Maʻi o ka hip-ami. Symptoms o ka hip-maʻi

pono Launch pono All nā loko, a nenoai. Wale i keia hihia ia mea hiki ke alakai i ka maʻamau ola hope. Ma keia 'atikala aʻu i makemake i ka nana i ka papa kuhikuhiE symptoms o ka ke ki kala ami maʻi.

He aha ka mea?

Initially, e pono e hoakaka i ka terminology. He aha ka hip-? No laila, i kēia mea i ka iwi i kona poʻo i loko o hui 'ana me ka femur. Kona papa kuhikuhiE hiʻona:

• e hana flexion-palena manawa;
• i ka wa pono, e lawe i ka uha mua a hiki i kaʻaoʻao;
• pronation a me ka supination, 'ole. E, i ka manawa kūpono e lawe mai rotational ka neʻe' ana.

Ke kumu nui

Pono ia mea e pono e maopopo ka mea na kumu hiki i keʻano o ka maʻi o ka hip-ami. No laila, kauka i na kēia:

1. Mechanical poino. Kēia e loli iki ana ka oolea nā palapū, fractures.
2. Infectious ano o ka maʻi. Ka mea, pinepine hoonaukiuki i keʻano o ka pilikia a me ka hip-ami.
3. Microbial a me ka mea hoʻomaʻi nā mea palahēhē, e like me maʻi palū a me ka nui puʻu, (ʻano nui i loko o ka hihia o Perthes 'maʻi).
4. Kekahi kumu o ke ki kala ami maʻi - he aaiaoe predisposition. Ma keia hihia, hoʻokolokolo i ka 'inikua mooolelo o ka kokoke hoahanau o ke kanaka, e hōʻike ihoiho.
5. Ke Kula Kaiapuni 'metabolic kāna hana, nele o nā wikamina, kalipuna. Ma keia hihia, ke kino ua hoʻonāwaliwaliʻia iwi lilo insufficiently ikaika. A ka mea, ke alakai i ka mea e hana ana ma ka Hip ami likeʻole pilikia.

Ka papa kuhikuhiE symptoms

Initially, ka mea makemake e pono e noonoo i kekahiʻano o symptoms o ka ke ki kala ami maʻi. No laila, i loko o ka hapanui o na hihia, a me ke pio ana o keia hapa o ka kanaka kino pīhoihoi ihola ko lākou:

1. Pain. Mea hiki e ana o kekahi ano. Ka eha He mau pahi a me ka kūmūmū, ikaika a me ka lōpū. Ua pau hilinaʻi nui ma luna o ke 'ano o ka maʻi, a me ka degere o kona ulu ana. Ua pinepine ka hana ana i ke ano o ka eha iloko o ka papa o ka maʻi loli aʻe. Wehe i ka mea hiki ia i keʻano o nā painkillers. Naʻe, i ke kumu no kona hanana mea nō 'aʻole e nalo.
2. E noonoo pono i ka Hip hui, ka symptoms i i kekahi hana, ka mea e e olelo mai i keiaʻano o ka neʻe kāna hana. Keia pilikia ia lŘlŘ ka wā a pau o ka ke ki kala ami maʻi. Ma kekahi mau hihia, i kēia mau 'aʻe' mea i oi aku i nanaia, oa. E. ka hoomanawanui ka gait Ua aneane ua hoʻololiʻia. Ma kekahi wahi, i hiki, ka mea hiki kekahi eʻoi aku utrudnennoy (hikiʻole, e hele me ka kākoʻo). Inā i ka maʻi i loko o ka moku'āina o ka malama ole, ka Hawaii ha awina o ke ahonui a me nā mea a pau, e hiki ole i.
3. He aha i kekahi mau hoailona o ka ke ki kala ami maʻi? No laila, i kēia e hōʻike i kekahiʻano o ka mawaho hou. Loa pinepine, ma keia hihia e pili ana i ka limp, pripadanii ma ka wawae. I kekahi manawa ka mea, e hiki hoʻopōkole 'i ka hoʻohuli ai i nā lala, i kumu no ke kanaka i kekahi hele ma nā manamana wāwae' ole paha ka nānaina i ke kino a hiki i kekahiʻaoʻao.
4. Other nā hoailona: ina he mea li nui, i ka mahana i ku (pinepine i subfebrile kaha) hiki no hoi e redness ma luna o kaʻili.

