Izifo ngokuhlanganyela hip. Ngezimpawu zesifo hip

Zonke kwezitho izinhlelo kumelwe asebenze kahle. Kuphela kulesi simo kungenzeka ukuhola umsebenzi evamile yokuphila. Kulesi sihloko Ngifuna ukuhlola izimpawu eyinhloko hip isifo ngokuhlanganyela.

Kuyini lokhu?

Ekuqaleni, udinga luchaze amagama. Kuyini hip? Ngakho, lokhu ithambo ukuthi ikhanda lakhe kuyinto nabo kunawo wonke. Izici zako:

• ukuzivocavoca flexion-isandiso;
• ithuba ukuthatha umlenze, kuse ecaleni;
• pronation futhi supination, t. e. kungenzeka ukuba afeze ukunyakaza ukujikeleza.

Izizathu eziyinhloko

Ngempela kubalulekile ukuba uqonde yiziphi izizathu kungabangela ezihlukahlukene izifo ngokuhlanganyela hip. Ngakho, odokotela yilezi ezilandelayo:

1. umonakalo Mechanical. Lokhu obuhlukahlukene ukulimala kanzima waphuka.
2. ubunjalo ezithathelwanayo lesi sifo. Bavame avuse ezihlukahlukene izinkinga ngokuhlanganyela hip.
3. izifo Microbial futhi viral, ezifana umkhuhlane kanye umphimbo obuhlungu (ikakhulu esimweni isifo Perthes ').
4. Enye imbangela hip isifo ngokuhlanganyela - yofuzo. Kulokhu, uphenyo amarekhodi wezokwelapha we izihlobo eliseduze lomuntu ukuhlonza okufanayo.
5. kwempilo umzimba, ukuntuleka kwamavithamini, i-calcium. Kulokhu, umzimba iba buthakathaka amathambo abe insufficiently eqinile. Futhi ingaholela ezinkingeni ezehlukene ezingase zenzeke emalungeni hip.

Izimpawu main

Ekuqaleni, kuyoba efiselekayo sicabangele izimpawu ezinhlobonhlobo zokuphazamiseka hip isifo ngokuhlanganyela. Ngakho, ezimweni eziningi, nge ukunqotshwa le ngxenye yomzimba womuntu okuphazamisayo:

1. Ubuhlungu. Zingaba bemvelo ezahlukene. Ubuhlungu buba bukhulu abukhali futhi esingagwegwesi, eqinile okusesilinganisweni. Konke kuncike uhlobo isifo, futhi ngezinga sokuthuthuka. Kaningi kuyenzeka ukuthi ubunjalo ubuhlungu phakathi sifo kuyahlukahluka. Susa kungaba ezihlukahlukene amaphilisi ezinhlungu. Nokho, isizathu ivela khona namanje ingabe usekhona.
2. Uma ucabangela ngokuhlanganyela hip, izimpawu ukuthi futhi kungenzeka, kufanele bathi lokhu ezihlukahlukene ukunyakaza iziyaluyalu. Le nkinga kwenzeka uma zonke izifo hip ngokuhlanganyela. Kwezinye izimo, lokho kwephula awabonakali kakhulu, isb. E. Gait wesiguli cishe zinjalo. Kwezinye izimo, kungase futhi kube utrudnennoy kakhulu (ukungakwazi ukuhamba ngaphandle ukwesekwa). Uma lesi sifo esimweni sokunganakwa, unomphela, umsebenzi motor isiguli kanye zonke olungeke lwenzeke.
3. Yiziphi ezinye zezimpawu we-hip isifo ngokuhlanganyela? Ngakho, lokhu kungase kubonise ezihlukahlukene izinguquko zangaphandle. Ngokuvamile, kulesi simo-ke libhekisela Limp, pripadanii ngezinyawo. Ngezinye izikhathi kungase kunciphise ngisho izitho ethintekile, okuyinto eyenza umuntu noma ukuhamba izinzwane noma kuhlanekezelwe umzimba nganxanye.
4. Okunye izinkomba: uma kukhona ukuvuvukala, izinga lokushisa ongama (ngokuvamile ukuze amamaki subfebrile) kungaba futhi ububomvu esikhumbeni.

arthrosis

Ekuqaleni, udinga ukukhuluma ngenkinga ezifana nesifo "hip coxarthrosis". Ukukhuluma ulimi olufanayo, ekuphileni kwansuku zonke iyisifo okukhulunywe nje arthrosis. Kubalulekile wazi ukuthi lesi sifo lifaka kuqala phakathi nezinkinga ezihlukahlukene apharathasi locomotor yomuntu.

