Impingement ye-Femoroacetabular (FAI) yisimo esibonakala ngesimo esingavamile sohlangothini lwe-hip nebhola. Ukubaluleka kwe-FAI ekuthuthukiseni i- hip-joint arthritis , kanye nokwelapha okufanelekile kakhulu kuleso simo, kuyisifundo sempikiswano enkulu.
I-FAI ichazwe
I-FAI yisimo esenzeka lapho kunesimo esingavamile sohlangothini lwe-hip ohlangene obangela ukunyakaza okukhawulelwe.
Sonke sinomumo ohlukile emathanjeni ethu, kanti abanye abantu banesimo esingavamile sebhola kanye / noma isithwathwa se-hip. Kulabo bantu ngabanye, i- bone spurs ingahle ifake nxazonke ze-hip. Uma umlenze ugobile noma uphendukile, lawa mafutha amathambo angaxhumana, okwenza kube nokuphazamiseka kwesici se-FAI.
Abantu abane-FAI bavame ukuzwa ubuhlungu obuhlangene . Ngokuvamile ubuhlungu bubonakala ku-groin, nakuba abantu abane-FAI bangase babe nobuhlungu phambi kwe-hip noma emasontweni. Ngaphandle kwethambo elihlabayo nxazonke, abantu abane-FAI nabo bangaba nezinambuzane ezonakalisiwe ezinyembezini ze-hip ne- labral ze-hip .
I-FAI ne-Hip Arthritis
Eminyakeni yamuva nje, odokotela abahlinzayo abaningi baye bacacisa ukuthi i-FAI iyisici esiyingozi ekuthuthukiseni i -arthritis ye-hip-joint . Kuyacaca ukuthi abantu abane-FAI banethuba eliphakeme lokudinga ukuhlinzwa ngokugcwele, ikakhulukazi uma benesifo se-cam spray (bone spur esibhekene nebhola le-ball-and-socket joint joint).
Ukuqhuma kwe-arthritis ye-hip kubantu abanamaphilisi angama-pincer (bone spur eseceleni kwe-ball-and-socket joint hip) ayicacile kancane, nakuba kubonakala sengathi kuyisici esiyingozi ekuthuthukiseni i-arthritis. Ekugcineni kucacile ukuthi nakuba kungeyona yingozi kuphela yokuthuthukisa isifo samathambo (ezinye izinto ezibalulekile zihlanganisa izakhi zofuzo, ukulimala kwangaphambilini
Ukwelashwa kwe-FAI
Ukwelashwa okulungile kwe-FAI akucaci ngalesi sikhathi. Kuye kwaba nesithakazelo esikhulu ekuhlinzekeni kwezinqubo zokuhlinza ukususa i-spurs bone, ebizwa ngokuthi i-osteoplasty , nakuba imiphumela yesikhathi eside yalezi zinqubo zokuhlinzwa ayingakaqedi. Ngendlela enhle, lezi zinqubo zokuhlinza ziye zabonisa imiphumela emihle kakhulu ekunciphiseni ubuhlungu nasekuthuthukiseni ukunyakaza kwabantu abane-FAI abangela ubuhlungu be-hip abaye balahlekelwa ukwelashwa okunamandla kakhulu.
Ngokuvamile, akukho ukwelashwa kwe-FAI Kunconywa kubantu abangenayo izimpawu (i-FAI ibonakala kuphela kwi-x-ray noma i-MRI). Ngaphezu kwalokho, odokotela abaningi abahlinzayo batusa ukuzama izindlela zokwelapha okungezona ukwelashwa ngaphambi kokuqhubeka nokuhlinzekwa okuhlinzekwa ukubhekana ne-FAI. Lezi zindlela ezingelapheki zingase zihlanganise ukuphumula, ukuguqulwa komsebenzi, imithi yokulwa nokuvuvukala , noma imishanguzo ye- cortisone .
Ngaphansi
Njengoba kushiwo ngaphambili, isihloko sokubaluleka kwe-FAI ekuthuthukiseni i-arthritis kanye nokwelapha kangcono kwalesi simo yizihloko zengxabano enkulu. Okubalulekile ukuthi akekho owazi ngempela izimpendulo, kanti ngenkathi abanye odokotela behlinzeka ngemibono enamandla ngale ndaba, kunedatha encane yesikhathi eside ukukhombisa ngokucacile izimpendulo zale mibuzo.
Idatha ecacile ibonisa ukuthi intsha kubantu abaneminyaka ephakathi nendawo abanezinkinga ze-FAI zingengozini enkulu yokuthuthukisa i-hip joint arthritis futhi ekugcineni idinga ukufakwa esikhundleni se-hip.
Inqubo yokuhlinza ukususa i-bone spurs, i-osteoplasty, ingaba usizo kakhulu ekuthuthukiseni izimpawu zabantu ngabanye nge-FAI, kodwa akukho lutho oluzobonisa ukuthi lokhu kuzohlinzeka inzuzo yesikhathi eside noma kuvimbele ukuqhubeka kwe-arthritis .
Imithombo:
USankar WN, et al. Ukumiswa Kwe-Femoroacetabular: Ukuchaza Isimo Nendima Yakhe Ku-Pathophysiology Ye-Osteoarthritis "J Am Acad Orthop Surg July 2013 vol. 21 cha. I-suppl S7-S15.