Izifo welungu kasikrobana. Iimpawu isifo senyongo

Onke amalungu kunye neenkqubo kufuneka isebenze kakuhle. Kuphela kule meko kungenzeka ukuba uphile umsebenzi ubomi obuqhelekileyo. Kweli nqaku ndifuna ukuhlolisisa iimpawu eziphambili kwesi sifo nyonga.

Yintoni na?

Ekuqaleni, kufuneka ukuchaza isigama. Yintoni hip? Ngoko ke, lo ke ithambo intloko yakhe wadibana yifemur. eziphambili iimpawu zayo:

• ukusebenzisa flexion-ukwandiswa;
• ithuba lokuba athathe umlenze ukuya kwicala;
• pronation kunye supination, t. e. ithuba ukwenza iintshukumo ejikelezayo.

Izizathu

Ukuba kuyimfuneko ukuba baqonde zithini izizathu kunokubangela ezahlukahlukeneyo izifo entlanganweni kasikrobana. Ngoko ke, oogqirha zezi zilandelayo:

1. umonakalo Mechanical. Oku ezahlukeneyo ukulimala ubungnqongqo, waphuka.
2. uhlobo ezosulelayo esi sifo. Badla bawaphikise ezininzi iingxaki entlanganweni hip.
3. izifo ngeentsholongwane kunye wentsholongwane egazini, ezifana umkhuhlane kunye umqala obuhlungu (ikakhulu kwimeko sifo Perthes ').
4. Enye imbangela hip izifo joint - yofuzo. Kulo mzekelo, uphando iirekhodi zonyango izalamane ekufutshane umntu ukuchonga imidlalo.
5. ukuphazamiseka pathways Ezahlukeneyo, ukungabikho kweevithamini, calcium. Kulo mzekelo, umzimba buthathaka amathambo babe ngokwaneleyo namandla. Kwaye kunokubangela iingxaki ezahlukeneyo ezinokuthi zibekho kwi joint hip.

The main Iimpawu

Ekuqaleni, bekuya kuba enqwenelekayo ukuqwalasela iindidi zesifo nyonga. Ngoko ke, kwiimeko ezininzi, kunye ngokoyiswa le yinxalenye yomzimba womntu eziphazamisayo:

1. Pain. Babe nokunika uhlobo ezahlukeneyo. Intlungu esibukhali kwaye yaba buthuntu, womelele kwaye ngcathu. konke kuxhomekeke kudidi sifo, kwaye iqondo yophuhliso lwayo. Kudla ukuba uhlobo intlungu ngethuba lokuqhubeka esi sifo lohlukile. Susa kunokuba ezahlukeneyo ntlungu. Noko ke, isizathu sokuba livela isekhona na shwaka.
2. Ukuqwalasela lo edibeneyo womlenze, iimpawu naye kuthi, kumele ukuba oku ezahlukeneyo ukuphazamiseka intshukumo. Le ngxaki kwenzeka xa zonke izifo nyonga. Kwezinye iimeko, ezi yanyhashwa azibonakali kakhulu, okt. E. iqinelwa Isigulana iphantse ingatshintshanga. Ngamanye iimeko, isenokuba yiyo utrudnennoy kakhulu (ukungakwazi ukuhamba ngaphandle support). Ukuba isifo sikwimo yokungakhathali, umsebenzi motor yomguli kunye bonke iya kuninqabela.
3. Ziziphi ezinye iimpawu zesi sifo nyonga? Ngoko ke, oku kubonisa ezahlukeneyo iinguqulelo zangaphandle. Amaninzi, kule meko libhekisela zanomkhinkqi, pripadanii ngeenyawo. Ngamanye amaxesha kusenokuba sinokusishunqulela imilenze abachaphazelekayo, nto leyo ebangela ukuba umntu nokuba ukuhamba ngeenzwane okanye bayasigqwetha umzimba ukuya kwicala elinye.
4. Ezinye Iimpawu: ukuba kukho nangokurhala, ubushushu unakho kuvuka (rhoqo amanqaku subfebrile) nayo ibe bomvu apha esikhumbeni.

arthrosis

Ekuqaleni, kufuneka ukuthetha ngengxaki ezifana nesifo i "hip coxarthrosis". Ukuthetha ulwimi, kubomi bemihla ngemihla sisifo kuthiwa arthrosis. Kubalulekile ukuba uqaphele ukuba esi sifo zeeteksi ngowokuqala phakathi iingxaki ezahlukeneyo izixhobo weentshukumo womntu.

