Kungani I-Hip Yami Ibuhlungu Lapho Ngimi Noma Ngihamba, Futhi Ngingalapha Kanjani?

-Delile

• Izimbangela zobuhlungu be-hip lapho umile noma uhamba
• Isifo samathambo
• I-osteoarthritis
• I-Bursitis
• ISciatica
• Izinyembezi ze-Hip labral
• Ukuhlonza inkinga
• Ukwelapha ubuhlungu be-hip
• Ukuhlinzwa
• Ukubonana nodokotela nini
• Ukuphila nobuhlungu besinqe
• Ukudla okudlela endlini

Ubuhlungu be-Hip kuyinkinga evamile. Lapho imisebenzi ehlukene njengokuma noma ukuhamba yenza ubuhlungu bakho bube nzima kakhulu, kungakunika umkhondo mayelana nembangela yobuhlungu. Izimbangela eziningi zobuhlungu be-hip lapho umile noma uhamba ngezinyawo azinzima, kodwa ezinye zidinga ukunakekelwa kwezokwelapha.

Funda ukuze uthole okwengeziwe ngezimbangela ezingaba khona kanye nokwelashwa kobuhlungu be-hip lapho ume noma uhamba.

Izimbangela zobuhlungu be-hip lapho umile noma uhamba

Ubuhlungu be-hip lapho ume noma uhamba kaningi unezimbangela ezihlukile kunezinye izinhlobo zobuhlungu be-hip. Izimbangela ezingaba khona zalolu hlobo lobuhlungu zifaka:

Isifo samathambo

Isifo samathambo esivuthayo senzeka lapho amasosha omzimba wakho eqala ukuhlasela izicubu ezinempilo. Kunezinhlobo ezintathu:

• isifo samathambo
• i-ankylosing spondylitis
• uhlelo lupus erythematosus

Isifo sokuqaqamba kwamalunga okuvuvukala sibangela izinhlungu eziqaqambayo nokuqina. Izimpawu zivame ukuba zimbi ekuseni nasemva kokusebenza ngamandla, futhi zingenza ukuhamba kube nzima.

I-osteoarthritis

I-Osteoarthritis (OA) isifo esihlangene esiwohlozayo. Kwenzeka lapho uqwanga oluphakathi kwamathambo luphela, lushiye ithambo livelile. Amathambo amabi ahlangana, okwenza izinhlungu nokuqina. Isinqe siyisihlanganisi sesibili esithinteka kakhulu.

Ubudala bungezinye zezimbangela eziyinhloko ze-OA, ngoba umonakalo ohlangene unganqwabelana ngokuhamba kwesikhathi. Ezinye izinto ezibangela ingozi ye-OA zibandakanya ukulimala kwangaphambilini emalungeni, ukukhuluphala, ukuma kabi komzimba, nomlando womndeni we-OA.

I-OA yisifo esingelapheki futhi singaba khona izinyanga noma ngisho neminyaka ngaphambi kokuba ube nezimpawu. Imvamisa kubangela ukukhathazeka ku:

• inqulu
• ukububula
• ithanga
• emuva
• izinqa

Ubuhlungu bungakwazi "ukuqhuma" futhi bube bukhulu. Ubuhlungu be-OA bubi kakhulu ngemisebenzi ethwala umthwalo njengokuhamba noma lapho uqala ukusukuma ngemuva kokuhlala isikhathi eside. Uma ishiywe ingalashwa, ingadala ukukhubazeka ngokuhlanganyela.

I-Bursitis

I-Bursitis kulapho amasaka agcwele uketshezi (ama-bursae) avikela amalunga akho avuvuke. Izimpawu zifaka:

• buthuntu, ubuhlungu obubuhlungu ejoyintini elithintekile
• ububele
• ukuvuvukala
• ububomvu

I-Bursitis ibuhlungu kakhulu uma unyakaza noma ucindezela ilunga elithintekile.

I-Trochanteric bursitis uhlobo oluvamile lwe-bursitis oluthinta iphuzu le-bony emaphethelweni we-hip, elibizwa ngokuthi i-trochanter enkulu. Imvamisa ibangela ubuhlungu engxenyeni engaphandle yesinqe, kepha kungenzeka kungabangeli ukububula noma ubuhlungu emuva.

ISciatica

I-Sciatica ingukucindezelwa kwe-nerve ye-sciatic, egijima kusuka emhlane wakho ophansi, ungene enqulwini nasezinqeni, bese wehla umlenze ngamunye. Ngokuvamile kubangelwa i-disc ye-herniated, i-spinal stenosis, noma i-bone spur.

Izimpawu zivame ukuba sohlangothini olulodwa lomzimba, futhi zifaka:

• ukukhipha ubuhlungu eceleni kwesibindi se-sciatic
• ukuba ndikindiki
• ukuvuvukala
• ubuhlungu bomlenze

Ubuhlungu be-Sciatica bungasuka ebuhlungwini obuncane buye ebuhlungwini obucijile. Ubuhlungu buvame ukuzwakala njengokuphazamiseka kukagesi ohlangothini oluthintekile.

Izinyembezi ze-Hip labral

Isinyembezi se-hip labral ukulimala kwe-labrum, okuyizicubu ezithambile ezihlanganisa isokhethi le-hip futhi kusiza ukunyakaza kwakho kwe-hip. Izinyembezi zingabangelwa yizinkinga zesakhiwo njengokufakwa kwe-femoroacetabular, ukulimala, noma i-OA.

