Ubuhlungu obuhlangene be-hip buyashintsha indlela evamile yokuphila, ukuvimbela umuntu ukuba athuthe ngokugcwele futhi afeze imisebenzi yakhe. Ukuqeda isifo esiphuthumayo kungenzeka uma imbangela yokuphazanyiswa ekusebenzeni kokuhlanganyela kanye nesimo esibuhlungu izocaciswa.
Ubuhlungu ekuhlanganisweni kwe-hip - izimbangela
I-joint ye-hip yiyona ehlangene kunazo zonke. Impilo nokusebenza kahle kokujoyina kuvumela umuntu ukuba athathe noma yikuphi isikhundla somzimba futhi ahambe ngokukhululekile. Lo muntu akaqapheli umsebenzi walokhu okubalulekile kuze kuvele izinkinga kuwo. Ukulahlekelwa ukuhamba, ubuhlungu, ukungahambi kahle, ukugubha, ubuhlungu ezindaweni ezithile - konke lokhu kubhidliza inkambo yokuphila futhi kubangela isiguli ukuba sishiye izenzo ezithile.
Izinzwa ezibuhlungu zigxilwe endaweni yokunamathisela kwe-femur esitokisini se-pelvic, kepha singakwazi ukuya ezindaweni eziseduze, amathambo, imisipha, izinzwa, izintambo. Ubuhlungu ezinkalweni, izimbangela zazo ezifihliwe ezinkambisweni zokuvuvukala, zingaba ngumthombo wezinguquko eziguqukayo. Ngakho-ke, ukwelashwa kwalesi sifo kufanele kuqale ngokushesha emva kokubona ukuhamba kahle nokubonakala kobuhlungu. Phakathi kwemithombo ebalulekile yobunzima emalungwini kukhona ukulimala, ukulimala kwamaphilisi, izindawo ezibonakalayo, izigulane, izifo ezithathelwanayo kanye nezinkinga zemithi.
Izifo zezingxube ze-hip
Izifo zamalungu omzimba asuke avela ngenxa yezifo ezivuthayo ezibangelwa ukuthuthukiswa kwezifo, ukuphazamiseka kwemithi, izinkinga zesistimu yomzimba. Izifo eziyinhloko zezingxube ze-hip zihlanganisa:
- i-coxarthrosis ;
- isifo samathambo esithathelwanayo;
- i-pseudogout;
- i-arthritis ye-rheumatoid ;
- i-synovial chondromatosis;
- Isifo seLegg-Calvet-Perthes ;
- i-osteoarthropathy yesifo sikashukela.
Lezi zifo zamalungu ezinamahlombe zinemibono ehlukene, ubukhulu kanye nenkambo. Ngakho-ke, izinhlungu nge-coxarthrosis yenhlanganisela ye-hip azizinzile futhi zendawo endaweni yokugubha, izintambo noma ezansi. Ubuhlungu be-arthritis ku-hip bubonakala ngezikhathi ezithile futhi bunamandla anamandla. Nge-arthrosis, ukukhathazeka kokuhlanganiswa kwe-hip kuhlangene nokuhamba okukhubazekile.
Ubuhlungu esifubeni uma uhamba-kubangela
Ubuhlungu ekuhlanganyeleni kwe-hip ngesikhathi sokuhamba kungaba umphumela wezimbangela ezihlukahlukene, ngakho-ke ochwepheshe kufanele abone ukuhlolwa okufanele ngemva kokuhlolwa okuphelele. Kunezizathu eziyisi-4 ezibalulekile zokuhlukunyezwa kokuhlanganyela kwe-hip ngesikhathi sokunyakaza:
- ubuhlungu obubangelwa imiphumela yokuhlukumezeka: ukuchithwa nokuxhaswa, ukuvuthwa, ukulimaza, ukwehlukana;
- okuphawulekayo kwesakhiwo samalungu, izifo ezihambisana nazo: i-chondromatosis, ngokuchofoza i-hip syndrome, i-bursitis, i-arthritis, i- osteoporosis ;
- izifo zesimiso: isifo samathambo, i-arthritis uma i-lupus, igout, i-rheumatism, i-psoriasis, izifo ezingokwemvelo, i-myalgia yezicubu ezinamafutha;
- ukuhlukunyezwa okubangelwa izifo ezingenamahloni: i-coxarthrosis, i-dysplasia, i-osteochondrosis, i-myopathy, i-hernia inguinal, i-neuralgia.
