I-osteoarthritis yezihlanganisi ze-hip: izimpawu kanye nokwelapha

I-osteoarthritis yezingxube ze-hip - ukwephulwa kwesifo esinqunyiwe nokuqeda ama-joints ohlelweni lwe-musculoskeletal nge-characteristic course course. Kuzokwelapha kuthiwa i-Coxarthrosis.

I-osteoarthritis yezingxube ze-hip Iqala ngenqubo yokukhubazeka ye-articular cartilage, lapho ukuhlukaniswa, ukubhujiswa kwe-fiber, ukuqubuzana kombuthano wokuqothulwa komzimba kwenzeka ngokulahlekelwa okuqhubekayo kwezakhiwo zokukhishwa kwempahla kanye nokwakhiwa kweziqu zokukhula kwethambo. Ngokulandelayo, i-cyst isakhiwe futhi isifo sesifo sikhuhlane siqala ukuveza i- acetabulum kanye nenhloko yesifuba se-hip.

I-osteoarthritis yamalunga ase-hip iyinhloko futhi eyesibili. Lesi sifo singathinta esisodwa noma zombili izingxube ze-hip. Esigabeni esinqunyiwe, lesi sifo singasakazeka emgodini nezinye izixhumanisi, ezimweni eziningi - kuya ezinkomeni zamadolo.

Izimbangela

Kunezizathu eziningi zokuthuthukiswa kweCoxarthrosis:

- ukwephulwa kwenqubo yokujikeleza ngokuhlanganyela;

- Amalunga amanqwaba angaphansi kwethonya lezici (ukukhululeka ngokweqile, ukukhula ngokomzimba);

- izinguquko ze-hormone, ukuphazamiseka kwamagciwane emzimbeni, izinguquko zezinto eziphilayo ezinxenyeni zomzimba;

- ukuhlukumezeka (ukwehlukaniswa noma ukwephulwa kwesikhumba, umlomo wesibeletho);

- izifo ezithathelwanayo nezivuthayo zamalungu (i-rheumatism, i-chronic polyarthritis, i-rheumatoid arthritis);

- izilonda ze-necrotic zekhanda;

- i-pathology yezinyawo (izinyawo eziphansi) nomgogodla (kyphosis, scoliosis);

- ukuxoshwa kwe-hip ngesikhathi sokuzalwa, i-dysplasia yokubeletha yamalungu;

- indlela yokuphila yokuhlala;

- Ubudala (ngokuphindaphindiwe abantu abaneminyaka engama-50 ubudala);

- ukuguguzwa kanye nokuhlelwa kwesimo semvelo (ukwehlukana kwamathambo, okuyizinto eziphawulekayo zesakhiwo se-cartilage, ukuphazamiseka kwemizimba). I-osteoarthritis yamajoyini we-hip, ukwelashwa Yiyiphi indawo ebalulekile emitholampilo yesimanje kanye ne-traumatology, ayizuzwa njengefa.

Izimpawu ze-arthrosis zezingxube ze- hip

Izimpawu zesifo zixhomeke esigabeni senkambo yayo. Kunezigaba ezintathu:

Isigaba 1 - ubuhlungu ngemva kokuzivocavoca kuvame ukuvela ngokuhlanganyela kwe-hip, ngezinye izikhathi emadolweni. Ngokuvamile ubuhlungu buyaphuma ngemva kokuphumula. I-gait ayiphukile, ukuhamba akukhawulelwanga, amandla omzimba ajwayelekile. Izithombe ze-X-ray zibonisa ukuhluma;

Isigaba sesibili - ubuhlungu buyaqina, ukuqonda indawo yokulima, kunikwa indawo yethanga, ngezinye izikhathi kwenzeka endaweni yokuphumula. Ngemuva kokuzikhandla ngokweqile, kubonakala sengathi ukugqilaza kuvela. Ukuhamba kancane kunciphile, amandla we-muscular anciphisa. Emifanekisweni ye-x, ukubhujiswa kombuthano kubonakala;

Isigaba sesi-3 - ubuhlungu obuqhubekayo, ukuhamba kungenzeka kuphela ngosizo lomhlanga noma izintonga, ukunyakaza kunqunyelwe, ukunciphisa isitho esithintekayo. Izithombe ze-X-ray zibonisa ukuhluma okujulile nezilonda ze-joint.

Indlela yokuphatha i-arthrosis yenhlanganisela ye-hip?

Ukwelashwa kwe-coxarthrosis ku-1 st no-2 izinyathelo kwenziwa ngaphandle kwesiguli, okuhloswe ukunciphisa ubuhlungu, ukuvuvukala kwamalunga, ukuthuthukisa ukujikeleza kwegazi nokuhamba kwesigungu. Kuze kube sekugcineni, imishanguzo yokulwa nokuvuvukala nobuhlungu, amavithamini, ukucindezela kwendawo okulungiselelwe ukulungiselela i-Dimexide (izinqubo ezifika ku-15) kunqunywe.

Ngenkathi yokwelashwa, isiguli sinconywa ukuba sinciphise imithwalo yemithwalo emlenzeni ogulayo (egijima, egqoke izinsimbi ezinzima, ukuhlala isikhathi eside emilenzeni). Kuhlangene nokwelashwa okuyinhloko, i-ultrasound, i-magnet, i-laser, kanye ne-electrophoresis yesisombululo se-Dimexide, i-Novokain nezinye ezisetshenzisiwe.

Ngemva kokususwa kwesifo sobuhlungu nokuqinisa imisipha, ukusikhipha imithi yokwelashwa, ukuvocavoca kwempilo, ukubhukuda echibini kunqunywe.

I-arthrosis yezihlanganisi ze-hip zesigaba sesithathu yenziwa esibhedlela. Ngaphandle kwezinqubo ezibalwe ngenhla, kufaka phakathi ukungeniswa kwezidakamizwa ezihlangene u-Artroporona noma uKenalog.

Ngendlela elula yesifo, ukungenelela kokuhlinzwa kuyadingeka. Umsebenzi oyinhloko wokusebenza ukuguqula indawo yethambo lethanga ukuze kuqhutshekwe ukusabalalisa kwengcindezi kumalungu. Ukusebenza akukhuthazwa iziguli ezineminyaka engaphezu kwengu-60.

Namuhla, ukusebenza kokwethulwa kwamalungu okufakelwa kuthandwa kakhulu. Ngesikhathi sokusebenza, ikhanda elidala lisusiwe, futhi insimbi entsha noma ikhanda le-ceramic efakwe endaweni yayo. Ukwelashwa okunjalo kuvumela isiguli ukuba siphile impilo egcwele ezinyangeni ezingu-2-3.