Ukubanjwa kwe-Femoroacetabular

Ukufakwa kwe-Femoroacetabular, okanye i-FAI, likarhulumente wezokwelapha apho ithambo elongezelelweyo likhula kwiqela elinye okanye amaninzi amathambo ayenzela ukuhlanganiswa kwe-hip, ukunika amathambo ifomu engavumelekanga. Ngenxa yoko, amathambo angabhaxabana ngokubhekiselele ekubeni ahlangane ngokufanelekileyo. Olu ngxabano lunokulimaza ekugqibeleni ukudibanisa, kubangela intlungu, ukunganakali kunye nokunciphisa ukunyakaza.

Anatomy

I-hip ibonakala ngokuqhelekileyo njengombutho webhola kunye ne-socket. I-acetabulum, eyingxenye yesikhumba esikhulu seplavis, yenza i-socket ye-joint. Ibhola ledibeneyo yintloko yentloko yesifazane, leyo yiphelo eliphezulu lesangqa okanye i-femur. Uhlobo lweethambo eziluhlaza, olubizwa ngokuba yi-cartilage ye-articular, lugubungela umphezulu we-ball-and-socket joint joint.

I-carticlage ye-Articular yenza ubuso obunqabileyo obuphantsi, obunobuncwane obuza kusiza amathambo ukuba adibanise kalula ngokuhamba. I-acetabulum iphinde ifakwe i-fibrocartilage eqinile, eyaziwa ngokuba yi-labrum. I-labrum ibumba i-gasket kwi-socket, eyenza isityinwa esomeleleyo ukubonelela ukuzinza kunye nokukunceda ngokufanelekileyo ukuxhasana kwe-hip.

Ngokuxinzezeleka kwe-femoroacetabular, i-bone spurs okanye ukukhula kwamathambo, ujikeleze intloko ye-femoral, ngapha kwe-acetabulum. Ithambo elongezelelweyo libangela ukuba amalungu e-hip adibane ngokusondeleyo kwaye athintele ukuba angahambi kakuhle kwaye ngaphandle kokukhuhlaza ngexesha lokunyakaza. Ngokukhula, oku kunokubangela iinyembezi ze-labrum kunye ne-osteoarthritis, okanye ukuphuka kwe-articular cartilage.

Iindidi ze-Femoroacetabular Impingement

Ngokutsho koogqirha, kukho iintlobo ezintathu ze-femoroacetabular impingement, okanye i-FAI: i-pincer, i-cam, kunye ne-impingement edibeneyo.

• Inkcazo:Olu luhlu lwe-impingement lukhula xa ithambo liphumela ngaphandle ukusuka kumda oqhelekileyo we-acetabulum. Ngenxa yoko, i-labrum ichithwa phantsi komphetho we-acetabulum.
• Cam: Kwi-cam, ukunyanzeliswa kwentloko ye-femoral kubangela ukuba ilungu lingakwazi ukujikeleza kakuhle. Iqhuma libumba kumda wentloko ye-femoral egaya i-cartilage ngaphakathi kwe-acetabulum.
• Idibeneyo: Ukuhlohlwa okudityanisiweyo kucebisa ukuba zombini iintlobo zepincer kunye necam ye-femoroacetabular impingement zifunyenwe.

Izizathu ze-FAI

Ukukhula okungaqhelekanga kwamathambo e-hip kunye namalungu ebuntwaneni bonke ngoyena nobangela uxhaphakileyo we-femoroacetabular impingement. Nangona kunjalo, kukukhubazeka kwe-pincer bone spur okanye i-cam bone spur ekhokelela kumonakalo odibeneyo kunye neentlungu ze-hip. Ukuba amathambo e-hip kunye namalungu awenzi ngendlela eqhelekileyo, kuncinci okunokwenziwa ukunqanda ukwenzeka kwe-femoroacetabular.

Abantu abaninzi banokuba ne-FAI kwaye bangaze babe namava ale meko. Xa iimpawu zikhula, nangona kunjalo, ngokuqhelekileyo kubonisa ukuba kukho umonakalo kwi-cartilage okanye i-labrum kwaye umcimbi wezempilo unokuqhubela phambili. Ngaphezu koko, iimbaleki ziyakwazi ukufumana iimpawu ze-femoroacetabular impingement, nangona umthambo ungabangeli i-FAI.

