Ingabe unalolu hlobo lokuqina nobuhlungu enqulwini yakho? Ake sifunde nge (Ukucindezelwa Kwesinqe / Ukucindezelwa Kwesinqe Se-Femoroacetabular)!

Ingabe ngezinye izikhathi uzizwa ukuqina noma ubuhlungu obungavamile enqulwini yakho? Ingabe kunzima ukuhamba, ukugoba inqulu yakho, noma ukuvuka uhleli? Ungase ucabange ukuthi lokhu kumane nje kuwukuklwebheka, noma okuthile okwenzekayo njengoba ukhula. Kodwa lesi yisimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Hip Impingement . Ake sifunde kabanzi ngalokhu, ngoba lokhu kuyinkinga abantu abaningi abangaba nayo.

Kuyini ukucindezelwa kwe-Hip?

Kalula nje, lesi simo senzeka lapho amathambo esihlathini sakho engahlangani kahle, egudlana, bese enamathela. Cabanga ngale ndlela: isihlathi sakho siyingxenye yethambo lethanga lakho elimise okwebhola (i-femur, ithambo elide emlenzeni wakho ongaphezulu) elilingana nesokhethi elimise okwendebe (i-acetabulum, isokhethi elisesihlathini sakho). Uma leli bhola nesokhethi kuhlangana kahle, singagoba, selule, futhi sijikeleze izinkalo zethu kalula.

Ngakho-ke, yilokhu odokotela abakubiza ngokuthi 'i-Femoroacetabular Impingement' noma 'i-FAI' ngamafuphi. I-'Femoroacetabular' isho indawo lapho ithambo lethanga ('femur') kanye nesokhethi lesinqe ('acetabulum') kuhlangana khona. I-'Impingement' yigama lezokwelapha elisho into ebhajwayo, ehlikihlayo, noma ehlikihlanayo ngaphakathi kwelunga. Ngakho-ke i-'FAI' noma i-'Hip Impingement Syndrome' iyinto efana naleyo.

Lokhu kungaba buhlungu kakhulu . Kungenza kube nzima nokuhamba noma ukuhambisa inqulu yakho. Ungase uzizwe ukuqina noma ubuhlungu obuhlala njalo ohlangothini olulodwa. Kuzwakala sengathi kukhona okubambeke ngaphakathi. Ngokuhamba kwesikhathi, lokhu kuqina kungalimaza i-cartilage evikela i-hip joint yakho, ingxenye efana nomcamelo evimbela amathambo amabili ukuthi angagudlani.

Uma unezinhlungu zenqulu, ukuqina, noma ezinye izimpawu ezingathuthuki ngemva kwesonto noma amabili, qiniseka ukuthi ubonana nodokotela . Uma usheshe ukuqaphela, kuba lula kakhulu ukwelapha.

Ziyini izimpawu zalokhu?

Izimpawu eziyinhloko 'zokucindezeleka kwe-Hip' yilezi:

• Ubuhlungu be-hip: Lolu uphawu oluvame ukubonakala.
• Ukuqina: Umuzwa wokuqina endaweni yesinqe, okwenza kube nzima ukugoba noma ukuqondisa.
• Ubunzima bokuhamba noma ukuxhuga: Abanye abantu bangase baxhuge lapho behamba ngoba izinqe zabo zibuhlungu.

Kodwa into emangalisayo ukuthi, abanye abantu bangase babe ne-FAI futhi bangakhombisi zimpawu . Kodwa kubantu abaningi, izimpawu ziyanda kancane kancane ngokuhamba kwesikhathi, ikakhulukazi lapho i-cartilage enqulwini yonakele.

Buzwakala kanjani lobu buhlungu?

Ubuhlungu bokuxhuzula emathangeni buvame ukuzwakala njengobuhlungu obungajabulisi endaweni yesinqe.Njengokuthi. Ngezinye izikhathi lobu buhlungu bungasakazeka enqulwini, okungukuthi, embotsheni, ezinqeni, ngisho nasethangeni elingaphezulu. Abanye bathi lobu buhlungu buzwakala sengathi bulimele ngaphakathi futhi othile uhlala ebucindezela.

Lobuhlungu buvame ukuba bubi kakhulu ngesikhathi sokuzilolonga ngokomzimba, ikakhulukazi ukuvivinya umzimba okucindezela kakhulu isinqe (isibonelo, ukuquleka, ukuphapha, noma ukugxuma). Kungaba kubi nakakhulu nalapho ulele ohlangothini olulodwa noma uhleli endaweni eyodwa isikhathi eside. Phakathi nalezi zikhathi, ubuhlungu bungaba bubukhali, buhlabe, noma buhlabe .

