I-Trochanteritis, eyaziwa nangokuthi i-trochanteric bursitis, iyinkinga evamile kakhulu ethinta i-hip futhi ingashintsha imisebenzi elula njengokuhamba, ukulala, noma ukuhlala ezinselele zangempela zansuku zonke. Ithinta ikakhulukazi abesifazane, ikakhulukazi eqenjini leminyaka engu-30 kuya kwengu-60, nakuba noma ubani engase aphathwe yiso ngesikhathi esithile. Phakathi kwezimpawu ezivame kakhulu yilezi: ubuhlungu obubukhali endaweni engemuva ye-hip, umuzwa wokugwaza ofinyelela ethangeni ngisho nokungakhululeki okwenza kube nzima ukusekela uhlangothi oluthintekile ebusuku.
Kujwayelekile ukuthi labo abaphethwe yile pathology bazibuze ukuthi hlobo luni lokuzivocavoca noma imisebenzi evunyelwe futhi, ngaphezu kwakho konke, yiziphi okufanele zigwenywe uma Abafuni ukukhulisa ubuhlungu noma ukunciphisa ukululama.. Ngakho-ke, kulesi sihloko sizodabula ngokuningiliziwe ukuthi yikuphi ukunyakaza nokuzivocavoca Akufanele neze ku-trochanteritis, echaza ukuthi kungani kubalulekile ukuzazi futhi uphakamise ezinye izindlela ezinempilo ezisiza ukubuyisela ukuhamba ngaphandle kokubeka ilunga engozini.
Kuyini trochanteritis futhi kungani kwenzeka?
La i-trochanteritis Kuyinto a Ukuvuvukala kwe-synovial bursa evimbela ukungqubuzana phakathi kwethambo lesifazane (i-trochanter enkulu) kanye nemisipha nemisipha ewela inqulu.. Ingaphansi kokucindezeleka okukhulu, ikakhulukazi phakathi nokunyakaza okuphindaphindiwe kwe-flexion-extension, ngakho-ke ingacasuka kalula kakhulu. Ivame ukuvela ngokuzumayo, ikakhulukazi ngemva kokuzikhandla, kodwa ingakhula kancane kancane ngenxa yokugcwala ngokweqile, isisindo esiningi, noma ukuma kwe-anatomical ye-pelvis.
Phakathi kwezinto ezivame kakhulu eziyingozi yilezi:
- Ukwenza ezemidlalo ezinomthelela kanye nemisebenzi yomzimba ephindaphindayo, njengokugijima, ukugxuma noma ukuzivocavoca okubandakanya ukubeka isisindo okhalweni.
- Ukhuluphele, njengoba kwandisa ingcindezi ekuhlanganyeleni.
- Ukunyakaza okungazelelwe noma inqubo ye-postural embi ngesikhathi sokuzivocavoca.
- I-anatomical predisposition (izinqulu ezibanzi, ikakhulukazi kwabesifazane).
- Ukuguqulwa kwe-biomechanical noma ubuthakathaka emisipha eqinisa i-hip.
Uphawu oluyinhloko ubuhlungu obutholakala engxenyeni engemuva ye-hip., okuvame ukwanda ngokunyakaza, ikakhulukazi lapho usukuma, ukhuphuka izitebhisi, noma ulele ngohlangothi oluthintekile. Uma ingalawulwa ngendlela efanele, ingaba yizifo ezingelapheki futhi inciphise kakhulu ukuzimela komuntu.
Nini ukugwema izivivinyo ezithile? Izigaba ze-trochanteritis
Akuzona zonke izigaba ze-trochanteritis ezidinga izinga elifanayo lokuqapha, kodwa ku izigaba ezinzima ezinobuhlungu obukhulu Kuyisihluthulelo sokugwema noma yimuphi umdlalo noma umsebenzi obangela ukungakhululeki, ukuvuvukala noma ukuzwa okuhlabayo. Umgomo kuleli phuzu ukunciphisa ukuvuvukala nokukhulula ubuhlungu, hhayi ukuqinisa noma ukuthuthukisa ukuguquguquka. Uma isigaba esibucayi sesilawulwa, izivivinyo eziqhubekayo nezomuntu siqu zingethulwa, njalo ngaphansi kokugadwa kochwepheshe.
Ochwepheshe abaningi bayavumelana nalokho Umsebenzi womzimba kufanele uvumelane nobuhlunguUma kubuhlungu, akuvunyelwe. Uma ubuhlungu buqala ukuncipha, ukuhamba kungahlanganiswa, kulandelwa ukuqinisa umzimba nokubuyisela ngokugcwele.
