Arthropod

Arthrosis is a group of dystrophic depth diseases of articular devices with various ethiology, but a similar clinical view of pathological changes.The unification of the compound is the cartilage, then drunken bone tissue, joint capsules and ligamental hardware, destruction and deformation.The disease can significantly limit the patient's motor activity without chronic progressive and proper treatment.

The diagnosis and treatment of pathology are engaged in an artist, rheumatologist, surgeon, orthopedics.

General information

Arthroz is diagnosed in about 1/5 of the planet's population, but the disease is more characteristic.This proves the statistics of the spread between different ages:

• Youth for up to 40 years - not more than 6-7%;
• Mature faces from 45 to 20-25%;
• After 70 years - up to 80%.

The disease affects the tissues under a permanent load: small joints of hands and legs, hip and knee joints, a little less ankle and shoulder combinations of the spine, or less thoracic parts.

Celebrate! The defeat of the intersecting joints of the confusion of hands in women is 10 times more than men.

In many Western countries, the term "arthrosis" is not used, it replaces it with the concept of "arthritis".Such a substitution is completely right, because in most cases inflammatory processes accompany or accompany him before arthropons.In domestic medicine, "Arthritis" and "Arthritis" terms make the same disease, but with different ethiology of the process.In addition, the concepts of osteoarthritis, osteoarthritis, deformed osteoarthrosis are used to determine the pathology.

Celebrate! The difference between arthritis and arthrosis lies due to the disease.In the first case, these are inflammatory processes (suffixes in the inflammation of suffixes), in second metabolic disorders (protein, mineral). 

Reasons for development mechanism and arthrosis

The main reason for the arthrosis is a violation of the balance in the processes of cartilage and bone tissues in the processes of the cyclist and catabolism.If the synthesis process is normally dominated, the processes of destruction are going faster during arthrose changes.As a result, the rapidly aging and degeneration of tissue structures is observed.At the same time, then they begin to collapse in a mobile tone.The first destructive changes appear:

• clouding of cartilage;
• surface showers;
• micals and tears;
• Focus and total tenderness of the cartilage layer.

The cartilage loses natural elasticity and density and can no longer serve as a shock absorber during movements.Mutual correspondence of the shape of joint surfaces, this is concerned that causing the deformation of the relationship.This further aggravates the development of pathological changes and triggers a number of irreversible processes.In exchange for lost cartilage, bone tissue begins to grow by the formation of spikes and sharpnesses, which can cause the patient's heavy disability.

The reasons for this scenario:

• Violation of mineral metabolism, joints, osteoporosis, etc.
• The disadvantage of the texture nutrition is venous and weak microcirculation slows blood supply and lymph drain.The mineral composition of the bone is exhausted, becomes osteopore and loses its ability to do yourself -Heal.The phenomenon is characteristic of lack of action with vascular pathologies, hormonal shortcomings.
• Inflammatory processes - are the result of severe infectious diseases, hypothermia, hormonal background.
• Otoimmune's reactions are chronic focus of inflammation, nerve stress, endocrine pathologies and other reasons, other reasons can lead to its cells against their cells, including their cells.Romatoid arthritis, the most common autoimmune lesions from scleroderma and red lupus.
• Increased joint wear - incompatibility between functionality and loading slows down synthesis processes and accelerates the destruction.The phenomenon is characteristic of anyone who deals with athletes, dancers, overweight people, as well as with heavy physical labor or long static loads.
• Injuries - bruises, dislocations, fractures, penetration, tears, tears - the structure of tissues and pushes the start of the deformation.
• Genetically identified pathologies - Connecting tissue dysplasia, violation of collagen synthesis first forms an unstable, low-light joint.

Some reasons are closely reflected with each other and form a complex pathological complex.

Attention! Hormonal deviations play a especially important role in bone tissue breaking a violation of metabolism.In the thyroid gland, a failure that receives corticosteroids, corticosteroids, all this is a direct way to the changes in the skeleton.

Classification of changes

A few defined criteria are used in the Artrosis system: causes and etiology, localization, coverage area.

By etiology:

• Preliminary arthrosis - to develop independently by damage to completely healthy joints without the participation of previous pathologies;
• Those who are secondary - occur in the background of a disease (Gut, psoriasis, rheumatism), as well as the participation of existing articular deformations or injuries.

At the rate of coverage:

• Local forms - Damage to a limited number of joints: Monoarthritis-1 combination, oligoarthritis-2-3;
• Summarized forms are different types of polyarianthropons when they participate in 3 large structures and more pathological processes.

According to the localization of the process, the names of the artery of each combination are given separately:

• Coksartrosis - disables hip connection;
• Spondylarthrosis - mostly affects cervical, chest and waist intermediate discs;
• Gonarthroz - with the impaired case of knee joint;one of the most common species;
• Cruzartrosis - by participating in the pathological process of ankle.

Arthrosis can be quickly or slowly progressive, compensated or fragmented.

Basic symptoms and signs

Arthrosis is a complex disease.Conditionally, it can be divided between several pathology:

• Hondrite and Hondrosis - an inflammatory and degenerative lesion of cartilage tissue;
• Osteoporosis is also osteoporosis - a pathological process in bone structures;
• Sinovit - Participation of the lining of the joint capsule;
• BURSIT - General inflammation of the joint bag;
• Reactive damage to soft tissues in the neighboring area affects muscles, ligaments, fibers.

