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Чем снять отек коленного сустава

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17 августа 2019

Если у вас появился отек коленного сустава, прежде чем паниковать и заниматься бесполезным самолечением, нужно успокоиться и разобраться в причинах его возникновения. Ведь основных механизмов возникновения отека всего два: он может быть обусловлен либо отеком мягких тканей, окружающих коленный сустав, либо отек может возникнуть за счет скопления жидкости в полости коленного сустава. Ну а для того чтобы быстро и эффективно снять отек коленного сустава, лечение должно быть назначено правильно. И тут важно хотя бы немного представлять как устроен коленный сустав.

Знакомимся с устройством коленного сустава

Итак, коленный сустав образован бедренной и большеберцовой костью. Суставные поверхности покрыты хрящом, между ними находятся мениски. Это своеобразные хрящевые образования – амортизаторы, которые нужны для того, чтобы кости терлись не друг об друга, а через такую своеобразную прокладку. Так природа позаботилась о сохранении хрящевой ткани в течение всей вашей жизни. Внутри сустава имеются крестообразные связки, а снаружи расположены боковые связки. Они поддерживают коленный сустав в рабочем состоянии и придают ему большую прочность.

Снаружи сустав покрыт суставной сумкой. Она прикреплена к костям вблизи сустава. Изнутри сумка выстлана специфической синовиальной оболочкой. Синовиальная оболочка имеет завороты, отдельные полости. Ее клетки вырабатывают синовиальную жидкость, которая облегчает движение, т.е. по сути, выступает в роли смазки. Жидкость заполняет все завороты, полости синовиальной сумки. Кстати, эта самая жидкость в некоторых случаях, имеет прямое отношение к отеку. Но обо всем по порядку.

Так что же может стать причиной, из-за которой возникает отёк? Давайте разбираться.

Во-первых, общий отек колена часто возникает после чрезмерной физической нагрузки: длительного похода, тренировки, тяжелой физической работы.

Во-вторых, отек может появиться после травмы, например, ушиба, растяжения или разрыва связок, перелома.

Ну и, в-третьих, отек может развиться как реакция на воспаление, инфекцию.

Если отек колена появился после чрезмерных нагрузок, то особо волноваться не следует. Как правило, он достаточно быстро спадает сам и какое-то особенное лечение не требуется. Однако, прежде чем махнуть рукой и отказаться от лечения, подумайте, не было ли у вас недавних или застарелых травм в области коленного сустава, которые так дают о себе знать на фоне избыточной нагрузки. Они тоже могут быть причинами отека и скопления чрезмерного количества той самой синовиальной жидкости в суставной полости.

Для лечения травматического отека необходимо обратиться к врачу. Неправильное лечение в таком случае черевато серьезными и крайне неприятными последствиями и самостоятельная постановка диагноза здесь не уместна.

Наиболее частой причиной, из-за которой возникает отёк коленного сустава, все же является другое заболевание. Надо понимать, что отёк – это не диагноз. Это симптом, сигнал о заболевании, о проблеме. И вот наиболее частые из них:

  1. Реакция синовиальной оболочки на общие заболевания и инфекции. Это, так называемый, реактивный синовит. Часто причиной такого выпота (скопления жидкости), являются хронические заболевания ЛОР – органов. Это хронический тонзиллит, синусит, гайморит.
  2. Воспаление самого коленного сустава – артрит.
  3. Дегенеративно – дистрофические процессы в коленном суставе – артроз.
  4. Воспаления суставной сумки – бурсит.
  5. Воспаление синовиальной оболочки – синовит.
  6. Доброкачественные и злокачественные опухоли костей.
  7. Венерические заболевания.
  8. Ревматоидный полиартрит.
  9. Остеомиелит – острый или хронический.
  10. Туберкулез органов или костный туберкулез и другие специфические воспалительные заболевания.
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Рассмотрим некоторые из них подробнее.

