Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile esinqeni sakho, noma ethangeni elingenhla, noma mhlawumbe esinqeni sakho? Ingabe lobu buhlungu bubonakala bukhula, ikakhulukazi uma ulele ngalolo hlangothi, noma uma uvuka ngemva kokuhlala isikhashana? Khona-ke ungase ube nesimo esibizwa ngokuthi 'i-Trochanteric Bursitis'. Ungakhathazeki, sizoxoxa ngalokhu kalula, ngendlela ongayiqonda.

Kuyini i-Trochanteric Bursitis?

Kalula nje, i-'Trochanteric Bursitis' ukuvuvukala okubuhlungu okwenzeka eduze kwejoyinti lakho lesinqe. Kuwuhlobo oluthile lwesimo esivamile esibizwa ngokuthi i-'Bursitis'.

Manje ungase uzibuze ukuthi iyini i-'Bursitis'. Emizimbeni yethu, eduze kwamalunga, lapho amathambo ahlangana khona, kunezikhwama ezincane ezigcwele uketshezi. Sizibiza ngokuthi 'iBursa' (noma 'iBursae' uma ziningi). Lezi zikhwama 'zeBursa' zifana nemicamelo emincane. Zicabange ngokuthi 'i-bubble wrap'. Zikhona ukuze zinciphise ukungqubuzana okwenzeka lapho amathambo ethu kanye nemisipha kanye nemisipha ezungezile zihamba phezu komunye nomunye. Okusho ukuthi, ziyazivikela.

Ilungu lakho lesinqe yilapho ithambo lakho lethanga (`Femur`) lixhuma khona ne-pelvis yakho (`Pelvis`). Ingxenye ecijile phezulu, ohlangothini olungaphandle lwaleli thambo lethanga (`Femur`) ibizwa ngokuthi i-`Greater Trochanter`. Uma i-`Bursa` emboza leyo 'Greater Trochanter` yonakala, ivuvukala, noma ivuvukala, yilokho esikubiza ngokuthi i-`Trochanteric Bursitis`.

Uma ubuhlungu benqulu buqala, ikakhulukazi uma buba bubi kakhulu noma bungapheli ngemva kwamasonto amabili, qiniseka ukuthi ubona udokotela.

Ziyini izimpawu zalesi simo?

Uphawu oluyinhloko noluvame kakhulu lwe-'Trochanteric Bursitis' ubuhlungu benqulu. Ungase uzwe lobu buhlungu ngezindlela ezilandelayo:

• Unezinhlungu ngaphandle kwenqulu yakho .
• Ubuhlungu buvela engxenyeni engenhla, ohlangothini lwethanga lakho .
• Ubuhlungu buvela esinqeni sakho .
• Ubuhlungu buba bubi nakakhulu uma ulele ohlangothini oluthintekile . Cabanga ukuthi unale nkinga enqulwini yakho yesokudla, futhi uma uzama ukulala ohlangothini lwakho lwesokudla, uzwa umsindo othi "Ouch!".
• Ubuhlungu buyanda uma usukuma ngemuva kokuhlala isikhashana . Isibonelo, uma uhleli ebhasini isikhashana bese uzama ukwehla.
• Ubuhlungu buyanda ngokunyakaza nokusebenzisa isinqe. Lokhu kubonakala kakhulu ngesikhathi semisebenzi efana nokukhwela izitebhisi.

Abanye abantu bangase bazizwe lobu buhlungu obukhulu kangangokuthi abakwazi ngisho nokwenza imisebenzi yansuku zonke. Kwabanye, bungase bungabi bukhulu kangako, kodwa bube yinkinga.

Kungani sithola i-Trochanteric Bursitis? Ziyini izimbangela?

