I-groin yindawo eqhelekileyo yokuziva intlungu ehlanganyelweyo
Xa abantu beva intlungu kwisisu sabo esezantsi, apho umgca ophantsi udibana ne-pelvis, bahlala bebhekisela kule nto njengezibuhlungu. Iintlungu ezininzi zingabangelwa ziintlobo ezahlukeneyo zonyango, kwaye ngamanye amaxesha umthombo wentlungu ungavela kwiindawo ezahlukeneyo ze-anatomic. Iingxaki kwisisu esezantsi, iingxaki kwi-joint hip, okanye iingxaki kwi-scrotum (ngamadoda), zonke zikhokelela kwiimpawu zentlungu ye-groin.
Ukusuka kwimbono yomzimba, ubuhlungu be-groin kaninzi luphawu lweengxaki kwi-joint hip. Ubunzima phakathi kwe-hip idityaniswe rhoqo - kodwa kungekho rhoqo - kulwazi kwi-groin. Ubuhlungu ngaphezu kwe-hip kaninzi alubangelwa yinkinga edibeneyo ye-hip kwaye ixhaphake ngokuqhelekileyo ukuxhamla i-bursitis okanye i- nerved pin in the back . Ubunzima obuhle emva kwesiqhwaba buvela ngokugqithiseleyo kwi-lumbar spine. Kuyinto intlungu enzulu ngaphakathi kwe-groin edla ngokuba ngumqondiso weengxaki kwi-joint hip.
Uphi i-Hip?
Uninzi lwabantu abacelwa ukuba balwe kwi-hip yabo baya kubonisa ngokusemgangathweni ngaphandle komzimba wabo. Njengoko unokulindela, ukudibanisa kwe-hip kuyenzeka kakhulu ngaphakathi ngaphakathi emzimbeni ekuhlanganiseni kwesikhumba se-pelvis kunye nentloko yethambo lesithanga (i-femur). Ngoko kutheni ingxaki yokudibanisa ixhamle kwi-groin?
Njengokuba izigulane ezineentlungu zentliziyo zinokuva iintlungu zengalo okanye izigulane ezinengxaki ze-gallbladder zi no kuziva iintlungu , izigulane ezineengxaki zesikhumba zihlala zikhalaza ngenxa yobuhlungu be-groin.
Oku kubizwa ngokuba "intlungu," kwaye ngenxa yombutho weentsholongwane emzimbeni wethu. Nangona i-groin ingaba yintoni oya kubhekisela kuyo i-hip yakho, yilapho umzimba wakho uhlala ufumana iimpawu zengxaki ehlangeneyo ye-hip.
Indlela eyona ndlela yokugqiba ukuba i-joint ye-hip yimbangela yobuhlungu bakho buhlungu kukuba ulale kwaye ube nomhloli ukuhambisa umlenze wakho ngeendlela ezahlukeneyo.
Ukuba oku kuchaza iimpawu zakho zobuhlungu be-groin, ngoko udibaniso lwe-hip lubangelwa yimpawu. Abantu abaneengxaki ezidibeneyo ze-hip bahlala bekhalaza ngokungahambi kakuhle ngokubandakanya i-flexion (ukugoba) kunye nokujikeleza kwe-joint hip. Oku kuya kuba yinkqubo efana nokuphumla isithulo sakho phezu kwethanga lakho ngelixa uhleli kwindawo yokubeka iifatthi okanye iisokisi. Abantu abaneengxaki ezidibeneyo ze-hip bahlala bekhalaza ubunzima bokufumana isisiti sakhe ngenxa yemingeni yokubeka umlenze wakhe kule ndawo. Kwiimpawu zonyango, oku kubizwa ngokuba ngumsebenzi weFABER ( uF lexion, u- AB ukuchithwa, i- E yangaphandle) okanye uvavanyo lukaPatrick.