Заболевания, которым сопутствует отек коленного сустава

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Хронический синовит

Такое заболевание коленного сустава возникает при запущенных растяжениях или разрывах связок, лечение которых вовремя не проведено или не закончено, а так же при свободно находящихся в суставной полости фрагментов хряща или кости. Также, может возникать при общих хронических воспалительных заболеваниях.

Синовит может иметь и туберкулезную природу заболевания.

Симптомами синовита являются:

  • ограниченные движения
  • общий отёк сустава и его деформация
  • беспокоящие боли.
  • повышение местная температуры

Реактивный синовит исчезает после лечения основной причины – синовита.

Бурсит

Часто имеет травматическую природу. Причиной бурсита могут быть гнойнички, фурункулы, инфицированные ранки и ссадины кожи.

Симптомами бурсита обычно являются:

  • В суставной сумке при проведении диагностической пункции может определяться кровь
  • Локальная припухлость. Болезненность при ее ощупывании
  • Подвижность ограничена
  • Беспокоящие боли
  • Возможно повышение температуры тела

Для облегчения болезненных состояний при бурсите нужно обязательно снять все нагрузки. Для этого накладывается гипсовая шинка или любые приспособления для создания покоя колену. Оптимальным вариантом в этом случае будет ортез (тутор) на коленный сустав. С их приобретением в настоящее время проблем никаких нет.

Обычно производится диагностическая пункция колена. По составу жидкости, после ее лабораторного исследования решается вопрос о лечении.

В процессе лечения жидкость из коленного сустава удаляется, его полость промывается антисептическими растворами. В полость колена вводятся растворы антибиотиков, новокаина, иногда гидрокортизона.

Считается полезным пить грейпфрутовый сок.

Артрит

Отёк колена и его воспаление являются основными признаками артрита коленного сустава не зависимо от причин его возникновения.

Заболевание характеризуется следующими симптомами:

  • Беспокоят боли в колене, движения ограничены, болезненны
  • Отмечается покраснение кожи, она может быть натянутой при значительном скоплении жидкости в полости
  • Повышена местная температура
  • При хроническом артрите мышцы нижней конечности атрофичны
  • Страдает общее состояние, чувствуется недомогание. Снижается аппетит
  • Температура тела повышена

Артрит ревматический обычно возникает односторонне. Симптомы острого воспаления длятся 7 – 10 дней.

При ревматоидном артрите колени поражаются симметрично. Воспаление протекает хронически, длительно. Часто вовлекаются в процесс другие суставы. Всегда значительная деформация суставов.

Выпот (жидкость, пропотевающая из мелких кровеносных сосудов при воспалении), обусловленный туберкулезным артритом колена или синовитом держится долго. Он исчезает только через несколько месяцев после длительного постельного режима, иммобилизации конечности и приема противотуберкулезных препаратов.

При артрозах колена тоже проявляется отечность, но нет признаков воспаления. Боли ноющие. Усиливаются при нагрузке. Общее состояние не страдает.

Важно установить причину накопления жидкости в полости. Поэтому, при обнаружении отека гораздо правильнее будет обратится в лечебное учреждение, чем проводить эксперименты с собственным организмом по советом друзей, знакомых или на основании информации, почерпнутой в интернете.

Посмотрите и вам станет понятно, чем опасно самолечение

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Как определяется причина отёка коленного сустава и ставится диагноз

Диагноз устанавливается на основании анамнеза (расспроса пациента) и клинического осмотра колена и больного. Проводится лабораторное исследования: крови, мочи, добытого содержимого сумки сустава после его пункции, бактериологического и серологического исследования жидкости.

Обязательно делается обзорная рентгенограмма легких и коленного сустава, УЗИ, МРТ колена. При подозрении на туберкулезную инфекцию назначается специальное обследование в тубдиспансере.

Главное действие при лечении отека

Как следует из всего сказанного, отёк колена может возникать по многим причинам. Поэтому самое главное – не поддаваться ошибочному мнению, что самостоятельное лечение спасет вас от всех болезней. Оно может привести к тяжелым последствиям. Отек колена требует лечения у специалистов. Самолечение по советам знакомых, интернета без точного диагноза не допустимо.

