. In severe depressions, the cartilaginous tissue collapses on the surface, the bone tissues become exposed, and the deformities develop into drifts. As the sclerotic process progresses, empty cysts are blamed, negative ruination passes to the cysts, which make painful joints. The axis looks like this:

In order to compensate for the scootiness of the swollen body, the human body has more osteophytes, which worsens the situation. Cartilaginous tissue protrudes beyond the borders, known by nature, causing ankylosis of the slush and the loss of rukhovoi zdatnosti. In order to prevent a similar development of the ailment scenario, it is necessary to urgently treat deforming osteoarthritis. The latest information on how ill has been filed on this video:

Stages of deforming osteoarthritis

Having studied the clinical and radiological picture of the disease, doctors could determine and describe the stages of yoga development. Today, three main stages have been established:

1st step - a small rate of friability of the snowy loam, insignificant, less pronounced sounding of the loamy crack, the appearance of osteophytes from both sides of the loam;
2nd stage - a decrease in friability, a crunch, m'yazova atrophy of mild susceptibility, a clear sounding of the crack between the swollen areas, an increase in the volume of osteophytes and the development of osteosclerosis in the cyst;
3 steps - there is a deformation of the loams, the friability is sharply reduced, the loam gap is growing in the middle, the number of osteophytes is increasing, and cystic closure is appearing.

For the classification of diseases, developed by Kellgren and Lawrence, stage 0 of deforming osteoarthritis was established, which is not indicated by x-rays.

What are the reasons for causing illness?

In medicine, it has subdivided deforming osteoarthrosis into primary and secondary. The reasons for blaming primary osteoarthritis have not been exactly established, so doctors suggest less risk factors:

advancement of advancement on cartilage, insane with current building to the support of similar advancements;
genetic strength;
zboї on equal hormones;
great vaga;
birth defects of the musculoskeletal apparatus;
incorrect exchange of speech;
lack of singing microelements;
dovgotrivale perebuvannya in the cold;
getting into the body of chemical toxins;
peculiarities of the profession;
poor vik.

For secondary osteoarthritis, the following reasons are assigned:

injury to the snow;
broken biomechanics (dysplasia), which was formed before the birth;
autoimmune disease and infection;
damage to the metabolism and endocrine system.

What are the symptoms of the disease?

On the very cob of your negative infusion, the ailment does not show. Ruinivnі processes in cartilaginous tissue go properly, and more sharply zvnіshnі vplivy can reveal the problem. After that, the pain syndrome appears, which is due to the moment of the rukhovo activity of the ailment. Let's take a look at the increase in symptoms from the butt of a knee slough.

The first signs of illness in a knee-deep swamp are guarded by a person for an hour of walking. On the back, the patient forcibly descends and rises at the gatherings, then the walk of the pishka calls for discomfort. Especially brightly I let myself know lies, after sleep. Having parted in the day, a person does not feel the pain, but in the evening she turns into a sglob.

The progression of osteoarthritis is normal, but it will inevitably end with the destruction of the cartilage, and then the cartilaginous tissues. The loam is overgrown with osteophytes, the integrity of the synovial capsule is broken, the interstitial root is used, and the sickness is increased. The tissue of the cartilage becomes thinner, cracks appear, the m'yazovі tissue is scorched, and friability is obviously used.

The symptomatology is pronounced like this:

bolovі vіdchuttya pіd hаr kіntsіvkami (wrapping and breaking hands, nіg, walking, nahili);
note the change in the amplitude of the waves;
"starting" pain, which is spalled with the first try, with the foot or with the hand, pain during palpation of the affected mass;
deformation of the brush;
jamming of the swamps, which calls out the siege bіl;
blackening of an ailing city and localization of temperature rise in the area of injury;
swelling of tissues near the sphere of injury.

The cause of the pain syndrome is detritus, a process, in case of damage to the cartilage, small pieces appear. If a person is collapsing, the tricks of dead cartilaginous tissue penetrate into the empty silt, he knows what to bring to timchasom relief, but not sickness.
Tendobursitis becomes a companion of synovitis, if it is blamed on the very cob with a shortened tendon. Reflexively, the pain syndrome is tormented by m'yaziv, and now the skin is ruh afflicted kintsivki cause people a special pain.