Uthoma isifo articular uqwanga izilonda. Kancane kancane wahlukana, mpilo, okuholela ekulahlekeni ukwehla yayo izakhiwo. Ngesikhathi esifanayo sithinta amathambo ngokuhlanganyela, neziqu bony ingavela. Okunye nezindaba okungaholela kuphakama ngenxa coxarthrosis:

• kumiswa izinhlumba ekhanda wethambo ethangeni;
• Izinhlumba ungakheka futhi izicubu we acetabulum, lapho ikhanda wethambo ibekwe;
• ukuqina kwamathishu ngokuvamile kwenzeka ipuleti evele ngokuhlanganyela.

Isikhathi esining impela imbangela yalesi sifo iba isifo, efana dysplasia (Yebo, ngokuhlanganyela hip). Lokhu nokungathuthuki wethambo, futhi umehluko Usayizi acetabulum nenhloko. Esimweni esinjalo kukhona enganele liningi igazi, ibanga inkinga ezifana arthrosis.

Phakathi kwezimbangela lesi sifo, odokotela ukulimala ezahlukene, nemihuzuko. Uma kuziwa microtrauma njalo yabo nakho kungaba imbangela yale nkinga. Futhi-ke, isikhathi kubaluleke kakhulu ukuze aphathe izinqubo ezihlukahlukene ukuvuvukala. Phela, nabo basuke Ungase futhi jikisa Arthritis.

Symptomatology futhi isinyathelo coxarthrosis

Yini ukutshela umlando zesifo? hip coxarthrosis uvame ukubonakala elandelayo zimpawu:

• ubuhlungu noma kabi ezinqeni futhi imbilapho;
• ubuhlungu kwamadolo (kuleli cala avame kuziwa coxarthrosis esigabeni acute);
• uyakwamukela nokuphenduka inkinga, kanye nomgogodla.

Zokwelapha, kunezigaba ezintathu eziyinhloko zesifo:

1. Okokuqala. Kukhona ubuhlungu babeyivakashela ngankathi ikakhulu ngemva kokuzivivinya asebenzayo. Kuhunyushelwe njalo kakhulu kwamadolo noma hip. Ngemva kokuphumula ukuqaleka iphele. Gait futhi locomotor umsebenzi kulesigaba namanje zinjalo.
2. Okwesibili. Kulokhu, ubuhlungu kungaba namandla. It itholakala ngokuyinhloko imbilapho noma ethangeni. Kubalulekile ukwazi ukuthi kulesi sigaba ukungakhululeki kwenzeka ngisho uphumule. Ukusebenza joint siphukile, umsebenzi wayo motor futhi liwohloka. Kukhona umkhawukho wesikhathi ukunyakaza ngokuhlanganyela yokwenziwa (kwezokwelapha - contracture). Futhi zikhubazekile ikhanda femoral, imisipha amandla akhe.
3. Isigaba sesithathu. Kulokhu, ubuhlungu kuhambisana umuntu njalo ukuphumula futhi ebusuku. Impossible ukuhamba ngaphandle ukwesekwa. ukunyakaza Joint lagodlwa, kunzima kakhulu. Kancane kancane, isiguli isitho somzimba kokunciphisa, abantu Gait izinguquko. Une ukugoba emaceleni ume izinzwane ukulinganisela phakathi kwemithwalo yakho traffic.

Uma inkinga eba okwengeziwe, kuholela yokuthi ukuhamba emalungeni engekho nhlobo.

Ukuxilongwa kanye nokwelashwa of coxarthrosis

Njengoba sesifunde izimpawu ngenhla we-hip isifo ngokuhlanganyela, kufanele kusho ukuthi le nkinga ungakwazi ihlonzwe usebenzisa-X ray. Uma ubuhlungu ngokulinganisela, kungasiza ngisho ultrasound noma i-MRI (yalezizifundo ukunikeza ithuba lokunquma ukuthi kukhona ukuvuvukala).

