I-groin yindawo ejwayelekile kunazo zonke ukuzwa ubuhlungu obuhlangene be-hip
Lapho abantu bezwa ubuhlungu emathunjini abo aphansi, lapho umkhawulo ophansi uhlangana khona nekhanda, ngokuvamile babhekisela kulokhu njengokuhlunguphaza. Ubuhlungu obukhulu bungabangelwa izimo ezihlukahlukene zezokwelapha, futhi ngezinye izikhathi umthombo wobuhlungu ungase uvela ezindaweni ezahlukene zama-anatomiki. Izinkinga emathunjini aphansi, izinkinga ezihlangene noma ezizungezile ukuhlanganiswa kwe-hip, nezinkinga ku-scrotum (emadodeni), konke kungabangela izimpawu zokuhlunguphazeka.
Kusukela kumqondo wama-orthopedic, ubuhlungu be-groin ngokuvamile bubonakaliso bezinkinga ngaphakathi noma eduze kwe-joint hip. Ubuhlungu ngaphakathi kokuhlanganiswa kwe-hip kaningi - kepha hhayi njalo - okuhlangenwe nakho ku-groin. Ubuhlungu ngaphezu kwe-hip ngokuvamile akubangelwa inkinga ehlangene ye-hip futhi kuvame ukuhlobene nokuqhaqhazela i-bursitis noma izinzwa ezikhonjiwe ngemuva . Ubuhlungu ngemuva kwesihenqo buvame ukuvela emgodini we-lumbar. Kubuhlungu obujulile ngaphakathi kwe-groin okuvame ukubonisa inkinga ngaphakathi kokuhlanganiswa kwe-hip.
Uphi i-Hip?
Iningi labantu abaceliwe ukuba balwe ne-hip yabo bayobe bekhomba ngaphandle komzimba wabo. Njengoba ungalindela, ukuhlanganiswa kwe-hip empeleni kutholakala ngaphakathi ngaphakathi emzimbeni ekuhlanganiseni kwekhanda futhi phezulu kwethanga lethanga (i-femur). Ngakho kungani izinkinga zezinyosi ezihlangene zilimala ku-groin?
Njengoba nje iziguli ezinesifo senhliziyo zingase zizwe ubuhlungu besandla noma iziguli ezinenkinga ye-gallbladder zingase zizwe ubuhlungu behlombe , iziguli ezinezinkinga zezinyosi zivame ukukhononda ngobuhlungu be-groin.
Lokhu kubizwa ngokuthi "ubuhlungu obukhulunywe," futhi ngenxa yenkampani yemivimbo emzimbeni wethu. Ngenkathi i-groin ingabi yilokho ongakukhomba khona emlonyeni wakho, yilapho umzimba wakho uvame ukuzwa khona izimpawu zenkinga ehlangene ye-hip.
Indlela engcono kakhulu yokuthola ukuthi ukuhlanganiswa kwe-hip iyimbangela yobuhlungu bakho obuhlungu yini ukulala phansi futhi ube nomhloli ohambisa umlenze wakho ngezimiso ezahlukene.
Uma lokhu kuchaza izimpawu zakho zokuhlunguphaza ubuhlungu, khona-ke ukuhlanganiswa kwe-hip cishe kungumthombo walezi zimpawu. Abantu abanezinkinga ezihlangene ze-hip bavame ukukhononda ngokungahambi kahle ngokubandakanya i-flexion (ukugoba) kanye nokujikeleza kokuhlanganiswa kwe-hip. Lokhu kungaba ukuhamba ngendlela efana nokuphumula isikhumba sakho emthangeni wakho ngenkathi uhlezi ukubeka izicathulo noma amasokisi akho. Abantu abanezinkinga ezihlangene ze-hip bavame ukukhononda ngezinkinga zokuthola amasokisi akhe ngenxa yezinselelo zokubeka umlenze wakhe kule ndawo. Ngokwezokwelapha, lokhu kubizwa ngokuthi u-FABER ukuhamba ( F lexion, AB ukudonsa, ukuhanjiswa kwe- E yangaphandle), noma 'Ukuhlolwa kukaPatrick'.
