Loaʻa iā ʻoe kēia ʻano ʻeha a paʻa i kou ʻūhā? E aʻo kākou e pili ana i (Hip Impingement / Femoroacetabular Impingement)!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha a paʻa paha i kou ʻūhā? He paʻakikī anei ke hele wāwae, kūlou i kou ʻūhā, a i ʻole e ala aʻe mai kahi noho? Manaʻo paha ʻoe he ʻeha wale nō kēia, a i ʻole kekahi mea e hana ʻia i kou wā ʻelemakule. Akā, he kūlana kēia a mākou e kamaʻilio ai i kēia lā, ʻo ia hoʻi ka Hip Impingement . E aʻo hou kākou e pili ana i kēia, no ka mea, he pilikia kēia e loaʻa i nā poʻe he nui.

He aha ka Hip Impingement?

I ka ʻōlelo maʻalahi, hiki mai kēia ʻano ke kū ʻole nā ​​iwi o kou hui ʻūhā i kekahi i kekahi, e hamo ana kekahi i kekahi, a paʻa. E noʻonoʻo i kēia ʻano: ʻo kou hui ʻūhā he ʻāpana poepoe o kou iwi ʻūhā (femur, ka iwi lōʻihi ma kou wāwae luna) e kūpono i loko o kahi lua kīʻaha (acetabulum, ka lua iwi ma kou lua ʻūhā). Ke kūpono kēia poepoe a me ke lua i kekahi i kekahi, hiki iā mākou ke kūlou maʻalahi, hoʻolōʻihi, a hoʻohuli i ko mākou mau ʻūhā.

No laila, ʻo kēia ka mea a nā kauka e kapa nei ʻo 'Femoroacetabular Impingement' a i ʻole 'FAI' no ka pōkole. ʻO 'Femoroacetabular' ke ʻano o ka wahi e hui ai ka iwi ʻūhā ('femur') a me ka iwi ʻūhā ('acetabulum'). ʻO 'Impingement' ka huaʻōlelo lapaʻau no kahi mea e paʻa ana, e hamo ana, a e hamo ana paha kekahi i kekahi i loko o kahi hui. No laila ʻo 'FAI' a i ʻole 'Hip Impingement Syndrome' kekahi mea like.

Hiki i kēia ke ʻeha loa . Hiki iā ia ke paʻakikī i ka hele wāwae a i ʻole ka hoʻoneʻe ʻana i kou ʻūhā. Hiki iā ʻoe ke manaʻo i ka paʻa mau a i ʻole ka ʻeha ma kekahi ʻaoʻao. Manaʻo ia me he mea lā ua paʻa kekahi mea i loko. I ka hala ʻana o ka manawa, hiki i kēia paʻa ke hōʻino i ke cartilage e pale ana i kou hui ʻūhā, ka ʻāpana like me ka cushion e pale ai i nā iwi ʻelua mai ka hamo ʻana kekahi i kekahi.

Inā loaʻa iā ʻoe ka ʻeha o ka ʻūhā, ka ʻoʻoleʻa, a i ʻole nā ​​hōʻailona ʻē aʻe i hoʻomaikaʻi ʻole ma hope o hoʻokahi a ʻelua paha pule, e ʻike pono i ke kauka . ʻO ka wikiwiki o kou ʻike ʻana, ʻo ka maʻalahi ka mālama ʻana.

He aha nā hōʻailona o kēia?

ʻO nā hōʻailona nui o ka 'Hip Impingement':

• ʻEha ʻūhā: ʻO kēia ka hōʻailona i ʻike pinepine ʻia.
• ʻOʻoleʻa: He manaʻo o ka ʻūpā ma ka ʻūhā, e paʻakikī ai ke kūlou a hoʻopololei paha.
• Paʻakikī ke hele wāwae a ʻoʻopa paha: Hiki i kekahi poʻe ke ʻoʻopa i ka wā e hele ai no ka mea ʻeha ko lākou mau ʻūhā.

