Mgbu na hip nkwonkwo n'oge na-eje ije: akpata na ọgwụgwọ. Mere merụrụ ahụ hip nkwonkwo n'oge na-eje ije?

On hip mgbu ọtụtụ ndị mkpesa banyere ije ije. Ọ na-adị inikiet inikiet na-emecha ugboro ugboro ọzọ na ndị ọzọ mgbe mgbe, na-echegbu bụghị naanị mgbe ụgbọala, kamakwa mgbe jū. Onye ọ bụla n'ime ihe mgbu na ahụ mmadụ a mere. Ntak ọ e? Olee otú ize ndụ ọ bụ na ihe egwu? Gbalịa ịghọta.

The anatomical Ọdịdị

Tupu anyị na-ekwu banyere ihe mere hip mgbu mgbe na-eje ije, na-agwa ihe ọ bụ anatomically. Ke ofụri ofụri, pelvic ọkpụkpụ - a nkwonkwo atọ arụkọ ọrụ ọnụ ọcha: na pubic symphysis, sacroiliac nkwonkwo ikuku na nkwonkwo úkwù.

Nke ikpeazụ bụ ogologo ọkpụkpụ na abụọ isi mechie udi na-enye gị mee ka gị na ụkwụ ije dị iche iche ntụziaka. Njupụta nke ije nwere ike ịbụ dị iche iche: zipu, backward, n'akụkụ. N'úkwù-enye kwụsie ike, ahụ verticalization, ifịk ifịk isonye na ije, iburu ibu, iburu isi nsogbu nke ahu.

Ọ bụrụ na ndị sacroiliac nkwonkwo na symphysis ikuku bụ fọrọ kwụụrụ, isi nke hip nkwonkwo bụ dị ka ma ọ bụrụ na na ọkwá - na acetabulum, nke oyụhọ acetabular egbugbere ọnụ. Isi ọrụ nke egbugbere ọnụ - bụ mmanu nke cartilage nke nkwonkwo na-akpọ synovial ọmụmụ. N'ihi ọ na-emepụta a mmiri mmetụta na-eme ka nkwonkwo na-eje ije n'enweghị ihe mgbochi n'ime cavities.

The n'elu isi hip ọkpụkpụ jikọọ na n'olu nke ọkpụkpụ, ha na e nwere obere na nnukwu trochanter, nke na-ntukwasi-obi-mmasị ka apata muscle. Gburugburu onwe gị nkwonkwo articular Capsule na akwara njikọ, n'ihi na nke ọkpụkpụ na-mmasị ka pelvis. Maka ike nke hip nkwonkwo bụ n'ihu mmasị ka ala nke acetabulum gburugburu akwara. The femoral isi kpuchie articular cartilage, ọ bụ nnọọ ezigbo onye na-agbanwe, nke na-ebelata ihe esemokwu n'etiti njikọ.

Blood ọkọnọ na hip ọkpụkpụ dị oké mkpa, ọ na-nyere:

- site na ọbara arịa na nkwonkwo;

- arịa nke ọkpụkpụ;

- arịa n'ime nkwonkwo isi ọgọdọ.

Blood ọkọnọ na mmanu enye na agagharị nke hip nkwonkwo.

The si malite na-akpata ihe mgbu

Ọtụtụ mgbe ọkachamara ike nchọpụta ma chọpụta ihe mere e nwere ihe mgbu na hip nkwonkwo n'oge na-eje ije. Ya na-akpata nwere ike bịara ikiri. Ọ nwere ike na- radiating mgbu si lumbar spain, ogbu na nkwonkwo na arthrosis, unan na-akpata nsogbu na sprains.

Mgbu na hip nkwonkwo n'oge na-eje ije nwere ike ime na mberede, site akpachapụghị ịkwọ ụgbọala, na mmalite ma ọ bụ n'etiti ndị na-eje ije, mgbe o hulatara lee ma ọ bụ squatting. Mgbu na ikpere, ukwu mkpesa ọtụtụ ndị ọrịa nwere akpịrị n'úkwù. Than agwọ ọrịa? First mkpa ka ị chọpụta na iji, na-eme ka ihe mgbu.

Anọ iche iche nke mgbu

Mgbu na hip nwere ike ịbụ n'ihi na ndị na-esonụ:

1. The mmetụta nke trauma:

• bruises pelvis na hip, ọtụtụ ndị femur na myositis (muscle mbufụt);
• oge izu, na-esetịpụkwa mọzụlụ, fractures, cracks;
• Nchegbu fractures nke Group ruru ka "ọgwụgwụ" nke nkwonkwo, na nkwonkwo, na olu nke apata ọkpụkpụ;
• traumatic ruptures na anya mmiri nke akwara, nkwonkwo capsules;
• fractures na pelvis;
• subluxations na dislocations, gụnyere congenital.

2. Akụkụ nke nkwonkwo Ọdịdị, akwara na mọzụlụ, co-morbidities:

• snapping hip syndrome chondromatosis, impingement;
• coxarthrosis, osteoarthritis, ogbu na nkwonkwo, bursitis, tendinitis;
• na avascular necrosis aspeticheskogo Njirimara;
• onu nke osteoporosis ruru endocrine emeghasịkwa.

