Rehab kwa Hip FAI
Mankhwala othandizira kuti thupi likhale laling'ono (FAI) limaphatikizapo kusintha njira zothandizira (ROM) ndi mphamvu, kuchepetsa kupweteka, ndi kukonzanso kayendetsedwe ka ntchito . Ngati muli ndi FAI, wodwala wanu angakutsogolere pulogalamu yoyenera ya rehab kuti ikuthandizeni kubwerera kuntchito zanu zachizolowezi.
Pali zifukwa zambiri zomwe zimayambitsa kupweteka kwa m'chiuno . Ngati chiuno chanu kapena chiuno chanu chikupweteka, mukhoza kupindula ndi mankhwala opatsirana kuti mudziwe chomwe chimayambitsa ululu wanu ndikuyamba kuchipatala choyenera.
Kuthamangitsidwa kwa dokotala kungathandize kudziwa chomwe chingayambitse ululu wanu. Dokotala wanu akhoza kuchita mayesero apadera omwe angagwiritsidwe ntchito ndi matenda a FAI. Ngati ndi choncho, kutumiza mankhwala kuchipatala kungakhale koyenera.
Kodi CHIYANI?
Kuperekera kwapadera kwa femoroacetabina kumachitika pamene malo ophatikizana nawo amatha kukhala pinched pamene mukuyenda m'njira zina. Mchiuno mwako ndi mpira ndi chojambulira, ndipo nthawi zina mpira wagawo (kumapeto kwa chikazi chako) wa mchiuno wako amalowa pakhomo (acetabulum). Kuwongolera uku kungayambitse kupweteka ndi kuyendayenda pang'ono, ndipo kungachepetse mphamvu yanu kuchita ntchito yanu yachizolowezi ndi zosangalatsa.
Zizindikiro za FAI zingaphatikizepo:
- Ululu mu kubuula kwanu
- Ululu kutsogolo kwa chiuno chako
- Kupweteka kwammbuyo kumbuyo ndi ululu wa nsomba
- Kuchekera kwachitsulo m'chuuno mwako, makamaka mozungulira ndi kufalikira
- Kufooka kumapiko anu
- Kuvuta kumachita kuthamanga, kudumpha, ndi kudula
Ngati dokotala akuganiza kuti zizindikiro zanu zimayambitsidwa ndi FAI, iye akhoza kuchita ma radi-ray kapena MRI. Maphunzirowa amasonyeza mawonekedwe a ziuno zanu zamapiko ndikuthandizani kudziwa ngati FAI ikupweteka mchiuno. Chenjezo liyenera kutengedwa apa-odwala ena omwe alibe ululu kapena zizindikiro amasonyeza zizindikiro za FAI pa maphunziro a kujambula.
Zomwe mukupezazi ziyenera kufotokozera mwachidule zitsanzo zanu zachipatala ndikupeza pa maphunziro opatsirana.
Mitundu ya Kuponyedwa kwa Hip ndi FAI
Pali mitundu iwiri ya mchiuno FAI-pincer impingement ndi impingement cam. Mukhozanso kukhala ndi mitundu yowiri yonse.
Kuponyedwa kwa Cam kumachitika chifukwa cha chikhalidwe chosadziwika cha mutu wanu wachikazi-mpira wa mgwirizano. Izi zimapangitsa kuti phokoso liyike pamphuno pang'onopang'ono. Kupindikizidwa kwazithunzi kumachitika chifukwa cha mawonekedwe anu osadziwika, otchedwa acetabulum. Kuphatikizidwa kwa mitundu yonse iwiri kungathenso kuchitika. Dokotala wanu akhoza kuthandizira kudziwa mtundu wa FAI womwe uli nawo ndi mankhwala abwino kwambiri a ululu wanu.
Mitundu yonse iwiri ya chiuno cha FAI ikhoza kuwononga kuphulika kwa mchiuno, chigawo cha minofu yomwe imakhala pafupi ndi mchiuno. Izi zingayambitse kupweteka komanso kuvulaza, kupweteka komanso kuchepa. Hip FAI ingayambitsenso kuyambitsa mitsempha ya m'mimba.
PT Kufufuza kwa FAI
Zomwe zikuchitika m'thupi lachidziwitso la FAI zingakhale monga:
- Kugawa
- Njira za kuyenda kwa msana, chiuno, mawondo, ndi mabotolo
- Njira za mchiuno ndi mphamvu zotsika
- Mayeso apadera a Hip
- Kuwunika ntchito
- Kusankhana ndi kufufuza enieni
Mukayamba kukambirana ndi PT, iye angakufunseni mafunso okhudza ululu wanu wamapiko komanso momwe amachitira. Nchiyani chimapangitsa izo kukhala zabwino kapena zoipira? Kodi mchiuno wanu umapweteka bwanji kuchokera ku FAI kulepheretsa kuyenda kwanu konse kapena ntchito ndi zosangalatsa? Kodi mwachita zotani pakudziwa ndi kuchipatala? Kukambirana komwe mumakhala nawo ndi wothandizira wanu muyenera kumasuka; nonse mwa inu mukugwirira limodzi pothandizana ndi chithandizo kuti muthe kusintha chikhalidwe chanu ndi FAI.
Pambuyo poyesa, PT yanu idzagwira ntchito ndi inu kukhazikitsa dongosolo la chisamaliro chochiza FAI, ndipo mankhwala angayambe.
Kuchiza Mankhwala Opatsirana kwa FAI
Zolinga za PT ndi FAI zimaphatikizapo kukonzanso nsalu, msana, ndi kumapeto kwa ROM ndi mphamvu ndi kuchepetsa ululu kuti mutha kubwerera kuyendetsedwe yabwino. Mankhwala osiyanasiyana adzachitika ku PT kuti athandize kukwaniritsa zolingazo.