How to diagnose an illness?

The skin doctor knows that without proper diagnostics, it is easy to recover competently from an illness. In case of deforming osteoarthritis, a number of follow-ups are carried out, which allow deep gazing into the disease and understanding of the feet and development. In the first order, a radiographic procedure is carried out. The removal of the sign is the responsibility of the doctor-orthopedist and the traumatologist. Fahivets is easy to catch on the sign of ringing of the loamy crack, bone growths in the area of loam, damage to the integrity of the bone tissue. X-ray shows empty cysts. In addition, other follow-ups are carried out:

CT and MRI of an ailing woman;
puncture at the sphere of the loam damaged by ailment;
blood analysis, which allows the elimination of osteoarthritis in other cases of morbidity;
analysis of the source, which is to be taken from the drift, in order to incapacitate the fire in the dark.

Just as one fahivets can not be wrong for an accurate diagnosis, otherwise he will need additional information, the patient should be referred to a rheumatologist, surgeon and other fahivetsiv.

Podіl ailments according to the swamps

For a person who got stuck with deforming osteoarthritis, it is important to know about the peculiarities of the disease that struck various snowdrifts.

Most often, the disease is formed in the pelvis and knee loams. Deforming arthrosis of the kulsha suglob (M16 code for ICD) is called coxarthrosis. There are important symptoms that cause patients to suffer from severe suffering and serious discomfort. The main pains are concentrated in the groin, irradiate at the transverse vertebrae of that knee. As soon as a person tries to walk, the pain syndrome becomes stronger, due to the apparent blocking of the snow. Decreased activity of the loam can lead to hypotrophy of the sydnychnyh m'yazyv and stegna, good on palpation. It is a protracted form of ailment to bring about a short period of ending and cultivating.

Osteoarthritis, which deforms, under code M17 according to ICD 10 - either gonarthrosis or arthrosis of the knee joint. The pathology is accompanied by pain sensations in the knees, homolycostomy and hip joint. Stronger pain sits trival walking and walking downhill. The sound of crackling is good, the unruliness of the kіntsіvka is growing, right up to the total blocking.

Osteoarthritis of the hands is characterized by the appearance of small veins on the fingers and this deformity. The disease develops and is generalized, with a certain deformity, there are a lot of nodular articulations and swamps.

Localization of osteoarthritis in the area of the homilkostop can be caused by trauma. Before the development of ailments, bring forth the most significant vivih chi podvivih. Progressive ailments lead to the deformation of the homilk, which essentially reduces the function of the kink.

In osteoarthrosis of the ulnar lobe, discomfort is manifested in the friable hand in the folded and folded hands. There are no obvious symptoms of ailment, the patient can feel the tingling in the ulnar loam.

Ways of likuvannya

The priority task is to stand in front of the doctor in the treatment of deforming osteoarthritis, but in the turned patients, the quality of life is improved. For її vyshennya, it is necessary to put down the white, restore the fragility of the loam, ahead of the development of the ailment. Likuvannya is carried out in a complex way, including:

non-drug procedures and self-care;
medical care;
surgical intervention.

The non-drug plan for ailments includes until the patient's singing rules, stagnant until usual. With osteoarthritis, it is important to take care of your own arm. Even if it’s a load of kilograms, it’s necessary to throw it off, so that you can change the physical urge for ailments to driftwood. Varto increase respect for balance and low-calorie eating, special diets, massage. A dietitian will help you develop a special diet.

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In the treatment of DOA, doctors zastosovuyut razno for a specific drug preparation:

Traditional analgesics and other painkillers in their usual doses.
To improve blood flow in the area of damage and microcirculation of blood in tissues, where the fog is removed, Drotaverin is used. Curantyl is prescribed, which increases the viscosity of the blood, and preparations that may have antioxidant power.
Non-steroidal preparations (Diclofenac, Indomethacin, Ibuprofen) are used to relieve inflammation of vicorist. In addition, stinks help relieve the pain syndrome and prevent the development of a negative process.
Glucocorticoid drugs (Hydrocortisone, Betamethasone, Prednisolone) stop in that case, even though other drugs did not improve. Acceptance of such preparations.
To stimulate the exchange of speech in cartilage tissue, doctors prescribe chondroprotectors (Chondroitin, Glucosamine, Teraflex). Preparations should be taken after the period of congestion.

