Ingabe unalolu hlobo lobuhlungu enqulwini yakho? Ake sixoxe ngokudabuka kwe-labral hip!

Wake wazizwa ubuhlungu obukhulu, ukuqina, noma ukuqina enqulwini yakho? Mhlawumbe lobu buhlungu buba bubi nakakhulu uma uhamba, ugoba, noma uvivinya umzimba. Uma unalezi zimpawu, kungenzeka ukuthi kungenxa yomonakalo we-labrum engonweni yakho yenqulu. Ake sixoxe ngalokhu ngokuningiliziwe namuhla.

Kuyini ukudabuka kwe-labral hip?

Kalula nje, ukudabuka kwe-labral yesinqe kuwukulimala kwe -labrum, indandatho ye-cartilage ngaphakathi kwejoyinti lakho lesinqe. Kulungile, manje ake sibheke ukuthi iyini le joyinti yesinqe nokuthi i-labrum yenzani.

Amalunga emizimbeni yethu yilapho amathambo amabili ehlangana khona. Ilunga lakho lesinqe yilapho ithambo lakho lethanga (i-femur) kanye ne-pelvis yakho (i-pelvis) kuhlangana khona. Uma sikhuluma iqiniso, ingxenye ephezulu yethambo lethanga (ikhanda lesinqe) ifana nebhola. Leli bhola linamathele esakhiweni esifana nendebe (i-acetabulum) ethanjeni lesinqe.

Eduze kwalesi sokhethi esifana nendebe , i-acetabulum, kukhona i-cartilage ethambile, evikelayo ebizwa ngokuthi i-labrum . Ifana nomshini wokuwasha. Ivikela indebe futhi ivimbele amathambo amabili ukuthi angagudlani. I-labrum iphinde isize amathambo esihlanganisi se-hip ukuba ahambe kahle futhi ivale isikhala phakathi kwamathambo. Okusho ukuthi, kusiza ukugcina amathambo ehlangene, kodwa hhayi ukuthintana ngqo.

Ngakho-ke, uma le labrum yonakele ngesizathu esithile, yilokho esikubiza ngokuthi ukukhala kwe-labrum. Uma unesihlungu senqulu noma ukuqina okuhlala amasonto ambalwa, into engcono kakhulu ongayenza ukubona udokotela.

Yiziphi izimpawu ze-labrum edabukile esihlanganyelweni sesinqe?

Kulungile, manje ake sibheke ukuthi yiziphi izimpawu umuntu one-labral izinyembezi angase azibone. Akuwona wonke umuntu ozoba nezimpawu ezifanayo. Kodwa-ke, izimpawu ezivame kakhulu yilezi:

• Ubuhlungu benqulu: Lobuhlungu bungenzeka ikakhulukazi uma ugoba inqulu yakho, uyinyakazisa, uyivivinya umzimba, noma udlala imidlalo.
• Ukuqina: Umuzwa wokuqina esinqeni.
• Umsindo noma umuzwa wokuqhafaza noma wokuqhumisa: Uma ushukumisa inqulu yakho, ungase uzwe umsindo 'wokuqhafaza' noma okuthile okuqhumisayo ngaphakathi.
• Ukungazinzi: Umuzwa wokulahlekelwa ukulawula kanye nokushelela kwesinqe, kungakhathaliseki ukuthi umi noma uhamba.

Ngezinye izikhathi, uma ukudabuka kwe-labrum kuncane kakhulu, kungase kungabi nazimpawu nhlobo. Abantu bangase bangazi nokuthi banalesi simo, futhi singatholakala ngengozi kuphela uma kwenziwa ukuhlolwa kwesithombe ngesinye isizathu.

Bunjani ngempela lobu buhlungu?