Akā ʻo ka mea kupaianaha, loaʻa paha i kekahi poʻe ka FAI a ʻaʻole hōʻike i kekahi mau hōʻailona . Akā no nā poʻe he nui, piʻi mālie nā hōʻailona i ka hala ʻana o ka manawa, ʻoiai ke hōʻino ʻia ke cartilage ma ka ʻūhā.

Pehea ke ʻano o kēia ʻeha?

ʻO ka ʻeha ʻūhā ka mea i manaʻo pinepine ʻia e like me ka ʻeha palupalu ma ka ʻāpana ʻūhā.E like me. I kekahi manawa hiki i kēia ʻeha ke pālahalaha a puni ka ʻūhā, ʻo ia hoʻi, i ka ʻūhā, nā puʻupuʻu, a hiki i ka ʻūhā luna. Wahi a kekahi, ua like kēia ʻeha me he mea lā ua ʻeha mai loko mai a ke ʻomi mau nei kekahi iā ia.

ʻOi aku ka ʻino o kēia ʻeha i ka wā o ka hana kino, ʻoiai nā hoʻomaʻamaʻa e kau ana i ke kaomi nui ma ka ʻūhā (no ka laʻana, squatting, lunging, a lele paha). Hiki ke ʻoi aku ka ʻino i ka wā e hiamoe ana ma kekahi ʻaoʻao a i ʻole e noho ana ma kekahi kūlana no ka manawa lōʻihi. I loko o kēia mau manawa, hiki i ka ʻeha ke ʻoi, hou, a hou paha .

No ke aha e hana ai ka Hip Impingement?

ʻO ka 'Femoroacetabular Impingement' ke hamo nā iwi o ka hui ʻūhā kekahi i kekahi, paʻa, a kau paha i ke kaomi nui kekahi i kekahi. ʻO ke kumu nui o kēia, ʻo ia ka hoʻokumu ʻia ʻana o kahi iwi keu ma ka iwi ʻūhā (`femur`) a i ʻole ka ʻūhā hope (`acetabulum`) . I ka manawa pinepine, hānau ʻia nā kānaka me kēia mau hui ʻano ʻē, a i ʻole hiki i kēia mau iwi ke ulu kūlohelohe i ka hala ʻana o ka manawa. ʻO ke ʻano kēia, ʻaʻole ia he mea a mākou e hana ai ma ka manaʻo.

Aia kekahi mau ʻano o ka Hip Impingement?

ʻAe, ua hoʻokaʻawale nā ​​kauka i kēia 'Hip Impingement' i ʻekolu mau ʻano nui, ma muli o kahi a me ke kumu i kūpono ʻole ai nā ʻāpana o ka hui hip:

• Ka hoʻokuʻi ʻana o ke kāmela: Hana ʻia kēia ke ulu ka iwi keu ma ke poʻo o ka iwi ʻūhā (femur), ka ʻāpana e like me ka pōpō. A laila, i ka neʻe ʻana o ka ʻūhā, paʻa kēia iwi keu.
• ʻO ke kuʻi ʻana o ka iwi: Hana ʻia kēia i ka wā e ulu ai ka ulu ʻana o ka iwi keu ma ka lihi o ka ʻūhā (`acetabulum`). A laila e kuʻi ka ʻāʻī o ka femur i kēia iwi keu.
• Ka hoʻopili ʻana i hui pū ʻia: Hiki i kekahi poʻe ke loaʻa nā ʻano 'Cam' a me 'Pincer' i ka manawa like.

ʻO wai ka mea i pilikia nui i ka hoʻomohala ʻana i kēia?

Hiki i kekahi ke hānau ʻia me kahi impingement ʻūhā, a i ʻole hiki ke ulu aʻe i ka hala ʻana o ka manawa. Eia nō naʻe, ua ʻike ʻia kekahi mau noiʻi he ʻoi aku ka nui o nā kāne i ka loaʻa ʻana o kahi impingement cam , ʻoiai ʻoi aku ka nui o nā wahine i ka loaʻa ʻana o kahi pincer a i ʻole ka impingement hui pū ʻia .

