Ingabe uvuka unobuhlungu obungabekezeleli esinqeni sakho, noma uqala ukubuhlungu ngemva kokuhamba ibanga elifushane? Ingabe uyaqhaqhazela ngenxa yobuhlungu lapho uvuka esihlalweni noma uphuma emotweni? Ubuhlungu be-hip buyinkinga evamile ethinta abaningi, futhi nakuba ngezinye izikhathi kungaba yinkinga encane, ngezinye izikhathi idinga ukunakekelwa okucophelelayo kwezokwelapha. Namuhla ku -Nirogi Lanka , ake sixoxe ngokuthi buyini ngempela ubuhlungu be-hip, ukuthi kungani bukhona, nokuthi ungabuphatha kanjani.
Kuyini Ubuhlungu Besinqe?
Kalula nje, i-hip joint yakho yilapho i-femur (ithambo lethanga) ihlangana khona ne-pelvis. Ingenye yamalunga amakhulu futhi anamandla emzimbeni wakho, inikeza ukwesekwa okubalulekile njengoba uhamba, ugijima, futhi ugcina ibhalansi yakho ngenkathi uthwala isisindo somzimba wakho.
Indawo lapho ubuhlungu bakho bukhona ivame ukunikeza izinkomba mayelana nomsuka wabo. Isibonelo:
- Uma uzwa ubuhlungu eduze kwesikhumba noma indawo, kungase kuhlobane nemisipha, imisipha, noma imisipha.
- Uma ubuhlungu buzwakala bujulile, buvame ukuhlotshaniswa nethambo noma uqwanga olungaphakathi kwelunga.
- Ngezinye izikhathi, ubuhlungu benqulu buvela emhlane noma endaweni yengquza.
Lokhu kungakhululeki akuhlali njalo. Kungase kuvele kuphela uma usebenza futhi kuphele ngenkathi uphumule. Kwabanye, kuba kubi kakhulu ekuseni, kanti abanye bathola ukuthi ubuhlungu buyaqina ebusuku, ikakhulukazi lapho belele ohlangothini oluthintekile. Nakuba ukungakhululeki okuncane kungaphathwa ngokunakekelwa ekhaya kanye nemithi yokwelapha ubuhlungu etholakala ngaphandle kwemithi kadokotela, uma ubuhlungu bukhulu ngokwanele ukuthi buphazamise impilo yakho yansuku zonke noma bungathuthuki ngemva kwezinsuku ezimbalwa, kufanele uthintane nodokotela.
Yiziphi izimbangela eziyinhloko zobuhlungu benqulu?
Ubuhlungu benqulu buwuphawu, hhayi isimo ngokwaso, futhi bungabangelwa yizinkinga eziningana eziyisisekelo. Ake sibheke izimbangela ezivame kakhulu.
| Imbangela | Kwenzakalani? | Izibonelo |
|---|---|---|
| Isifo samathambo | Isimo esibangela ubuhlungu bamalunga nokuvuvukala. I-arthritis yesinqe ivame kakhulu. | - I-Osteoarthritis - Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis - I-Ankylosing spondylitis |
| I-Bursitis | Ukuvuvukala kwe-bursae, okuyizikhwama ezincane ezigcwele uketshezi ezivikela amalunga akho. | - I-Iliopectinal bursitis - I-bursitis ye-Trochanteric |
| Ukulimala | Noma yimuphi umonakalo ezakhiweni zesinqe ungabangela ubuhlungu. Lokhu kuvame ukubangelwa izingozi noma imisebenzi ehlobene nezemidlalo. | - Ukucindezeleka kwemisipha ye-hip - Isifo sebhendi ye-Iliotibial - Izinyembezi ze-labral ezinqeni – Ukuphuka kwamathambo |
| Izimo Zesakhiwo | Abanye abantu bazalwa benesimo esihlukile senqulu, okungaholela ebuhlungwini ebuntwaneni noma kamuva ekuphileni. | - I-Femoroacetabular impingement (FAI) - I-Developmental dysplasia of the hip (DDH) |
Njengoba ubona, kunezimbangela eziningi ezingaba khona. Okuphawulekayo ukuthi abasubathi abanjengobadansi nabadlali be-gymnast abadinga ukuhamba kakhulu kwezinqe basengozini enkulu yalezi zimo.