Kungani kwenzeka ukushaqeka kwe-Hip?

`Ukuminyana kwe-Femoroacetabular` kwenzeka lapho amathambo esihlathini egudlana, eqina, noma ecindezelana kakhulu. Imbangela eyinhloko yalokhu ukwakheka kwe-bone spur eyengeziwe ethanjeni lethanga (`femur`) noma e-hip socket (`acetabulum`) . Ngokuvamile, abantu bazalwa nala malungu anomumo ongavamile, noma lawa ma-bone spur angakhula ngokwemvelo ngokuhamba kwesikhathi. Lokhu kusho ukuthi akuyona into esiyenza ngamabomu.

Ingabe kukhona izinhlobo zokulimala kwe-Hip?

Yebo, odokotela bahlukanisa lokhu 'kucindezelwa kwe-Hip' ngezinhlobo ezintathu eziyinhloko, kuye ngokuthi izingxenye ze-hip joint zingahlangani kahle kuphi nokuthi kungani:

• Ukuvinjwa kwekhamera: Lokhu kwenzeka uma kukhona ukukhula kwethambo elengeziwe ekhanda lethambo lethanga (i-femur), ingxenye efana nebhola. Bese kuthi, njengoba isokhethi lesinqe lihamba, leli thambo elengeziwe libambeke.
• Ukuminyana kwethambo: Lokhu kwenzeka lapho kukhula ithambo elengeziwe emaphethelweni e-socket yesinqe (`acetabulum`). Intamo ye-femur ibe isithinta leli thambo elengeziwe.
• Ukuphazamiseka Okuhlanganisiwe: Abanye abantu bangaba nezinhlobo ezimbili ze-`Cam` kanye ne-`Pincer` ngesikhathi esisodwa.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Noma ubani angazalwa ene-hip impingement, noma ingakhula ngokuhamba kwesikhathi. Kodwa-ke, ezinye izifundo zithole ukuthi amadoda anamathuba amaningi okuba ne-cam impingement , kuyilapho abesifazane benamathuba amaningi okuba ne-pincer noma i-combined impingement .

Abasubathi banamathuba amaningi okubhekana nezimpawu 'zokubanjwa yizinqe'. Lokhu kuyiqiniso ikakhulukazi kulabo abadlala imidlalo ebeka ingcindezi enkulu esinqeni (njengebhola, i-basketball, ukudansa, nokugijima). Ezinye izifundo ziphakamisa ukuthi abangaphezu kwengxenye yabasubathi bangaba nalesi simo 'sokubanjwa'. Lokhu akusho ukuthi abasubathi banamathuba amaningi okusithola. Kodwa-ke, ngenxa yokuthi basebenzisa izinqe zabo kaningi futhi kanzima kunabanye, izimpawu zingase zivele ngokushesha futhi bangase bazizwe kakhudlwana . Khumbula, 'i-FAI' ibangelwa ukuma kwemvelo kwesinqe sakho, futhi ayiveli ngenxa yokudlala imidlalo.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma ingelashwa, i-FAI ingalimaza i-hip joint yakho ngokuhamba kwesikhathi. Ngaphezu kokwenza izimpawu zibe zimbi kakhulu futhi kwenze kube nzima ukusebenzisa noma ukuhambisa i-hip yakho, lokhu kuqina kungabangela nokudabuka kwe-labrum e-hip yakho. I-labrum iyindandatho ye-cartilage ezungeze isokhethi le-hip. Isiza ukugcina i-joint izinzile. Ingcindezi eyengeziwe kanye nokungqubuzana okubangelwa ukucindezelwa kwe-femoroacetabular kungabangela ukuthi le-labrum idabuke ngokuhamba kwesikhathi (udaba lwe-hip labral).

Futhi, abantu abane-'Hip Impingement' banamathuba amaningi okuthola i-osteoarthritis kuleyo nqunu, ngoba i-cartilage iyawohloka ngenxa yokucindezelwa isikhathi eside.

Udokotela ukubona kanjani lokhu?

Udokotela uzohlonza i-Hip Impingement Syndrome ngokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa okukhethekile kwezithombe . Kuzodingeka utshele udokotela wakho ukuthi usunesikhathi esingakanani unalezi zimpawu nokuthi yimiphi iminyakazo, imisebenzi, noma ukuma komzimba okwenza zibe zimbi kakhulu (noma zibe zimbi kakhulu).