Izimpawu ze-FAI

Iimpawu eziqhelekileyo ze-femoroacetabular impingement ziquka: intlungu kunye nokukhathazeka; ukuqina; kunye nokuqhwalela.�Intlungu ezayanyaniswa ne-FAI zihlala zivela kwindawo ye-groin, nangona zinokuthi zenzeke kumphandle wenyonga. Ukujija, ukujika, kunye nokungqubeka kunokubangela iintlungu ezibukhali, ezihlabayo ngelixa iintlungu ngokuqhelekileyo zichazwa njengentlungu ebuhlungu.

Ukuxilongwa kwe-FAI

Ukubonisana kokuqala, umqeqeshi wezempilo uyakuxubusha iimpawu zegulane zegulane kwaye akhulume ngempilo yabo jikelele kunye nokuphila kakuhle. Baya kuphinda bahlole umlenze wesigulane. Njengengxenye yolu vavanyo lwangaphandle, ugqirha uya kuqhuba uvavanyo lwe-FAI ngokunyusa idolo lesigulane aze alitshintshe elibhekiselele kwihlombe lawo. Ukuba le nto ibuyisela ubuhlungu be-hip, ukuvavanya kulungile kwi-femoroacetabular impingement.

Ukucinga ngeDiagnostics

Ingcali yezempilo inokuphinda iodole uxilongo lwe-imaging ukunceda ukufumanisa ukuba isigulana sine-femoroacetabular impingement, okanye i-FAI. Olu vavanyo lulandelayo loxilongo ngezantsi lunokusetyenziswa.

• X-ray: Ezi ziza kubonisa ukuba i-hip ifake amathambo e-FAI, kwaye inikeze imifanekiso yethambo. I-ray-ray ingabonisa kwakhona iimpawu zesifo se-arthritis.
• I-computed tomography (CT) ihlola: Uninzi olunzulu ngaphezu kwe-x-ray, i-CT i-scans ikunceda unonophelo lwezezempilo unqumle umgca othile wesigulane somguli.
• I-imagery resonance imagination (MRI) ihlola: Ezi mvavanyo zenza imifanekiso yeethambo eziluhlaza. Baya kunceda ugqirha afumane ingozi kwi-labrum kunye ne-articular cartilage. Idayi yokujola kwidibeneyo ingenza umonakalo okanye ukulimala kubonise ngokucacileyo ngakumbi.
• I-anesthetic yendawo: Ugqirha unako ukufaka injini yamayeza angama-numbing kwi-joint hip njengolu vavanyo. Iqinisekisa ukuba i-FAI yinkinga ukuba ukuphulukiswa kweentlungu zesikhashana kunikezelwa yi-anesthetic yendawo.

I-Femoroacetabular impingement, okanye i-FAI, idla ngokuchaphazela i-hip joint yabaninzi abancinci nabaneminyaka ephakathi. I-FAI yenzeka xa i-ball-and-socket joint of the hip ibangela ukukhuhlana okungaqhelekanga kwaye ithintela uluhlu lwentshukumo. Ngaphezu koko, umonakalo okanye ukulimala kwi-articular cartilage okanye i-labrum inokuchaphazela intloko ye-femal okanye i-acetabular socket. Iinketho zonyango lwe-FAI zinokusuka kwiinketho zonyango ezizezinye ukuya kuqhaqho.

