Ngamanye amaxesha ungaziva nentlungu encinci ephuma kwindawo yakho yesinqe okanye emqolo. Mhlawumbi uva isandi sokukrwitsha xa uhamba okanye ugoba umlenze wakho, okanye uziva ngathi ubambekile? Abantu abaninzi bacinga ukuba oku kuqhelekile, yindawo nje ebuhlungu emzimbeni, kodwa kusenokuba kukukrazuka kwe-cartilage kwi-hip joint. Namhlanje sithetha ngemeko ebizwa ngokuba yi-Acetabular Labral Tear, abantu abaninzi abangayaziyo, kodwa ixhaphakile.
Yintoni iinyembezi zesinqe?
Ngamafutshane, oku kukonakala kwe-cartilage kwi-hip joint. Cinga nge-hip joint yethu njengebhola kunye ne-socket joint. Ibhola yinxalenye ephezulu yethambo lakho lethanga. Ingena kwindawo efana ne-socket yethambo le-hip. Ngokwezonyango, oku sikubiza ngokuba yi-acetabulum.
Ngoku, ejikeleze le ndebe (oko kukuthi, isokhethi yesinqe) kukho indandatho eqinileyo neguquguqukayo ye-cartilage. Ifana nebhendi yerabha. Le yinto esiyibiza ngokuba yi-labrum. Inemisebenzi emibini ephambili:
1. Ukuba ngumqamelo: Oku kusebenza njengomqamelo welungu, kuthintela amathambo amabini (ithambo lethanga kunye nethambo lesinqe) ekukhuhleni kunye.
2. Ukubonelela ngozinzo: Le labrum ikwanceda ukugcina ithambo lomlenze ongasentla (i-femur) lizinzile kwaye livalelwe ngokukhuselekileyo ngaphakathi kwe-socket yesinqe.
Ngoko ke, ukuba kukho umonakalo kule labrum, oko kukuthi, ukuba iyakrazuka, siyibiza ngokuba yi-hip labral tear.
Zithini izizathu zale meko?
Kunokubakho izizathu ezahlukeneyo zokuba le labrum ikrazuke. Ngamanye amaxesha ingenzeka ngequbuliso ngenxa yengozi, okanye inokuba ngenxa yomonakalo owenzeka kancinci kancinci ngokuhamba kwexesha.
| Isizathu | Inkcazo |
|---|---|
| Iingozi | Oku kungenzeka ngenxa yomonakalo omkhulu kwilungu lesinqe, njengokuwa okanye iingozi zemoto. |
| Ukudlala imidlalo | Abantu abadlala imidlalo efuna ukujikeleziswa rhoqo kwesinqe (umz., ibhola ekhatywayo, igalufa, i-fast bowling kwi-cricket, umdaniso we-ballet) basengozini enkulu. Ukubaleka ngokukhawuleza nako kunokubangela oku. |
| Umonakalo ngokuhamba kwexesha | Okumangalisayo kukuba, ama-75% abantu abanale meko abanaso isizathu esithile . Oku kuthetha ukuba ngokuhamba kwexesha, i-cartilage ekwi-hip joint inokonakala kancinci kancinci. |
| Ezinye iimeko zempilo | Abantu abaneengxaki ezithile zamathambo esinqeni (umz., i-hip dysplasia) basengozini enkulu. Le meko ikwanxulunyaniswa ne-osteoarthritis. |
Uphando lubonise ukuba malunga ne-22% yabadlali abakhalaza ngeentlungu zemiqolo bakrazukile kweli lungu lesinqe. Kwakhona, le meko ixhaphakile phakathi kwabasetyhini.
Zithini iimpawu zoku?
Iimpawu zoku zinokwahluka ukusuka kumntu ukuya komnye.
Abanye abantu banokuba nale meko ngaphandle kokungakhululeki, kodwa abanye banokuba neentlungu ezenza kube nzima ukwenza imisebenzi yemihla ngemihla.
Iimpawu eziphambili ezinokubonwa zezi:
- Intlungu: Intlungu ebukhali kwindawo yesinqe okanye ejikeleze isinqe. Le ntlungu inokuphumela ethangeni elingaphezulu okanye ezimpundu.
- 'Ukunqakraza' okanye 'ukunamathela': Isandi 'sokunqakraza' okanye 'sokutsiba' esivela kwilungu lesinqe xa ushukumisa umlenze, ingakumbi xa uwugoba okanye uwujikelezisa. Ngamanye amaxesha umlenze unokuvakala ngathi unamathele.
- Umgama olinganiselweyo wokuhamba: Umgama olinganiselweyo wokuhamba ngenxa yentlungu kunye nokungakwazi ukuhambisa isinqe kakuhle.
Ukuba le meko ayinyangwa, uxinzelelo olongezelelweyo kwilungu lunokubangela ukuguguleka okungakumbi ngokuhamba kwexesha, nto leyo ekhokelela kumonakalo ongunaphakade.
Uyifumana njani le nto kanye kanye?
