Dysplastic coxarthrosis ilunga hip: ngezigaba, unyango

coxarthrosis Dysplastic yinkqubo mandundu, isifo dystrophic. Maxa wambi kuphakamisa naso - joint hip akuthethi ukuphuhlisa njengoko kuyimfuneko ukuba eziphilayo eqhelekileyo. Le nto ibizwa ngokuqhelekileyo "dysplasia."

Yintoni kanye yintoni?

Dysplastic coxarthrosis hip luphawulwa kukuba ngencam joint ithambo gqitha phantsi kwempembelelo shape ezingachanekanga uba mgaqweni, acetabulum - ubunzulu engaqhelekanga. Xa ithambo ihleza litshintsha nesabelo proximal. Uphando lubonisa engile intamo-shaft engaqhelekanga.

Isifo iqhelekileyo kwabasetyhini ezisisigxina. Emngciphekweni - yobudala engama-30 ukuya kuma-40, nangona, njengoko abathile noogqirha - up to 55 Ukuba iindawo diskongruentnost esiqingqiweyo amalunga, kwenyusa amathuba okuba nesifo babe phantse baziphinda kabini.

Kangakanani?

Iinkcukacha-manani zibonisa ukuba hip arthrosis dysplastic welungu hip - loo nto sisifo rhoqo. Phakathi kwabanye, zihlelwa sisiba mandundu, ngezifo dystrophic echaphazela amalungu, coxarthrosis, ngokutsho kwabaphandi, ifumaneka kuzo zonke iimeko wesine. Kodwa ezinye izazinzulu zithi banesifo ngo-77% yezigulane. Izifundo ezininzi ezaziwayo-kakuhle kulo mba yenziwa ngo-2006 phantsi kobunkokheli Finland Antti Eskelinen, yaye ngowe-1996 S. V. Sergeevym, 2001 - VI Ugnivenko.

abaphandi baseYurophu ukuqikelela ukuxhaphaka sifo phakathi kwabantu abadala baseYurophu kwi-7-25%. Abazinikele imisebenzi yophando ukuba wenziwe ngo-1965 no-1996. Ukuba ufunda manani ukuphazamiseka zophendlo lwezifo kwenkqubo musculoskeletal, kuye kucace ukuba dysplasia - ibe malunga 16.5% amatyala nesayensi. Ngokuchasene nentsukaphi ipesenti ephezulu loo umbuzo yokuphatha njani dysplastic coxarthrosis, hip, kuye kwafumaniseka kubaluleke kakhulu. Ukuya ku-60% yazo zonke izigulane ekugqibeleni balahlekelwe umthamo wabo umsebenzi, kunye 11.5% ukhubazekile.

coxarthrosis Dysplastic: kwenzeka ntoni?

Ukuhlelwa iintlobo zeHPV zingonobangela sifo esekelwe kwiimpawu:

• kwi ubudlelwane utshintsho ezidityanelweyo yokwakheka (lwenqubo libizwe?);
• utshintsho intlala articular (zombini samathambo esebenzayo?).

Xa yesilungu, ulwahlulohlulo lisetyenziswe ngokufuthi ngokuba Crowe. Le nkqubo, oluvavanya indlela lususiwe kummandla kwethambo intloko femoral. Xa iyonke kukho iintlobo zeHPV zingonobangela 4 sifo.

Dysplastic coxarthrosis 1 degree yabonisa ukubana proximal elingekho ngaphezu enesiqingatha, ukuphakama ukuba kakhulu isinqe ziya kuba phakathi-10%. Inqanaba lesibini iquka izikhombisi ukubana 50-75% 10-15% ngokwahlukahlukeneyo. Dysplastic coxarthrosis grade 3 - into zincitshiswe 75-100%, 15-20%. Ekugqibeleni, lo Isigaba sesine - apho ukubana kuye kwenzeka ngaphezu isixa kwethambo entloko, isinqe kakhulu ubonisa ukungathobeli isikhundla ngama-20 ekhulwini okanye ngaphezulu.

inkqubo yokuhlela Hartofilakidis

Le mbono icebisa ukuvavanya indlela intloko yifemur kwisithili utshintsha cranial yayo indawo. Kwakhona ukufunda imo le acetabulum, zibonisa yemeko yokwenene ze uchonge indawo intloko xa kuthelekiswa kuyo. Le ngezigaba coxarthrosis dysplastic eyahlula manqanaba mathathu ngezifo.

