Arthrosis nke nkwonkwo hip bụ ọrịa degenerative-dystrophic na-aga n'ihu, nke dabeere na arụ ọrụ na nhazi nke nkwonkwo hip.
Na mbụ, a na-adọta cartilage articular n'ime usoro ahụ, ọ na-adị gịrịgịrị, nkewa. Ka usoro pathological na-etolite, ọkpụkpụ ọkpụkpụ na-amalite ịmalite n'akụkụ akụkụ articular. N'ime ọrịa nke sistem musculoskeletal, arthrosis nke nkwonkwo hip bụ 39 ruo 48% nke ikpe.
Dị ka a na-achị, ọrịa ahụ na-etolite na ndị mmadụ karịrị afọ 40, na-enwe otu ugboro na ma ndị inyom ma ndị nwoke. Naanị ihe dị iche na nwoke na nwanyị bụ na coxarthrosis nke nkwonkwo hip dị njọ karịa ụmụ nwoke.
Debe arthrosis nke isi na nke abụọ nke nkwonkwo hip. Ọ bụrụ na a chọpụta ọrịa arthrosis nke mbụ, ọ gaghị ekwe omume ịchọpụta ihe kpatara usoro ahụ. Na coxarthrosis bụ isi, nkwonkwo ndị ọzọ nwere ike itinye aka n'otu oge na usoro - ikpere, ọkpụkpụ azụ.
Osteoarthritis nke abụọ nke nkwonkwo hip na-eme megide ndabere nke pathology dị ugbu a nke nkwonkwo hip: dislocation congenital, ọrịa Perthes, mbufụt na nkwonkwo, trauma. Nhazi nke coxarthrosis dabere na ihe kpatara ọrịa a.
Kedu ihe bụ coxarthrosis
- involutive - na-eme n'ihi mgbanwe ndị metụtara afọ
- dysplastic - megide ndabere nke congenital underdevelopment nke nkwonkwo
- post-traumatic - mgbe mgbaji n'olu, isi femoral
- post-efe efe - dị ka mgbagwoju anya nke purulent, usoro nfụkasị na nkwonkwo
- dissormonal - n'ihi na ogologo oge ojiji nke corticosteroids
- metabolic - na-etolite n'ihi ọrịa metabolic
- coxarthrosis nke nkwonkwo hip - dị ka mgbagwoju anya nke ọrịa Perthes
- idiopathic - ihe kpatara ya abụghị ihe doro anya (isi).
Ihe na-akpata osteoarthritis nke nkwonkwo hip
- oke ibu nke nkwonkwo mgbe niile (ndị na-eme egwuregwu ọkachamara, ndị na-eje ije nke ukwuu, ndị buru oke ibu nọ n'ihe ize ndụ)
- nkwonkwo trauma (ọ bụrụ na ị nwere mgbaji n'olu ma ọ bụ isi nke nkwonkwo hip, mgbe ahụ arthrosis nwere ike ịmalite ka oge na-aga)
- ihe nketa dị arọ (ọ bụrụ na ndị ikwu gị nwere nsogbu na metabolism, adịghị ike nke ọkpụkpụ anụ ahụ, mgbe ahụ ị nọ n'ihe ize ndụ). Otú ọ dị, ọ dịghị mmekọrịta doro anya nketa n'etiti ndị ọrịa na-arịa coxarthrosis nke nkwonkwo hip.
- ọrịa ogbu na nkwonkwo bufere mbụ - usoro mkpali na nkwonkwo (ọbụlagodi ọgwụgwọ) nwere ike ịkpalite coxarthrosis n'ọdịnihu
- mgbanwe nke hormonal na metabolic - megide ndabere nke metabolism na-adịghị mma, arthrosis nke nkwonkwo hip nwere ike ịpụta.
Mgbaàmà nke osteoarthritis nke nkwonkwo hip
Ihe mgbaàmà bụ isi nke coxarthrosis bụ mgbu n'apata ụkwụ na ukwu, mkpọnwụ, mkpụmkpụ nke ụkwụ ọ metụtara, na atrophy nke akwara apata ụkwụ.
Dabere n'otú mgbaàmà ahụ siri sie ike yana ihe mgbanwe x-ray dị, enwere ogo coxarthrosis atọ, ma ọ bụ ọkwa nke ọrịa:
- Ngosi mbụ: mgbu na mpaghara nkwonkwo na-eme naanị mgbe oke mgbatị ahụ gasịrị ma na-apụ n'anya na ezumike. Naanị obere ọkpụkpụ ọkpụkpụ ka a na-ekpebi na redio.
- Ogo nke abụọ: mgbu na-esiwanye ike, na-enye ikpere na ukwu. Nwere ike ime ọbụlagodi na izu ike. Enwere mgbanwe na gait. X-ray na-egosi nnukwu ọkpụkpụ ọkpụkpụ.
- Ọkwa nke atọ: mgbu na-aghọ enyi na-adịgide adịgide, nwere ike imebi ọbụna na nrọ. Onye ọrịa nwere ike iji okpete mee njem. Na redio, nnukwu ọkpụkpụ na-eto eto, a na-ekpebi nrụrụ isi femoral; na akụkụ elu-mpụta, oghere nkwonkwo adịghị ekpebisi ike.
