Kei te mamae tonu tō hope? Tērā pea he pakaru o te hope! (Hapa Labral Tear)

Ka pāngia koe e te mamae koi, te kikī rānei o tō hope i ētahi wā? Kei te ahua piki haere tēnei mamae, ina koa ka piko koe, ka whakakorikori tinana, ka moe rānei i te taha kotahi? Ki te kore tēnei mamae e memeha i muri i ētahi wiki, me whakaaro koe ki tēnei āhuatanga e kiia nei ko te 'Hip Labral Tear' e kōrerohia nei e tātou i tēnei rā. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i te huarahi māmā.

He aha rawa te haehae o te hope?

He kupu ngāwari tēnei, he whara tēnei e pā ana ki te hononga hope. Hei mārama ake ki tēnei, me titiro tuatahi tātou ki te hanganga o te hononga hope.

Whakaarohia pēnei: ​​he rite te tihi o te wheua huha (femur) ki te pōro. Ka uru tēnei pōro ki roto i te wāhanga kapu o te hope hei hanga i te hononga hope. Ka kiia tēnei he hononga pōro-me-te-kōpuku.

Nā, huri noa i te pū o taua kapu (acetabulum), he mowhiti kiriuhi kaha, ngāwari, he rite ki te rapa horoi. Koinei te mea e kiia nei e mātou ko te labrum . He maha ngā mahi matua a tēnei labrum:

• Mā te wāhanga rite ki te pōro e noho pumau ai i roto i te kapu.
• Ka ārai te hononga i te mirimiri o ngā wheua e rua ina nekehia.
• Kua hiritia te wai synovial i roto i te hononga, kia kore ai e turuturu ki waho. Mā tēnei ka taea e te hononga te neke maeneene, me te kore mamae.

Ko te haehae o te hope labral ko te wā e pakaru ai, e pakaru rānei te mowhiti kiriuhi nui, te labrum, mō tētahi take.

He aha ngā tohu o tēnei mate?

He maha ngā tohu e kitea pinepine ana i te hunga whai mate pēnei. Heoi, i ētahi wā, ki te iti rawa te haehae, kāore pea he tohu e kitea.

Me i taea e koe te whakaahua ake i te āhua o te mamae...

Kāore e rite te mamae o te katoa. Ka rerekē pea i runga i te rahi o te haehae, tōna wāhi, me te āhua o tō tinana.

• Te mamae hope tonu: Ka pāngia pea ētahi tāngata e te mamae hope puta noa i te rā.
• Mamae koi ohorere: I ētahi tūranga, hei tauira, ina moe ana ki te taha e mamae ana, ka puta ohorere mai he mamae koi pērā i te maripi.
• Mamae o roto: Ehara tēnei i te mamae o waho noa iho, pērā i te poko kikokiko. Ka hohonu ake te mamae, pērā i te mamae wheua.
• Te mamae e horapa ana ki ētahi atu wāhi: I ētahi wā, ahakoa he raruraru kei te hope, ka taea e te mamae te haere ki te hope, ki te tuara o raro, ki raro rānei i te waewae.

He aha tēnei e tupu nei? He aha ngā take?

Ka taea e te pēhanga nui rawa, te pānga ohorere rānei ki te hononga hope te kino ki tēnei hononga hope. Anei ētahi o ngā take matua.

1. Ngā raruraru hanganga: Ka whānau mai ētahi tāngata me ngā wheua rerekē i roto i ō rātou hononga hope. Ko te mate tino noa ko te Femoroacetabular Impingement (FAI) . He māmā noa iho, koinei te wā kāore te pōro o te wheua huha me te hononga o te wheua hope e taurite pai. Ka mirimiri ngā wheua ki te labrum i ia nekehanga o te hononga. I roto i te wā, ka pakaru pea te labrum i tēnei waku tonu.

2. Ngā Aituā me ngā Whara: Ko ngā aituā e pā ana i te wā hākinakina (hei tauira, te ruku a te kaitākaro kirikiti, te huri ohorere o te huarahi o te kaitākaro whutupaoro), he aituā motuka, he hinganga kaha rānei, ka pā he kino ohorere ki te labrum.

3. Te Mate Pūkahukahu: Ko te mate pūkahukahu te pakaru o te kiriuhi i roto i ngā hononga nā te koroheketanga, nā te nui rawa rānei o te whakamahinga. I te memeha haere o te kiriuhi, ka nui ake te tūponotanga ka pakaru, ka haehae te labrum.

