Izimbangela Nezokwelapha ze-Snapping Hip Syndrome
Ukusinda kwe-hip syndrome yisimiso esibhekene nenzwa yokuhlunga, futhi kaningi umsindo ozwakalayo 'ophumayo', lapho isicucu sishintshashintsha futhi sandiswa. Kunezimbangela eziningana zokwehliswa kwesifo se-hip, ngokuvamile ngenxa yezintambo ezibamba ukugqama okuvelele futhi "ukuxhuma" uma isisindo sithutha.
Abantu abaningi abane-syprome ye-hip snap bazizwa sengathi ibhola le-ball yabo ne-socket joint hip liphuma esikhundleni, okuthiwa yi- hip subluxation .
Lokhu kungavamile kakhulu kuhlotshaniswa nesifo se-hip syprome, futhi ngokuvamile kubangelwa ukulimala okukhulu.
Ukuphuza i-hip syndrome akuyona ukuxilongwa, kodwa kunalokho kuyisifo. Isibonakaliso senzwa yokuqhafaza kubangelwa ukuxilongwa okuyisisekelo, kepha ukuze kuqinisekiswe ukwelashwa okufanele, lokho kutholakala kufanele kutholakale kuqala.
Izimbangela ze-Snapping Hip Syndrome
- I-Iliotibial Band Syndrome
Ibhande le-aliotibial liyi- tendon enamandla, ebanzi ngaphezu kwe- joint hip . Isizathu esivamile kunazo zonke sokuqhaqhaza i-hip syndrome yilapho iqembu le-aliotibial (noma "i-IT band") lihlwitha phezu kwe-trochanter enkulu (i-bony evelele ngaphezu kwe-joint hip). Uma lokhu kuyimbangela ye- hip snapping , iziguli zingase zihlakulele i- hip bursitis kusukela ekucaseni kwe-bursa kule ndawo. - I-Iliopsoas i-Tendon Snap
I- tinopsoas tendon yiyona eyinhloko ye-hip flexor muscle, futhi ithoni lale misipha idlula phambi kwe-hip joint. I-tendon i-linoopsoas ingabamba ukugqama okuvelele kwesikhumba futhi ibangele i-snap uma i-hip iguquguquka. Ngokuvamile, lapho itheon i-iliopsoas iyimbangela yokuqhaqhaza i-hip syndrome, iziguli azikho izinkinga kodwa zingathola ukucasula okucasulayo.
- Izinyembezi ze-Hip Labral
Isizathu esivamile kunazo zonke sokuqhafaza i-hip syndrome yizinyembezi ze-cartilage ngaphakathi kokuhlanganiswa kwe-hip. Uma kukhona i-flap evulekile ye-cartilage ebamba ngaphakathi kokubambisana, lokhu kungabangela ukuzwa kwe-snapping uma isikhwampi sithutha. Lesi sizathu sokweqa i-hip syndrome ngokuvamile kubangela inzwa yokuhlwitha, kodwa okungajwayelekile ukuthi "i-pop" ezwakalayo. Lesi sizathu sokuqhaqhaza i-hip syndrome kungabangela nomzwelo ongaqinile, futhi iziguli zingase zithathe ukusekelwa lapho iqhwa lingena.
I-x-ray ivame ukuthathwa ukuze kuqinisekiswe ukuthi ayikho inkinga yethambo eduze kwe-joint hip, kodwa lezi zivivinyo cishe zivamile. Uma imbangela ye-hip syndrome kucabangela ukuthi ingenxa ye-cartilage noma i- labral izinyembezi ngaphakathi kwe-joint hip , i-MRI ingatholakala ukuze ibuke ubufakazi bokuthi kunzima ukuyihlolisisa inkinga. Ngokuvamile uma i-MRIs yenziwa ukuze ihlolwe izinkinga ezihlangene ze-hip, umjovo wokuphambene (ngokuvamile obizwa ngokuthi idayi) ufakwa kuhlangene. Ukwehlukanisa ukuphambana ngokuphawulekayo kuthuthukisa ngokunemba kwe-MRI futhi kungasiza udokotela wakho "ubone" imininingwane eminingi kakhulu ye-anatomy joint joint.
Ukwelashwa kwe-Snapping Hip Syndrome
Ukwelashwa kwe-hip snapping kuncike kakhulu ekubambeni kwenkinga. Uma ngabe imbangela efanele ibonwe, ukwelashwa okufanelekile kungaqala. Ngokujwayelekile, ukwelashwa kuqala ngezinyathelo ezilula, njengoba kungavamile ukuthi i-hip ephunga idinga ukungenelela ngokushesha. Ngokuvamile imithi emilonyeni yokulwa nokuvuvukala , noma umjovo we- cortisone uyosiza ukulawula ukuvuvukala uma lokhu kubangela inkinga. Ukwelashwa ngokomzimba kungasiza ekuhlukaniseni imisipha kanye namathenda okwenza i-hip snapping futhi ingasiza ekuvimbeleni inkinga.
Ukuhlinzwa akudingeki kakhulu futhi kugcinwe iziguli ezinezibonakaliso ezinzima isikhathi esiningi nokuvivinywa okwanele zokwelapha okungasebenzi.
Uma kunjalo, ukuhlinzwa ukuphumula ama-tendon, noma ukususa izinyembezi ezinyembezi kungasiza ngezibonakaliso ze-hip snapping. Ngokuvamile i- hip arthroscopy ingasetshenziswa ekwelapheni ukwelashwa kwalezi zinkinga ze-hip.
Imithombo:
U-Allen WC noCope R "I-Coxa Saltans: I-Snapping Hip Ebukeziwe" J Am Acad Orthop Surg ngo-Okthoba 1995; 3: 303-308.