Ubuhlungu hip ngokuhlanganyela phakathi ukuhamba: izimbangela kanye nokwelashwa. Kungani ubuhlungu joint hip ngesikhathi uhamba?

On ubuhlungu hip abantu abaningi akhononde uhamba. It kwenzeka ngokuphazima kweso futhi ekugcineni okuphindaphindiwe ezingasho kaningi, bakhathazeka hhayi kuphela uma ushayela kodwa futhi uma uphumula. Ngamunye ubuhlungu emzimbeni womuntu ngesizathu esithile. Kungani yena lapho? Akuve kuyingozi futhi yini esongela? Zama ukuqonda.

Isakhiwo yokwakheka

Ngaphambi kokuthi ukukhuluma ngobuhlungu kungani hip uma uhamba, tshela ukuthi kahle kahle anatomically. Ngokuvamile, nethambo lenqulu - izakhi ngokuhlanganyela ezintathu kuncikene: i symphysis pubic, sacroiliac ngokuhlanganyela emoyeni futhi hip amalunga omzimba.

Lesi sakamuva kukhona amathambo eside ne amakhanda amabili imikiswe ukuma elikuvumela ukuba wenze izinyawo zakho ukunyakaza bacondze etindzaweni letehlukene. I amplitude we ukunyakaza kungaba ezahlukene: phambili, emuva, emaceleni. Hips zizinze, umzimba verticalization, bahlanganyele kule nhlangano, imithwalo esindayo, ukuthwala umthwalo oyinhloko emzimbeni.

Uma emalungeni sacroiliac futhi symphysis umoya cishe ongasanyakazi, inhloko emalungeni hip kunjengokungathi nezitsha - ku acetabulum, okuyinto azungeze udebe Acetabular. Umsebenzi oyinhloko we-izindebe - iyona igrisi cartilage amalunga omzimba okuthiwa uketshezi lwamalunga. Ngenxa kwakha nomphumela ukuncela elenza emalungeni abantu ukuba bazihambele ngokukhululekile ngaphakathi izimbotshana.

Okungenhla ikhanda hip ithambo exhunywe kwi entanyeni wethambo, ngabo kukhona trochanter ezincane nezinkulu, okuyinto ngokuphephile enamathiselwe imisipha ethangeni. Hlala emalungeni capsule articular nge nemisipha, ngenxa okwakufakwa kulo amathambo anamekwe ukhalo. Ukuze ngamandla emalungeni hip is eminye enamathiselwe phansi acetabulum round nemisipha. Inhloko femoral embozwe uqwanga articular, kuba smooth kakhulu futhi nokunwebeka, okuyinto kunciphisa ukungqubuzana phakathi kwamalunga.

Igazi nezelani ithambo hip kubalulekile, futhi inikezwe:

- ngokusebenzisa imithambo yegazi egobolondweni lelunga;

- izitsha amathambo;

- imithambo ngaphakathi ngokuhlanganyela ikhanda umsipha.

Igazi ukunikezela igrisi ukunikeza ukuhamba joint hip.

Umsuka kanye izimbangela zobuhlungu

Ngokuvamile ochwepheshe nzima ukuhlonza ukuthola ukuthi kungani kukhona ubuhlungu emalungeni hip ngesikhathi uhamba. nezimbangela zayo kungaba nzima ukubona umehluko. Kungase kube imbuthuma ubuhlungu kusukela lumbar nomgogodla, samathambo kanye arthrosis, ukulimala kanye nesigqi futhi Ukwenyela.

Ubuhlungu hip ngokuhlanganyela phakathi ukuhamba singenzeka ngokuzumayo, by ukushayela angenandaba, ekuqaleni noma phakathi uhambo, lapho oqhothé noma nokuzikhulula. Ubuhlungu kwedolo, imbilapho akhononde iziguli eziningi ezingontanga okhalweni obukhulu. Kuka ukwelapha isifo? Okokuqala udinga ukuthola ncamashí ukuhlelwa, okubangela ubuhlungu.

amaqembu amane ubuhlungu

Ubuhlungu hip kungenzeka ngenxa yezizathu ezilandelayo:

1. imiphumela ukubheduka:

• nemihuzuko ukhalo kanye hip, iningi kunawo wonke futhi myositis (imisipha ukuvuvukala);
• amakhefu nemisipha esisuka, waphuka, ukuqhekeka;
• Ukucindezeleka waphuka of the Group ngenxa "ukukhathala" of the joint, egobolondweni lelunga, entanyeni ithambo ethangeni;
• uyadabuka kuhlasimulise futhi izinyembezi nemisipha, amaphilisi ngokuhlanganyela;
• Ngokuvamile abantu baphuka izinqulu e ukhalo;
• subluxations futhi dislocations, kuhlanganise azalwa nako.

2. Izici isakhiwo ngokuhlanganyela, nemisipha nemisipha, co-morbidities:

• ngokuthwebula hip syndrome chondromatosis, impingement;
• coxarthrosis, i-osteoarthritis, samathambo, bursitis, tendinitis;
• futhi necrosis avascular aspeticheskogo izakhiwo;
• lo mkhuba kwamathambo ngenxa endocrine ukuphazamiseka.