Uqala ngesifo ezitshangubeni intlala articular. Yena ngcembe iyachithwa, sisazama, okubangela ngokulahlekelwa uphelelo kwalo propati. Ngelo lowo ngelo xesha ichaphazela ngethambo kunye namalunga, angavela kweziqu nokudleka. Eminye imiba ukuze kuvele ngenxa coxarthrosis:

• ukuyilwa cysts kwentloko ithambo lethanga;
• Cysts bangaba kwakhona kwi inwebu le acetabulum, apho intloko ithambo ibekwe;
• sclerosis kaninzi kwenzeka ipleyiti indawo ezimanyeneyo.

rhoqo unobangela wale sifo iba sisifo, ngathi dysplasia (Kakade ke, joint hip). Le umba wokungaphuhliswa ithambo, kwaye umahluko kubukhulu acetabulum kunye nentloko. Kwimeko enjalo kukho ubonelelo igazi elanele, ebangela ingxaki ezifana arthrosis.

Phakathi ezibangela esi sifo, oogqirha ukuchonga ukonzakala ezahlukeneyo, ukugruzuka. Xa kuziwa microtrauma eyenziwa ngayo nako unobangela wale ngxaki. Kakade ke, ixesha ingakumbi kubalulekile ukuphatha iinkqubo ezahlukeneyo arhabaxa. Ngapha koko, nabo abe samathambo.

Symptomatology and step coxarthrosis

Yintoni uxelele imbali sifo? hip coxarthrosis amaninzi kubonwa ezilandelayo iimpawu:

• ubuhlungu okanye kabi kwi ezinqeni nasemiphakathweni;
• intlungu emadolweni (kulo mzekelo ngokufuthi kuza coxarthrosis kwinqanaba oyingozi);
• Kwakhona inyamekela le ngxaki, kwaye kwalapho.

Xa yezonyango, kukho amanqanaba amathathu ezingundoqo sifo:

1. Kuqala. Kukho ubuhlungu manqaphanqapha becala emva umthambo esebenzayo. Yenzelwe kakhulu kwi ngedolo okanye hip. Emva kokuphumla ukuqaleka inyamalala. Umlenze ahambe kunye weentshukumo umsebenzi ngeli nqanaba aliguqukanga nangoku.
2. Yesibini. Kulo mzekelo, iintlungu bekuya kuba namandla. It yenzelwe ikakhulu kwi nasemiphakathweni okanye ethangeni. Kubalulekile ukuba uqaphele ukuba esi sigaba kabi kwenzeka nokuba baphumle. Ukusebenza welungu uwaphule, umsebenzi wayo motor nayo kuguga. Kukho umda lwentshukumo ezidityanelweyo kwisixando (amayeza - contracture). Kwakhona gqitha intloko femoral, izihlunu baphelelwe ngamandla abo.
3. Isigaba sesithathu. Kulo mzekelo, iintlungu sikhatshwa ngumntu zisoloko lokuphumla ebusuku. Akunakwenzeka ukuhamba ngaphandle kwenkxaso. intshukumo Joint imiqathango kakhulu, kuba nzima kakhulu. Ngokuthe ngcembe, lo yalityatya ngokwamathambo kokunciphisa nomonde, utshintsho iqinelwa yabantu. Kufuneka ukuba ukugoba emacaleni uze ume phezu neenzwane ukuba balance kwezithuthi.

Ukuba ingxaki luphuhlisa ngakumbi, oko kukhokelela ekubeni intshukumo kwi joint engekho ngokupheleleyo.

Uxilongo kunye nonyango coxarthrosis

Ekubeni ingqalelo ezi mpawu zingentla kasikrobana isifo joint, kufuneka wathi le ngxaki isifo kusetyenziswa ray. Ukuba iintlungu ngokulinganisela, kunokunceda nokuba ultrasound okanye MRI (ezi zifundo ziya kunika ithuba lokufikelela esigqibeni sokuba ngaba kukho nokudumba).