Chithandizo chamankhwala cha chiuno cha FAI chingaphatikizepo zigawo zosiyanasiyana:
Kuchita masewera olimbitsa thupi kumafunika kukhala chida chanu chachikulu pa chithandizo cha FAI. Anu PT akhoza kupanga pulogalamu yoyenera ndi yeniyeni yogwiritsira ntchito ntchito yanu. Zochita za FAI zingaphatikizepo:
- Kutambasula kwa Hip
- Nsalu zamphongo zowamba ndi quadriceps zimatambasula
- Hip kulimbikitsa
- Zochita zolimbitsa thupi ndi zofunikira
- Zochita zolimbitsa thupi m'mimba
Mungathe kuchita masewera olimbitsa thupi mukamapita ku chipatala cha PT, ndipo wodwala wanu angapereke zozizwitsa zokhazokha zomwe mungachite panyumba ngati gawo la pulogalamu ya kunyumba.
Makhalidwe a thupi: Wodwala wanu wamagetsi angagwiritse ntchito njira zosiyanasiyana kuti athandize ululu wanu kapena kusintha mphamvu yanu. Izi ziphatikizapo:
- Ultrasound
- Kulimbikitsa magetsi
- Kutentha
- Ice
- Kinesiology kugwedeza
Kumbukirani kuti zambiri mwa mankhwalawa sizotsatiridwa ndi kufufuza mwamphamvu za sayansi; iwo sangapereke zothandizira kwambiri pakuyenda kwanu ndi kubwezeretsa ntchito. Komanso, zambiri mwa mankhwalawa ndizochepa; simukuchita kanthu pamene PT ikukugwiritsani ntchito mankhwalawa. Kugwira ntchito mwakhama kudzera m'zochita ndi kayendetsedwe ka mankhwala nthawi zonse ndi chithandizo chabwino kwambiri cha chiuno chanu FAI.
Maphunziro a Neuromuscular: Njira ina yothetsera vuto la chiuno ndi FAI ndi maphunziro a neuromuscular. Zikuwoneka zokongola, koma kuphunzitsidwa kwa mphuno kumangopangitsanso kayendetsedwe kake ndi machitidwe abwino, kotero kuti msana, chiuno, ndi maondo ndizolumikizana molondola pamene mukuchita zinthu monga kuthamanga, kudumphira, kapena kudumpha.
Phukusi lanu la PT mungakhale mukuchita zosiyana mofulumizitsa, ndikuyang'ana mwakuya pakuika thupi lanu pamene mukuyenda. Angakuphunzitseni kudumphira ndi kulowera bwino ndikugwira ntchito pazomwe mukuchita komanso zochita. Cholinga ndikumangirira m'chiuno ndi kumapeto kwa malo abwino kwambiri kuti muthe kuyenda bwino ndikuchepetsa nkhawa ndi mavuto.
Kodi Rehab Adzatenga Nthawi Yotani?
Aliyense ndi wosiyana, ndipo aliyense amayankha mosiyana ndi pulogalamu ya PT yochiuno. Kawirikawiri, muyenera kuzindikira kusintha kwa ululu wanu, ROM, ndi mphamvu pambuyo pa masabata awiri kapena atatu a mankhwala. Pulogalamu yanu yonse ya rehab itha kutenga milungu isanu ndi umodzi, ndipo khalani okonzekera kupitirizabe ndi pulogalamu yochita zolimbitsa thupi pokhapokha padera yanu ya PT ikutha.
Ngati mupitilira kupweteka kwa ululu ndi kuyendayenda pang'ono kwa FAI, mungafunike kupita kukaonana ndi dokotala kuti mukambirane njira zina zothandizira. Odwala ena omwe ali ndi FAI angafunikire kulingalira opaleshoni yam'chiuno kuti athetse vutoli ndi kukonzanso vuto lililonse pa lamba lanu. Dokotala wanu akhoza kukuthandizani kupanga chisankho chabwino pakukambirana zosankha zosavuta kuti mukhale ndi chiuno chanu FAI. Ngati mukufuna kuchitidwa opaleshoni, mungapindule ndi chithandizo chamankhwala mutatha opaleshoni kuti muthe kukumbukira.
Mawu Ochokera
Kupweteka kwa Hip kukuchokera ku FAI kungachepetse kukwanitsa kusangalala ndi ntchito yabwino komanso zosangalatsa. Koma ndikuganiza chiyani? Sichiyenera kukuletsani m'mayendedwe anu. Pofufuza ndi dokotala wanu ndikupeza wodwalayo yemwe angakuthandizeni kusintha maulendo ndi mphamvu, mutha kubwezeretsa kayendetsedwe kanu ndikubwerera ku moyo wanu wachizolowezi komanso wokhutira.
> Zotsatira:
> Frank, J. et al. Kukula kwa Zochitika Zophatikizapo Zachikazi Zomwe Zimagwiritsidwa Ntchito Kujambula Zopindulitsa: Kukonzekera Mwatsatanetsatane. Katswiri wojambulajambula: J. wa Arthorscopic ndi Opaleshoni Yogwirizana. June, 2015; 31 (6): 1199-1204.
> Kahn, M. et al. Kupangidwira kwa Femoroacetabular: Kodi Tili ndi Mfundo Yogwirira Ntchito Padziko Lonse pa Kuzindikira ndi Chithandizo? Zotsatira kuchokera ku InterNational Femoroacetabular Impingement Optimal Care Update Update (IN FOCUS). Katswiri wojambulajambula: J. wa Arthorscopic ndi Opaleshoni Yogwirizana. May 2016; 31 (5): 779-87.