Ingabe kungenzeka ukuthi inqulu yakho "iphumile"? Ake sixoxe ngalokhu kuphumile kwenqulu!

Hawu! Cabanga ngesimo lapho ungakwazi ngisho nokunyakaza umlenze wakho ngenxa yobuhlungu obukhulu ethangeni lakho. Yilokhu odokotela abakubiza ngokuthi "i-Hip Dislocation", okusho ukuthi i-hip joint ishelele. Kwabanye, la magama angenza umzimba wakho uthuthumele. Kodwa ungakhathazeki , sizokhuluma ngalokhu kalula, ngendlela ongayiqonda. Ngoba kubaluleke kakhulu ukuqaphela lokhu.

Kusho ukuthini ukugxumagxuma?

Kalula nje, ilunga lakho lesinqe liyisakhiwo esifana nebhola esingena kusokhethi . Ukuze kube sobala, isakhiwo esifana nebhola se-femur, ingxenye ephezulu yethambo lethanga, singena kusokhethi esisesinqeni. I-hip pop yilapho isakhiwo esifana nebhola siphuma kusokhethi yaso.

Lokhu kuvame ukwenzeka ngemva kokulimala okubi kakhulu nokubuhlungu . Kodwa-ke, kubantu abaye bafakelwa izinqe zokwenziwa, ngezinye izikhathi kungenzeka ngenxa yento encane.

Into ebaluleke kakhulu ukuthi ukuphuka kwesinqe kuyisimo esiphuthumayo sezokwelapha futhi akufanele neze kunganakwa.

Lokhu kungabangela ubuhlungu obukhulu kanye nokulahlekelwa ukusebenzisa umlenze. Kungalimaza nemithambo yegazi, imizwa, imisipha, kanye nezicubu ezizungeze isinqe. Uma kungelashwa ngokushesha, kungabangela umonakalo wesikhathi eside.

Ngezinye izikhathi, isimo esibizwa ngokuthi ``i-Hip dysplasia`` singabangela ukuhlukana kwe-hip. Lokhu kubizwa nangokuthi ``Developmental Dislocation of the Hip - DDH```. Kulaba bantu, i-socket ye-hip joint ayijulile kangako, ngakho-ke i-joint ayivalekile kahle. Futhi, imisipha nemisipha ezungeze i-hip ingaba buthakathaka. Ngakho-ke, ingaba nokuhlukana kwe-hip, yize ingamandla amancane kunezinye.

Kuyini i-subluxation ye-hip?

Ngezinye izikhathi ibhola le-hip joint lingahamba kancane ngaphandle kokuphuma ngokuphelele kusokhethi. Lokhu kubizwa ngokuthi "i-subluxation" kwezokwelapha. NgesiSinhala, kufana nokuphuma kwengxenye. Lokhu kungenzeka kancane, noma kungenzeka ngokuzumayo.

Lesi simo sivame ukubonakala nakubantu abane-hip dysplasia kanye nalabo abaye bafakelwa izinqe esikhundleni sazo.

Cabanga nje, uma une-subluxation, ingaba buhlungu njengokukhumuka kwesinqe ngokuphelele, futhi ungase ungakwazi ukusebenzisa umlenze wakho. Ngaleso sikhathi, udinga ngempela ukuthi uqalwe kabusha ngudokotela. Lalela umzimba wakho; uma unesihlungu esinzima, uma ungakwazi ukuhamba, funa iseluleko sezokwelapha ngokushesha .

Ngezinye izikhathi, ukusetshenziswa ngokweqile kwe-hip joint kungabangela ukuthi i-cartilage engaphakathi kwe-joint iguge, okubangela "i-subluxation" encane. Lokhu kungaba okungapheli noma okuphindaphindiwe. Uma kuyi-"subluxation" encane, ungase ukwazi ukuhamba. Abanye abantu bangayilula kancane kancane ibuyele endaweni yayo. Kodwa kuyingozi, futhi kungcono ukubona udokotela.

Ingabe ubuhlungu benqulu yami busho ukuthi ngiphumile enqulwini?

I-hip joint ngokuvamile ingenye yamalunga aphephile emzimbeni wethu. Ngaphandle kokuthi une-hip yokufakelwa noma isimo esifana ne-hip dysplasia, kudinga amandla amaningi ukuqhuma kwe-hip joint.

Ubuhlungu bokukhumuka kwesinqe bukhulu kangangokuthi cishe akunakwenzeka ukuhambisa umlenze. Ngokuvamile buvela ngemva kwengozi enkulu.

