Isifo esibuhlungu se-trochanteric

Isifo i-Greater trochanteric pain syndrome (i-GTPS) ubuhlungu obenzeka ngaphandle kwesinqe. I-trochanter enkulu itholakala phezulu phezulu kwethanga (femur) futhi iyingxenye evelele kakhulu yesinqe.

I-GTPS ingadalwa yi:

• Ukweqisa noma ukucindezela okhalweni kusuka ekuzivocavoca noma ukuma isikhathi eside
• Ukulimala kwe-Hip, njengokuwa
• Ukukhuluphala ngokweqile
• Ukuba nomlenze owodwa omude kunomunye
• Amathambo aphalaza okhalweni
• Isifo samathambo okhalweni, edolweni noma elunyaweni
• Izinkinga ezibuhlungu zonyawo, njenge-bunion, callas, plantar fasciitis, noma i-Achilles tendon pain
• Izinkinga zomgogodla, kufaka phakathi i-scoliosis ne-arthritis yomgogodla
• Ukungalingani kwemisipha okubeka ukucindezeleka okwengeziwe ezungeze imisipha ye-hip
• Izinyembezi emisipheni yezinqa
• Ukutheleleka (okungajwayelekile)

I-GTPS ivame kakhulu kubantu abadala asebekhulile. Ukuba sesimweni somzimba noma ukukhuluphala ngokweqile kungakubeka engcupheni enkulu ye-hip bursitis. Abesifazane bathinteka kakhulu kunabesilisa.

Izimpawu ezivamile zifaka:

• Ubuhlungu ohlangothini lwenyonga, obungase buzwakale nangaphandle kwethanga
• Ubuhlungu obukhali noma obukhulu ekuqaleni, kepha bungaba buhlungu kakhulu
• Kunzima ukuhamba
• Ukuqina okuhlangene
• Ukuvuvukala nokufudumala kwejoyini le-hip
• Ukubamba nokuchofoza umuzwa

Ungabubona ubuhlungu kakhulu lapho:

• Ukuphuma esihlalweni noma embhedeni
• Ukuhlala isikhathi eside
• Ukuhamba ngezitebhisi
• Ukulala noma ukulala ohlangothini oluthintekile

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho. Umhlinzeki angenza okulandelayo ngesikhathi sokuhlolwa:

• Cela ukuthi ukhombe lapho kukhona khona ubuhlungu
• Zizwe ucindezele endaweni yakho ye-hip
• Hambisa inyonga nomlenze wakho njengoba ulele etafuleni lezivivinyo
• Akucele ukuthi ume, uhambe, uhlale phansi futhi usukume
• Linganisa ubude bomlenze ngamunye

Ukukhipha ezinye izimo ezingadala izimpawu zakho, ungahle ube nokuhlolwa okufana nalokhu:

• Ama-X-ray
• I-Ultrasound
• I-MRI

Amacala amaningi we-GTPS ahamba ngokuphumula nokuzinakekela. Umhlinzeki wakho angancoma ukuthi uzame okulandelayo:

• Sebenzisa iphakethe leqhwa izikhathi ezi-3 kuya kwezi-4 ngosuku ezinsukwini ezi-2 noma ezi-3 zokuqala.
• Thatha ukudambisa izinhlungu okufana ne-ibuprofen (Advil, Motrin) noma naproxen (Aleve, Naprosyn) ukusiza ukudambisa izinhlungu nokuvuvukala.
• Gwema izinto ezenza izinhlungu zibe zimbi kakhulu.
• Lapho ulele, ungalali ohlangothini olune-bursitis.
• Gwema ukuma isikhathi eside.
• Lapho umile, yima endaweni ethambile, ehlanganisiwe. Beka isisindo esilinganayo emlenzeni ngamunye.
• Ukubeka umqamelo phakathi kwamadolo akho lapho ulele ngohlangothi kungasiza ekunciphiseni ubuhlungu bakho.
• Gqoka izicathulo ezintofontofo, ezifakwe kahle ngesithende esiphansi.
• Yehlisa isisindo uma ukhuluphele ngokweqile.
• Qinisa imisipha yakho eyinhloko.

Njengoba ubuhlungu buhamba, umhlinzeki wakho angaphakamisa ukuzivocavoca ukwakha amandla nokuvimbela i-muscle atrophy. Ungadinga ukwelashwa ngokomzimba uma unenkinga yokuhambisa ilunga.

Ezinye izindlela zokwelapha zifaka:

• Isusa uketshezi kwi-bursa
• Umjovo we-steroid

Ukusiza ukuvimbela ubuhlungu be-hip:

• Hlala ufudumele futhi welule ngaphambi kokuzivocavoca bese uphola ngemuva kwalokho. Nweba ama-quadriceps akho kanye nemisipha.
• Ungalinyusi ibanga, umfutho, nesikhathi osisebenzisa sonke isikhathi ngasikhathi sinye.
• Gwema ukugijima uqonde phansi emagqumeni. Hamba phansi esikhundleni salokho.
• Bhukuda esikhundleni sokugijima noma ukuhamba ngebhayisikili.
• Qalisa endaweni ebushelelezi, ethambile, enjengethrekhi. Gwema ukugijima kusimende.
• Uma unezinyawo eziyizicaba, zama ukufakwa kwezicathulo okukhethekile nezinsika ze-arch (orthotic).
• Qiniseka ukuthi izicathulo zakho ezigijimayo zilingana kahle futhi zinokuqiniswa okuhle.

Shayela umhlinzeki wakho uma izimpawu zibuya noma zingathuthuki ngemuva kwamasonto amabili okwelashwa.

Thola usizo lwezokwelashwa ngokushesha uma unokunye kwalokhu okulandelayo:

• Ubuhlungu bakho be-hip bubangelwa ukuwa okukhulu noma okunye ukulimala
• Umlenze wakho ukhubazekile, ulinyazwe kabi, noma wopha
• Awukwazi ukuhambisa inyonga yakho noma ukuthwala noma yisiphi isisindo emlenzeni wakho

Ubuhlungu be-Hip - i-syndrome enkulu yezinhlungu ze-trochanteric; I-GTPS; Isifuba; I-hip bursitis

UFredericson M, uLin CY, uChew K. Isifo esibuhlungu se-trochanteric. Ku: Frontera WR, iSilver JK, uRizzo TD, ama-eds. Okubalulekile Kwemithi Yomzimba Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 62.

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

• I-Bursitis
• Ukulimala Kwe-Hip Nokuphazamiseka