I-Fovea Capitis: Ingxenye Ebalulekile Ye-Hip Yakho

-Delile

• Yini i-fovea capitis?
• Uyini umsebenzi we-fovea capitis?
• Yikuphi ukulimala okuvame kakhulu kwe-fovea capitis?
• Yini ebangela ukulimala ku-fovea capitis?
• Kutholakala kanjani ukulimala kwe-fovea capitis?
• Yini ukwelashwa kokulimala kwe-fovea capitis?
• Kunezinketho zokwelashwa ezi-3:
• Ukuthatha

Yini i-fovea capitis?

I-fovea capitis iyimbotshana encane emise okweqanda embundwini omile okwebhola (ekhanda) ngaphezulu kwethambo lakho lesifazane (ithambo lamathanga).

Isinqe sakho siyinhlanganisela yebhola nesokhethi. Inhloko yesifazane yibhola. Ingena “kusokhethi” elimise okwekomishi elibizwa ngokuthi i-acetabulum engxenyeni engezansi yethambo lakho le-pelvic. Ngokubambisana, ikhanda lesifazane kanye ne-acetabulum lakha ilunga lakho le-hip.

"I-Fovea capitis" kwesinye isikhathi ididaniswa negama elithi "fovea capitis femoris." Lelo elinye igama lekhanda lesifazane.

I-fovea capitis ivame ukusetshenziswa njengophawu lwendawo lapho odokotela behlola okhalweni lwakho kuma-X-ray noma phakathi nokuhlinzwa okuncane kakhulu kwe-hip okubizwa nge-hip arthroscopy.

Uyini umsebenzi we-fovea capitis?

I-fovea capitis yisiza lapho kuhlala khona i-ligamentum teres (LT). Ngenye yemigqa emikhulu exhuma ikhanda lesifazane esifubeni.

Le ligament ibizwa nangokuthi i-ligament eyindilinga noma i-ligament capitis femoris.

Ibumbeke njengonxantathu. Umkhawulo owodwa wesisekelo saso unamathiselwe kolunye uhlangothi lwesokhethi le-hip. Omunye umkhawulo unamathiselwe kolunye uhlangothi. Ingaphezulu kukanxantathu lakhiwe njengebhubhu futhi linamathiselwe ekhanda lesifazane e-fovea capitis.

I-LT iyazinza futhi ihambise ukunikezwa kwegazi ekhanda lesifazane ezinganeni ezisanda kuzalwa. Odokotela babecabanga ukuthi ilahlekelwe yomibili le misebenzi ngesikhathi sifinyelela ebudaleni. Eqinisweni, i-LT yayivame ukususwa ngesikhathi sokuhlinzwa okuvulekile ukulungisa ukukhishwa kwe-hip.

Odokotela manje sebazi ukuthi kanye nemisipha emithathu ezungeze ilunga lakho le-hip (ndawonye elibizwa nge-hip capsule), i-LT isiza ukuzinzisa inqulu yakho futhi iyigcine ingakhiphi isokhethi layo (subluxation) noma ngabe umdala kangakanani.

Iqhaza njengesiqinisi sesinqe kubaluleke kakhulu uma kunenkinga ngamathambo enqunu noma izakhiwo ezizungezile. Ezinye zalezi zinkinga yilezi:

• Ukufakwa kwe-femoroacetabular. Amathambo akho ahlangene we-hip ahlikihla ndawonye ngoba eyodwa noma womabili anesimo esingajwayelekile esingajwayelekile.
• I-hip dysplasia. Isinqe sakho sishuka kalula ngoba isokhethi lincane kakhulu ukubamba ikhanda lesifazane endaweni yalo.
• Ukuyekethisa kwe-Capsular. I-capsule iyakhululeka, okuholela ekwehleni kwe-LT.
• Ukuqina okuhlangene. Amathambo esihlangothini sakho se-hip anebanga lokunyakaza elikhudlwana kunalokho okufanele.

I-LT iqukethe izinzwa ezizwa ubuhlungu, ngakho-ke idlala indima ebuhlungwini besinqe. Ezinye izinzwa zisiza ukukwazisa ukuma komzimba wakho nokunyakaza kwakho.

I-LT ibuye isize ukukhiqiza uketshezi lwe-synovial oluthambisa ukuhlangana kwe-hip.

Yikuphi ukulimala okuvame kakhulu kwe-fovea capitis?

Ku, abacwaningi balinganisela ukuthi amaphesenti angama-90 abantu abathola i-hip arthroscopy banenkinga ye-LT.

