Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu noma ukuqina enqulwini yakho? Ingabe lobu buhlungu bubonakala bukhula, ikakhulukazi lapho ugoba, uvivinya umzimba, noma ulele ngohlangothi olulodwa? Uma lobu buhlungu bungapheli ngemva kwamasonto ambalwa, kufanele ucabange ngalesi simo esibizwa ngokuthi 'iHip Labral Tear' esikhuluma ngaso namuhla. Ungakhathazeki, sizoxoxa ngakho konke ngendlela elula.
Iyini ngempela i-Hip Labral Tear?
Kalula nje, lokhu ukulimala okwenzeka eduze kwe-hip joint yethu. Ukuze sikuqonde kahle lokhu, ake siqale sibheke ukuthi i-hip joint yakheka kanjani.
Cabanga ngale ndlela: ingxenye ephezulu yethambo lethu lethanga (i-femur) ifana nebhola. Leli bhola lingena engxenyeni efana nendebe ye-pelvis yethu ukuze kwakheke i-hip joint. Lokhu kubizwa ngokuthi i-ball-and-socket joint.
Manje, eduze kwesokhethi laleyo ndebe (i-acetabulum), kukhona indandatho ye-cartilage eqinile neguquguqukayo, njenge-washer yerabha. Yilokho esikubiza ngokuthi i-labrum . Le labrum inemisebenzi eminingana eyinhloko:
- Leyo ngxenye efana nebhola iyasiza ukuyigcina izinzile ngaphakathi kwendebe.
- Ilunga livimbela amathambo amabili ukuthi angakhuhlani lapho ehamba.
- Uketshezi lwe-synovial olungaphakathi kwelunga luvaliwe, luvimbela ukuthi lungaphumi. Lokhu kuvumela ilunga ukuba lihambe kahle futhi lingabi nobuhlungu.
Ukudabuka kwe-labral yesinqe kwenzeka lapho leyo ndandatho ebalulekile ye-cartilage, i-labrum, iklebhuka noma yonakala ngesizathu esithile.
Ziyini izimpawu zalesi simo?
Kunezimpawu eziningana ezivamile abantu abanalesi simo abavame ukuzibona. Kodwa-ke, ngezinye izikhathi, uma ukudabuka kuncane kakhulu , kungase kungabi nazimpawu nhlobo.
| Izimpawu eziyinhloko | Kuzwakala kanjani lokho? |
|---|---|
| Ubuhlungu benqulu | Lobuhlungu buzwakala ikakhulukazi lapho ugoba, uvivinya umzimba, udlala imidlalo, noma uvuka ngemva kokuhlala isikhathi eside. Abanye abantu nabo bazwa lobu buhlungu esinqeni. |
| Umuzwa wokuqina noma ukuqina | Ilunga lesinqe lizwakala liqinile futhi lingakwazi ukunyakaza kalula njengokujwayelekile. |
| Umsindo othi "chofoza" noma "pop" | Uma ushukumisa inqulu yakho, ungase uzwe noma uzwe umsindo othi "chofoza" noma "chofoza" uvela ngaphakathi. Ungase futhi uzwe umuzwa wokukhiya. |
| Ukungazinzi | Uma ngimi noma ngihamba, ngizizwa sengathi anginamandla ezinqeni zami futhi ngizizwa ngingasakwazi ukuzilawula. |
Uma ungachaza kabanzi ngokuthi ubuhlungu buzwakala kanjani...
Akuwona wonke umuntu ozwa ubuhlungu ngendlela efanayo. Bungahluka kuye ngobukhulu bokudabuka, indawo okuyo, kanye nohlobo lomzimba wakho.
- Ubuhlungu benqulu obuqhubekayo: Abanye abantu bangase babe nobuhlungu benqulu usuku lonke.
- Ubuhlungu obubukhali obungazelelwe: Kwezinye izimo, isibonelo, lapho ulele ohlangothini lapho ubuhlungu bukhona, ubuhlungu obubukhali njengommese bungase buvele ngokuzumayo.
- Ubuhlungu obuvela ngaphakathi: Lokhu akulona ubuhlungu obungajulile njengesigaxa senyama. Bungazwakala bujule kakhulu, njengobuhlungu bethambo.