Izimbangela ze-Groin Pain
Ukuqaphela imbangela yezibonakaliso zokuhlunguphaza ubuhlungu kuyisinyathelo esibalulekile sokuqala ukuze uqondise ukwelashwa okufanele kakhulu. Njengoba kushiwo ngaphambili, kunezimbangela eziningana zezimbangela zokuhlunguphaza. Ngenhloso yale ngxoxo, sizohlukanisa lezi zindlela ezikhona zokuhlukunyezwa kwe-groin ku:
- Izimbangela ezihlobene nesimo sebuhlungu obuhlungu
- Izimbangela ezihlobene nokulimala ezibuhlungu obuhlungu
- Eminye imithombo yokuhlunguphazwa kokubuhlungu
Izizathu Ezihlobene Nezimo Zobunzima Bokudla
Kunezimo ezimbalwa zomzimba wama-orthopedic ezivame ukuholela ezinkomba zobuhlungu be-groin. Okuvamile kulezi zihlanganisa:
- I-Arthritis ye-Hip : I-arthritis ye-joint ye-hip iyenzeka uma kuvamise ukuhlangana okwesibhakabhaka phezulu kwethambo lesenzeni ngesikhumba (ukuhlanganiswa kwe-hip) kugqamile. Leli bhola kanye ne-joint joint livumela ukuhamba okubushelelezi, okungenabuhlungu emkhawulweni ophansi. Uma uqwanga luphelile, lezi zintuthuko ziba buhlungu futhi zinzima. Ukwelashwa kwe-arthritis ye-hip kuvame ukuqala ngezinyathelo ezilula, kepha kungathuthuka ekungeneleleni kuhlanganise nokuhlinzekwa kwe-hip esikhundleni.
- I-Osteonecrosis : I-Osteonecrosis, ngezinye izikhathi ebizwa ngokuthi i-avascular necrosis, yisimo sezokwelapha esibangela ukuba amangqamuzana e-bone afe ngenxa yokuntuleka kwegazi elifanele. Lapho amangqamuzana amathambo asekela ukuhlanganiswa kwe-hip engenalo ukuhlinzeka kwegazi evamile, aqala ukuwa nokuvumela ukuwohloka kokuhlanganiswa kwe-hip. Ngezinye izikhathi i-osteonecrosis ibangela umonakalo okhawulelwe, lapho njengamanye amahora kungabangela ukuqhutshwa kwe-hip esikhundleni.
- Ukumiswa Kwe-Acetabular Womama : Ukufakelwa kwe-femet acetabular, okufingqiwe yi-FAI, ngokuvamile kubhekwa njengesiqephu sokuqala samarthritis ekuhlanganyeleni kwe-hip. Uma i-bone spurs iqhubekile ibhola nxazonke ibhola kanye ne-socket ye-joint hip, lokhu kuholela emingcele ekuhambeni kwe-hip nobuhlungu emkhakheni wokunyakaza. Kuye kwanda isithakazelo eminyakeni eyishumi edlule mayelana nokwelashwa kwe-FAI nge- hip arthroscopy .
Izizathu Ezihlobene Nokulimala Okuhlobene Nokudla Kwe-Groin Pain
Ubuhlungu obukhulu obuqala ngokuzumayo futhi bulandela umcimbi noma ukulimala kwezemidlalo kuvame ukuhambisana nalezi zimo ezilandelayo:
- I-Groin Strains : Ukulimala kwemisipha, okuthiwa i-strain, cishe iyimbangela evame kakhulu yokuhlunguphazeka. Ngeshwa, ezinye izinkinga eziningi eziguqa ubuhlungu obuhlungu zivame ukubhekwa njengezinkinga zomzimba. Izinkinga zemisipha zivele ngenxa yokulimala kwezemidlalo noma ukunyakaza okungahambi kahle kwe-joint hip. Ngokuvamile ukuqala kusheshe, futhi imbangela yobuhlungu icacile. Ukwelashwa kwesifo se-groin ngokuvamile kungenziwa ngezinyathelo ezithile ezilula.
- Inyembezi ye-Hip Labrum : I-labrum yehlangothini le-hip ingqimba le-cartilage egoqa ibhola lebhola kanye nehlangothini elungile. Njengoba kufana ne-meniscus izinyembezi emadolweni, izinyembezi zezinyosi ezinamaqabunga zingabangela izimpawu zobuhlungu, ukubamba, nokuvela ngaphakathi kwe-hip. Izinyembezi ze-Hip labral zivame ukubhekwa njengokulimala kwezemidlalo futhi zingaholela enkingeni ngokunyakaza okuthile kwe-hip joint. Izinyembezi zonke ze-hip zidinga usizo lokuhlinzeka, kepha ngezinye izikhathi ukuhlinzeka nge-hip arthroscopic kuyindlela yokukhetha.
- I-Sports Hernia : I-hernia yezemidlalo kungukulimala okungavamile okubhekiswe ekubuthakathakeni okucashile kwodonga lwesisu. Ama-hernias ezemidlalo atholakala ikakhulukazi kubadlali bebhola ne-hockey, futhi abangela ubuhlungu ngokuqondile ngaphesheya kwendawo yesisu esiswini esingaphansi. I-hernia yezemidlalo ingaba nzima ukuyihlolisisa, futhi ngokuvamile ukwelashwa kuphela kuwukuphumula noma ukungenelela okuhlinzayo.
