I-labrum uhlobo lwe-cartilage oluzungezile isisekelo sezingxube zebhola ne-socket. I-labrum itholakala kokubili kwehlombe nokuhlanganiswa kwe-hip. I-labrum yakha indandatho ezungeze emaphethelweni ensikeni yebony ye-joint. Kuyasiza ukunikeza ukuzinza kokujoyina ngokujulisa isokhethi, kodwa ngokungafani nethoni, kuvumela ukuguquguquka nokunyakaza.
Ukulimala ku-labrum sekuye kwaqashelwa kubonakala sengathi kungumthombo wezinhlungu nokungahambi kahle.
Ukulimala kukaLabral ehlombe kuvame kakhulu, futhi ukuphenya ngokulimala kwama-labral kuye kwaphenywa ngokucophelela. Ngentuthuko yakamuva yamasu e- arthroscopic ukuphatha ngokucophelela ukuhlanganiswa kwe-hip, sekuye kwanda ukuqashelwa nokuqwashiswa kwezinyembezi ze-hip labral.
Ikhanda lithinta kanjani i-Lab Lab?
Kunezinhlobo ezimbili ezijwayelekile zezinyembezi ze-hip labral: izinyembezi ezidabukisayo nokulimala okubuhlungu.
Izinyembezi ezidabukisayo ukulimala okungapheli okwenzeka ngenxa yokusetshenziswa okuphindaphindiwe nomsebenzi. Izinyembezi ezinamahlombe ezinomsoco zingabonakala ezinyangeni zokuqala ze- hip arthritis .
Inyembezi ephazamisayo ye-hip labral ngokuvamile ilimala kabi ngenxa yokulimala kwezemidlalo, ukuwa, noma ingozi. Izinyembezi ze-Hip labral zingabonakala ngeziqephu ze-hip dislocation noma i- subluxation . Ngokuvamile zihlotshaniswa nokuhamba okungazelelwe, okuphikisayo okubangela ubuhlungu obusheshayo emlonyeni.
Izimpawu ze-Teal Hip Labral
Izinyembezi zama-hip labral zingaba nzima ukuzihlola.
Izimpawu eziningi zezinyembezi ze-hip labral zifana nezimpawu zenkinga yokugula , i- snapping hip syndrome , i- hernia yezemidlalo , noma ukulimala komdlalo we-hip . Ngaphezu kwalokho, ngenxa yokuthi izinyembezi zibonakala emlonyeni we-hip kwi-MRI, akusho ukuthi izinyembezi yiyona ngempela imbangela yobuhlungu.
Izimpawu ezijwayelekile zezinyembezi ezinjengezinyosi zihlanganisa:
- Ubuhlungu obukhulu
- Ukuchofoza nokuchofoza izinzwa ku-hip
- Ukunyakaza okulinganiselwe kokuhlanganiswa kwe-hip
Udokotela wakho angasebenzisa ukuhlola okuqondile ukusiza ukucacisa imbangela yobuhlungu bakho be-hip. Imisindo ye-hip ngokuvamile ijwayelekile kepha kufanele ihlolwe ukuhlola ezinye izimbangela ezibuhlungu. Ukuhlolwa kwe- MRI kuyasiza ekuhloleni i-labrum, kepha kungenzeka ukuthi akubonisi njalo ibhulabhu ngokucacile. Ukujova ukuketshezi komklamo ohlangothini lwe-hip ngesikhathi se-MRI kungasiza ukubonisa ukuthi i-labral ikhala kakhulu ngokucacile.
Odokotela abaningi bazophinde basebenzise umjovo wokuhlonza ukusiza ukucacisa indawo yenkinga. Ukuze wenze umjovo wokuxilonga we-joint hip, udokotela wakho uzofaka inaliti emhlanganisweni wakho we-hip ngenkathi ebukela umlingo we-ray ukuqinisekisa ukuthi inaliti isesikhundleni esifanele. Umjoqo we-hip usujova nge-anesthetic yendawo. Uma umjovo wehlisa ngokuphelele izimpawu zobuhlungu, kungenzeka ukuthi imbangela yenkinga yayisehlangothini lwe-hip. Uma ubuhlungu buqhubeka, uphenyo olubangelwa imbangela yenkinga kufanele luqhubekele kwezinye izifo ezitholakalayo.