Kodwa-ke, uma ube nengozi encane noma inqulu yakho ibonakala igugile ngenxa yokusebenzisa isikhathi eside, ungase ube ne-"subluxation". Funa umsindo "wokuchofoza" uma ushukumisa inqulu yakho, noma uma kunzima ukufaka isisindo emlenzeni wakho. Udokotela wakho angakusiza ukuthi uthole imbangela yobuhlungu benqulu yakho futhi akuncomele ukwelashwa okufanele.

Yiziphi izimbangela zokugoba kwe-hip?

Imbangela eyinhloko yokuqhekeka kwesinqe ukulimala okubuhlungu . Kudinga amandla amaningi ukusunduza ijoyinti lesinqe liphume kusokhethi.

• Izingozi zezimoto ziyimbangela evame kakhulu yalokhu. Cabanga ngomthelela wengozi yemoto.
• Kungabangelwa futhi ukuwa okukhulu .
• Ukuphuka kwesinqe kungenzeka futhi ngenxa yokulimala kwezemidlalo noma ukulimala emsebenzini wezimboni .

Uma wena noma ingane yakho ninesici sokukhula esihlanganyelweni sesinqe, esibizwa ngokuthi "i-Hip dysplasia," ningase nikwazi ukukhumula isinqe senu, nakuba kungenamandla amaningi. Futhi, abantu abaye bafakelwa isinqe esikhundleni saso basengozini enkulu yokukhumula isinqe sabo ngisho nangemisebenzi evamile yansuku zonke.

Uzibona kanjani izinqe ezigobekayo?

Uma ubheka ngaphandle, into yokuqala oyiqaphelayo ukuthi umlenze unamathele endaweni eyodwa, uphendukele ngaphakathi noma ngaphandle .

• Esikhathini esiningi (cishe ama-90%), i-hip joint iphuma esokhethini ibheke ngemuva. Lokhu kubizwa ngokuthi "i-posterior dislocation." Bese idolo lakho nonyawo lwakho kuphendukela ngaphakathi.
• Uma isinqe sigudluke phambili (ukukhumuka kwangaphambi), idolo nonyawo kuzophendukela ngaphandle.
• Futhi, umlenze othintekile ungase ubonakale umufushane noma umude kunomunye umlenze .
• Ungase uqaphele ushintsho endaweni yesinqe sakho, ukuvuvukala, noma ngisho noshintsho kumbala wesikhumba.

Ziyini izimpawu zokukhumuka kwesinqe?

Ukuphuma kwesinqe kungabangela eyodwa noma ngaphezulu yalezi zimpawu ezilandelayo:

• Ukuzwa ubuhlungu obukhulu, obubukhali .
• Eduze kwezinqeUkuqina noma ukudikiza kwemisipha ngokuzumayo (ukuqaqamba kwemisipha).
• Ukuvuvukala noma ukushintsha kombala wesikhumba (njengokushintsha kombala oluhlaza okwesibhakabhaka) endaweni yamalunga esinqe.
• Imilenze iphendukele ngaphakathi noma ngaphandle.
• Ukungakwazi ukuhambisa umlenze.
• Ukungakwazi ukuthwala isisindo kulowo mlenze.
• Kungase kube nokuncipha noma ukulahlekelwa ngokuphelele kwemizwa ethangeni noma emlenzeni .
• Isinqe asisekho endaweni yaso, noma sibonakala sengathi sigobile.

Yiziphi izinkinga ezingaba khona ngenxa yokukhumuka kwesinqe?

Uma inqulu ikhumuka, imizwa, imithambo yegazi, kanye nezicubu ezizungeze ilunga zingalimala . Lo monakalo ungadinga ukwelashwa okuhlukile. Ngezinye izikhathi, lo monakalo ungabangela izinkinga zesikhathi eside. Ake sibheke ukuthi ziyini:

• Ukulimala kwemizwa: Inqulu eshelelayo ingathinta i-sciatic nerve yakho. Le nerve igijima isuka emhlane wakho ongezansi idlule enqulwini yakho, yehle ngomlenze wakho, iye onyaweni nasezinzwaneni zakho. Lokhu kucindezela kungabangela ubuhlungu obuqhubekayo obubizwa ngokuthi i-sciatica. Uma i-sciatic nerve yonakele, ungase ulahlekelwe ikhono lokugoba unyawo lwakho nezinzwane zakho ziye phezulu.
• Ukufa kwezicubu zamathambo (`Osteonecrosis` / `Avascular necrosis`): Uma `i-Femoral artery`, umthambo wegazi omkhulu ohamba phambi kwelungu lakho lesinqe, yonakele, ukunikezwa kwegazi emathanjeni akho kungase kunciphe. Lapho ukunikezwa kwegazi kunqanyulwa, izicubu zamathambo ziqala ukufa. Lokhu kubangela ukwakheka kwemifantu emincane ethanjeni, futhi ithambo lilahlekelwa amandla alo. Lokhu kubizwa ngokuthi `(osteonecrosis)` noma `(avascular necrosis)`.
• I-Arthritis: Ukuqhekeka kwe-hip kungalimaza i-cartilage ngaphakathi kwejoyinti, esebenza njengesivikelo. Kungalimaza nendandatho ye-cartilage ezungeze ijoyinti ebizwa ngokuthi i-labrum. Lokhu kungaholela ku-arthritis ngokuhamba kwesikhathi, okungandisa ingozi yokufakwa esikhundleni kwe-hip esikhathini esizayo.