3. radiating mgbu:

• na dysplasia coxarthrosis;
• osteochondrosis na osteopathy vertebral nkwonkwo;
• dysplasia nke uru ahụ;
• myopathy, neuralgia, neuropathy na-arịa ọrịa shuga;
• inguinal hainia;
• dysplastic syndrome na coxarthrosis.

4. Group systemic ọrịa:

• ụdị ọrịa ogbu na nkwonkwo, gout, rheumatism, lupus;
• spondylitis na ankylosing spondylitis ;
• ọrịa ogbu ogbu na nkwonkwo;
• psoriatic ogbu na nkwonkwo;
• na-efe efe, gụnyere ụkwara nta nke ọkpụkpụ, ọrịa Lyme;
• myalgia fibrous anụ ahụ;
• oncological ọrịa.

egosiputa atụmatụ

Hip mgbu n'oge na-eje ije nwere ike ịbụ dị iche iche. Ihe na-esonụ iche nke mgbu:

• n'ihi na n'ibu edinam na ibu nke mgbu ike mmega ọzọ na mgbede na ụtụtụ gafee;
• synovitis mgbe mgbu n'akparamagwa na mmalite nke ije na na-amụba ọrụ na-ebelata, mgbe ụfọdụ, kpamkpam kpamkpam;
• tendonitis e ji mgbu ime na muscle anụ ahụ na akwara naanị mgbe ụgbọala;
• periatikulyarnyh mgbu nke uru ahụ;
• n'ihi ọbara mgbali na ọkpukpu nwere ike mgbu na hip nkwonkwo;
• Tensile capsules nkwonkwo mgbe trauma ma ọ bụ mbufụt;
• osteophytes, n'ibu mmebi nke isi ọkpụkpụ.

Ugbu a, ị maara ihe mere e nwere ihe mgbu na hip nkwonkwo n'oge na-eje ije. Ihe mere, dị ka ị na-ahụ, nwere ike ịbụ dị iche iche.

adakarị mgbaàmà

Ná mmalite, ihe mgbu fickle na bụghị kwuru na, na-na jikọọ na na ije. Na-enwe ọganihu nke ọrịa ha na-adịkwu. Mgbu na hip nkwonkwo n'oge na-eje ije duzie n'ihu isi, contracture adịghị ekwe ka ịdọrọ nkwonkwo n'akụkụ, na-eme onye ọrịa egwu na-ata ahụhụ.

N'ihi na eziokwu na-enwe ndidi mpiaji na-echebe ndị na nkwonkwo si enweghị isi mmegharị ibili lameness, muscle adịghị ike, akwara esenyịn, ụkwụ nwere ike belata na olu na-ebelata nkwonkwo isi onwe ya na-nkwarụ. Ọ dị mkpa na-agwa dọkịta banyere otú ọ na-ewute ndị hip nkwonkwo na na-eje ije.

Ụzọ nke n'imeso arthrosis

Na nke ọ bụla ọbụna obere mgbu na-achọ ọgwụ enyemaka. Ọtụtụ ndị ọrịa bụ ndị na-hip mgbu na-enweghị a enyere anyị aka ịmata na-eche na ihe niile ga-agabiga site n'onwe ya. Ma ọ bụ na dọkịta nwere ike ịchọpụta ihe na-akpata, mata akpan akpan na-ebibi usoro na-ekenye ezigbo ọgwụgwọ.

Ọ bụrụ na onye ọrịa chọpụtara na "hip arthrosis", mgbe mbụ nzọụkwụ - a nhọrọ nke ọgwụ ọjọọ eme iji na ọgwụgwọ Filiks mbibi nke cartilage na akwara njikọ. Ọ bụrụ na onye ọrịa nwere oké ihe mgbu na hip nkwonkwo, na-ejikarị mgbochi mkpali edinam medicamentous preparations, inyeaka ọgwụ ọjọọ, gụnyere vitamin Mmeju, ụzọ na usoro nke physiotherapeutic mmetụta, fixation nkwonkwo superposition taya na gypsum (karịsịa n'oge exacerbations), jimnazum.

Na omume na e nwere a mgbu mgbe niile na hip nkwonkwo n'oge na-eje ije, ọgwụgwọ bụ mgbe naanị ịkpa. Taa, na usoro ahụ na nkwonkwo nnọchi isi keakamere titanium ịkụbanye. Nke a na-enye ohere ọ bụghị nanị na iji kwụsị mbibi, ma laghachi onye ọrịa na a full, nọ n'ọrụ ná ndụ. Mgbe a na usoro na-ewe ihe na-erughị ọnwa 6, gụnyere mgbagwoju ghara ịgbanwe.

