Iingxaki kunye neZonyango ze-Snapping Hip Syndrome
Ukuxhamla i-hip syndrome yimeko ebonakaliswa yintlungu yokubhukuda, kwaye kaninzi isandi 'esivela', xa i-hip iguquguquka kwaye yandiswa. Kukho izimbangela eziningana zokubambisa i-hip syndrome, ngokuqhelekileyo ngenxa yeetoni ezibambelele kwi-bony evelele kwaye "i-snapping" xa i-hip ishukunyiswa.
Abantu abaninzi abane-syprome ye-hip syndrome bazive ngathi ibhola lomxube wabo we-ball-and-socket iqhagamshela ivela kwindawo, okuthiwa yi- hip subluxation .
Oku kunqabile kakhulu kunxulumene ne-snapping hip syndrome, kwaye ngokuqhelekileyo kubangelwa ukulimala kabuhlungu.
Ukunyanyisa i-hip syndrome akuyona ingxaki yokuxilongwa, kodwa kunoko impawu. Iimpawu zengqondo yokuhluma ibangelwa ukuxilongwa kwangaphambili, kodwa ukuze kuqinisekiswe unyango olufanelekileyo, ukuba ukuxilongwa kufuneka kuqale kuqatshelwe.
Iingxaki zokunqanda i-Hip Syndrome
- I-Iliotibial Band Syndrome
Ibhendi ye-aliotibial iyintoni eninzi, ebanzi ngaphaya kwe- joint hip . Isizathu esiqhelekileyo sokubamba i-hip syndrome yilapho iqela le-aliotibial (okanye "i-IT band") lihluma phezu kwe-trochanter enkulu (ibhondi evelele ngaphaya kwe-joint hip). Ukuba le nto yimbangela ye- hip snapping , izigulana zinokuphuhlisa i- hip bursitis ukusuka kwintlungu ye-bursa kule ndawo. - Iliopsoas Tendon Snap
Ithoni ye-linoopsoas iyona isisindo sokuqala se-hip flexor, kwaye i-tendon yale misipha iyadlula nje phambi kwe-hip joint. Ithoni ye-linoopsoas inokubamba kwi-bony iphambili ye-pelvis kwaye ibangela i-snap xa i-hip iguquguquka. Ngokuqhelekileyo, xa i-toniyo ye-linoopsoas yimbangela yokuqhawula i-hip syndrome, izigulane azikho iingxaki kodwa zingaphazamiseka.
- Iqhwa le-Labral Tear
Isizathu esona siqhelekileyo sokusondeza i-hip syndrome yintlungu ye-cartilage ngaphakathi kwendibano ye-hip. Ukuba kukho i-flap ye-cartilage ehamba ngokubambisana ngaphakathi, oku kunokubangela ukuvakalelwa kwintshukumo xa i-hip ishukunyiswa. Esi sizathu sokubamba i-hip syndrome ngokuqhelekileyo kubangele ukuvakala kwintsholongwane, kodwa kunqabile ukuba "i-pop" ezwakalayo. Esi sizathu sokubamba i-hip syndrome sinokubangela ukuba ungeva, kwaye izigulana zingabamba inkxaso ngenkqubela i-hip.
I-x-ray idla ngokubakho ukuqinisekisa ukuba akukho nkathazo yethambo emxholweni we-hip, kodwa ezi mvavanyo zihlala ziqhelekileyo. Ukuba isisombululo sokubamba i-hip syndrome kucatshangelwa kukuba ngenxa yesikhumba okanye i- labral tear in the joint hip , i-MRI ingafumaneka ukuba ikhangele ubungqina obunzima ukuyiqonda ingxaki. Ngokuqhelekileyo xa ii-MRIs zenziwa ukujonga iingxaki ezihlangeneyo ze-hip, i-injection yohluke (okudla ngokubhekwa njengombayi) ifakwe kwi-joint. Ukuchasana ngokugqithisileyo kukuphucula ngokuchanekileyo ukuchaneka kwe-MRI kwaye kunokunceda ugqirha wakho "ubone" iinkcukacha eziphezulu kakhulu ze-hip joint anatomy.
Unyango lwe-Snapping Hip Syndrome
Unyango lwe-hip snapping luxhomekeka kakhulu kunobangela wengxaki. Xa isizathu esilungileyo sifunyenwe, unyango olufanelekileyo luyaqala. Ngokuqhelekileyo, unyango luqala ngamanyathelo alula, njengoko kungenakuqhelana ne-hip snapping idinga ukungenelela kwangangoko. Ngokuqhelekileyo imithi yokuchasana ngomlomo, mhlawumbi i- cortisone injection iya kunceda ukulawula ukuvuvukala ukuba oku kubangela ingxaki. Ulwaphulo lwezonyango lunokuba luncedo ekujongeni izihlunu kunye neetoni ezibangele i-hip snpping kwaye inokukunceda ukukhusela ingxaki.
Ukuhlinzwa akusoloko kuyimfuneko kwaye igcinwe kwizigulane ezineempawu ezinzima ixesha elide kunye nezilingo ezaneleyo zonyango ezingasebenzi.
Ukuba kunjalo, utyando lokuba uphumule i-tendon, okanye ususe i-tearti yeentabulwano kunokunceda ngeempawu ze-hip snapping. Ngokuqhelekileyo i- hip arthroscopy ingasetyenziselwa unyango lwezo ngxaki ze-hip.
Imithombo:
I-Allen WC kunye neCope R "I-Coxa Saltan: I-Snapping Hip ibuyele kwakhona" J Am Acad Orthop Surg Oktobha 1995; 3: 303-308.