Ukususwa kweT Bone Spurs kwi-Hip Joint
Intlungu edibeneyo kunye ne-Hip-joint iye yafumana ingqwalasela eninzi kule minyaka elishumi edlulileyo. Yintoni eyayisoloko ibhekiswe kwintambo ye-hip okanye i- pulling groin ngoku iqondwa kangcono, ngezizathu ezihlukileyo zokungahambi kakuhle. Ngokukodwa kwiimbaleki ezincinci, izizathu ezahlukahlukeneyo zentlungu edibeneyo ziyaxilongwa kwaye zonyango.
Esinye isizathu seentlungu ezihlanganyelwayo zibizwa ngokuba yi- femoroacetabular impingement (FAI).
Lo mqathango uvame ukucatshangelwa ukuba ngumshumbisi wexesha elidala ukuya kwi- hip-joint arthritis kwaye ibonakaliswe ngokubunjwa kweethambo ezizungeze ibhola kunye kunye ne-socket joint. Enye yezonyango ze-FAI kukususa i-spurs ye-bone ejikeleze umxube we-hip, inkqubo ebizwa ngokuba yi-osteoplasty.
I-Bone Jointshi e-Joint Joint
Umxube we-hip ngumxube webhola kunye ne-socket, kwaye kukho ithambo elihlambalaza kwibhola kunye nesiseko se-hip. Ezi zifuba zethambo zibizwa ngokuba yi-cam okanye izilonda ze-hip.
- I-Cam Lesion: I-lesion yekhampani ivela xa i-bone spur ibhola ibhonkco elihlangene, phezulu kwethambo lesithambo. I-X-ray yesigulane esinomlingo wekhamthi ibonisa ibhola (intloko yesifazane) engakhange ibonakale ijikeleze njengento eqhelekileyo, enephunga ecaleni kwebhola. Le nxalenye yebhola ixhamla kwisiseko xa i-hip iguquguquka (iphakanyisiwe) okanye ijikeleze (iphendulwe).
- I-Pincer Lesion: I-pincer leonon is bone spur ephuma kwi-socket ye-hip joint (i-acetabulum). Isilonda se-pincer sivimbela ibhola ukuba ihambe ngokukhululekile.
Abanye abantu abafumene ukuba ne-FAI baye bahamba kunye nezilonda ze-pincer, ngelixa ezinye zinalo okanye enye. Izigulane ezininzi ezine-FAI zinezinyembezi ezinqabileyo .
Izinyango Zonyango
Uninzi lwezigulane ezifunyaniswe ne-FAI ziya kuqala ngokuzama ukunyanga okokuqala. Ukuba i-bone spurs ibonakala kwi-x-ray, kodwa ingabangeli iimpawu zentlungu e-hip, ngokuqhelekileyo akukho nonyango olufunekayo.
Ukuba intlungu iyingxaki, unyango olubandakanya ukuphumla, imithi echasayo kunye ne- cortisone injections , inokwenzelwa konke. Uninzi lwezigulane zifumana ukululalisa intsebenziswano yokunyuka kwenyusa ukungazinzi kuba i-bone spurs ayikwazi 'ukukhululwa' ngokulula.
Ukuba unyango olulula aluboneli ngokukhawuleza, inqubo yokucocwa yokususa i-spurs bone, ebizwa ngokuba yi-osteoplasty, inokuqwalaselwa. Kukho iindlela ezimbini zokugada ukwenza i-osteoplasty engenziwa.
- I-Arthroscopy ye-Hip: Utyando lwe-arthroscopic uphahla luba luqhelekileyo, kwaye ukususwa kwe-spurs bone kungenziwa i-arthroscopically. Inzuzo yokwenza i-osteoplasty i-arthroscopically iyimvelo encinci ye-optic, kunye nokukwazi ukuhlola i-hip-joint cartilage. Ukungalungi yinkqubo ingaba nzima ngokwenene, kwaye ngamanye amaxesha kunzima kunzima ukukhutshwa okwaneleyo kwethambo leethambo.
- Vula i-Osteoplasty: Enye indlela yokwenza ukukhangela ngaphambi kwe-hip kwaye ususe ithambo litshatyalaliswa phantsi kokubonakala ngokuthe ngqo. Inzuzo yakho ugqirha unokuthi ube nobudlova ekuqinisekiseni ukuba i-spurs ye-bone isuswa kakhulu. Ukungahle kwenzeke ngolu hlobo luvalo olungakumbi. I-osteoplasty evulekile iqhutyelwa ngokukwenziwa okufanayo njengento ethandwayo yokutshintshwa kwe-hip yangaphambili .
Ngaba i-Osteoplasty ikhusela iArthritis?
Lo ngumbuzo wempikiswano enkulu. Akuzange kubekho uphando lwexesha elide ukubonisa ukuba ukususa i-bone spurs malunga ne-joint hip kuya kunceda ukuphucisa ukuqhubela phambili kwe-arthritis . Abanye oogqirha bakholelwa ukuba i-osteoplasty inganciphisa uphuhliso lwe-arthritis. Nangona kunjalo, abanye babonisa ukuba akukho datha yokuxhasa le mabango, kwaye ukususwa kwe-spurs bone akubonwanga ukukhusela ukuqhubela phambili kwe-arthritis kwamanye amajoyina.
Imithombo:
Nepple JJ, et al. Inkcazo yeZonyango zonyango, iziphumo zonyango, kunye neengxabano ekulawuleni i-Femoroacetabular Impingement "J Am Acad Orthop Surg Julayi 2013 vol. 21 no. S53-S58.