I-Coxarthrosis ye-joint hip: izimpawu. I-Coxarthrosis yenhlanganisela ye-hip yesilinganiso sesibili: ukwelashwa

Esinye sezifo ezibi kakhulu zezicubu zomzimba i-coxarthrosis yenhlanganisela ye- hip. Izimpawu zalo ezinyathelweni zakuqala zentuthuko azivezi. Kungenxa yalesi sizathu ukuthi iziguli zivame ukuphendukela ochwepheshe usizo, lapho kungenakwenzeka ukuqhuba ukwelashwa ngaphandle kokusebenzisa ukungenelela okuhlinzayo. Yingakho kubalulekile ukubona lesi sifo ekuqaleni.

Izimpawu zesifo

Emtholampilo wanamuhla, ngokuphindaphindiwe abantu, ikakhulukazi abantu asebekhulile, kuthiwa bane-coxarthrosis yenhlanganisela ye- hip. Izimpawu zalesi sifo azikwazi ukubizwa ngokuqondile. Ngokuvamile inqubo yokuqala ye-deformation ye-cartilage yenza uzizwe kabi ngendawo ehlangene. Kukhona isifo esibuhlungu esincane esinokuhamba isikhathi eside. Kodwa ngokushesha uyanyamalala ngokuthula. Kulesi simo, ubuhlungu bungenzeki ngqo esifundeni sohlangothini lwe-hip, kodwa futhi ku-groin, nasemadolweni. Lezi zimpawu ngokuvamile azikhathazi abantu. Ngakho-ke, izingcingo ezifika ngesikhathi odokotela zibhalisiwe kakhulu. Njengoba i-deformation ye-cartilage iqala izibonakaliso ezintsha. Okokuqala, kukhona okuthiwa ukuqina kokusa. Le syndrome ubufakazi obuqondile be-coxarthrosis. Kuboniswa ukuthi emva kwephupho noma ukuhlala isikhathi eside ehlangene, ingxabano izwa ukuthi ivimbela ukuhamba okugcwele. Iyanyamalala ngemva kwesigamu sehora ngemva kokuhamba okuqhubekayo. Uphawu olunjalo luyinto evamile. Ngaphezu kwalokho, ngokuhamba kwesikhashana, kwenezela ekukhuleni lapho kunwetshwa kanye nokwenza okuthile kwamathambo ezitho zangaphansi. Lawa kuphela ama-harbingers okuqala kwesifo esibi kakhulu njenge-coxarthrosis ye-joint hip. Izimpawu zizoba nzima. I-gait izoshintsha, ukunyakaza kuyobe kunomkhawulo nakakhulu, ubuhlungu buyoqina. Izigxobo ezihlangene, ezithola njalo, zizobuthakathaka, emva kwalokhu, i-muscle atrophy izokwenziwa. Kulesi sigaba, umuntu akakwazi ukwenza ngaphandle komhlanga.

Izimbangela ze-coxarthrosis

Yiqiniso, kubalulekile ukwazi kanye nesikhathi ukubona zonke izibonakaliso ze-coxarthrosis ye-joint hip, kodwa kubalulekile futhi ukuqonda izimbangela zalesi sifo. Ukuhlukaniswa kwamahhala kwama-hip ama-20-25 amaphesenti amacala okuthuthukiswa kwalesi sifo. Ngokungeziwe ku-dysplasia ehlangene, i-coxarthrosis iholela ekuhloleni kwe-hypermobility futhi, ngokuqinisekile, i-Perthes isifo. Ukuguqulwa okuqhubekayo kwezicubu zomzimba kungabangela izifo eziningi zokubeletha nezitholakalayo. Lesi sifo esibucayi sivame ukuqala ngenxa yokulimala, isibonelo, ukwehlukana kwezinyosi namathambo, kanye nokuhlukaniswa kwemigqa. Esinye isizathu - izifo ezithathelwanayo, lapho kukhona ukuphulwa kwegazi elivamile ekuhlanganyeleni. Lesi simo sivame ukutholakala kubantu asebekhulile nasezigulini ezine-diabetes mellitus. Ngesikhathi esifanayo lesi sifo asiphuli nje kuphela ukubonakala kwemithambo yegazi, kodwa futhi umsebenzi wezinhlanganisela ngokuphelele. I-Coxarthrosis ingathuthuka kubadlali. Lokhu kungenxa yemithwalo esindayo njalo emilenzeni. Ukuze uqeqeshwe kufanele ukhokhe ngezinkinga ngezicubu zomzimba ngaphandle nje kwe-hip, kodwa kwezinye izixhumanisi.

