Ingaba unale ntlungu ethangeni lakho? Masithethe ngokukrazuka kwesinqe!

Ngaba wakha waziva iintlungu ezibukhali, ukuxinana, okanye ukuxinana esinqeni sakho? Mhlawumbi ezi ntlungu ziba zimbi ngakumbi xa uhamba, ugoba, okanye uzilolonga. Ukuba unale mpawu, isenokuba ngenxa yomonakalo kwi-labrum esinqeni sakho. Makhe sithethe ngale nto ngokweenkcukacha namhlanje.

Yintoni iinyembezi zesinqe?

Ngamafutshane, ukukrazuka kwe-hip labral kukwenzakala kwe -labrum, indandatho ye-cartilage ngaphakathi kwe-hip joint yakho. Kulungile, ngoku makhe sijonge ukuba yintoni le hip joint kunye nento eyenziwa yi-labrum.

Amalungu emizimbeni yethu kulapho amathambo amabini adibana khona. Ilungu lakho lesinqe kulapho ithambo lakho lesinqe (i-femur) kunye ne-pelvis yakho (i-pelvis) zidityaniswe khona. Ngokuchanekileyo, umphezulu wethambo lesinqe (intloko yesinqe) ufana nebhola. Le bhola inamathele kwisakhiwo esifana nekomityi (i-acetabulum) kwithambo lesinqe.

Ejikeleze le socket efana nekomityi, i-acetabulum, kukho i-cartilage ethambileyo nekhuselayo ebizwa ngokuba yi-labrum . Ifana nomatshini wokuhlamba. Ikhusela ikomityi kwaye ithintela amathambo amabini ukuba angakhuhlani. I-labrum ikwanceda amathambo akwilungu lesinqe ukuba ahambe kakuhle kwaye avale umsantsa phakathi kwamathambo. Oko kukuthi, inceda ukugcina amathambo ehlangene, kodwa ingachukumisi ngqo.

Ngoko ke, ukuba le labrum yonakele ngesizathu esithile, yiloo nto siyibiza ngokuba yi-labrum tear. Ukuba uneentlungu zesinqe okanye ukuqina kwethanga okuhlala iiveki ezimbalwa, eyona nto ingcono onokuyenza kukubona ugqirha.

Zithini iimpawu ze-labrum ekrazukileyo kwi-hip joint?

Kulungile, ngoku makhe sijonge ukuba zeziphi iimpawu umntu one-labral tear anokuziva. Ayingabo bonke abantu abaya kuba neempawu ezifanayo. Nangona kunjalo, ezona mpawu zixhaphakileyo zezi:

• Intlungu yesinqe: Le ntlungu inokubakho ingakumbi xa ugoba isinqe sakho, usishukumisa, usenza umthambo, okanye udlala imidlalo.
• Ukuqina: Ukuziva uxinene esinqeni.
• Isandi okanye imvakalelo yokunqakraza okanye yokuqhuma: Xa ushukumisa isinqe sakho, usenokuva isandi 'sokunqakraza' okanye into ethile iqhuma ngaphakathi.
• Ukungazinzi: Ukuziva ungenalo ulawulo kunye nokutyibilika kwesinqe, nokuba umi okanye uhamba.

Ngamanye amaxesha, ukuba i-labrum krazukile incinci kakhulu, kusenokungabikho zimpawu konke konke. Abantu basenokungazi nokuba banale meko, kwaye inokufumaneka ngengozi kuphela xa uvavanyo lwemifanekiso lwenziwa ngesinye isizathu.

Injani kanye kanye le ntlungu?

Wonke umntu uva iintlungu ngokwahlukileyo. Uhlobo lwentlungu lunokwahluka ngokuxhomekeke ekubeni i-labrum tear yakho inzima kangakanani na kwaye nokuba unezinye iimeko. Ngokwesiqhelo, le ntlungu ingachazwa ngolu hlobo:

• Intlungu ebuhlungu engaguqukiyo: njengokungathi kukho into ehlala ibuhlungu ngaphakathi.
• Intlungu ebukhali nehlabayo ngexesha leemisebenzi okanye izikhundla ezithile: Umzekelo, olu hlobo lwentlungu lunokwenzeka xa ulele kwicala elibuhlungu, okanye xa usenza umthambo.
• Intlungu ivakala ngathi ivela nzulu emzimbeni: Isenokungavakali ngathi yintlungu yokuqaqamba okanye yemisipha, kodwa ivakala ngathi yinto enzulu ngakumbi, mhlawumbi njengentlungu yamathambo .
• Intlungu ephumayo: Abanye abantu banokufumana iintlungu emqolo, emqolo osezantsi, okanye emlenzeni ngenxa yokukrazuka kwe-hip labrum.

