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این وبلاگ به پاسخدهی سوالات رایج در مورد بیماری های روماتیسمی و شیوه درمان و عوارض آنها و راههای پیشگیری از عوارض و ابتلا به بیماری های شایع جامعه کنونی مانند آرتروز و پوکی استخوان می پردازد

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تزریق کورتون  و یا آمپول های محتوی هیالورونیک در زانو در مواردی مثل وجود آرتریت یا التهاب مفصلی در جریان بیماری های روماتیسمی ، ارتروز شدید و دردناک که مایع در مفصل جمع شده باشد ، نقرس در زانو و ارتروز و یا  عللی دیگر انجام می شود. نکاتی که برای تزریق باید مد نظر باشد: بهتر است روزی که وقت تزریق دارید زانوی خود را خوب بشورید و لباس تمیز بپوشید و صد البته شلوار گشاد تا برای بالا زدنش شونه من در نره!! موقع تزریق سعی کنید آرام باشید و عضلات خود را سفت نکنید ،  تزریق زانو راحت و بدون خطر است و در دست پزشک متبحر شما به جز یک بار احساس وارد کردن سوزن در پا مثل آمپولی که به باسن میزنید درد دیگری احساس نمی کنید. گاهی جابجایی سوزن برای خروج مایع اندکی احساس فشار ایجاد می کند که نگرانتان نباید بکند. برای تزریق بهتر است کل مایع زانو خارج شود چون غلظت  ماده تزریقی در مفصل بالا می رود و چون فشار کم شده از مفصل هم خارج نشده و کمتر وارد جریان خون سیستمیک می شود. پس همش نپرسید: آبشو می کشی ؟! همه آبشو می کشی ؟! ( اون آب میوه که نمیده ضرر داره!!!) وجود مایع در مفصل به تنهایی چون فشار زیادی در فضای تنگ مفصل روی غضروف میاره باعث خفگی غضروف می شه و حتی بعد از خوب شدن بیماری غضروف اسیب دیده زودتر دچار آرتروز می شه. بعد از تزریق توصیه می شه تا دوروزی استراحت نسبی داشته باشید و فعالیت با فشار روی زانو نداشته باشید تا محتوای آمپول وارد جریان خون بدن نشه و در مفصل بمونه . گاها بعضی ها در شب تزریق اندکی درد  دارند که با مصرف استامینوفن بهتر می شند. اثر این تزریقات دائمی نیست ولی اگر لازم باشد بهتر از مصرف قرص است چون در اون صورت کل بدن در معرض دارو قرار می گیرد.

اگر دیابتی هستید و یا فشار خون دارید با اینکه تزریق کورتون داخل زانو نسبت به مصرف خوراکی دارواثربسیار کمتری روی قند و فشار دارد. تا چند روزی قند و فار را دقیق تر کنترل کنید و شاید لازم باشید کمی داروی خود را زیاد ویا رژیم غذایی را سفت و سخت تر کنید.

گاهی با تزریق داخل مفصل احساس گرمی و گرگرفتگی گذاریی ایجاد می شود که نگران کننده نیست





نوع مطلب : پاسخ سوالات رایج ، 
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