Ọgwụgwọ arthrosis nke nkwonkwo hip
Coxarthrosis bụ ọrịa nke na-eji nwayọọ nwayọọ na-eduga na nkwarụ nke onye ọrịa. Ọ bụ ya mere ọgwụgwọ arthrosis nke nkwonkwo hip kwesịrị iji mee n'okpuru nlekọta anya nke dọkịta nwere ahụmahụ. Ọ bụ ya, na-eburu n'uche ịdị njọ nke ọrịa ahụ, ga-ahọrọ usoro ọgwụgwọ zuru oke, nyere gị aka ịlaghachi ndụ nkịtị ọzọ.
Nzọụkwụ mbụ na ọgwụgwọ bụ "ibupu" nkwonkwo ọrịa: ịkwesịrị ibelata ọrụ moto, họrọ ụzọ inyeaka maka mmegharị (dịka ọmụmaatụ, okpete).
Nzọụkwụ ọzọ bụ ọgwụgwọ ọgwụ: ọgwụ mgbu, ọgwụ ndị na-abụghị steroidal anti-inflammatory, vasodilators, chondroprotectors.
Ọ bụrụ na ọrịa ahụ agaala tere aka, mgbe ahụ, a chọrọ arthroplasty - nnọchi nke nkwonkwo hip. N'ihi ọrụ ndị dị otú ahụ, ndị ọrịa tụfuru olileanya inwe ike ịgagharị n'onwe ha na-enwekwa ike ibi ndụ nke ọma na onwe ha.
Ihe si na ya pụta na-adabere na onye ọrịa n'onwe ya: ma ọ ga-agbaso ndụmọdụ dọkịta, ma ọ ga-ekwenye na ịwa ahụ. N'ụzọ dị mwute, coxarthrosis nke nkwonkwo hip bụ usoro na-aga n'ihu mgbe niile. Na mmeri na-aga nke ọma n'ọgụ a na-alụso ọrịa a bụ naanị n'ihi ọrụ na-adịgide adịgide nke onye ọrịa.
Mgbochi nke arthrosis nke nkwonkwo hip (coxarthrosis)
Ọrịa ọ bụla dị mfe igbochi karịa ọgwụgwọ. Kedu otu esi egbochi osteoarthritis nke nkwonkwo hip? Emebebeghị mgbochi kpọmkwem nke coxarthrosis. Otú ọ dị, ọ dịghị mkpa ka ị daa mbà ma hapụ ihe niile ka ọ bụrụ ụzọ ya. Enwere ọtụtụ ụkpụrụ izugbe, nke ga-enyere aka igbochi coxarthrosis:
Iwu otu: njikwa siri ike maka ibu. Ọ bụghị naanị na ndị buru oke ibu nọ n'ihe ize ndụ nke ịmalite ọbara mgbali elu.
N'otu aka ahụ, pound ndị ọzọ na-emepụta ibuwanye na nkwonkwo hip. Ya mere, slogan "gbadata na mgbakwunye pound" abụghị ihe dị oke egwu na mgbochi nke coxarthrosis.
Iwu nke abụọ: mmega ahụ zuru oke. Ọ na-eme na ihe mgbaàmà nke arthrosis nke nkwonkwo hip na-apụtakarị na ndị ọkachamara na-eme egwuregwu na-etinye aka na ịgba ọsọ na ịwụ elu.
Ibu dị ukwuu na nkwonkwo hip na-agwụ ike, na-eme agadi, ndị ọkachamara na-eme egwuregwu nwere ike ịmalite coxarthrosis. Ọ bụ ya mere na ị na-ekwesịghị ịga ije n'ụzọ na-ezighị ezi. Ekwesịrị ịbelata mmega ahụ ọ bụla.
Iwu atọ: ọ bụrụ na ị nwere ọrịa metabolic, ị kwesịrị ịgbalị ịkwụ ụgwọ maka ha. Ọ na-eme naanị na ọrịa metabolic nwere ike ịkpalite ọtụtụ ọrịa na-esonyere ya, gụnyere coxarthrosis.
Ọ bụ ya mere nsogbu metabolic ọ bụla ji chọọ ọgwụgwọ ruru eru. Gbanwee metabolism gị - belata nke ọma ihe ize ndụ nke coxarthrosis.
Biko mara na mgbochi nke coxarthrosis agaghị ekwe omume na-enweghị nhọrọ zuru oke nke ọrụ. Ọ bụrụ na ị nwere akụkọ ihe mere eme nke mmepe mmepe nke nkwonkwo hip, mgbaji n'olu, isi nke femur, ọrịa purulent na nkwonkwo hip, mgbe ahụ ị nọ n'ihe ize ndụ.
I kwesịghị ịnwa akara aka. Ọrụ metụtara na mmega ahụ na-abawanye bụ ihe mgbochi nye gị. Mana ọpụrụiche "nọ ọdụ" dabara gị nke ọma.
Igwu mmiri mgbe niile bụ mgbochi kachasị mma nke coxarthrosis. A sị ka e kwuwe, ọ bụ n'oge ịnọ na mmiri ka a na-ebupụ nkwonkwo, ụdị ezumike ha.
Mgbochi mbụ nke coxarthrosis bụ nchọpụta oge, ọgwụgwọ na nlekota nke ndị ọrịa nwere nkwarụ nke nkwonkwo hip.
Mgbochi nke abụọ nke coxarthrosis gụnyere n'oge nchoputa nke mmalite ogo nke coxarthrosis, ọgwụgwọ nke isi ngosipụta, nakwa na-ebelata n'ihu ọganihu nke ọrịa. Nchọpụta oge na ọgwụgwọ mbụ nke coxarthrosis nke nkwonkwo hip nwere ike imetụta ọganihu nke ọrịa ahụ.