I-coxarthrosis yokuhlanganiswa kwe-hip yezinga eli-1

Esigabeni sokuqala sesifo, i-coxarthrosis inzima ukubona. Izimpawu ezizocaca ngokucacile ukuthi ukugula okungathí sina akutholakali. Esigabeni sokuqala, njengombuso, kukhona kuphela isifo sobuhlungu kuphela esisebenza ngokomzimba emilenzeni. Ngesikhathi sokuphumula, ukunganaki akugcini. Phakathi nalesi sikhathi, izicubu zomzimba we- joint joint oxygen yindlala ngenxa yokunikezwa kwegazi okwanele. Kodwa ngokuvamile, isebenza kahle.

I-Coxarthrosis yenhlanganisela ye-hip yesilinganiso sesi-2

Esigabeni sesibili sesifo, ukuphazanyiswa kokunikezwa kwezicubu zomzimba kunesibaluleke nakakhulu. Usuvele usubonile ukubhujiswa kwalo. Izinhlayiya ezifayo zihamba ngokukhululekile emzimbeni ohlangene. Iqinisa ubuhlungu be-syndrome. Kodwa into ebaluleke kakhulu ukuthi indlela evamile yokuhamba kwamathambo avela aqala ukuphuka. Kancane kancane i-gait iyashintsha. Emathanjeni ngokwawo enxenyeni ye-cartilaginous, ama-osteophyte akhiwa kakhulu. Bakhula ubuhlungu lapho behamba, futhi ngemva kokuphumula okude. Kukhona isifo sobunzima bokusa. Kungase kube nokuziqeda kancane ngenxa yokuqothula okunamandla kwemigqa yehlangene.

I-Coxarthrosis yokuhlanganiswa kwe-hip yesilinganiso sesithathu

Esigabeni sesithathu saleso sifo izicubu zomzimba ziqothulwa ngokuphelele. Ihlangene ikhubazekile kakhulu. Ukunyakaza okujwayelekile kwesigungu esingaphansi kule ndawo akunakwenzeka. Ekuhlanganyeleni, ukuphelelwa ukugcina okuphelele kwaqalwa. Ama-tissu aphikisiwe. Uma ukunyakaza kusengenzeka, khona-ke ku-trajectory ye-pathological, hhayi ehambisana nesimiso. I-syndrome yezinhlungu isivele ikhona, kokubili ukuhamba nokuphumula. Uvame ukubonakala phakathi nobusuku, obangela ukuleleka. Kulesi sigaba, imithi, futhi ikakhulukazi ukwelashwa kwendawo akusizi ngalutho. Kungathuthukisa isimo sesiguli ngokufaka esikhundleni sokujoyina ngokuhlanganyela kuphela.