Ubuhlungu ekhanda lapho uvuka
Uma ukuhlanganiswa kwe-hip kubuhlungu uma usukuma, izizathu kufanele zifunwe ekuhlanganyeleni kwe-femur ne-bones pelvic. Inkinga enkulu eholela ebuhlungu obuhlangene i-arthritis. Ukuvuvuka kwe-arthritic kungaba i-purulent, i-psoriatic, i-gouty ne-rheumatoid. Izimpawu zesifo samathambo esiyingozi zizozizwa ezinyangeni ezimbili, i-protracted - ngaphansi konyaka. Uma izibonakaliso zesifo zizibonakalisa ngaphezu konyaka, odokotela baxilonga "isifo samathambo esingapheli."
Ubuhlungu ekuhlanganyeleni kwe-hip endaweni yokuhlala
Uma uhlala endaweni ehlezi umuntu ulimaza ukuhlanganyela kwe-hip, ungazama ukushintsha isikhundla somzimba. Ngezinye izikhathi ukuthungatha okungahambi kahle ukuholela ekukhoneni izitsha kungaba umthombo wobuhlungu endaweni yokuhlala. Isizathu esibi kakhulu yi-coxarthrosis. Izinqubo ezidakayo kanye nezinqubo ezidakayo ezenzeka emathisini e-articular ezinqamulekayo ziholela ekubukeni kobuhlungu kunoma yikuphi isikhundla nokuphazamiseka ekuhambeni kokujoyina.
Ubuhlungu ekuhlanganyeleni kwe-hip esimweni esivamile
Ubuhlungu obuhlangene be-hip obuhlangothini lwaso bubhekwa njengesimangaliso esiyingozi, esibonisa izinqubo ze-pathological in the joint. Isizathu esilula kakhulu sesimo lapho umlenze ohlangothini lwe-hip usilimala umthwalo okweqile noma ukulimala okwenzekile ekuhlanganyeleni. Izifo ezimbi lapho lesi sibonakaliso senze khona:
- i-coxarthrosis yezigaba ezimbili nezi-3;
- i-bursitis - isiguli siyasizwa kabi, silele ohlangothini oluthintekile;
- I-Tendenitis - ubuhlungu buzovela uma isimo sishintsha ngesikhathi sokulala;
- I-arthritis esithathelwanayo - ingabangela ubusuku bonke kunoma yisiphi isikhundla.
Ukubamba ngokuhlanganyela kwe-hip
Ubuhlungu ekuhlanganyeleni kwe-hip, enikeza emlenzeni, uphawu oluqinile lokuvuvukala kwesigxobo esihlangene - i-bursitis. Ubuhlungu buba nzima, banda ngokunyakaza futhi kwanda emlenzeni. Ekuphumuleni ukuhlanganiswa okonakele kuyoqhubeka nokulimaza noma kuzozwa umuzwa ovuthayo. Ukusabalalisa kanye nobuhlungu bomlenze nakho kungenzeka nge-arthritis ehlanzekile. Lesi sifo siphuthuma ngokushesha, okuholela ekubukeni kobuhlungu obukhulu nokuphazamiseka kokuhamba. I-arthritis ene-purulent ingaba nzima nge-sepsis, necrosis nokubulala.
Ubuhlungu obukhulu ekuhlanganyeleni kwe-hip
Odokotela abakwazi kalula ukuthola ukuthi kungani ukuhlanganyela kwe-hip kubuhlungu. Ukucindezeleka okubuhlungu nokuhamba kungaba izimpawu zezifo ezihlukahlukene ezivela empilweni ezithathelwanayo, ezivuthayo nokuthukuthela. Izinhlungu zokugcoba noma zokudubula esifundeni sohlangothini lwe-hip zijwayele izifo ezinjalo:
- i-arthritis ekhuthazayo - ubuhlungu obunzima buqhubeka phakathi nokuthuthukiswa kwezilwane;
- i-necrosis yekhanda le-femur - ibhekene nobuhlungu obunzima, ngenxa yokukhululeka kwe-analgesics ezinamandla ezisetshenziswayo;
- i-bursitis - ukuhlaselwa ubuhlungu obukhulu bubuhlungu kakhulu lapho kushintsha isimo sezinyawo;
- Isifo sesifo sofuba (TB) - ubuhlungu bungaba bukhali, kepha bungaba nokushisa nokudweba;
- i-arthritis esithathelwanayo - ubuhlungu obukhulu ekuhlanganyeleni kwe-hip, izimpawu zingabandakanya izinhlobo ezahlukene zobuhlungu;
- I-Reiter's syndrome - izinhlobonhlobo zamajoyina azithintekile;
- I-arthritis ye-rheumatoid - ubuhlungu obukhulu bubonakala ngesikhathi sokuhamba.