Uma sikhuluma amabili izigaba zokuqala zesifo, ukuphathwa lapha kuyoba olandelanayo. Injongo eyinhloko udokotela - ukuhlinzeka evamile ukuhamba ngokuhlanganyela. Isigaba sesithathu kudinga ukwelashwa okuhlukile: yokuphuza imithi oyosusa ukuvuvukala, angasetshenziswa uketshezi ezihlukahlukene esikhundleni kwamalunga. Ezimweni ekhethekile, kungase kuboniswe endoprosthesis.

Perthes isifo

Ngempela futhi kufanele ucabangele isifo Perthes hip. Kuyaphawuleka ukuthi lesi sifo ngokuvamile kakhulu kuthinta izingane ezineminyaka ephakathi kuka-iminyaka engu-3 no-12. Ngesikhathi esifanayo uhlushwa izikhathi ezingaphezu abafana. Nokho, kuvela isifo amantombazane sisibi kakhulu.

Kuyini Perthes isifo joint hip? Ngakho, le nqubo ethile sokugembula lapho enyakaziswa evamile kwegazi ikhanda hip, elibangela inkinga ezifana necrosis. Kubalulekile ukwazi ukuthi kukhona kokubili umonakalo sohlangothi olulodwa futhi zamazwe amabili.

Namuhla, odokotela baye okwamanje ukufika khona esiphelweni ezivamile, yini imbangela eyinhloko yalesi sifo. Qophelo Perthes isifo ezilandelayo:

1. Ngemva kokuqala ukulahlekelwa liningi igazi evamile femoral ikhanda necrosis eba.
2. Secondary ikhanda imigqa ephezulu nephansi endaweni yokubhujiswa.
3. izicubu Necrotic kancane kancane resorbed. Lokhu kuholela yokuthi kukhona kokunciphisa entanyeni femoral.
4. I necrosis indawo ikhula ezicutshini.
5. ezicutshini kancane kancane indawo kwamathambo.

Inqubo yokuthola Kulokhu kuncike esigabeni se-ukunganakwa isifo. Uma isikhathi aqale ukwelashwa, alulame ngokugcwele kungenzeka. Kungenjalo, ikhanda zingase zephule phansi zibe izingxenye eziningana, okuvame ukuholela kabi, splicing zikhubazekile.

Bayokhuluma kanjani ukubheka Perthes isifo joint hip, isithombe. Vele ukubheka izithombe izingane ezigulayo ukuze baqonde ukuthi lesi sifo futhi kubangela izinguquko ukubukeka (isb. E. Kungase kube claudication nezitho zomzimba kunciphisa uqobo). Lesi sifo futhi ephelezelwa ubuhlungu. Ekuqaleni kuzoba zomile, ziqala ukuvela ngesikhathi uhamba. Kungase kube Limp okuncane noma pripadanie emlenzeni elimele. Okunye izimpawu zokwelashwa kuyagcinwa. Kulesi futhi zonke ingozi, ngoba abantu abane izikhalazo ezifanayo akuvamile baphendukela wezinyawo. Uma kwakuba khona ukwa kokucindezelwa, ubuhlungu is kakhulu ngcono, izinyonga oboné ngokucijile, kuyacaca ukuthi ibonakale kwabanye. Kukhona umkhawukho wesikhathi ukunyakaza, nokuhamba kuyinkinga. Kungakhuphula izinga lokushisa emzimbeni ukuze subfebrile izinkomba.

Izifo sitholakale usebenzisa-X ray. Ukwelashwa senzeka uMnyango amathambo, ngemuva kwalokhu - isiguli. Ubude yokwelashwa olandelanayo: mayelana 12-14 izinyanga. kokungenela Steel singase siboniswe kuphela amacala olunzima.

Ekugcineni-ke Kuyaphawuleka ukuthi uma sihlola izifo ezihlukahlukene emalungeni hip ezinganeni sivame ukukhuluma ngalesi sifo.