Iimbangela ze-Groin Pain
Ukuqulunqa imbangela yezibonakaliso zesifo sokuqhayisa isinyathelo sokuqala esibalulekileyo ukwenzela ukukhokela unyango olufanelekileyo. Njengoko kushiwo ngaphambili, kukho izimbalwa ezahlukeneyo zokubandezeleka. Ngenjongo yale ngxoxo, siya kuhlukanisa le mimandla enokuthi ibuhlungu buhlungu:
- Izizathu ezinxulumene nesimo esibandezelekayo
- Izizathu ezinobungozi ezibangelwa intlungu
- Ezinye iimithombo zentlungu
Izizathu ezinxulumene nesimo-mboleko ye-Groin Pain
Kukho imizimba embalwa yemathambo ekhokelela ekugqibeleni iintlungu zesifo se-groin. Okuqhelekileyo kwezi ziquka:
- I-Arthritis ye-Hip : I-arthritis yesigxina se-hip iyenzeka xa kuqheleke ukuhlangana okuphezulu kwethambo lethanga kunye ne-pelvis (i-joint joint). Le bhola kunye ne-joint joint ivumela ukuhamba okugqithisileyo, okungenabuhlungu kwintsimbi ephantsi. Xa i-cartilage igugile, ezi ntshukumo ziyaba buhlungu kwaye zizinzima. Unyango lwe-hip arthritis ngokuqhelekileyo luqala ngamanyathelo alula, kodwa inokuqhubela phambili kumanyathelo okubandakanya utyando lokutshintsha indawo.
- I-Osteonecrosis : I-Osteonecrosis, ngamanye amaxesha ibizwa ngokuba yi-avascular necrosis, yimeko yezokwelapha eyenza ukuba iisetyini zethambo zife ngenxa yokungabikho kwegazi elifanelekileyo. Xa iiseli zethambo ezisekela ukuxhamla kwe-hip zinexabiso eliqhelekileyo lokunikezelwa kwegazi, ziyaqala ukuwa phantsi ukuvumela ukutshatyalaliswa kokubambisana kwe-hip. Ngamanye amaxesha i-osteonecrosis ibangela umonakalo okhawulezileyo, apho njengamanye amaxesha kunokukhokelela ekutshintsheni indawo.
- Ukubanjwa kwe-Acetabular ye-Women : Ukufakwa kwe-acetabular ye-femet, i-FAI isicatshulwa, ngokuqhelekileyo kucatshangelwa njengendlela yokuqala ye-arthritis kwi-joint hip. Xa i-bone spurs iqhutywe ngeenxa zonke ibhola kunye nesiseko soxube oluxubileyo, oku kukukhokelela kwimimiselo ekuhambeni kwe-hip kunye nentlungu emdeni wokunyuka. Kuye kwanda inzala kwiminyaka elishumi edlulileyo malunga nokunyangwa kwe-FAI nge- hip arthroscopy .
Izizathu ezinobungozi ezinxulumene nokulimala kwe-Groin Pain
Iintlungu ezibuhlungu ezenzeka ngokukhawuleza kwaye zilandela isiganeko okanye ukulimala kwezemidlalo ngokuqhelekileyo kuhambelana nenye yeemeko ezilandelayo:
- I-Groin Strains : Ukulimala kwemisipha, okubizwa ngokuba yintlungu, mhlawumbi iyona nto ibangela ukuba buhlungu buhlungu. Ngelishwa, ezinye ezininzi iingxaki eziguqa ngokugqithisa ubuhlungu buvame ukungazi kakuhle njengengxube ye-muscle. Iintlobo ze-muscular zivela ngenxa yokulimala kwezemidlalo okanye ukunyakaza okungahambi kakuhle kwendibano ye-hip. Ngokuqhelekileyo ukuqala kuphazamisekile, kwaye imbangela yentlungu icacile. Unyango lwe-groin strain ngokuqhelekileyo lufezekiswa ngamanyathelo ambalwa.
- Iqhwa le-Hip Labrum : I-labrum ye-hip idityanisiweyo yinqwelwe ye-cartilage ejikeleza ibhola yebhola kunye nexenki engxenyeni. Ngokufana ne-meniscus ephawulayo emadolweni, inyembezi ekhethiweyo ingabangela iimpawu zentlungu, ukubamba, kunye nokuphuma ngaphakathi kwe-hip. Iinyembezi ze-Hip labral zivame ukuxilongwa njengezengozi zezemidlalo kwaye zingakhokelela ekubeni bunzima ngokuhamba okuthile kwe-hip joint. Iinye iinyembezi ezinqabileyo zomlenze zifuna ukungenelelo, kodwa ngamanye amaxesha utyando lwe-arthroscopic surgery lukhetho.
- I-Hernia yezemidlalo : I-sports hernia iyingozi engavamile eyenziwa yintlupheko ebuthakathaka yodonga lwesisu. Iimidlalo ze-hernias ziye zafunyaniswa ngokubanzi kwibala lebhola kunye nabadlali be-hockey, kwaye ibangela iintlungu ngqo ngaphambi kwendawo esezantsi kwesisu. Imidlalo ye-hernia ingaba nzima ukuyixilonga, kwaye ngokuqhelekileyo unyango kuphela luphumla okanye kungenelelo lotyando.
