Ukususwa kwe-Bone Spurs kusukela ku-Hip Joint
Ubuhlungu be-Hip-joint buthole ukunakwa okuningi kule minyaka eyishumi eyedlule. Okuvame ukuthi kubhekwe umchamo we-hip noma ukudonsa okubuhlungu manje sekuqondwa kangcono, ngezimbangela ezihlukile zokungahambi kahle. Ikakhulukazi kubagijimi abasha, izimbangela ezihlukahlukene zobuhlungu obuhlangene ziyahlolwa futhi ziphathwa.
Esinye isizathu sezinhlungu ezihlangene sibizwa nge- femoroacetabular impingement (FAI).
Lesi simo ngokuvamile sicatshangwa ukuthi siyisandulela sokuqala samathambo esihlangene futhi sibonakala ukwakheka kwe- bone spurs ezungeze ibhola kanye nokuhlanganiswa kwe-hip. Enye yezindlela zokwelashwa ze-FAI ukukhipha ama-spurs amathambo azungeze ukuhlanganiswa kwe-hip, inqubo ebizwa nge-osteoplasty.
I-Bone-Joint Bone Spurs
Umhlanganiso we-hip ungumhlanganiso webhola ne-socket, futhi kungaba khona ithambo elibhebhetheka ebhokisini kanye nesikhwama se-hip. Lezi zitshalo ze-bone zibizwa ngokuthi i-cam noma i-pincer izilonda ze-hip.
- I-Cam Lesion: I-lesion yekhamera ivela lapho i-bone spur ibhekene nebhola lehlangothini le-hip, phezulu kwethanga lesenzeni. I-X-ray yesiguli esinekhamoni yekhamera ibonisa ibhola (ikhanda le-femal) elingabheki njengento evamile, ne-bump eceleni kwebhola. Le ngxenye yebhola iqhuma ekhoneni lapho i-hip iguquguquka (ivuliwe) noma ijikeleziwe (iphenduliwe).
- I-Pincer Lesion: I-pincer lesion i-bone spur ephuma ngaphandle kwesikhombisi se-hip joint (i-acetabulum). Isilonda se-pincer sivimbela ibhola ukuba ihambe ngokukhululekile.
Abanye abantu abathintekayo abane-FAI bobabili bahambela izilonda, kanti abanye banalo omunye noma omunye. Iziguli eziningi ezine-FAI nazo zinezinyembezi ezinomlenze we-hip.
Izinketho zokwelapha
Iningi leziguli ezixilongwa nge-FAI zizoqala ngokuzama ukwelashwa okulula kuqala. Uma i-spurs ye-bone ibonakala kwi-x-ray, kodwa ingabangeli izimpawu zobuhlungu be-hip, ngokuvamile ayikho ukwelashwa okudingekayo.
Uma ubuhlungu kuyinkinga, ukwelashwa okufaka ukuphumula, imithi elwa nokuvuvukala , kanye nemisipha ye-cortisone , kungenzeka ukuthi bonke bazame. Iningi leziguli ezithola ukululaza ukuhlanganiswa kwe-hip kwandisa ukungakhululeki kusukela i-spurs ye-bone ayikwazi 'ukukhululwa' ngokusula.
Uma izindlela zokwelapha ezilula zinganikeli usizo olwanele, inqubo yokuhlinza ukususa i-spurs bone, ebizwa nge-osteoplasty, ingase ibhekwe. Kunezindlela ezimbili zokuhlinzwa zokwenza i-osteoplasty engenziwa.
- I-Hip Arthroscopy: Ukuhlinzwa kwe-hip arcroscopic kuyaba yinto evamile, futhi ukususwa kwe-bone spurs kungenziwa nge-arthroscopically. Inzuzo yokwenza i-osteoplasty i-arthroscopically iyimvelo encane yokuhlasela, futhi ikhono lokuhlola i-cartilage ehlangene. Ukungahambi kahle inqubo ingaba nzima, futhi ngezinye izikhathi kunzima kakhulu ukuqinisekisa ukukhishwa okwanele kwe-spurs bone.
- Vula i-Osteoplasty: Enye indlela yokwenza ukuchotshozwa phezu kwe-hip bese ususa i-bone spurs ngaphansi kokubonakala okuqondile. Inzuzo ukuthi udokotela wakho ohlinzayo angase abe nobudlova kakhulu ekuqinisekiseni ukuthi ama-spurs amathambo asuswe kakhulu. Ukungahambi kahle lokhu kungukuhlinzwa okungavamile okukhulu. I-osteoplasty evulekile ivame ukuqhutshwa ngendlela efanayo njengento ethandwa esikhundleni se-hip anterior .
Ingabe I-Osteoplasty Ivikela I-Arthritis?
Lo ngumbuzo wempikiswano enkulu. Kubekho ucwaningo lwesikhathi eside ukubonisa ukuthi ukususa amathambo okuphambene nokubambisana kwe-hip kuzokusiza ukunciphisa ukuqhubeka kwe-arthritis . Abanye odokotela abahlinzayo bakholelwa ukuthi i-osteoplasty inganciphisa ukuthuthukiswa kwe-arthritis. Kodwa-ke, abanye bakhomba ukuthi ayikho idatha yokusekela lesi simangalo, futhi ukususwa kwe-bone spurs akuboniswanga ukuvimbela ukuqhubeka kwe-arthritis kwamanye amalunga.
Imithombo:
I-Nepple JJ, et al. "Uhlolojikelele lwezinketho zokwelashwa, imiphumela yezokwelapha, kanye nezimpikiswano ekuphathweni kokufakela kwe-Femoroacetabular" J Am Acad Orthop Surg July 2013 vol. 21 cha. i-Suppl S53-S58.