Olina okunyiga n’obulumi obw’ekika kino mu kiwato? Ka tuyige ku (Okukuba ekisambi / Okugwa mu kisambi)!

Oluusi owulira okunyiga oba obulumi obw’ekyewuunyo mu kiwato kyo? Kizibu okutambula, okufukamira ekisambi oba okusituka ng’otudde? Oyinza okulowooza nti kino kiwunya kyokka, oba ekintu ekibaawo ng’ogenda okaddiwa. Naye eno mbeera gye tugenda okwogerako leero, eyitibwa Hip Impingement . Katuyige ebisingawo ku nsonga eno, kubanga kino kizibu abantu bangi kye bayinza okufuna.

Hip Impingement kye ki?

Mu ngeri ennyangu, embeera eno ebaawo ng’amagumba agali mu kiyungo kyo eky’ekisambi tegakwatagana bulungi, nga gasikagana ne gasibira. Lowooza ku kino: ekinywa kyo eky’ekisambi kitundu kya ggumba lyo ery’ekisambi ekiringa omupiira (femur, eggumba eddene mu kigere kyo ekya waggulu) ekiyingira mu socket eringa ekikopo (acetabulum, the bony socket in your hip socket). Omupiira guno ne socket bwe bikwatagana obulungi, tusobola bulungi okufukamira, okugaziya n’okukyusakyusa ebisambi byaffe.

Kale, kino abasawo kye bayita `Femoroacetabular Impingement` oba `FAI` mu bufunze. `Femoroacetabular` kitegeeza ekitundu eggumba ly’ekisambi (`femur`) n’ekisenge ky’ekisambi (`acetabulum`) we bisisinkanira. `Impingement` kye kigambo ky'obusawo ekitegeeza ekintu okusibira, okusikagana, oba okusikagana munda mu kiwanga. Kale `FAI` oba `Hip Impingement Syndrome` kintu nga ekyo.

Kino kiyinza okuluma ennyo . Era kiyinza okukaluubiriza okutambula oba okutambuza ekisambi. Oyinza okuwulira ng’onyiga oba ng’obulumi buli kiseera ku ludda olumu. Kiwulira ng’ekintu ekisibye munda. Ekiseera bwe kigenda kiyitawo, okunywezebwa kuno kuyinza okwonoona eggumba erikuuma ekinywa kyo eky’ekisambi, ekitundu ekiringa omutto ekikuuma amagumba abiri obutasikagana.

Bw’oba ​​olina obulumi mu kiwato, okukaluba, oba obubonero obulala obutatereera oluvannyuma lwa wiiki emu oba bbiri, mazima ddala olabe omusawo . Gy’okoma okukitegeera amangu, gye kikoma okwanguyirwa okukijjanjaba.

Bubonero ki obulaga kino?

Obubonero obukulu obwa `Hip Impingement` bwe buno:

• Obulumi mu kiwato: Buno bwe bubonero obusinga okulabibwa.
• Okukaluba: Okuwulira ng’onyiga mu kitundu ky’ekisambi, ekizibu okufukamira oba okugolola.
• Okukaluubirirwa okutambula oba okukoonagana: Abantu abamu bayinza okukoonagana nga batambula kubanga ebisambi bibaluma.

Naye ekyewuunyisa, abantu abamu bayinza okuba nga balina FAI ne batalaga bubonero bwonna . Naye abantu bangi obubonero bweyongera mpolampola ng’obudde buyise naddala ng’amagumba agali mu kiwato kyonoonese.

Obulumi buno buwulira butya?

Obulumi bwa Hip Impingement butera okuwulirwa ng’obulumi obuzibu mu kitundu ky’ekisambi.Okwaagala. Oluusi obulumi buno busobola okusaasaana okwetooloola ekisambi, kwe kugamba, okutuuka mu kisambi, mu bisambi, n’okutuuka ku kisambi ekya waggulu. Abamu bagamba nti obulumi buno buwulira nga bufunye ebisago okuva munda era buli kiseera waliwo abusika.

Obulumi buno butera okweyongera ng’okola emirimu gy’omubiri naddala ng’okola dduyiro assa puleesa ennene ku kisambi (okugeza okufukamira, okukuba amawuggwe oba okubuuka). Era kiyinza okubeera ekibi ennyo ng’osula ku ludda olumu oba ng’otudde mu mbeera emu okumala ebbanga eddene. Mu biseera bino, obulumi buyinza okuba obw’amaanyi, okufumita oba okufumita .

