Dysplastic coxarthrosis joint hip: ngezigaba, ukwelashwa

coxarthrosis Dysplastic kuyinqubo esiwohlozayo, isifo dystrophic. Ngezinye izikhathi abantu bakuphathe azalwa naso - joint hip akwenzeki njengoba kubalulekile ukuba umzimba evamile. Lesi simo esiyingqayizivele sibangelwa ngokuvamile ebizwa ngokuthi "dysplasia."

Yini futhi yini?

Dysplastic coxarthrosis hip libhekene yokuthi ichopho ngokuhlanganyela ithambo zikhubazekile bedle ukuma ayilungile kuba izenzo ezingafanele, acetabulum - ukujula ongaphilile. Ngesikhathi ithambo hip eshintsha ingxenye proximal. Ucwaningo lubonisa normal entanyeni-shaft engela.

Lesi sifo oluvamile kakhulu kwabesifazane iqinile. Engozini - yobudala engu-30 kuya kwengu-40, nakuba, ngokusho kwabanye odokotela - up 55. Uma egxilile diskongruentnost evele amalunga, kwandisa amathuba nesifo licishe laphindeka kabili.

Kangaki?

Izibalo zikhomba ukuthi dysplastic hip arthrosis we ngokuhlanganyela hip - iyisifo njalo. Phakathi kokunye, ihlukaniswa njengoba esiwohlozayo, zokugula dystrophic ezithinta amalunga coxarthrosis, ngokusho kwabanye abacwaningi, itholakala kuzo zonke izimo lesine. Kodwa abanye ososayensi bathi ke sitholakale 77% eziguli. Izifundo ezingu owaziwa ngalolu daba enziwa 2006 ngaphansi kobuholi Finland Antti Eskelinen, futhi ngo-1996 S. V Sergeevym, 2001 - VI Ugnivenko.

abacwaningi European ukulinganisa ukwanda kwalesi sifo phakathi kwabantu abadala zeYurophu esikhathini 7-25%. Enikelwe kocwaningo eyenziwa ngo-1965 futhi ngo-1996. Uma utadisha izibalo kuphazamiseka sokugembula of the system zemisipha, kuba sobala ukuthi dysplasia - ke imayelana 16.5% of amacala aziwa isayensi. Against isizinda isibalo esikhulu kangako umbuzo sendlela yokuphatha abanye dysplastic coxarthrosis, hip, kuba okubaluleke ngokukhethekile kuzo. Kufika 60% yazo zonke iziguli ekugcineni alahlekelwe ilungelo umthamo wabo emsebenzini, 11.5% zikhutshaziwe.

coxarthrosis Dysplastic: Kwenzekani?

Ukwahlukanisa subtypes lesi sifo esekelwe izimpawu:

• ku ubudlelwano ushintsho ngokuhlanganyela yokwakheka (njengoba inqubo liphinyiselwe?);
• izinguquko uqwanga articular (kokubili sokuqaqamba kwamalunga asebenzayo?).

Ngo inqubo yokwelapha yesimanje, ngezigaba esetshenzisiwe owabizwa ngokuthi Crowe. Lolu hlelo, okuyinto ucubungula kangakanani ukuguquguquka endaweni ye femoral ikhanda ithambo. Sekukonke kukhona 4 subtypes lesi sifo.

Dysplastic coxarthrosis 1 degree uzwakalise ukufuduka proximal ezingekho ngaphezu kwesigamu ukuphakama ukuthi kuqhathaniswa ukhalo kuyoba ngaphakathi 10%. Isigaba sesibili kuhilela izinkomba ukufuduka 50-75% 10-15% ngokulandelana. Dysplastic coxarthrosis grade 3 - is offset ngu 75-100%, 15-20%. Ekugcineni, esigabeni sesine - lapho ukufuduka livelile ezingaphezu kuka inani bone head, ukuthi kuqhathaniswa ukhalo libonisa ukwephulwa isikhundla ngamaphesenti angu-20 noma ngaphezulu.