Izici zomsoco nge coxarthrosis

Ukuqinisekisa ukuthi amangqamuzana omzimba omzimba wethu abuyiselwa, amavithamini eqembu B ayadingeka. Lesi yisimo esiyinhloko. Futhi, umzimba akufanele ube nokuntuleka kwamavithamini C, A, E. Ukudla ne-coxarthrosis yenhlanganisela ye-hip ngokuyinhloko kuhilela ukutholakala kokudla okunomsoco wezinhlobo eziningi zezithelo, imifino emisha kanye nezitshalo, ezinamaminerali adingekayo. Esinye isici esibalulekile somsoco wokubuyiselwa kwezicubu zomzimba kuyisenzo sokuphumula. Inhliziyo, isibindi, izinso, isisu kufanele kuqala zihlungwe kahle futhi ziphekwe. Khona-ke zingasetshenziswa ekuphekeni izifundo zesibili kanye namasaladi. I-Phosphorus ne-fluoride izonikeza izinhlanzi zasolwandle nezinhlanzi. Kusukela kokudla ne coxarthrosis ngokuphelele ngaphandle kwemikhiqizo yofulawa omhlophe. Kulesi simo, okuthandwa kakhulu kunikezwa isinkwa okusanhlamvu. Futhi kuyadingeka ukunciphisa uketshezi usawoti. Inamba enkulu iholela e-edema emaqenjini amalunga.

Izindlela ezingezona zokwelapha ze-prophylaxis nokuphathwa kwe-coxarthrosis

Yiqiniso, ukudla ne-coxarthrosis yenhlanganisela ye-hip kunganciphisa ukuthuthukiswa kwalesi sifo kancane ezindaweni zokuqala, kodwa akusona ukwelashwa. Uma izibonakaliso zokuqala zokunqotshwa kwezicubu ezinomzimba kufanele zibonane nodokotela. Izindlela ezilandelayo ezingezona zokwelapha zokuvimbela nokwelashwa kwe-coxarthrosis ye-first and second degree nazo zinconywa. Okokuqala, udinga ukukhulula umthwalo kusuka ekuhlanganyeleni okuthintekile. Ukuze wenze lokhu, unciphise isikhathi esabiwe sokuhamba, sisebenza. Kubalulekile futhi ukuba ugweme isikhathi eside esimweni sokuma. Uma kungenzeka, kungcono ukuhlala. Lokhu kubaluleke kakhulu kulabo bantu labo umsebenzi wabo okusho ukunyakaza njalo. Sebenzisa wonke amathuba ukuphumula izinyawo zakho. Yiqiniso, lokhu akuyona impendulo yombuzo wendlela yokuphatha i-coxarthrosis yenhlanganisela ye-hip, kodwa njengendlela yokuvimbela isifo, ukunciphisa umthwalo kuyasebenza kakhulu. Yiqiniso, ukubandakanyeka ekuhlezi njalo emhlabathini nakho kuyingozi kakhulu. Udinga ukuthola indawo ephakathi kokuphumula nokuzivocavoca. Uma lesi sifo senza ngokwengeziwe sizizwa, ngakho-ke kuyadingeka ukuqala ukwelashwa nokwelapha, ukuya emihlanganweni ye-physiotherapy kanye nokuzivocavoca.

Imithi

Ukuzivocavoca nge coxarthrosis yenhlanganisela ye-hip, Yebo, kuthinta kahle ukuthuthukiswa kwalesi sifo, ukuyinciphisa. Kodwa esigabeni sesibili kuyadingeka ukuba usebenzise imithi. Okokuqala, sikhuluma ngama-painkillers - izidakamizwa ezingekho-steroidal ezilwa nokuvuvukala. Abagcini nje kuphela ukususa ingxenye noma yonke inhlungu yesifo, kodwa futhi bancishise ukukhukhumeza, ukuvuvukala nezinye izimpawu zokuvuvukala. Lezi zonke izidakamizwa ezaziwayo "i-Paracetamol", "i-Indomethacin" ne "Diclofenac." Kodwa uma usebenzisa, kufanele ukhumbule ngemiphumela emibi nokudlula ngokweqile. Izidakamizwa ezingavumeli ukuvuvukala zinomthelela omubi emgqonyeni wegciwane lokugaya, ikakhulukazi isisu. Lokhu kungabangela ukuthuthukiswa kwe-gastritis nezilonda. Ngakho ukwamukela le mithi kufanele kulawulwe udokotela oya khona.