Wonke umuntu uzwa ubuhlungu ngendlela ehlukile. Uhlobo lobuhlungu lungahluka kuye ngokuthi ubuhlungu bakho bubuhlungu kangakanani nokuthi unezinye izimo. Ngokuvamile, lobu buhlungu bungachazwa kanje:

• Ubuhlungu obungajabulisi obuhlala njalo: njengokungathi kukhona okuhlala kubuhlungu ngaphakathi.
• Ubuhlungu obuhlabayo nobuhlabayo ngesikhathi sokuma noma imisebenzi ethile: Isibonelo, lolu hlobo lobuhlungu lungase lwenzeke uma ulele ohlangothini olubuhlungu, noma uma uzivocavoca.
• Ubuhlungu buzwakala sengathi buvela ekujuleni komzimba: Kungase kungabi njengobuhlungu obungasho lutho noma ubuhlungu bemisipha, kodwa kunalokho buzwakala njengento ejulile, mhlawumbe njengobuhlungu bethambo .
• Ubuhlungu obuphumayo: Abanye abantu bangase babe nobuhlungu esinqeni, emhlane ongezansi, noma emlenzeni ngenxa yokudabuka kwe-labrum yesinqe.

Cabanga ngakho, ngezinye izikhathi ungase ushintshe nendlela ohamba ngayo kanye nesimo sakho ngenxa yalobu buhlungu. Uma ushintsha ukuma komzimba wakho ungaqapheli, kungabeka ingcindezi eyengeziwe emisipheni nakwezinye izicubu ezizungeze inqulu yakho elimele.

Yiziphi izimbangela zokudabuka kwe-labral esinqeni?

Kulungile, pho kungani kuvela izinyembezi ze-labral? Kalula nje, noma yini ebeka ingcindezi enkulu esithweni sakho senqulu ingalimaza ijoyinti futhi ibangele ukudabuka kwe-labral. Izimbangela ezivame kakhulu yilezi:

• Ukuminyaniswa kwe-Femoroacetabular (FAI): Lokhu kungase kuzwakale njengegama eliyinkimbinkimbi, kodwa kusho ukuthi amathambo esitho sakho se-hip awahlangani kahle ngokwemvelo. Kufana nomnyango ongahlangani kahle. Uma amathambo engahlangani kahle, ingcindezi eyengeziwe ibekwa njalo ku-labrum yesinqe. Ngokuhamba kwesikhathi, lokhu kucindezela kanye nokungqubuzana kungabangela ukuthi i-labrum idabuke. Odokotela babiza lesi simo ngokuthi Ukuminyaniswa kwe-Hip .
• Ukulimala: Ukulimala kwezemidlalo, ukuwa, kanye nezingozi zezimoto nakho kungabangela ukudabuka kwe-hip labrum. Isibonelo, ukuwa ngokuzumayo noma ukujika okungalungile kwe-hip ngenkathi udlala imidlalo kungabangela lolu hlobo lomonakalo.
• I-Osteoarthritis: Yilokhu esivame ukukubiza ngokuthi "i-arthritis egugile neyidabukile." Lesi simo sibangelwa ukucindezeleka okuvamile okufakwa amalunga ethu ekuphileni kwansuku zonke ngokuhamba kwesikhathi. Uma une -osteoarthritis , i-cartilage ejoyintini ingaguga futhi i-labrum ingadabuka.

Ubani osengozini enkulu yalesi simo?

Eqinisweni, noma ubani angadabula i-labrum yejoyinti lakhe lesinqe, kungaba ngengozi noma ngenye imbangela. Kodwa-ke, abanye abasubathi basengozini enkulu kancane ngoba babeka ingcindezi eyengeziwe emajoyintini abo esinqeni. Isibonelo:

• Ihokhi
• Umdanso
• Ibhola (Ibhola - Ibhola laseMelika/Iragbi)
• Ibhola Lezinyawo
• Igalofu
• I-Gymnastics

Kwezemidlalo ezinjengalezi, isinqe sihamba ngokushesha njalo ngezindlela ezahlukene, ngakho-ke kunethuba elikhulu lokulimala kwe-labrum ngenxa yokunyakaza okungazelelwe.

Odokotela bakuthola kanjani ukudabuka kwe-labral?

Uma uya kudokotela onesifo sezinqe, into yokuqala azokwenza ukukuhlola ngokomzimba futhi akubuze ngezimpawu zakho. Kufanele ucacelwe ukuthi waqala nini ukuzwa ubuhlungu nezinye izimpawu, nokuthi yimiphi imisebenzi, ukunyakaza, noma ukuma komzimba okwenza kube kubi kakhulu.