Hartofilakidis ngezigaba uhlelo

Lo mbono kusikisela ukuhlola kangakanani ikhanda kunawo wonke esifundeni eshintsha isikhundla salo cranial. Futhi ukufunda isimo lo acetabulum, ukuphakamisa isimo kweqiniso futhi ukukhomba isikhundla isihlobo ikhanda kuso. Lokhu kuhlukaniswa ka coxarthrosis dysplastic ihlukanisa degrees ezintathu egunjini lokuhlolwa kwezifo.

Esikhathini Uhlobo lokuqala ukugula ingaphakathi dysplasia lubonakaliswa yokuthi okokufaka ukucindezeleka lalilikhulu kunokuvamile, okungukuthi, kukhona subluxation. Dysplastic coxarthrosis 2 degrees kule amagama, kwatholakala ukuthi nginesifo dislocation ongaphakeme, subluxation, okusezingeni eliphezulu ukufuduka ikhanda. Sifo ukunquma neoarthrosis ezihlobene nokucindezeleka kweqiniso. Figure kwakhiwa neziphathimandla esithombeni ifana sibalo "8". ukucindezeleka Amanga, bone head basebenzisane. Ekugcineni, uhlobo lwesithathu zokugula - a dislocation ephelele. Amanga, kweqiniso Acetabular ingaphakathi ingaphakathi ahlukaniswe futhi anixhunyiwe. Elethanga ixhunyiwe kuphela ingaphakathi zamanga.

Uma Crowe inqubo esebenzayo uma udinga ukukhomba ukuphumelela kokungenela kuhlinzwa, le Hartofilakidis okwandile ngenxa lula ukusetshenziswa. Kumele kukhunjulwe ukuthi Crowe ayikuvumeli ngangokunokwenzeka acabangele ncamashi kangakanani ukucindezeleka ziyahlukahluka ngenxa dysplasia. Lokhu sizala izinkinga arthroplasty dysplastic coxarthrosis: ukungabi khona kolwazi ukulungiswa uhlelo ecacile kudalela ekusebentiseni ukungenelela kuhlinzwa.

Nokho, Hartofilakidis Ubuye ezinye ukungapheleli. Lokhu Indlela eyenza kungenzeki ukuziyisa ukulandelela isikhundla proximal ingxenye. Okungukuthi, lezi zinguquko kuthinte kakhulu ukusebenza. Ukukhetha logic of ukwelashwa, kubalulekile ukuba sisebenzise ngezigaba ezahlukene: njengalezo abonisa dysplasia ahlola i-osteoarthritis.

Osteoarthritis: Kwenzeka kanjani?

Ngakho, lapho enza zamazwe amabili dysplastic coxarthrosis? kanjani ezinye subtypes zesifo? Lokho asitholayo lapho ngokuhlanganyela?

Into yokuqala ukuthi kungashintshwa negative - iyona uketshezi ngokuhlanganyela. It sikhula, iba viscous. Izizathu zalokhu zingase zishintshe kakhulu, kodwa umphumela uyefana - uqwanga ongawamukeli Lubrication efanele, ngenxa okuyinto seyomile. Uqwanga Kwamanzi embozwe ukuqhekeka okuncane, maholoholo. Nezicubu kuba ohlabayo ngokuhamba kwesikhathi, okuyinto sokucasuka ngomshikisho oqinile zonke ukunyakaza. Emalungeni zihlukaniswe ibanga amancane. Ngenxa uqwanga kuyabonakala ngaphansi kwamanzi wethambo, okuholela ingcindezi enkulu, futhi umbono - ukuze ukusonteka. Ngakho-ke coxarthrosis dysplastic yaziwa nangokuthi deforming.

Yini okulandelayo?

Ngeshwa, izinqubo esiwohlozayo Awuboshezelwe izinguquko uketshezi ngokuhlanganyela. Ngokuhamba kwesikhathi, siyabhubha ukugeleza kwegazi ezicutshini, umzimba iba kancane kuka evamile njengoba izitsha akusho aluka nge umsebenzi oyifunayo izingxenye ocebile ewusizo, kuhlanganise nomoya-mpilo, igazi.