Xa Uhlobo lokuqala lokugula kwisisu dysplasia okuvakaliswa into yokuba igalelo xi enkulu kunesiqhelo, oko kukuthi, kukho subluxation. Dysplastic coxarthrosis degrees-2 kule isigama, kwafunyaniswa ukuba dislocation ephantsi, subluxation, intloko phezulu ukufuduka. Uxilongo ukujonga neoarthrosis ezinxulumene nokudakumba lokwenyaniso. Umfanekiso kwakheka kunye nabasemagunyeni kulo mfanekiso ikhangeleka ngathi isafobe "8". ukuxinezeleka lobuxoki, intloko ithambo basebenzisane. Ekugqibeleni, uhlobo lwesithathu emoyeni - a dislocation epheleleyo. Lobuxoki, lokwenyaniso acetabular kwisisu kwisisu ezahlulwe sisithuba yaye inthanethi. Uxhongo uhlobene kuphela kwisisu lobuxoki.

Ukuba Crowe inkqubo esebenzayo xa kufuneka ukuchonga ukusebenza kongenelelo ngotyando, i Hartofilakidis kwande ngenxa lula ukusetyenziswa. Kufuneka kukhunjulwe ukuba Crowe akavumeli kangangoko kunokwenzeka ithathele ingqalelo indlela ukudandatheka kakhulu iyahluka ngenxa dysplasia. Oku uzala iingxaki arthroplasty dysplastic coxarthrosis: nokunqongophala kolwazi malunga nokuqulunqwa isicwangciso ecacileyo kudala ubunzima ekuphumezeni ungenelelo utyando.

Noko ke, Hartofilakidis nayo inamcebiso ukungafezeki. Le ndlela yenza kube nzima ukuba ukulandelela indawo inxalenye proximal. Oko kukuthi, ezi tshintsho luchaphazela kakhulu nokusebenza. Ukukhetha nala unyango, kubalulekile ukuba isicelo yokuhlela ezahlukeneyo: njengoko ezo ezibonisa dysplasia kunye nokuhlola osteoarthritis.

Ukudleka: ingaba kwenzeka njani?

Ngoko ke, apho wenza dysplastic coxarthrosis mazwe? Njani ezinye iintlobo zeHPV zingonobangela zesi sifo? Oko ivavanywa nakuba joint?

Into yokuqala oko kuxhomekeke utshintsho ezingalunganga - na kulwelo joint. It sikhula, uba viscous. Izizathu oku kwahluka kakhulu, kodwa umphumo uba mnye - lowo intlala akafumani ukuthambisa ajikeleze efanelekileyo, ngenxa kuyo yome. Intlala umphezulu igutyungelwe iintanda ezincinane, abahlukunyezwa. I lolwabo liba sokurhuqa ngokuhamba kwexesha, nto leyo eyabangela zochuku ngamandla kuzo zonke iintshukumo. Amalungu zahlulwe umgama ezincinane ezincinane. Ngenxa intlala kuyabonakala phantsi komhlaba ithambo, nto leyo ekhokelela kwingcinezelo okwandayo, yaye yimeko - to deformation. Ngoko coxarthrosis dysplastic nayo eyaziwa ngokuba deforming.

Yintoni elandelayo?