Ama-Chondroprotectors

Ngaphandle kwezidakamizwa eziphikisanayo, izikhondla zisebenzisa ukuphathwa kwe-coxarthrosis. Lezi zidakamizwa zithuthukisa umsoco wezicubu zomzimba ezinxenyeni ezithintekayo, okunciphisa kakhulu ukuthuthukiswa kwezifo. Kodwa nokho akunakwenzeka ukuwabiza ngokuthi iphumelela kakhulu, ngakho-ke indlela yokuphatha i-coxarthrosis yenhlanganisela ye-hip ukuze izicubu ze-cartilage zibuyiselwe ngokugcwele, azikwazi. Kodwa namanje, ngegazi elingcono, izakhi zokwakha amaselula zithunyelwa ngokushesha endaweni ethintekile. Ku-chondroprotectors njengamanje kufaka i-glucosamine sulfate, i-diacerein, i-hyaluronic acid, i- chondroitin sulfate.

Ukwelashwa kwendawo

Uma ukwelapha lesi sifo kuzo zonke izigaba zentuthuko - ngaphezu kwemithi yomlomo - ungasebenzisa izinsiza zendawo. Lokhu kufaka amafutha ahlukahlukene nama-gel. Zenza futhi umphumela wokuzibulala, kepha, kubalulekile, cishe unganikeli imiphumela emibi. Ngokuvamile, odokotela banquma izidakamizwa ngokuthi "Diclofenac" (amafutha), "i-Voltaren Emulgel", "i-Butadion", "i-DIP-Relief", "i-Bystrum Gel" ezigulini zabo ezihlukunyezwa yizicubu ezincane. I-massage enhle kakhulu isiza nge-coxarthrosis yokuhlanganiswa kwe-hip nokusetshenziswa kwala mathuluzi. Ngaphezu kwalokho, izinqubo ze-physiotherapeutic, i-laser therapy, i-acupuncture, therapy nodaka kanye nokugeza okudokotela kunganciphisa isimo sesiguli.

Ukukhathala kwe-arthroscopic

I-coxarthrosis ye-hip joint of the degree 2 isinzima ukuyiphatha. Ukuze kusetshenziswe isimo sesiguli, ukusetshenziselwa ukuhlinzwa kusetshenziselwa ukuxoxwa kwe-arthroscopic. Isisekelo saso ukukhipha emgodleni we-hip joint izinhlayiya ezincane ezibhubhisayo zezicubu zomzimba. Ngenxa yalokhu, udokotela usebenzisa idivayisi ekhethekile - i-arthroscope. Uma kukhishwe izinhlayiya ezingaphandle kwamanye ama-synovial fluid joint kufinyelela umphumela omuhle phakathi nenkathi yesifo. Ubuhlungu buyancipha. Ihlukana nesifo sobunzima bokusa. Kodwa-ke, kufanelekile ukukhumbula ukuthi le mphumela, ngeshwa, yesikhashana futhi ayihlali iminyaka engaphezu kwemibili. Ngezigaba zamuva, lokhu ukuxhaphaza akukwenziwa.

I-osteotomy yesikhashana

Le ndlela iyinkimbinkimbi kakhulu futhi idla isikhathi, kodwa ngenxa yalokho kungenzeka ukuba kunciphise isimo somuntu onomuntu ophethe i-coxarthrosis yenhlanganisela ye-hip. Ukusebenza, izindleko zazo eziqala kusukela kuma-ruble ayizinkulungwane eziyikhulu, ukuthi i-femur ifakwe ezindaweni eziningana. Bese kuphinda kuxhumane, kodwa ngaphansi komthambeko ohlukile. Ngenxa yokuphathwa kabi okunzima, umthwalo ukhomba ekushintsheni okuhlangene. Ngenxa yalokho, umsebenzi wakhe uba ngcono, ubuhlungu buyancipha.