Kuchotsa chiuno ndi chovulaza chosazolowereka chomwe nthawi zambiri chimakhala chifukwa cha vuto lalikulu. Zomwe zimayambitsa kusokonezeka kwa hip zimaphatikizapo kugunda kwa galimoto, kugwera kuchokera kutalika, ndipo nthawi zina kuvulala kwa masewera.
Anthu omwe amapitiriza kupweteka kwa ululu amakhala ndi ululu waukulu , amatha kusunthika, ndipo sangathe kulemera pamapeto.
Msolo udzakhala pamalo osalongosoka chifukwa cha kusokonezeka, nthawi zambiri ndi mwendo wofupikitsidwa ndi kusinthasintha.
Kusokonezeka kwa Hip kungathenso kuchitika ngati opaleshoni ya opaleshoni yotsalira . Chifukwa chakuti malo opangira mawonekedwewa amasiyana ndi chiwalo chokhala ndi chiuno chodziwika bwino, kusokonezeka pambuyo potsatizanitsa ndi njira yothetsera opaleshoni . Ndipotu, pakati pa 1-4% odwala amatha kusokoneza chiuno pambuyo pochita opaleshoni yatsopano. Mitundu yatsopano yanyumba yamakono ndi njira zatsopano zothandizira opaleshoni zimapangitsa kuti izi zisakhale zovuta.
The Hip Joint
Kuphatikizana kwa mchiuno ndi chophatikiza mpira. Mzere wa chiuno ndi chikho chachikulu cha mafupa omwe ali mbali ya pelvis (yotchedwa acetabulum). Bulu ndilo pamwamba pa fupa lamphongo (femir) - dzina la chiuno cha mchiuno ndi chogwirizana cha femoroacetabular. Chifukwa chachikulu chokhalira chosavuta ndichachilendo kwambiri, ndikuti mpira umakhala mkatikati mwa chingwe cha mchiuno.
Mosiyana ndi mapewa, pamene mpira wakhala mosasunthika pazitsulo, kupsala pang'ono kumakhala kosazolowereka, pomwe kutaya kwapakati kumakhala kofala.
Kuphatikiza pa mfupa yomwe imapanga mgwirizano wodalirika, thupi limakhalanso ndi mitsempha yamphamvu, minofu yambiri, ndi timatope zomwe zimathandizira kukhazikika kwa chiuno.
Kuti kusokonezeka kwa hip kuchitike, mphamvu yayikulu iyenera kugwiritsidwa ntchito pamodzi. Anthu omwe amamva kuti mchiuno mwachisawawa amatha kusokoneza mgwirizano; Zinthu izi zimadziwika ngati matenda osokoneza ubongo .
Hip Dislocations
Pamene kusweka kwa mchiuno kumachitika, payenera kukhala kuwonongeka kwa zigawo zomwe zimagwira mpira muzitsulo. Kuvulala komwe kumachitika pamene chifuwa cha mchiuno chimachitika ndi kuphwanyidwa kwa fupa lozungulira mchiuno, misonzi mu lamba ndi mitsempha ya m'chiuno, ndi kuwonongeka kwa kanyumba kamodzi. Komanso, kuvulaza mitsempha ya magazi yomwe imadyetsa mafupa kungayambitse vuto lotchedwa avascular necrosis (lotchedwanso osteonecrosis m'chiuno ).
Anthu omwe amatha kusokoneza mchiuno amakhala ndi chiopsezo chachikulu cha matenda a nyamakazi ya miyezi ndi zaka zomwe zikutsatira vutoli ndipo ali pachiopsezo chachikulu chofuna kubwezeretsa nsabwe m'tsogolo. Malinga ndi kuchuluka kwa khunyu kumapangitsa kuti pakhale mavuto omwe angakhale nawo m'tsogolo.
Kuchiza
Chithandizo chofunika kwambiri cha mchiuno chochotsedwa ndi kuyika bwino mpira kubwalo - kutanthawuza kuchepetsa mgwirizano. Pofuna kubwezeretsa chiuno, wodwalayo adzafunanso kuti anesthesia adziwe .
Mosiyana ndi matenda ozunguza mapewa omwe odwala ambiri, makamaka omwe abwereza maulendo awo pamodzi, amatha kudziika okha, kuwonongeka kwa chiuno kumakhala kofunika kwambiri.
Bulu likangobwereranso m'thumba, dokotala wanu adzayesa kuvulazidwa kwina, kuphatikizapo kuvulala, fupa, ndi mitsempha. Malingana ndi kuvulala kumene kwachitika, chithandizo chamtsogolo chingakhale chofunikira. Kugwidwa mafupa kungafunikire kukonzedwa kuti uike mpira mkati mwazitsulo, ndipo karoti yowonongeka ikhoza kuchotsedwa mkati mwake.
Kugwiritsira ntchito masewera olimbitsa thupi akugwiritsidwa ntchito kwambiri ngati chida choonetsetsa kuti mgwirizanowu uli wathanzi mwakukhoza kwotsatila.
Kuonjezera apo, kukula kwa nyamakazi yoyamba ya mchiuno kumakhala kofala kwambiri potsata mtundu wa vuto lopweteka. Choncho, odwala ambiri omwe amachotsedwa kuvulala amafunika kuchitidwa opaleshoni .
Hip Subluxation
Kuvulala kofanana kumatchedwa hip subluxation. Kugonjera pamodzi ndi njira ina yofotokozera zomwe anthu nthawi zambiri amazitcha kusokoneza gawo. Pankhani ya kuphatikizana, zimatanthauza kuti mpira unayamba kutuluka muzitsulo koma sunabwere kapena kuchoka. Odwala omwe ali ndi chiuno amatha kukhala ndi mavuto omwewo monga omwe amatha kusokoneza chiuno. Anthuwa angathe kukhala ndi misozi, osteonecrosis, ndi nyamakazi. Kuwombera kwapadera ndiko kuvulaza komwe kunathetsa ntchito ya mpira wa mpira wotchedwa Bo Jackson.
Zotsatira:
"Zomwe zimakhala zovuta kwambiri koma zoopsa za mpira Hip Duke Medicine News and Communications, Nov. 3, 2004.
Doul Foulk ndi Mullis BH. "Kusokonezeka kwa Hip: Kuwunika ndi Kulamulira" J Am Acad Orthop Surgery April 2010; 18: 199-209.