Opaleshoni ya opaleshoni yayamba bwino kumvetsetsa magwero a ululu, ndipo teknoloji yowonjezera luso lathu lozindikira zinthu zomwe poyamba sizinachitike. Chitsime chimodzi cha ululu wa mchiuno ndi kupweteka omwe akupezeka kuti kawirikawiri amatchedwa msuzi .
Lamba la mchiuno ndi mphete yomwe imayandikana ndi chingwe cha mpira wachitsulo.
Kaŵirikaŵiri kuyerekezedwa ndi meniscus misozi yokhudzana ndi mawondo, misozi imatha kukhala chisonkhezero chachisoni komanso chosasangalatsa mu mgwirizano wa m'chiuno.
Matenda ophatikizana a hi anali pang'ono chabe. Anthu osiyanasiyana ochokera ku sukulu ya sekondale ndi ochita masewera a koleji kupita ku mapiri a zaka zapakati pa zaka zam'mbuyomu amatha kudandaula chifukwa cha ululu wawo m'chiuno, nthawi zambiri m'mimba mwawo. Anthuwa adapatsidwa matenda ovuta kapena osokonezeka , koma nthawi zambiri amachira mosayembekezereka ndipo nthawi zina zizindikirozo zimatha.
Pamene takhala tikudziwitsanso bwino momwe thupili likugwiritsira ntchito, ndipo matekinoloje monga MRIs adalimbikitsa luso lathu lowona zolakwika m'thupi lino, tazindikira zowonjezera zowawa za m'chiuno. Chinthu chimodzi chomwe chimatchulidwa ngati chitsimikizo cha ululu wa ntchafu ndi lamba.
The Hip Labrum
Kuphatikizana kwa mchiuno ndi mpira ndi mgwirizano wazitsulo pampando wa pamwamba pa ntchafu yamphwa ndi pelvis.
Mosiyana ndi mpira wina ndi ziwalo zomangira monga mapewa, chiuno chili ndi zitsulo zozama kwambiri. Labamu ndi chikho cha cartilage chomwe chimapangitsa mphete kuzungulira m'mphepete mwa chingwe cha mchiuno. Izi zimathandiza kukulitsa chingwe, komanso kukhala osinthasintha (mosiyana ndi fupa la chingwe) kuti alole kayendetsedwe kake.
Mphuno ya m'chiuno, monga mitundu ina ya katemera, imakhala ndi mavuto ochiritsira kuvulala. Matenda a khungu amasowa magazi abwino choncho sangathe kuchiritsa pambuyo powonongeka. Pachifukwachi, kamodzi kabwino kake kakakhala koonongeka, kamakhala kawonetsa ziwonongeko zomwe sizikhoza kukonzedwa pakapita nthawi.
Misozi ya Hip Labrum
Pamene lamba la mgwirizano wapachipatala lawonongeka, anthu ambiri amatchula za kuwonongeka ngati "kudula kwala." Ngakhale kuti akugwiritsa ntchito chilankhulochi ponena za kuvulaza kulikonse kwa mthunzi wa m'chiuno, misozi yosowa imabwera mosiyanasiyana, maonekedwe, ndi mitundu yosiyanasiyana. Sikuti misozi yonse imakhala yofanana, ndipo chithandizo cha misozi imatha kusiyana kwambiri. Kuwonjezera pamenepo, odwala amabwera m'njira zambiri ndi zosiyana zoyembekezeredwa kuti azichira komanso zosiyana zogwirizana ndi mankhwala osiyanasiyana. Chofunika kwambiri, misonzi ya labral imapezeka nthawi zina zowonongeka kumphatikizapo nyamakazi ndi fupa la fupa . Misozi yodwala nyamakazi imakhala yowawa kwambiri.