Lwaki Hip Impingement ebaawo?

`Femoroacetabular Impingement` ebaawo ng’amagumba agali mu kiyungo ky’ekisambi gasikagana, okuzibikira, oba okussa puleesa ennyo ku bannaabwe. Ekisinga okuvaako kino kwe kutondebwawo kw’ekiwujjo ky’amagumba eky’enjawulo ku ggumba ly’ekisambi (`femur`) oba ekikuta ky’ekisambi (`acetabulum`) . Ebiseera ebisinga, abantu bazaalibwa n’ennyondo zino ezitali za bulijjo, oba ebinywa bino eby’amagumba bisobola okukula mu butonde oluvannyuma lw’ekiseera. Kino kitegeeza nti si kintu kye tukola mu bugenderevu.

Waliwo ebika bya Hip Impingement?

Yee, abasawo bagabanyaamu `Hip Impingement` eno mu bika bisatu ebikulu, okusinziira ku wa n'ensonga lwaki ebitundu by'ekiwanga ky'ekisambi tebikwatagana bulungi:

• Cam impingement: Kino kibaawo nga waliwo okukula kw’amagumba okw’enjawulo mu mutwe gw’eggumba ly’ekisambi (femur), ekitundu ekiringa omupiira. Olwo, nga socket y’ekisambi etambula, eggumba lino ery’enjawulo lisibira.
• Pincer impingement: Kino kibaawo nga okukula kw’amagumba okw’enjawulo kukula ku mabbali g’ekisenge ky’ekisambi (`acetabulum`). Olwo ensingo y’ekisambi n’ekuba eggumba lino ery’enjawulo.
• Combined impingement: Abantu abamu basobola okuba n'ebika byombi ebya `Cam` ne `Pincer` mu kiseera kye kimu.

Ani asinga okubeera mu bulabe bw’okufuna kino?

Omuntu yenna asobola okuzaalibwa ng’alina ekizibu ky’ekisambi, oba kiyinza okukula ng’ekiseera kigenda kiyitawo. Wabula okunoonyereza okumu kuzudde nti abasajja batera okuba ne cam impingement , ate abakazi batera okuba ne pincer oba combined impingement .

Abazannyi batera okufuna obubonero bwa `Hip Impingement`. Kino kituufu naddala eri abo abazannya emizannyo egiteeka puleesa ennene ku kisambi (nga omupiira, basketball, amazina, n’okudduka). Okunoonyereza okumu kulaga nti bannabyamizannyo abasukka mu kitundu bayinza okuba n'embeera eno eya `impingement`. Kino tekitegeeza nti bannabyamizannyo batera okubufuna. Kyokka olw’okuba bakozesa ebisambi byabwe emirundi mingi era nga bikaluba okusinga abalala, obubonero buyinza okulabika amangu era bayinza okubuwulira . Jjukira nti `FAI` eva ku nkula y'obutonde bw'ekisambi kyo, era tekikula olw'okuzannya emizannyo.

Bizibu ki ebiyinza okubaawo singa tebijjanjabwa?

Singa tojjanjabwa, FAI esobola okwonoona ekiwanga kyo eky’ekisambi okumala ekiseera. Ng’oggyeeko obubonero obweyongera n’okukaluubiriza okukozesa oba okutambuza ekisambi, okunyiga kuno era kuyinza okuvaako okukutuka mu labrum mu kiwato kyo. Labrum mpeta ya cartilage eyeetoolodde socket y’ekisambi. Kiyamba okukuuma ekiwanga nga kinywevu. Puleesa n’okusikagana okw’enjawulo ebiva ku femoroacetabular impingement bisobola okuvaako labrum eno okukutuka okumala ekiseera (a hip labral tear).

Ate era, abantu abalina `Hip Impingement` batera okulwala osteoarthritis mu hip eyo, kubanga eggumba lyambala olw'okugwa okumala ebbanga.

Omusawo kino akitegeera atya?

Omusawo ajja kuzuula obulwadde bwa Hip Impingement Syndrome ng'akola okukebera omubiri n'okukeberebwa ebifaananyi eby'enjawulo . Ojja kwetaaga okubuulira omusawo wo ebbanga ly’omaze ng’olina obubonero buno n’entambula ki, emirimu oba ennyimiririra ki eziziyongera obubi (oba obubi).