Cinga ngayo, ngamanye amaxesha ungatshintsha nendlela ohamba ngayo kunye nendlela oma ngayo ngenxa yale ntlungu. Xa utshintsha indlela umzimba wakho oma ngayo ungaqondanga, oku kunokubangela uxinzelelo olongezelelekileyo kwimisipha nakwezinye izicwili ezijikeleze isinqe sakho esonakeleyo.

Zithini izizathu zokukrazula kwesinqe?

Kulungile, kutheni ke kuvela iinyembezi ze-labral? Ngamafutshane, nantoni na ebeka uxinzelelo olukhulu kwi-hip joint yakho inokonakalisa i-joint kwaye ibangele ukukrazuka kwe-labral. Ezona zizathu zixhaphakileyo zezi:

• Ukuxinwa kweFemoroacetabular (FAI): Oku kunokuvakala njengegama elintsonkothileyo, kodwa kuthetha nje ukuba amathambo akwilungu lakho lesinqe awadibani kakuhle ngokwemvelo. Kufana nomnyango ongadibani kakuhle. Xa amathambo engadibani kakuhle, uxinzelelo olongezelelweyo luhlala lubekwa kwi-labrum yesinqe. Ekuhambeni kwexesha, olu xinzelelo kunye nokuxinana kunokubangela ukuba i-labrum ikrazuke. Oogqirha bakwabiza le meko ngokuthi yi-Hip Impingement .
• Ukulimala: Ukulimala kwezemidlalo, ukuwa, kunye neengozi zeemoto nazo zinokubangela ukukrazuka kwe-hip labrum. Umzekelo, ukuwa ngequbuliso okanye ukujika okungalunganga kwe-hip ngelixa udlala imidlalo kunokubangela olu hlobo lomonakalo.
• I-Osteoarthritis: Le yinto esiyibiza ngokuba yi- "wear and tear arthritis." Le meko ibangelwa luxinzelelo oluqhelekileyo olubekwa ngamalunga ethu kubomi bemihla ngemihla ngokuhamba kwexesha. Ukuba une -osteoarthritis , i-cartilage ekwilungu inokuwohloka kwaye i-labrum inokukrazuka.

Ngubani osengozini enkulu yokuba nale meko?

Enyanisweni, nabani na angayikrazula i-labrum yelungu lesinqe sakhe, nokuba kungengozi okanye esinye isizathu. Nangona kunjalo, abanye abadlali basengozini enkulu kancinci kuba babeka uxinzelelo olongezelelweyo kwilungu lesinqe sabo. Umzekelo:

• Ihoki
• Umdaniso
• Ibhola ekhatywayo (Ibhola ekhatywayo - Ibhola ekhatywayo yaseMelika/Iragbi)
• Ibhola ekhatywayo
• Igalufa
• Ijimnastiki

Kwimidlalo efana nale, isinqe sihamba ngokukhawuleza rhoqo kwiindlela ezahlukeneyo, ngoko ke kukho amathuba aphezulu okulimala kwe-labrum ngenxa yeentshukumo ezikhawulezileyo.

Oogqirha bafumanisa njani ukukrazuka kwe-labral?

Xa usiya kugqirha oneentlungu zesinqe, into yokuqala aza kuyenza kukukwenza uvavanyo lomzimba aze akubuze ngeempawu zakho. Kufuneka ucacelwe ukuba uqale nini ukuva iintlungu kunye nezinye iimpawu, kunye nemisebenzi, iintshukumo, okanye iindlela zokuma ezenza zibe mandundu.

