Ingaba unalo olu hlobo lokuqina kunye nentlungu esinqeni sakho? Masifunde malunga (nokuxinana kweSinqe / ukuxinana kweFemoroacetabular)!

Ngaba ngamanye amaxesha uziva uxinezelekile okanye intlungu engaqhelekanga esinqeni sakho? Ngaba kunzima ukuhamba, ukugoba isinqe sakho, okanye ukuvuka uhleli? Usenokucinga ukuba oku kukukruneka nje, okanye into eyenzekayo njengoko ukhula. Kodwa le yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yiHip Impingement . Masifunde ngakumbi ngale nto, kuba le yingxaki abantu abaninzi abanokuba nayo.

Yintoni iHip Impingement?

Ngamafutshane, le meko yenzeka xa amathambo akwilungu lakho lesinqe engahambelani kakuhle, ekhuhlana, aze abambeke. Cinga ngale ndlela: ilungu lakho lesinqe liyinxalenye efana nebhola yethambo lakho lesinqe (i-femur, ithambo elide elisemlenzeni wakho ongasentla) elingena kwi-socket efana nekomityi (i-acetabulum, i-socket enamathambo kwi-socket yakho yesinqe). Xa eli bhola kunye ne-socket zingena kunye kakuhle, sinokugoba, solule, kwaye sijikeleze izinqe zethu ngokulula.

Ngoko ke, le yindlela oogqirha abayibiza ngokuba yi-'Femoroacetabular Impingement' okanye 'FAI' ngamafutshane. I-'Femoroacetabular' ithetha indawo apho ithambo lethanga ('femur') kunye nesokhethi yesinqe ('acetabulum') zidibana khona. I-'Impingement' ligama lezonyango elithetha into ebambekayo, ekhuhlana, okanye ekhuhlana ngaphakathi kwelungu. Ngoko ke i-'FAI' okanye i-'Hip Impingement Syndrome' yinto efana naleyo.

Oku kunokuba buhlungu kakhulu . Kungenza kube nzima nokuhamba okanye ukuhambisa isinqe sakho. Usenokuziva uxinezelekile okanye intlungu kwicala elinye. Kuvakala ngathi kukho into ebambekileyo ngaphakathi. Ekuhambeni kwexesha, oku kuqina kunokonakalisa i-cartilage ekhusela ilungu lesinqe sakho, inxalenye efana nomqamelo egcina amathambo amabini ekukhuhlaneni.

Ukuba uneentlungu zesinqe, ukuqina kwamalungu, okanye ezinye iimpawu ezingaphucukiyo emva kweveki okanye ezimbini, qiniseka ukuba ubonana nogqirha . Okukhona uqaphela ngokukhawuleza, kokukhona kulula ukunyanga.

Zithini iimpawu zoku?

Iimpawu eziphambili ze-'Hip Impingement' zezi:

• Intlungu yesinqe: Olu lolona phawu lubonakala kakhulu.
• Ukuqina: Ukuziva uxinene kwindawo yesinqe, nto leyo eyenza kube nzima ukugoba okanye ukulula.
• Ubunzima bokuhamba okanye ukuqhwalela: Abanye abantu banokuqhwalela xa behamba kuba izinqe zabo zibuhlungu.

Kodwa into emangalisayo kukuba, abanye abantu banokuba ne-FAI kwaye bangabonakalisi zimpawu . Kodwa kubantu abaninzi, iimpawu ziyanda kancinci kancinci ngokuhamba kwexesha, ingakumbi xa i-cartilage esesinqeni yonakele.

Ivakala njani le ntlungu?

Intlungu yokuphazamiseka kwesinqe idla ngokuvakala njengentlungu ebuhlungu kwindawo yesinqe.Njengokuba. Ngamanye amaxesha le ntlungu ingasasazeka ijikeleze isinqe, oko kukuthi, iye emqolo, ezinqeni, kwanasethangeni eliphezulu. Abanye bathi le ntlungu ivakala ngathi yonakele ngaphakathi kwaye umntu uhlala eyicinezela.

Le ntlungu idla ngokuba mandundu xa usenza umthambo, ingakumbi umthambo obeka uxinzelelo olukhulu esinqeni (umzekelo, ukuquleka, ukuphaphazela, okanye ukutsiba). Inokuba mandundu xa ulele ngecala elinye okanye uhleli kwindawo enye ixesha elide. Ngala maxesha, intlungu inokuba bukhali, ihlatywe, okanye ihlatywe .