Ngemuva kwalokho, udokotela angase akucele ukuthi ushukumise inqulu yakho, ume, ulale phansi, bese uhamba. Uma uzwa ubuhlungu ngalesi sikhathi, mtshele ukuthi yikuphi ukunyakaza okubuhlungu kakhulu.

Ngokuvamile, udokotela kuzodingeka enze izivivinyo eziningana ezikhethekile zokuthatha izithombe zelunga lesinqe kanye nezicubu ezizungezile. Lokhu kufaka phakathi:

• I-X-ray yesinqe
• Ukuskena nge-ultrasound
• Isithombe Sokuzwakala Kwe-Magnetic (MRI)
• Iskeni se-Computed Tomography (CT)

Lezi zivivinyo ziyindlela kuphela yokwazi ngokuqinisekile ukuthi i-labrum yonakele, ukuthi yonakele kangakanani , nokuthi ngabe kunezinye izinkinga.

Yiziphi izindlela zokwelapha ukudabuka kwe-labrum esihlangwini se-hip?

Kulungile, manje ake sibheke ukuthi yiziphi izindlela zokwelapha ezitholakalayo zalokhu. Udokotela wakho uzoncoma izindlela zokwelapha ezizosiza ukulawula izimpawu zakho. Ukuhlinzwa kuyindlela kuphela yokulungisa ngokuphelele ukudabuka kwe-hip labrum. Kodwa-ke, abanye abantu bangakwazi ukulawula izimpawu zabo ngokwelashwa okungewona ukuhlinzwa.

Izindlela zokwelapha ezisetshenziswa kakhulu yilezi:

• Imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kwemithi kadokotela (OTC): Ama-NSAID athengiswa ngaphandle kwemithi kadokotela (njenge-ibuprofen, i-aspirin, ne-naproxen) noma i-acetaminophen angasiza ekunciphiseni ukuvuvukala nokuqeda ubuhlungu. Kodwa khumbula, ungawasebenzisi lawa ma-pain treatment izinsuku ezingaphezu kweziyi-10 ngaphandle kweseluleko sikadokotela.
• Ama-Corticosteroids: Lena imithi enamandla enqunywe udokotela ukunciphisa ukuvuvukala. Ngezinye izikhathi, udokotela wakho angase afake enye yalezi zi -corticosteroids ngqo esithweni sakho se-hip.
• Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba uzokufundisa ukwelula okuthile kanye nokuzivocavoca okuqinisayo ukuze kuqiniswe imisipha ezungeze ilunga lakho lesinqe elilimele futhi kwandiswe ukuguquguquka. Lokhu ukwelashwa okubaluleke kakhulu.

Ukuhlinzwa Kwezinyembezi Ze-Hip Labral

Uma unezimpawu ezinzima, noma uma ezinye izindlela zokwelapha zingasizi ngemva kwezinyanga ezimbalwa, udokotela wakho angase akuncomele ukuhlinzwa ukuze kulungiswe ukudabuka kwe-hip labrum yakho.

Udokotela ohlinzayo uvame ukwenza inqubo ebizwa ngokuthi i-hip arthroscopy . Kulokhu, kufakwa ikhamera kanye namathuluzi abucayi ngokusebenzisa imivimbo embalwa ukuze kulungiswe ukudabuka kwe-labrum kanye neminye imonakalo ngaphakathi kwejoyinti le-hip. Uma une -hip impingement eshiwo ngenhla, bangase bakwazi nokuqondisa amathambo ngesikhathi esifanayo ukuze benze ijoyinti lilingane kahle.

Ukuhlolwa kwe-arthroscopies ye-hip ngokuvamile kuyizinqubo zokulaliswa esibhedlela , okusho ukuthi ungaya ekhaya ngalolo suku. Udokotela wakho noma udokotela ohlinzayo uzokuchazela lokhu ngaphambi kwenqubo.

Ingabe lokhu kulila kungaphola ngokwako?

Cha, izinyembezi ze-labral ezinqeni azizipholi zodwa. Okuwukuphela kwendlela yokulungisa i-labrum edabukile iwukuhlinzwa. Ezinye izinyembezi zincane kakhulu kangangokuthi azibangeli ubuhlungu noma ezinye izimpawu. Kodwa-ke, ngisho nezinyembezi ezincane njengalezi azizipholi zodwa ngaphandle kokuhlinzwa.