Ukuba sithethe malunga zigaba zokuqala ezimbini sifo, unyango apha liya kuba endilisekileyo. Eyona njongo ephambili yale ugqirha - ukubonelela ukushukumiseka oluqhelekileyo ezidibeneyo. Isigaba sesithathu kufuna unyango ezahlukeneyo: ekuqhubeni neziyobisi ndisuse nangokurhala, nazo zingasetyenziswa fluid ezahlukeneyo ababambeleyo kwamalunga. Kwiimeko ezikhethekileyo, iya kuboniswa endoprosthesis.

isifo Perthes

Ukuba kufuneka ingqalelo hip Perthes sifo. Kubalulekile ukuphawula ukuba sifo kakhulu ivame abantwana abaphakathi kweminyaka emi-3 no-12. Ngelo xesha ubunzima rhoqo kulo ngaphezu amakhwenkwe. Nangona kunjalo, ukwenzeka sifo emantombazaneni esinzulu ngakumbi.

Yintoni Perthes sisifo welungu hip? Ngenxa yoko, le nkqubo ethile zophendlo lwezifo xa baphazamiseke igazi kwegazi abaqhelekileyo kwi intloko womlenze, nto leyo ebangela ingxaki ezifana necrosis. Kubalulekile ukuba kuqatshelwe ukuba kukho omabini umonakalo ngomoya omnye kunye abambiseneyo.

Namhlanje, oogqirha ndaba andikezi ukuya esiphelweni eqhelekileyo, yintoni na unobangela sifo. Inqanaba le Perthes sifo ilandelayo:

1. Emva kokuqalisa zokulahleka igazi eqhelekileyo intloko necrosis femoral luphuhla.
2. Secondary ithambo intloko kummandla kukwaphulwa.
3. inyama Necrotic ebegqwese resorbed. Oku kukhokelela kukuba kukho kokunciphisa entanyeni femoral.
4. Le necrosis site lukhula kwizicwili.
5. kwizicwili ebegqwese indawo amathambo.

Inkqubo alulame kulo mzekelo kuxhomekeke nenqanaba inkathalo sifo. Ukuba ixesha ukuqalisa unyango kwakhona ngokupheleleyo kunokwenzeka. Kungenjalo, intloko lowanyathela lube ziinxalenye eziliqela, nto leyo ngokufuthi ekhokelela kakubi phantsi, usifake zikhubazekile.

Baya kuthetha ukuba ukujonga njani isifo Perthes welungu womlenze, ifoto. Nje bajonge imifanekiso abantwana abagulayo ukuba baqonde ukuba esi sifo kwakhona kubangela utshintsho imbonakalo (okt. E. Ngamana kuba claudication kunye nomlenze kuphungulwe ngokwalo). Esi sifo kwakhona sikhatshwe ziintlungu. Ekuqaleni kuya kuba lisi, baqale ukuvela ngexesha nokuhamba. Kusenokubakho into limp olungephi okanye pripadanie kumlenze owenzakeleyo. Ezinye Iimpawu lwezonyango zikhona. Kule yonke ingozi, kuba abantu nezikhalazo ezifanayo kunqabile sibuyele podiatrist. Ukuba kukho ukwaphulwa ucinezelo, iintlungu zinokukhuliswa kakhulu, ekuqhwaleleni umbonileyo kakhulu, kucace ibonakale kwabanye. Kukho umda lweentshukumo, ukuhamba kunzima. Ngaba ukunyusa iqondo lobushushu emzimbeni ukuba subfebrile indicators.

Isifo eso usebenzisa ray. Unyango ithatha indawo kwiSebe amathambo, apha - isigulane. Ubude unyango endala: malunga 12-14 iinyanga. ungenelelo Surgical ukuze kuboniswe kuphela kwiimeko ezininzi kakhulu.

Ekugqibeleni kubalulekile ukukhumbula ukuba xa siqwalasela izifo ezahlukeneyo namalungu inyonga ebantwaneni, thina badla sithetha sifo.