Izinyembezi eziningi ze-hip labral azibangeli zimpawu. Uma zibangela izimpawu, zingafaka:

• ubuhlungu nokuqina okhalweni lwakho okuya kuba kubi kakhulu lapho uhambisa inyonga ethintekile
• ubuhlungu emgodini wakho noma ezinqeni
• ngokuchofoza umsindo okhalweni lwakho lapho unyakaza
• uzizwe ungazinzile lapho uhamba noma ume

Ukuhlonza inkinga

Ukuthola inkinga, udokotela uzoqala athathe umlando wezokwelapha. Bazokubuza ukuthi buqale nini ubuhlungu benyonga yakho, ukuthi kubi kangakanani, ezinye izimpawu onazo, nokuthi ngabe uke waba nokulimala kwakamuva yini.

Bese bezokwenza ukuhlolwa komzimba. Ngesikhathi sokuhlolwa, udokotela uzohlola ukuhamba kwakho, abheke ukuthi uhamba kanjani, abone ukuthi yini eyenza ubuhlungu bakho bube nzima kakhulu, futhi abheke noma yikuphi ukuvuvukala noma ukukhubazeka okhalweni.

Kwesinye isikhathi, umlando wezokwelapha nokuhlolwa komzimba kuzokwanela ukuxilongwa. Kwezinye izimo, ungahle udinge ukuhlolwa kwe-imaging okufana:

• I-X-ray uma kusolwa inkinga yethambo
• I-MRI ukubheka izicubu ezithambile
• Ukuskena kwe-CT uma i-X-ray ingaphelele

Uma udokotela esola ukuthi ungaba nesifo samathambo esivuthayo, bazokwenza ukuhlolwa kwegazi ukubheka omaka balesi simo.

Ukwelapha ubuhlungu be-hip

Kwezinye izimo, ungaphatha ubuhlungu be-hip ekhaya. Ukwelashwa kwasekhaya kungafaka:

• ukuphumula
• ukugwema imisebenzi eyenza ubuhlungu bubi kakhulu (ungasebenzisa izinduku, induku, noma i-walker)
• iqhwa noma ukushisa
• izidakamizwa ezingezona ukuvuvukala (ama-NSAID)

Uma amakhambi asekhaya engasebenzi, ungahle udinge ukwelashwa. Izinketho zifaka:

• ukuphumula kwemisipha
• ukwelashwa ngokomzimba ukuqinisa imisipha yakho ye-hip futhi usize ukubuyisela uhla lokunyakaza
• imijovo ye-steroid ukunciphisa ukuvuvukala nobuhlungu
• izidakamizwa zokulwa nesifo samathambo sokuvuvukala

Ukuhlinzwa

Uma ezinye izindlela zokwelashwa zehluleka, ukuhlinzwa kuyindlela yokukhetha. Izinhlobo zokuhlinzwa zifaka:

• ukukhulula isisindo se-sciatic esicindezelwe kakhulu
• ukukhishwa kwe-hip kwe-OA enzima
• ukulungisa izinyembezi ezinzima
• ukukhipha inani elincane lezicubu ezilimele ezizungeze izinyembezi ezibuhlungu
• esikhundleni sezicubu ezilimele kusuka kuzinyembezi ezinzima

Ukubonana nodokotela nini

Ubuhlungu be-Hip bungaphathwa kaningi ekhaya ngamakhambi afana nokuphumula kanye nama-NSAID. Kodwa-ke, kufanele ubone udokotela ukuze aqhubeke nokuhlolwa nokwelashwa uma:

• ilunga lakho libukeka likhubazekile
• awukwazi ukubeka isisindo emlenzeni wakho
• awukwazi ukuhambisa umlenze noma isinqe sakho
• uzwa ubuhlungu obukhulu, obungazelelwe
• unokuvuvukala okungazelelwe
• ubona izimpawu zokutheleleka, njengomkhuhlane
• unezinhlungu emajoyini amaningi
• unezinhlungu ezihlala isikhathi esingaphezu kwesonto elilodwa ngemuva kokwelashwa ekhaya
• unobuhlungu obubangelwa ukuwa noma okunye ukulimala

Ukuphila nobuhlungu besinqe

Ezinye izimbangela zobuhlungu be-hip, njenge-OA, kungenzeka zingelapheki. Noma kunjalo, ungathatha izinyathelo zokunciphisa izinhlungu nezinye izimpawu:

• Dala uhlelo lokwehlisa isisindo uma ukhuluphele ngokweqile noma ukhuluphele ngokweqile. Lokhu kuzosiza ukunciphisa inani lengcindezi okhalweni lwakho.
• Gwema izinto ezenza izinhlungu zibe zimbi kakhulu.
• Gqoka izicathulo eziyisicaba, ezikahle ezikugwedla izinyawo.
• Zama izivivinyo ezinomthelela ophansi njengokuhamba ngebhayisikili noma ukubhukuda.
• Hlala ufudumele ngaphambi kokuzivocavoca, bese welula ngemuva kwalokho.
• Uma kufanele, yenza izivivinyo zemisipha nokuzivumelanisa nezimo ekhaya. Udokotela noma owelapha ngokomzimba angakunika izivivinyo zokuzama.
• Gwema ukuma isikhathi eside.
• Thatha ama-NSAID uma kunesidingo, kodwa gwema ukuwathatha isikhathi eside.
• Phumula lapho kunesidingo, kodwa khumbula ukuthi ukuvivinya umzimba kuzosiza ukugcina inqulu yakho iqine futhi iguquguquke.

Ukudla okudlela endlini

Ubuhlungu be-hip obubi kakhulu lapho ume noma uhamba kaningi bungelashwa ngamakhambi asekhaya. Kodwa-ke, uma ubuhlungu bakho bukhulu noma buhlala isikhathi esingaphezu kwesonto, bonana nodokotela. Bangakusiza uthole ukwelashwa okulungile futhi wenze izinguquko zendlela yokuphila ukuze ubhekane nobuhlungu be-hip obungapheli uma kudingeka.