Lesi sifo se-impingement femoral-Acetabular

Kuyinto ephawulekayo ukuthi lo mshumayeli ingenye anomalies, okuyinto ingasho joint hip. Kulokhu kukhona ukushayisana noma Ukungqubuzana ithambo izakhiwo ngesikhathi ukunyakaza komuntu (kungakho igama layo liyi - impingement, okusho ukushayisana ayilungile ..). Izimbangela ngqo ukuthi kungabangela kulesi simo, ezokwelapha zesimanje is ayikaziwa. Ngezimpawu zesifo hip kulokhu zimi kanje:

• ubuhlungu okwenzeka endaweni ethile umuntu, ngokuvamile phakathi eguqa;
• ukulinganiselwa iminyakazo ethile.

Inkinga ukuthi unesifo usebenzisa rentgtenografii. Nokho, njengoba lesi sifo kakhulu efana nezinye izifo, odokotela bavame iphutha futhi wafaka le uphethwe okungalungile. ukwelashwa okulondoloza ngale nkinga kuyize ngokuphelele. kokungenela Steel kuyadingeka. Kuphela ngale ndlela angabhekana ngayo ngokuphumelelayo nesifo.

bursitis

Esinye isifo ukuthi Kuyadingeka cabangela - kuyinto hip bursitis. Kulokhu sikhuluma ukuvuvukala kule Bursa, umsebenzi kabani main - ukuvimbela ukuhilizisana.

Ngaphezu kwalokho sicabanga ingxenye umzimba womuntu ngokuthi ilunga hip. Izimpawu zesifo elandelayo bursitis:

1. Ubuhlungu. Kuyinto, ukushiswa acute okukhulu. Kwasendaweni: kaningi kuba ingxenye ethangeni elingaphandle.
2. Njengoba inkinga ka ubuhlungu abathuntubezwe. Nokho, kwenkululeko nokusakazwa kwayo kwandisa.
3. ubuhlungu Enhanced ngesikhathi hip flexion-isandiso. Futhi, umuntu ingalimala ukuba alale ngohlangothi ekunqotshweni.
4. Lapho ubuhlungu ubovu bursitis yakhe sinamandla kakhulu kangangokuba kwenza wangakwazi ngisho ukuhambisa ngendlela evamile.

Izindlela eziyinhloko ukuxilongwa: luhlolo yomtholampilo, palpation, auscultation lwezikhalazo. Ukuze ukuxilongwa esinembile isiguli siqondiswe-X ray noma i-MRI. Ngokuyinhloko, kwelashwa olandelanayo. Ezimweni ezingavamile, ukuhlinzwa kungadingwa e isifo eziphambili.

tendinitis

Thina ukuwucabangela ngokwengeziwe izinkinga ezihlukahlukene ezithinta hip ngokuhlanganyela, izimpawu, ukwelashwa. Kufanele nakanjani ukukhuluma okuningi mayelana nokuthi yini ngempela tendonitis. Ngokwesibonelo, yisishiso imisipha endaweni isibopho yayo nge ithambo. Izimpawu main kulokhu:

1. Njengakuwo wonke izinqubo ukuvuvukala, ububomvu liyavela isikhumba.
2. Qiniseka ubuhlungu kuyovela. It itholakala endaweni umsipha ethintekile.
3. Futhi-ke, uzokwehla motor umsebenzi isiguli.

Le nkinga sitholakale usebenzisa ukuhlolwa. ultrasound angaqokwa ngoba uphethwe olwengeziwe. Ukwelashwa kwemfuyo kusebenza ikakhulukazi olandelanayo. Nokho, ezimweni ezingavamile, kunezinkomba zokuthi ukuhlinzwa.

ungubani ngokocansi

Ngokuvamile, iziguli abanesifiso umbuzo yini avame isifo emalungeni hip besifazane? Ekuqaleni, kuyafaneleka ukuthi akekho umahluko esiqinile esinjalo asisho. Noma yimuphi isifo ngenhla echazwe kuthinta abantu bazo zombili izinhlobo zobulili cishe ngokulinganayo. Nokho, izibalo zibonisa ukuthi lesi sifo eyinhloko emalungeni hip kwabesifazane - kuba samathambo kanye arthrosis. Ngaphezu kwalokho, lezi zifo zenzeka kubantu yokuguga.