4.Ngā nekehanga auau: Ko ngā mahi pēnei i te oma tawhiti, ngā nekehanga takahuri pēnei i te korowha, me te kanikani ballet ka pēhi tonu i te hononga hope. Ka taea e tēnei pēhitanga auau te ngoikore o te labrum i roto i te wā, ā, ka pakaru.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te tākuta mō te mamae o te hope, ka pātai tuatahi ia ki a koe mō ō tohu. Kōrerotia atu te wā i tīmata ai te mamae, te wā ka kino haere, me te aha tāu e mahi ai hei whakakore i te mamae.

Kātahi ka whakahaerehia he whakamātautau tinana. Ka tonoa koe kia hikoi, kia piko, kia neke hoki i tō waewae ki ngā huarahi rerekē. Kōrerotia ki te tākuta ngā wāhi mamae, ngā uauatanga rānei ki te neke i tēnei wā.

Muri iho, ka tūtohu pea rātou kia mahia ētahi whakamātautau whakaahua hei tirotiro i te āhua o roto o te hononga.

• X-ray: Ahakoa kāore e taea te kite i te labrum, ka taea e ia te tirotiro mō ngā huringa wheua, te FAI, te rumatiki rānei.
• He matawai MRI (Magnetic Resonance Imaging): Koinei te huarahi pai ki te kite i ngā pakaru o ngā kiko ngohengohe pēnei i te labrum. I ētahi wā, ka werohia he tae motuhake (tae rerekē) ki roto i te hononga i mua i te matawai kia mārama ake ai te pikitia.
• He matawai CT (Tomography Rorohiko): Ka taea hoki e tēnei te tango pikitia taipitopito o ngā wheua.

Me pēhea te rongoā?

He maha ngā āhuatanga e whakawhirinaki ana ki ngā kōwhiringa maimoatanga, tae atu ki te kaha o ō tohu, te rahi o te haehae, tō tau, me te taumata o tō mahi. Ehara i te mea me pokanga te katoa.

Ngā Maimoatanga Kore-Pokanga

I te nuinga o te wā, ka whakamātau tuatahi ngā tākuta i ngā maimoatanga kore-pokanga.

• Te okiokinga me te whakarerekētanga o ngā mahi: He mea nui kia matara atu i ngā mahi e whakanui ana i te mamae mō tētahi wā.
• Ngā rongoā mamae: Ka taea e ngā NSAID, pērā i te ibuprofen me te naproxen, te āwhina ki te whakaiti i te mamae me te pupuhi. Heoi , kaua rawa e tango i ēnei rongoā mō ngā rā neke atu i te 10 me te kore e kōrero ki te tākuta.
• Werohanga corticosteroid: Mena he tino kino te mamae me te pupuhi, ka whakatau pea tō tākuta ki te werohanga steroid tika ki roto i te hononga hope. Ka taea e tēnei te whakaora i te manawa poto.
• Te Whakaora Tinana:He maimoatanga tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā totoro tinana hei whakapakari i ngā uaua huri noa i tō hope, hei whakanui ake hoki i te ngāwari o te hononga. Mā tēnei ka nui ake te tautoko e whiwhihia ana e tō hononga, ā, ka tino whakaiti i te mamae.

Pokanga

Ki te kore te mamae e memeha i muri i ētahi marama o te maimoatanga kore-pokanga, ki te nui rawa rānei te haehae, ka tūtohu pea tō tākuta kia pokanga.

He tikanga e kiia nei ko te hip arthroscopy ka mahia i te nuinga o te wā. Ko te tikanga o tēnei ko te hanga i ētahi tapahi iti rawa ki te kiri, me te whakauru i tētahi kāmera me ngā taputapu motuhake ki roto i te hononga hei whakatika i te labrum pakaru, hei tango rānei i te wāhanga kua pakaru. Mena he raruraru hanganga, pērā i te FAI, ka taea te hanga anō i ngā wheua kia pai ai te uru o te hononga.

Āhea koe me toro atu ki te tākuta?

He tino noa te mamae o te hope. I te nuinga o te wā, ka pai ake mā te okioki me te whakamahi i te hukapapa. Engari i roto i ēnei āhuatanga, me toro atu koe ki te tākuta.

Kāore koe e hiahia ki te noho me te mamae. Whakarongo ki ngā tohu e tukuna ana e tō tinana ki a koe. Mā te maimoatanga tika, ka taea e koe te ora me te kaha anō.