Kutheni kukho ukuxinana kweHip?

`Impingement ye-Femoroacetabular` yenzeka xa amathambo akwi-hip joint ekhuhlana, exinana, okanye ecinezelana kakhulu. Eyona nto ibangela oku kukwenziwa kwe-bone spur eyongezelelweyo kwithambo lethanga (`femur`) okanye kwi-hip socket (`acetabulum`) . Rhoqo, abantu bazalwa benala malungu angaqhelekanga, okanye la mathambo spur anokukhula ngokwendalo ngokuhamba kwexesha. Oku kuthetha ukuba asiyonto siyenzayo ngabom.

Ngaba kukho iintlobo zeHip Impingement?

Ewe, oogqirha bahlula le 'Hip Impingement' ibe ziintlobo ezintathu eziphambili, kuxhomekeke ekubeni iindawo ze-hip joint azihambelani kakuhle kwaye kutheni:

• Ukuxinana kweCam: Oku kwenzeka xa kukho ukukhula kwethambo entloko yethambo lethanga (i-femur), inxalenye efana nebhola. Emva koko, njengoko isokhethi yesinqe ishukuma, eli thambo lingaphezulu liyanamathela.
• Ukuxinana kwethambo: Oku kwenzeka xa kukhula ithambo elongezelelweyo kumphetho we-hip socket (`acetabulum`). Intamo ye-femur emva koko ithintela eli thambo longezelelweyo.
• Ukuxinana okudibeneyo: Abanye abantu banokuba neentlobo ze-`Cam` kunye ne-`Pincer` ngaxeshanye.

Ngubani osengozini enkulu yokuphuhlisa oku?

Nabani na unokuzalwa ene-hip impampingement, okanye inokukhula ngokuhamba kwexesha. Nangona kunjalo, ezinye izifundo zifumanise ukuba amadoda anamathuba amaninzi okuba ne-cam impampingement , ngelixa abafazi benamathuba amaninzi okuba ne-pincer okanye i-combined impampingement .

Abadlali banamathuba amaninzi okuba neempawu 'zokuxinwa yiSinqe'. Oku kuyinyani ngakumbi kwabo badlala imidlalo ebeka uxinzelelo olukhulu kwisinqe (njengebhola ekhatywayo, ibhola yomnyazi, ukudanisa, kunye nokubaleka). Ezinye izifundo zibonisa ukuba ngaphezulu kwesiqingatha sabadlali banokuba nale meko 'yokuxinwa'. Oku akuthethi ukuba abadlali banamathuba amaninzi okuxinwa yiyo. Nangona kunjalo, ngenxa yokuba basebenzisa izinqe zabo rhoqo kwaye benzima kunabanye, iimpawu zinokuvela ngokukhawuleza kwaye banokuziva ngakumbi . Khumbula, 'i-FAI' ibangelwa yimo yendalo yesinqe sakho, kwaye ayiphuhli ngenxa yokudlala imidlalo.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba ayinyangwa, i-FAI inokonakalisa ilungu lakho lesinqe ngokuhamba kwexesha. Ukongeza kwiimpawu ezibi kakhulu nokwenza kube nzima ukuyisebenzisa okanye ukuyishukumisa inqe lakho, oku kuqina kunokubangela ukukrazuka kwe-labrum enqeni yakho. I-labrum yindandatho ye-cartilage ejikeleze i-socket yesinqe. Inceda ukugcina ilungu lizinzile. Uxinzelelo olongezelelweyo kunye nokuxinana okubangelwa kukufakwa kwe-femoroacetabular kunokubangela ukuba eli lungu likrazuke ngokuhamba kwexesha (ukukrazuka kwe-labral yesinqe).

Kwakhona, abantu abane-'Hip Impingement' banamathuba amaninzi okufumana i-osteoarthritis kuloo ntlango, kuba i-cartilage iyawohloka ngenxa yokuxinana ixesha elide.

Ugqirha uyibona njani le nto?

Ugqirha uza kufumanisa isifo seHip Impingement Syndrome ngokwenza uvavanyo lomzimba kunye novavanyo olukhethekileyo lwemifanekiso . Kuya kufuneka uxelele ugqirha wakho ukuba unexesha elingakanani na ezi mpawu kunye nokuba zeziphi iintshukumo, imisebenzi, okanye iindlela zokuma ezenza zibe mandundu (okanye zibe mandundu).

