Funda Ngezizathu Nezokwelapha ze-Hip Stress Fractures
Ukuphazamiseka kwengcindezi ye-hip ukulimala okukhulu kubhola we-ball-and-socket joint joint . Ungase ucabange ngamaqhwa aphukile kuphela kulabo asebekhulile, kepha ukuhlukunyezwa kwengcindezi kungenzeka nganoma yisiphi isikhathi. Ukucindezeleka ukulimala kulimala ithambo elibangelwa umsebenzi wokusebenzisa ngokweqile. Ukuphazamiseka kwengcindezi kubangelwa ukuphindaphinda okuncane kakhulu ukuthungatha emathambo. Ngokuhamba kwesikhathi, umzimba awukwazi ukuhambisana namandla abhekene namathambo, futhi ukuphela kweqhwa kwenzeka.
Ihluke ekuqhekekeni kwe-hip ephezulu ngenxa yokuwa noma ukuhlukunyezwa kwe-pathologic ngenxa ye-osteoporosis, izicubu, noma izifo.
Esimeni sokucindezeleka kokucindezeleka, ukulimala okuphindaphindiwe kwithambo kuholela ekuhlulekeni kwethambo, noma ukwehlukana. Ngokuvamile, ithambo lihlala liqhubeka nomjikelezo wenzuzo ngesikhathi ithambo elidala liphindwa kabusha, futhi ithambo elisha lidalwa. Uma inqubo ingakwazi ukuqhubeka, ekugcineni ithambo lingaphula.
Ukucindezeleka kwe-Hip kuvame ukuvela ngaphansi kwebhola lehlangothini le-hip. Le ndawo ithambo libizwa ngokuthi i-femoral neck. Ukucindezeleka kwezinkinga kungase kwenzeke kwezinye izindawo ze-hip kanye ne-pelvis, kodwa insikazi ye-females iyindawo evame kakhulu futhi iningi ngokuphathelene nokucindezeleka kwe-hip ukuphuka .
Kungani ukuhlukunyezwa kwe-Hip Stress Kucatshangelwa Ukulimala Okujulile
Ngemva kokuphazamiseka kwengcindezi, amathambo avame ukugcina ukulungiswa kwazo ngendlela efanele. Eqinisweni, lezi ziphuphu ngezinye izikhathi azibonakali ngisho nakakhulu - ikakhulukazi ezinyathelweni zokuqala - kwi-x-ray evamile.
Kodwa-ke, uma ukuphazamiseka kokucindezeleka kushiywe kungaphathwa kabi, futhi ithambo liqhubeka liyancipha, ukuphuka kungaphambukisa, noma kubangele amathambo aphume ukulungiswa.
Ama-fractures we-Hip ukucindezeleka ikakhulukazi uma ewashiya. Ngenxa yegazi elibuthakathaka elitheni le-hip, ukwehlukana kungaholela ekulimazeni legazi kanye nesimo esibizwa ngokuthi i- hip osteonecrosis .
Ngenxa yalesi sizathu, odokotela bavame ukukhathazeka kakhulu lapho bebheka ukuhlukumeza kwengcindezi yezinsikazi ezinqeni. Uma umuntu ecatshangwa, ngizovame ukuba nesiguli sisebenzise izikhonkwane kuze kube yilapho ngiyazi imbangela yezibonakaliso zabo ukuqinisekisa ukuthi asikho isimo esibi nakakhulu njengoba silindele ukuhlolwa okudingekayo ukuxilonga lesi simo.
Izimpawu ze-Hip Stress Fracture
Abantu abanenkinga yokucindezeleka kwe-hip bavame ukugijimela abagijimi be-mileage, abaqashi bezempi, noma abantu abenza imisebenzi yemidlalo ethintekayo. Lezi zigijimi ziyokhalaza ngokuzwakalayo okubuhlungu okubuhlungu okubenza bakhathazeke ngomsebenzi futhi kukhululeke ngokuphumula. Izimpawu zivame ukuphawula ngemva kokwanda kwamuva kwezinga lomsebenzi, njengokunyuka kwama-mileage okusebenzayo.