As a rule, doctors practice using a number of drugs, for example, taking Curantyl and Diclofenac. They are released and taken in different medicinal forms. Pills, injections, internal injections, sometimes, as a matter of fact, the situation, licks are injected by way of injections without intermediary into the suglobov empty.

Methods of exercise therapy

The value and the meanness of special exercise therapy in the treatment of deforming arthrosis of any kind of snow is recognized by all doctors. It is important that the victorious rights did not cause the patient such discomfort. The complex itself is right to be developed and appointed by a specialist, carried out under obov'yazkovym control.

The exercise therapy complex can be formed from walking at a moderate pace, getting right on special simulators, swimming. The group of m'yaziv, who lay down to the sickly driftwood, snuggle up and have the right to fight. Shoulder girdle for upper stretches, cross girdle for kulshovy suglob. About jubilation and jubilation gymnastics is well told on this video:

Physiotherapy

In likuvanni ailments, one cannot do without physiotherapy procedures, which are directed to the bleeding of ailments of tissues and loam, to a decrease in the ignition processes that go through them, and, perhaps, to the restoration of friability. The patient may be recognized by:

electrophoresis;
heating;
magnetotherapy;
rich-channel electrical stimulation.

Procedures zmіtsnyuyut m'yazovy skeleton, allowing ailments kіntsіvtsі easier to endure adventage.

Surgical intervention

Operative treatment of deforming osteoarthritis should be carried out in vinatkovyh depressions, if conservative methods did not give a pronounced positive result, or the ailment tried to run the variant. Surgeons vikoristovuyut methods of endoprosthetics and arthrodesis. With the first method, a piece-by-piece replacement of small cysts is carried out, with another doctor, the disease is fixed, reducing the pain syndrome.

People's interests

It is quite obvious that the people have been found to be succumbing to the lustful illness, as they have been bothering people for a long time. Folk medicine advocates for the fight against osteoarthritis, which deforms, cures, ointments, compresses, and home-preparation. Let's find some of them:

Compress, folds of honey, dry hot oil and olives, taken in equal parts. All the ingredients are mixed and superimposed on the sickness of the world for 2 years.
Roztirannya is prepared from infusions of buzka and chestnut. For example, take 50 grams of bottles of buzka, pour 500 ml of burner, infuse the doba, then rub it on the ailment.
Long compress from internal pork fat. The length or the elbow should be lightly smeared with fat, covered with a plastic bag, sealed and worn with a stretch of 1 tyzhnya.

How do you make yourself sick?

Progressive, deforming osteoarthritis strengthens its negative effect on the drift, leading to critical collapse. If a patient does not take away a competent likuvannya, his physical and psychological state will become worse. Pain to cause until the establishment of the secondary synovitis. Particularly often, the veins are torn of the knee slough, the atrophy of the m'yazyv, the growth of osteophytes, and the tornness of the tip are used.

Unsafe progression of ailments and necrosis of the cystic tissues. Osteoarthritis transforms into ankylosis, and a person loses his health as a kіntsіvkoy. In the suglobі beginning to accumulate shelter, growing swollen. All negative manifestations lead to disability, the way of life changes dramatically. Having fallen ill with deforming osteoarthritis, it is necessary to understand the term well, in order to preserve the health and vital rhythm of life, moreover, in modern medicine, it is possible to effectively fight the disease.

Deforming gonarthrosis (DOA of the knee joint, ICD code 10 - M17) is a pathological disease that indicates the destruction of the cartilage component. Headache ailments in yoga dynamic development. In case of an untimely animal for help, the DOA should be brought to re-spend the cost of the colony.

DOA of colonic suglobivs (ICD code 10 M17) is a chronic state, in case of which often or more successfully tissues are ruined. Nadal, for the presence of living in, there is an increase in the growth of bone tissue. Such a phenomenon, insanely, to bring to waste the practicality and disability of the ailing.