Wazi kanjani kahle ukuthi inqulu yakho ikhumukile?

Udokotela oqeqeshiwe ngezinye izikhathi angabona ukuthi inqulu iphumile yini ngokuyibuka nje . Kodwa-ke, nakanjani bazokwenza ukuhlolwa okuphelele ngokomzimba ukuze babone ukuthi kukhona yini okunye ukulimala okuhlobene.

Ngaphezu kwalokho, ungase ucelwe ukuthi uthathe i-X-ray noma i-CT scan ngaphambi kokuvuselela inqulu yakho ukuze uhlole noma yikuphi okunye ukwaphuka nokuthola ukuthi amathambo akuphi.

Yiziphi izindlela zokwelapha ukukhumuka kwesinqe?

Kulungile, manje ake sibone ukuthi i-hip hop yenzani.

• Ukunakekelwa Okuphuthumayo: Uma ucabanga ukuthi uphuke inqulu yakho, ungazami ukuyishukumisa noma ukuyilungisa wena nganoma yisiphi isizathu .. Shayela i-ambulensi ngokushesha bese uya egumbini lezimo eziphuthumayo. Lesi yisimo esibuhlungu kakhulu futhi sidinga ukwelashwa okusheshayo ukuze kuncishiswe umonakalo wesikhathi eside. Ukuhlinzwa kokufakelwa inqulu kudinga ukuqeqeshwa, imithi, kanye nokusekelwa. Kungenziwa futhi ngokuphephile ngemva kokutholakala kwezinye ukulimala. Uma kukhona ukulimala kwesibili, ukuhlinzwa kungadingeka. Ukwelashwa kusebenza kakhulu uma kuqalwe emahoreni ambalwa ngemuva kokulimala.
• Ukunciphisa inqulu: Ukufakwa esikhundleni senqulu kuyinqubo ebuyisela inqulu ephukile endaweni yayo. Uma kungekho okunye ukulimala okukhulu, lokhu kungenziwa ngaphandle komzimba (ukunciphisa okuvaliwe). Njengoba nje kuthatha amandla amaningi ukukhipha inqulu, kudinga namandla amaningi ukuyibuyisela endaweni yayo. Udokotela wakho uzokunikeza imithi yokubulala izinzwa kanye neyokuthoba ukusiza ukunciphisa ubuhlungu kanye nokucindezeleka kwemisipha. Lokhu ngezinye izikhathi kwenziwa ngaphansi kwe-anesthesia ejwayelekile.
• Ukuhlinzwa: Uma kukhona ukulimala okukhulu kwesibili, ukuhlinzwa kokufakelwa inqulu kungadingeka. Lokhu kungelapha nemizwa nemithambo yegazi eyonakele. Ukuhlinzwa kuyindlela engcono kakhulu yokwelapha izingane ezine-hip dysplasia. Ukuhlinzwa kungazinzisa ilunga ukuze kuvinjelwe ukufakelwa inqulu esikhathini esizayo. Lokhu kuphumelela ngo-90% ezinganeni.

Uma uke wafakelwa i-hip esikhundleni sayo , uma i-hip yakho yokwenziwa ishelela, kunganconywa ukuhlinzwa ukuze ilungiswe noma iqiniswe.

Ungakuvimbela kanjani i-hip hop?

Bathi, “Ukuvimbela kungcono kunokwelapha.” Ngakho-ke, kunezinto esingazenza ukuze sivimbele ukukhumuka kwesinqe.

