Mayi wamkazi otchedwa femoroacetabular impingement (FAI) ndi chikhalidwe chodziwika ndi mawonekedwe osalimba a mgwirizano wa mpira. Kufunika kwa FAI pakukula kwa nyamakazi yamagulu , ndipo chithandizo chomwe chili choyenera kwambiri, ndicho phunziro lalikulu.
FAI
FAI ndi mkhalidwe umene umapezeka pamene pali mawonekedwe osalimba a mgwirizano wa hip ndi mthunzi umene umayambitsa kayendedwe koletsedwa.
Tonsefe timakhala ndi mawonekedwe osiyana kwambiri ndi mafupa athu, ndipo anthu ena ali ndi mawonekedwe osiyana kwambiri ndi mpira komanso / kapena thumba la m'chiuno. Mwa anthuwa, fupa la fupa lingapangidwe pozungulira palimodzi. Pamene mchiuno ukugunda kapena kutembenuzidwa, mafupawawa amatha kugwirizana, kuchititsa kutsogolera khalidwe kwa FAI.
Anthu omwe ali ndi FAI nthawi zambiri amakhala ndi ululu wophika . Kawirikawiri ululu umamvekedwa m'mimba, ngakhale anthu omwe ali ndi FAI amatha kupweteka pamaso pa mchiuno kapena m'makowa. Kuphatikiza pa fupa limathamangirira palimodzi, anthu omwe ali ndi FAI amatha kuwonongeka khungu la mchiuno .
FAI ndi Hip Arthritis
M'zaka zaposachedwapa, opaleshoni ambiri opaleshoni aganiza kuti FAI ndi chiopsezo chachikulu chokhazikitsa nyamakazi yamagetsi . N'zoonekeratu kuti anthu omwe ali ndi FAI amakhala ndi mwayi wapadera wopeza opaleshoni yowonjezereka , makamaka ngati ali ndi fupa la bone (bone spur ali pa mpira wa phokoso lachiuno).
Kuwonjezereka kwa nyamakazi ya m'chiuno kwa anthu omwe ali ndi zilonda zapakhosi (fupa la fupa la phokoso) ndi lochepa kwambiri, ngakhale kuti likumverera kuti ndilo vuto lalikulu la kutupa nyamakazi. Pamapeto pake, zikuwonekeratu kuti sizingakhale zoopsa zokha kuti nyamakazi ikhale yochuluka (zina mwazikuluzikulu zikuphatikizapo genetics, kuvulala koyamba
Kuchiza kwa FAI
Chithandizo chabwino cha FAI sichidziwikiratu panthawiyi. Anthu akhala akudabwa kwambiri pochita opaleshoni pofuna kuchotsa fupa la mafupa, lomwe limatchedwa osteoplasty , ngakhale kuti zotsatira za nthaŵi yaitali za opaleshoni imeneyi siziyenera kudziwika. Mwachidziwitso, opaleshoniyi yawonetsa zotsatira zabwino kwambiri pakuthandizira kupweteka ndi kupititsa patsogolo maulendo mwa anthu omwe ali ndi FAI omwe amachititsa ululu wamvupulu omwe alephera mankhwala ochiritsira kwambiri.
Kawirikawiri, palibe chithandizo cha FAI chomwe chilimbikitsidwa kwa anthu omwe alibe zizindikiro (FAI imawoneka pa x-ray kapena MRI). Komanso, opaleshoni ambiri opanga opaleshoni amalimbikitsa kuti asayambe chithandizo chopanda chithandizo asanayambe kugwira ntchito kuti athetsere FAI. Mankhwala osaphatikizapo angaphatikize kupumula, kusinthidwa kwa ntchito, mankhwala oletsa kupweteka , kapena jekeseni ya cortisone .
Pansi
Monga tanenera poyamba, nkhani ya kufunika kwa FAI pakukula nyamakazi ndi chithandizo chabwino cha matendawa ndizo zotsutsana kwambiri. Chofunika kwambiri ndikuti palibe amene amadziwa kwenikweni mayankho, ndipo pamene madokotala ena opaleshoni ali ndi malingaliro amphamvu pankhaniyi, pali deta yochepa kuti athe kuwonetsa bwino mayankho a mafunso awa.
Mafotokozedwe omveka bwino akusonyeza kuti achinyamata omwe ali ndi pakati pakati pawo omwe ali ndi zilonda za FAI ali pangozi yaikulu yokhala ndi nyamakazi yambiri yamtundu wa hip ndipo potsirizira pake amafunikanso kuti azikhala m'malo amodzi.
Kuchita opaleshoni kuchotsa bone spurs, kutsegula m'mimba, kungathandize kwambiri pakuthandizira zizindikiro za anthu omwe ali ndi FAI, koma palibe chomwe chingasonyeze kuti izi zidzakupatsani phindu la nthawi yaitali kapena kuchepetsa matenda a nyamakazi .
Zotsatira:
Sankar WN, et al. "Kupangika kwa Femoroacetabular: Kutanthauzira Chikhalidwe ndi Udindo Wake Pathophysiology ya Osteoarthritis" J Am Acad Orthop Surgery July 2013 vol. 21 no. suppl S7-S15.