Gialinovy cartilage, which is located in the interglobal space, is the main component that ensures smooth movement. With the development of gonarthrosis, the tissues of the cartilage step by step become thinner, begin to deform, and eventually collapse. The brushes of suglobiv, having lost without a shock-absorbing pillow, rub against one another. It is accompanied by a strong ailing symptom and a burning process. To replace the deficient element, the body begins to forcefully build up the bone tissue.

No specific reason has been identified that suggests the blame for this pathology. Fahіvtsі agree on the thoughts that the development of deforming osteoarthrosis of the knee nodule should be filled with deuces:

spadkova schilnist to similar ailments;
post_yni supra-world ambition;
superfluous mass of the body;
ailments of the musculoskeletal apparatus (osteochondrosis, arthritis);
professional sports;
chronically impaired metabolism in the body

Gonarthrosis is subdivided into 2 types. The first (idiopathic) is classified as a natural process of the old organism. The other is post-traumatic, manifesting itself as a trace of pathological damage to the integrity of the cystic tissue.

International classification of disease 10th revision (MKL) identifies deforming arthrosis of the knee joint as disease of the cystic system and healthy tissues. According to the ICD 10 DOA lie to arthropathy. Illness is examined under the code M17. This classification was created by the WHO for the international form of disease control. In this rank, one goes to control the spread of ailments for the creation of statistical data. This information is standard and won by all the powers of the world. Skin ailments for clarity, a specific code cipher is assigned.

Diagnosis and symptoms

Most often, diagnostic investigation of DOA of the colitis is seen at the late stages. It is due to this, that the cob foot of the ailment practically does not show itself to this world, so that it causes anxiety. An ailment can feel a slight discomfort in the colony, more importantly after a troubling walk or a physical challenge. Most often, they will tie it out of that overvoltage. At the other stage, stupor, aliasing, bruising, and maternal hyperthermia are observed. The third stage is characterized by severe pain in the area of the knees, frequent or general malaise.

Obstezhennya starts at the doctor's office. Fahivets evaluates the camp of a person, vrakhovuychi її century, the way of life that was transferred before the illness of the musculoskeletal apparatus. Laboratory investigations do not provide specific diagnostic evidence. In the early stages of the ignition process, there may be an increase in the number of SHOE (sweetness of the erythrocytes). Apparatus doslіdzhennya allows the world to evaluate the camp of the knee slough. On the radiographic images, there are obvious pathological changes, changes in the inter-globular joint and deformation of the suglob. The presence of deforming osteoarthrosis is also indicated by osteophytes and the strengthening of the cystic structure. Crimson x-ray vicorist computer and magnetic resonance imaging, scintigraphy and arthroscopy.

For the results of follow-up, the stages of illness are determined and the effective complex of healing is chosen.

Clinical manifestation

First of all, there is a breakdown of hyaline cartilage, an illness of DOA of the colitis (ICD10-M17 code) to go through 3 stages. In the world, the growth will grow, show it both on the equal footing of the sick, and on the structural equal.

At the cob stage, deforming arthrosis manifests itself as an insignificant change in the functioning of the loam. On the x-ray image - weakly pronounced sounding of the interglobular fissure. The ailment of animal respect for the crackling in the swamps, which pulls the discomfort in the knee and the transverse wind. Painfully visibly blame closer until evening.
At another stage of illness, clinical signs are more pronounced. In the swamps, there is a constant attack of a slight or pulsating pain. In the main apogee of discomfort reaches the evening hour. For some reason, patients suffer from sleeplessness. Ruhi kіntsіvok obmezhuyutsya. Particularly folded vinikaє in case of death - separation of the colon. X-ray shows changes in the structure of the loam - thinning of the inter-globe gap, steel deformation. Possibly curvature of the ridge. Through the wrong move, the lower one suffers.
At the remaining stage of the illness, the signs of collapse are strongly pronounced. There is growth of brushes, growths of growths. Bil escort a person steadily, and do not use painkillers. You can watch out for the deformation of the kіntsіvok. Ailments will require the use of special orthopedic outbuildings.