Kodwa-ke, uma ungenazo izimpawu ezibucayi, futhi ukudabuka kwe-labrum kungathinti ikhwalithi yempilo yakho noma imisebenzi yansuku zonke, ungase ukwazi ukuphila nakho ngaphandle kokuhlinzwa.

Ungalokothi ungazinaki izinhlungu, ukuqina, noma ezinye izimpawu. Uma ubuhlungu benqulu yakho bungathuthuki ngemva kwamasonto ambalwa okuphumula nokwelashwa ekhaya, qiniseka ukuthi ubona udokotela.

Yiziphi izindlela zokuvimbela ukudabuka kwe-hip labrum?

Eqinisweni, kuvame ukuba nzima ukuvimbela ukudabuka kwe-labral hip. Lokho kungenxa yokuthi iningi lazo libangelwa ukuma kwemvelo kwe-hip joint yakho (uma une -FAI ), isimo sempilo ongakwazi ukusivimbela (njenge -osteoarthritis ), noma ukulimala okungalindelekile.

Kodwa-ke, kuwumqondo omuhle ukulandela lawa macebiso okuphepha ukuze unciphise umonakalo obangelwa izingozi:

• Gcina ikhaya lakho nendawo yakho yokusebenza ingenazo izinto eziningi ezingakukhubekisa noma zikhube abanye.
• Uma uthatha into ephezulu endlini, sebenzisa njalo ithuluzi noma imishini efanele kulo msebenzi. Ungalokothi ukhwele ezihlalweni, ematafuleni, noma emakhabetheni.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku noma i-walker.

Uma udlala imidlalo noma eminye imisebenzi yomzimba:

• Gqoka imishini yokuzivikela efanele kumdlalo ngamunye.
• Uma inqulu yakho ibuhlungu, kungakhathaliseki ukuthi ngesikhathi noma ngemva komsebenzi womzimba, ungadlali “ngobuhlungu.”
• Nika umzimba wakho isikhathi sokuphumula nokululama ngemva kokusebenza kanzima.
• Fudumala futhi welule kahle ngaphambi kokudlala imidlalo noma ukuzivocavoca.
• Ngemva kokuzivocavoca umzimba , pholisa bese welula futhi .

Yini ongayilindela uma une-labrum edabukile yesinqe?

Abantu abaningi abanezinsini ezibuhlungu bangakwazi ukulawula izimpawu zabo ngokuhlanganiswa kwezindlela zokwelapha. Uma uke waphuza imithi futhi wenza ukwelashwa ngokomzimba kodwa usenezinhlungu noma ezinye izimpawu, khuluma nodokotela wakho. Uzokutshela ukuthi kufanele yini ucabangele ukuhlinzwa.

Nakuba izinyembezi ze-labral ezinqeni zingapholi zodwa, akudingeki uphile nobuhlungu noma ukungakhululeki okuqhubekayo. Uma uzizwa sengathi izimpawu zakho ziyashintsha – ikakhulukazi uma ziba zimbi kakhulu noma ziphazamisa imisebenzi yakho yansuku zonke – khuluma nodokotela wakho. Angakusiza.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Ngokuvamile kuthatha izinyanga ezine kuya kweziyisithupha ukululama ngemva kokuhlinzwa kwe -hip arthroscopy . Udokotela wakho ohlinzayo uzokutshela ukuthi kuzothatha isikhathi esingakanani kuye ngesimo sakho.

Uma uthatha ukwelashwa okulondolozayo/okungahlinzwa, ungase ungabi nesikhathi esithile sokululama. Lokhu kungenxa yokuthi imithi kanye nokwelashwa ngokomzimba akulungisi ukudabuka. Kodwa-ke, uma ungakwazi ukulawula izimpawu zakho futhi uzigcine zilawulwa ngaphandle kokuthinta imisebenzi yakho yansuku zonke, ungase ungadingi ukuhlinzwa.

Ungakwazi yini ukuhamba ne-labrum yesinqe edabukile?

Iningi labantu lingahamba likhala kakhulu. Abanye abantu abazizwa ubuhlungu. Abanye bangahamba futhi bazulazule, kodwa bazizwa bengakhululekile.

