Ngezinye izikhathi ungase uzwe nobuhlungu obuncane obuvela endaweni yakho yesinqe noma yesinqe. Mhlawumbe uzwa umsindo wokuchofoza lapho uhamba noma ugoba umlenze wakho, noma uzizwa sengathi ubambekile? Abantu abaningi bacabanga ukuthi lokhu kuyinto evamile, kumane nje kuyindawo ebuhlungu emzimbeni, kodwa kungaba ukudabuka kwe-cartilage esihlangwini. Namuhla sikhuluma ngesimo esibizwa ngokuthi i-Acetabular Labral Tear, abantu abaningi abangasazi, kodwa esivame kakhulu.
Kuyini ukudabuka kwe-labral hip?
Kalula nje, lokhu kuwukulimala kwe-cartilage esihlangwini. Cabanga nge-hip joint yethu njengebhola kanye ne-socket joint. Ibhola liyi-top end yethambo lakho lethanga. Lingena engxenyeni efana ne-socket yethambo le-hip. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-acetabulum.
Manje, nxazonke kwale ndebe (okungukuthi, isokhethi lesinqe) kukhona indandatho eqinile neguquguqukayo ye-cartilage. Ifana nebhande lerabha. Yilokhu esikubiza ngokuthi i-labrum. Inemisebenzi emibili eyinhloko:
1. Ukuba ngumqamelo: Lokhu kusebenza njengomqamelo welunga, kuvimbela amathambo amabili (ithambo lethanga nethambo lesinqe) ukuthi angagudlani ndawonye.
2. Ukunikeza ukuzinza: Le labrum isiza futhi ukugcina ithambo lomlenze ongaphezulu (i-femur) lizinzile futhi livalelwe ngokuphephile ngaphakathi kwe-socket yesinqe.
Ngakho-ke, uma kukhona umonakalo kule labrum, okungukuthi, uma idabuka, siyibiza ngokuthi ukukhala kwe-labral yesinqe.
Yiziphi izimbangela zalesi simo?
Kungaba nezizathu ezahlukahlukene zokuthi le labrum idabuke. Ngezinye izikhathi kungenzeka ngokuzumayo ngenxa yengozi, noma kungaba ngenxa yomonakalo owenzeka kancane kancane ngokuhamba kwesikhathi.
| Isizathu | Incazelo |
|---|---|
| Izingozi | Lokhu kungenzeka ngenxa yomonakalo omkhulu esithweni sesinqe, njengokuwa noma izingozi zemoto. |
| Ukudlala imidlalo | Abantu abadlala imidlalo edinga ukujikijelwa njalo kwesinqe (isib. ibhola, igalofu, ukubhowula okusheshayo kukhilikithi, umdanso we-ballet) basengozini enkulu. Ukugijima ngokushesha nakho kungabangela lokhu. |
| Umonakalo ngokuhamba kwesikhathi | Ngokumangalisayo, abantu abangu-75% abanalesi simo abanaso isizathu esithile . Lokhu kusho ukuthi ngokuhamba kwesikhathi, uqwanga olusesihlalweni lungaguga kancane kancane. |
| Ezinye izimo zempilo | Abantu abanokukhubazeka okuthile kwamathambo esinqeni (isib. i-hip dysplasia) basengozini enkulu. Lesi simo sihlotshaniswa ne-osteoarthritis. |
Ucwaningo lukhombisile ukuthi cishe ama-22% abasubathi abakhononda ngobuhlungu bezinqe badabukile kuleli lunga lesinqe. Futhi, lesi simo sivame kakhulu kwabesifazane.
Ziyini izimpawu zalokhu?
Izimpawu zalokhu zingahluka kumuntu nomuntu.
Abanye abantu bangase babe nalesi simo ngaphandle kokungakhululeki, kodwa abanye bangase babe nobuhlungu obubenza kube nzima ukwenza imisebenzi yansuku zonke.
Izici eziyinhloko ezingabonakala yilezi:
- Ubuhlungu: Ubuhlungu obukhulu endaweni yesisu noma eduze kwesinqe. Lobuhlungu bungadlulela ethangeni elingaphezulu noma ezinqeni.
- 'Ukuchofoza' noma 'ukunamathela': Umsindo 'wokuchofoza' noma 'wokugxuma' ovela esithweni sesinqe lapho uhambisa umlenze, ikakhulukazi lapho uwugoba noma uwuzungeza. Ngezinye izikhathi umlenze ungase uzwakale sengathi unamathele.
- Ukunyakaza okulinganiselwe: Ukunyakaza okulinganiselwe ngenxa yobuhlungu kanye nokungakwazi ukuhambisa kahle ilunga lesinqe.
Uma lesi simo singalashwa, ingcindezi eyengeziwe emalungeni ingabangela ukuguguleka okuqhubekayo ngokuhamba kwesikhathi, okuholela ekulimaleni okungapheli.
Ukuthola kanjani lokhu ngqo?