Depending on the scene, depending on the rate and form, it is observed at the same time or as a selector.Taking this into account, the symptomatic complex is formed.Among them:

• Pokhrutzhazing is a sign that mineral metabolism and the first sign of the disease is broken.It can happen at any age.
• Stock - in the morning intensively manifested.Short-term and can be expressed by the impact of the compaction.
• Mobility restriction - reduce the amplitude of actions in the Active or Passive Movement Commission.
• It has a different manifestation, which begins with pain, unpleasant and painful and painful, and performing background character and performing the background character and performing actions.So far "starting pain" is especially characteristically, which is the long run and the last is the last developer until the end of the play.
• Swelling - Inflammation of soft tissues, synovite, bursites.
• Deformation - is observed by the lack of full degeneration of cartilage and lack of shock.

Celebrate! Buchara and Geberden nodules are a characteristic sign of the deformed arto.It is bone growth with osteophyte's processes.

Stages and degree of arthropons

The 4 phases of the disease differ in terms of the intensity of arthrose changes:

• Phase 1 - Re-filling of cartilage (structure and functionality in collagen fibers).X -Raya picture does not seem practical.
• Stage 2 - The speech of the cartilage piece in the lynx of the compound is up to 50%.Covered with cracks, a little pain appears in the damaged combination area.Osteoflitic complexes appear in X -Ray;Reduces joint space size slightly.
• Stage 3 - The lesion of the cartilage reaches almost bone base, the gaps are reduced sharply.
• 4 Stages - cartilage is completely damaged, this causes partial or full degeneration of synovial fluid, partial or full degeneration of bone tissues, and the deformation of the bone tissues on each other.In some areas, sclerosis changes are developing.The excessive manifestation of arthrosis is the combination of articular tissues with the oscality of the structures and full mobility loss.

In some sources, a stage of 1 and 2 is united.

With the course of symptoms, a person suffers from motor activities.Given the violations of joint functional performance, the 4 degree development of the possible development of pathology differs:

1. 0 degrees - Mobility and performance are fully reserved;
2. 1 degree - the patient maintains its ability to provide self-sufficiency and show social activity, but cannot engage in labor activities;
3. 2 degrees - Difficulties in the manifestation of social activities are added to the violation of labor;
4. 3 degrees - All activities are limited or completely impossible: labor, social and self-sufficiency;The patient needs permanent care.

What are possible complications

You can cause a number of unpleasant results by compressing treatment:

• Regular pain syndrome;
• chaotic;
• Terrors (with spondylarthroz);
• joint deformation pronounced;
• Complete the full inaction with the osifications of the structures.

The survey procedure includes what

It is enough to be a medical examination with the collection of Anamnesis for the diagnosis of arthrosis.An instrumental examination is performed to determine the degree of damage.The main ways of getting a clear picture of the disease:

• Radiography;
• CT, MRI;
• ultrasound;
• Scintibility;
• Diagnostic arthroscopy with cartilage tissue and synovial liquid.

In a sharp inflammatory process, the doctor presents additional analysis: a general blood test, romen, biochemistry (glucose, protein compounds, electrolytees).

Treatment

It is impossible to completely eliminate the disease.The treatment of arthrosis allows you to maintain the functionality of common, normal motor activity and prevent pain.Should start in the first stage to exclude complications.

Drug therapy Includes:

• AntiinFlamator medications, mostly NSAIDs;
• Unambutant steroid blocks of pain and inflammation (declared Sinovit, Bursit);
• Proteolysis inhibitors - slows and stops the destruction of bone and cartilage;
• Antispasmodiks - prevent muscle cramps;
• Angioprotants and drugs to improve blood microcirculation in affected tissues;
• Chondroprotants;
• Synthetic substitutes for synovial liquid;
• Vitamin and mineral compositions.

Physiotherapy complex determined parallel to increase the impact of drugs.Basic physiotherapy: 

• magnetotherapy;
• Electrophorez;
• Uhf;
• mud;
• bath;
• massage;
• Therapy and kinesiotherapy using special simulators.

Surgery - The only way to cure in later stages when cartilage tissue is completely destroyed.The following solution of the problem is possible:

• endoscopy - by partial or complete change by an artificial analog of the compound;
• Arthroscopy - Minimally invasive operation for removing osteoophytees or partial change of cartilage;
• Arthrodesy - to closed the joint and correct the most affordable condition;Inactive joint surfaces are growing over time.

Predict 

Arthrois does not threaten the life of the patient, but the absence of treatment can significantly limit freedom of movement and disrupt the quality of life.In the early stages, timely and competent therapy may return the combination to a healthy situation.In other cases, with the help of conservative treatments for lost functions due to prostheses and compensation for lost features, a slowdown is possible only in the process of degeneration.

Prevention of the disease

Absolutely a recovery is almost impossible, so the prevention should be paid special attention.The main demand is a full treatment of a healthy lifestyle and inflammatory process:

• Do not allow hypothermia and infectious diseases in a timely manner;
• Avoid physical excessive loads and long static loads;
• maintain normal body weight;
• Follow the right diet - a balanced composition of vitamins and minerals, very important for the health of the musaloshelet system;
• Completely (if possible, until full recovery), treat the joints with any damage;
• Apply systematic physical exercises to stimulate blood circulation (bike, walking, light run, scandinavia walking).

Make sure you are risking (old age, weak-heredity, physical loading) regularly radiographic examination.