Ukuzivocavoca okungavunyelwe kwe-trochanteritis: yini okufanele siyigweme?
Khomba Ukuzivocavoca okuphikisana ngokuphelele lapho uhlushwa yi-trochanteritis Kubalulekile ukuvimbela ukulimala ukuthi kungapheli futhi, ingasaphathwa, kubhebhethekise. Nalu uhlu lokunyakaza nemidlalo okufanele uyigweme ngesikhathi sokuqubuka (futhi kwesinye isikhathi nangale):
- Ukugijima nemijahoUkugijima kuhilela imithelela ephindaphindiwe kanye nokucindezeleka okuphezulu endaweni evuvukele, okungaba mbi kakhulu ubuhlungu futhi kwandise ukululama.
- Ukugxuma kanye nokuzivocavoca kwe-plyometric: Noma yini ehilela ukususa izinyawo zombili phansi nokufika kudala ukugxuma okuqondile okhalweni. Lokhu kwandisa ukungqubuzana nokucasuka kwe-bursa.
- Gibela ibhayisekili (ikakhulukazi ezigabeni zokuqala noma ama-flare-ups): Nakuba kungase kubonakale kuwumsebenzi ongenamthelela omncane, ukunyakazisa kudinga umsebenzi oqhubekayo wezinqulu nemisipha yazo, futhi isisindo somzimba siwela kancane ezinqulwini. Kuhle ukukugwema kuze kube yilapho ubuhlungu sebuphelile.
- Imishini yokuzivocavoca ebandakanya isisindo noma umthelela okhalweni: I-treadmill, i-elliptical, i-stepper noma yimuphi umshini lapho i-hip ihlushwa ingcindezi noma idonsa isisindo nayo ayinconywa ngesikhathi senqubo yokuvuvukala.
- Ama-squats (kukho konke ukuhluka kwawo): Lokhu kungenye yezivivinyo eziyinkinga kakhulu. Lapho wenza i-squat, i-hip ithwala umthwalo obalulekile futhi iphoqeleka ukuba ihambe kakhulu. Kungakhathaliseki ukuthi ngesisindo esengeziwe noma ngesisindo somzimba wakho siqu, kuthathwa njengokunyakaza okuyingozi kakhulu phakathi nale nqubo.
- Ukuzivocavoca okunamandla okusebenzayo (i-CrossFit, i-HIIT, njll.): Lokhu kuzivocavoca kuvame ukudinga futhi kungase kuhlanganise ukweqa, ukuphakamisa, kanye nokunyakaza kwe-hip okungalawuleki. Kufanele zigwenywe ngesikhathi sokuqubuka.
- Ncika ohlangothini lwe-hip ethintekile: Kungakhathaliseki ukuthi uphumule noma ulele, kubalulekile ukugwema ukufaka ingcindezi endaweni evuthayo. Ukulala ngohlangothi enqulwini elimele kwandisa ubuhlungu ebusuku futhi kuvimbela ukululama.
Elinye lamaphutha amakhulu ukuzama "ukubekezelela" ubuhlungu phakathi nale misebenzi, ucabanga ukuthi ingxenye yenqubo evamile yokululama. Noma yimuphi umsebenzi oqinisa ukungakhululeki noma ohilela ukusekela, umthelela noma ukucindezeleka kwemisipha ku-hip kufanele kuqedwe ngokuphelele kuze kube yilapho izimpawu ziba ngcono..
Ingabe kuwukuhlakanipha ukuhamba uma une-trochanteritis?
Iziguli eziningi ziyazibuza ukuthi ukuhamba kuyahambisana yini ne-trochanteritis. Ngokusho kongoti, Ukuhamba kungaba yinzuzo uma nje kwenziwa ngendlela efanele, ngaphandle kokuphoqelela noma ukweqa imingcele yobuhlungu bomuntu siqu.. Okuhle wukugcina a ukuhamba okushelelayo, ngaphandle kokujaha noma amabanga amaningi, kanye nokuvumelanisa isigqi ngokuvumelana nemizwa yansuku zonke.
Ngaphambi kokuqala ukuhamba, kunconywa ukwenza ukwelula kancane, sebenzisa imizuzu embalwa ukufudumala ukwenza kusebenze imisipha bese ukhetha izicathulo ezinethezekile nezifanelekile ezinikeza ukugoba okuhle. Kutuswa ukuthi uqale ngokugijima okufushane futhi kancane kancane ukhuphule ibanga, uhlale unaka imizwa yakho.
Kubalulekile ukuthi ungaziphoqeleli futhi ulalele umzimba wakho, njengoba ukuhamba okulawulwayo kusiza ukugcina ukuhamba nokunciphisa ukuqina, njalo ngaphandle kokubangela ubuhlungu.
