Femoroacetabular Impingement and Early Hip Arthritis

Femoroacetabular impingement (FAI) chirwere chinoratidzwa nechimiro chisina kujairika chebhora-uye-socket hip joint. Kukosha kwe FAI mukurudzirwa kwechirwere -majoka arthritis , uye kurapwa kunonyatsokodzera mamiriro acho ezvinhu, ndiyo nyaya hurukuro.

FAI Inotsanangurwa

FAI mamiriro ezvinhu anowanikwa apo pane chimiro chisina kujairika chebhora-uye-socket hip joint inokonzera kufamba kusingagumi.

Isu tose tine maitiro akasiyana zvakasiyana nemapfupa edu, uye vamwe vanhu vane chimiro chisina kujairika chebhora uye / kana zvishongo zvechiuno. Mune vanhu ava, mapfupa emapfupa anogona kuumba zvakapoteredza musungo wekuputika. Kana chiuno chikakanganiswa kana kutendeuka, aya mapfupa emapfupa anogona kuonana, zvichiita kuti chimiro chechimiro che FAI.

Vanhu vane FAI vanowanzova nehup-joint joint . Kazhinji marwadzo anonzwika mumugwagwa, kunyange zvazvo vanhu vane FAI vangave vaine marwadzo mberi kwechiuno kana mumashure. Mukuwedzera kune pfupa rinopoteredza musangano, vanhu vane FAI vanogonawo kunge vakakuvadza katetila muhudyu uye mvere dzemisodzi dzehudyu .

FAI uye Hip Arthritis

Mumakore achangobva kupfuura, vamwe vanachiremba vakafungidzira kuti FAI inokonzerwa nehutachiona hwekudzika hup-joint arthritis . Zvinonzwisisika kuti vanhu vane FAI vane mukana wakareba wekupedzisira vachida kubhadharwa kushandiswa kwemashonga , kunyanya kana vane kamu lesion (bone spur iri pabhodhi rebhoti-uye-socket hip joint).

Kufambira mberi kwehapi arthritis kune munhu ane pincer yezvipembenene (bone spur padhesi yebhoti-ne-socket hip joint) haina kunyatsojeka, kunyange zvazvo inonzwawo kuti inogona kuisa chikonzero chekuwedzera arthritis. Pakupedzisira zvakajeka kuti kunyange haisi iyo pangozi yekugadzira hip arthritis (zvimwe zvinhu zvinokosha zvinosanganisira genetics, kukuvadzwa kwakapfuura

Kurapa kwe FAI

Iyo yakanakisisa kurapwa kwe FAI haina kunyanya panguva ino. Pakave nekufarira kukuru pakushandisa nzira yekubvisa mapfupa emapfupa, anonzi osteoplasty , kunyange zvazvo kwenguva yakareba migumisiro yezvokuvhiya idzi isati yakatarwa. Nezvinyorwa zvakanaka, kurapwa uku kwakaratidza zvibereko zvakanaka kwazvo mukudzivirira marwadzo nekuvandudza kufamba kune vanhu vane FAI vachikonzera marwadzo ekuputika avo vakakundikana kurapwa kwakanyanya.

Muzhinji, hapana kurapwa kwe FAI kunokurudzirwa kune vanhu vasina zviratidzo (FAI inongowanikwa pane x-ray kana MRI). Mukuwedzera, vanachiremba vazhinji vanorayira vachiedza kuedza kurapa kusina kupirisa vasati vaenderera mberi nekupindira kwekuvhiya kuti vataure ne FAI. Aya maitiro asingashandisirwi anogona kusanganisira zororo, basa rekugadzirisa, mishonga inopesana nekuputika , kana kuti majekiseni e-cortisone .

Pasi Pasi

Sezvambotaurwa kare, nyaya yekukosha kwe FAI pakuzadza arthritis uye kunyanya kurapwa kwechiitiko ichi kunotungamira hurukuro huru. Chinhu chinokosha ndechekuti hapana munhu anoziva mhinduro dzacho, uye apo vamwe vanachiremba vane maonero akasimba panyaya yacho, pane zvishoma zvenguva yakareba deta kuratidza zvakajeka mhinduro dzemibvunzo iyi.

Mashoko akajeka anoratidza kuti vaduku kune vanhu vepakati pepakati vane mazamu emakemikari e FAI vari pangozi yakakura yekuwedzera hupikisa hip joint arthritis uye pakupedzisira inoda kubhadhara hup.

Nzira yekuvhiya yekubvisa bone spurs, chirwere cheputika, inogona kubatsira zvikuru mukuvandudza zviratidzo zvevanhu vane FAI, asi hapana chinoratidza kuti izvi zvichapa nguva yakareba rubatsiro kana kudzivirira kupfuurira kweArthritis .

Sources:

Sankar WN, et al. "Femoroacetabular Impingement: Kutsanangura Chimiro uye Basa rayo muPathophysiology yeOsteoarthritis" J Am Acad Orthop Surg July, July vol. 21 no. suppl S7-S15.