Lesi simo singabangelwa yinoma yini ecasula noma elimaza i-`Bursa` (bursa) eduze kwe-`Greater Trochanter` esikhulume ngayo ekuqaleni. Nazi ezinye zezimbangela eziyinhloko:

• Ukunyakaza okuphindaphindiwe: Cabanga ngomsebenzi wakho udinga ukuthi uphakamise amabhokisi asindayo usuku lonke, noma ukhuphuke izitebhisi eziningi, noma ume endaweni efanayo isikhathi eside. Lezi zinto zingabangela i-bursitis. Ngokufanayo, uma ungumsubathi, usengozini yokuthola i-bursitis uma udlala imidlalo ebeka ingcindezi enkulu ezinqeni zakho (isib. ukugibela ibhayisikili, ukugijima).
• Ukulimala kwenqulu: Kungenzeka ukuthi uwile, ushayeke enqulwini ndawana thize, noma uhleli ohlangothini olulodwa isikhathi eside (abanye abantu balala ohlangothini olufanayo). Ukulimala kwezemidlalo nakho kungalimaza le bursa.
• Izinkinga ngesimo sakho: Ezinye izimo zempilo ezithinta ukuma kwesinqe sakho noma umhlane wakho ongezansi (umgogodla we-lumbar) nazo zingabeka ingcindezi engafanele ku-bursa. Isibonelo:
• Ukuba nomgogodla ogobile (`Scoliosis`).
• Ukwakheka kwama-protrusion amancane emathanjeni e-hip (ama-hip bone spurs).
• Ukungafani kobude bomlenze (umlenze owodwa mfushane kancane noma mude kunomunye).
• I-calcium ifakwa emithanjeni exhuma esinqeni.

Ngenxa yezizathu ezinjengalezi, i-bursa ihlala icindezelwa futhi ihlukunyezwa futhi iqala ukuvuvukala.

Ubani osengozini enkulu yokuthola i-Trochanteric Bursitis?

Noma ubani angaba ne-trochanteric bursitis, ikakhulukazi ngemva kokulimala njengokuwa. Kodwa-ke, amanye amaqembu asengozini enkulu. Lokhu kufaka phakathi:

• Abadlali.
• Abantu abasebenza kanzima ngokomzimba, labo abenza imisebenzi edinga umsebenzi wezandla.
• Abantu abake bahlinzwa inqulu.

Ngaphezu kwalokho, abantu abanezimo ezithile ezingamahlalakhona basengozini enkulu yokuthola i-bursitis:

• Izimo ze-arthritis: Ikakhulukazi, i-arthritis yokuvuvukala, njenge-Gout kanye ne-Psoriatic Arthritis.
• I-Psoriasis yisifo sesikhumba.
• Isifo sikashukela.
• Isifo se-thyroid.

Lezi zimo zingandisa ukuvuvukala emzimbeni noma zithinte amalunga, okwandisa ingozi ye-bursitis.

Odokotela bakuthola kanjani ukuthi une-Trochanteric Bursitis?

Uma ubona udokotela, into yokuqala abazoyenza ukukuvivinya umzimba. Bazokubuza ngezimpawu zakho futhi bahlole indawo ezungeze inqulu ethintekile. Kubalulekile ukutshela udokotela ukuthi ubuwenzani ngaphambi kokuba izimpawu ziqale ukubonakala, kungakhathaliseki ukuthi unezinyakazo eziphindaphindayo emsebenzini noma ezintweni ozilibazisa ngazo, nokuthi ngabe ucindezela inqulu yakho. Lolu lwazi luzosiza udokotela ukuthola umbono ngalesi simo.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Nakuba lesi simo singatholakala ngokuhlolwa ngokomzimba, ngezinye izikhathi udokotela angase acele ukuhlolwa okufana nalokhu okulandelayo ukuze aqinisekise noma akhiphe ezinye izimo:

• Ama-X-ray: Lokhu kungasiza ekuboneni ukuthi kukhona yini ukulimala noma ukwaphuka kwamathambo. I-Bursitis ayikwazi ukubonwa ngqo kwi-X-ray, kodwa ingasiza ekuboneni ukuthi ubuhlungu bubangelwa ezinye izimbangela.
• Ama-ultrasound noma i-MRI (Magnetic Resonance Imaging): Lokhu kuhlolwa kungaveza izithombe ezicacile ze-bursa evuvukile. Ngakho-ke, ziwusizo kakhulu ekuqinisekiseni isimo se-bursitis.