Main hip isifo ezingabantu - bursitis futhi tendonitis. Futhi zonke ngoba guys anesizotha wahlanganyela umsebenzi onzima, futhi umthwalo lubucayi kakhudlwana emzimbeni. Konke lokhu kuvame ukuholela ukuvela izinkinga ezifana ne ngokuhlanganyela hip.

ukuhlola

Ekuqaleni, kufanele kuphawulwe ukuthi uma kwenzeka ezihlukahlukene ubuhlungu emalungeni hip ngokushesha kufanele uxhumane nodokotela wakho ukuze uthole iseluleko. Ngempela, kulesi simo kungenzeka ukuxilonga izifo ngendlela efanele usaqala. Futhi kwenza kube lula futhi kakhulu sifushanise inqubo yokutakula isiguli. Kungenjalo kukhona ingozi immobilization ephelele esitho ethintekile.

Iziphi ezinye zezindlela manje kungenzeka ukuxilonga izinkinga ezihlukahlukene ukuthi okukhathazayo hip kukhona?

1. Ukuhlola nesineke. Imininingwane amakhulukazi "zizitshela" kuphela, isb. izimpawu E. Lezo zinkinga okuyiwona isiguli ekhononda. Ngemva kokulalela kubo, ngokuvamile kwenza udokotela, iziphetho kwangaphambilini ngalokho sifo elikhona nesineke.
2. Palpation. Kwezinye izimo, umuzwa yokuthi ogulayo uphelelwa ukunqotshwa izindawo ungakwazi futhi ukunikeza izimpendulo ezithile.
3. Ezisetshenziswa kakhulu indlela zokuxilonga izifo ezihlukahlukene joint hip - a-X ray.
4. Iziguli ingase futhi uqoke ultrasound (izifo ezithile) noma i-MRI (magnetic resonance imaging) uma kwenzeka ukuthi isiguli ukuvuvukala.

ukwelashwa

Ngenxa yalesi sifo angashiya hip amalunga omzimba? Ukwelashwa - lokhu kubaluleke kakhulu kulokhu. Phela, uma isikhathi sokuqala, kungenzeka ngaphandle kwezinkinga futhi umzamo ukuze ubhekane ngokuphumelelayo nalesi sifo. Yini udokotela linqume?

ukwelashwa olandelanayo.

1. umsebenzi zokwelapha, Physiotherapy futhi ukubhucungwa. Lokhu yikho konke okudingayo nganoma yisiphi degree izifo. Nokho, uma isifo wabonakala kuqala, ngokuvamile besebenzisa lezi zindlela kuphela kungenzeka ukuba ngibhekane nenkinga yami.
2. Painkillers. Ngakho ngokuvamile ukuqeda ubuhlungu usebenzisa non-steroidal izidakamizwa eqeda ukuvuvukala. Nokho, kubalulekile ukucacisa ukuthi musa ulwa lesi sifo kodwa izimpawu ezingemnandi kuphela. Kungaba imithi efana "Teksamen" "Celebrex", "nimulid", "Bonifen", "Diklak" nokunye. D. Kodwa ukusetshenziswa kwalezi nemithi Kumele kukhunjulwe ukuthi banayo uhlu kahle esikhulu ka Izimo ezahlukene .
3. Chondroprotectors. Yizidakamizwa isimo nezicubu uqwanga. Ngezinye zabo base lapho, glucosamine futhi chondroitin sulfate. Ampoules: izidakamizwa "Mukosat", "hondrolon". Amaphilisi: izidakamizwa "Chondroxide", "Struktum". Yokugcoba "Elastenga", "Chondroxide".
4. Okukushoyo ekuthuthukiseni kwegazi inhloko joint kwedolo. Lawa izidakamizwa njenge "stugeron", "Pentoxifylline."
5. Zingase futhi kunikezelwe ezahlukene naphakathi-articular umjovo, esikhundleni okusamanzi lwamalunga.

Ukuhlinzwa - lena ngenye indlela ukuqeda le nkinga. Yena esemisiwe njengenceku sokugcina, lapho izindlela olandelanayo ukubhekana inkinga akunakwenzeka. Esimweni esinjalo ngokuvamile kwenzeka endoprosthesis. Okungukuthi, abangabantwana ngokuhlanganyela onesifo sisuswa futhi endaweni yayo wasungula sokwenziwa ekhethekile kungaphazamisi ukusebenza evamile.