UDkt Alex Jimenez DC, i-CCST Insight

Unyango lwe-Femoroacetabular Impingement

Unyango Ongafunywanga

• Indlela yokuphila:�Ingcali yezempilo inokucebisa utshintsho kwimisebenzi yomzimba ebangela iimpawu, ukuguqula nje inkqubo yesiqhelo yemihla ngemihla yesigulana.
• Iziyobisi kunye / okanye amayeza: Ukusetyenziswa kweziyobisi kunye / okanye amayeza, njenge-ibuprofen, inokunikezelwa ukunceda ukunciphisa iimpawu ezibuhlungu kunye nokuvutha. Ukhuseleko lunokuphela kwexeshana.
• Ezinye iindlela zokonyango:�Iindlela zonyango ezifana nokhathalelo lwe-chiropractic kunye nonyango lomzimba lunokunceda ukunika isiqabu kwiintlungu kwizigulana ezine-femoroacetabular impingement. Ngapha koko, ukolula okuthe ngqo kunye nokuzivocavoca kunokomeleza izihlunu ezixhasa umdibaniso kwaye kunokonyusa uluhlu lokushukuma. Oku kunokunceda ukunciphisa uxinzelelo kunye noxinzelelo kwi-articular cartilage okanye i-labrum.

Utyando loPhando

Ukuba ukucinga ukuxilongwa kunye nokuhlolwa komzimba kubonakalisa umonakalo ohlanganyelweyo kunye kunye / okanye ukulimala kunye nobukho bezinye iimeko kunye nokunyanga okungaphikanga akuthinteli intlungu yesigulane, ubugcisa bezonyango banokuncoma ukungenelela okanye uphando.

Arthroscopy

I-Femoroacetabular impingement inokunyangwa ngotyando lwe-arthroscopic. Ungenelelo lotyando lwe-arthroscopic lwenziwa ngezixhobo ezibhityileyo zisebenzisa i-incision encinci. Ugqirha wotyando ke usebenzisa ikhamera encinci ukujonga ngaphakathi esinqeni. Ugqirha unokulungisa okanye ukucoca nawuphi na umonakalo kwi-labrum kunye ne-articular cartilage ngokucheba i-bulge kwintloko ye-femal kunye nokunciphisa i-bony rim ye-acetabulum.

Njengoko iziphumo zotyando ziphucuka, oogqirha baya kucebisa utyando olungaphambili lwe-FAI. Ubuchule bokuhlinzwa buqhubeka buqhubela phambili kwaye kwixesha elizayo, iikhomputha zingasetyenziselwa ukukhokela ugqirha ekuhlaziyeni nasekulungiseni i-hip. Ububanzi bolwazi lwethu bukhawulelwe kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngalo mbandela, nceda uzive ukhululekile ukubuza uGqr. Jimenez okanye uqhagamshelane nathi apha915-850-0900 .

Ikhutshwe nguDkt. Alex Jimenez

Imixholo eyongezelelweyo: I-Chiropractic ye-Athletes ne-Back Pain

Umqolo obuhlunguSesinye sezona zizathu zixhaphakileyo zokukhubazeka kunye neentsuku eziphosiweyo emsebenzini kwihlabathi liphela. Intlungu ebuyela emva sisizathu sesibini esiqhelekileyo sokundwendwela i-ofisi kagqirha, ngaphezulu kunosulelo oluphezulu lokuphefumla. Ngokumalunga neepesenti ezingama-80 zabemi baya kuba neentlungu zentlungu emva kanye ebomini babo. Umqolo sisakhiwo esintsonkothileyo esenziwe ngamathambo, amalungu, iigaments, kunye nezihlunu, phakathi kwezinye izicwili ezithambileyo. Ngenxa yoku, ukwenzakala kunye / okanye iimeko ezixhalabisayo, ezinje ngedisni, ekugqibeleni unokukhokelela kwiimpawu zentlungu. Ukulimala kwezemidlalo okanye ukulimala kwengozi yeemoto ngokuqhelekileyo kubangelwa yintlungu yokubuhlungu, kodwa ngamanye amaxesha ukuhamba kwezinto ezilula kunokuba neziphumo ezibuhlungu. Ngethamsanqa, ezinye iindlela zokhathalela unyango, ezifana nokunyamekelwa kwe-chiropractic, kunokunceda ukubuyisela intlungu emva kokusetyenziswa kwemilenze kunye nokunyanzeliswa kwemigaqo, ekugqibeleni ukuphucula intlungu.

ISIHLOKO ESIBALULEKILEYO ONGEZELELWEYO: I-Piriformis Syndrome Unyango lweChiropractic