Fallow in the form of a degree of ailment, the most relevant is the most exalted. Early stages are easier to treat and give a positive prognosis. The sooner a person seeks help, the sooner the process of renewal becomes easier.

Methods of likuvannya

Treatment of deforming osteoarthritis (ICD code ten - M17) is correct for correctly selected complex of entries:

conservative medical treatment;
physiotherapeutic procedures;
diet;
surgical intervention.

In the early stages, they usually go to medical therapy. It includes the use of special preparations or the use of drugs for healthy congestion. Such faces are divided into groups, and they are picked up in a similar way to the level of shock. Chondroprotectors - can relieve pain and revitalize cartilage tissue. Non-steroidal anti-seizure drugs - use fuse processes, gain analgesic power. Corticosteroids - preparations, yakі mayut shvidka and effective diyu. At the same hour, you can make a great number of side effects, so you can only stop for the recommendation of a doctor.

Physiotherapy includes recreational physical education, massage, swimming, manual therapy. These procedures in combination with the main type of treatment give good results.

The diet of eating with DOA is formed by the doctor with the elimination of all accompanying reasons. The diet is necessary for the body to be enriched with the necessary elements, including negatively injecting that change in the patient's vagi.

Surgical operations - the last step of the treatment. Sounds to her at the remaining stage of the development of ailments, if other methods appear to be the same. Іnuє 2 types of operations - izberezhennym kіlіsnostі kіlіsnostі kіlіsіnі suglobі, іn usuvayutsya іlki sprostannya, і radical - endo prosthezіvannya (tsіlkom zamenuєtsya pravіvі, аbo lіviiy suglob kolіna).

Prevention

In order to zapobіgannya development of DOA people varto respectfully put to the best way of life. Do not varto give the body to the overworld physical adventures, follow the weight of the body. Її too much leading to the development of various pathological processes. Eating can be regular and balanced. Wearing a handy wind, rank exercise, swimming is a simple outpost of the integrity of the knees.

Deforming osteoarthritis of the knee joints code for MCC 10 - M17, unsafely ill, as it will require timely diagnostics and treatment. Don’t varto tighten with the help of the doctor, trying to wiggle with handy ways. Tse mozhe not only appear to marny occupations, but also lead to unsafe non-negotiable legacy.

Osteoarthritis (arthrosis or osteoarthritis) is a disease that is characterized by inflamed and distant deformities, ruminating of cartilages. In the international classifier ailments (ICD 10) they see such a form of arthrosis as generalizations of osteoarthritis, with which it affects less than 3 frostbite. Another called the pathology - Kellgren's ailment.

The reason for the development of this type of arthrosis is a quick igniting process in the navcolosuglobovyh structures. Vіn mozhe mother yak degenerate character (primary generalized osteoarthritis), so і nabutiy (secondary osteoarthritis). Pridbane disease is characterized by systemic damage to the musculoskeletal apparatus, causing various injuries, flamboyant illnesses, and metabolic disorders (for example, gout, ochronosis, etc.).

What are the effects of frostbite in generalized osteoarthritis?

It has been established that in case of ailments, the ears are drenched in drifts:

ridge;
Colin, shoulders;
pelvis
phalanges of fingers, hands;
great toes.

Symptoms of Kellgren's disease

Pathology can be suspected for such clinical manifestations:

bіl near the swamps under the hour of ruhіv, which grows like a day, sticks to the calmness;
skutist in the swamps of vranci;
crunches in the snowdrifts for an hour;
at the late stages - sweating of loam, growth of bone tissue, constant pain in the m'yazakh and tendons, friability of friability.

Illness diagnosis

To establish an accurate diagnosis, the patient needs to undergo a complex obstezhennia:

X-ray shows destructive changes in the loam, deformation of the brushes, the width of the loam gap.
MRI - reveals early changes in cartilage tissue.
Ultrasound of the cartilage - helps to relieve changes in the cartilage tissue, increase the amount of the cartilage, reduce the meniscus, etc.

