Ubunzima obunamathelwano obunqamlekileyo buyatshintshela indlela eqhelekileyo yobomi, ukuthintela umntu ukuba ahambe kwaye aphumeze imisebenzi yakhe. Ukukrazula uphawu olusisigxina xa kunokwenzeka xa kubangelwa ukuphazamiseka ekusebenziseni umanyano kunye nemeko ebuhlungu kuya kucaciswa.
Ubuhlungu kwi-joint-hip-causes
Umxube we-hip ngowona dibana kakhulu. Impilo kunye nokusebenza ngokufanelekileyo komdibaniselwano kuvumela umntu ukuba athathe nayiphi na indawo yomzimba aze ahambe ngokukhululeka. Lo mntu akawuboni umsebenzi walo mdibaniso obalulekileyo kude kube neengxaki ezibonakala kuyo. Ukulahleka kokuhamba, intlungu, ukungahambi kakuhle, ukuxhamla, iintlungu kwezinye izikhundla - konke oku kunqongophela inkambo yobomi kwaye kubangela ukuba isigulane sishiye izenzo ezithile.
Iintlungu ezibuhlungu zijoliswe kwindawo yokuqhotyoshelwa kwe-femur kwisangqa le-pelvic, kodwa inokwandisa kwiindawo ezikufuphi, amathambo, imisipha, iimbulunga, iintambo. Ubunzima emagqabini, izizathu zazo ezifihlakeleyo kwiinkqubo ezivuthayo, zingaba ngumthombo wokutshintsha okutshintshayo. Ngoko ke, unyango lwale ntsholongwane lufanele luqale ngokukhawuleza emva kokufumanisa ukuhamba kakuhle nokubonakala kwentlungu. Phakathi kwemithombo ebalulekileyo yeentlungu ezinxulumene nengozi, umonakalo kwiipsululwazi, kwiindawo ezixubileyo, iigaments, izifo ezithathelwanayo kunye nezifo ezixubileyo.
Izifo zengxube ze-hip
Izifo zengxube ye-pelvic zivela ngenxa yezifo ezivuthayo ezibangelwa kukuphuhliswa kwezifo, izifo ezibangelwa yimethambo, iingxaki zesistim somzimba. Izifo eziphambili zezihlanganisi ze-hip ziquka:
- coxarthrosis ;
- isifo samathambo;
- ukucima;
- i-rheumatoid arthritis ;
- synovial chondromatosis;
- Isifo seLegg-Calvet-Perthes ;
- isifo sikashukela se-osteoarthropathy.
Ezi zifo zelungu le-hip zinempawu ezahlukileyo, ubunzima kunye nenkambo. Ngoko, iintlungu kunye ne-coxarthrosis ye-joint hip zizinzi kwaye zihlala kwindawo yokuhluma, izikhwebu okanye i-back back. Ubuhlungu besifo se-arthritis esikhwameni sibonakala ngezikhathi kwaye sinamandla okumodareyitha. Nge-arthrosis, ukunyameka komxube we-hip kudibene nokuhamba kakuhle.
Ubuhlungu kwintsimbi xa uhamba-kubangela
Ubunzima kwi-joint hip ngexesha lokuhamba lunokubangela izizathu ezahlukahlukeneyo, ngoko ingcali kufuneka iqinisekise ukuxilongwa ngokuchanekileyo emva kokuhlolwa okupheleleyo. Kukho izizathu ezi-4 ezibalulekileyo zokubandezeleka kwe-hip joint during movement:
- intlungu ebangelwa yimiphumo yentlekele: ukuchithwa kunye nokuhluthwa, ukuvuthwa, ukuhluma, ukuhlukana;
- iziganeko zobunxulumano, izifo ezinxulumene nazo: i-chondromatosis, ukuchofoza i-hip syndrome, i-bursitis, i-arthritis, i- osteoporosis ;
- izifo zesistim: i-rheumatoid arthritis, i-arthritis malunga ne-lupus, igout, i-rheumatism, i-psoriasis, izifo ze-oncological, i-myalgia yezicubu ezinamafutha;
- ukuxhatshazwa okubangelwa zizifo ezingenasifo: i-coxarthrosis, i-dysplasia, i-osteochondrosis, i-myopathy, i-hernia inguinal, i-neuralgia.