Ngelishwa, iinkqubo sisiba mandundu na utshintsho kolwelo joint avalelwe. Ekuhambeni kwexesha, zaphazanyiswa igazi kuqukuqela zomzimba, ukutya kuba esisezantsi norm, njengokuba izitya akuthethi kujikeleziswa kunye umsebenzi ofunekayo izakhi izityebi luncedo, kuquka ioksijini, igazi.

Ekuhambeni kwexesha, a dysplastic coxarthrosis mazwe ebangela izihlunu yoma alo mlenze achaphazelekayo. Kodwa utshintsho olwenzekayo ixesha elide, ngokuthe ngcembe, ukuze isigulane ke kaninzi phawula ukuqhubela phambili kwesifo. Kwezinye iimeko, isifo esinganyangekiyo mandundu, nto leyo sikhatshwa ziintlungu kakhulu kwamalunga. Ixesha lidla ngokuba "nokudumba lovukelo." Ntlungu syndrome ebangela ukuba umntu ukutyelela ugqirha, uze emva koko kuphela okwesihlandlo sokuqala kwafunyaniswa ukuba "coxarthrosis dysplastic".

Ezibangela isifo

Dysplastic coxarthrosis zingenzeka ngenxa ezahlukeneyo zinto:

• Iingxaki kunye nokuhamba kwegazi, nto leyo ekhokelela ukungondleki kunye inyama olwenzeka olo oxidized kwinqanaba elifunekayo kweemveliso pathways ukuba isebenze enzayim entshabalalo echaphazela intlala.
• Mechanical labenza umthwalo kwi joint ayiphele ndawo. Ngoko ezithandwa leembaleki, abantu abanengxaki utyebile. Kuba ingxaki yesibini obabuthandwa ukutya, igazi insufficiency, nto leyo echaphazela ngakumbi kakubi amalungu.
• reactions kwemichiza, iingxaki pathways hormone ayo.
• Ukwenzakala, iintanda, dislocations, ngokufuthi labenza sifo eselula.
• kwalapho ngezifo.
• iinkqubo ezisulelayo, ukudumba echaphazela amalungu.
• Aseptic necrosis.
• izifo bekhubazekile.
• umzimba.
• utshintsho ezinxulumene-Age.

Oku kuchatshazelwa ngamandla ngenxa yofuzo, yofuzo ezahlukeneyo Osteoarthritis. Coxarthrosis transfer ilifa akunakwenzeka, kodwa indlela ilifa ixhomekeke ingakumbi nethe intlala. Ukuba izihlobo ekufuphi abaphethwe arthrosis, kusenokwenzeka ukuba abantu kwandisa kakhulu.

Njengoko bekucingeleka?

Medicine elibone mpawu zilandelayo:

• ukuqina, ntshukumo "ulinde";
• buhlungu;
• yoma kwemisipha ethangeni;
• kuphungulwe umlenze achaphazelekayo;
• limp okungephi.

Kaninzi, izigulane ukuya kwagqirha xa amalungu umlenze ziqala bemilenze. Olu phawu we kakhulu ngokucacileyo kunye ephawuleka. Kufuneka kuqondwe ukuba izenzo sifo kuxhomekeke umgangatho liqulunqe kuyo.

isifo Step umisela ngqo ixesha izigigaba intlungu, namandla kunye kummandla apho mizwa nendawo. Unyango lwe dysplastic hip arthrosis welungu hip ubonisa nemiphumo emihle kuphela xa laphehlelelwa nisaqala ukuphazamiseka zophuhliso. Kodwa kwenzeka kungafane, njengoko isisa namalungu abangenamandla, kunye nabantu ngokuqinisa iphulo kwagqirha.

Gu ngexesha oyingcali, izigulane ulahlekelwa lixesha - joint ibhuqiwe ngakumbi nangakumbi yonke imihla. Ekuhambeni kwexesha, lo ukuhamba lilahlekile, kuyanda iintlungu, nokuba amanyathelo okuqala nzima, elingenabuhlungu, awunako nje ukuhamba. Umntu iziqhwala, kukho yoma ye izihlunu ethangeni. Kakade ke, zonke ezi mpawu zikhuthaza ngephulo ekliniki, kodwa sele kakhulu emva kwexesha.