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Например, при туберкулезном артрите или синовите коленного сустава, противопоказаны согревающие компрессы, растирания, массаж в остром периоде. При гнойном артрите, остеомиелите, гонорейном артрите и других воспалительных процессах колена эти процедуры также противопоказаны.

Единственное, что можно посоветовать во всех случаях возникновения отека, так это создание условий для покоя конечности, так называемая иммобилизация или обездвиживание. Требуется снять все физические нагрузки. В некоторых случаях чтобы снять отечность требуется строгий постельный режим.

Если вы уверены, что отек колена вызван травмой или перегрузкой, то показаны обезболивающие и противовоспалительные препараты. Можно накладывать компрессы с димексидом в разведении 1:4. Компресс помогает снять напряженность, боль.

После обследования и выяснения причины отека назначается соответствующее лечение.

Туберкулезный синовит или артрит лечится тремя или четырьмя противотуберкулезными препаратам. Обычно в специализированном лечебном учреждении. При необходимости проводится оперативное вмешательство.

Ревматоидный артрит требует длительного лечения. Иногда назначаются гормональные препараты. Назначаются неспецифические противовоспалительные препараты, аспирин. Местно применяются мази, компрессы – все, что облегчает боль.v

При артрозе широко применяются НПВП – неспецифические противовоспалительные препараты, Такие, как диклофенак, ибупрофен, нурофен и другие. Они помогают снять боли, обладают противовоспалительным эффектом.

В продаже имеются пластыри, мази, гели. В их состав входят эти препараты. Для профилактики рекомендуется длительный прием хондропротекторов. Эти препараты улучшают трофику хряща, уменьшают, способствуют восстановлению хрящевой ткани.

wikiHow работает по принципу вики, а это значит, что многие наши статьи написаны несколькими авторами. При создании этой статьи над ее редактированием и улучшением работали, в том числе анонимно, 16 человек(а).

Количество источников, использованных в этой статье: 13. Вы найдете их список внизу страницы.

Отек колена — явление весьма неприятное. Причиной отека колена может стать травма сухожилий, связок или мениска. Кроме того, отек в коленном суставе могут способствовать такие болезни, как артрит. Даже длительная ходьба или бег могут спровоцировать отек в коленном суставе. Отек может располагаться внутри сустава или в прилегающих тканях. Последнее обычно называют жидкостью в колене. Для начала вы можете попробовать домашние средства, которые помогут уменьшить отек. Если домашние средства окажутся неэффективными или вызовут дискомфорт и боль, вам следует проконсультироваться с врачом, который подберет вам подходящее лечение.

Причиной отека колена может стать травма сухожилий, связок или мениска, артрит, длительная ходьба и др. Отек может располагаться внутри сустава или в прилегающих тканях. Последнее, обычно, называют жидкостью в колене.

Для уменьшения отека можно попробовать домашние средства. Если они оказываются неэффективными или вы испытываете дискомфорт и боль, проконсультируйтесь с врачом, который подберет индивидуальное лечение. Из этой статьи узнаете, какими должны быть начальные действия человека, страдающего отеком колен.

Узнайте причину отечности

Причины, почему отекают колени:

  • Переохлаждение;
  • травма мениска;
  • заболевания сосудистой системы;
  • аллергическая реакция (узнайте, как определить у себя аллергию);
  • поражение суставов и сухожилий;
  • сердечные болезни;
  • нарушение работы почек;
  • внутренняя инфекция;
  • проблемы эндокринной системы;
  • длительная ходьба;
  • артрит коленного сустава.

Если одна из причин присутствует, нужно решать эту проблему. После лечения отечность коленного сустава, как осложнение, уйдет. Если нет, обратитесь к специалисту.

Когда срочно нужен специалист

  • Сравните больное колено со здоровым.
    Исследуйте отек. Проведите осмотр опухшего колена, сравнивая его со здоровым. Если наблюдаете покраснения, увеличенный размер его задней части, обратитесь к специалисту. Подобные симптомы могут свидетельствовать о наличии кисты.
  • Согните и разогните ногу, попробуйте походить.
    Дискомфорт при выполнении этих действий говорит о концентрации жидкости в колене. Отследите свои ощущения во время движения. Если чувствуете боль, постарайтесь ходить, концентрируя массу тела на здоровой ноге.