Pamene opaleshoni imalingaliridwa kuti imalira, njira yowonjezera yothetsera vutoli ndiyo njira yothandizira. Kuchita opaleshoni yam'chiuno kumakhala kosamvetsetseka pakati pothandizana ndi chiuno chazaka 20 zapitazo, zosazolowereka zaka 10 zapitazo, koma zakhala zikuchitika nthawi zonse opaleshoni masiku ano.
Ndipotu, zaka khumi zapitazi, opaleshoni yochulukirapo yothandizira mchiuno yawonjezeka 18. Ngakhale kuti kuwonjezeka kwakukuluku, pakhala kusanthula kwakukulu kwa sayansi kuti momwe chithandizochi chilili chopindulitsa kwambiri. Mwachindunji, pang'ono zachitidwa poyerekeza ngati opaleshoni yapamwamba yamapiko ili bwino kusiyana ndi mankhwala ena opatsirana monga kutupitsa thupi, mpumulo, ndi mankhwala otsutsa-kutupa.
Hip Arthroscopy
Kuchita opaleshoni yamakono ndi njira yopaleshoni yopita kuchipatala yomwe inkachitidwa pansi pa anesthesia. Dokotala wanu amachititsa kachipangizo kakang'ono ka kanema kanema kamene kali ndi gwero lotsekemera pamalumikizidwe a chiuno, ndipo kupyolera mu kapangidwe kakang'ono kamene kakhoza kuyika zida zothetsera misozi ya labral misozi.
Mankhwala ochiritsira omwe amathetsa misozi imakhala yokonzanso kuwonongeka ndi sutures kapena kudula gawo losweka la lamba. Chisankho cha momwe mungathetsere misonzi kawirikawiri chimadalira zinthu monga kuphwanya mtundu ndi malo.
Kuchita opaleshoni yamapiko a nyamakazi sikuti kulibe ngozi . Zowopsazi zikuphatikizapo mavuto monga matenda, kupweteka kosalekeza, ndi mitsempha kapena kuvulala kwa mitsempha ya magazi. Chifukwa chodziŵika bwino za matenda opaleshoni, ndikofunikira kuyeza kuti phindu la opaleshoni. Ndiye funso likuti, kodi chithandizo cha opaleshoni chili bwino kapena choipa kuposa chithandizo chamankhwala? Chifukwa chakuti tikudziwa kuti misozi ya labral sichichiritsidwa, anthu ambiri akuganiza kuti ngati akufuna kuti ululuwo uchitidwe, njira yothandizira ndiyo njira yawo yokhayo. Koma kodi ndi zoona?
Zotsatira za Kuchiza Opaleshoni
Kafukufuku wambiri wam'mbuyo wapereka zotsatira zabwino zafupipafupi potsatira opaleshoni yapamwamba yothandizira. Ambiri mwa maphunzirowa amapeza kuti anthu omwe amapanga nyamakazi amatha kupweteka kwambiri miyezi ndi zaka kuti atsatire chithandizo cha opaleshoni. Makamaka odwala omwe alibe zizindikiro za nyamakazi, zotsatirazi zimagwira bwino nthawi, ndipo anthu amakhutira ndi mankhwala awo. Umboni umenewu umathandizira kuganizira za kuchipatala, koma kafukufuku ochepa chabe awona ngati mankhwala opanga opaleshoni ndi abwino kusiyana ndi mankhwala opanda chithandizo.
Kafukufuku wina waposachedwapa wa anthu pafupifupi 100 omwe anagwiritsidwa ntchito pomenyera usilikali omwe anali ndi misozi modzidzimutsa anawapatsa mwayi woti apite opaleshoni kapena opaleshoni. Patapita zaka ziwiri chithandizo chitatha, panalibe kusiyana kwakukulu pakati pa magulu a anthu omwe anachitidwa opaleshoni ndi opaleshoni. Izi sizikutanthauza kuti aliyense ali bwino, zimangotanthauza kuti chiwerengero chofanana cha odwala chimakhala bwino ndi chithandizo chamankhwala monga mankhwala opaleshoni. Mwachidziwitso, ambiri mwa odwala m'magulu onsewa, opaleshoni ndi osagwiritsa ntchito mankhwala, adapeza bwino.