Ubuhlungu yoma

Xa ngezifo zihlunu yoma femoral evusa i intlungu olongezelelweyo - it nendawo apho ziqhotyoshelwe apha kule imisipha. Nzima amadolo ezibi, kodwa nasemiphakathweni kunye nomlenze syndrome ngaphantsi kubi. Oku kukhokelela ekuxilongweni. A impazamo eqhelekileyo - inkcazo osteoarthritis idolo joint, nto leyo ekhokelela ukuba ukhetho engachanekanga unyango.

Ukudleka - abalilungisa kuphela uqaqanjelwa kasikrobana, indawo bedlala. Mhlawumbi oku yi intlokoma intlungu ezinxulumene ukudumba kwi imicu, ngoko bayiveze kunye nokwenzakala lialio.

coxarthrosis Dysplastic: unyango. siqala phi na?

It yaqanjwa eziliqela iindlela ezahlukeneyo ukuya izigulane kunye nale ngezifo. Naziphi izinketho HIV kunye nobuthathaka. Kodwa kukho ulawulo mnye jikelele: self engamkelekanga. Nokuba uthe baqinisekile ukuba uyazi kakuhle ukuba yintoni na ugula, njengoko unako kuphiliswa, unyango kuvunyelwa kuphela phantsi kweliso likagqirha kunye zemfundo eneemfuno ezizodwa. Kungenjalo kukho ithuba nje ukuba isantya inkqubo mandundu, kodwa iyenze kuphela kwabo. Kufuneka kwakhona kuqondwe ukuba ibakala kwesi sifo sichaphazela kakhulu iindlela kunyango yayo.

Ukuba une inyathelo lokuqala okanye lesibini bangaqheliswa unyango endala. Kulo mzekelo, unyango lwe coxarthrosis dysplastic ngokusebenzisa namafutha aqholiweyo, amacwecwe neziqhutywa amalungiselelo injective. Xa ekuxilongweni isigaba sesithathu endleleni, kuphela mnye - uqhaqho. arthroplasty eveliswa xa kufunyaniswa isifo eso lubandakanya athile omzimba yi yimveliso ngumntu. Inkqubo kakhulu inzima, imali eninzi kodwa esebenzayo. Le uyofaka ingenisa ithambo isinqe kunye esinqeni. Identical sokwenziwa joint eziphilayo.

Okokuqala, le yesibini thuba: uncedo?

Ukuba uyakwazi ukubona sifo ngaphambili ngaphezu ekuqaleni uphuhliso kumlinganiselo wesithathu, kunokwenzeka ukuba kuphunyezwe iziphumo ezintle unyango endala. Ngokubanzi non-steroidal amachiza asetyenziswa anti-ukudumba zezona ngempumelelo kwithuba jet. Inzuzo ephambili kula machiza - ntlungu ngenxa impembelelo iinkqubo arhabaxa. Iziyobisi ngokukhawuleza ukunciphisa nangokurhala, ukuphelisa ukudumba.

Noko ke, yonke into kuneengxaki zako. Ngaloo ndlela, ukusetyenziswa rhoqo amachiza-ukudumba kunciphisa ukukwazi komzimba bokulungisa zendalo. Ngaphezu koko, inkoliso indlela ezaziwayo nezesayensi uluhlu olubanzi ziziphumo ebezingalindelekanga, echaphazela umzimba lilonke enyama ethile kunye neenkqubo omzimba. Ukhetho amayeza kufuneka uthembe ugqirha. Uyacebiswa ukusetyenziswa ngaxeshanye kweziyobisi eziliqela. Ukuba amayeza emiselweyo swi nga pfuna ukunqanda iintlungu, ungenza ithamo elikhulu okanye ukubona ugqirha ukuba amayeza kweziyobisi kwenye.