Omusawo ajja kukozesa ebikebera ebifaananyi okutunuulira ekisambi kyo n’ebitundu ebikyetoolodde. Ebigezo bino biyinza okuli:

• X-ray y’ekisambi
• Okukebera kwa MRI (MRI - Okukuba ebifaananyi mu ngeri ya magineeti) .
• CT scan (`CT scan - Okukebera Tomography mu kompyuta`)

Oluusi omusawo ayinza okukukuba empiso entono ey’eddagala eribudamya mu kitundu mu kiwato kyo. Singa kino kimalawo obulumi oba okukaluba okumala akaseera, kabonero kalungi nti olina FAI. Kino kiyamba ku kuzuula obulwadde bwokka, era obujjanjabi obulala bukozesebwa.

Waliwo okugezesebwa okw’enjawulo ku kino? (Okukebera okukuba kw’omugongo (femoroacetabular Impingement Test) .

Yee, waliwo okukebera omubiri okw’enjawulo omusawo wo kw’agenda okukola okukebera oba waliwo `impingement` mu kiwato kyo. Kino era kiyitibwa `Femoroacetabular Impingement test`. Mu kugezesebwa kuno, ojja kugalamira ku mugongo. Omusawo ajja kusitula okugulu kwo okutuuka mu kifuba. Olwo ng’okugulu kwo kufukamidde ku diguli 90 (nga kwesimbye ku kisambi kyo), okugulu kwo okwa waggulu kujja kuzimbulukuka okudda munda, ekitegeeza nti okwolekera wakati w’omubiri gwo.

Bw’ossa ennyiriri zino, omusawo asobola okunyigiriza mpola ku bitundu by’ekisambi kyo ebiyinza okukosebwa FAI. Bw’owulira obulumi ng’okola entambula zino, oyinza okuba ng’olina okuzimba ekisambi . Okukebera kuno kuyinza obutanyuma katono, naye tekulina bulabe . Bw’oba ​​owulira obulumi obw’amaanyi mu kitundu kyonna eky’okukeberebwa, tegeeza omusawo wo .

Bujjanjabi ki eri kino?

Omusawo ajja kukuwa amagezi okukozesa obujjanjabi obw’omugatte okusobola okufuga obubonero bwo n’okuziyiza okwongera okwonooneka kw’ekisambi. Enzijanjaba ezisinga okukozesebwa ze zino:

• NSAIDs (Eddagala eriziyiza okuzimba eritali lya steroid):Zino ddagala eriweweeza ku bulumi eritali lya ddagala n’ery’okuziyiza okuzimba (nga ibuprofen ne naproxen) eriyinza okugulibwa mu dduuka ly’eddagala. Bino bisobola okuyamba okukendeeza ku bulumi n’okuzimba.
• Eddagala lya Corticosteroids: Lino nalyo ddagala eriweweeza ku bulwadde bw’okuzimba, naye lirina okuwandiikibwa omusawo. Omusawo ayinza n’okukuwa empiso ya cortisone butereevu mu kiwanga kyo eky’ekisambi. Kino kiyinza okukendeeza amangu obulumi n’okuzimba.
• Obujjanjabi bw’omubiri: Omusawo ajja kukuyigiriza dduyiro okunyweza ebinywa ebyetoolodde ekisambi kyo. Kino kijja kukendeeza ku puleesa ku kiwanga ky’ekisambi n’okwongera ku busobozi bwo okutambuza ekisambi kyo.
• Okukyusa mu mirimu: Oyinza okwetaaga okukyusa engeri gy’okola dduyiro, oba okulekera awo okukola entambula oba emirimu egimu eyongera okulumwa ekisambi. Okugeza, lekera awo okufukamira ennyo.
• Okulongoosa: Omusawo ayinza okukuwa amagezi okulongoosebwa singa oba olina obubonero obw’amaanyi, bw’oba ​​bukosa omutindo gw’obulamu bwo, oba ng’obujjanjabi obulala tebukuyambye. Bw’oba ​​olina okukutuka kw’ekisambi, oyinza okwetaaga okulongoosebwa. Okulongoosa okusinga okutereeza okukuba kw'ekisambi kwe kukebera ebinywa by'ekisambi . Kino kizingiramu okusalako obutundutundu obutonotono n’okukozesa kkamera n’ebivuga ebitonotono. Omusawo akulongoosa ajja kukubuulira ebisingawo ku nsonga eno.

