Ukuxoshwa kwe-Hip nokuxhaswa

Ukuxoshwa kwe-hip ukulimala okungavamile okuvame ukwenzeka ngenxa yokulimala okukhulu. Izimbangela ezivame kakhulu zokuxoshwa kwe-hip zihlanganisa ukushayisana kwemoto, kwehla ukuphakama, futhi ngezinye izikhathi ukulimala kwezemidlalo okulimazayo.

Abantu abalondoloza lo ukulimala bazoba nobuhlungu obunzima be-hip , ubunzima bokuhamba, nokuhluleka ukuthwala isisindo emkhawulweni.

Umlenze uzoba esimweni esingavamile ngenxa yokuhlukaniswa, ngokuvamile kaningi ngomlenze kufushane futhi ujikelezwe.

Ukuxoshwa kwe-Hip kungase kwenzeke njengenkinga yokuhlinza ukuhlinzwa esikhundleni . Ngenxa yokuthi indawo ye-hip yokufakelwa ihlukile ngokuhlukile kokuhlanganiswa kwe-hip, ukuxoshwa emva kokushintshaniswa ngokuhlanganyela kuyingozi yokuhlinzwa . Eqinisweni, phakathi kuka-1-4% weziguli zingase zisekele ukuxoshwa kwe-hip ngemuva kokuhlinzwa kokuhlinzwa kwe-hip. Izinhlobo ezintsha zokufakelwa kwe-hip kanye namasu amasha okwenza ukuhlinzeka okwenza lokhu kube inkinga engavamile.

I-Hip Joint

Ukuhlanganiswa kwe-hip kungumhlanganiso webhola nosikotho. Ingxenyana ye-hip joint iyinkezo ejulile yethambo eliyingxenye yesikhumba (okuthiwa yi-acetabulum). Ibhola liyinhloko yethambo lethanga (i-femur) - igama lehlangothini le-hip yi-joint femoroacetabular. Isizathu esiyinhloko sokususwa kwe-hip akuyona into engavamile, ukuthi ibhola ibanjwe ngokujulile ngaphakathi kwesikhwama se-hip.

Ngokungafani nokuhlanganiswa kwehlombe, lapho ibhola lihlezi ngokungahlali kulokho okuyikho, ukuthungwa kwe-hip akuvamile, kanti ukuphazamiseka kwamahlombe kujwayelekile kakhulu.

Ngaphandle kwesikhumba esithinta umzimba, umzimba ubuye ube nemigudu eqinile, imisipha eminingi, kanye namathononi abangela nokuzinza kokuhlanganiswa kwe-hip.

Ukuze ukuhlukaniswa kwe-hip kwenzeke, amandla amakhulu kufanele asetshenziswe ekuhlanganyeleni. Abantu abazwa ukuzwa okuthinta umlenze ngesinye isikhathi banesisindo sokuhlanganyela; lezi zimo ziyaziwa njenge- snapping hip syndrome .

I-Hip Dislocations

Uma kuvela ukuqhuma kwe-hip, kuzomele kube khona umonakalo ezakhiweni ezibambe ibhola kulesi sikhwama. Ukulimala okuvamile okwenzeka lapho kwenzeka ukuqhuma kwe-hip kubandakanya ukuqubuzana kwethambo elizungeze isiqhwaga, izinyembezi ku-labrum kanye nemigqa ye-hip, nomonakalo we-cartilage we-joint. Ngaphezu kwalokho, ukulimala emithanjeni yegazi okondla ithambo kungaholela esimweni esibizwa nge- avascular necrosis (ebizwa nangokuthi i- osteonecrosis ye-hip ).

Abantu abasebenzisa ukuxoshwa kwe-hip banengozi enkulu yokuhlakulela isifo samathambo ehlanganisiwe phakathi nezinyanga neminyaka elandelwa ukulimala futhi basengozini enkulu yokudinga ukufakwa esikhundleni se-hip kamuva ekuphileni kwabo. Kuncike ekutheni izinga lokulimala kwe-cartilage lizonquma amathuba okuthuthukisa izinkinga zesikhathi esizayo ngaphakathi kokujoyina.

Ukwelapha

Ukwelashwa okubaluleke kakhulu kwe-hip ehlukanisiwe ukubeka kahle ibhola emuva ekhoneni - kucatshangelwe ukunciphisa ukujoyina. Ukuze kulungiswe ukuhlanganiswa kwe-hip, isiguli siyodinga i-anesthesia ejwayelekile .

Ngokungafani nokuhlukunyezwa kwamahlombe lapho iziguli eziningi, ikakhulukazi labo abaye baphinde baphinde bahlukane, bangazibeka esikhundleni sabo, ukuxoshwa kwe-hip ngokuvamile kudinga amandla okuphindaphinda.

Uma ibhola libuyele ngaphakathi kwesikhwama, udokotela wakho uzohlola ngokulimala okunye, kuhlanganise nokulimala kwithambo, i-cartilage, nemigudu. Kuye ngokulimala okwenzekile, ukwelashwa okwengeziwe kungadingeka. Amathambo aphukile angadinga ukulungiswa ukuze agcine ibhola ngaphakathi kwesikhombisi, futhi isifo sofuti esonakalisiwe singase sisuswe ngaphakathi kokuhlanganyela.

I-arthroscopy yama-Hip isetshenziswa kakhulu njengethuluzi ukuqinisekisa ukuthi ukujoyina kunempilo ngangokunokwenzeka kulandela lolu hlobo lokulimala.

Ngaphezu kwalokho, ukuthuthukiswa kwe-arthritis yokuqala ye-hip kuvamile kakhulu ngokulandela uhlobo lokuhlukumezeka kuya kokuhlanganiswa kwe-hip. Ngakho-ke, iziguli eziningi ezine-hip dislocation ekugcineni zidinga ukuhlinzwa ukuhlinzwa esikhundleni .

I-Hip Subluxation

Ukulimala okuhlobene kuthiwa yi-hip subluxation. Ukuhlukunyezwa okuhlangene kungenye indlela yokuchaza lokho abantu abavame ukubiza ngokuthi ukuhlukaniswa okuyingxenye. Endabeni yokuhlanganiswa kwe-hip, kusho ukuthi ibhola iqalile ukuphuma esikhwameni kodwa ayizange iphume ngokugcwele noma ihlukanise. Iziguli ezine-hip subluxation zingase zibe nezinkinga ezifanayo zenkinga njengalabo abasebenzisa ukuxoshwa kwe-hip. Laba bantu bangase bathuthukise izinyembezi ze-hip labral, i-osteonecrosis, ne-arpritis ye-hip. Ukuhlukunyezwa kwe-hip kwaba ukulimala okwaqeda umsebenzi wezinkanyezi zeBo Jackson.

_Imithombo:

_{"Ukuqonda okungajwayelekile kodwa ukulimala kwebhola le-Hip Hip ku-Duke Medicine News and Communications, uNksz 3, 2004.}

_{I-Foulk DM no-Mullis BH. "Ukususwa kwe-Hip: Ukuhlolwa Nokuphathwa" J Am Acad Orthop Surg April 2010; 18: 199-209.}