Kuchotsedwa kwa Bone Spurs ku Hip Joint
Kupwetekedwa kwa njuchi kwasangalatsidwa kwambiri zaka khumi zapitazo. Chomwe chimatchulidwa kawirikawiri ndi kukopa kwa mchiuno kapena kukopa kofuula tsopano kumamvetsetsa bwino, ndi zifukwa zosiyana za zovuta. Makamaka achinyamata othamanga, omwe amachititsa kuti azipweteka kwambiri, amapezeka ndi kuwachiritsira.
Chimodzi mwa zifukwa za kupweteka kwa m'chiuno chimatchedwa femoroacetabular impingement (FAI).
Matendawa nthawi zambiri amaganiziridwa kuti ndi oyambirira kutsogoloka kwa nyamakazi ndipo amadziwika ndi mapangidwe a fupa lamphongo lomwe likuzungulira mpira ndi chophatikizira mchiuno. Imodzi mwa mankhwalawa kwa FAI ndiyo kuchotsa mitsempha ya mafupa yomwe imayandikana nawo mchiuno, njira yotchedwa osteoplasty.
Thupi Lolimbitsa Thupi Limayambitsa
Kuphatikizana kwa mchiuno ndi mgwirizano wa mpira ndi zowonjezera, ndipo pangakhale pfupa kumathamanga pa mpira wonse ndi chingwe cha mchiuno. Mafupawa amatchedwa cam kapena pincer zilonda za m'chiuno.
- Cam Lesion: Kutupa kwa khamulo kumachitika pamene fupa la fupa liri pa mpira wothandizira m'chiuno, pamwamba pa ntchafu yamphwa. X-ray ya wodwalayo ali ndi khungu lajeremusi amasonyeza mpira (mutu wa chikazi) womwe suwoneka ngati wozungulira, wokhala pambali pa mpira. Mbali iyi ya mpira imathamangira muzitsulo pamene mchiuno umasinthasintha (ukukwera) kapena kusinthasintha (kutembenuzidwa).
- Siliyoni yam'mimba: Chotupa cha pincer ndi fupa la fupa limene limachokera ku chingwe cha mchiuno (acetabulum). Chotupa cha pincer chimateteza mpira kusuntha momasuka.
Anthu ena omwe amadziwika kuti ali ndi FAI onsewa amatha kutulutsa zilonda, pamene ena ali ndi chimodzi kapena chimzake. Odwala ambiri omwe ali ndi FAI amakhalanso ndi misozi yambiri.
Njira Zothandizira
Odwala ambiri omwe ali ndi FAI amayamba ndi kuyesa mankhwala oyamba. Ngati phokoso la fupa likuwonekera pa x-ray, koma osati kuwonetsa ululu wa ululu, kawirikawiri palibe mankhwala.
Ngati ululu ndi vuto, mankhwala ophatikizapo kupuma, mankhwala otsutsa-kutupa , ndi majeremusi a cortisone , akhoza kuyesedwa. Odwala ambiri amapeza kutambasula kachipatala kumapweteka kwambiri chifukwa mfupa ya fupa silingathe kumasulidwa.
Ngati mankhwala osavuta sapereka chithandizo chokwanira, njira yopaleshoni yochotsera fupa la fupa, yotchedwa osteoplasty, ingaganizidwe. Pali njira ziwiri zopangira opaleshoni yomwe imatha kuchitidwa.
- Hip Arthroscopy: Kuchita opaleshoni yapamwamba kwambiri kumakhala kofala, ndipo kuchotsedwa kwa fupa la fupa kumatha kuchitidwa mopenda. Ubwino wokhala ndi matenda otsekula m'mimba ndizopangitsa kuti opaleshoniyo ayambe kuchitidwa opaleshoni, komanso kuti ayang'ane kachipangizo kameneka. Chosavuta ndi njirayi ingakhale yovuta, ndipo nthawi zina zimakhala zovuta kuonetsetsa kuti kuchotsedwa kwa fupa la fupa kumakhala kokwanira.
- Tsegulani Osteoplasty: Njira ina ndiyo kupanga incision kutsogolo kwa mchiuno ndikuchotsa fupa pang'onopang'ono. Ubwino wanu ndi dokotala wanu opaleshoni nthawi zambiri amakhala woopsa pakuonetsetsa kuti fupa la fupa likuchotsedwa. Chosavuta ndi ichi ndi opaleshoni yowonjezereka. Mphuno yotseguka imakhala ikugwiritsidwa ntchito pamtundu womwewo monga malo otchuka omwe amachotsedwa m'malo .
Kodi Osteoplasty Imateteza Matenda a Matenda Aakulu?
Ili ndi funso la kutsutsana kwakukulu. Sipanakhale phunziro lalitali kuti asonyeze kuti kuchotsa fupa kumayambiriro kumapeto kwa chiuno kumathandiza kuchepetsa kukula kwa nyamakazi . Ochita opaleshoni ena amakhulupirira kuti matenda opha majeremusi amatha kuchepetsa kukula kwa nyamakazi. Komabe, ena amanena kuti palibe deta yotsimikizira izi, ndipo kuchotsedwa kwa fupa la fupa sikunayesedwe kuti zisalepheretsedwe kwa nyamakazi m'magulu ena.
Zotsatira:
Nepple JJ, et al. "Mwachidziwitso cha Chithandizo cha Kuchiza, Zotsatira Zamagulu, ndi Zokangana mu Kulamulira kwa Femoroacetabular Impingement" J Am Acad Orthop Surgery July 2013 vol. 21 no. suppl S53-S58.