Hip Impingement enawona ddala?

Obulwadde bwa Hip Impingement Syndrome tebujja kuggwaawo ddala okuggyako ng’olongooseddwa okutereeza enkula y’ekisambi kyo. Kyokka, eri abantu bangi, obubonero busobola okufugibwa obulungi n’obujjanjabi obulala obutali bwa kulongoosa.

Kyokka, ekiseera bwe kigenda kiyitawo, emigaso gy’obujjanjabi obutali bwa kulongoosa giyinza okukendeera. Yogerako n’omusawo oba omusawo akulongoosa ku bujjanjabi ki obusinga okukuyamba ne ddi lw’osaanidde okulowooza ku ky’okulongoosebwa.

Hip arthroscopy okutereeza femoroacetabular impingement is very successful , era abantu abasinga tebafuna bizibu bya bbanga ddene. Oyinza okwetaaga okwewala oba okukyusakyusa mu dduyiro oba entambula ezimu, naye olina okusobola okusigala ng’okola nnyo n’okuzannya emizannyo.

FAI esobola okuziyizibwa?

Okugwa mu kisambi tekiyinza kuziyizibwa kubanga kiva ku nkula y’obutonde n’embeera y’ekiwanga kyo. Wabula engeri esinga obulungi ey’okuziyiza ebizibu ng’amaziga g’omu kisambi kwe kutandika obujjanjabi amangu ddala nga bwe kisoboka .

Ddi lwe nnina okulaba omusawo?

Bw’oba ​​olina obulumi mu kiwato, okukaluba, oba okukaluubirirwa okukozesa oba okutambuza ekisambi kyo – naddala ng’obubonero buno bumala wiiki ezisukka mu ntono – kakasa nti olaba omusawo.

Ekirala, bw’oba ​​towulira bulungi nga edda ng’okozesa eddagala nga NSAIDs oba physical therapy, tegeeza omusawo.Mbulira.

Kiki ky’osaanidde okubuuza omusawo?

Bw’ogenda okulaba omusawo, kiba kirungi n’obuuza ebibuuzo bino:

• Nnina kika ki ekya `Hip Impingement`? (`Cam`, `Pincer`, oba `Ekigattibwa`?)
• Ddi lwe nsaanidde okulowooza ku ky’okulongoosa? Oba nsobola kulinda bbanga ki nga silongooseddwa?
• Mirimu ki n’entambula ki ze nsaanidde okwewala ezikaluba ku bisambi byange?
• Ndi mu bulabe obw’okwongera okwonooneka kw’amagumba g’ekisambi (hip labral tear)?

N’ekisembayo, ebintu ebitonotono by’olina okujjukira

Bw’okizuula nti olina `Hip Impingement`, oyinza okuwulira ng’owummudde ku mukono gumu – kati omanyi lwaki ekisambi kyo kimaze ebbanga ddene nga kikuluma. Naye ate oyinza n’okuwulira ennaku n’okwejjusa – kubanga si kintu kye wandikoze okukiziyiza, kiva ku ngeri amagumba go ag’omu bisambi gye gaakulamu mu butonde.

Ne bw’oba ​​owulira otya, embeera eno eyitibwa `Hip Impingement (Femoroacetabular Impingement)` eddamu bulungi obujjanjabi . Kiyinza okukutwalira ekiseera okunoonya engeri gy’oyinza okufuga obubonero bwo, naye omusawo ajja kukuyamba okukola enkyukakyuka okutuusa lw’onoowulira obulungi. Bw’oba ​​okukkakkana ng’olina okulongoosebwa, jjukira nti `Hip arthroscopy` nkola etali ya kuyingirira nnyo era ekola bulungi nnyo . Kale tewali kintu kya kutya. Ekikulu kwe butagumiikiriza bulumi n’onoonya mangu abasawo amagezi.

` Hip impingement, Femoroacetabular impingement, FAI, obulumi mu kiwato, okukaluba kw’ekisambi, obuzibu mu kiwato, obulumi mu kiwato Sinhala