ʻOi aku ka nui o ka ʻike ʻana o nā mea pāʻani i nā hōʻailona o ka 'Hip Impingement'. He ʻoiaʻiʻo loa kēia no ka poʻe e pāʻani ana i nā haʻuki e kau ana i ka nui o ke kaomi ma ka ʻūhā (e like me ka pôpeku, ka basketball, ka hula, a me ka holo ʻana). Hōʻike kekahi mau noiʻi he ʻoi aku ma mua o ka hapalua o nā mea pāʻani e loaʻa paha kēia ʻano 'impingement'. ʻAʻole kēia manaʻo he ʻoi aku ka nui o ka ulu ʻana o nā mea pāʻani. Eia naʻe, no ka mea, hoʻohana pinepine lākou i ko lākou mau ʻūhā a ʻoi aku ka paʻakikī ma mua o nā mea ʻē aʻe, hiki ke ʻike koke ʻia nā hōʻailona a hiki iā lākou ke ʻike hou aku . E hoʻomanaʻo, ʻo ka 'FAI' ke kumu o ke ʻano maoli o kou ʻūhā, a ʻaʻole ia e ulu ma muli o ka pāʻani ʻana i nā haʻuki.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole mālama ʻia, hiki i ka FAI ke hōʻino i kou hui ʻūhā i ka hala ʻana o ka manawa. Ma waho aʻe o ka hoʻonui ʻana i nā hōʻailona a me ka paʻakikī o ka hoʻohana ʻana a i ʻole ka hoʻoneʻe ʻana i kou ʻūhā, hiki i kēia paʻa ke hana i kahi haehae i ka labrum ma kou ʻūhā. ʻO ka labrum kahi apo o ke cartilage e hoʻopuni ana i ka ʻūhā. Kōkua ia i ka mālama ʻana i ke kūpaʻa o ka hui. ʻO ke kaomi keu a me ka friction i hoʻokumu ʻia e ka femoroacetabular impingement hiki ke hana i kēia labrum e haehae i ka hala ʻana o ka manawa (kahi haehae hip labral).

Eia kekahi, ʻoi aku ka nui o ka poʻe me ka 'Hip Impingement' e loaʻa i ka osteoarthritis ma kēlā ʻūhā, no ka mea, ua pau ke cartilage ma muli o ka impingement lōʻihi.

Pehea e ʻike ai ke kauka i kēia?

E ʻike ke kauka i ka Hip Impingement Syndrome ma ka hana ʻana i kahi hoʻokolokolo kino a me nā hoʻokolohua kiʻi kūikawā . Pono ʻoe e haʻi i kāu kauka i ka lōʻihi o kou loaʻa ʻana o kēia mau hōʻailona a me nā neʻe ʻana, nā hana, a i ʻole nā ​​kūlana e hoʻonui ai iā lākou (a i ʻole ka ʻino).

E hoʻohana kāu kauka i nā hoʻokolohua kiʻi e nānā i kou ʻūhā a me nā ʻiʻo a puni ia. Hiki i kēia mau hoʻokolohua ke komo pū me:

• X-ray o ka ʻūhā
• Hoʻāʻo MRI (MRI - Magnetic Resonance Imaging)
• ʻO ke kiʻi CT (`CT scan - Computed Tomography scan`)

I kekahi manawa, e hoʻokomo paha kāu kauka i kahi liʻiliʻi o ka anesthetic kūloko i loko o kou ʻūhā. Inā hōʻoluʻolu kēia i ka ʻeha a i ʻole ka ʻoʻoleʻa no kekahi manawa, he hōʻailona maikaʻi ia ua loaʻa iā ʻoe ka FAI. He kōkua hōʻoia wale nō kēia, a hoʻohana ʻia nā lāʻau lapaʻau ʻē aʻe.