Ngokuhamba kwesikhathi, zamazwe amabili dysplastic coxarthrosis kubangela imisipha yoma esitho ethintekile. Kodwa ushintsho olwenzekayo isikhathi eside, kancane kancane, ngakho isiguli ngokuvamile akusho ukuqaphela ukuqhubeka kwesifo. Kwezinye izimo, isifo esingelapheki is zaba zimbi, okuyinto kuhambisana sebuhlungwini obunzima emalungeni. Isikhathi ngokuvamile ebizwa ngokuthi "ukuvuvukala esisheshayo." Okuningi ubuhlungu syndrome kubangela umuntu ukuya kudokotela, futhi kuphela ke okokuqala kwatholakala ukuthi unesifo "coxarthrosis dysplastic".

Izimbangela zesifo

Dysplastic coxarthrosis kungenzeka ngenxa ezahlukahlukene:

• Izinkinga kwegazi, okuholela ukungondleki futhi yakhe izicubu ekuqongeleleni akuyona oxidized ezingeni oyifunayo imikhiqizo umzimba ukuthi kusebenze uketshezi olubhubhisayo ezithinta uqwanga.
• Mechanical ingqondo umthwalo phezu Ilunga kulapho ukuyichaza. Ngakho othambekele abasubathi, kubantu abaphethwe ukhuluphele. Ukuze inkinga yesibili ejwayelekile lokugayeka kokudla, ukugeleza kwegazi esingamahlalakhona, elibuye kubathinta kabi emalungeni.
• ukusabela kwamakhemikhali, izinkinga umzimba, ama-hormone.
• Ukulimala, waphuka, dislocations, ngokuvamile ingqondo sifo esemncane.
• emgogodleni egunjini lokuhlolwa kwezifo.
• Ezithathelwanayo, izinqubo ukuvuvukala ezithinta amalunga omzimba.
• Aseptic necrosis.
• iziyaluyalu azalwa naso.
• ukuphila umzimba.
• ushintsho olumayelana nohlelo ubudala.

It is kakhulu kuthonywa ufuzo, yofuzo ukuze osteoarthritis ahlukahlukene. Coxarthrosis ukudluliswa lezinceku akunakwenzeka, kodwa kuba indlela ifa kunqunywa ngokucacile we umzimba uqwanga. Uma izihlobo abaseduze abaphethwe arthrosis, amathuba kubantu kwandisa kakhulu.

Njengoba esolwa?

Medicine likhombe zimpawu ezilandelayo:

• ukuqina, ukunyakaza kukhona "Friend";
• ubuhlungu;
• yoma kwemisipha ethangeni;
• kunciphisa esitho ethintekile;
• Limp okuncane.

Ngokuvamile, iziguli ukuya kudokotela uma emalungeni umlenze baqala ubuhlungu. Lesi sici esiphawuleka kakhulu futhi obonakalayo. Kufanele kuqondwe ukuthi kubonakaliswa isifo incike ezingeni lapho ke uye wazakhela.

isifo Isinyathelo inquma ngokuqondile isikhathi iziqubu ezingaki, umfutho wabo futhi esifundeni lapho emizweni zendawo. Ukwelashwa nokuvikelwa dysplastic hip arthrosis we ngokuhlanganyela hip kubonisa imiphumela emihle kuphela uma wethulwa kusaqalwa ukuthuthukiswa iziyaluyalu. Kodwa kwenzeka njalo, njengoba ngobubele emalungeni abangaqinile, futhi abantu kokuqina umkhankaso kudokotela.

Ayibuyi ngesikhathi kuchwepheshe, iziguli lisale - joint libhujiswa ezingasho nsuku zonke. Ngokuhamba kwesikhathi, ukuhamba kulahleka, ukwanda ubuhlungu, ngisho izinyathelo zokuqala zinzima, ngaphandle kobuhlungu, awukwazi nje ukuhambisa. Indoda elunyonga, kukhona yoma kwemisipha ethangeni. Yiqiniso, zonke lezi zici ukukhuthaza umkhankaso emtholampilo, kodwa sekwephuze kakhulu kakade.