Yintoni enye ukunceda?

amiswe kakhulu kakuhle iziyobisi ukwandisa izitya. Ngelo xesha nye buyasikhulula izihlunu egudileyo, le mithambo imithambo kuba ezinkulu. Ukuba unesifo coxarthrosis, le unyango ibonisa iziphumo intle ngokwaneleyo.

Kwelinye icala, xa amachiza asetyenziswa ngokufanelekileyo kweli qela phantsi kweliso yoko gqirha kwabaphilileyo ulungile, oko akuyi kufuneka ukuba ulinde ixesha elide. Kwakhona ezitsala uluhlu encinane Izimo. ekugqibeleni Joint kwakhona, njengoko kubonelelwe ukuhamba kwegazi ngcono, okt izicwili ezinikiweyo ubuninzi ekunene. Dilates imithambo yegazi mayeza yaba yimpumelelo kakhulu nxamnye intlungu zasebusuku.

Kodwa kukho iziphene. Ayizizo zonke izigulane ukulunyamezela iqela iziyobisi, ukunyamezelana ngamnye ubuncinane omnye kumacandelo unyango uba ayisebenzi. Phambi ekuqaleni kuyimfuneko ukuba udibane nogqirha wakho, baye kuzihlola. Iqala unyango, ekuqaleni akazange ukuthatha iipilisi ezininzi ngosuku - iidosi igcinwe iintsuku ezintathu zokuqala, ukulawula intsebenzo yomzimba. Ukuba yonke into ILUNGILE, uyakwazi ukuqhubeka kugqirha ekucetyiswa kunye nabavelisi ingqalelo.

Miorelaksaty and hondroprotektory

Miorelaksaty - iyeza ukunceda imisipha. Ukuba unesifo coxarthrosis, ezo mali asetyenziswa ngononophelo, kodwa sifuna ukuba inkantsi, lwathatha intlungu. Ukusetyenziswa kweziyobisi inceda ukuphucula igazi kwemali ukuya kummandla ochaphazelekayo. Kodwa mhlawumbi nefuthe ngxelo imbi luvo, ibangela ingqondo Uyagula uyehla kwaye kukho imvakalelo efanayo kweempembelelo zotywala.

Chondroprotectors ibhekiswe intlala ukulungisa. Bona ingqalelo enye luluncedo kakhulu osteoarthritis nokuphuculwa isakhiwo intlala kwaye sibhekiswe iiseli luncedo, izithako okunesondlo. Ukuba loo machiza asetyenziswa rhoqo, eyeka uphuhliso sifo. Nangona kunjalo, lo isiphumo ngokukhawuleza emihle xa isicelo chondroprotectors kodwa isaziso: ibizwa waziva kuphela kwithuba elide. Kwanasemva kokuba ukumisa lwamazinga zonyango ukuphucula intlala igcinwe. Nangona kunjalo, akunakwenzeka ukuba ukuziqhelanisa ukuthatha la amayeza ngexa lokukhulelwa, iinkqubo ukudumba kwamalunga. components isici kuyenzeka.

therapy hormone

Ekugqibeleni, ndingasathethi amayeza hormone steroid, iye yanwenwa kwiminyaka yakutshanje. Bona kuqaliswa ngqo injective ehlangeneyo. Isiphumo idla kubonwa phantse ngoko nangoko emva kokuqalisa unyango, kuba lolona ukuba ukudumba wambetha imicu femoral. Kodwa isiphumo kakhulu fast, kwaye ikhondo uthomalaliso kunye neziphumo ebezingalindelekanga.

Oogqirha bacebisa enye edityanelweyo ezilawulwa akukho ngaphezu izitofu ezintathu. Phakathi izitofu ezimbini kufanele ukuba zigcinwe ukuze iiveki ezimbini okanye nangaphezulu.