I-Coxarthrosis i-arthrosis yokukhubazeka yokuhlanganiswa kwe-hip. Ngama-3 degrees esi sifo, lesi sifo singasuswa kuphela ngosizo lokungenelela kokuhlinzwa. Kodwa ngezigaba zangaphambili ezinye izinhlobo zokwelashwa nazo zisiza. Ngakho singayiphatha kanjani i-coxarthrosis yenhlanganisela ye-hip yezinga lesibili, ngakho-ke hhayi kuphela ukuzwa kwemizwa kuphele, kodwa nokuhamba nokujikeleza kwegazi kuthuthuka?
Imithi yokwelashwa kwe-coxarthrosis yama-degree amabili
Uma une-coxarthrosis yenhlanganisela ye-hip yesilinganiso sesi-2, ukwelashwa kufanele kuqale ngezidakamizwa ezingekho-steroidal ezilwa nokuvuvukala . Ukuze wenze lokhu, izidakamizwa ezifanele ezifana nalezi:
- Indomethacin;
- Brephen;
- I-Piroxicam;
- Diclofenac;
- Ketoprofen.
Izidakamizwa ezinjalo ngokushesha ziqeda zonke izinhlungu, zikhulule ngokuphelele ukuvuvukala nokuvutha okuhlukahlukene. Kodwa banesici esibalulekile: ngokusetshenziswa isikhathi eside bavimbela ikhono lemvelo le-cartilage ukubuyisela, futhi banemiphumela emibi ehlukahlukene. Yingakho bengakwazi ukudakwa ngesikhathi esifanayo.
Lapho ukwelashwa kwe-coxarthrosis ye-2 degree, kuyadingeka ukuthatha amalungiselelo e-vasodilator:
- Theonikol;
- Cinnarizine ;
- I-Trental;
- I-Nikoshpan.
Bakhulula imisipha ehamba phambili yezimpahla, banweba kakhulu ukukhanya kwe-lumen futhi bakhuthaze ukuvuselelwa okusheshayo kokujoyina, njengoba esikhathini esifushane sithuthukisa ukunikezwa kwegazi. Ezinye izidakamizwa ngisho nokuqeda ukuhlukumeza ebusuku.
Ukwelashwa kwe-coxarthrosis yenhlanganisela ye-hip ye-2d degree kungabandakanya ukuthatha imithi:
- ukuqeda ukuvuvukala kwamathenda (MIELPED, Gidrokotizon);
- ukuphumula imisipha (Midokam, Sirdalud);
- ukubuyiswa kwe-cartilage (Don, Glucosamine, Chondraitin sulfate).
I-Physiotherapy ne-coxarthrosis
Nge-coxarthrosis yenhlanganisela ye-hip yesilinganiso sesibili, akudingeki nje ukuthi uthathe imithi ehlukile, kodwa futhi wenze izinqubo ze-physiotherapeutic. Ukwenza ngcono ukujikeleza kwegazi nokuqeda ukuphahlazeka kuyosiza electrotherapy, inductothermy, magnetotherapy, ukwelashwa kwe-UHF, ukwelashwa okulula. Kodwa izinqubo ezinjalo azibi nemiphumela ephawulekayo ngenkathi yesifo, ngakho ukuphathwa kwezidakamizwa akunakukhanselwa kuze kutholakale ngokugcwele, ngisho nokuthuthukiswa okuphawulekayo esimweni.
Imiphumela emihle kakhulu nale arthrosis yehlangothini lwe-hip inikeza massage yokwelapha. Ngokushesha ukuthuthukisa ukujikeleza kwegazi ngisho nasezikhungweni ezijulile, kukhulula ukukhukhumeza nokuqina kwengqondo enamandla, kukhuthaza ukwanda kwe-diastasis phakathi kokufaka izingxenye ze-joint.
Ku-coxarthrosis yesilinganiso sesibili kuyadingeka ukuba uye emitholampilo yokusebenza. Kodwa zonke izivivinyo kudingeka zikhethwe ngokucophelela. Akufanele zibukhali futhi zikhuthele noma zikhawuleze ubuhlungu. Kudingekile ukunikeza izintandokazi ezinhlobonhlobo ezihlose ukubuyisela nokuqinisa imisipha eduze kwamajoyina. Kulesi simo, akufanele balayishe okuhlangene.
Ukwandiswa kwamajoyina ne-coxarthrosis wezinyathelo ezimbili
Ukwandiswa kwamajoyini yinkqubo eyenziwa ngesandla noma nge-apparatus ye-traction. Ngosizo lwakhe ungazala
I-traction manual yokwelapha ivumela ukuthi ochwepheshe ukubala umthwalo ucabangele izici zenkambo yesifo, kodwa lokhu kuyinkambinkimbi eyinkimbinkimbi yokuchitha isikhathi, okuyinto, ngokuphathelene nokubunzima kokuqaliswa, kanye nemiphumela engenzeka, ihambisana nokungenelela kokuhlinzeka. Ngaphezu kwalokho, kungenza kuphela umhlinzeki wezincwadi ochwepheshe kakhulu. I-traction traction yenziwa kuphela nge-axis eqondile. Lokhu kuncishisiwe, ngoba ezimweni eziningi kuyoba usizo kakhulu ukuyibeka kancane ohlangothini, bese uya ngaphandle.