Anyị ga-echeta na ọgwụgwọ kwesịrị mgbagwoju, site na iji ihe niile kwere omume ụzọ na-esi luso na-ebibi ọrịa.

dietary Mmeju

Ná mmalite nke ọrịa bụghị ma na e bibiri cartilage, ihe mgbu mgbaàmà na-adịghị kwuru na n'ụzọ doro anya. Mgbe a na ogbo ọ bụ omume na-amalite n'ikuku nke biologically ifịk nwekwara. N'ihi ya, ọ bara uru na-preparations nwere collagen hydrolyzate, nke bụ akụkụ nke cartilage. Components bekee gbochie mbibi usoro, na-eme ka mweghachi nke cell Ọdịdị na ligamentous nkwadebe. Bara uru Okpomoku ointments, gels, compresses, ma ọ bụrụ na akpịrị hip. Gịnị na-eme iji belata ahụhụ, na-agwa ndiife na nkà mmụta ọgwụ. Ọ na-atụ aro iji na kabeeji epupụta na burdock dị ka a na-ekpokwu ọkụ na mgbochi mkpali n'ụlọnga. Ọ bụ uru maka n'abalị kechie nkwonkwo na-ekpo ọkụ ala na a handikachifu, nke ga-ike na mmetụta nke okpomọkụ na mụbaa ọbara oruru.

ọgwụ

Ọ bụrụ na akpịrị n'úkwù karịa gwọọ ma? Folk ịgba akwụkwọ na dietary Mmeju - ọ bụ na-ezi ihe. ma naanị na nnọọ n'oge nkebi nke ọrịa usoro. Ọ dị mkpa ịkpọ onye dọkịta ma ọ bụ ihe orthopedic rheumatologist onye ga idepụta ọgwụ ọgwụ ọjọọ iji na ọgwụgwọ nke ihe mgbu.

Chọrọ họpụtara hondroprotektory, dị njikere "Chondroitin", nke ọ bụghị nanị weghachiri Ọdịdị nke cartilage anụ ahụ, ma na-ebu mmiri na-emetụta na agagharị nke ligamentous ngwa. Ebe ọ bụ na mgbu - a ịrịba ama nke mbufụt, ọ na-kenyere a ìgwè nke ndị na-abụghị steroidal mgbochi mkpali ọgwụ ọjọọ, dị ka nke iji "Ibuprofen", "Ketorol", "Nimesulide", "Nise". Ha na-akwụsị mbufụt ma wepụ ihe mgbu.

Akwara relaxants - na ọgwụ ọjọọ na aka na-egbu mgbu muscle apịajighị apịaji. Ha ndị bara uru na na mgbe itinye a n'abalị enye ohere iji zuru uru nke ụkwụ, izere ihe mgbu. Otu n'ime ndị a ọgwụ na-ekenyela "Milgamma" na "Sirdalud".

Ọgwụ ndị na-eme ka ọbara na-ọkpụkpụ anụ ahụ na-enyere usoro ọbara esenyịn, ntọt ọbara. Nke a, ka ihe atụ, pụtara "Trental" ntụtụ nicotinic acid.

Na pụrụ iche ikpe, mgbe ihe mgbu na-aghọ egwu ọgwụ mmiri ọgwụ mmadụ, n'ihi na ihe atụ, a ọgwụ ọjọọ, "prednisolone" (na ala doses), nke, ma e wezụga na-amụba ọbara, nye a mwepụ nke mbufụt.

physiotherapy

Iji kwụsị mgbu, ma ndị na-abụghị nnukwu-adọ, ọrịa na-ekenyela physiotherapy. Nke a nwere ike ịbụ ịhịa aka n'ahụ, laser, eletriki. Ọzọkwa bara uru bụ na mmiri ọgwụ, saa na resin na hydrogen sulfide. Dịkwuo nso nke ngagharị inye igwu miri n'ọdọ-miri.

Atụmatụ hip traction

Traction - a usoro na-ebelata ibu na nkwonkwo cartilage wepụ usoro. Na otu aka, nke a bụ a bara uru na usoro nke nta nke nta na agbatị na nkwonkwo, na-enwe ezi ibu nkesa. N'aka nke ọzọ, usoro a nwere ike na-rụrụ site zụrụ dọkịta - kaịropraktọ. Na nso nso-eji na trankionny ngwaọrụ - a ngwaọrụ ndinyanade mbịne ọkpụkpụ, ịba ụba anya n'etiti ha.

mgbochi

Iji hip mgbu mgbe na-eje ije na-adịghị ewute, iji gbochie arthrosis na ndị ọzọ na mkpali Filiks ga-agbasoriri dị mfe iwu:

• Tufuo ngafe ibu ibu. The elu nke ibu, nke ukwuu nchegbu na nkwonkwo, nke gụnyere ebibi Filiks.
• Gbalịa ka ekwe omume ime. Arụ Ọrụ - bụ a nkwa na nkwonkwo agaghị ọnọdụ na-achọghị.
• Edebe-eme kwa ụbọchị na iwu nke-adakarị oriri na-edozi, na-mgbe nile vitamin, enye oriri zuru ezu ọnụ ọgụgụ nke Chọpụta ọcha.
• Na-ahụ na omenala na egwuregwu.

Na-arụ ndị a nwere ikwu, i nwere ike ichebe nkwonkwo si na-ebibi usoro nke pụrụ iduga mgbu, mbibi na nkwarụ.