Nakuba ungahamba, uzulazule, noma uvivinye umzimba ngokudabuka kwe-hip labrum, kungase kungabi kuphephile ukwenza umsebenzi onzima womzimba.Khuluma nodokotela wakho mayelana nemisebenzi ongayenza ngokuphephile.

Kufanele ngimbone nini udokotela?

Ubuhlungu benqulu buvame kakhulu. Ezimweni eziningi, kunezimbangela ezingelashwa ekhaya ngokuphumula, iqhwa, kanye nemithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela. Kodwa-ke, uma ubuhlungu benqulu, ukuqina, kanye nezinye izimpawu zingathuthuki ngokwazo ngemva kwamasonto ambalwa, bona udokotela. Futhi, ungabunaki ubuhlungu uma buphinde buvela noma bubonakala buba bubi kakhulu.

Izimo lapho kufanele kudingeke khona ukwelashwa okuphuthumayo

Uma unezinye zezimpawu ezilandelayo, iya ekamelweni eliphuthumayo ngokushesha:

• Ubuhlungu obukhulu esinqeni noma esinqeni.
• Uma ubhekene nokulimala, njengokuwa noma ingozi yemoto.
• Uma ungakwazi ukunyakaza noma ukubeka noma yisiphi isisindo esinqeni noma emlenzeni wakho.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela wakho, kuwumqondo omuhle ukubuza imibuzo efana nale ukuze uthole ukuqonda okucacile ngesimo sakho:

• Ingabe nginokulimala kwesinqe noma okunye ukulimala?
• Hlobo luni lokuhlolwa okuzodingeka ngenze?
• Yikuphi ukwelashwa okungadingi ukuhlinzwa okungcono kakhulu kimi?
• Kufanele ngicabange nini ngokuhlinzwa?
• Yimiphi imisebenzi noma ezemidlalo okufanele ngiyigweme?

Izinto okufanele sizikhumbule kule ndaba (Umyalezo Ohamba Nawo Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu ngalesi simo esibizwa ngokuthi i-hip labral tear. Ukuthi sibi kangakanani kuncike ekutheni senzeke kanjani nokuthi sithinta kangakanani ukusetshenziswa kwe-hip yakho. Ezinye izinyembezi zincane kangangokuthi ungase ungazi nokuthi unazo. Ungase ukwazi ukulawula izimpawu zokudabuka okuncane ngokwelashwa ngokomzimba noma imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela.

Kodwa-ke, ezinye izinyembezi ze-labral zingaba zimbi ngokwanele ukuthi zidinge ukuhlinzwa. Lezi zinyembezi zingadala ubuhlungu obukhulu futhi zenze kube nzima (noma kungenzeki) ukuhambahamba nokuba matasa.

Kuvamile ukuzizwa wesaba uma uzwa okuthile ngaphakathi emzimbeni wakho okubizwa ngokuthi "ukudabukile." Kodwa-ke, unezinketho eziningi zokuphatha i-labrum yesinqe edabukile. Udokotela wakho cishe uzoncoma ukwelashwa okungekona ukuhlinzwa izinyanga ezimbalwa ekuqaleni. Abantu abaningi bangakwazi ukulawula izimpawu zabo ngokwanele ukuze bagweme ukuhlinzwa. Kodwa-ke, uma usenobuhlungu ngemva kwesikhashana, ungadinga i-arthroscopy yesinqe .

Kungakhathaliseki ukuthi udinga ukuhlinzwa noma cha, khuluma nodokotela wakho ngendlela ozizwa ngayo. Akudingeki uphile nobuhlungu, futhi akukuhle ukuthi impilo yakho ihlale ingakhululekile.Thembeka kudokotela wakho mayelana nendlela ozizwa ngayo nokuthi izimpawu zakho zithinta kangakanani imisebenzi yakho yansuku zonke. Uzokusiza ukuthi ubuyele empilweni yakho evamile.

Ukwephuka Kwe- Labral Yesinqe, Ubuhlungu Besinqe, Ubuhlungu Bamalunga, I-Cartilage, I-Arthroscopy, Ukwelashwa Komzimba