I-labrum luhlobo lwe-cartilage ejikeleze isiseko se-ball-and-socket joints. Ibrum ifunyenwe kumabini kunye ne-joint hip. Ibrum isenza isangqa ejikeleze umgca wesiseko se-bony yomxube. Inceda ekuboneleleni ukuzinza kokubambisana ngokuqinisa isiseko, kodwa ngokungafani neethambo, kubuye kuvumele ukuguquguquka nokunyakaza.
Ukulimala kwi-labrum kuye kwaqaphela ixesha elide lokuba ngumthombo weentlungu nokungahambi kakuhle.
Ukulimala kweLabral ehlombe kuxhaphake kakhulu, kwaye unyango olwenziwe ngamagalelo asebekhulile luye lwaphandwa ngokuphandle. Ngentuthuko yakutshanje yamacandelo e-arthroscopic ukulawula ngokubambisana ukuhlanganiswa kwe-hip, kuye kwanda ukuqonda nokuqonda malunga neenyembezi ezinqabileyo.
Ingqungquthela ivela njani kwi-Hip Labrum?
Kukho iintlobo ezibini eziqhelekileyo zezinyembezi ezinqambileyo: iinyembezi ezonakalisayo kunye nokulimala okubi.
Inyembezi ephazamisayo iyingozi engapheliyo eyenzeka ngenxa yokusetyenziswa okuphindaphindiweyo kunye nomsebenzi. Iinyembezi ezinamaqabunga ezinqabileyo zingabonwa kwiinqanaba zokuqala ze- hip arthritis .
Inzondo ephazamisayo i-hip labral izinyembezi ngokuqhelekileyo yingozi ngenxa yokulimala kwezemidlalo, ukuwa, okanye ingozi. Iinyembezi ze-Hip labral ziyakubonwa kwiindawo zokutshintshwa kwe-hip okanye i- subluxation . Ngokuqhelekileyo zidibaniswa nokuhamba ngokukhawuleza, ukuguquka okubangelwa intlungu ngokukhawuleza.
Iimpawu zeTylabhu ye-Hip Labral
Iintlungu zentambo yezintambo ezinzima kunokuba nzima ukuyifumanisa.
Uninzi lweempawu ze-hip labral tears zifana neempawu zengxube ye- groin , i- snapping hip syndrome , i- hernia yezemidlalo , okanye ukulimala kwezemidlalo . Ukongezelela, ngenxa yokuba iinyembezi ibonakala kwi-IRM i-MRI, akuthethi ukuba iinyembezi iyona nto ibangela intlungu.
Iimpawu eziqhelekileyo zeengcambu ezinqabileyo ziquka:
- Buhlungu
- Ukuqakraza kunye nokufakela intlungu kwi-hip
- Ukunyuswa okukhawulezileyo kokubambisana kwe-hip
Ugqirha wakho angasebenzisa iimvavanyo ezizodwa zokuphonononga ukuze ancede ukuba achaze isizathu sentlungu yakho. I-ray ye-hip yinto eqhelekileyo kodwa kufuneka ihlolwe ukuba ihlolwe ngezinye izizathu ezibangelwa iintlungu. Uvavanyo lwe- MRI luncedo ekuhloliseni i-labrum, kodwa akunakuze lubonise i-labrum ngokucacileyo. Ukuxhatshaza umxube we- fluid kwi-joint ye-hip ngexesha le-MRI kunokukunceda ukubonisa iintlungu ze-labral ngokucacileyo ngakumbi.
Oogqirha abaninzi baya kusebenzisa ijoyi yokuxilonga ukuze bancede bachaze indawo yendawo yengxaki. Ukwenza umjovo wokuxilonga we-joint hip, ugqirha wakho uza kufaka inaliti kwisigxina sakho se-hip ngelixa ukhangele i-x-ray iqapha ukuqinisekisa ukuba inaliti isesikweni esifanelekileyo. Umxube we-hip ujojowe nge-anesthetic yendawo. Ukuba i-injection iyanciphisa ngokupheleleyo iimpawu zentlungu, mhlawumbi ukuba imbangela yenkinga yayisemhlanganisweni we-hip. Ukuba intlungu iqhubeka, uphando malunga nesizathu senkinga kufuneka luqhube kwezinye iimeko ezifumanekayo.