Esi sifo ye impingement femoral-acetabular

Kubalulekile ukuqaphela ukuba le yenye mgaqweni, nto leyo enxulumene joint hip. Kule meko kukho kungquzulwano okanye wengxabano izakhiwo ithambo ngexesha intshukumo yabantu (kungoko igama - impingement, okt yokungqubana ezingachanekanga ..). Oonobangela ngqo ezinokubangela le meko, amayeza lwale mihla, kodwa bengazi. Iimpawu izifo inyonga kulo mzekelo zimi ngolu hlobo lulandelayo:

• ntlungu kwenzeka kwindawo ethile yomntu, ngokufuthi ngexesha uyigobayo;
• umda zeentshukumo ezithile.

Ingxaki unesifo usebenzisa rentgtenografii. Nakuba kunjalo, njengoko lo sifo efana kakhulu kwezinye izifo, oogqirha onokuthandabuza, ubeke uxilongo engalunganga. unyango Conservative le ngxaki engenamsebenzi. ukungenelela kuhlinzwa kuyinto kuyimfuneko. Kuphela ngale ndlela unako ukumelana nesi sifo.

bursitis

Esinye isifo kwakhona kuyimfuneko ukuba siqwalasele - na hip bursitis. Kule meko sithetha ukudumba kwi Bursa, umsebenzi walo ongundoqo - ukuthintela ivuse.

Ngaphezu koko ucinge ilungu lomzimba womntu entlanganweni hip. Iimpawu zesi sifo ilandelayo bursitis:

1. Pain. Kuyinto yayiyazi, njengokutsha olukhulu. Eyendawo: kakhulu yiyo inxalenye engaphandle kasikrobana.
2. Njengoko ingxaki iintlungu buthuntu. Noko ke, ububanzi ukwabiwa kwandisa.
3. ubuhlungu Olomeleziweyo ngexesha hip flexion-ukwandiswa. Kwakhona, umntu ubuhlungu ukuba lala ngecala wakhe amoyise.
4. Xa iintlungu ubovu bursitis kukhulu kakhulu kangangokuba loo nto yenza kube nzima ukuba ngisho ngokuqhelekileyo.

Iindlela eziphambili kokuxilongwa: kuxilonga, Ngokucofa, auscultation yezikhalazo. Ukuze ukuxilongwa ngakumbi isigulane sibhekiswe i-X-ray okanye MRI. Ngokusisiseko, unyango into elondoloza. Kwiimeko ezinqabe kakhulu, utyando ukuze kufuneka izifo phambili.

tendinitis

Sihlola iingxaki ezahlukeneyo ezichaphazela nyonga, iimpawu, unyango. Sifanele sithethe ngento kanye na tendonitis. Umzekelo, kukukrala imisipha endaweni iqhina zawo ithambo. Eyona eziphambili Iimpawu kulo mzekelo:

1. Njengoko kuzo zonke iinkqubo ukudumba, ububomvu kuvela esikhumbeni.
2. Qiniseka intlungu uya kuvela. It yenzelwe kule ndawo lungu achaphazelekayo.
3. Kakade ke, kuya kuncipha umsebenzi lwemoto malunga nesigulane eso.

Le ngxaki unesifo kusetyenziswa uhlolo. ultrasound banokuthi banyulwe moshilongo ngakumbi. Unyango ikakhulu endala. Nangona kunjalo, kwiimeko ezinqabileyo, kukho iimpawu ezibonisa ukuba uqhaqho.

ungubani ngokwesondo

Ngokufuthi, izigulane nomdla umbuzo wento isikakhulu sifo namalungu inyonga amabhinqa? Ekuqaleni, kubalulekile ukuphawula ukuba ayisekho umahluko engqongqo enjalo. Nasiphi na isifo echazwe-ngentla kuchaphazela abantu, amadoda namabhinqa phantse ngokulinganayo. Noko ke, uphando lubonisa ukuba isifo iphambili amalungu inyonga amabhinqa - oko samathambo kunye arthrosis. Ukongeza, ezi zifo kwenzeka abantu abakhulileyo.

