UFovea Capitis: Inxalenye ebalulekileyo yeHip yakho

Umxholo

• Yintoni i-fovea capitis?
• Yintoni umsebenzi we-fovea capitis?
• Ngawaphi awona manxeba aqhelekileyo eFovea capitis?
• Yintoni ebangela ukonzakala kwi-fovea capitis?
• Luchongwa njani ukonzakala kwefovea capitis?
• Yintoni unyango lokulimala kwe-fovea capitis?
• Zintathu iindlela zokhetho kunyango:
• Ukuthatha

Yintoni i-fovea capitis?

I-fovea capitis yincinci, emile okweqanda embhoxo kwisiphetho esinjengebhola (intloko) ngaphezulu kwethambo lakho lobufazi (ithambo lethanga).

Isinqe sakho sisidibanisi sebhola kunye nesokethi. Intloko yobufazi yibhola. Ingena “kwisokethi” emile okwekomityi ebizwa ngokuba yi-acetabulum emazantsi ethambo lakho le-pelvic. Ngokudibeneyo, intloko yesetyhini kunye ne-acetabulum zenza ilunga lakho le-hip.

“Fovea capitis” ngamanye amaxesha iyabhidaniswa negama "fovea capitis femoris." Elo lelinye igama lekhanda lobufazi.

I-fovea capitis ihlala isetyenziswa njengendawo ephawulekayo xa oogqirha bevavanya ihips zakho kwii-X-ray okanye ngexesha lotyando oluncinci lwe-hip olubizwa ngokuba yi-hip arthroscopy.

Yintoni umsebenzi we-fovea capitis?

I-fovea capitis yindawo apho kuhlala khona i-ligamentum teres (LT). Ngomnye wemigqa emikhulu edibanisa intloko yobufazi kwi-pelvis.

Le ligament ikwabizwa ngokuba yi-ligament ejikelezayo okanye i-ligament capitis femoris.

Yakheke njengonxantathu. Esinye isiphelo sesiseko saso siqhotyoshelwe kwelinye icala lesiseko se-hip. Elinye icala liqhotyoshelwe kwelinye icala. Umphezulu kanxantathu ubunjwe ngombhobho kwaye uqhotyoshelwe kwintloko yobufazi kwi-fovea capitis.

I-LT izinzisa kwaye ihambisa ukunikezelwa kwegazi kwintloko yobufazi kwiintsana ezisandul 'ukuzalwa. Oogqirha babedla ngokucinga ukuba iphulukene yomibini le misebenzi ngelixesha sifikelela ebudaleni. Ngapha koko, i-LT yayihlala isuswa ngexesha lotyando oluvulekileyo ukulungisa ukususwa kwenyonga.

Oogqirha ngoku bayazi ukuba kunye nemithambo emithathu ejikeleze ilunga le-hip (kunye ebizwa ngokuba yi-hip capsule), i-LT inceda ukuzinzisa umlenze wakho kwaye iwugcine ekukhupheni isokethi sayo (subluxation) nokuba umdala kangakanani.

Inendima yokuzinzisa inyonga kubaluleke ngakumbi xa kukho ingxaki emathanjeni akho esinqe okanye izakhiwo ezingqongileyo. Ezinye zezi ngxaki zezi:

• Ukufakwa kwe-femoroacetabular. Amathambo akho adibeneyo e-hip adibanisa ndawonye ngenxa yokuba omnye okanye bobabini banesimo esingaqhelekanga esingaqhelekanga.
• I-Hip dysplasia. Isinqe sakho siyasasazeka ngokulula kuba isokethi asinzulu kakhulu ukuba singabamba ngokupheleleyo indawo yobukhomokazi.
• Ukuyekelela kweCapsular. I-capsule iyakhululwa, ekhokelela ekugqithiseni kwe-LT.
• Ukudityaniswa ngokudibeneyo. Amathambo kwindibaniselwano yakho ye-hip anoluhlu olukhulu lokuhamba kunokuba kufanelekile.

I-LT iqulethe imithambo-luvo evakalelwa kukuba ibuhlungu, kungoko idlala indima kwintlungu ye-hip. Ezinye iimbilini zinceda ukuba uqaphele indawo yokuma komzimba kunye nokunyakaza.

I-LT ikwanceda ukuvelisa ulwelo lwe-synovial oluthambisa ilunga lomlenze.

Ngawaphi awona manxeba aqhelekileyo eFovea capitis?

Ku, abaphandi baqikelela ukuya kwiipesenti ezingama-90 zabantu abafumana i-arthroscopy ye-hip baneengxaki ze-LT.

