Kubviswa kweT Bone Kunoparadza kubva kuHun Joint
Huru-hutano hwakakonzerwa hwakagamuchirwa zvakawanda mumakore gumi apfuura. Chaiwanzoonekwa kuti chinonzi hip strain kana kukohwa kwekugadzirira ikozvino kunzwisiswa zviri nani, nezvine zvikonzero zvinokonzera kusagadzikana. Kunyanya muvatambi vechidiki, zvikonzero zvakasiyana-siyana zvehup-hutano hwakagadzikana zviri kuongororwa uye kunorapwa.
Chimwe chinokonzera kurwadziwa kwechiputi chinonzi femoroacetabular impingement (FAI).
Ichi chiitiko chinowanzofungidzirwa kuva chinyorwa chepakutanga kuti chibate-chibatanidza arthritis uye chinoratidzwa nekuumbwa kwepafu spurs inopoteredza bhora uye chikwata chechikwata chechiuno. Imwe yemishonga ye FAI ndeyekubvisa mapfupa emapfupa akakomberedza musungo wekuputika, chirongwa chinonzi osteoplasty.
Hip-Joint Bone Inoparadza
Chibatanidzwa chekuputika chibatanho chebhora-uye-chekoni, uye panogona kunge kune pfupa rinoputika pombi pamwe nehomwe yehudyu. Aya mapfupa epafu anonzi cam kana kuti pincer zvipembenene zvehudyu.
- Cam Lesion: Kemononi yekamu inoitika apo bone spur iri pabhokisi rekubatana kwechiuno, kumusoro kwechidya chehudyu. X-ray yemurwere ane kemonononi inoratidza bhora (iro rekudzivirira musoro) iro risingarati riri rakatenderera sechinhu chakanaka, rine bump kurutivi rwebhora. Iyi chikamu chebhora chinoputika muchekete kana chiuno chichigadziriswa (chichikwiridzirwa) kana kutenderedzwa (kutendeuka).
- Irivha yepineti: Chironda chepineti chinonzi bone spur chinowedzera kubva pane zvigaro zvekubatanidzwa kwechiuno (acetabulum). Chirwere chepineti chinodzivirira bhora kuti isasununguka sechinyararire.
Vamwe vanhu vanoonekwa kuti vane FAI vane zvose vakamhanya uye vanononga zvipembenene, asi vamwe vane imwe kana imwe. Varwere vazhinji vane FAI vanewo misodzi yemhembwe .
Treatment Options
Vakawanda varwere vanowanikwa vane FAI vachatanga nekuedza kurapa nyore. Kana mapfupa emapfupa akaonekwa pa-x-ray, asi asingaiti zviratidzo zvehupuka huputi, kazhinji hapana kurapa kunodiwa.
Kana kurwadziwa chiri dambudziko, kurapwa kunosanganisira zororo, mushonga unorwisa kupisa , uye cortisone injections , zvese zvingaedzwa. Vakawanda vanorwara vanowana kutambanudza kubatana kwechiuno kunowedzera kusuruvara sezvo bone spurs isingagoni 'kusunungurwa' nokutambanudza.
Kana mishonga isinganzwisisi inopa rubatsiro rwakakwana, chirongwa chokuvhiya kubvisa pfupa remapfupa, inonzi osteoplasty, inogona kuonekwa. Kune nzira mbiri dzekuvhiya dzekuita chirwere chinonzi osteoplasty chinogona kuitwa.
- Hip Arthroscopy: Kuvhiya kweArproscopic hip kuri kuwedzera, uye kubviswa kwepafu spurs kunogona kuitwa arthroscopically. Kubudirira kwekuita uropeoplasty arthroscopically ndiyo inowanzosavhiringidza iyo yekuvhiyiwa, uye kukwanisa kuongorora chiuno chejoka. Izvo zvisingabatsiri ndiyo nzira inogona kunge yakanyanya kuoma, uye dzimwe nguva zvakaoma zvikuru kuvona kubviswa kwakakwana kwepafu spurs.
- Zarura Osteoplasty: Imwe nzira ndeyokuita kuvhara mberi kwechiuno uye kubvisa mapfupa emapfupa pasi pemaonero akajeka. Iyo inobatsira chiremba wako anowanzogona kuva ane hasha pakuita kuti mapfupa emapfupa akwanise kubviswa. Izvo zvisingabatsiri ndezvekuvhiya kunowedzera. Iroseplasty yakasununguka inowanzoitwa kuburikidza nekukanganiswa kwakafanana saiyo inozivikanwa yekare inopisa hip replacement .
Ko Osteoplasty Inodzivirira Arthritis?
Uyu mubvunzo wekupikisana kukuru. Pakave pasina nguva yekudzidza kwenguva yakareba kuratidza kuti kubvisa bone spurs kumativi ehudyu kunobatsira kuderedza kufambira mberi kweArthritis . Vamwe vanachiremba vanodavira kuti hota inokanganisa inogona kuderedza kukura kweArthritis. Zvisinei, vamwe vanotaura kuti hapana deta yekutsigira kudai, uye kubviswa kwepafu spurs hakuratidzirwe kudzivirira kufambira mberi kweArthritis mune mamwe manotsi.
Sources:
Nepple JJ, et al. "Nyaya yeArape Options, Clinical Results, uye Kakavhiringidzika muKutevedzwa Kwemadziroacetabular Impingement" J Am Acad Orthop Surg July 2013 vol. 21 no. suppl S53-S58.