Emva koko, ugqirha angakucela ukuba ushukumise isinqe sakho, ume, ulale phantsi, uze uhambe. Ukuba uziva iintlungu ngeli xesha, mxelele ukuba zeziphi iintshukumo ezibuhlungu kakhulu.

Rhoqo, ugqirha kuya kufuneka enze uvavanyo olukhethekileyo lwemifanekiso ukuze athathe imifanekiso yelungu lesinqe kunye nezicubu ezisijikelezileyo. Ezi ziquka:

• I-X-reyi yesinqe
• Iskeni ye-ultrasound
• Umzobo weMagnetic Resonance (MRI)
• Iskeni yeComputed Tomography (CT)

Olu vavanyo lolona hlobo lokwazi ngokuqinisekileyo ukuba i-labrum yonakele, ukuba yonakele kangakanani , kwaye kukho ezinye iingxaki.

Ziziphi iindlela zonyango zokukrazuka kwe-labrum kwi-hip joint?

Kulungile, ngoku makhe sijonge ukuba loluphi unyango olufumanekayo koku. Ugqirha wakho uza kucebisa unyango oluya kunceda ukulawula iimpawu zakho. Utyando kuphela kwendlela yokulungisa ngokupheleleyo ukukrazuka kwe-hip labrum. Nangona kunjalo, abanye abantu banokulawula iimpawu zabo ngonyango olungelulo utyando.

Iindlela zonyango ezisetyenziswa kakhulu zezi:

• Izithomalalisi zentlungu ezingathengiswayo ngaphandle kwemvume kagqirha (OTC): Ii-NSAID ezingathengiswayo ngaphandle kwemvume kagqirha (ezifana ne-ibuprofen, i-aspirin, kunye ne-naproxen) okanye i-acetaminophen zinokunceda ekunciphiseni ukudumba kunye nokunciphisa iintlungu. Kodwa khumbula, musa ukuzithatha ezi zithomalalisi zentlungu kangangeentsuku ezingaphezu kwe-10 ngaphandle kwengcebiso kagqirha.
• IiCorticosteroids: La ngamayeza anamandla anikwe ngugqirha ukunciphisa ukudumba. Ngamanye amaxesha, ugqirha wakho angafaka enye yezi corticosteroids ngqo kwilungu lakho lesinqe.
• Unyango lomzimba: Ingcali yonyango lomzimba iya kukufundisa ukolula okuthile kunye nokuzilolonga ukuze kuqiniswe izihlunu ezijikeleze ilungu lakho lesinqe elonzakeleyo kwaye kwandiswe ukuguquguquka. Olu lunyango olubaluleke kakhulu.

Utyando lweNyembezi yeHip Labral

Ukuba uneempawu eziqatha, okanye ukuba ezinye iindlela zonyango azincedi emva kweenyanga ezimbalwa, ugqirha wakho unokucebisa utyando lokulungisa ukukrazuka kwe-hip labrum yakho.

Ugqirha otyandayo udla ngokwenza inkqubo ebizwa ngokuba yi-hip arthroscopy . Kule meko, kufakwa ikhamera kunye nezixhobo ezithambileyo ngokusebenzisa imingxunya embalwa emincinci ukulungisa ukukrazuka kwe-labrum kunye nomnye umonakalo ngaphakathi kwe-hip joint. Ukuba une -hip ingingement ekhankanyiweyo apha ngasentla, banokukwazi ukulungelelanisa amathambo ngaxeshanye ukuze benze i-hip ilingane kakuhle.

Ii-arthroscopies ze-hip zihlala ziinkqubo zokulaliswa ngaphandle , oko kuthetha ukuba ungaya ekhaya ngaloo mini inye. Ugqirha wakho okanye ugqirha wakho uza kukuchazela oku ngaphambi kokuba kwenziwe inkqubo.

Ngaba le nyembezi ingaziphilisa ngokwayo?

Hayi, iinyembezi ze-hip labral azizipholi zodwa. Eyona ndlela yokulungisa i-labrum ekrazukileyo kukwenza utyando. Ezinye iinyembezi zincinci kangangokuba azibangeli ntlungu okanye ezinye iimpawu. Nangona kunjalo, neenyembezi ezincinci ezifana nezi azipholi zodwa ngaphandle kotyando.