Cishe uhhafu wezinkinga ze-LT izinyembezi, noma ziphelele noma zincane. I-LT nayo ingakhubazeka kunokuba idwengulwe.

I-Synovitis, noma ukuvuvukala okubuhlungu, kwe-LT kwakha enye ingxenye.

Ukulimala kwe-LT kungenzeka yedwa (okuhlukanisiwe) noma ukulimala kwezinye izakhiwo esinqeni sakho.

Yini ebangela ukulimala ku-fovea capitis?

Ukulimala okubuhlungu kakhulu kungadala ukulimala kwe-LT, ikakhulukazi uma kubangela ukuhlukaniswa kwesinqe. Izibonelo zifaka:

• ingozi yemoto
• ukuwa endaweni ephakeme
• ukulimala okuvela kwimidlalo yokuxhumana kakhulu njengebhola, i-hockey, ukushushuluza, nokuzivocavoca umzimba

Imvamisa, i-microtrauma ephindaphindekayo ngenxa ye-capsular laxity, i-hypermobility ehlangene, i-orfemoroacetabular impingement nayo ingalimaza i-LT.

Kutholakala kanjani ukulimala kwe-fovea capitis?

Ukulimala kwe-LT kunzima ukukuxilonga ngaphandle kokukubona ngokuhlinzwa kwe-arthroscopic noma okuvulekile. Lokhu kungenxa yokuthi azikho izimpawu noma izimpawu ezithile ezenzeka lapho zikhona.

Ezinye izinto ezingenza udokotela wakho abheke ukulimala kwe-LT yilezi:

• ukulimala okwenzeke ngenkathi umlenze wakho usonteka noma uwela edolweni eligobekayo
• ubuhlungu be-groin obuphumela ngaphakathi kwethanga lakho noma ezinqeni zakho
• inqulu yakho ibuhlungu futhi ikhiye, ichofoze, noma inikeze
• uzizwa ungazinzile lapho uqukula

Ukuhlola izithombe akusizi kakhulu ekutholeni ukulimala kwe-LT. Kuphela ngokutholakala ngoba babonwa kuskena seMRI noma seMRA.

Ukulimala kwe-LT kuvame ukutholakala lapho udokotela wakho ekubona ngesikhathi se-arthroscopy.

Yini ukwelashwa kokulimala kwe-fovea capitis?

Kunezinketho zokwelashwa ezi-3:

• umjovo we-steroid ku-hip yakho yokuphumula kobuhlungu besikhashana, ikakhulukazi i-synovitis
• ukususa imicu ye-LT eyonakele noma izindawo ze-synovitis, ezibizwa ngokuthi ukukhishwa
• ukwakhiwa kabusha kwe-LT edwengulwe ngokuphelele

Ukulungiswa kokuhlinzwa kuvame ukwenziwa nge-arthroscopically, okusebenza kahle noma ngabe kubangelwa yini ukulimala.

Ukwelashwa okudingayo kuzoya ngohlobo lokulimala.

Izinyembezi ezingaphelele nama-LTs abolile zivame ukuphathwa nge-arthroscopic debridement noma i-radiofrequency ablation. Lokho kusebenzisa ukushisa “ukushisa” nokucekela phansi izicubu zemicu eyonakele.

Omunye ukhombise abantu abangaphezu kwamaphesenti angama-80 abanokulimala kwe-LT okungayodwa okuthuthukile ngokuncipha kwe-arthroscopic. Cishe amaphesenti ayi-17 wezinyembezi ziphinde zenzeka futhi zidinga ukukhishwa kwesibili.

Uma izinyembezi seziqediwe, i-LT ingavuselelwa ngokuhlinzwa.

Imbangela yokulimala nayo iyelashwa lapho kunokwenzeka. Isibonelo, ukuqinisa imisipha ye-capsule kungavimbela ezinye izinyembezi uma kubangelwa yimigqa eyeluliwe, izinkalo ezixegayo, noma ukungahambi kahle komzimba.

Ukuthatha

I-fovea capitis iyimbotshana encane emise okweqanda embundwini omise okwebhola phezulu kwethambo lakho lethanga. Yindawo lapho i-ligament enkulu (i-LT) ixhuma khona ithambo lakho lethanga okhalweni lwakho.

Uma uhlangabezana nesigameko esibuhlungu njengengozi yemoto noma ukuwa okukhulu, ungalimaza i-LT yakho. Lezi zinhlobo zokulimala kunzima ukuzithola futhi zingadinga ukuhlinzwa nge-arthroscopic ukuxilonga nokulungisa.

Uma usuphathwe ngokudilizwa noma ukwakhiwa kabusha, umbono wakho muhle.