Ubuhlungu benqulu belashwa kanjani?
Uhlelo lokwelashwa oludingayo luncike embangela kanye nobukhulu bobuhlungu bakho. Udokotela wakho uzonquma inkambo engcono kakhulu okufanele uyenze.
Ukunakekelwa ekhaya: Indlela ye-RICE
Uma ulimele kancane, indlela elula nephumelela kakhulu yindlela ye-RICE.
- R - Ukuphumula: Gwema umsebenzi obangele ubuhlungu. Ukunikeza amalunga akho isikhathi sokuphumula kusiza ukuvimbela umonakalo owengeziwe.
- I - Iqhwa: Faka iphakethe leqhwa (noma isikhwama semifino eqandisiwe esongwe ngethawula) endaweni ethintekile imizuzu eyi-10-15. Ngosuku lokuqala, ungakwenza lokhu ngehora, bese ufaka njalo emahoreni angu-3-4 ngemva kwalokho. Ungalokothi ufake iqhwa ngqo esikhumbeni.
- C – Ukucindezela: Ukusebenzisa ibhandishi lokucindezela elivela ekhemisi yangakini kungasiza ekunciphiseni ukuvuvukala.
- E - Ukuphakama: Uma kungenzeka, gcina inqulu yakho iphakeme phezu kwemicamelo, okungcono kakhulu kube ngaphezu kwezinga lenhliziyo yakho.
Imithi
Udokotela wakho angase ancome imithi yokulawula ubuhlungu nokuvuvukala. Ama-NSAID atholakala ngokungekho emthethweni (imithi elwa nokuvuvukala engeyona i-steroidal) njenge-ibuprofen noma i-naproxen avame ukusetshenziswa, kanye ne-acetaminophen (i-paracetamol).
Sicela ukhumbule: Ungasebenzisi le mithi izinsuku ezingaphezu kweziyi-10 ngaphandle kokubonisana nodokotela wakho eNirogi Lanka.
Ukwelashwa Komzimba
Uma ubuhlungu bakho bubangelwa yizimo ezifana ne-arthritis noma izinkinga zesakhiwo, udokotela wakho angakudlulisela kudokotela wezokwelapha ngokomzimba. Bazokuqondisa ngokuzivocavoca okuqinisayo kanye nokulula ukuze kuthuthukiswe ukuqina kwenqulu futhi kuncishiswe ukungakhululeki.
Ukuhlinzwa
Ukuhlinzwa akudingeki kuwo wonke umuntu. Kodwa-ke, uma ubuhlungu bakho bukhulu noma bungaphenduli ekwelashweni okulondolozayo, udokotela wakho angase axoxe ngezinketho zokuhlinzwa.
- I-arthroscopy ye-hip: Inqubo evamile engangenisi kakhulu lapho kwenziwa khona ukusikwa okuncane, bese kusetshenziswa i-arthroscope (ikhamera encane) ukuxilonga nokulungisa umonakalo wangaphakathi.
- Ukufakelwa kwe-hip: Ezimweni ezimbi kakhulu lapho ukunyakaza kuncishisiwe kakhulu, kungase kudingeke i-hip arthroplasty (ukufakelwa) lapho ijoyinti elonakele lithathelwa indawo nge-prosthesis.
Ingabe ubuhlungu benqulu bungavinjelwa?
Nakuba ezinye izingozi zingenakugwenywa, ungathatha izinyathelo zokunciphisa ingozi yakho.
Uma uzivocavoca:
- Qala njalo ngokufudumeza umzimba ngendlela efanele.