Ugqirha wakho uza kusebenzisa iimvavanyo zokujonga ithanga lakho kunye nezicubu ezijikeleze lona. Ezi vavanyo zingabandakanya:

• I-X-reyi yesinqe
• Uvavanyo lwe-MRI (i-MRI - iMagnetic Resonance Imaging)
• Iskeni ye-CT (`Iskeni ye-CT - Iskeni ye-Computed Tomography`)

Ngamanye amaxesha ugqirha wakho unokukufaka isixa esincinci se-anesthetic yasekuhlaleni emathangeni akho. Ukuba oku kuyayinciphisa okwethutyana intlungu okanye ukuqina, luphawu oluhle lokuba une-FAI. Olu luncedo lokuxilonga kuphela, kwaye kusetyenziswa ezinye iindlela zonyango.

Ngaba kukho uvavanyo olukhethekileyo loku? (Uvavanyo lwe-Femoroacetabular Impingement)

Ewe, kukho uvavanyo olukhethekileyo lomzimba oluza kwenziwa ngugqirha wakho ukujonga ukuba akukho `impingement' esinqeni sakho. Oku kukwabizwa ngokuba yi-`Femoroacetabular Impingement test`. Kolu vavanyo, uza kulala ngomqolo. Ugqirha uza kuphakamisa umlenze wakho uye esifubeni sakho. Emva koko, idolo lakho ligobile kwiidigri ezingama-90 (ngokuthe nkqo ethangeni lakho), umlenze wakho ophezulu uza kujikeleziswa ngaphakathi, oko kuthetha ukuba ujonge embindini womzimba wakho.

Ngale ndlela yokuma, ugqirha wakho unokufaka uxinzelelo kancinci kwiindawo zesinqe sakho ezinokuchaphazeleka yi-FAI. Ukuba uziva iintlungu ngelixa usenza ezi ntshukumo, usenokuba nokuxinana kwesinqe . Olu vavanyo lunokuba lungathandeki kancinci, kodwa lukhuselekile . Ukuba uziva iintlungu eziqatha ngexesha lovavanyo, xelela ugqirha wakho .

Luluphi unyango lwale nto?

Ugqirha wakho usenokucebisa indibaniselwano yonyango ukulawula iimpawu zakho nokuthintela ukonakala okungakumbi kwinyonga yakho. Olona nyango luqhelekileyo zezi:

• Ii-NSAID (Amayeza Angalwi Nee-steroidal Alwa Nokuvuvukala):Ezi zizinto zokunciphisa iintlungu ezithengiswa ngaphandle kwemvume kagqirha kunye namayeza okulwa nokuvuvukala (afana ne-ibuprofen kunye ne-naproxen) anokuthengwa kwikhemesti. Ezi zinokunceda ekunciphiseni iintlungu kunye nokudumba.
• IiCorticosteroids: Ezi zikwangamayeza okulwa nokuvuvukala, kodwa kufuneka zimiselwe ngugqirha. Ugqirha wakho angakunika inaliti ye-cortisone ngqo kwilungu lakho lesinqe. Oku kunokunciphisa iintlungu kunye nokuvuvukala ngokukhawuleza.
• Unyango lomzimba: Ingcali yonyango lomzimba iya kukufundisa imithambo yokuqinisa izihlunu ezijikeleze isinqe sakho. Oku kuya kunciphisa uxinzelelo kwilungu lesinqe kwaye kwandise amandla akho okushukumisa isinqe sakho.
• Utshintsho kwimisebenzi: Kusenokufuneka utshintshe indlela ozilolonga ngayo, okanye kunokufuneka uyeke ukwenza iintshukumo ezithile okanye imisebenzi eyonyusa iintlungu zesinqe. Umzekelo, yeka ukuquleka nzulu kakhulu.
• Utyando: Ugqirha wakho unokucebisa utyando ukuba uneempawu eziqatha, ukuba zichaphazela umgangatho wobomi bakho, okanye ukuba ezinye iindlela zonyango azikuncedanga. Ukuba une-hip labral crack, unokufuna utyando. Olona tyando luqhelekileyo lokulungisa ukuvaleka kwe-hip yi -hip arthroscopy . Oku kubandakanya ukwenza imingxunya embalwa emincinci kunye nokusebenzisa ikhamera kunye nezixhobo ezincinci. Ugqirha wakho uza kukuxelela okungakumbi ngale nto.