Nangona kunjalo, ukuba awunazo iimpawu eziqatha, kwaye ukukrazuka kwe-labrum akuchaphazeli umgangatho wobomi bakho okanye imisebenzi yakho yemihla ngemihla, unokukwazi ukuphila nako ngaphandle kotyando.

Ungaze uyityeshele intlungu, ukuqina, okanye ezinye iimpawu. Ukuba iintlungu zesinqe sakho aziphucuki emva kweeveki ezimbalwa zokuphumla kunye nonyango lwasekhaya, qiniseka ukuba ubona ugqirha.

Ziziphi iindlela zokuthintela ukukrazuka kwe-hip labrum?

Enyanisweni, kudla ngokuba nzima ukuthintela ukukrazuka kwesinqe. Kungenxa yokuba uninzi lwazo lubangelwa kukumila kwendalo kwesinqe sakho (ukuba une -FAI ), imeko yempilo ongenakukwazi ukuyithintela (njenge -osteoarthritis ), okanye ukwenzakala okungalindelekanga.

Nangona kunjalo, licebo elihle ukulandela la macebiso okhuseleko ukuze kuncitshiswe umonakalo obangelwa ziingozi:

• Gcina ikhaya lakho nendawo osebenza kuyo ingenazinto zininzi ezinokukukhubekisa okanye zikhubeke kwabanye.
• Xa uthatha into ephezulu endlwini, sebenzisa isixhobo okanye izixhobo ezifanelekileyo kulo msebenzi. Ungaze ukhwele ezitulweni, etafileni, okanye kwiikhawuntara.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa induku okanye i-walker.

Xa udlala imidlalo okanye eminye imisebenzi yomzimba:

• Nxiba izixhobo zokuzikhusela ezifanelekileyo kumdlalo ngamnye.
• Ukuba isinqe sakho sibuhlungu, nokuba ngexesha lomsebenzi womzimba okanye emva kwawo, musa "ukudlala ngentlungu."
• Nika umzimba wakho ixesha lokuphumla nokuchacha emva komsebenzi onzima.
• Zifudumeze uze wolule kakuhle ngaphambi kokuba udlale imidlalo okanye wenze umthambo.
• Emva kokwenza umthambo , phola uze wolule kwakhona .

Yintoni onokuyilindela ukuba une-hip labrum ekrazukileyo?

Abantu abaninzi abane-hip labral tear banokukwazi ukulawula iimpawu zabo ngokudibanisa unyango. Ukuba ukhe wathatha amayeza kwaye wenza unyango lomzimba kwaye usenentlungu okanye ezinye iimpawu, thetha nogqirha wakho. Uza kukuxelela ukuba kufuneka ucinge ngotyando na.

Nangona iinyembezi ze-hip labral zingapholi zodwa, akufuneki uhlale uneentlungu okanye ukungakhululeki rhoqo. Ukuba uziva ngathi iimpawu zakho ziyatshintsha – ingakumbi ukuba ziya zisiba mandundu okanye ziphazamisana nemisebenzi yakho yemihla ngemihla – thetha nogqirha wakho. Unokukunceda.

Kuthatha ixesha elingakanani ukuphiliswa?

Kudla ngokuthatha iinyanga ezine ukuya kwezintandathu ukuze uphile emva kokwenza i-arthroskopia yesinqe . Ugqirha wakho uza kukuxelela ukuba kuza kuthatha ixesha elingakanani kuxhomekeke kwimeko yakho.

Ukuba ufumana unyango oluqhelekileyo/olungatyandwanga, usenokungabi naxesha lithile lokuchacha. Oku kungenxa yokuba amayeza kunye nonyango lomzimba alulungisi ukukrazuka. Nangona kunjalo, ukuba unako ukulawula iimpawu zakho kwaye uzigcine zilawulwa ngaphandle kokuchaphazela imisebenzi yakho yemihla ngemihla, usenokungaze udinge utyando.

Ngaba ungahamba ne-hip labrum ekrazukileyo?

Uninzi lwabantu lunokuhamba lunentlungu ebuhlungu esinqeni. Abanye abantu abaziva ntlungu. Abanye banokuhambahamba, kodwa bazive bengakhululekanga.