I-Hip ye-hip joint - okufanele ukwenze, indlela yokuphatha ngayo
Uma i-hip ibuhlungu, kufanele ukwenze kanjani nokuthi ungayiphilisa kanjani, kungcono ukuhlola nodokotela wakho. Ukuziphathisa okungalungile kubhekene nezinkinga, ukuhamba kwezinto eziguquguqukayo, ukuguqulwa kwegazi, kanye nokutheleleka okuhlungayo - okubulalayo. Ukuze ukwelashwa kwe-hip, kuye ngokuthi kutholakala kanjani, odokotela basebenzisa izindlela ezinjalo:
- ukwelapha izidakamizwa: ama-antibiotics, izidakamizwa eziphikisayo, i-glucocorticosteroids, imithi yokuzivikela, izidakamizwa ze-hormonal, i-alkaloids;
- ukuvivinya umzimba, ukubhukuda;
- izinqubo ze-physiotherapeutic;
- ukubuthelwa kwendawo ethintekile yomzimba;
- endoprosthetics nokulungiswa, imisebenzi yokusiza;
- imithi yomuntu: ukucindezela, ukugcoba, amafutha.
Ukuhlanganiswa kwe-hip kubuhlungu - kudokotela ozobhekana naye
Iziguli zinzima ukuqonda leli phuzu: uma i-hip ibuhlungu, udokotela okufanele ahambe kuyo? Uma unenkinga nganoma yimaphi amalunga, kufanele uqale uvakashele udokotela. Ngemuva kokuhlolwa okuyinhloko kanye ne-anamnesis, lo mkhakha ungathumela isiguli esibhedlela ukuze uthole uchungechunge lwezifundo. Uma ucabanga ngemiphumela etholakele, lo mphotha unquma ukuthi iyiphi udokotela ozokuphatha kabanzi: i-neurologist, i-traumatologist, i-rheumatologist, i-physiotherapist.
Ubuhlungu ekuhlanganyeleni kwe-hip - izidakamizwa zokwelashwa
Uma isiguli sizwa ubuhlungu ekuhlanganyeleni kwe-hip, ukwelashwa kuzohlale kuhlanganisa ukwelashwa kwezidakamizwa. Uhlelo kanye nezinxenye zokwelashwa kuzoxhomeka ekuxilongweni okuqondile. Ngezinkinga zokujoyina i-hip, izidakamizwa ezinjalo zisetshenziswa:
- izidakamizwa ezingekho-steroidal anti-inflammatory: Diclofenac, Indomethacin, Piroxicam, Ketoprofen;
- ama-analgesics angewona ama-narcotic: i-Metamizol, i-Diclofenac, i-Baralgin, i-Indomethacin (kumathebulethi namakhandlela);
- ama-opioid kanye nama-opiates (ngobuhlungu obukhulu): Promedol, Prosidol, Morphine, Tramadol, Buprenorphine;
- abakhiqizi bamatshe: Alflutop, Dona, Arthra, Teraflex;
- ama-antibiotics: i-Cyclosporin A, i-Actinomycin D;
- amahomoni: i-Decamethasone, i- Hydrocortisone, i-Prednisolone;
- imisipha yokuphumula: Midokalm.
Ukuzivocavoca ubuhlungu ekuhlanganyeleni kwe-hip
Ubuhlungu ekuhlanganyeleni kwe-hip - yini okufanele uyenze? Phendula umbuzo udokotela angakwenza ngemuva kokuhlola kanye nokuxilongwa. Uma ukwelashwa kwe-articular pathology kungadingi ukuphumula okuphelele, i-physiotherapist ingase ibeke ukuvivinya umzimba ngendlela yokwelapha. Ukuzivocavoca okuhle ukubuyisela ukusebenza kweziguli ezinamalungu ukubhukuda. Linciphisa umthwalo ohlangene, ikuvumela ukuba uphumule imisipha futhi ulethe ukujoyina endaweni efanele.
Ukuzivocavoca ngeziguli ezinamalungu kumele kwenziwe ngokucophelela, ngokuqala ngenani eliphansi lokuphindaphinda. Omunye kufanele aqaphele isimo somuntu siqu sempilo futhi ashiye lezo zivivinyo eziholela ekubikeni kwesimo. Ukuzivocavoca okuyinhloko kweziguli ezinamalungu angama-pelvic yilokhu:
- mahi izinyawo;
- ukuhamba ngamadolo aphakeme;
- ama-squats;
- ukuhlenga nokunciphisa imilenze ephakanyisiwe endaweni ephezulu;
- emithambekeni enezinyawo eziqondile;
- izintambo ezivela endaweni yokuhlala;
- ukuphakamisa imilenze kusuka endaweni ejwayelekile esiswini.