Abagqirha bama-orthopedic baye baphumelela ekuqondeni imithombo yentlungu, kwaye iteknoloji inyuse ukukwazi kwethu ukuxilonga iimeko ezazingekho ngaphambili. Enye imvelaphi yentlungu kunye neentlungu ze-groin ezifunyaniswa kakhulu ngokuqhelekileyo kuthiwa yi- hip labral tear .
I-labrum ye-hip yincinci ye-cartilage ejikeleze isiseko se-ball-and-socket joint joint.
Ngokuqhelekileyo kufaniswa ne-meniscus yeenqabana zeedolo, inyembezi ingabangela intlungu kunye nokungahambi kakuhle kwi-joint hip.
Iingxaki ezidibeneyo ze-Hip zisetyenziselwa ukuba ziyimfihlelo. Uluhlu olubanzi lwabantu abavela esikolweni esiphakeme kunye nabadlali beekholejini ukuya kwi-weekend-old ageend warfare baya kukhononda ngeentlungu ezinzulu kwi-hip yabo. Laba bantu banikezwa ukuxilongwa kwenkcenkcesha okanye i-muscle ye-pulled , kodwa ngokuphindaphindiweyo ukuphulukana kwabo kwakungenakulinganiswa kwaye ngezinye iinkalo iimpawu zilindeleke.
Njengoko siye safumana ukuqonda okungcono kwintsebenziswano ye-hip, kunye ne-teknoloji efana ne-MRIs iphucule ikhono lethu lokubona okungaqhelekanga kulo mzimba, siye safumanisa imithombo ethile yentlungu ejikelezayo. Esinye isakhiwo esithile esivame ukubonwa njengomthombo weentlungu ze-hip yi-labrum ye-hip.
I-Hip Labrum
Umxube we-hip ibhola kunye nexenti ehlangeneyo kwintlangano yentloko yethambo kunye ne-pelvis.
Ngokungafani neminye ibhola kunye namajoyini angenamathanga afana nehlombe, umlenze unesiseko esicacileyo nesigxina. Isibhedlele yintonga ye-cartilage eyenza ingqungquthela ejikeleze umgca wesango. Oku kunceda ukwandisa isiseko, ngelixa liguquguquka (ngokungafani nethambo lesiseko) ukuvumela ukunyakaza okuthile.
I-hip labrum, njengezinye iindidi ze-cartilage, ihlala inenkinga yokuphulukiswa kwingozi. I-tisti ye-cartilage ayinalo ukunikezelwa kwegazi kakuhle kwaye ngenxa yoko ayinakho amandla okuphulukisa emva kokulimala. Ngenxa yeso sizathu, xa i -brbr ibonakaliswe, ithambekele ekuboniseni iimpawu zomonakalo ezingenakulungiswa ngexesha elide.
Izinyembezi ze-Hip Labrum
Xa i-labrum yendibano ye-hip ibonakaliswe, abantu ngokubanzi babhekisela kulo monakalo nje ngokuba "ukugqabhuka kwebhubhile." Nangona usebenzisa le lwimi ukuchaza malunga nantoni na ukulimala kumlenze we-hip, iinyembezi ezinqabileyo zivela kwiindidi ezahlukeneyo, ubukhulu kunye neentlobo. Akuyiyo yonke iinyembezi eziqhekezayo, kwaye unyango lwezinyembezi ezinqabileyo zingahluke kakhulu. Ukongezelela, izigulane ziza kwiintlobo ezininzi kunye nokulindela okungafaniyo kumanqanaba athile aphuhlisayo kunye ahlukeneyo kunyango ezahlukeneyo. Eyona nto ibalulekileyo, iinyembezi ze-labral zibonwa ngokubhekiselele kwimimiselo yomonakalo wokubandakanya i-arpritis kunye ne- bone spurs . Iinyembezi ezinqabileyo kwiimeko zesifo se-arthritis ye-hip akufani neendwangu ezinqabileyo.