Nangona unokuhambahamba, ujikeleze, okanye uzilolonge ngokukrazuka kwesinqe, kusenokungabi lula ukwenza umthambo onzima.Thetha nogqirha wakho malunga nemisebenzi onokuyenza ngokukhuselekileyo.

Ndifanele ndimbone nini ugqirha?

Iintlungu zesinqe zixhaphake kakhulu. Kwiimeko ezininzi, kukho izizathu ezinokunyangwa ekhaya ngokuphumla, umkhenkce, kunye neziyobisi zokunciphisa iintlungu ezithengiswa ngaphandle kwemvume kagqirha. Nangona kunjalo, ukuba iintlungu zesinqe sakho, ukuqina kwaso, kunye nezinye iimpawu aziphucuki ngokwazo emva kweeveki ezimbalwa, bona ugqirha. Kwakhona, musa ukuyityeshela intlungu ukuba iyaphinda ivele okanye ibonakala ngathi iya isiba mandundu.

Iimeko apho kufuneka kufunwe unyango olungxamisekileyo

Ukuba unezinye zeempawu ezilandelayo, yiya kwigumbi likaxakeka ngokukhawuleza:

• Intlungu ebuhlungu yesinqe okanye emqolo.
• Ukuba ufumana ingozi, njengokuwa okanye ingozi yemoto.
• Ukuba awukwazi ukushukuma okanye ukubeka ubunzima esinqeni okanye emlenzeni wakho.

Ndingayibuza yiphi imibuzo ugqirha?

Xa usiya kugqirha wakho, kungcono ukubuza imibuzo efana nale ukuze uqonde kakuhle imeko yakho:

• Ingaba ndinayo i-hip labral crack okanye ndiyenzakele kwenye into?
• Luhlobo luni lovavanyo oluza kufuneka ndilwenze?
• Zeziphi iindlela zonyango ezingandincediyo ngotyando ezingcono kum?
• Ndifanele ndicinge nini ngotyando?
• Zeziphi izinto okanye imidlalo ekufuneka ndiyiphephe?

Izinto esifanele sizikhumbule kweli bali (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngale meko ibizwa ngokuba yi-hip labral tear. Ukuba imbi kangakanani ixhomekeke kwindlela eyenzeke ngayo kunye nokuba iyichaphazela kangakanani na indlela esetyenziswa ngayo i-hip yakho. Ezinye iinyembezi zincinci kangangokuba usenokungazi nokuba unayo. Usenokukwazi ukulawula iimpawu zokukrazuka okuncinci ngonyango lomzimba okanye amayeza okunciphisa iintlungu athengiswa ngaphandle kwemvume kagqirha.

Nangona kunjalo, ezinye iinyembezi ze-labral zinokuba nkulu ngokwaneleyo ukuba zifune utyando. Ezi inyembezi zinokubangela iintlungu ezinzima kwaye zenze kube nzima (okanye kungenzeki) ukuhambahamba nokuba sempilweni.

Kuqhelekile ukuba noloyiko xa usiva into engaphakathi emzimbeni wakho ebizwa ngokuba yi-"crarn". Nangona kunjalo, uneendlela ezininzi zokulawula i-hip labrum ekrazukileyo. Ugqirha wakho usenokucebisa unyango olungelulo utyando kangangeenyanga ezimbalwa ekuqaleni. Abantu abaninzi banokulawula iimpawu zabo ngokwaneleyo ukuze baphephe utyando. Nangona kunjalo, ukuba usenentlungu emva kwexesha elithile, unokufuna i-hip arthroscopy .

Nokuba udinga utyando okanye awudingi, thetha nogqirha wakho malunga nendlela oziva ngayo. Akunyanzelekanga ukuba uphile neentlungu, kwaye akulunganga ukuba impilo yakho ihlale ingakhululekanga.Thembeka kugqirha wakho malunga nendlela oziva ngayo kunye nokuba iimpawu zakho zichaphazela kangakanani imisebenzi yakho yemihla ngemihla. Uza kukunceda ubuyele kubomi bakho besiqhelo.

Ukukrazula kweLabral yesinqe, Intlungu yesinqe, Intlungu yamalungu, iCartilage, iArthroscopy, Unyango lomzimba