The arthrosis of the hip combination is a complex disease with special symptoms and complex treatment.The disease occurs against the background of metabolic disorders in the tissue of the joint cavity and the head of the femur.
Arthropons of the hip combination or coxaRTrous are more common in the elderly.In general, an inflamed reaction is accepted that the disease plays a key role in the pathogenesis.After a large number of studies, Artrosis was proven with atherosclerosis and metabolic diseases.
The essence of the disease
Coksartrosis is a disease based on metabolic disorders with an atrophic and degenerative changes in the cartilage tissue of the hip joint.
You can't confuse arthritis with arthritis.Unlike arthritis and arthritis, it has been developing and advancing inflammation for many years.
Pathogenesis of development:
- Violation of metabolic processes in the cartilage.The cartilage tissue takes nutrients using diffusion.The slightest inflammation or edema causes the lack of trace elements and minerals.
- Against the background of nutrition disabled processes, atrophic changes begin, cartilage tissue is cleared, the amount of joint fluids and climbers decreases.
- Severe pain begins due to the madness and destruction of cartilage, there is a reduction in the amplitude of movements in the joints.
- The cartilage fabric is very complicated, the incredible cleft shrinks, joint dystrophy occurs.
Until the launch of the distrophy, it happens for more than a year.The disease can only be suspended in the first stages, reducing treatment with the development of the third stage of osteoarthrosis and reduce the life of the patient's life, an alternative to drugs.
Reasons
The disease has many conditions and factors that can cause popolietiological, arthrosis or progress.When the reasons for the artment of the hip joint are not discovered, such a disease is called idoopathic arthrosis.
Genetic pathologies occurred, not a heritage of the disease, can cause arthrosis of hip combination.
In addition, the cause of coksartrosis can be such diseases:
- Pertes syndrome - a characteristic sign of the disease, the violation of the delivery of foods and delivery to the cartilage tissue of the head of the femur.It happens in childhood, mostly the boys are sick.
- Subluxation of congenital dislocations and femur.During the injury, a inflammatory reaction and an anklar melting of the cartilage tissue and the femoral head may occur.
- Necrosis of the femur head.It occurs because it causes damage to the upper artery attached to the upper part of the head.
- Rheumatoid and juvenile arthritis.Against the background of the movement of toxins or their own antibodies, it develops in excluded inflammatory compounds.
Given that the disease is slowly moving, the disease can be on one side and in two.
There are many factors that contributed to the formation of Arthosis, which are:
- spinal diseases (Kyphoz, Lordoz, Scoliosis);
- Metabolic diseases of connecting texture;
- violation of blood supply to the merger;
- Atherosclerosis of large ships;
- Stress states;
- Hip dysplasia;
- congenital deformities of lower extremities;
- infectious diseases;
- style of lifestyle;
- alcohol, smoking;
- old age.
Remember that people engaged in adapting are the risk of developing arthrosis during maturity.
In addition, one of the reasons can be traumatic damage to the components of the combination.Tissue damage occurs, a inflammatory reaction occurs, resulting in a cartilage connection.
Symptoms
The patient always does not care about the first signs due to the slow forward progress.It should be noted that the remission of the disease increases with early diagnosis.It is very important to start treatment temporarily because it is possible to prevent ankylosis and complete osteoarthrosis.
Symptoms with hip combination arthrosis can occur with different intensities depending on the load and extent of the disease.
Clinical view of the osteoarthritis of the hip combination:
- Painful feelings that turn into violent pain in the front and side of the bud.Patients complain that the thigh is a lot of turning in turn or combination during the burden.
- Unpleasant feelings arising in the groin during a walk, sometimes combine with the pain of the Buddha.
- The stiffness and restrictions of the mobility of the extremity in the hip combination.The function of leaving first, then suffers from everyone.
- While living, you can play unpleasant sounds, plays or crisis.Permanent pathological sounds can be the only sign of the disease.
- Sleeping morning past a few hours or evening.
Sometimes people ignore the possible results, people start taking medicines for symptomatic therapy, and thus mask the progress of the destruction process in the cartilage.
Sickness
Clinical picture depends on the reactivity of the hip combination and the reactivity of the patient's body.As a rule, symptoms occur in X -Rays.In medical practice, each is an accustomed to distinguish three radiological stages with their own characteristics.
X-Artrosis degree in the range of changes:
1st grade arthrosis
Comes with minimum clinical manifestations, and so patients are rarely looking for help from the doctor.With early diagnosis of the disease, the patient increases the full chance of recovery.The initial period of the disease is characterized by pelvis and small pains in the thigh, pain in physical strength or long-lasting pedestrian.In the second place in terms of repeated manifestation, the sign of pain in the groin.1 degree of pain and it rarely happens.The volume of actions is fully reserved.X -Ray makes small changes.
2nd degree
The second degree patient begins to worry more sharply and often in the rest.Symptoms, as a rule, show himself in the evening, the stiffness does not pass until the morning.During long-term passes, the sign of confusion occurs, a person cannot fully charge a patient combination.During flexion or squats, there is concern, degenerative processes in cartilage are moving.Against the background of such changes, the foot can shorten the atrophy of the muscles and pelvis.In radiographies, a contraction of the joint cavity appears, the period of the period increases.A large number of osteofitis are found in the lynx of the merger.
The 3rd stage of Artrosis
The third stage is characterized by the establishment of motor dysfunction of lower extremities.The patient is constantly complaining of pain that happens for no reason.There is more than 5% shortening of the fair, ankylosis is formed, losing joint mobility.Radiograf shows a full closure of a large number of osteophycomes against the background of a joint gap and bone deformation.Treatment of the 3rd degree is carried out only through the operation.
Treatment methods
The choice of methodology for treatment depends on the degree of osteoarthritis.Thorough conservative treatment is used in the first stages.The most difficult, second stage, because conservative therapy is ineffective and the instructions for operation are not enough.Artroose is completely possible to treat only the development of the first degree of disease.
After diagnosing the hip joints, the doctor chooses treatment methods.Most used:
- Conservative treatment with drugs;
- Surgical treatment;
- Take therapy and massage.
Each of the treatment methods has its own characteristics, change and special goals.Conservative therapy is used for these purposes:
- Fight with an etiological factor.For example, metabolic or hormonal disorders can be corrected.
- The symptomatic treatment was aimed to lighten the life of the patient and reduce the symptoms of alitations.For this purpose, non-meters anti-inflammatory drugs are used.Most of the sodium diclofenac, Nimesulid, iBuProfen NSAIDS are used.
NSAIDS draws almost every day to get rid of permanent pain, and this patient can affect the gastrointestinal tract and cause the development of peptic ulcers.
Surgical intervention is displayed with the third rate of arthrosis and is the only method to restore the walking function.The essence of the methodology is a complete or partial replacement with titanium endoprotheses of combinations.
Media Physical Education is an integral part of any rehabilitation measures.Exercise therapy and massage are aimed at improving blood flow in joints.It is also used to reduce training therapy, ankylosis.
You must be careful when doing exercises because you can damage the joint osteophylls.Tactics and exercises must be selected by a doctor for the individual characteristics of the disease and according to the clinical picture.