Много людей не обращаются к специалистам и самостоятельно назначают себе диагноз при появлении дискомфорта в суставах. А ведь развитие артрита и артроза существенно отличается. Часто эти болезни путают между собой. Возможно это связано со созвучностью, а может и с недостающей информацией. Для того чтобы правильно определить вид суставного заболевания, нужно выявить причины их появления.
Артроз и артрит: сравнительная характеристика
В чем разница артрита и артроза?
В основном артроз возникает у пожилых людей как возрастная деформация сустава. Иногда болезнь появляется после тяжелых травм или переломов у разной категории населения. А вот артрит — это воспаление суставов, которое не зависит от возраста пациента. Возникновение недуга затрагивает весь организм целиком. Может возникнуть не только после ушибов и травм, но и после стрессовых ситуаций, переохлаждения или инфекционного поражения. Воспалительный процесс обусловлен наличием инфекцией в организме, ослабленной иммунной системой, что приводит к нарушению обмену веществ. Главное отличие в том, что артроз — это патология суставов хронического характера, а артрит — воспалительного. Ревматоидный артрит — аутоиммунное заболевание, которое очень тяжело излечить полностью. Он может передаваться наследственным путем.
Причины недугов
Артрит и артроз могут поражать все элементы суставов. Артрозный недуг появляется с возрастом и свидетельствует о дегенеративных изменениях и деформации сочленений. Чаще наблюдается у спортсменов или людей, которые занимаются тяжелым физическим трудом. Артрит нередко свидетельствует о том, что в организм попала инфекция, понижен иммунитет и нарушены метаболические процессы. Он может влиять на работу внутренних органов — сердца, почек или печени. Чаще встречается после травмирования суставов. Такие факторы, как стресс или перепады температур могут усугубить ситуацию.
Виды заболеваний
Выделяют такие виды суставных патологий:
- Артроз. Поражает суставы на ногах (сочленения коленей, ступней, голеностопного сустава). На эти части тела приходится основная нагрузка.
- Остеоартроз. Характеризуется не только деформацией костной и хрящевой ткани, но и отложением солей.
- Ревматоидный артрит. Опасен для кистей, запястья, стопы. С развитием недуга проявления становятся опаснее и страшнее — поражаются колена и локти, а затем и внутренние органы.
- Для реактивного артрита коленного сустава свойственно асимметричность. Болевые ощущения переходят постепенно с одной ноги на другую.
- Полиартрит. Развивается воспаление сразу нескольких сочленений.
- Подагра. Характеризуется отложением солей и мочевой кислоты в суставных тканях.
Вернуться к оглавлению
Симптомы недугов
Воспаление способно вызвать деформацию суставов на ногах, ступнях или сочленениях рук. Отличить артрит и артроз можно по их локализации и степени развития. Симптомы артрита и артроза немного похожи, но первопричины их возникновения будут отличаться. В таблице представлены основные признаки различия таких заболеваний:
Артрит | Артроз | |
Причины | Воспаление на фоне системной патологии либо инфицирования суставной ткани | Разрушение хряща при износе тканей, чаще, в пожилом возрасте. Неправильный обмен веществ вызывает потерю эластичности, изменение структуры хряща, истирание, частичное или полное разрушение хрящевой ткани |
Провоцирующие факторы | Инфекционные болезни, аллергия, травмы, переохлаждение, сбои в обменных процессах, наследственность, стрессы, дефицит витаминов | Старение организма, лишний вес, травмы, неправильное питание, аутоиммунные патологии, ухудшение кровоснабжения хрящевой и костной ткани, воспалительные процессы в организме, неправильная работа щитовидной железы, избыточные нагрузки на сустав, переохлаждение, наследственная предрасположенность |
Виды патологии | Моноартрит, полиартрит | Первичная (поражение хрящевой ткани при недостатке питательных веществ, плохом кровообращении). Вторичная – болезнь развивается в поражённом суставе, чаще, после травмирования |
Формы заболевания | Гнойная, ревматоидная, ювенальная, подагрическая | Четыре стадии: от небольшого сужения суставной щели до заметной деформации с полным закрытием суставной щели |
Осложнения | Длительное присутствие инфекционного агента в суставах и других органах подрывает здоровье, снижает иммунитет. Нарушается подвижность конечности, в периоды обострений ткани отекают, болят, сложно выполнять многие привычные движения | При отсуствии лечения: полное разрушение суставов, обездвиживание конечности, негативные изменения в межпозвоночных дисках |
Прогноз | При своевременном лечении, устранении воспалительного процесса многие виды артрита поддаются полному излечению | Заболевания тяжело поддаётся лечению, в большинстве случаев переходит в хроническую форму. Артроз – необратимый процесс, на 100% восстановить качество хрящевой ткани невозможно. Грамотная терапия улучшает состояние хрящей, поддерживает функциональность конечностей, но при нарушении определённых правил болезнь прогрессирует |
Чем отличается артрит от артроза
Суставные патологии имеют больше различий, чем сходных признаков. Легко отличить артрит от артроза поможет знание этиологии заболеваний.