Uma kucatshangwa ukucindezeleka kwe-hip, i-x-ray izokwenziwa. Ngenkathi ukucindezeleka kwe-hip kuphazamiseka kuzobonakala ku-x-ray, amanye ama-x-ray angase avele evamile. Uma ukulimala kusacatshangwa, i-MRI noma i-scan scan ingatholakala ukuze ihlolwe ukuhlukumeza ukucindezeleka.
Ukwelashwa kwe-Hip Stress Fractures
Ukucindezeleka kwama-Hip ukudinga ukuguqulwa okusheshayo kwamazinga womsebenzi, ngakho-ke awunawo ubuhlungu noma awuzwanga kahle. Angikhuthazi imithi yokwelapha , njengoba le mithi ingasigqokisa izimpawu ezibalulekile isiguli nodokotela ukwazi.
Uma ubuhlungu kuphela uma ugijima, khona-ke ukugijima kumele kumiswe. Uma ubuhlungu buba khona ngenkathi uhamba, khona-ke ama- crutches kufanele asetshenziswe . Umqondo obalulekile ukuhlala ngaphansi kwezinga lobuhlungu. Uma ugwema imisebenzi eyenza izimpawu zakho zibe nzima, ngokuvamile kuvame ukuthi ukugcizelela ukucindezeleka ukuphulukiswa kuzophulukisa ngaphandle kokuhlinzwa.
Ukwelashwa kuyadingeka uma kukhona ukukhathazeka ukuthi ukuphulwa kungaqeda. Njengoba kukhonjisiwe, ukufuduka kokucindezeleka kokucindezeleka kwe-hip kunomthelela omkhulu kakhulu empilweni yesikhathi eside . Ngakho-ke, uma kukhona ukukhathazeka mayelana nokuhamba, kwenzeka ukuhlinzwa ukuze kuqiniswe ithambo.
Ukucindezeleka kwe-Hip kungenziwa ezinxenyeni zezinsikazi zezinsikazi ezingenakukwazi ukuphulukiswa ngokushesha. Udokotela wakho angase ancoma ukwelashwa okuhlinzekwa kulezi zimo ezithile. indawo ethize ye-fracture ingasiza udokotela wakho ukuba anqume ukuthi ukwelashwa okungcono kunokwenzeka. Ukucindezeleka kwe-Hip okwenzeka lapho amabutho asebenza endaweni yokuqhekeka eholele ekucindezelweni athambekele ekuzimele kakhudlwana uma kuqhathaniswa nokuhlukunyezwa kwengcindezi eyenzeka lapho ithambo lingaphansi kwamandla okucindezela. Udokotela wakho anganquma ukuthi ukuphazamiseka kwengcindezi kuzinzile kusekelwe ekubukeni kwe-x-ray ne-MRI.
Izwi elivela
Ukuhlukunyezwa kwe-Hip kungase kube ukulimala kakhulu okudinga ukwelashwa ngokushesha. Nakuba akuzona zonke ukucindezeleka kwe-hip ukuphuka kuzodinga ukwelashwa, ukuguqulwa okusheshayo kwemisebenzi ukuze kutholakale izimpawu kuyisidingo. Ukucindezeleka kwe-hip ukunganaki kungaholela ezinkingeni ezinzima, ikakhulukazi ukufuduka kwe-fracture okuzodinga ukuhlinzwa, futhi kungaholela ezinkingeni ezinzima ezihlanganisa i-hip osteonecrosis.
Imithombo:
> Boden BP, Osbahr DC. "Izingozi zokucindezeleka eziphakeme kakhulu: ukuhlolwa nokuphathwa" J Am Acad Orthop Surg. 2000 Nov-Dec; 8 (6): 344-53.