Ubuhlungu kwintsimbi xa uvuka
Ukuba iqhagamshelo le-hip libuhlungu xa usukuma, izizathu kufuneka zifunwe ngokubambisana kweentlobo ze-femur kunye ne-pelvic. Ingxaki ebalulekileyo ekhokelela intlungu edibeneyo yi-arthritis. Ukuvuvuka kwe-Arthritic kunokuba yi-purulent, i-psoriatic, i-gouty ne-rheumatoid. Iimpawu zesifo se-arthritis siza kuvelelwa malunga neenyanga ezimbini, ixesha elide-ngaphantsi komnyaka. Ukuba iimpawu zesi sifo zibonakalisa ngaphezu konyaka, oogqirha baxilonga "isifo samathambo esingapheliyo."
Ubuhlungu kwintsebenziswano ye-hip kwindawo yokuhlala
Xa uhlala kwindawo ehleliyo umntu ubuhlungu umxube we-hip, ungazama ukutshintsha isikhundla somzimba. Ngamanye amaxesha ukungahambi kakuhle okukhokelela ekubetheni iinqanawa kunokuba ngumthombo wentlungu kwindawo yokuhlala. Isizathu esibaluleke kakhulu yi-coxarthrosis. Iinkqubo ezenzileyo kunye neendlela ezinobungqina obunzekayo kwimizimba ye-articular i-cartilaginous lead to the appearance of pain in any position and to disruption of the movement of the joint.
Ubuhlungu kwintsebenziswano ye-hip kwisimo esifanelekileyo
Ubunzima obunxubileyo ohlangothini lwaso lubhekiselwe uphawu oluphazamisayo, olubonisa iinkqubo zentlalo ehlangeneyo. Isizathu esilula kakhulu kwimeko xa umlenze entlanganisweni yenzakalo iyingozi kakhulu umthwalo okanye ukulimala okuchaphazela ukudibanisa. Izifo ezinzulu apho esi sibonakaliso senzeka khona:
- i-coxarthrosis yezigaba ezi-2 nezi-3;
- i-bursitis - isigulane sinokuvala kakhulu, silele kwicala elichaphazelekayo;
- I-Tendenitis - intlungu iya kubonakala xa utshintsho lwalo ngexesha lokulala;
- I-arthritis echaphazelekayo - inokukhathaza ubusuku bonke kunoma yiphina indawo.
Ukuncedisa kwi-joint hip
Ubunzima obuhlangeneyo, obunikela emlenzeni, uphawu olumandla lokuvuvukala kwebhegi edibeneyo-bursitis. Intlungu iba nzima, iyanda ngokunyakaza kwaye isasazeka emlenzeni. Ekuphumleni, i-joint joint will continue to hurt or it will feel feelings of burning. Ukusasazeka kwintlungu yomlenze kunokwenzeka kwakhona nge-arthritis. Esi sifo siphuthuma ngokukhawuleza, esibangela ukubonakala kweentlungu ezinzima kunye nokuphazamiseka kokuhamba. I-arthritis enobugqwetha inokuyinkimbinkimbi yi-sepsis, necrosis kunye nokufa.
Intlungu ebuhlungu ekuhlanganyeleni
Oogqirha abanakukwazi ukubona ukuba kutheni inxube ye-hip ibangela ubuhlungu. Iintlungu ezibukhali kunye nokuphazamiseka kokuhamba zingabonakalisa izifo zezifo ezahlukileyo, ezivuthayo kunye nezibuhlungu. Ukuvutha okanye iintlungu zokubhukuda kwindawo yesigxina se-hip zifana nezi zifo:
- i-arthritis yokuxhamla - intlungu ebukhali iyaqhubeka nokuphuhliswa kwezilwanyana;
- i-necrosis yentloko ye-femur - ibonakala yintlungu ebuhlungu, ngenxa yokukhululeka kweziphi i-analgesics ezinamandla ezisetyenzisiweyo;
- i-bursitis - ukuhlaselwa kweentlungu ezibuhlungu kunokuba buhlungu kakhulu xa utshintsha isikhundla senyawo;
- Isifo sesifo sesifo sesifo sofuba sinokubukhali, kodwa sinokutshisa kunye nokudweba;
- isifo samathambo - isifo esibuhlungu kwi-joint hip, iimpawu zingabandakanya iintlobo ezahlukeneyo zentlungu;
- I-Reiter's syndrome - iintlobo ezahlukeneyo zamalungu zichaphazelekayo;
- I-rheumatoid arthritis - iintlungu ezinzima zibonakalisa ngexesha lokuhamba.