- Ubuhlungu obusakazekela kwezinye izindawo: Ngezinye izikhathi, noma ngabe kunenkinga esinqeni, ubuhlungu bungaya embotsheni, emhlane ongezansi, noma phansi komlenze.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Noma yini ebeka ingcindezi enkulu noma ethinta ngokuzumayo ijoyinti lesinqe ingalimaza le labrum. Nazi ezinye zezizathu eziyinhloko.
1. Izinkinga zesakhiwo: Abanye abantu bazalwa benamathambo ahlukene kancane esihlathini sabo. Isimo esivame kakhulu yi- Femoroacetabular Impingement (FAI) . Kalula nje, lokhu kwenzeka lapho ibhola lethambo lethanga kanye nesokhethi lethambo lethanga kungahlangani kahle. Lokhu kubangela ukuthi amathambo agudle i-labrum njalo lapho ilunga lihamba. Ngokuhamba kwesikhathi, lokhu kungqubuzana okuqhubekayo kungabangela ukuthi i-labrum idabuke.
2. Izingozi Nokulimala: Izingozi ezenzeka ngesikhathi semidlalo (isib., ukucwila kwe-cricketer, umdlali webhola oshintsha indlela ngokuzumayo), ingozi yemoto, noma ukuwa kanzima kungabangela umonakalo ozumayo ku-labrum.
3. I-Osteoarthritis: I-Osteoarthritis ukuwohloka kwe-cartilage emalungeni ngenxa yokuguga noma ukusetshenziswa ngokweqile. Njengoba i-cartilage iwohloka, i-labrum inamathuba amaningi okulimala nokuklebhuka.
4.Ukunyakaza okuphindaphindiwe: Imisebenzi efana nokugijima ibanga elide, ukunyakaza okujiyile njengegalofu, kanye nomdanso we-ballet kubeka ukucindezeleka okuqhubekayo esithweni sesinqe. Lokhu kucindezeleka okuphindaphindiwe kungenza i-labrum ibe buthaka ngokuhamba kwesikhathi futhi kubangele ukuthi idabuke.
Abantu abadlala imidlalo, ikakhulukazi i-hockey, ibhola likanobhutshuzwayo, igalofu, i-gymnastics, kanye nomdanso, basengozini enkulu kancane yokuthola lesi simo.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela onesifo sezinqe, uzoqala akubuze ngezimpawu zakho. Mtshele ngqo ukuthi ubuhlungu buqale nini, ukuthi buba bubi kangakanani, nokuthi wenzani ukuze buphele.
Ngemuva kwalokho, kuzohlolwa umzimba. Uzocelwa ukuba uhambe, ugobe, futhi uhambise umlenze wakho ngezindlela ezahlukene. Tshela udokotela nganoma yiziphi izindawo ezibuhlungu noma ubunzima bokunyakaza phakathi nalesi sikhathi.
Okulandelayo, bangase batuse ukwenza izivivinyo zezithombe ukuze babone ukuthi kwenzekani ngaphakathi kwejoyinti.
- I-X-ray: Nakuba lokhu kungayiboni i-labrum, kungahlola noma yiziphi izinguquko zamathambo, i-FAI, noma i-arthritis.
- Iskeni se-MRI (Magnetic Resonance Imaging): Lena yindlela engcono kakhulu yokubona umonakalo ezicutshini ezithambile njenge-labrum. Ngezinye izikhathi, idayi ekhethekile (idayi engafani) ingafakwa esilungwini ngaphambi kokuskeni ukuze kutholakale isithombe esicacile.
- Ukuskena kwe-CT (Computed Tomography): Lokhu kungathatha nezithombe ezinemininingwane zamathambo.
Iphathwa kanjani?
Izinketho zokwelapha zincike ezintweni eziningi, okuhlanganisa ubukhulu bezimpawu zakho, ubukhulu bokudabuka, ubudala bakho, kanye nezinga lomsebenzi wakho. Akuwona wonke umuntu odinga ukuhlinzwa.
Ukwelashwa Okungahlinzwa
Ngokuvamile, odokotela bazama ukwelashwa okungewona ukuhlinzwa kuqala.
- Ukuphumula kanye nokuguqulwa kwemisebenzi: Kubalulekile ukuhlala kude nemisebenzi ekhulisa ubuhlungu isikhashana.