Ezinye Imithombo Ye-Groin Pain
Kukhona nezinye izimbangela zokuhlunguphaza okungenakuhlobene nokuhlanganiswa kwe-hip, noma isimo se-orthopedic. Lezi zidingo kufanele zicatshangelwe uma kuhlolwa umuntu onesikhalazo sokuhlunguphazwa.
- I-Inguinal Hernia
- Izinkinga zezinso / Izifo
- Izimo zobufakazi
- Amazinyo anamathele
Ukudla Okuncane Kwezingane
Izinkinga ezihlangene ezinganeni kufanele zibhekwe njengento ehlukile kunabantu abadala. Ngenkathi izingane eziningi zizwa ubuhlungu obuhlungu lapho zinezinkinga zokujoyina izinhlanzi, izingane ikakhulukazi zivame ukuzwa ubuhlungu obukhuphuka emthangeni futhi ngokuvamile zifike emadolweni. Ingane encane enesikhalazo semadolo ngaphandle kokuba inkinga ehlangene yamadolo ecacile idinga ukuthi i-hip yabo ihlolwe ngokucophelela ukuze ibone ukuthi lokho kungaba umthombo wobuhlungu. Kukhona izimo eziningana zobuntwana ezihlanganisiwe ezibandakanya ukukhishwa kwezindleko ze- femal epiphysis noma i- Perthes isifo esingaholela kulezi zimpawu.
Izivivinyo Zokuthola I-Problem Ye-Hip
Ukuhlolwa okungafani kungenziwa ukuze kuhlolwe umthombo wobuhlungu obuhlungu. Isivivinyo esivame ukwenziwa kakhulu i-x ray. I-X-ray ingaba usizo ekuboniseni isithunzi se-bony nesakhiwo sohlangothini lwe-hip. I-x-ray iyilingo elihle kakhulu lokunquma izinga lokulimala kwe-cartilage ne-arthritis. Ngesikhathi ama-x-ray engabonisi izicubu ezithambile ezizungezile ukuhlangana, zibonisa ukuthi zikhona izinto eziningi zokusiza ukuze udokotela wakho anciphise imithombo engabangela ubuhlungu.
I-MRI iyimvivinywa evame ukuqhutshwa ukuze ihlolwe izicubu ezithambile ezizungezile. I-MRIs ingabonisa imisipha, izintambo, imigaments, kanye ne-labrum ukusiza ukunquma umthombo wezinkinga zokuhlunguphaza. Ngezinye izikhathi i-MRI yenziwa nge-injection yesisombululo esibizwa ngokuthi ukungafani ukuze kubonakale ukulimala okucashile kwe-cartilage ne-labrum ngaphakathi kokujoyina.
Okokugcina, umjovo wokuxilonga noma wezokwelapha ku-hip ungasiza kakhulu uma umthombo wobuhlungu ungacacile. Udokotela onolwazi, ngezinye izikhathi udokotela ohlinzayo wama-orthologic noma i-radiologist, angaqondisa inaliti emhlangothini we-hip. Lokhu kungenziwa ngosizo lwe-ultrasound noma i-x-ray ukuqinisekisa ukuthi inaliti ihlelwe kahle. Uma inaliti ihlangene, i-anesthetic (lidocaine) noma imithi (i-cortisone) ingafakwa. I-anesthetic iyithuluzi lokuxilonga eliwusizo kakhulu-uma ubuhlungu buhamba kancane okwesikhashana umthombo cishe lapho ukujola okufakelwa khona. I-cortisone ivame ukwelashwa okuphumelelayo okungase kuhlinzeke ngisho nokuphumula kwesikhathi eside kwezimpawu.
Izwi elivela
Kwakukhona isikhathi lapho odokotela bama-orthopedic baqonda ubuhlungu obukhulu bokuthi bancishiswe i-arthritis kanye nokulimala kwemisipha. Ukuqonda imithombo yokuhlunguphazwa kwe-groin sekuye kwanda kakhulu, futhi nakuba lokhu kungasiza ekuqondiseni ukwelashwa, kungenza ukuhlola okulukhuni kunzima. Ukusebenza nodokotela wakho ukusiza ukunquma umthombo wobuhlungu kungasiza ukuhola ukwelashwa okufanele kakhulu. Lapho sekuzwakala ngokucacile umthombo wezinhlungu ezibuhlungu, uhlelo lwezokwelapha lungathuthukiswa oluzosiza ekuthuthukiseni izimpawu zakho.
> Umthombo:
> UJohnson R. Indlela yokuzwa ubuhlungu bezinyosi kanye nobuhlungu kumdlali okhulile kanye nomuntu omdala osebenzayo. UGreyzel J. (Umq.) Ku: UpToDate. 2017.