I-Hip ye-joint hip - into enokuyenza, indlela yokuphatha ngayo
Ukuba i-hip ibuhlungu, yintoni oyenzayo nendlela yokuyiphilisa ngayo, kukulungele ukujonga ngogqirha wakho. Ukulawulwa kokuziphatha okungafanelekanga kubangele ubunzima, ukuhla kwehla, ukuguqulwa kwesifo, kunye nezifo ezingenangqondo - ezibulalayo. Ukunyangwa kwe-joint hip, kuxhomekeke kwi-diagnostic, oogqirha banokusebenzisa iindlela ezinje:
- unyango lweziyobisi: i-antibiotics, izidakamizwa ezichasayo, i-glucocorticosteroids, i-immunosuppressants, iziyobisi ze-hormonal, i-alkaloids;
- gymnastics yokwelapha, ukubhukuda;
- inkqubo ze physiotherapeutic;
- ukuxilwa kwendawo echaphazelekayo yomzimba;
- i-endoprosthetics kunye nokulungiswa, imisebenzi encedisayo;
- amachiza omntu: ukuxubha, ukuxubusha, ioli.
Intsebenziswano ye-hip ibuhlungu - kukuphi ugqirha ukujongana nayo
Izigulane kunzima ukuyiqonda le ngongoma: ukuba i-hip ibuhlungu, kukuphi ugqirha ukuya kuyo? Ukuba unengxaki nawaphi na amajoyina, kufuneka uqale ukutyelela ugqirha. Emva koviwo oluphambili kunye ne-anamnesis, lo uphando ungathumela isigulane kwibhubhoratri ukwenzela uchungechunge lwezifundo. Ukuqwalasela iziphumo ezifunyenweyo, ugqirha ugqiba ukuba ngubani ugqirha oza kunyanga ngakumbi: i-neurologist, i-traumatologist, i-rheumatologist, i-physiotherapist.
Ubuhlungu kwi-joint hip - iziyobisi unyango
Ukuba isigulane sivakalelwa intlungu ngokubambisana kwe-hip, unyango luya kuhlala luquka unyango lweziyobisi. Isicwangciso kunye namacandelo enyango kuya kuxhomekeka kwisifo esithile. Ngenxa yeengxaki zokubambisana kwe-hip, ezo ziyobisi zisetyenziswa:
- izidakamizwa ezingekho-steroidal ezichasayo: Diclofenac, Indomethacin, Piroxicam, Ketoprofen;
- ama-analgesics angewona ama-narcotic: i-Metamizol, i-Diclofenac, i-Baralgin, i-Indomethacin (kumacwecwe kunye namakhandlela);
- i-opioids kunye ne-opiates (ngeentlungu ezinzima): Promedol, Prosidol, Morphine, Tramadol, Buprenorphine;
- i-chondroprotectors: Alflutop, Dona, Arthra, Teraflex;
- ii-antibiotics: i-Cyclosporin A, i-Actinomycin D;
- amahomoni: i-Decamethasone, Hydrocortisone, i-Prednisolone;
- imisipha yokuphumula: Midokalm.
Ukubonisa intlungu kwi-joint hip
Ubunzima kwi-joint hip - wenzeni? Phendula umbuzo ugqirha unokukwenza emva kovavanyo kunye nokuxilongwa. Ukuba unyango lwe-articular pathology aludingi ukuphumla okupheleleyo, umzimba we-physiotherapist unokumisela i-gymnastics yokwelapha. Umzimba omhle wokubuyisela ukusebenza kwezigulane ezinamalungu ukubhada. Iyancipha umthwalo kwidibeneyo, ikuvumela ukuba ukhulule izihlunu uze udibanise kwindawo efanelekileyo.
Ukuzivocavoca kwizigulane ezinamalungu kufuneka kwenziwe ngokuqaphela, ngokuqala ngenani elincinci lokuphindaphinda. Omnye makangayithobela imeko yakhe yempilo kwaye ayeke loo maqhinga aqhubela phambili ekwenzeni ukonakala komqathango. Izenzo eziphambili zezigulane ezinamaqela eplavic zi:
- mahi inyawo;
- ukuhamba ngamadolo aphezulu;
- i sikwere;
- ukuhlenga kunye nokunciphisa imilenze ephakanyisiwe kwindawo ephakamileyo;
- imithambeka eneemilenze eqondileyo;
- kwiintlambo ukusuka kwindawo yokuhlala;
- ukuphakamisa imilenze ukusuka kwisimo esifanelekileyo esiswini.