isifo Main hip ngabantu - bursitis kunye tendonitis. Kwaye ngenxa abadlali bethu becala benza umsebenzi onzima, yaye umthwalo ngakumbi kakhulu emzimbeni. Konke oku kukhokelela ekubeni ukuvela iingxaki ezinjalo kunye joint hip.

ekuxilongweni

Ekuqaleni, kufanele kuqatshelwe ukuba xa kuthe iindidi intlungu joint hip kufuneka ngoko nangoko udibane nogqirha wakho ukuze icebiso. Enyanisweni, kule meko kungenzeka ukuba ukuhlola isifo kusekwangoko. Kwaye yenza ukuba kube lula kwaye shortens kakhulu inkqubo kwakhona isigulane. Kungenjalo kukho umngcipheko immobilization olupheleleyo mlenze achaphazelekayo.

Ziziphi ezinye iindlela ngoku lula ukufumanisa iingxaki ezahlukahlukeneyo yokukhathazeka hip?

1. Uviwo lwe isigulane. ulwazi makhulu "Ndithi" kuphela, okt. iimpawu E. Abo ingxaki apho isigulane isikhalo. Emva kokuphulaphula kubo, kaninzi udokotela, nokuba izigqibo yokuqala malunga nesifo ukho kule kumguli.
2. Ngokucofa. Kwezinye iimeko, imvakalelo yomguli iindawo ukoyiswa nako ukunika iimpendulo kwimibuzo ethile.
3. Indlela diagnostic zisetyenziswa ngokuxhaphakileyo ngenxa zizifo ezahlukahlukeneyo kasikrobana joint - a ray.
4. Izigulane kwakhona unakho ukumisela ultrasound (kwizifo ezithile) okanye MRI (iinkcukacha ngemagnethi livakale umfanekiso) kwisithuba apho ogulayo komtshiso oko.

unyango

Ngenxa kule sifo ukushiya amalungu hip? Unyango - oku kubaluleke kakhulu kule meko. Ngapha koko, ukuba ixesha lokuqala, kunokwenzeka ngaphandle naziphi na iingxaki kunye umgudu ukumelana nesi sifo. Yintoni na ugqirha libeke?

unyango Conservative.

1. Kwezonyango umzimba, physiotherapy Ukolulwa. Oku konke ufuna nayiphi isidanga izifo. Noko ke, ukuba isifo yokuqala ukuvela, ngokufuthi besebenzisa ezi ndlela unako ukumelana.
2. Ntlungu. Kaninzi ukuba balahle intlungu usebenzisa non-steroidal amachiza-ukudumba. Nangona kunjalo, kubalulekile ukucacisa ukuba ngaba uyasokola sifo, kodwa okudambisa iimpawu ezingathandekiyo kuphela. Kusenokuba amayeza afana "Teksamen" "Celebrex", "nimulid", "Bonifen", "Diklak" njalo njalo. D. Kodwa ukusetyenziswa la mayeza kufuneka kukhunjulwe ukuba babe luluhlu olude enkulu Izimo ezahlukeneyo .
3. Chondroprotectors. Iziyobisi ukuphucula imeko ijwabu intlala. Xa isiseko kwabo apho, glucosamine kunye chondroitin sulfate. Ampoules: iziyobisi "Mukosat", "hondrolon". Iipilisi: iziyobisi "Chondroxide", "Struktum". Namafutha aqholiweyo "Elastenga", "Chondroxide".
4. Kuthethwa zokuphucula kwegazi emantloko entlanganweni idolo. Ezi iziyobisi ezifana "stugeron", "Pentoxifylline."
5. Kwakhona kufuneka yabelwe ziphene intra-articular ezahlukeneyo, ababambeleyo bolwelo synovia.

Surgery - oku elinye icebo lokuyigxotha le ngxaki. Yena nguye omisiweyo njengelinge lokugqibela, xa iindlela elondoloza ukujongana nengxaki akunakwenzeka. Kwimeko enjalo aphela rhoqo kwenzeka endoprosthesis. Oko kukuthi, joint isibetho lisusiwe ze endaweni yayo yaseka ngengqondo eyodwa akuyiphazamisi imisebenzi yesiqhelo.