Inyaniso kukuba, le meko inzima ukuyifumanisa. Ezinye izifundo zibonise ukuba abantu abanale meko babandezeleka iminyaka engaphezu kwemi-2 ngaphambi kokuba bafumane ukuxilongwa ngokufanelekileyo.
Xa usiya kugqirha, into yokuqala ayenzayo kukuxilonga kakuhle. Uxilonga isinqe sakho aze akucele ukuba ugobe kwaye ujikelezise umlenze wakho kumacala ahlukeneyo ukuze abone ukuba kukho na intlungu.
Emva koko, khangela ukuba le krazulo ikhona na.Usenokucelwa ukuba wenze into efana ne-MRI scan, kodwa ngamanye amaxesha nezi mvavanyo zinokuba nzima ukuzibona ngokucacileyo.
Enye indlela ecacileyo yokuxilonga oku kukusebenzisa i-arthroscopy . Oku kuquka ukwenza imingxunya embalwa emincinci kakhulu nokufaka isixhobo esincinci esinekhamera kwilungu lesinqe ukuze kubonwe ngqo ukuba kukho ukukrazuka kwi-labrum. Oku kudla ngokwenziwa njengenxalenye yenkqubo yotyando.
Iphathwa njani?
Ukuba ufunyaniswe ukuba une-hip labral tear, ugqirha wakho uza kuqala azame ukuyinyanga ngaphandle kotyando.
Unyango olungelulo utyando (Unyango olugcina izinto zicocekile)
- Ukuphumla kunye namayeza: Okokuqala, phumza isinqe kunye neentlungu zinganikwa.
- Unyango Lomzimba: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa indlela yokusebenza ukunciphisa uxinzelelo kwilungu kunye nokuzilolonga ukuqinisa izihlunu ezijikeleze isinqe. Xa ezi zihlunu ziqinile, inkxaso enikwa ilungu iya kwanda.
Kodwa ingxaki apha kukuba uninzi lwe-labrum yethu alufumani gazi lingako, ngoko ke amathuba okuphiliswa kwezi nyembezi ngokwendalo aphantsi kakhulu.
Utyando
Ukuba unyango olungentla aluniki ncedo, ugqirha wakho unokukuthumela kutyando lwe-arthroscopic .
Oku kuquka ukufaka ikhamera kunye nezixhobo ezibuthathaka ngokusebenzisa imingxunya emibini okanye emithathu emincinci ukuze kususwe i-cartilage ekrazukileyo (ukususwa kwesikhumba) okanye, kwezinye iimeko, kulungiswe indawo ekrazukileyo ngokuyithunga kwakhona.
Kodwa kukho izinto ezimbalwa ekufuneka uzazi ngaphambi kokuba uthathe isigqibo ngolu tyando:
- Akukabikho bungqina bucacileyo bokuba olu tyando lunokuthintela isifo samathambo kwixesha elizayo.
- Kukwakho nobungqina bokuba impumelelo yolu tyando iphantsi kancinci kwizigulane ezingaphezulu kweminyaka engama-45 ubudala.
- Njengakwezinye iintlobo zotyando, kukho iingozi, ezinje ngomonakalo wexeshana kwimithambo-luvo.
- Nangona kukho ukuphucuka okwethutyana emva kotyando, kunzima ukutsho ukuba kuza kuhlala ixesha elingakanani. Abantu abasele benezinye iingxaki zesinqe (ezifana ne-arthritis) banokuba nezinga eliphantsi lempumelelo emva kotyando.
Emva kotyando, unyango lomzimba ngokuqinisekileyo luyimfuneko ukuze kubuyiselwe amandla kunye nokuguquguquka kwilungu.
Ngoko ke, ngaphambi kokuba wenze utyando, xoxa ngoogqirha bakho ngezinto ezilungileyo nezingalunganga. Ukuba kunokwenzeka, kuyafaneleka ukufumana uluvo lwesibini komnye uchwepheshe.
Umyalezo Wokuya Ekhaya
- Ukuba unentlungu evela esinqeni okanye emqolo, kunye nesandi 'sokunqakraza' okanye ukuxinana, isenokuba yiHip Labral Tear.
- Le meko inokubangelwa yingozi, ukudlala imidlalo, okanye ukusetyenziswa kakhulu kwelungu ngokuhamba kwexesha.
- Ukuxilongwa kuyinkimbinkimbi kancinci kwaye kunokufuna i-MRI scan.
- Ukuphumla, iintlungu zokuphelisa iintlungu, kunye nonyango lomzimba zibaluleke kakhulu njengonyango lokuqala.
- Utyando lolona khetho lunye kuphela. Izinga lempumelelo yalo alifani kuwo wonke umntu. Ngoko ke thetha nogqirha wakho ngononophelo ngaphambi kokuba wenze isigqibo.
- Eyona nto ibalulekileyo kukuba, musa ukuyityeshela intlungu yesinqe. Ngokuqinisekileyo bonana nogqirha ukuze akunike ingcebiso.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho