ISikhokelo esipheleleyo se-Hip ekhutshweyo: Izizathu kunye nezisombululo

Ngaba ukwazi iindlela zonyango ze-hip ekhutshiweyo kunokunceda abantu bakhawulezise ukubuyisela kunye nokubuyisela?

I-Dilocated Hip

I-hip ekhutshiweyo yinzakalo engaqhelekanga kodwa ingenzeka ngenxa yokwenzakala okanye emva kotyando lokutshintshwa kwe-hip. Ngokuqhelekileyo kwenzeka emva kokwenzakala okukhulu, kuquka ukungqubana kwemoto, ukuwa, kwaye ngamanye amaxesha ukulimala kwezemidlalo. (UCaylyne Arnold et al., 2017) I-hip edibeneyo inokuthi yenzeke emva kokuhlinzwa kokutshintshwa kwe-hip. Okunye ukulimala okunje ngeenyembezi ze-ligament, umonakalo we-cartilage, kunye nokuphuka kwamathambo kunokwenzeka kunye nokuchithwa. Uninzi lwe-hip dislocations luphathwa ngenkqubo yokunciphisa edibeneyo ebuyisela ibhola kwi-socket. Ngokuqhelekileyo kwenziwa nge-sedation okanye i-anesthesia jikelele. Ukubuyisela kwisimo sangaphambili kuthatha ixesha kwaye kunokuba ziinyanga ezimbalwa ngaphambi kokuba uchache ngokupheleleyo. Unyango lomzimba lunokunceda ukubuyisela ukunyakaza kunye namandla kwi-hip.

Yintoni?

Ukuba i-hip isuswe ngokuyinxenye, ibizwa ngokuba yi-hip subluxation. Xa oku kwenzeka, intloko edibeneyo ye-hip iphuma kuphela kwi-socket. I-hip edibeneyo xa intloko okanye ibhola ye-joint shifts okanye iphuma kwi-socket. Ngenxa yokuba i-hip yokwenziwa ihluke kwi-joint hip eqhelekileyo, umngcipheko wokunyuka uyanda emva kokutshintshwa ngokubambisana. Uphononongo lufumanise ukuba malunga ne-2% yabantu abaye batshintsha i-hip endaweni yonke baya kuba ne-hip dislocation kwisithuba sonyaka, kunye nomngcipheko okhulayo malunga ne-1% kwiminyaka emihlanu. (UJens Dargel et al., 2014) Noko ke, ubuchwepheshe obutsha beprothetics kunye neendlela zotyando zenza ukuba oku kungaxhaphakanga.

Hip Anatomy

• I-hip ball-and-socket joint ibizwa ngokuba yi-femoroacetabular joint.
• Isokethi ibizwa ngokuba yi-acetabulum.
• Ibhola ibizwa ngokuba yintloko yowesifazane.

I-bony anatomy kunye nemigqa eyomeleleyo, izihlunu, kunye nee-tendon zinceda ukudala umdibaniso ozinzile. Amandla abalulekileyo kufuneka asetyenziswe kwi-joint ukuze ukukhutshwa kwe-hip kwenzeke. Abanye abantu baxela ukuba baziva beva ukuvaleka kwe-hip. Oku ngokuqhelekileyo akuyiyo i-hip dislocation kodwa ibonisa ingxaki eyahlukileyo eyaziwa ngokuba yi-snapping hip syndrome. (UPaul Walker et al., 2021)

Ukuchithwa kwe-Hip yangasemva

• Ngokumalunga ne-90% ye-hip dislocations ngasemva.
• Kolu hlobo, ibhola ityhalelwa ngasemva ukusuka kwisokethi.
• Ukukhutshwa ngasemva kunokubangela ukulimala okanye ukucaphuka kwi-nerve ye-sciatic. (R Cornwall, TE Radomisli 2000)

Ukuchithwa kwe-Anterior Hip

• Ukukhutshwa kwangaphambili akuxhaphakanga kangako.
• Kulo hlobo lokulimala, ibhola ikhutshwe kwi-socket.

I-Hip Subluxation

• I-hip subluxation iyenzeka xa ibhola edibeneyo ye-hip iqala ukuphuma kwi-socket ngokuyinxenye.
• Eyaziwa nangokuthi i-dislocation partial, inokujika ibe yinto edibeneyo ye-hip edibeneyo ukuba ayivunyelwe ukuphilisa ngokufanelekileyo.

iimpawu

Iimpawu zingabandakanya:

• Umlenze ukwindawo engaqhelekanga.
• Ubunzima bokuhambisa.
• Iintlungu ezibuhlungu ze-hip.
• Ukungakwazi ukuthwala ubunzima.
• Iintlungu ezisezantsi zoomatshini zinokudala ukudideka xa uxilonga ngokufanelekileyo.
• Ngokukhutshwa ngasemva, idolo kunye nonyawo luya kujikelezwa kumgca ophakathi womzimba.
• I-dislocation yangaphambili iya kujikeleza idolo kunye nonyawo ukusuka kumgca ophakathi. (I-American Academy ye-Orthopedic Surgeons. 2021)

Izizathu

Ukukhutshwa kunokubangela umonakalo kwizakhiwo ezibambe ibhola kwisokethi kwaye kunokubandakanya:

• Umonakalo weCartilage kwilungu -
• Iinyembezi kwi-labrum kunye nemigqa.
• Ukuqhekeka kwethambo kwindawo edibeneyo.
• Ukulimala kwiinqanawa ezinikezela ngegazi kamva kunokukhokelela kwi-avascular necrosis okanye i-osteonecrosis ye-hip. (UPatrick Kellam, uRobert F. Ostrum ngo-2016)
• Ukuchithwa kwe-hip kwandisa umngcipheko wokuphuhlisa i-arthritis edibeneyo emva kokulimala kwaye kunokunyusa umngcipheko wokufuna ukutshintshwa kwe-hip kamva ebomini. (Hsuan-Hsiao Ma et al., 2020)

Ukukhutshwa koPhuhliso lwe-Hip

• Abanye abantwana bazalwa bene-dislocation yophuhliso lwe-hip okanye i-DDH.
• Abantwana abane-DDH banamalungu e-hip angazange aqulunqwe ngokuchanekileyo ngexesha lophuhliso.
• Oku kubangela ukulingana okuxekethileyo kwisokethi.
• Kwezinye iimeko, i-hip joint is dislocated ngokupheleleyo.
• Kwamanye, ithambekele ekubeni igxothwe.
• Kwiimeko ezibuthathaka, umdibaniso ukhululekile kodwa awufuni ukuba ususwe. (I-American Academy ye-Orthopedic Surgeons. 2022)

impatho

Ukunciphisa ngokudibeneyo yindlela eqhelekileyo yokuphatha i-hip edibeneyo. Inkqubo ibeka kwakhona ibhola kwi-socket kwaye ngokuqhelekileyo yenziwa nge-sedation okanye phantsi kwe-anesthesia jikelele. Ukubuyisela i-hip kufuna amandla amakhulu. Ukuchithwa kwe-hip kuthathwa njengento engxamisekileyo, kwaye ukunciphisa kufuneka kwenziwe ngokukhawuleza emva kokutshatyalaliswa ukukhusela iingxaki ezisisigxina kunye nonyango olungenayo. (UCaylyne Arnold et al., 2017)

• Emva kokuba ibhola ibuyele kwi-socket, umboneleli wezempilo uya kukhangela ithambo, i-cartilage, kunye nokulimala kwe-ligament.
• Ngokuxhomekeke kwinto efunyenwe ngumboneleli wezempilo, unyango olongezelelweyo lunokuba yimfuneko.
• Amathambo aphukileyo okanye aphukileyo anokufuna ukulungiswa ukugcina ibhola ngaphakathi kwesokethi.
• Kusenokufuneka ukuba intlala eyonakeleyo isuswe.

Ukuhlinzwa

Utyando lunokuba yimfuneko ukubuyisela ilungu kwindawo yalo yesiqhelo. I-arthroscopy ye-Hip inokunciphisa ukuhlaselwa kweenkqubo ezithile. Ugqirha wotyando ufaka ikhamera ye-microscopic kwi-joint hip ukunceda ugqirha olungisa ukulimala usebenzisa izixhobo ezifakwe kwezinye izithintelo ezincinci.

Utyando lokutshintshwa kwe-Hip luthatha indawo yebhola kunye ne-socket, inkqubo eqhelekileyo kunye neyimpumelelo yotyando lwamathambo. Olu tyando lunokwenziwa ngezizathu ezahlukahlukeneyo, kubandakanywa ukuxhwaleka okanye i-arthritis, njengoko kuqhelekile ukuphuhlisa i-arthritis yokuqala ye-hip emva kolu hlobo lokuxhatshazwa. Kungenxa yoko le nto uninzi olune-dislocation ekugqibeleni lufuna utyando lokutshintshwa kwe-hip. Njengenkqubo enkulu yotyando, ayikho ngaphandle kweengozi. Iingxaki ezinokwenzeka ziquka:

• Sulelo
• Ukukhululeka kweAseptic (ukukhulula umdibaniso ngaphandle kosulelo)
• Ukukhutshwa kwe-Hip

ukuchacha

Ukubuyisela kwi-hip dislocation yinkqubo ende. Abantu ngabanye kuya kufuneka bahambe ngeentonga okanye ezinye izixhobo kwangethuba bechacha. Unyango lomzimba luya kuphucula uluhlu lokunyakaza kunye nokuqinisa imisipha ejikeleze i-hip. Ixesha lokubuyisela liya kuxhomekeka ekubeni kukho ezinye iingozi, ezifana nokuphuka okanye iinyembezi. Ukuba umdibaniso we-hip wawuncitshisiwe kwaye akukho okunye ukulimala, kunokuthatha iiveki ezintandathu ukuya kwezilishumi ukubuyisela kwindawo apho ubunzima bunokubekwa emlenzeni. Inokuba phakathi kweenyanga ezimbini ukuya kwezintathu ukuze umntu achache ngokupheleleyo. Ukugcina ubunzima emlenzeni kubalulekile kuze kube yilapho ugqirha okanye umgqirha wenyama unika yonke into ecacileyo. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo osisiseko womntu kunye nabanye oogqirha botyando okanye iingcaphephe ukuphuhlisa isicwangciso sonyango lomntu.

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Izisombululo zeChiropractic kwi-Osteoarthritis

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Ucaphulo

UArnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Ukulawula ukuchithwa kwe-hip, idolo, kunye ne-ankle kwisebe likaxakeka [digest]. Ukuziqhelanisa namayeza angxamisekileyo, i-19(12 Amanqaku e-Suppl & Pearls), 1–2.

Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Ukukhutshwa emva kokutshintshwa kwe-hip epheleleyo. Deutsches Arzteblatt ngamazwe, 111(51-52), 884-890. doi.org/10.3238/arztebl.2014.0884

Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Uhlaziyo oluBanzi. Uphononongo lwe-Orthopedic, i-13 (2), i-25088. doi.org/10.52965/001c.25088

Cornwall, R., & Radomisli, TE (2000). Ukulimala kwe-nerve kwi-traumatic dislocation ye-hip. I-orthopedics yeklinikhi kunye nophando oluhambelanayo, (377), 84-91. doi.org/10.1097/00003086-200008000-00012

I-American Academy ye-Orthopedic Surgeons. (2021). Ukukhutshwa kwe-Hip. orthoinfo.aaos.org/en/diseases-conditions/hip-dislocation

Kellam, P., & Ostrum, RF (2016). Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lwe-Meta ye-Avascular Necrosis kunye ne-Posttraumatic Arthritis Emva kokuchithwa kwe-Hip Traumatic. Ijenali ye-orthopedic trauma, i-30 (1), i-10-16. doi.org/10.1097/BOT.0000000000000419

Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Iziphumo zexesha elide kwizigulane ezine-hip-traumatic fracture-dislocation: izinto ezibalulekileyo ze-prognostic. Ijenali yoMbutho wezoNyango waseTshayina : JCMA, ​​83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366

I-American Academy ye-Orthopedic Surgeons. (2022). Ukuchithwa kophuhliso (dysplasia) ye-hip (DDH). orthoinfo.aaos.org/en/diseases-conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/