Udokotela wakho uzosebenzisa izivivinyo zezithombe ukuze abheke inqulu yakho kanye nezicubu ezizungezile. Lezi zivivinyo zingafaka:

• I-X-ray yesinqe
• Ukuhlolwa kwe-MRI (i-MRI - i-Magnetic Resonance Imaging)
• Iskeni se-CT (`Iskeni se-CT - Iskeni se-Computed Tomography`)

Ngezinye izikhathi udokotela wakho angase afake inani elincane lomuthi wokubulala izinzwa wendawo enqulwini yakho. Uma lokhu kunciphisa ubuhlungu noma ukuqina kwesikhashana, kuyisibonakaliso esihle sokuthi une-FAI. Lokhu kuyisizo sokuxilonga kuphela, futhi kusetshenziswa ezinye izindlela zokwelapha.

Ingabe kukhona ukuhlolwa okukhethekile kwalokhu? (Ukuhlolwa Kokuvinjelwa Kwe-Femoroacetabular)

Yebo, kukhona ukuhlolwa okukhethekile ngokomzimba udokotela wakho azokwenza ukuhlola ukuthi kukhona yini 'ukuphazamiseka' ethangeni lakho. Lokhu kubizwa nangokuthi 'ukuhlolwa kwe-Femoroacetabular Impingement'. Kulokhu kuhlolwa, uzolala ngomhlane wakho. Udokotela uzophakamisa umlenze wakho uye esifubeni sakho. Ngemuva kwalokho, idolo lakho ligobile ngama-degree angu-90 (ngokuqondile ethangeni lakho), umlenze wakho ongaphezulu uzojikeleziswa ngaphakathi, okusho ukuthi ubheke enkabeni yomzimba wakho.

Ngalezi zikhundla, udokotela wakho angacindezela ngobumnene ezindaweni zenqulu yakho ezingase zithinteke yi-FAI. Uma uzwa ubuhlungu ngenkathi wenza lezi zinyathelo, ungase ube nokuvinjwa kwenqulu . Lokhu kuhlolwa kungaba okungakhululekile kancane, kodwa kuphephile . Uma uzwa ubuhlungu obukhulu phakathi nanoma iyiphi ingxenye yokuhlolwa, tshela udokotela wakho .

Iyini indlela yokwelapha lokhu?

Udokotela wakho cishe uzoncoma inhlanganisela yezindlela zokwelapha ukulawula izimpawu zakho nokuvimbela ukulimala okwengeziwe enqulwini yakho. Izindlela zokwelapha ezivame kakhulu yilezi:

• Ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala):Lezi izidakamizwa zokunciphisa ubuhlungu ezitholakala ngaphandle kwemithi kadokotela kanye nemithi yokulwa nokuvuvukala (njenge-ibuprofen kanye ne-naproxen) engathengwa ekhemisi. Lezi zingasiza ekunciphiseni ubuhlungu nokuvuvukala.
• Ama-Corticosteroids: Lawa futhi ayimithi yokulwa nokuvuvukala, kodwa kumele anqunywe udokotela. Udokotela wakho angakunika nomjovo we-cortisone ngqo esithweni sakho sethanga. Lokhu kunganciphisa ubuhlungu nokuvuvukala ngokushesha.
• Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuqinisa imisipha ezungeze inqulu yakho. Lokhu kuzonciphisa ingcindezi esithweni senqulu futhi kwandise ikhono lakho lokunyakaza inqulu yakho.
• Ukuguqulwa komsebenzi: Kungase kudingeke ushintshe indlela ozivocavoca ngayo, noma kungadingeka uyeke ukwenza ukunyakaza okuthile noma imisebenzi eyandisa ubuhlungu benqulu. Isibonelo, yeka ukuquleka kakhulu.
• Ukuhlinzwa: Udokotela wakho angase akuncome ukuhlinzwa uma unezimpawu ezinzima, uma zithinta ikhwalithi yempilo yakho, noma uma ezinye izindlela zokwelapha zingazange zikusize. Uma une-hip labral crisp, ungase udinge ukuhlinzwa. Ukuhlinzwa okuvamile ukulungisa ukuvaleka kwe-hip yi -hip arthroscopy . Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane nokusebenzisa ikhamera namathuluzi amancane. Udokotela wakho ohlinzayo uzokutshela okwengeziwe ngalokhu.