Что делать, если хрустят суставы по всему телу? Узнайте о вероятных причинах и вариантах терапии.
О пользе и правилах выполнения суставной гимнастики доктора Бубновского прочтите на этой странице.
Информация для пациентов:
- артрит развивается на фоне воспалительного процесса в суставе, артроз – это следствие дегенеративных процессов, дистрофических изменений в хрящевой ткани;
- обе патологии имеют острую и хроническую форму, но артрит протекает с более выраженными симптомами, воспаление активно распространяется не только на сустав, но и по другим участкам;
- артроз – заболевание затяжного характера, ремиссия более длительная, хрящ постепенно разрушается без тяжёлого воспаления тканей.
В таблице описаны различия суставных патологий по основным признакам.
Артрит | Артроз | |
Причина патологических изменений | Инфекция, провоцирующая острый и хронический воспалительный процесс | Дегенеративно-дистрофические изменения, постепенное разрушение хрящевой ткани. Основная причина – негативные процессы на фоне старения организма |
Характер патологии | Более острый, чем при артрозе, ремиссия чередуется с активным воспалением | Затяжной, чаще, вялотекущий, с периодами обострения |
Область поражения | Инфекция распространяется далеко за пределы суставной зоны. Развивается моноартрит (в одном суставе), полиартрит (поражены несколько зон, например, полиартрит пальцев рук) | Суставная ткань в одной зоне, например, остеоартроз коленного сустава. Другие органы в деструктивный процесс не вовлечены |
Зона локализации | Более мелкие суставы: лучезапястный, пальцы рук, кистей, голеностоп. Область колена также в зоне риска | Крупные суставы: тазобедренный, коленный, большие пальцы ног, реже, фаланги пальцев рук и голеностоп |
Возраст пациентов | Чаще – до 40 лет | Основная категория – люди от 45 лет и старше, чаще, от 55–60 лет |
Группа риска | Мужчины молодого возраста. Развитие болезни связано с опасными бактериальными и вирусными инфекциями, травмами конечностей. Ювенальная форма ревматоидного артрита диагностируется у детей и подростков | Женщины после 45–50 лет. Дегенеративные процессы развиваются на фоне климакса. У мужчин дистрофические изменения в хряще часто развиваются на фоне высокой нагрузки на суставы в течение жизни при тяжёлом характере работы, связанной с поднятием тяжестей, однообразными движениями. |
Как отличить по симптомам
Распознать начало заболевания проще при инфекционном типе патологических изменений. Артроз зачастую долго не проявляется, нередко пациенты приходят на приём к врачу со второй, среднетяжёлой стадией заболевания.
Обратите внимание на основные признаки суставных патологий. Даже небольшой дискомфорт в суставах должен вызывать подозрение о развитии негативных процессов в хрящевой ткани.
Симптомы артрита:
- припухлость или сильная отёчность проблемной области;
- кожные покровы в поражённой области краснеют;
- больной сустав воспаляется;
- поражённая область горячая на ощупь, при активном воспалении, проникновении опасного возбудителя повышается общая температура;
- при движении слышна резкая боль, в состоянии покоя пульсация, «подёргивание», болезненность в зоне воспаления не исчезает;
- зачастую инфекция поражает другие отделы организма, ухудшается самочувствие, развивается слабость, активизируются хронические патологии;
- негативные процессы чаще развиваются в пальцах рук, кистях, голеностопе, реже – в коленях.