• Ukuphepha: Njengoba i-hip hop ivame ukuba yingozi, kungcono ukulandela imikhuba ejwayelekile yokuphepha.
• Gqoka ibhande lesihlalo njalo uma ugibele imoto.
• Gqoka izingubo zokuzivikela uma udlala imidlalo ethile yokuthintana.
• Qaphela kakhulu uma usebenzisa amaladi noma imishini yokusebenza.
• Ukulungisa: Uma wake waklwebha isinqe sakho ngaphambili, kungenzeka ukuthi uphinde usiklwebhe. Ukwelashwa ngokomzimba kungasiza ekuqiniseni imisipha nemisipha esinqeni sakho. Kubalulekile futhi ukugcina lawo mandla ngokuzivocavoca njalo .
• Ukwelashwa kwe-hip dysplasia: Izingane ezine-hip dysplasia kufanele zelashwe ngesikhathi uhlaka lwazo lusakhula. Lokhu kungasiza ekuvimbeleni izinkinga zesikhathi esizayo.
• Ukunakekelwa kokufakelwa kwe-hip: Uma uke wafakelwa i-hip esikhundleni, landela imiyalelo yokuphepha udokotela wakho akunike yona. Bamba izibambo lapho usebenzisa izitebhisi, bese wehlisa ijubane lapho unyathela izitebhisi.

Kuthatha isikhathi esingakanani ukuphulukiswa ekuqhekekeni kwenqulu?

Ngemva kokufakelwa i-hip, kungathatha izinyanga ezimbili kuya kwezintathu ukuphulukiswa ngokuphelele . Udokotela wakho uzokutshela ukuthi uphumule i-hip yakho emasontweni ambalwa okuqala, bese uzodinga ukwelashwa ngokomzimba. Kungase kudingeke usebenzise izinduku zokuhamba ukuze uhambe isonto lokuqala noma amabili.

Uma uke wafakelwa i-hip replacement , udokotela wakho angase akucele ukuthi ugqoke i-brace ekhethekile ukuze uyigcine iqinile kuze kube yilapho iphola.

Sinjani isimo sesikhathi esizayo somuntu oye waphuka isinqe?

Uma ukwelashwa kushesha, okungukuthi, amathuba okululama ngokugcwele ayanda.

Ukulimala kwesibili kuvame kakhulu ngemva kokuphuka kwenqulu ngenxa yengozi enamandla amakhulu. Uma imizwa nemithambo yegazi eyonakele kungelashwa phakathi namahora ambalwa, ingozi yezinkinga zesikhathi eside iphezulu.

Noma yikuphi ukuhlukana kwenqulu kwenza imisipha nemisipha ebamba ilunga lakho lenqulu ibe buthaka, futhi i-cartilage engaphakathi kwelunga iyaphela. Uma ukulimala kwakho kungelashwa isikhathi eside, kulapho ilunga liba lingazinzi khona. Lokhu kwandisa amathuba okuhlukana kwenqulu esikhathini esizayo. Futhi, ngokuhamba kwesikhathi (cishe ama-50% amacala), i-arthritis ingakhula . I-arthritis ingagcina iholele ekufakweni kwenqulu esikhundleni sayo, futhi ilunga elishintshiwe linamathuba amaningi okuhlukana futhi. Ngisho noma ululama kahle esikhathini esifushane, lokhu kulimala kungabangela izinkinga esikhathini esizayo.

Isinqe sokwenziwa kungenzeka ukuthi asibanganga umonakalo owanele ukubangela ukulimala kwesibili. Kodwa-ke, uma ukwelashwa kungenziwa ngokushesha, kukhona enye inkinga - imisipha ingasuka esilungwini sokwenziwa futhi ilahlekelwe ukwesekwa kwayo.

Into ebaluleke kakhulu okufanele uyikhumbule!

Ungakuthathi kalula ukuphuka kwesinqe . Kuyisimo esiphuthumayo sezokwelapha. Ukwelashwa okusheshayo kubalulekile kokubili ukuze uthole impumuzo yesikhashana kanye nokululama kwesikhathi eside.

Ukuphuka kwenqulu yakho kungenzeka ukuthi kubangelwa ingozi enkulu. Kuleso simo, kungase kube nezinye ukulimala, njengokuphuka noma ukudabuka kwezicubu. Kodwa-ke, uma une-hip replacement, kungenzeka ukuthi into encane—isibonelo, ukuhlala esihlalweni esiphansi noma ukuhlala uphambanise imilenze yakho—kungase kube yimbangela yokuphuka kwenqulu yakho. Lokhu kungase kungabangela ukulimala kwesibili, kodwa kubalulekile ukwelapha ukuphuka kwenqulu ngokushesha okukhulu ukuze unciphise ubuhlungu futhi ubuyisele ukusebenza kahle.

Ukunakekelwa kwezokwelapha okuhle kungakusiza ukuthi ugcine ukusebenza kwenqulu yakho isikhathi eside ngangokunokwenzeka, ngakho-ke uma usola ngisho nokuncane ukuthi uphuke inqulu yakho, ungalokothi unqikaze ukufuna ukwelashwa okuphuthumayo.

Ubuhlungu be - hip, ithambo le-hip, ubuhlungu bamalunga, izingozi, izifo zamathambo, i-sciatica, i-arthritis