3. imbuthuma ubuhlungu:

• futhi dysplasia coxarthrosis;
• osteochondrosis futhi osteopathy vertebral amalunga omzimba;
• dysplasia kwemisipha;
• myopathy, neuralgia, peripheral sikashukela;
• hernia inguinal;
• syndrome dysplastic e coxarthrosis.

4. Iqembu izifo letindzala:

• izinhlobo ze-arthritis, sifo, rheumatism, lupus;
• spondylitis futhi ankylosing spondylitis ;
• rheumatoid arthritis;
• arthritis psoriatic;
• izifo ezithathelwanayo, kuhlanganise nesifo sofuba amathambo, isifo saseLyme;
• izicubu myalgia fibrous;
• izifo oncological.

ubonisa izici

ubuhlungu Hip ngesikhathi ukuhamba kungaba ezahlukene. Lezi zinhlobo ezilandelayo ubuhlungu:

• ngenxa isenzo mechanical imithwalo ubuhlungu umfutho umsebenzi ngaphezulu Kwaba ngukuhlwa, kwaba maqembu ekuseni;
• synovitis lapho ubuhlungu kwenzeka ekuqaleni tenhlangano nomsebenzi okwandisa kuyehla, ngezinye izikhathi ubalekela ngokuphelele;
• tendonitis libhekene ubuhlungu zenzeka kwezicubu imisipha futhi imisipha kuphela uma ushayela;
• periatikulyarnyh zibe of imisipha;
• ngenxa nomfutho wegazi ophakeme amathambo kungase Ache emalungeni hip;
• Amaphilisi eqine amalunga ngemva ukuhlukumezeka noma ukuvuvukala;
• osteophyte, umonakalo mechanical kuya bone head.

Manje uyazi ukuthi kungani kukhona ubuhlungu emalungeni hip ngesikhathi uhamba. Izizathu, njengoba ubona, izinto zingase zishintshe.

izimpawu zokwelashwa

Ekuqaleni, ubuhlungu edlulayo hhayi uzwakalise, axhunyiwe kuphela ukunyakaza. Nge ngentuthuko isifo basuke iyakhula. Ubuhlungu ngokuhlanganyela hip ngesikhathi uhamba eqondisa ukuqina okwengeziwe, contracture ayivumeli ukuhoxisa ilunga ohlangothini, okubangela isiguli ukuhlupheka babulawa.

Ngenxa yokuthi i-reflex nesineke ivikela ngokuhlanganyela kusukela ukunyakaza ezingadingekile kuphakama izinyonga, ukuba buthakathaka kwezicubu, nerve ukuthengisela, umlenze kungancipha emqulwini futhi unciphise ikhanda ngokuhlanganyela ngokwayo zikhubazekile. Kuyadingeka ukuba utshele udokotela wakho mayelana kubuhlungu kanjani hip ezikanye ukuhamba.

Izindlela kokuphatha arthrosis

Kunoma ubuhlungu ngisho ezincane kufanele ufune usizo lwabezokwelapha. Iziguli eziningi abanale ubuhlungu hip abangenawo nhlobo futhi bacabanga ukuthi yonke into kuzodlula ngokwalo. Kodwa udokotela kuphela ungakwazi ukuxilonga imbangela, ukukhomba inqubo ethile abhubhisayo futhi akwabele ukwelashwa okufanele.

Uma isiguli sekutholakele ukuthi sine- "hip arthrosis" ke izinyathelo zokuqala - lakhetsiwe izidakamizwa okuhloswe ngaso izinqubo ukwelashwa nolokubhujiswa uqwanga nemisipha. Uma isiguli sine nobuhlungu obukhulu joint hop, i-evame ukusetshenziswa isinyathelo eqeda ukuvuvukala amalungiselelo medicamentous, izidakamizwa asizayo, kuhlanganise mzimba, izindlela namasu kwethonya physiotherapeutic, nenkanuko edlulele amalunga amathayi superposition futhi Gypsum (ikakhulukazi phakathi exacerbations), yokuzivocavoca.

Esimweni lapho kukhona ubuhlungu njalo kule hip ngokuhlanganyela phakathi ukuhamba, impatho ngokuvamile kuphela op. Namuhla, nezindlela ezisetshenziswayo ngokuhlanganyela esikhundleni ikhanda nge yokufakelwa titanium nolwelwesi. Lokhu kuvumela hhayi kuphela ukuyeka ukubhujiswa, kodwa futhi ukubuyela isiguli egcwele, ukuphila okumatasa. Ngalesi nqubo ithatha izinyanga ezingaphansi kwezingu-6, kuhlanganise nokuvuselelwa eziyinkimbinkimbi.