Xa utyando lucatshangelwa kwiintlungu ze-hip, le ndlela eqhelekileyo yokujongana nale ngxaki yonyango lwe-arthroscopic. Ukuhlinzwa ngokugqithisileyo kwe-arthroscopic kwakungabonakaliyo kwintsebenziswano ye-hip kwiminyaka engama-20 edlulileyo, ngokuqhelekanga kakhulu iminyaka eyi-10 edlulileyo, kodwa sele yinto eyenziwa ngokucwangciswa ngokuqhelekileyo namhlanje.
Enyanisweni, kwiminyaka eyi-10 edlulileyo, ukuhlinzwa kwe-arthroscopic ye-joint hip kuye kwanda kwe-18. Nangona kukho ukwanda okwenyukayo, kukho ukuhlalutya okwenzululwazi oluncinane malunga nokuba luncedo njani lo unyango olwenzela ikhefu. Ngokukodwa, into encinci eyenziwe ukuthelekisa ukuba utyando lwe-hip arcroscopic lungcono kunezinye iindlela zokwelapha ezinjengezonyango zomzimba, ukuphumla, kunye neyeza ezichasayo.
Hip Arthroscopy
Utyando lwe-arthroscopic surgery yinkqubo yokuhlinzwa yonyango eyenziwa phantsi kwe-anesthesia jikelele. Udokotela wakho ugqirha ubeka ikhamera encinane yekhenkethi kunye nomthombo wokukhanya oqhotyoshelweyo kumxube we-hip, kwaye nge-incision encinci yodwa inokubeka izixhobo zokulungisa iinyembezi ezinqabileyo.
Izonyango eziqhelekileyo ukujongana neengqungquthela zengxowanxu ye-hip okanye ukulungisa umonakalo nge-sutures okanye ukucoca isahlulo esiqwengqileyo se-labrum. Isigqibo sendlela yokujongana neendabiso ngokuqhelekileyo kuxhomekeke kwizinto ezibandakanya uhlobo lwentlungu kunye nendawo.
Utyando lwe-arthroscopic hip alukho ngaphandle kweengozi . Ezi ngozi zibandakanya iingxaki ezinjenge-ntsholongwane, intlungu eqhubekayo, kunye ne-nerve okanye ukulimala komkhumbi wegazi. Ngenxa yeengozi eziyaziwayo zonyango oluphambili, kubalulekile ukuba uqikelele ukuba malunga neenzuzo zokuhlinzwa. Ngoko ke umbuzo uya kuba, unyango olungcono kunyango okanye olubi ngakumbi kunonyango olungapheliyo? Ngenxa yokuba siyazi ukuba iinyembezi ezingumlenze azinakho ukuphulukisa, abantu abaninzi bancinci ukuba xa befuna ukuba intlungu iphendulwe, inkqubo yokuhlinzwa iyona kuphela. Kodwa ngaba kunjalo kunjalo?
Iziphumo zoLonyango oluPhezulu
Uninzi lwezifundo zakutshanje luchaze iziphumo ezifutshane zexesha elifutshane emva kokuhlinzwa kwe-arthroscopic hip. Uninzi lwezi zifundo zifumanisa ukuba abantu abahamba nge-hip arthroscopy banemiphumo ebuhlungu kwiinyanga kunye neminyaka ukulandela unyango otyando. Ngokukodwa kwizigulane ezingenazo iimpawu ze-arthritis, ezi ziphumo zihlala zibambe kakuhle ngexesha, kwaye abantu baneliswe unyango lwabo. Ngokuqinisekileyo obu bungqina buxhasa ukunyangwa ngonyango, kodwa kuphela izifundo ezimbalwa eziye zafanisa ukuba unyango oluphambili lungcono kunonyango olungapheliyo.
Olunye uphando olusandul Kwiminyaka emibili emva kokuba unyango lugqityiwe, kwakungekho mmahluko omkhulu phakathi kwamaqela abantu abaye baphathwa ngokugqithiseleyo malunga nalabo baphathwa ngokungahambi. Oko akuthi ukuba wonke umntu uphelele, ithetha nje ukuba inani elilinganayo lezilwelwe laphucula unyango olungapheliyo njengonyango olunyango. Kwinqaku elihle, uninzi lwezigulane kumaqela amabini, ukugqithwa kunye nokungaboni, lufumene uphuculo.