- Faka phakathi izivivinyo zokuphola kanye nokuzelula ngemva kokuzivocavoca kwakho.
- Ungalokothi uzame ukusunduza ubuhlungu ngesikhathi semidlalo noma ukuzivocavoca.
- Nika umzimba wakho isikhathi esanele sokululama phakathi kwezikhathi ezinzima.
Amathiphu okuphepha ajwayelekile:
- Gcina ikhaya lakho nendawo yakho yokusebenza ihlanzekile ezingozini ezikhubekayo.
- Gwema ukuma ezihlalweni noma ematafuleni ukuze ufinyelele izinto; sebenzisa ileli eliqinile esikhundleni salokho.
- Uma ubhekene nobunzima bokuhamba noma uzizwa ungazinzile, ungangabazi ukusebenzisa induku noma i-walker ukuze uvimbele ukuwa.
Kufanele ubonane nini nodokotela?
Lokhu kubaluleke kakhulu.
Uma ubuhlungu benqulu yakho buqhubeka, noma uma bukuvimbela ekuqedeni imisebenzi yakho yansuku zonke nokujabulela imisebenzi oyithandayo, sicela uxhumane nodokotela ngokushesha.
Uma uke waba nokulimala okubuhlungu, njengengozi yemoto noma ukuwa, noma uma ungakwazi ukuhambisa inqulu noma umlenze wakho, noma uma usola ukuthi uphukile, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo oseduze.
Nakuba ubuhlungu benqulu buvamile, akudingeki uphile nabo. Udokotela wakho angakwazi ukubona imbangela futhi anikeze ukwelashwa okufanele ukuze akusize ululame ngokushesha futhi ubuyele empilweni yakho yansuku zonke.
Umlayezo Wokuya Nawe Ekhaya
👩🏽⚕️ Imibuzo Evame Ukubuzwa (Imibuzo Evame Ukubuzwa)
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Lona umuthi we-statin osetshenziselwa ukuphatha i-cholesterol ephezulu (i-hyperlipidemia). Nakuba ungase ungabi namandla njenge-atorvastatin, inzuzo yawo eyingqayizivele ukuthi uvame ukunqunyelwa iziguli eziye zaba nokuhlaselwa yinhliziyo noma izinqubo zenhliziyo (njenge-PTCA/Bypass) ukunciphisa ingozi yokuvaleka kwemithambo yegazi. Ngokuvamile futhi unengozi ephansi yokusebenzisana phakathi kwemithi nemithi.
💬 I-Fluvastatin isebenza kanjani ukwehlisa i-cholesterol embi?
Isibindi sakho sisebenzisa i-enzyme ebizwa ngokuthi 'i-HMG-CoA Reductase' ukukhiqiza i-cholesterol. Uma usuyithathile le mithi, ama-molecule ayo asebenzayo ayivimbe ngempumelelo le enzyme (i-Enzyme Inhibition). Uma lo 'mshini' wokukhiqiza uvaliwe, isibindi sakho sivala ngokwandisa ukuthathwa kwe-cholesterol embi ye-LDL ngqo egazini lakho (ukwanda kokulawulwa kwama-receptor e-LDL).
💬 Yiziphi izingozi ezibalulekile kanye nemiphumela emibi okufanele ngizazi ngenkathi ngithatha i-Fluvastatin?
Nakuba inokuxhumana okuncane, ingozi enkulu engaba khona yi-'Myopathy/Rhabdomyolysis' (ukuphuka kwemisipha). Uma uzwa ubuhlungu obukhulu bemisipha obungachazeki, ubuthakathaka, noma ubona umchamo omnyama (onombala wekhofi), xhumana nodokotela wakho ngokushesha, njengoba lokhu kungaholela ekuhlulekeni kwezinso. Ngaphezu kwalokho, lo muthi awuvunyelwe ngokuphelele kwabesifazane abakhulelwe nalabo abanesifo sesibindi esisebenzayo.