Ukwelashwa kwe-Hip Labral Tears
Ukwelashwa kwezinyembezi ze-hip labral kushintsha ngokushesha.
Iminyaka embalwa nje edlule lokhu kulimala kwakungavamile ukubonakala. Manje sekuvame ukuvame ukuzwa ngabathile abaphethe "i-hip scoped" yabo ukuze baphathwe izinyembezi zabo.
Ngokuvamile, ukwelapha izinyembezi zezinyosi ngokuvamile kuqala ngezinyathelo ezilula. Imithi yokwelapha yangempela yezinyosi ezinamaqabunga e-hip ihlanganisa:
- Ukuphumula
Ibhulabhu eliqhekekile ekhanda lingabangela ukuvuvukala nxazonke. Ukuvumela ukuvuvukala ukuhlehlisa kunganciphisa izimpawu zezinyembezi ze-labral futhi kuvumele ukubuyela emisebenzini. - Imithi Yokulwa Nezivunguvungu
Imithi elwa nokuvuvukala ingasiza ekunciphiseni ukuvuvukala okuhlangene. Uma ukuvuvukala kwehla, izimpawu zingase zixazulule.
- Ukwelashwa Kwemvelo
Abahlinzeki bezitho zomzimba bangasebenzisa amasu ahlukahlukene ukuthuthukisa umsebenzi we-hip ngokuqinisa nokulinganisa imisipha ehlangene ne-hip joint. - I-Cortisone Injection
Umjovo we-cortisone awusizo nje kuphela ukwelashwa kwezinyembezi, kepha kungenziwa ngesikhathi esisodwa njengomjovo wokuxilonga usizo lunikeza imbangela yobuhlungu be - hip .
Uma lezi zokwelashwa zihluleka ukunciphisa ubuhlungu obuhambisana ne-hip labral, izinqubo ze-hip arthroscopy zingacatshangwa. Phakathi ne-arthroscopy ye-hip, udokotela wakho ohlinzayo ubeka ikhamera encane engxenyeni ye-hip ukuze ubone izinyembezi ze-labral. Udokotela wakho ohlinzayo angabuye ahlolisise i-cartilage yezingxenye ezihlangene, ezibalulekile , nezinye izakhiwo.
Ukwelashwa kwezinyembezi zama-labral ngokuvamile kuvame ukugoba ingxenye ephukile yesikhumba. Kwezinye izinyembezi ezinkulu, endaweni efinyelelekayo yokujoyina, ukulungiswa kwebhulethi kungenziwa ukuzama. Ukubuyiswa kwe-arthroscopy ye-hip kuncike ekutheni umsebenzi udinge ukuba ugcwaliswe kodwa ngokuvamile uhlala emavikini ayisithupha kuya kwangu-12.
Ingabe Kukhona Ukuhlaselwa Kwe-Hip Arthroscopy?
I-arthroscopy yama-Hip isithandwa kakhulu muva nje, kodwa odokotela abahlinzayo bavele bazi le nqubo futhi bahlanza njalo amasu abo. Ngenkathi lokhu kuhloswe kuyizincane, kunezinkinga ezingase zenzeke kule nqubo okufanele zicatshangelwe ngaphambi kokwelapha izinyembezi. I-arthroscopy yama-Hip isanda kushaya odokotela abaningi abahlinzayo, futhi ngenkathi imiphumela yokuqala ibonise lokhu kungaba impatho ephumelelayo, isakhuliswa.
Imithombo:
I-Bharam S "Izinyembezi zeLabral, ukulimala okungeziweko, ne-hip arthroscopy kumdlali" Clin Sports Med. 2006 Apr; 25 (2): 279-92.
UMcCarthy JC "Ukuxilongwa nokwelashwa kokulimala kwe-labral kanye ne-chondral" I-Instr Course Lect. 2004; 53: 573-7.