Есть признаки, по которым можно узнать точную причину отека. Поставить точный диагноз может только врач!

Как себе помочь в домашних условиях

  • Дайте отдых коленям. Главным для людей, страдающих отечностью в коленном суставе, является вопрос: «Как быстро снять боль? Как вылечить опухшее колено народными средствами?» Дайте больному колену отдохнуть. Держите ноги “выше головы”. Во время ходьбы не исключайте использование костылей.
  • Прикладывайте лед для снятия воспаления на отекшую область. 10 минут вполне достаточно. Рекомендуется делать компрессы до 3 раз в день.
  • Не прикладывайте тепло. Если причиной отека является травма, ни в коем случае не прикладывайте тепло к больному месту. Стоит воздержаться от приема горячего душа или ванны.
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  • Наложите давящую повязку, чтобы снять отечность и обеспечить ноге обездвиженность. Используйте эластичный бинт. Но помните, что забинтовывать нужно не туго, иначе может нарушиться кровообращение.
  • Делайте массаж. Периодически делайте мягкий массаж колена, который поможет улучшить прилив крови.
  • Облегчайте боль болеутоляющими средствами, если вышеперечисленные рекомендации не принесли желаемого эффекта. Аспирин, ацетаминофен отпускаются без рецепта, но перед применением рекомендуем проконсультироваться у фармацевта.

Если домашнее лечение неэффективно

Своевременная консультация специалиста позволит избежать возможных последствий. Доктор осмотрит коленный сустав и проведет необходимые исследования, сделает рентген. Для более точного диагностирования возьмет образец жидкости колена на анализ.

При необходимости, может назначить оперативное вмешательство. Основными хирургическими методами являются:

Процесс удаления избыточной жидкости из колена.

Метод диагностики и лечения, в ходе которого удаляются поврежденные ткани. Также он применяется для обнаружения «суставной мыши» – внутрисуставного, свободно перемещающегося образования, состоящее из хрящевой, костной или костно-хрящевой ткани.

Операция по замене фрагментов сустава имплантами.

Запишитесь на прием к физиотерапевту, который осмотрит ногу и назначит упражнения по укреплению мышц. Посещение ортопеда не будет лишним. Именно плоскостопие играет злую шутку с работоспособностью ног. Доктор выявит проблему и подскажет оптимальный вариант ее устранения.

Как не допустить повторения отечности

  1. Носите наколенники. Отек колена чаще встречается у людей, работа которых требует долгого пребывания в стоячем положении. Если вы относите себя к их числу, регулярно делайте перерывы, разминайте ноги, давайте им отдых, меняйте положение тела. Если, к примеру, во время занятий садоводством нужно стоять на коленях, обязательно надевайте наколенники.
  2. Меньше приседайте и не сидите на корточках. Старайтесь избегать любых повторяющихся движений, в которых принимают участие колени.
  3. Воздержитесь от больших нагрузок. Лыжи, бег и прочие виды спорта, требующие значительной силовой отдачи, лучше исключить.
  4. Соблюдайте правильный рацион. Обязательно включите в свой ежедневный рацион различные фрукты и овощи. Употребляйте продукты, содержащие белок. Вещества, которые содержаться в полезной пище, являются строительным материалом для ваших суставов и гарантией их здоровья.
  5. Не курите. Никотин, поступая в кровь, приводит к спазму капилляров. Это чревато дефицитом кислорода в хрящевых и костных тканях. Таким образом, мы получаем воспаленные суставы, которые постепенно становятся неспособными выдерживать вес человека.

Заключение

Чтобы вылечить отекшее колено, в первую очередь, необходимо выявить причину недуга. Не занимайтесь самолечением. Обратитесь к специалисту. Поддержание здоровья суставов зависит от вас. Правильное питание, отсутствие вредных привычек и спорт – ключевые элементы в цепи здоровой жизни.

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