Ubuhlungu yoma

Esikhathini zokugula kwemisipha yoma femoral kuphakamisa i ubuhlungu eyengeziwe - ke itholakala lapho imisipha inamathelisiwe. Onzima amadolo sore, kodwa imbilapho ithangazi syndrome kancane evelele. Lokhu kuholela ekuxilongweni. A iphutha elivamile - definition osteoarthritis amadolo ngokuhlanganyela, okuholela ukukhetha engalungile yokwelapha.

Osteoarthritis - hhayi imbangela eyodwa vo ubuhlungu eqolo, imbilapho ndawo. Mhlawumbe lena yiyona ndlela ukunkenketha izinhlungu ezihambisana yisihlungu ku umsipha, ngakho ativete futsi balimala eqolo.

coxarthrosis Dysplastic: ukwelashwa. Ngabe siqale?

It yasungulwa ngo eziningana izindlela ezahlukene ukuze asondele iziguli nale egunjini lokuhlolwa kwezifo. Noma yimuphi ongakhetha babe omuhle khona nalapho bebafushane khona. Kodwa kukhona omunye ojwayelekile: self engamukeleki. Ngisho noma bayaqiniseka ukuthi wazi kahle ukuthi bayagula, njengoba ingelapheka, impatho uvunyelwe kuphela ngaphansi kweso udokotela nge imfundo ekhethekile. Kungenjalo kunethuba hhayi nje ukubambezela yonke inqubo esiwohlozayo, kodwa babhebhethekisa kubo kuphela. Kufanele kuqondwe ukuthi nesigaba lesi sifo sithinta kakhulu tindlelanchubo nokwelashwa kwayo.

Uma kutholakala ukuthi uphethwe yini isinyathelo sokuqala noma sesibili kungajayezwa yokwelapha olandelanayo. Kulokhu, ekwelapheni coxarthrosis dysplastic kusetshenziswa yokugcoba, amaphilisi kanye iqondiswa amalungiselelo injective. Lapho kuhlolwa esigabeni sesithathu endleleni, eyodwa kuphela - ukuhlinzwa. arthroplasty ekhiqizwa ngesikhathi uphethwe okunjalo ihilela ukufundisa Ukushintshwa kwamajoyinti omzimba by umkhiqizo yokufakelwa. Inqubo kubenzima, ezibizayo kodwa eziphumelelayo. Nolwelwesi ingenisa ithambo ukhalo kanye okhalweni. Ezifanayo begazi sokwenziwa ngokuhlanganyela.

Okokuqala, esigabeni sesibili: ikhambi?

Uma ungakwazi ukuthola isifo ekuqaleni kuka ekuqaleni ukuthuthukiswa degree lwesithathu, kungenzeka ukuba ukufezekisa imiphumela emihle yokwelapha olandelanayo. Kabanzi izidakamizwa ezisetshenziswa non-steroidal anti-inflammatory kukhona ephumelela kunazo esikhathini jet. Inzuzo enkulu le mithi - ukukhululeka ubuhlungu ngenxa kwethonya elinamandla izinqubo ukuvuvukala. Izidakamizwa ngokushesha ukunciphisa ukuvuvukala nekugwema ukuvuvukala.

Nokho, konke has nezihibe. Ngakho, ukusetshenziswa njalo izidakamizwa eqeda ukuvuvukala kunciphisa ekhonweni lomzimba lokukwazi ukuthola ukusuka izindlela zemvelo. Ngaphezu kwalokho, iningi izindlela aziwa isayensi ezahlukene amathuba okuba nemiphumela engemihle, ezithinta umzimba sisonke ezithweni ethile nogwali izinhlelo. Kukhethwa imithi Kudingeka sithembele kudokotela. Kunconyelwe ukusetshenziswa ngesikhathi esisodwa izidakamizwa eziningana. Uma imithi enqunyiwe kungasizi ukumisa ubuhlungu, ungenza umthamo ezinkulu noma ukubona nodokotela kadokotela kwenye.