Uma ngikhuluma iqiniso, lesi simo kunzima ukusithola. Ezinye izifundo zibonise ukuthi abantu abanalesi simo bahlupheka iminyaka engaphezu kwemibili ngaphambi kokuthola ukuxilongwa okufanele.
Uma uya kudokotela, into yokuqala ayenzayo ukukuhlola kahle. Uhlola inqulu yakho bese ekucela ukuthi ugobe futhi ujikeleze umlenze wakho ngezindlela ezahlukene ukuze abone ukuthi kukhona yini ubuhlungu.
Bese, hlola ukuthi lokhu kudabuka kukhona yini.Ungase ucelwe ukuthi wenze into efana ne-MRI scan, kodwa ngezinye izikhathi ngisho nalezi zivivinyo kungaba nzima ukuzibona ngokucacile.
Enye indlela eqinisekile yokuxilonga lokhu iwukusebenzisa i-arthroscopy . Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane kakhulu nokufaka ithuluzi elincane elifakwe ikhamera esibayeni ukuze kubonakale ngqo ukuthi kukhona yini ukudabuka kwe-labrum. Lokhu kuvame ukwenziwa njengengxenye yenqubo yokuhlinzwa.
Iphathwa kanjani?
Uma kutholakala ukuthi une-hip labral crisp, udokotela wakho uzoqala azame ukuyelapha ngaphandle kokuhlinzwa.
Ukwelashwa okungadingi ukuhlinzwa (Ukwelashwa Okungaguquki)
- Ukuphumula kanye nemithi: Okokuqala, unganikeza i-hip joint kanye ne-painkiller.
- Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu. Udokotela wezokwelapha umzimba uzokufundisa ukuthi ungasebenza kanjani ukunciphisa ukucindezeleka emalungeni futhi uzivocavoce ukuze uqinise imisipha ezungeze isinqe. Uma le misipha iqinile, ukwesekwa okunikezwa emalungeni kuzokwanda.
Kodwa inkinga lapha ukuthi iningi le-labrum yethu alitholi igazi eliningi, ngakho-ke amathuba okuphulukiswa kwalokhu kwehla kwezinyembezi ngokwemvelo aphansi kakhulu.
Ukuhlinzwa
Uma ukwelashwa okungenhla kunganikezi impumuzo, udokotela wakho angakuthumela ukuhlinzwa kwe-arthroscopic .
Lokhu kuhilela ukufaka ikhamera kanye namathuluzi abucayi ngokusebenzisa izimbobo ezimbili noma ezintathu ezincane ukuze kususwe i-cartilage edabukile (ukususwa kwezicubu) noma, kwezinye izimo, ukulungisa indawo edabukile ngokuyithunga ndawonye.
Kodwa kunezinto ezimbalwa okufanele uzazi ngaphambi kokuthatha isinqumo ngalolu hlinzeko:
- Akukabikho bufakazi obucacile bokuthi lokhu kuhlinzwa kungavimbela isifo samathambo esikhathini esizayo.
- Kukhona nobufakazi bokuthi impumelelo yalokhu kuhlinzwa iphansi kancane ezigulini ezingaphezu kweminyaka engama-45 ubudala.
- Njenganoma yikuphi ukuhlinzwa, kunezingozi, njengokulimala kwesikhashana kwemizwa.
- Nakuba kukhona ukuthuthuka kwesikhashana ngemva kokuhlinzwa, kunzima ukusho ukuthi kuzohlala isikhathi esingakanani. Abantu asebevele benezinye izinkinga zenqulu (njenge-arthritis) bangase babe nezinga eliphansi lempumelelo ngemva kokuhlinzwa.
Ngemva kokuhlinzwa, ukwelashwa ngokomzimba kuyadingeka ngempela ukuze kubuyiselwe amandla nokuguquguquka kwamalunga.
Ngakho-ke, ngaphambi kokuhlinzwa, xoxa nodokotela wakho ngezinzuzo nezinkinga. Uma kungenzeka, kufanelekile ukuthola umbono wesibili komunye uchwepheshe.
Umlayezo Wokuya Nawe Ekhaya
- Uma ubuhlungu buvela esinqeni noma esinqeni sakho, kanye nomsindo 'wokuchofoza' noma ukuqina, kungaba yi-Hip Labral Tear.
- Lesi simo singabangelwa ingozi, ukudlala imidlalo, noma ukusebenzisa ijoyinti ngokweqile isikhathi esithile.
- Ukuxilongwa kuyinkimbinkimbi kancane futhi kungadinga ukuskenwa kwe-MRI.
- Ukuphumula, imithi yokubulala izinhlungu, kanye nokwelashwa ngokomzimba kubaluleke kakhulu njengokwelashwa kokuqala.
- Ukuhlinzwa kuyindlela eyodwa kuphela. Izinga lempumelelo yalo alifani kuwo wonke umuntu. Ngakho-ke khuluma nodokotela wakho ngokucophelela ngaphambi kokwenza isinqumo.
- Into ebaluleke kakhulu ukuthi, ungabunaki ubuhlungu benqulu. Qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
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