Yiziphi izindlela zokwelapha ezingcono kakhulu ze-Trochanteric Bursitis?

Izindaba ezinhle ukuthi isikhathi esiningi, ukuphumula kuyindlela engcono kakhulu yokwelapha i-'Trochanteric Bursitis'. Into engcono kakhulu ongayenza ukucabanga ngokuthi yimuphi umsebenzi noma ukuma komzimba okubangele ukuthi i-'Greater Trochanter Bursa' yakho icasuke bese uhlala kude nalezo zinto isikhashana.

Ukuthatha ikhefu emisebenzini ebeka ingcindezi enqulwini yakho kunikeza i-bursa eyonakele isikhathi sokululama. Khuluma nodokotela wakho ngokuthi kufanele uphumule isikhathi esingakanani nokuthi yimiphi imisebenzi okufanele uyigweme.

Ngaphezu kwalokho, kunezindlela zokwelapha ezinjengalezi:

• Ukusebenzisa izidakamizwa zokunciphisa ubuhlungu ezithengiswa ngaphandle kwemithi kadokotela (i-OTC): Imithi efana ne-ibuprofen ne-naproxen ingasiza ekunciphiseni ubuhlungu nokuvuvukala. I-Acetaminophen (isib. i-Panadol) ingasiza kuphela ngobuhlungu. Kodwa khumbula, ungaphuzi lezi zidakamizwa zokunciphisa ubuhlungu izinsuku ezingaphezu kweziyi-10 ngesikhathi ngaphandle kokukhuluma nodokotela wakho.
• Ukusebenzisa induku noma izinduku zokuhamba uma uhamba: Lokhu kungasiza ekunciphiseni isisindo esinqeni sakho, okuvumela i-bursa ukuthi iphole ngaphandle kokulimala okwengeziwe.
• Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca nokwelula ukuze kuqiniswe imisipha ezungeze inqulu yakho elimele futhi kwandiswe ukuguquguquka. Lokhu kuzokusiza ukuthi ululame ngokushesha futhi kuvimbele lesi simo ukuthi singaphinde sivele.
• Imijovo ye-corticosteroid:Uma ubuhlungu nokuvuvukala kukhulu kakhulu, udokotela angase afake i-corticosteroid ngqo ku-bursa ethintekile. Lokhu kunganikeza impumuzo esheshayo.
• Ukususwa kwe-bursa ngokuhlinzwa (i-resect): Lena inqubo engavamile kakhulu. Odokotela bacabanga ngalokhu kuphela uma zonke ezinye izindlela zokwelapha sezihlulekile izinyanga ezingaphezu kweziyisithupha futhi kungekho ntuthuko.

Ingabe lesi simo se-Trochanteric Bursitis sizophulukiswa ngokuphelele?

I-Trochanteric Bursitis ivame ukuba ngcono ngokuphumula nokwelashwa isikhathi esingamasonto ambalwa kuya ezinyangeni eziningana. Kodwa-ke, uma uyihlakulela ngenxa yemisebenzi yokunyakaza ephindaphindayo, kunengozi yokuthi iphinde ivele. Ngakho-ke, kubalulekile ukukhuluma nodokotela wakho ngezindlela zokunciphisa ingcindezi enqulwini yakho.

Ungalokothi ungazinaki izinhlungu zenqulu. Uma ucindezela kakhulu inqulu yakho ngaphambi kokuya kudokotela, ngisho nokulimala okuncane kungenzeka kube kukhulu.

Ingabe ngeke ngikwazi ukuya emsebenzini noma esikoleni ngenxa yalesi simo?

Uma umsebenzi wakho noma isikole sakho sidinga ukuthi wenze ukunyakaza okuphindaphindiwe, ungase ungakwazi ukuya emsebenzini noma esikoleni kuze kube yilapho i-bursitis yakho ye-trochanteric isipholile. Khuluma nodokotela wakho ngemisebenzi yakho yansuku zonke. Uzokutshela ukuthi yimiphi imisebenzi okufanele uyigweme isikhashana nokuthi yini okufanele uyishintshe.