Panalinso kutsutsana pankhani ya chithandizo cha odwala omwe ali ndi zaka zoposa 40 omwe ali ndi misozi. Odwalawa ayenera kuyang'anitsitsa kwambiri pakuganizira zachipatala. Ngakhale pali zochitika zina zomwe anthu okalamba angathe kupeza kupwetekedwa bwino ndi opaleshoni yamakono, ambiri mwa anthuwa si opaleshoni yabwino. Kafukufuku wasonyeza mobwerezabwereza kuti anthu oposa zaka makumi anayi ali ndi chiwerengero chokwanira cha nyamakazi yothandizana ndi chiuno, ndipo misozi imakhala ngati chizindikiro choyamba cha nyamakazi m'chiuno. Ambiri mwa odwalawa amatha kupaleshoni, ngakhale atachita opaleshoni yapamwamba.
Monga momwe zilili ndi opaleshoni yatsopano, chifuwa chachikulu chojambula nyamakazi chimaphatikizapo, opaleshoni ya opaleshoni amaphunzira pang'onopang'ono odwala omwe angapindule nawo, ndipo omwe sali otero, chifukwa chochita opaleshoni. N'zachidziwikire kuti sikuti munthu aliyense amene ali ndi misozi yanyonga amafunika opaleshoni yamapiko. Ndipotu, chithandizo chopanda chithandizo nthawi zambiri chimakhala chogwira ntchito, ndipo nthawi zina chimakhala chothandiza kwambiri, kusiyana ndi opaleshoni. Kugwira ntchito kuti mudziwe omwe ali odwala omwe angapindule nawo ndi njira yopitilira. Zikuwoneka kuti pafupifupi nthawi zonse mankhwala osayenera ayenera kuyesedwa koyambirira ndipo odwala opitirira zaka 40 ayenera kusamalidwa bwino kuti athe kuchipatala.
Mawu Ochokera
Kuchita opaleshoni yapamwamba kwambiri imakhala yofunika kwambiri pa chithandizo cha kuvulala kwala. Izi zati, odwala ambiri angathe kupeza chithandizo chofanana ndi chithandizo chopanda chithandizo. Pafupifupi zochitika zonse, chithandizo chopanda uphungu chiyenera kuyesedwa musanayambe kuchitidwa opaleshoni yamakono. Kafukufuku wasonyeza kuti ngati mankhwala osamalidwa ndi opaleshoni amafanizidwa, zotsatira zake siziri zosiyana pakati pa magulu awa; mankhwala onsewa amachititsa kuti zizindikiro zikhale bwino. Pali zochitika pamene mankhwala osamalidwa bwino ndi osafunikira, ndipo opaleshoni ikhoza kuganiziridwa. Munthu woyenera kulandira chithandizo cha opaleshoni ali ndi zaka zoposa 40 ndipo alibe zizindikiro za matenda a nyamakazi pamagulu awo a m'chiuno.
> Zotsatira:
Mansell NS, Rhon DI, Meyer J, Slevin JM, Marchant BG. "Kupenda Opaleshoni Kapena Kugwiritsa Ntchito Mankhwala Opaleshoni kwa Odwala Ndi Amayi Omwe Amamangidwa ndi Femoroacetabular Syndrome: Kuyesedwa Kowonongeka Kwambiri Ndi Kuchita Zaka Zaka Zambiri" Am J Sports Med. 2018 Feb 1: 363546517751912.
Horner NS, Ekhtiari S, Simunovic N, Safran MR, Philippon MJ, Ayeni OR. "Hip Arthroscopy Odwala M'madera Okalamba 40 kapena Okalamba: Ndemanga Yogwirizana" Arthroscopy. 2017 Feb; 33 (2): 464-475.e3.