Ukuze ukwelashwa okwesikhashana kwe-arthrosis yenhlanganisela ye-hip, umuntu kufanele azi izimpawu zawo nezimbangela zalokho okukhona. Mayelana nalokhu bese ukhuluma ngokuqhubekayo.
Yini ebangela i-arthrosis yenhlanganisela ye-hip?
Kunezizathu eziningana ezibangela ekuthuthukiseni lesi sifo:
- ukukhubazeka kokuzalwa kwesibindi se-hip (dysplasia, dislocation);
- ukulimala kwe-pelvic (ukuphuka);
- izifo zomgogodla;
- ukuphazamiseka ohlelweni lwe-endocrine nokujikeleza komzimba (isifo sikashukela, i-cholesterol ephezulu);
- isisindo esiningi ngokweqile yokuphila;
- ukuzivocavoca noma ukuzivocavoca njalo
- ukutheleleka noma ukuvuvukala kwamajoyini we-hip ( rheumatism , arthritis, isifo sofuba).
I-Coxarthrosis ingaba yodwa noma ihlangene.
Izimpawu ze-arthrosis yenhlanganisela ye-hip
Kuye ngezibonakaliso ezibonakalisiwe, ama-4 degrees e-arthrosis wehlangothini lwe-hip ahlukile.
1 degree
Ubuhlungu buvele kuphela emva kokusebenza kanzima okwesikhashana. Endaweni ehlangene, kungase kube nokuvuvukala nokubomvu okuncane. Esithombeni, umuntu usengakwazi ukubona ukukhula kwethambo.
2 degree
I-syndrome yezinhlungu ivele kaningi, iba namandla futhi iqhubeke isikhathi eside. U-Hips awusakwazi ukukhuliswa ngokugcwele, ukuqina okuhlangene kuzwakala. Uma uhamba, i-chromate ingabonakala futhi i-crunch ingazwakala. Ku-ray-ray, kunciphisa igebe elihlangene ku-50% wendabuko.
3 degree
Ubuhlungu buhlala njalo, emva kokuthatha imithi. Kukhona ukuntuleka kokuhamba kwe-joint, kanye ne-atrophy yemisipha yomlenze (i-hip, umlenze ophansi, izinyawo) nokunciphisa ubude bayo. Ungathutha ngokuthembela kuphela emanzini noma nge-crutch. Isithombe se-X-ray sibonisa ngokucacile ukugxila okuqinile kwegebe elihlangene, ukukhuliswa kwekhanda elihlanganyelwe kanye nenani elikhulu lamathambo okukhula.
4 degree
Amathanga ahlangene aqhuma ngokugcwele, ngakho-ke umuntu akakwazi ukufika ezinyaweni zakhe.
Ukuze ugweme imiphumela engaphenduki, kubalulekile ukufuna iseluleko sezokwelapha uma kukhona ngisho nesibonakaliso esincane esichazwe ekuqaleni. Uma uqinisekisa ukuxilongwa, kufanele uqale ngokushesha ukwelashwa.
Ukwelashwa kwe-arthrosis yenhlanganisela ye-hip
Isimo sezinyathelo zokulwa nesifo se-arthrosis sohlangothini lwe-hip sincike ngesilinganiso sesifo. Ukwelashwa kungaba yindlela elula futhi ehlinzekwayo.
Indlela yokuqapha isifo sokuqeda izimbangela zesifo, bese kuthi ekubuyiselweni kwe-cartilage kanye nokuhamba komzimba. Ngesikhathi esifanayo, kungenzeka ukuhlanganisa ukusetshenziswa kwezidakamizwa kanye namakhemikhali omuntu adingekayo ekwelapheni i-arthrosis yokuhlanganiswa kwe-hip (lotions, compresses, sprays, intake of infusions).
Ukwelashwa kwe-arthrosis kokuhlanganiswa kwe-hip kuhilela ukusetshenziswa kwe-chondroprotectors, i-vasodilators kanye nezidakamizwa ezingekho-steroidal eziphikisayo ezisiza ukulwa nobuhlungu. Kwezinye izimo, imishanguzo ye-intraarticular ingadingeka.
Okudingekayo ukwelashwa okuphumelelayo kuyisondlo esifanele, okungukuthi, ukwandiswa kwemikhiqizo yobisi, izithelo nemifino (ikakhulukazi isilimo esidliwayo esinamagatsha anamanzi kanye neklabishi omhlophe), ama-bouillon amathambo, nokushiywa kwamafutha esilwane, amaswidi kanye nofulawa.
Ngaphezu kwalokho, kuyadingeka ukuba uhlanganyele ekuzivocavoca umzimba, kodwa ngaphansi kokuqondiswa udokotela, ukuya emzimbeni we-physiotherapy ( amadaka okugeza , iparafini) nokusikhipha.
Indlela yokuhlinza ihilela ukushintshwa kokuhlangene okuthintekile ne-endoprosthesis. Uma okuhlanganyelwe kubonakaliswe ngokuphelele, khona-ke isisindo (bipolar) se-totali esenziwa, uma ingxenye ngayinye (ikhanda noma i-swivel cavity) ingeyodwa.