Hip coxarthrosis: izimbangela, izimpawu kanye nokwelashwa

Coxarthrosis hip - zokugula dystrophic lapho ukuthuthukisa izinguquko esiwohlozayo e uqwanga articular kanye nakulowo onganakiwe osteophyte kwetinhlavu kanye ukusonteka ezithinta umsebenzi motor nemilenze aphansi.

Lesisifo samabanga aphansi noma. Ngo-25% amacala bhalisiwe coxarthrosis eyinhloko, hip, okuyinto isifo ehlukile. kwakhiwa kuqhathaniswa nezinye pathologies of the system zemisipha is by ifomu lesibili lesi sifo.

Kunezinhlobo eziningana ukwephulwa:

• involution - kwenzeka ngenxa yezinguquko ezihlobene nokukhula emzimbeni;

• coxarthrosis ukucindezeleka kwangemva kwenhlekelele hip;

• osteochondropathy ngenxa ikhanda femoral;

• e dysplasia azalwa naso (subluxation) we ngokuhlanganyela hip ;

• isifo esakheka ngenxa yokuchayeka kakhulu emagciwaneni, izinto ezixabana nomzimba, pathologies rheumatism;

• uhlobo umonakalo ngokuhlanganyela ukuthi is phetho iziyaluyalu umzimba noma ukungalingani hormone.

Ngaphezu kwalokho, coxarthrosis, hip sidalwe idiopathic, lapho etiology yokulimala akukwazi ukusungulwa ngokucacile.

Phakathi kwezici neqhaza ekuthuthukiseni lesi sifo kufanele futhi kwenziwe i ukucindezeleka ngokweqile ku emalungeni, samathambo nethonya ufuzo.

ukubonakaliswa Clinical koksartroza

Ezimweni eziningi, lesi sifo eba ngemva kweminyaka engu-40, futhi ngo-abesifazane ke itsatfwa nzima ngaphezu kwabesilisa.

Izimpawu oyinhloko sifo:

• ubuhlungu imbilapho ithanga (ngaphambili noma eceleni kwamanzi);
• izinyonga ngenxa kokunciphisa esitho ethintekile;
• izinguquko atrophic bemisipha ethangeni.

Mangisho ukuthi ekuqaleni ubuhlungu akuyona ezinzima kakhulu, kwenzeka ngemva kokuvivinya umzimba. Ibanga motion emalungeni iziguli cishe enjalo. Lapho-X-ray Ukuhlolwa kwembula ushintsho oluncane kwesakhiwo kuya endaweni ethintekile.

Nge inchubekelembili kwaleso sifo ubuhlungu iba babubukhulu ngokwengeziwe, ngakho iziguli ziqala ukuhamba nge umhlanga. Ngaphezu kwalokho, it is asathuthuka reflex imisipha spasm elibangela ukubukeka ubuhlungu uphumule (isibonelo, ngesikhathi sokulala).

In esigabeni wesithathu ubuhlungu coxarthrosis ziyaqhubeka, ngokuhlanganyela motor umsebenzi kuphazamisekile. Kukhona umuntu angakwazi izicubu kwamathanga nezinqe, kanye flexion contracture, eliphumela nokufinyezwa abalulekile izinyawo sore. Ngalesi nesigaba lesi sifo ekuthuthukiseni osteoarthritis nezinye emalungeni izitho zomzimba ukuhamba kahle sokukhubazeka komgogodla.

Hip coxarthrosis: ukwelashwa imihlahlandlela

Lapho ukwelashwa ngoludala ngokuvamile ebekiwe elandelayo amaqembu izidakamizwa:

• izidakamizwa nonsteroidal antiinflammatory;
• analgesics;
• hormone;
• hondroprotektory;
• imisipha relaxants;
• izidakamizwa ukuthi uvuleke imithambo yegazi.

Ezimweni ezimbi kakhulu, nokwelapha kuhlinzwa ngesimo arthroplasty (Ukushintshwa kwamajoyinti omzimba), okuvumela ukuba inciphisa ubuhlungu ukubuyisela motor umsebenzi joint hip.