Eminye imithombo ye-Groin Pain
Kukho nezinye izizathu zokuba buhlungu buhlungu obungenakulinganiswa nokubambisana kwe-hip, okanye imeko yesifuba. Ezi zikwafuneka ziqwalaselwe xa kuhlolwa umntu onesikhalazo sobuhlungu be-groin.
- Inguinal Hernia
- Iingxaki zeentso / izifo
- Iziganeko zoBungqina
- Amagxobhoza
Iintlungu zoBantwana
Iingxaki ezidibeneyo kubantwana kufuneka ziqwalaselwe ngokwahlukileyo kunabantu abadala. Ngelixa abantwana abaninzi beva ubuhlungu obukhulu xa bexhamle iingxaki ezidibeneyo, abantwana ngokukhethekileyo banamathuba okuba bave ubunzima behla entanyeni kwaye kaninzi baya emadolweni. Umntwana omncinci onesikhalazo semadolo ngaphandle kwengxaki edibeneyo yokuguqa ngamadolo kufuneka ahlolwe ngenyameko ukuba abone ukuba oko kungabangela intlungu. Kukho iziganeko ezincinane zobuntwana be-hip ngokubandakanya i- epiphysis okanye i- Perthes isifo esingazikhokelela kulezi zimpawu.
Uvavanyo lokujonga i-Hip Problem
Uvavanyo oluninzi luyakwenziwa ukuze kuhlolwe umthombo wokuba buhlungu buhlungu. Uvavanyo oluqhelekileyo olwenziweyo luyi-x ray. I-ray-ray ingaba luncedo ekuboniseni i-bony anatomy kunye nesakhiwo somxube we-hip. I-x-ray iyona vavanyo elungileyo ukujonga ubungakanani bomonakalo we-cartilage kunye ne-arthritis. Nangona i-ray-ray ayibonisi iifotshane ezithambileyo ezijikeleze umdibaniselwano, zibonisa ubuninzi be-anatomy ukunceda ugqirha wakho unciphise umthombo weentlungu.
I-MRI yimivavanyo edlalwa rhoqo ukuze ihlolwe izicubu ezithambileyo ezidibeneyo. I-MRIs ingabonisa izihlunu, iintambo, i-ligaments, kunye ne-labrum ukukunceda ukufumanisa umthombo weengxaki zentlungu. Ngamanye amaxesha i-MRI iyenziwa nge-injection yesisombululo esichazwe ngokungafaniyo kukubonisa kakuhle ukulimala okucokisekileyo kwe-cartilage kunye ne-labrum ngaphakathi kwedibeneyo.
Ekugqibeleni, ukuxilonga okanye umjovo wonyango kwi-hip kunokuba luncedo gqitha xa umthombo wentlungu ungacacanga. Udokotela onobuchule, ngamanye amaxesha ugqirha wamazinyo okanye i-radiologist, unokukhokela inaliti kumxube we-hip. Oku kunokwenziwa ngosizo lwe-ultrasound okanye i-x-ray ukuqinisekisa ukuba inaliti ifakwe kakuhle. Emva kokuba inaliti idibeneyo, i-anesthetic (lidocaine) okanye amayeza (cortisone) ingafakwa. I-anesthetic iyisisombululo esiluncedo kakhulu-ukuba intlungu ihamba ngokukhawuleza umthombo unokwenzeka apho i-anesthetic ifakwe. I-cortisone isoloko yonyango oluchanekileyo olunokuba lunokubonelela ngoncedo lwexesha elide leempawu.
ILizwi
Kwakukho ixesha apho oogqirha bama-orthopedic baqonda ukuba ubuhlungu be-groin bukhawulelwe kwi-arthritis kunye nokulimala kwemisipha. Ukuqonda imithombo yeentlungu zentlungu kwandiswe kakhulu, kwaye ngelixa le nto inokukunceda ukukhokela unyango, inokukwenza uvavanyo olulukhuni lokuhlola. Ukusebenza nomgqirha wakho ukukunceda ukuqonda umthombo weentlungu kunokukunceda ukukhokela unyango olufanelekileyo. Xa umthombo weentlungu zentlanzi iqondwa ngokucacileyo, isicwangciso sonyango singaphuhliswa esiza kukhokelela ekuphuculeni kwiimpawu zakho.
> Umthombo:
> UJohnson R. Indlela yokwenza intlungu kunye neentlungu ze-groin kumdlali kunye nomdala omdala. UGreyzel J. (Umhla.) Ku: UpToDate. 2017.