Kwakhona kukho ukuphikisana ngokuphathelele unyango lwezigulane ezingaphezu kweminyaka engama-40 ubudala. Ezi zi gulane mazize ziqwalaselwe ngokucokisekileyo xa ziqwalasela unyango. Nangona kukho iimeko apho abantu abaneminyaka ephakathi kwabo banokufumana ukukhululeka kwentlungu kunye nokuhlinzwa kwe-arthroscopic hip, abaninzi balaba bantu abaqeshwanga abafanelekileyo. Ucwaningo luye lwabonisa ngokuphindaphindiweyo ukuba abantu abangaphezu kweminyaka engama-40 banomlinganiselo ophezulu we-arthritis eqhubekayo yokubambisana, kunye neendwangu ezinqabileyo mhlawumbi nje zibonakaliso zokuqala kwe-arthritis kwi-hip. Uninzi lwezi zi gulane luya kugqiba ekugqibeleni ukutshintshwa kwe-hip, nangona emva kokuhlinzwa okwenziwe i-arthroscopic hip.
Njengoko kunjalo kunye neenkqubo ezininzi zokuhlinzwa, i-hip arthroscopy ifakiwe, oogqirha bamazinyo bafunda ngokuthe ngcembe izigulane ezinokuthi zizuze, kwaye ezingekho, ukususela kumanyathelo angenelelo. Kucacile ukuba akuyena wonke umntu onenkqonkqoza yeqabunga efuna ukutyunjwa kwe-hiproscopic hip. Enyanisweni, unyango olungapheliyo kwiimeko ezininzi lunokusebenza, kwaye ngamanye amaxesha lusebenza ngakumbi, kunokuba kungenelelo lokungenelela. Ukusebenza ukuchaza ukuba zeziphi izigulane ezinokuthi zizuze inkqubo eqhubekayo. Kucacile ukuba phantse zonke iimeko zonyango olungapheliyo kufuneka zilingwe kuqala kwaye izigulane ezingaphezu kweminyaka engama-40 kufuneka ziqwalaselwe ngokucokisekileyo ukuba zonyango.
ILizwi
Ukuhlinzwa ngokugqithisileyo kwe-arthroscopic kudlalwa indima ebalulekileyo ekunyangeni ukonakaliswa kokulimala. Oko kwathiwa, izigulane ezininzi zifumana unyango olulinganayo ngokunyanga. Phantse zonke iimeko, unyango olungapheliyo kufuneka lujonge ngaphambi kokuqwalasela uphando lwe-arthroscopic. Izifundo zibonise ukuba xa kuqhathaniswa unyango olungenasigxina kunye nocwangco, iziphumo azifani kakhulu phakathi kwala maqela; zombini unyango lubakhokelela ekuphuculeni kwiimpawu. Kukho imeko apho unyango olungenasiphelo lungasebenzi, kwaye unyango lunokuqwalaselwa. Umviwa ofanelekileyo wokunyanga unyango ungaphantsi kweminyaka engama-40 ubudala kwaye akanalo iimpawu zesifo se-arthritis kwi-joint joint.
> Imithombo:
> Mansell NS, Rhon I-DI, Meyer J, i-Jle Slevin, i-Marchant BG. "Ugqirha lweArthroscopic okanye iTransystem Physical to Patients With Femoroacetabular Impingment Syndrome: Uvavanyo oluLungeleleneyo oluLungelelwano oluLukelekileyo lweMinyaka emi-2" IJ Sports Med. 2018 Feb 1: 363546517751912.
> Horner NS, Ekhtiari S, Simunovic N, Safran MR, Philippon MJ, Ayeni OR. "I-Hip Arthroscopy kwizigulane Umdala wama-40 okanye umdala: Uhlolo lokuHlola" I-Arthroscopy. 2017 Feb; 33 (2): 464-475.e3.