Unyango lwee-Hip Labral Tears
Unyango lwezinyembezi ezinamaqabunga ezinqabileyo ziphuma ngokukhawuleza.
Kwiminyaka embalwa edlulileyo le nzakalo yayingabonakaliyo. Ngoku kuyaqhubeka ngokuqhelekileyo ukuva ngeentlethi ezinokuthi "i-hip scoped" yazo ikhutshwe.
Ngokuqhelekileyo, unyango lweqabunga elincinci luvame ukuqala ngamanyathelo ambalwa. Uhlobo oluthile lwezo kunyango lweengcambu ezinqabileyo ziquka:
- Ukuphumla
Ibhulabhu eliqhekekileyo kwi-hip inokubangela ukuvuvukala ngeenxa zonke. Ukuvumela ukuvuvukala ukuhlala phantsi kunokunciphisa iimpawu zeendwangu ezinqabileyo kunye nokuvumela ukubuyela kwimisebenzi. - Imithi echasayo
Amachiza anqabileyo angakunceda ekunciphiseni ukuvutha komxube. Ukuba ukuvuvukala kuncedisa, iimpawu ziya kusombulula.
- Ulungiso lwenyama
Iiphilisi zenyama zingasebenzisa iindlela ezahlukahlukeneyo zokuphucula umsebenzi we-hip ngokuqiniswa nokulinganisa izihlunu ngokubambisana kwe-hip. - I-Cortisone Injection
Injini ye-cortisone ayiyisebenzisi nje kuphela njengonyango lweengqumbo zomlenze, kodwa inokuthi yenziwe ngexesha elifanayo njengenjoza yokuxilonga uncedo ekufumaneni imbangela yentlungu ye- hip .
Ukuba ezi zonyango ziyanciphisa intlungu enxulumene neengcambu zokurhoxisa, i-hip arthroscopy inkqubo iya kuqwalaselwa. Ngethuba le-hip arthroscopy, ugqirha wakho ubeka ikhamera encinci kwi-joint hip ukuze ubone iinyembezi. Udokotela wakho ogqirha unokuvavanya i-cartilage ye-joint joint, iigaments ezibalulekileyo kunye nezinye izakhiwo.
Unyango lweentlungu ezinamaqhekeza ngokuqhelekileyo luquka ukucoca isahlulo esiqwengqileyo sebrum. Kwezinye iinyembezi ezinkulu, kwindawo efikelelekayo yomdibaniselwano, ukulungiswa kwebhubri kungalingeka. Ukubuyiselwa kwi-hip arthroscopy kuxhomekeke kumlinganiselo womsebenzi omele uzaliswe kodwa uhlala ufikelela kwiiveki ezi-6 ukuya kwezi-12.
Ngaba zikho phantsi kwe-Hip Arthroscopy?
I-arthroscopy ye-Hip ithandwa kakhulu kungekudala, kodwa oogqirha bayayazi le nkqubo kwaye bahlaziya rhoqo ubuchule babo. Nangona iimbono zincinci, zikhona iingxaki ezinokuthi ziqwalaselwe ngaphambi kokuba unyango lwentlungu. I-arthroscopy ye-Hip intsha kwiingcali ezininzi, kwaye nangona iziphumo zakuqala zibonise le ngonyango oluyimpumelelo, isaphuhliswa.
Imithombo:
I-Bharam S "Iinyembezi zeLabral, ukulimala okungakumbi, kunye ne-hip arthroscopy kumdlali" I-Clin Sports Med. 2006 kuMatshi; 25 (2): 279-92.
UMcCarthy JC "Ukuxilongwa kunye nokunyangwa kwe-labral kunye nokulimala kwe-chondral" I-Instr Course Lect. 2004; 53: 573-7.