Etapi the development of ailments

In order to understand the severity of the unsafe disease and why it is so important to learn more, it is necessary to know about the stages of the development of generalized osteoarthritis:

1 stage. Cartilage is affected, which is made up of collagen, molecules, chondrocytes.

2 stage. Collagen degradation is reduced, which is responsible for the elasticity and texture of tissues. As a result of this, cartilage tissue is destroyed.

3 stage. When the cartilage is thinned, new cracks appear. There is a collapse of the knees, knees, shoulders, wrists or toes.

Celebration

Primary generalized osteoarthritis (ICD-10, subparagraph M15.0) for non-severe illnesses. In case of secondary arthrosis (ICD-10, subparagraph M15.3), it is necessary to establish the cause of the pathology on the back, and then direct the forces to the future.

Therapy for generalized osteoarthritis may be directed directly:

medication;
physiotherapy;
surgical.

Traditional medicine (treatment with drugs)

The treatment of generalized osteoarthritis is directed to the relief of ailments, the elimination of symptoms.

For the treatment of illness, they go to help:

Analgesics - are prescribed for the relief of pain syndrome (drugs "Diclofenac", "Ibuprofen", "Aspirin" and others).
Non-steroidal anti-inflammatory drugs - ignite the process of ignition (tablets "Meloxicam", "Celecoxib" and others).
Chondroprotectives - they protect and enhance the process of destroying the colo-globular tissue (chondroitin or glucosamine sulfate).
Hormonal pills - like painkillers and non-steroidal drugs - did not give a result.

Non-drug treatment

For the most recent dressing up as an addition to traditional medicine, it is recommended to use methods such as:

holcoreflexotherapy (acupuncture) - to relieve effective relaxation of m'yaziv, vodpovidalnyh for ruh in problematic swamps;
physiotherapy - thermal heating, laser therapy, magnetotherapy, phonophoresis, ozone therapy. Qi procedures spriyat rozslablenny m'yazіv, znyatta pain;
massage;
mud baths, liquor baths: radon, sirkovodny.

Prompt delivery

Although conservatively exuberant, physiotherapy did not give a result, even fahivtsy go into surgery:

Arthroscopy is a minimally invasive operation performed with thin instruments under the control of a video camera. Purpose of the operation: cleansing of the loamy surfaces in the form of surpluses of ruined cartilage tissue.
Osteotomy is a traumatic operation. Її meta: change the wound of the wounded cysts, which forms a swamp to reduce pain, increase the fluffiness of the swamp.
Endoprosthesis is an even more complicated operation, which means that the implant will replace the damage to the cartilage elements. This is a radical method of jubilation, which ensures a stable result.

Prevention

It is impossible to prevent the congenital form of generalized osteoarthritis, but it is permissible to develop the pathology. After a surgical intervention or a traditional lure of illness, it is necessary to make preventive visits:

physical adventage - a complex of special rights help to save the further ruining of cartilage, support your work. It’s better to take up swimming, walking, cycling;
diet (body weight control) - with a decrease in the weight of the ailment, it changes to drift;
changing the focus on ailments with a swamp path wearing a jubilant (orthopedic) shock, which fixes bandages and other special outbuildings.

complication

If you ignore the problem, do not engage in joy, then generalized osteoarthritis can cause disability. It appears out of the nezdatnosti people collapse with their hands and/or their feet. The smallest move causes the strongest pain. People give disability in such situations:

like in a new environment of opportu- nity at the hands - ailments are impossible to walk normally, dress up. Todi you give the 3rd group of disability. Її obov'yazkovo needs to be confirmed 1 time per river - go around;
if you are ill, you will need help, you cannot independently overcome elementary diseases (get up from your bed, take a spoon in your hands), but change your hands over to a disabled visa, then they are assigned 1 group of disability.

To improve the situation, the introduction of a robotic musculoskeletal device is more helpful than surgery. The results of the operation can be as follows: either you start working again on the work of the snow, or you reach private functioning. At the time of the operation, the person's disability is taken into account.

Untimely exaltation of generalized osteoarthritis leads to disability of people. Early application of special preparations, physiotherapy, exercise therapy to help cure the diseased. In neglected depressions, the only way to solve problems is surgical intervention.