Симптомы артроза:
- волнообразный характер болей. На ранней стадии болевые ощущения слабые, интенсивность долго не повышается;
- постепенно болезненность усиливается, по утрам слышна скованность в проблемных суставах;
- по мере развития дистрофических изменений подвижность поражённой области снижается, при запущенных случаях возможна полная неподвижность по причине разрушения хряща;
- основные места локализации – тазобедренные суставы (коксартроз), позвоночник (спондилоартроз), колени (гонартроз).
Основные методы терапии заболеваний
Пациенты нередко считают, что «проверенный» рецепт от артрита, предложенный соседкой, непременно поможет при артрозе. Незнание природы заболевания зачастую наносит вред суставам, ухудшает состояние организма.
Например, при артрите идёт активный воспалительный процесс, инфекция распространяется на большую площадь тканей. Прогревания категорически запрещены, но нередко страдальцы греют больные колени при артрите в надежде на исцеление. Результат прямо противоположный: тепло ускоряет развитие воспалительного процесса, инфекция проникает с током крови и лимфы в новые отделы суставов, другие органы, болезнь прогрессирует.
Основные различия в лечении артрита и артроза связаны с природой патологических процессов. Схему терапии, применение лекарств, народных методов, комплекса ЛФК, физиопроцедур разрабатывает ревматолог, ортопед или артролог. При запущенных стадиях артроза (реже, при артрите) нужна помощь хирурга-ортопеда.
Лечение артроза
Основные принципы:
- главная задача – нормализовать состояние хрящевой ткани. Доктор назначает хондропротекторы с гиалуроновой кислотой, хондроитин сульфатом и глюкозамином. Длительный курс лечения улучшает эластичность хрящевой ткани, восстанавливает кровообращение, обмен веществ, останавливает дегенеративно-дистрофические процессы;
- в тяжёлых случаях нужны препараты группы НПВС для снятия болевого синдрома, устранения воспаления, развившегося при истирании суставной ткани. Но как основное средство при терапии артроза они малоэффективны;
- полезны физиотерапевтические процедуры, специальные упражнения. Многие пациенты и врачи положительно отзываются о суставной гимнастике Бубновского;
- пациенты успешно применяют народные методы. Домашние мази, отвары, компрессы, ванночки, настойки изготовлены из натуральных компонентов. Правильное использование составов снимает болезненность, улучшает подвижность суставов;
- при полном разрушении хрящевой ткани проводится хирургическое лечение – эндопротезирование. Артроз невозможно полностью излечить, можно лишь поддерживать здоровье суставов, предупреждать обострения.
Как и чем лечить артроз плечевого сустава? Посмотрите подборку эффективных методов терапии.
О характерных симптомах и способах лечения разрыва связок коленного сустава прочтите по этому адресу.
Перейдите по ссылке http://vseosustavah.com/bolezni/shpora/lechim-doma.html и узнайте о том, как вылечить шпору на пятке в домашних условиях при помощи народных средств.
Терапия артрита
Основные принципы:
- первый этап – борьба с болезнетворными бактериями, опасными вирусами, под влиянием которых начался воспалительный процесс. Обязателен приём нестероидных противовоспалительных препаратов;
- важно не только уничтожить возбудителя инфекции, но и укрепить иммунитет;
- рекомендована белковая диета, витаминотерапия, кисломолочные продукты. Обязателен отказ от алкоголя, крепкого кофе, сладких газированных напитков, чёрного чая (лучше зелёный);
- отличный эффект дают физиопроцедуры: электрофорез с лекарствами против воспаления, магнито-и лазеротерапия, лечебные ванны. После купирования воспалительного процесса восстановить подвижность больного сустава поможет комплекс ЛФК, массаж. Полезны народные методы без применения тепла.
В следующем видео квалифицированный доктор расскажет больше информации о том, как отличить артрит от артроза:
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Обсуждение: оставлено 2 коммент.
Лечение суставов, лечение артроза, лечение артрита http://blog.vam3d.com/?p=»1257
У» моего дяди артрит. Пальцы рук деформируются немного, печальное зрелище. К врачу принципиально не обращается, говорит, не беспокоит его это. Пьет таблетки Ибупрофен, вот и все его «лечение». Но мне не кажется, что они помогают. Расскажу ему про белковую диету и лечебные ванны. Может, прислушается. Да и на физио сходил бы что ли.
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