Yiziphi izivivinyo ezivunyelwe futhi ezisiza ekululameni?
Isigaba sokuvuselela sihlose Buyisa amandla e-hip, ukuguquguquka, ukuhamba, nokusebenza ngaphandle kokuphatheka kabi. Ngokuhambisana nale migqa, kunemisebenzi engasetshenziswa njalo ngokuzibophezela nangokuqondiswa kochwepheshe:
- Ukubhukuda: Umsebenzi osezingeni eliphezulu. Amanzi anciphisa kakhulu isisindo emalungeni akho, akuvumela ukuthi usebenzise umzimba, uthuthukise ukukhuthazela, futhi uzwise imisipha yakho ngaphandle komthelela. Ilungele kokubili esigabeni sokuqala nasekululameni.
- Ukwelula okuthambile nokulawulwayo: Yebhande le-aliotibial, i-glutes kanye nama-adductors, inqobo nje uma ingabangeli ubuhlungu obukhulu. Kufanele zenziwe kancane, ngaphandle kokugxuma nokugcina izikhundla.
- Izivivinyo zokuhamba ngokuhlanganyela: Ukunyakaza okushelelayo kokuguquguquka, ukunwetshwa, ukuthunjwa kanye nokunyuswa komlenze, ngaphandle kokumelana noma umthelela, okusiza ukugcina ububanzi bokunyakaza.
- I-yoga eguquliwe nama-pilates: Zikuvumela ukuba uthuthukise ukuma nokuhamba, njalo ugwema ukuhleleka okubandakanya ukusekelwa kwe-lateral ku-hip elimele noma ukuguquguquka okukhulu.
Kuzo zonke izimo, Ukuqina nobude besikhathi kuncike emizweni yomuntu kanye nezinga lobuhlungu. Kubalulekile ukuthuthuka kancane kancane ukuze ugweme ukuphindeka.
Izinto eziyingozi kanye nokuvimbela i-trochanteritis
Lapho isigaba se-acute sesiphelile, kubalulekile ukukhomba izici ezivumela ukubonakala kwesilonda ukuvimbela ukuphindeka. Phakathi kwezinto ezivame kakhulu yilezi:
- Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile, okwandisa ingcindezi enqulwini.
- Amaphutha endleleni lapho uhamba, ugijima noma uzivocavoca, okukhiqiza ukunyakaza okunganele kanye nokugcwala ngokweqile endaweni.
- Ubuthakathaka emisipha yokuzinza ye-hip ne-core. Ukuba nama-glute abuthakathaka noma isisu esingasebenzi kahle kuthanda ukubonakala kokulimala.
- Ukukhetha kabi kwezicathulo, indawo engalingani, noma ukuqeqeshwa ezindaweni ezingafanele.
- Ukuntuleka kokufudumala nokwelula ngemva kokusebenza ngokomzimba.
Ukwelashwa kwe-Trochanteritis: kusuka kokuyisisekelo kuya kokuphambili
Ukwelashwa kokuqala kuhlanganisa ukuphumula okuhlobene, ama-anti-inflammatories, umkhuhlane wendawo kanye nokwelashwa komzimba. Lapho ukuvuvukala kuqhubeka, ungaphendukela ku ukungena nge-corticosteroids kanye ne-anesthetic, njalo ngaphansi kokuqondisa kodokotela. Ezimweni eziphikisanayo, i- ukuhlinzwa kwe-arthroscopic kungase kucatshangelwe, nakuba kuveza ubungozi futhi akuqinisekisi ukululama okuqinisekile. Isu eliyinhloko uku ukuvimbela, ukuvuselela okusebenzayo nokugwema ukuvivinya umzimba okwandisa ukuvuvukala.
Kubalulekile fundisa isiguli ukuthi lokhu kulimala kungaba yi-cyclical, akuhlobene ngempela ne-osteoarthritis noma i-osteoporosis, nokuthi ukungaguquguquki kanye nemikhuba efanele kwenza umehluko ekululameni.
Wazi kanjani ukuthi kufanele ubone udokotela?
uma uhlangabezana ubuhlungu obuqhubekayo ku-hip lateral, okuhambisana nokuvuvukala, ubunzima bokuhamba noma izimpawu ezithusayo, thintana nochwepheshe ngokushesha ngangokunokwenzeka. Ukuxilongwa kuvame ukwenziwa ngomlando womtholampilo kanye ne-ultrasound, okuqinisekisa ukuvuvukala kwe-bursa nokukhipha ukulimala okuhlobene.