Ingabe ukushaqeka kwe-Hip kuzophola ngokuphelele?

I-Hip Impingement Syndrome ngeke iphele ngokuphelele ngaphandle kokuthi uhlinzwe ukuze kulungiswe ukuma kwe-hip yakho. Kodwa-ke, kubantu abaningi, izimpawu zingalawulwa kahle ngezinye izindlela zokwelapha ezingadingi ukuhlinzwa.

Kodwa-ke, ngokuhamba kwesikhathi, izinzuzo zokwelapha ngaphandle kokuhlinzwa zingase zinciphe. Khuluma nodokotela wakho noma udokotela ohlinzayo mayelana nokuthi yiziphi izindlela zokwelapha ezikulungele nokuthi nini okufanele ucabangele ukuhlinzwa.

Ukuhlolwa kwe-hip arthroscopy ukulungisa ukuminyana kwe-femoroacetabular kuphumelele kakhulu , futhi abantu abaningi ababi nemiphumela emibi yesikhathi eside. Kungadingeka ugweme noma ushintshe eminye imisebenzi noma ukunyakaza, kodwa kufanele ukwazi ukuhlala usebenza futhi udlale imidlalo.

Ingabe i-FAI ingavinjelwa?

Ukuvaleka kwe-hip akukwazi ukuvinjelwa ngoba kubangelwa ukuma kwemvelo kanye nendawo ye-hip joint yakho. Kodwa-ke, indlela engcono kakhulu yokuvimbela izinkinga ezifana nokudabuka kwe-hip labral ukuqala ukwelashwa ngokushesha okukhulu .

Kufanele ngimbone nini udokotela?

Uma unesihlungu senqulu, ukuqina, noma ubunzima bokusebenzisa noma ukuhambisa inqulu yakho - ikakhulukazi uma lezi zimpawu zihlala isikhathi esingaphezu kwamasonto ambalwa - qiniseka ukuthi ubona udokotela.

Futhi, uma ungazizwa kahle njengakuqala ngemithi efana nama-NSAID noma ukwelashwa ngokomzimba, tshela udokotela.Ngitshele.

Yini okufanele uyibuze udokotela?

Uma uya kudokotela, kuwumqondo omuhle ukubuza le mibuzo:

• Uhlobo luni lwe-'Hip Impingement' enginalo? (`I-Cam`, `I-Pincer`, noma `Ihlanganisiwe`?)
• Kufanele ngicabange nini ngokuhlinzwa? Noma ngingalinda isikhathi esingakanani ngaphandle kokuhlinzwa?
• Yimiphi imisebenzi nokunyakaza okufanele ngikugweme okuqinile ezinqeni zami?
• Ingabe ngisengozini enkulu yokulimala kwe-cartilage ye-hip (ukudabuka kwe-hip labral)?

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Uma uthola ukuthi 'unesifo sokuvaleka kwezinqe', ungase uzizwe ukhululekile ngakolunye uhlangothi - manje usuyazi ukuthi kungani isinqe sakho besilokhu sibuhlungu isikhathi eside kangaka. Kodwa ngakolunye uhlangothi, ungase uzizwe udabukile futhi uzisola - ngoba akuyona into obungayenza ukuze uyivimbele, kungenxa yendlela amathambo akho esinqe akhula ngayo ngokwemvelo.

Kungakhathaliseki ukuthi uzizwa kanjani, lesi simo esibizwa ngokuthi `Ukufakwa Kwezinqe (Ukufakwa Kwezinqe)` sisabela kahle ekwelashweni . Kungathatha isikhathi ukuthola indlela yokulawula izimpawu zakho, kodwa udokotela wakho uzokusiza wenze izinguquko uze uzizwe ungcono. Uma ekugcineni kufanele uhlinzwe, khumbula ukuthi `Ukuhlinzwa kwe-hip arthroscopy` kuyindlela engangenisi kakhulu futhi ephumelela kakhulu . Ngakho-ke akukho okufanele ukwesabe. Into eyinhloko ukungabekezeleli ubuhlungu bese ucela iseluleko sezokwelapha ngokushesha.

Ukuvinjwa kwe - hip, ukuvinjwa kwe-femoroacetabular, i-FAI, ubuhlungu be-hip, ukuqina kwe-hip, ukuphazamiseka kwe-hip, ubuhlungu be-hip IsiSinhala