Aia kekahi hoʻāʻo kūikawā no kēia? (Hoʻāʻo Hoʻopaʻa Femoroacetabular)

ʻAe, aia kahi hoʻāʻo kino kūikawā a kāu kauka e hana ai e nānā i kahi 'impingement' ma kou ʻūhā. Ua kapa ʻia hoʻi kēia ʻo 'Femoroacetabular Impingement test'. Ma kēia hoʻāʻo, e moe ʻoe ma kou kua. E hāpai ke kauka i kou wāwae i luna i kou umauma. A laila, me kou kuli e kūlou ana ma 90 degere (kūlike i kou ʻūhā), e hoʻohuli ʻia kou wāwae luna i loko, ʻo ia hoʻi i waenakonu o kou kino.

Me kēia mau kūlana, hiki i kāu kauka ke kau mālie i ke kaomi i nā wahi o kou ʻūhā i hoʻopilikia ʻia e FAI. Inā ʻoe e ʻeha i ka wā e hana ana i kēia mau neʻe ʻana, loaʻa paha iā ʻoe ka impingement hip . Hiki ke ʻoluʻolu iki kēia hoʻāʻo, akā palekana . Inā ʻoe e ʻeha nui i kekahi ʻāpana o ka hoʻāʻo, e haʻi i kāu kauka .

He aha ka lāʻau lapaʻau no kēia?

E paipai paha kāu kauka i kahi hui pū ʻana o nā lāʻau lapaʻau e kāohi i kāu mau hōʻailona a pale i ka hōʻino hou ʻana i kou ʻūhā. ʻO nā lāʻau lapaʻau maʻamau:

• Nā NSAID (Nonsteroidal Anti-inflammatory Drugs):He mau lāʻau hōʻoluʻolu ʻeha kēia ma ke kūʻai ʻana ma luna o ke kauka a me nā lāʻau anti-inflammatory (e like me ka ibuprofen a me ka naproxen) hiki ke kūʻai ʻia ma ka hale kūʻai lāʻau. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu.
• Corticosteroids: He mau lāʻau anti-inflammatory kēia, akā pono e kuhikuhi ʻia e ke kauka. Hiki i kāu kauka ke hāʻawi iā ʻoe i kahi inikini cortisone pololei i loko o kou hui ʻūhā. Hiki i kēia ke hōʻemi koke i ka ʻeha a me ka mumū.
• Hoʻōla kino: E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo a puni kou ʻūhā. E hōʻemi kēia i ke kaomi ma ka hui ʻūhā a hoʻonui i kou hiki ke hoʻoneʻe i kou ʻūhā.
• Hoʻololi i ka hana: Pono paha ʻoe e hoʻololi i ke ʻano o kāu hoʻoikaika kino, a i ʻole pono paha ʻoe e hoʻōki i ka hana ʻana i kekahi mau neʻe ʻana a i ʻole nā ​​hana e hoʻonui ai i ka ʻeha o ka ʻūhā. Eia kekahi laʻana, e hoʻōki i ka noho ʻana ma kahi hohonu loa.
• ʻO ke ʻoki kino: Hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, inā e hoʻopilikia ana lākou i kou ʻano ola, a inā ʻaʻole i kōkua nā lāʻau ʻē aʻe. Inā he haehae labral hip kou, pono paha ʻoe i ke ʻoki kino. ʻO ke ʻoki kino maʻamau e hoʻoponopono ai i ka impingement hip ʻo ia ka hip arthroscopy . Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi a me ka hoʻohana ʻana i kahi kāmela a me nā mea hana liʻiliʻi. E haʻi hou aku kāu kauka ʻoki kino iā ʻoe e pili ana i kēia.

E ho'ōla loa anei ka Hip Impingement?

ʻAʻole e nalowale loa ka Hip Impingement Syndrome ke ʻole ʻoe e hana i ke ʻoki kino e hoʻoponopono i ke ʻano o kou ʻūhā. Eia nō naʻe, no nā poʻe he nui, hiki ke hoʻomalu maikaʻi ʻia nā hōʻailona me nā lāʻau lapaʻau ʻē aʻe ʻaʻole ʻoki kino.

Eia nō naʻe, i ka hala ʻana o ka manawa, e emi paha nā pono o nā lāʻau lapaʻau ʻoki ʻole. E kamaʻilio me kāu kauka a kauka ʻoki paha e pili ana i nā lāʻau lapaʻau kūpono loa iā ʻoe a me ka wā e pono ai ʻoe e noʻonoʻo i ke ʻoki ʻana.