Ngaba ukuxhuzula kwesinqe kuya kuphola ngokupheleleyo?

I-Hip Impingement Syndrome ayizukuphela ngokupheleleyo ngaphandle kokuba wenze utyando lokulungisa ukuma kwe-hip yakho. Nangona kunjalo, kubantu abaninzi, iimpawu zinokulawulwa kakuhle ngezinye iindlela zonyango ezingezizo ezotyando.

Nangona kunjalo, ngokuhamba kwexesha, iingenelo zonyango olungelulo utyando zinokuncipha. Thetha nogqirha wakho okanye ugqirha malunga nokuba loluphi unyango olulungele wena kunye nexesha ofanele ucinge ngalo ngotyando.

Uvavanyo lwe-hip arthroscopy ukulungisa ukuvaleka kwe-femoroacetabular luphumelele kakhulu , kwaye uninzi lwabantu alufumani miphumo emibi yexesha elide. Kusenokufuneka ukuba uphephe okanye utshintshe eminye imithambo okanye iintshukumo, kodwa kufuneka ukwazi ukuhlala usebenza kwaye udlale imidlalo.

Ngaba i-FAI ingathintelwa?

Ukuxinana kwesinqe akunakuthintelwa kuba kubangelwa yindlela esime ngayo isinqe sakho. Nangona kunjalo, eyona ndlela ilungileyo yokuthintela iingxaki ezifana nokukrazula kwesinqe kukuqala unyango ngokukhawuleza .

Ndifanele ndimbone nini ugqirha?

Ukuba uneentlungu zesinqe, ukuqina, okanye ubunzima bokusebenzisa okanye ukuhambisa isinqe sakho – ingakumbi ukuba ezi mpawu zihlala ixesha elingaphezulu kweeveki ezimbalwa – qiniseka ukuba ubona ugqirha.

Kwakhona, ukuba awuziva kakuhle njengangaphambili xa usebenzisa amayeza anjenge-NSAIDs okanye unyango lomzimba, xelela ugqirha.Ndixelele.

Ufanele ubuze ntoni kugqirha?

Xa usiya kugqirha, kungcono ukubuza le mibuzo:

• Luhlobo luni lwe-'Hip Impingement' endinayo? (`Cam`, `Pincer`, okanye `Combined`?)
• Ndifanele ndicinge nini ngotyando? Okanye ndingalinda ixesha elingakanani ngaphandle kotyando?
• Zeziphi izinto ekufuneka ndiziphephe kunye neentshukumo eziqinileyo emanqeni am?
• Ngaba ndisengozini enkulu yokulimala kwe-hip cartilage (i-hip labral tear)?

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Xa ufumanisa ukuba 'unesifo sokuxhuzula esinqeni', ungaziva ukhululekile kwelinye icala - ngoku uyazi ukuba kutheni isinqe sakho besibuhlungu ixesha elide kangaka. Kodwa kwelinye icala, ungaziva ulusizi kwaye uzisola - kuba asinto ubunokuyenza ukuyithintela, kungenxa yendlela amathambo akho esinqe akhula ngayo ngokwendalo.

Nokuba uziva njani na, le meko ibizwa ngokuba yi-`Hip Impingement (Femoroacetabular Impingement)` iyasabela kakuhle kunyango . Kungathatha ixesha ukufumana indlela yokulawula iimpawu zakho, kodwa ugqirha wakho uya kukunceda wenze utshintsho ude uzive ungcono. Ukuba ekugqibeleni kufuneka wenze utyando, khumbula ukuba i-`Hip arthroscopy` yinkqubo engenamsebenzi kangako kwaye iphumelela kakhulu . Ngoko ke akukho nto umele uyoyike. Eyona nto iphambili kukunganyamezelani nentlungu kwaye ufune ingcebiso kagqirha ngoko nangoko.

Ukuxinana kweSinqe , Ukuxinana kweFemoroacetabular, i-FAI, iintlungu zeSinqe, ukuqina kweSinqe, iingxaki zeSinqe, iintlungu zeSinqe