Sizivikela kanjani ku-Trochanteric Bursitis?

Indlela engcono kakhulu yokuzivikela ku-Trochanteric Bursitis ukugwema ukusebenzisa kakhulu i-hip joint yakho. Nazi ezinye izinto ongayenza ukuze usize:

• Funda ukuma kahle kanye namasu lapho udlala imidlalo noma usebenza emsebenzini. Uma ukwenza ngendlela engafanele, uzobeka ingcindezi engadingekile emalungeni akho.
• Uma uqala izivivinyo noma imisebenzi emisha, qala kancane kancane ('Yenza izivivinyo ezintsha zibe lula'). Ukuzama kanzima kakhulu ngesikhathi esisodwa kungaholela ekulimaleni.
• Gwema ukuhlala ohlangothini olufanayo isikhathi eside kakhulu. Kungumqondo omuhle ukushintsha izikhundla, ngisho nalapho ulele.
• Uma uqhubeka nokwenza into efanayo, thatha ikhefu. Sukuma uhambe kancane, bese ushintsha indawo yakho.

Kufanele ngimbone nini udokotela?

Uma ubuhlungu bukhulu kangangokuthi kwenza kube nzima ukwenza imisebenzi yakho yansuku zonke, kufanele nakanjani ubone udokotela. Futhi, uma ubuhlungu benqulu yakho bungathuthuki phakathi nesonto noma amabili ngokuphumula nokwelashwa okulula ekhaya, kungcono ukufuna iseluleko sezokwelapha.

Yini okufanele ngiyibuze udokotela?

Uma uya kudokotela, kungaba usizo ukubuza le mibuzo:

• Ingabe ngine-'Trochanteric Bursitis', noma ingabe kukhona enye imbangela yobuhlungu benqulu?
• Ingabe kuzodingeka ngenze noma yiziphi izivivinyo?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe ngizodinga ukwelashwa ngokomzimba?
• Kunini lapho kuphephile ukuqala kabusha ezemidlalo noma eminye imisebenzi yomzimba?

Ukwazi izimpendulo zale mibuzo kuzokusiza ukuthi uqonde kangcono isimo sakho futhi kukusize ukuthi ululame ngokushesha.

Uyini umehluko phakathi kwe-Hip Bursitis ne-Trochanteric Bursitis?

Ngobuchwepheshe, i-'Hip Bursitis' kanye ne-'Trochanteric Bursitis' ziyisimo esifanayo. I-'Trochanteric Bursitis' uhlobo oluthile lwe-'Hip Bursitis'. Kwenzeka lapho i-'Bursa' emboza i-'Greater Trochanter' ye-'Femur' (ithambo lethanga) ivuvukala. Lokhu kuvame ukubangela ubuhlungu ohlangothini lwesinqe.

I-Hip Bursitis ingathinta nenye i-bursa esihlanganisini se-hip - i-Iliopsoas Bursa, etholakala esithweni sakho sangasese. Uma le Iliopsoas Bursa ivuvukala, ibizwa ngokuthi i-Iliopsoas Bursitis. Lokhu kubangela ubuhlungu endaweni yesitho sangasese.

Umlayezo Wokuya Nawe Ekhaya

I-Trochanteric Bursitis yisimo esibuhlungu esibangelwa ukuvuvukala okuzungeze i-hip joint yakho. Lokhu kungenza kube nzima ngawe ukunyakaza ngaphandle kobuhlungu. Ingxenye engcono kakhulu ukuthi, ivame ukuba ngcono ngokuphumula amasonto ambalwa.

Uma ubuhlungu benqulu obungapheli ezinsukwini ezimbalwa, bona udokotela ngokushesha okukhulu. Bangakusiza ukuphatha ubuhlungu bakho futhi bakunike iseluleko esingcono kakhulu sendlela yokuvimbela amacala esikhathi esizayo e-bursitis. Kubalulekile ukunakekela impilo yakho!

Ubuhlungu be - hip, i-bursitis ye-trochanteric, i-bursitis, izinkinga ze-hip, ubuhlungu bamalunga, i-Trochanteric Bursitis, ubuhlungu be-hip