Ukufakwa kwe-Femoroacetabular (FAI) yimeko ebonakaliswe yinto engavumelekanga yebhola kunye ne-socket joint hip. Ukubaluleka kwe-FAI ekuphuhliseni i -arthritis ye- hip-joint , kunye nonyango olulungeleyo imeko, ingumxholo wengxoxo enkulu.
FAI ichazwe
I-FAI yimeko eyenzekayo xa kukho isimo esingaqhelekanga sokubambisana kwebhola kunye ne-hip kunye nokubangela ukunyanzelisa.
Sonke sinesimo esahlukileyo kumathambo ethu, kwaye abanye abantu banesimo esingaqhelekanga sebhola kunye / okanye isiseko se-hip. Kula bantu, i- spurs bone ingenza ifom ejikelezileyo. Xa i-hip igobile okanye iphendukile, la ma-spurs amathambo angakwazi ukudibanisa, okubangela ukutshintshwa kwe-FAI.
Abantu abanesifo se-FAI bahlala bexhamla intlungu . Ngokuqhelekileyo intlungu ivakalelwa kwi-groin, nangona abantu abane-FAI banokuba neentlungu phambi kwe-hip okanye kwiintsimbi. Ukongezelela kwithambo ejikeleza idibeneyo, abantu abane-FAI nabo banokonakalisa i-cartilage kwiinyembezi ze-hip kunye ne- labral ye-hip .
I-FAI ne-Hip Arthritis
Kwiminyaka yakutshanje, oogqirha abaninzi baye baqikelela ukuba i-FAI iyingozi yokuvelisa i -arthritis ehlangene . Kucacile ukuba abantu abane-FAI banethuba eliphezulu lokugqibela ekufuneka baqashwe ngokutsha , mhlawumbi xa benesifo se-cam (i-bone spur ibhola kwibhola kunye ne-socket joint hip).
Ukuqhubela phambili kwe-hip arthritis kubantu abaneentlanzi ze-pincer (i-bone spur kwi-socket ye-ball-and-socket joint joint) ayicacile kangako, nangona ivakalelwa nokuba yingozi yobunzima be-arthritis. Ekugqibeleni kuyacaca ukuba ngelixa kungengomngcipheko kuphela wokuphuhlisa i-hip arthritis (ezinye izinto ezibalulekileyo ziquka i-genetics, ukulimala kwangaphambilini
Unyango lwe-FAI
Unyango olungcono lwe-FAI alucaci ngeli xesha. Kuye kwaba nomdla omkhulu kwiinkqubo zokugonywa ukuze zisuse i-spurs bone, ebizwa ngokuba yi -osteoplasty , nangona igalelo elide lemiqathango yokugqirha ayinakumiselwa . Ngengxelo entle, le migaqo yonyango ibonise iziphumo ezintle ekunciphiseni intlungu kunye nokuphucula ukunyuswa kwabantu abane-FAI abangela intlungu ye-hip abaphumelelanga unyango olungakumbi.
Ngokubanzi, akukho unyango lwe-FAI Kunconywa kubantu abangenayo impawu (i-FAI ibonakala kuphela kwi-x-ray okanye i-MRI). Ukongezelela, uninzi lwagqirha luncomela ukuba uzame unyango olungagqirha ngaphambi kokuba uqhubeke ne-intervention intervention ukulungisa i-FAI. Ezi zonyango ezingenakucatshungulwa zingabandakanya ukuphumla, ukuguqulwa komsebenzi, iimishanguzo ezichasayo , okanye ii- cortisone .
Okukwintsusa
Njengoko kuchazwe ngasentla, umxholo wokubaluleka kwe-FAI ekuphuhliseni i-arthritis kunye nonyango olungcono kulo mqathango yizifundo zengxoxo enkulu. Umgca ongundoqo kukuba akukho mntu uyazi kakuhle iimpendulo, kwaye ngelixa abanye oogqirha banemibono enamandla kulo mbandela, kukho idatha encinane yexesha elide ukubonisa ngokucacileyo iimpendulo kule mibuzo.
Idatha echanekileyo ibonisa ukuba abatsha abantu abaphakathi kweminyaka eliphakathi abaxhamliweyo be-FAI banomngcipheko omkhulu wokuphuhlisa i-arthritis kunye ne-hip kunye neyokugqibela ekufuneka iguqulwe.
Inkqubo yokugocula ukususa i-bone spurs, i-osteoplasty, inokuba luncedo kakhulu ekuphuculeni iimpawu zabantu ngabanye abane-FAI, kodwa akukho nto ibonisa ukuba oku kuya kunika inzuzo yexesha elide okanye kukuthintela ukuqhubela phambili kwe-arthritis .
Imithombo:
Sankar WN, et al. Ukubanjwa kwe-Femoroacetabular: Ukuchaza imeko kunye nomsebenzi wayo kwi-Pathophysiology ye-Osteoarthritis "J Am Acad Orthop Surg July 2013 vol. 21 no. S7-S15.