Isifo seentlungu ezinkulu

Isifo seentlungu ezinkulu se-trochanteric (GTPS) yintlungu eyenzeka ngaphandle kwe-hip. I-trochanter enkulu ikwindawo ephezulu yethanga (femur) kwaye yeyona ndawo ibalaseleyo esinqeni.

I-GTPS inokubangelwa ngu:

• Ukusetyenziswa gwenxa okanye uxinzelelo emanqeni ekuzilolongeni okanye ekumeni ixesha elide
• Ukulimala kwe-Hip, njengokuwa
• Ukutyeba kakhulu
• Ukuba nomlenze omnye omde kunomnye
• Amathambo aphuma esinqeni
• Isifo samathambo esinqeni, emadolweni, okanye elunyaweni
• Iingxaki ezibuhlungu zonyawo, ezinje nge-bunion, callas, plantar fasciitis, okanye Achilles tendon pain
• Iingxaki zomqolo, kubandakanya i-scoliosis kunye ne-arthritis yomqolo
• Ukungalingani kwemisipha okubeka uxinzelelo ngakumbi kwimisipha yenyonga
• Ukulila kwisihlunu sempundu
• Usulelo (olunqabileyo)

I-GTPS ixhaphake kakhulu kubantu abadala. Ukuphuma emzimbeni okanye ukutyeba kakhulu kunokubeka umngcipheko omkhulu we-hip bursitis. Abasetyhini bachaphazeleka ngakumbi kunamadoda.

Iimpawu eziqhelekileyo zibandakanya:

• Ubuhlungu ecaleni kwethanga, elinokuthi livakale nangaphandle kwethanga
• Ubuhlungu obukhali okanye obukhulu ekuqaleni, kodwa bunokuba buhlungu ngakumbi
• Kunzima ukuhamba
• Ukuqina ngokudibeneyo
• Ukudumba kunye nobushushu bomdibaniso wehip
• Ukubamba kunye nokucofa uvakalelo

Unokuyiqonda ngakumbi intlungu xa:

• Ukuphuma esihlalweni okanye ebhedini
• Ndihleli ixesha elide
• Ukuhamba ngezinyuko
• Ukulala okanye ukulala kwicala elichaphazelekayo

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho. Umboneleli unokwenza oku kulandelayo ngexesha loviwo:

• Cela ukuba ubonise indawo yeentlungu
• Yiva kwaye ucinezele kwindawo yakho yehip
• Hambisa umlenze kunye nomlenze wakho njengoko ulele kwitafile yoviwo
• Cela ukuba ume, uhambe, uhlale phantsi kwaye uphakame
• Linganisa ubude bomlenze ngamnye

Ukulawula ezinye iimeko ezinokubangela iimpawu zakho, unokufumana iimvavanyo ezinje:

• X-reyi
• I-Ultrasound
• IMRI

Amatyala amaninzi e-GTPS ahamba ngokuphumla kunye nokuzikhathalela. Umboneleli wakho unokucebisa ukuba uzame oku kulandelayo:

• Sebenzisa ipakethe yomkhenkce amaxesha ama-3 ukuya kwayi-4 ngosuku kwiintsuku ezi-2 okanye ezi-3 zokuqala.
• Thatha ukuphelisa iintlungu ezinje nge-ibuprofen (Advil, Motrin) okanye naproxen (Aleve, Naprosyn) ukunceda ukunciphisa iintlungu nokudumba.
• Gwema imisebenzi eyenza intlungu ibe yimbi.
• Xa ulele, musa ukulala kwicala eline-bursitis.
• Gwema ukuma ixesha elide.
• Xa umile, yima kumphezulu othambileyo. Beka ubunzima obulinganayo kumlenze ngamnye.
• Ukubeka umqamelo phakathi kwamadolo akho xa ulele ngecala kunokunceda ukunciphisa iintlungu zakho.
• Nxiba izihlangu ezikhululekileyo, ezifakwe kakuhle ngesithende esisezantsi.
• Ukunciphisa umzimba ukuba utyebe kakhulu.
• Yomeleza izihlunu zakho ezingundoqo.

Njengoko iintlungu zihamba, umboneleli wakho unokucebisa ukuba uzilolonge ukuze wakhe amandla kunye nokuthintela i-atrophy yemisipha. Unokufuna unyango lomzimba ukuba unengxaki yokuhambisa ngokudibeneyo.

Olunye unyango lubandakanya:

• Ukususa ulwelo kwi-bursa
• Inaliti yeSteroid

Ukunceda ukukhusela iintlungu zenyonga:

• Hlala ufudumeza kwaye uzolule ngaphambi kokuba wenze umthambo kwaye upholise emva koko. Yolula ii-quadriceps zakho kunye nemisipha.
• Musa ukunyusa umgama, ubunzulu, kunye nexesha lokuzilolonga konke ngaxeshanye.
• Kuphephe ukubaleka ngqo ezantsi iinduli. Hamba phantsi endaweni yoko.
• Qubha endaweni yokubaleka okanye ukuhamba ngebhayisikile.
• Qalisa kwindawo egudileyo, ethambileyo, enje ngomkhondo. Kuphephe ukubaleka ngesamente.
• Ukuba uneenyawo ezisicaba, zama ukufaka izihlangu ezikhethekileyo kunye neenkxaso zearch (orthotic).
• Qiniseka ukuba izihlangu zakho ezibalekayo zilingana kakuhle kwaye zinokulungiswa ngokufanelekileyo.

Tsalela umnikezeli wakho ukuba iimpawu ziyabuya okanye aziphucukanga emva kweeveki ezimbini zonyango.

Fumana uncedo lwezonyango kwangoko ukuba unayo enye yezi zinto zilandelayo:

• Intlungu yakho yenyonga ibangelwa kukuwa kakhulu okanye omnye umonzakalo
• Umlenze wakho ukhubazekile, utyumke kakubi, okanye wophe
• Awunakho ukuhambisa inyonga yakho okanye uthwale nasiphi na isisindo emlenzeni wakho

Iintlungu ze-Hip-i-syndrome enkulu yeentlungu; I-GTPS; Inyonga ebusitis; I-bursitis yenyonga

UFredericson M, uLin CY, uChew K. Isifo seentlungu ezinkulu. Ku: UFrontera WR, iSilver JK, uRizzo TD, ii-eds. Iimfuno zoNyango loMzimba kunye noVuselelo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 62.

UJavidan P, uGortz S, uFricka KB, uBugbee WD. Isinqe. Ku: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, ii-eds. Rheumatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 85.

• Isifo seBursitis
• Ukulimala kweHip kunye nokuphazamiseka