Kungani lesi simo siwumthombo wezinkinga ezinkulu
I-osteoarthritis yama-Hip iyindlela ejwayelekile ye- osteoarthritis . Njengoba i-hip isisindo esithinta umzimba, i-osteoarthritis ingabangela izinkinga ezibalulekile. Abangu-1 kwabangu-4 baseMelika bangalindela ukuthuthukisa i-osteoarthritis ye-hip ngesikhathi sokuphila kwabo, ngokusho kwe-American College of Rheumatology.
Ukuxilongwa kokuqala kanye nokwelashwa kusiza ukulawula izimpawu ze- hip osteoarthritis.
Ngalokhu kuhlolisisa isimo, ukuqonda kangcono izimpawu, ukuxilongwa, nokwelapha.
Izimbangela ze-Hip Osteoarthritis
I-osteoarthritis ye-Hip ibangelwa ukuwohloka kwe-cartilage ye-articular nokugqoka nokudiliza kwe-joint hip. Lokhu kwenzeka ngezizathu eziningana, kubandakanya:
- Ukulimala kwangaphambili kwe-hip
- Ukuphuka kwangaphambilini, okushintsha ukulungiswa kwe-hip
- I-Genetics
- Isifo se-hip congenital and developmental hip
- I-subchondral bone elithambile kakhulu noma elinzima kakhulu
- I-necrosis ye-Avascular
Ukuxilongwa kwe-Hip Osteoarthritis
Udokotela wakho uzocabangela umlando wakho wezokwelapha ophelele, imiphumela yokuhlola kwakho ngokomzimba, kanye nama- X-rays ukucacisa ubukhulu bomonakalo ohlangene bese wenza ukuxilongwa kwe-hip osteoarthritis. Uma ulwazi olwengeziwe luyadingeka, i-MRI (imaging magnontic resonance) ingalawulwa udokotela wakho. Ukuhlolwa kwegazi kungasetshenziswa uma kubalulekile ukulawula ezinye izinhlobo ze-arthritis .
Ngokusho kwe-American College of Rheumatology yokuhlukaniswa kwe-osteoarthritis ye-hip, kumele kube nobuhlungu be-hip futhi okungenani ezimbili kulezi zindlela ezintathu ezilandelayo:
- Isilinganiso sedimentation ye-Erythrocyte <20 mm / hr
- Ama- osteophyte ama- femoral noma ama-acetabular abonwe kwi-X-ray
- Isikhala sokuhlanganyela sinciphisa kwi-X-ray
Izimpawu ze-Hip Osteoarthritis
Iziguli ezine-hip osteoarthritis zinobuhlungu obuya endaweni yendawo yokugaya nangaphambili noma ohlangothini lwethanga. Ukuqina kosuku lokusa , nakuba isikhathi esincane esifushane esenziwa nge- rheumatoid arthritis , sinesici se-hip osteoarthritis.
Okubaluleke nakakhulu, kunezinhlobo ezilinganiselwe zokuhamba kwe-hip nobuhlungu ngesikhathi sokunyakaza. Izimpawu zingaba zimbi nakakhulu lapho ubuhlungu buhlala khona.
Ukwelashwa kwe-Hip Osteoarthritis
I-osteoarthritis ye-Hip ayikwazi ukuphulukiswa, kodwa kunezokwelapha ezitholakalayo ukusiza ukuphatha izimpawu. Amalungiselelo wokwelashwa kufanele abe ngumuntu ngamunye ngesiguli ngasinye, ngokwe-American College of Rheumatology, nezinye izimo kufanele zicatshangelwe.
Imithi yindlela eyodwa yokwelapha i-hip osteoarthritis. Ezimweni ezincane, i-acetaminophen ivame ukuhlolwa kuqala. Ama-NSAID (ama-anti-inflammatory non-inflammatory) nama- analgesics e- opioid asetshenziselwa ukulinganisela ukuze abe ne-hip osteoarthritis eqinile.
Kunezindlela zokwelapha ezingekho izidakamizwa ezingasiza, ezifana nokulahlekelwa kwesisindo. Nakuba abantu abanesisindo esivamile banengozi engamaphesenti angama-20 e-hip OA, abantu abangaphezu kwesisindo sinomngcipheko wamaphesenti angu-25, futhi baningi abantu abanengozi engamaphesenti angu-39. Izinhlelo zokuzivocavoca kwamanzi, ukwelashwa ngokomzimba (ukuhamba nokuzivocavoca okuqinisayo), kanye nokwelashwa kwemisebenzi (amadivaysi ezisizo, ukuvikelwa okuhlangene ) nazo zifakazele ukuthi ziwusizo. Imfundo yesineke iyasiza futhi.
Ukuhlinzwa kubhekwa njengokukhethwa kokugcina kokwelashwa kokusebenzisa. Ukwelashwa kufanelekile iziguli ezine-hip osteoarthritis eziye zahluleka ezinye izinketho zokwelashwa ezingavamile.
Izinqubo zokuhlinza zihlanganisa:
- I-arthroscopy - i-arthroscope ihlola isimo se-carticlage ye-articular
- I-osteotomy - iqondisa izingxenyana ze-joint hip
- Ingqikithi yokuqashiswa kwe-hip - izingxenye ezintsha ze-acetabular nezesifazane zifakiwe
Ukuxilongwa okunembile nokwelashwa okuqala kusiza ukunciphisa ubuhlungu nokuthuthukisa umsebenzi we-hip osteoarthritis isiguli. Njengoba isimo sithuthuka, izinguquko ezifanele zokwelashwa zingenziwa.
Imithombo:
Umhlahlandlela wokugula we-Osteoarthritis we-Hip. eOrthopod. Kufinyelelwe ngo-7/29/2007.
http://www.eorthopod.com/public/patient_education/6501/osteoarthritis_of_the_hip.html
Imihlahlandlela Yokuphathwa Kwezokwelapha Kwe-Osteoarthritis. I-osteoarthritis ye-Hip. I-arthritis ne-Rheumatism. Nov 1995.
http://www.rheumatology.org/publications/guidelines/oa-hip/oa-hip.asp