He holomua loa ka hip arthroscopy e hoʻoponopono i ka femoroacetabular impingement, a ʻaʻole ʻike ka hapa nui o ka poʻe i nā hopena ʻaoʻao lōʻihi. Pono paha ʻoe e pale a hoʻololi paha i kekahi mau hoʻoikaika kino a i ʻole nā ​​​​neʻe ʻana, akā pono ʻoe e noho ikaika a pāʻani i nā haʻuki.

Hiki ke pale ʻia ka FAI?

ʻAʻole hiki ke pale ʻia ka pā ʻana o ka ʻūhā no ka mea ua hana ʻia e ke ʻano maoli a me ke kūlana o kou hui ʻūhā. Eia nō naʻe, ʻo ke ala maikaʻi loa e pale aku ai i nā pilikia e like me ka haehae ʻana o ka hip labral, ʻo ia ka hoʻomaka ʻana i ka lāʻau i ka wā hikiwawe loa .

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha o ka ʻūhā, ka ʻoʻoleʻa, a i ʻole ka paʻakikī i ka hoʻohana ʻana a i ʻole ka hoʻoneʻe ʻana i kou ʻūhā - ʻoiai inā mau kēia mau hōʻailona ma mua o kekahi mau pule - e ʻike pono i ke kauka.

Eia kekahi, inā ʻaʻole ʻoe e maikaʻi e like me ma mua me nā lāʻau lapaʻau e like me NSAID a i ʻole ka hoʻōla kino, e haʻi i ke kauka.Haʻi mai iʻau.

He aha kāu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kēia mau nīnau:

• He aha ke ʻano o ka `Hip Impingement` i loaʻa iaʻu? (`Cam`, `Pincer`, a i ʻole `Combined`?)
• Āhea wau e noʻonoʻo ai i ke ʻoki kino? A i ʻole pehea ka lōʻihi e hiki ai iaʻu ke kali me ka ʻole o ke ʻoki kino?
• He aha nā hana a me nā neʻe ʻana e pono iaʻu e pale aku ai e paʻakikī ana i koʻu mau pūhaka?
• Aia anei au i ka nui o ka pilikia no ka hōʻino ʻana o ke cartilage hip (hip labral tear)?

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

Ke ʻike ʻoe he 'Hip Impingement' kou, e hōʻoluʻolu paha ʻoe ma kekahi ʻaoʻao - ua ʻike ʻoe i ke kumu i ʻeha ai kou ʻūhā no ka manawa lōʻihi. Akā ma kekahi ʻaoʻao, e kaumaha paha ʻoe a mihi - no ka mea, ʻaʻole ia he mea hiki iā ʻoe ke hana e pale aku ai, akā, no ke ʻano o ka ulu maoli ʻana o kou mau iwi ʻūhā.

ʻOiai ke ʻano o kou manaʻo, pane maikaʻi kēia kūlana i kapa ʻia ʻo 'Hip Impingement (Femoroacetabular Impingement)' i ka lāʻau lapaʻau . Hiki ke lōʻihi ka manawa e ʻimi ai i kahi ala e kāohi ai i kāu mau hōʻailona, ​​​​akā e kōkua kāu kauka iā ʻoe e hana i nā hoʻoponopono a hiki i kou ʻoluʻolu. Inā pono ʻoe e hana i ke ʻoki ʻana, e hoʻomanaʻo he hana minimally invasive a holomua loa ka 'Hip arthroscopy'. No laila, ʻaʻohe mea e makaʻu ai. ʻO ka mea nui , ʻaʻole e ʻae i ka ʻeha a e ʻimi koke i ke aʻo lapaʻau.

ʻO ka hoʻopaʻi ʻana o ka ʻūhā, ka hoʻopaʻi ʻana o ka Femoroacetabular, FAI, ʻeha ʻūhā, ʻoʻoleʻa o ka ʻūhā, nā maʻi ʻūhā, ʻeha ʻūhā Sinhala