- Ama-Painkiller: Ama-NSAID, njenge-ibuprofen ne-naproxen, angasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke , ungalokothi uthathe le mithi izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela.
- Imijovo ye-Corticosteroid: Uma ubuhlungu nokuvuvukala kukhulu kakhulu, udokotela wakho angase anqume ukukunika umjovo we-steroid ngqo esithweni sesinqe. Lokhu kungakunikeza impumuzo yesikhashana.
- Ukwelashwa Komzimba:Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Udokotela wezokwelapha uzokufundisa ukuzivocavoca okuthile kanye nokwelula okuqinisa imisipha ezungeze inqulu yakho futhi kwandise ukuguquguquka kwelunga. Lokhu kuzokwandisa ukwesekwa okutholwa yilunga lakho futhi kunganciphisa kakhulu ubuhlungu.
Ukuhlinzwa
Uma ubuhlungu bungapheli ngemva kwezinyanga eziningana zokwelashwa okungadingi ukuhlinzwa, noma uma ukudabuka kukhulu kakhulu, udokotela wakho angase akuncome ukuhlinzwa.
Inqubo ebizwa ngokuthi i-hip arthroscopy ivame ukwenziwa. Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane kakhulu esikhumbeni nokufaka ikhamera namathuluzi akhethekile ejoyintini ukuze kulungiswe i-labrum edabukile noma kususwe ingxenye eyonakele. Uma kunenkinga yesakhiwo, njenge-FAI, amathambo angashintshwa ukuze ijoyinti lilingane kahle.
Into ebalulekile ukuthi lokhu kudabuka ngeke kuziphole ngokwako. Ukuhlinzwa kuphela okungabuyisela ingxenye edabukile esimweni sayo esijwayelekile. Kodwa-ke, kubantu abaningi, uma izimpawu zingembi kakhulu, ezinye izindlela zokwelapha zingasiza ekulawuleni ubuhlungu futhi ziphile impilo evamile ngaphandle kokuhlinzwa.
Kufanele ubonane nini nodokotela?
Ubuhlungu benqulu buvame kakhulu. Esikhathini esiningi, buba ngcono ngokuphumula kanye neqhwa. Kodwa ezimweni ezinjengalezi, kufanele nakanjani ubone udokotela.
| Nini lapho kufanele uthole iseluleko sezokwelapha | |
|---|---|
| Bona udokotela wakho... | |
| - Uma ubuhlungu benqulu nokuqina kwayo kungapheli ngemva kwamasonto ambalwa. | |
| - Uma ubuhlungu buqhubeka buba bubi kakhulu. | |
| - Uma lobu buhlungu buphazamisa imisebenzi yakho yansuku zonke. | |
| Yiya e-Emergency Treatment Unit (ETU) ngokushesha... | |
| - Uma uzwa ubuhlungu obukhulu benqulu ngemva kokuwa noma ingozi. | |
| - Uma ungakwazi ukuhambisa isinqe noma umlenze wakho. | |
| - Uma ungakwazi ukuma unesisindo emlenzeni obuhlungu. |
Akudingeki uphile nobuhlungu. Lalela izimpawu umzimba wakho okunikeza zona. Ngokwelashwa okufanele, ungaphinde ube nempilo futhi usebenze.
Umlayezo Wokuya Nawe Ekhaya
- Ukwephuka kwe-labral hip kuwukudabuka kwendandatho ye-cartilage evikelayo ezungeze ijoyinti le-hip.
- Ubuhlungu benqulu, ukuqina, umsindo "wokuchofoza", kanye nokungazinzi yizimpawu eziyinhloko.
- Izingozi, umonakalo wamalunga, kanye nokukhubazeka kwamathambo okuzalwa nawo (i-FAI) abanye abantu abanakho kungaba yimbangela eyinhloko yalokhu.
- Nakuba lokhu kudabuka kungazipholi ngokwako, ukwelashwa okungekona ukuhlinzwa (ukwelashwa ngokomzimba, imithi) kungasiza abantu abaningi ukulawula ubuhlungu babo.
- Uma ubuhlungu benqulu buhlala isikhathi esingaphezu kwamasonto ambalwa, qiniseka ukuthi ubona udokotela ukuze uthole ukuxilongwa okufanele kanye nokwelashwa.
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