Kumele sikhumbule ukuthi ukwelashwa kufanele kube eziyinkimbinkimbi, usebenzisa zonke izindlela kungenzeka futhi izindlela zokunqanda isifo elimazayo.

nezithasiselo zokudla

Ekuqaleni lesi sifo ingakamiswa wabhubhisa uqwanga, izimpawu ubuhlungu kungukuthi uzwakalise ngokucacile. Kulesi sigaba kungenzeka ukuqala yokwamukela izithasiselo eziphila abakhuthele. Ngakho, ewusizo amalungiselelo equkethe collagen hydrolyzate, oyingxenye uqwanga. Izingxenye izinto ukuvimbela inqubo ekubhujisweni, neqhaza ekubuyiselweni cell isakhiwo kanye nokulungiselela ligamentous. yokugcoba Iwusizo ukufudumala, si, licindezele, uma hip obukhulu. Okufanele ukwenze ekuqedeni ukuhlupheka, utshela abantu imithi. Kunconywa ukusebenzisa amahlamvu iklabishi burdock njengoba ukufudumala kanye ejenti eqeda ukuvuvukala. Uwusizo ebusuku sisonge ngazo efudumele ngokuhlanganyela phansi nge iduku, okuzodala umphumela ukushisa futhi ukwandisa ukugeleza kwegazi.

imithi

Uma izinkalo obukhulu kuka ukwelapha okwamanje? amakhambi Folk kanye Izithako zokudla - ke muhle ngempela. kodwa kuphela lapho usaqala kakhulu inqubo isifo. Kuyadingeka ukuba kudokotela noma wamathambo wamathambo abayoba akunikeze imithi izidakamizwa okuhloswe ngazo ekwelapheni izinhlungu.

Kuyadingeka hondroprotektory esimisiwe, ezifana ukulungiselela "Chondroitin", okuyinto ubuyisela isakhiwo uqwanga izicubu hhayi kuphela, kodwa futhi aqukethe izakhi ezithinta ukuhamba kwe-apharathasi ligamentous. Kusukela ubuhlungu - uphawu ukuvuvukala, kunikezelwe eqenjini non-steroidal izidakamizwa eqeda ukuvuvukala, ezifana esebenzisa "ibuprofen", "Ketorol", "Nimesulide", "Nise". Bona ukumisa komzimba ukususa ubuhlungu.

Imisipha relaxants - yizidakamizwa aqede ubuhlungu kwemisipha izinhlungu zibe. Ayasiza e ukuthi lapho usebenzisa i-ubusuku kunikeza ithuba imisipha imilenze, ukuze ugweme ubuhlungu. Phakathi lezi imithi abelwe "Milgamma" futhi "Sirdalud".

Izidakamizwa ezithuthukisa kwegazi izicubu ithambo ukusiza inqubo umthamo wegazi ogciniwe, ukwandisa ukugeleza kwegazi. Lokhu, isibonelo, kusho "Trental" umjovo we nicotinic acid.

Ezimweni ekhethekile, lapho ubuhlungu bengasenakubekezela enqunyiwe ejenti hormone, isibonelo, i-izidakamizwa "prednisolone" (at ngemithamo ongaphakeme), okuyinto, ngaphandle okwandisa ukugeleza kwegazi, ahlinzeke ukususwa ukuvuvukala.

Physiotherapy

Okudambisa ubuhlungu, kodwa esigabeni non-acute, iziguli babelwa Physiotherapy. Lokhu kungaba massage, laser, kagesi. Futhi ewusizo ukwelashwa amanzi, okugeza resin ne-hydrogen sulfide. Ukwandisa uhla motion ukhombe ukubhukuda echibini.

Izici hip traction

Yokudonsa - indlela kunciphisa umthwalo uqwanga ngokuhlanganyela akhiphe indlela. Ngakolunye uhlangothi, lena inqubo ewusizo lapho kancane kancane welulela ngokuhlanganyela, ebanjwa lesifanele umthwalo wokusabalalisa. Ngakolunye uhlangothi, le ndlela kufanele kwenziwe kuphela odokotela abaqeqeshiwe - Udokotela Weqolo. Okusanda kusetshenziswa nedivayisi trankionny - kudivayisi esisuka amathambo, okwandisa ibanga phakathi kwabo.

zokuvimbela

Ukuze ubuhlungu eqolo ngesikhathi ukuhamba akuyona ephazamisekile, ukuze kuvinjelwe arthrosis nezinye izinqubo ukuvuvukala okufanele zilandelwe imithetho elula:

• Lahla isisindo okweqile. Ayanda isisindo, aba maningi ukucindezeleka ku emalungeni, okuyinto luhambisana nomthwalo izinqubo elimazayo.
• Zama ngangokunokwenzeka ukuhambisa. Umsebenzi - kuyisiqinisekiso sokuthi ilunga ngeke yokujama tsi.
• Bagcine ukuphila kwansuku zonke futhi imithetho kokudla emitholampilo, thatha amavithamini njalo, ukunikeza ukudla inombolo ezanele izakhi mkhondo.
• Zibandakanye isiko ngokomzimba kanye nemidlalo.

Lapho efeza lezi zincomo, ongavikela emalungeni kusukela izinqubo elimazayo engaholela ubuhlungu, ukubhujiswa nokukhubazeka.