Phantse isiqingatha seengxaki ze-LT ziinyembezi, nokuba zigqibelele okanye zincinci. I-LT nayo inokonakala kunokuba ikrazuke.

I-Synovitis, okanye ukudumba okubuhlungu, kwe-LT kwenza esinye isiqingatha.

Ukulimala kwe-LT kunokwenzeka wedwa (wedwa) okanye ukwenzakala kwezinye izakhiwo esinqeni sakho.

Yintoni ebangela ukonzakala kwi-fovea capitis?

Ukulimala kabuhlungu kakhulu kunokubangela ukonzakala kwe-LT, ngakumbi ukuba kubangela ukususwa kwenyonga. Imizekelo ibandakanya:

• ingozi yemoto
• ukuwa kwindawo ephezulu
• ukwenzakala okuvela kwimidlalo yokunxibelelana okuphezulu njengebhola ekhatywayo, ihoki, ukuskiya, kunye nejimnastics

Rhoqo, i-microtrauma ephindaphindekayo ngenxa ye-capsular laxity, i-joint hypermobility, okanye i-orfemoroacetabular impingement nayo inokwenzakala nge-LT.

Luchongwa njani ukonzakala kwefovea capitis?

Ukulimala kwe-LT kunzima ukufumanisa ngaphandle kokuyibona nge-arthroscopic okanye utyando oluvulekileyo. Kungenxa yokuba akukho miqondiso okanye iimpawu ezithile ezenzekayo xa zikhona.

Ezinye zezinto ezinokwenza ukuba ugqirha wakho acinge ngokwenzakala kwe-LT zezi:

• ukwenzakala okwenzekileyo ngelixa umlenze wakho ujija okanye uwele edolweni eliguqukayo
• Intlungu yokuqaqamba ephuma ngaphakathi kwethanga lakho okanye iimpundu zakho
• isinqe sakho sibuhlungu kwaye siyatshixa, sicofa okanye sikhuphe
• Uziva ungazinzi xa uhleli

Ukuhlola iimvavanyo akuncedi kakhulu ekufumaneni ukulimala kwe-LT. Kuphela malunga nokufunyaniswa ngenxa yokuba babonwa kwi-MRI okanye kwi-MRA scan.

Ukulimala kwe-LT kuhlala kufunyaniswa xa ugqirha eyibona ngexesha le-arthroscopy.

Yintoni unyango lokulimala kwe-fovea capitis?

Zintathu iindlela zokhetho kunyango:

• Inaliti ye-steroid kwi-hip yakho yokuphucula iintlungu zethutyana, ngakumbi i-synovitis
• ukususa imicu ye-LT eyonakeleyo okanye iindawo ze-synovitis, ekuthiwa kukususwa
• ukwakhiwa ngokutsha kweLT

Ukulungiswa kotyando kuhlala kwenziwa kwi-arthroscopically, esebenza kakuhle nokuba kubangelwa yintoni ukwenzakala.

Unyango oludingayo luya kuxhomekeka kuhlobo lokwenzakala.

Iinyembezi ezikhethekileyo kunye nee-LTs ezibiweyo zihlala ziphathwa nge-arthroscopic debridement okanye i-radiofrequency ablation. Oko kusebenzisa ubushushu "ukutshisa" kunye nokutshabalalisa izicwili zemisonto eyonakeleyo.

Omnye wabonisa ngaphezulu kweepesenti ze-80 zabantu abanokulimala kwe-LT eyodwa ephuculwe nge-arthroscopic debridement. Phantse iipesenti ezili-17 zeenyembezi ziphinde zaphinda zaphinda zadinga ukuphindwa kwakhona.

Ukuba iinyembezi zizalisekile, i-LT inokuphinda iqhutywe ngokutsha.

Unobangela womenzakalo uyanyangwa xa kunokwenzeka. Umzekelo, ukuqinisa iigapsule ligaments kunokuthintela enye iinyembezi ukuba kubangelwa yimigqa eyoluliweyo, inyonga evulekileyo, okanye ukungahambelani.

Ukuthatha

I-fovea capitis yinto encinci, emise okweqanda embhoxo kwisiphelo sebhola sethambo lakho. Yindawo apho i-ligament enkulu (i-LT) idibanisa ithambo lakho lethanga kwi-pelvis yakho.

Ukuba ufumana isiganeko esibuhlungu njengengozi yemoto okanye ukuwa okukhulu, unokulimaza i-LT yakho. Ezi ntlobo zokulimala kunzima ukuzifumanisa kwaye zinokufuna utyando lwe-arthroscopic ukuxilonga nokulungisa.

Nje ukuba uphathwe ngokuthotywa okanye ukwakhiwa ngokutsha, umbono wakho ulungile.