Yini enye engasiza?

esungulwe Abaningana impela kahle izidakamizwa ezingaba ukwandisa izitsha. Ngesikhathi esifanayo ke ephumula imisipha bushelelezi inesikhala semithambo iba ezinkudlwana. Uma kutholakale ukuthi une-coxarthrosis, lokhu yokwelapha kubonisa imiphumela emihle ngokushesha okwanele.

Ngakolunye uhlangothi, uma imithi isetshenziswa kahle kuleli qembu ngaphansi kokuqondisa yalokho udokotela muhle, ngeke kusadingeka silinde isikhathi eside. Futhi edonsela uhlu encane Izimo. Joint ekugcineni uyalulama, njengoba kuhlinzekwe kangcono ukugeleza kwegazi, okungukuthi izicubu ayanikezelwa e nenani kwesokudla. Dilates imithambo yegazi izidakamizwa ubé ngempumelelo ngokudlulele ubuhlungu ebusuku.

Kodwa kukhona ubuthakathaka. Akubona bonke iziguli ukubekezelela iqembu izidakamizwa nokungabekezelelani ngabanye okungenani eyodwa ingxenye imishanguzo kuba engasebenzi. Engakaluqali kubalulekile bonana nodokotela wakho kuqala, zihlolele. Ukuqala ukwelashwa, ekuqaleni abazange amaphilisi ngaphezulu ngosuku - umthamo kugcinwa izinsuku ezintathu zokuqala, ukulawula ukusebenza kwezitho zomzimba. Uma konke kuhamba kahle, ungakwazi uqhubekele Udokotela wasikisela nomkhiqizi emakamu.

Miorelaksaty futhi hondroprotektory

Miorelaksaty - umuthi ukusiza imisipha. Uma kutholakale ukuthi une-coxarthrosis, lezo zimali zisetshenziselwa ngokucophelela, kodwa bafuna ukuqeda izinhlungu zibe, ukunqampunwa ubuhlungu. Ukusetshenziswa kwezidakamizwa isiza ukuthuthukisa igazi ligeleze endaweni ethintekile. Kodwa mhlawumbe nomphumela ezicindezelayo ezikuyi-isimiso sezinzwa, okubangela ingqondo isiyezi kubambezela futhi kukhona umuzwa efana amponjwana.

Chondroprotectors ziqondiswe uqwanga. Basuke njengelinye lamazwe ewusizo kakhulu osteoarthritis kuthuthukisa isakhiwo uqwanga futhi siqondiswe amaseli ewusizo, izithako okunomsoco. Uma izidakamizwa ezinjalo ezisetshenziswa njalo, iyama ukuthuthukiswa lesi sifo. Nokho, lapho sibona umphumela omuhle okusheshayo lapho isicelo chondroprotectors kodwa isaziso: it is wazizwa kuphela esikhathini eside. Ngisho nangemva kokuba ukumisa ukwelashwa Amathrendi ngcono uqwanga babanjiwe. Nokho, akunakwenzeka ukuthi umuntu uqeqeshiwe ukuthatha lezi imithi ngesikhathi sokukhulelwa, izinqubo ukuvuvukala kwamalunga. izingxenye isici esiyingqayizivele ezimbi zingenza nokuhlukileko.

Ukwelapha i-hormone

Ekugcineni, ingasaphathwa hormone imithi steroid, liye ziyasatshalalaiswa eminyakeni yamuva. Yethulwe ngqo injective ngokuhlanganyela. Umphumela ubonakala njalo cishe ngokushesha nje ngemva kokuqala ukwelashwa, it is kakhulu liphinyiselwe uma ukuvuvukala wamshaya umsipha femoral. Kodwa umphumela ngempela fast, futhi izifundo yokwelapha kuhambisana nemiphumela engemihle.

Odokotela batusa eyodwa ngokuhlanganyela iqondiswa hhayi ningi than imijovo emithathu. Phakathi ngemijovo emibili kufanele kugcinwe amasonto amabili noma ngaphezulu.