arthrosis

Initially, e pono e kamailio e pili ana ia i ka pilikia e like me ka maʻi "Hip coxarthrosis". Olelo ana, he pono ole 'ōlelo, i ka maʻamau o ke ola o ka maʻi i oleloia i wale i arthrosis. He nui e hoailona oukou i ka mea o ka maʻi kaua mua i waena o ka mea likeʻole pilikia o ka locomotor nakeke o ke kanaka.

Ua helu kuhi puke i kēia maʻi o ka articular cartilage lesions. He i nā hakina, depleted, kūpono ai i loko o ka poho o kona depreciation o ka waiwai. I ka Ia manawa no hoi e loli ai ka iwi a me ke ami hoi, pokou ka ulu o ke hiki ke hōʻike. Other wā i hiki no hoi e ala aʻeʻoe ma muli o ka coxarthrosis:

• i ke kahua o cysts ma ke poo o ka uha iwi;
• Cysts ke hana kekahi i loko o ka'aʻaʻa o ka acetabulum, ma ke poo o ka iwi ua kau;
• sclerosis pinepine ia lŘlŘ anuanu ami surfaces.

Loa pinepine i ke kumu o keia maʻi i ka maʻi, e like dysplasia (o papa, ke ki kala ami). Kēia underdevelopment o ka iwi, a me ke koena unuhi i loko o ka nui o ka acetabulum a me ke poo. Ma ia ka hihia he mea lawa koko lako, e kauoha ana i ka pilikia e like me arthrosis.

Mawaena o na kumu o ka maʻi, kauka hōʻike okoa nā palapū, paopao koke mai oia. I ka wa e hele mai e microtrauma lākou regularity hiki no hoi ia i ke kumu o keia pilikia. A, o ka papa, pakahi aku la ia nui manawa e hana likeʻole hoʻoʻino keʻano o ka hanaʻana. Ma hope o nā mea a pau, ka mea hiki i huli i loko o arthritis.

Symptomatology a me ka anu u coxarthrosis

He aha hiki ke hai aku i ka mōʻaukala o ka maʻi? Hip coxarthrosis ua loa pinepine ike kēia symptoms:

• ka eha, a discomfort ma na lākou kīkala a me ka groin;
• eha ma ke kuli (i loko o keia hihia loa pinepine ia ke hele mai coxarthrosis i loko o ka huʻi ke kahua);
• i pane ai i ka pilikia, a me ka spine.

I ka 'inikua hana, he mea ekolu ka papa kuhikuhi kahua o ka hoʻonaʻauao o ka maʻi.

1. Mua. Aia kaʻeha sporadicallyʻano nui ma hope oʻeleu hoounauna. IIeEeAIEUIeXAIIUE loa pinepine ia i loko o ka iho a me ke ki. Ma hope o kau mai ana iluna o ka discomfort nalo. Gait a me ka locomotor aayoaeuiinoe ma keia kahua mea nō ua hoʻololiʻia.
2. Lua. Ma keia hihia, i kaʻeha makemake e ikaika. Ua Ua IIeEeAIEUIeXAIIUEʻano nui i loko o ka groin a'ūhā. He nui e hoailona oukou ia ia ma keia kahua o ka discomfort ia lŘlŘ a hiki ma maha. mea i haki ke functionality o ke ami, kona Hawaii hope kekahi deteriorates. Aia He He hoʻokumu 'o ka ami OE neʻeʻana (ma ka lapaau - contracture). Kekahi ino femoral poo, na nāʻiʻo lilo aku i ko lakou ikaika.
3. Ke kolu o ke kahua. Ma keia hihia, i ka eha ua pu ia e kekahi kanaka mau i maha ai, a ma ka po. Hiki ole ke hele me kākoʻo. Olelo neʻe loa kapu, ka mea, ua nui loa paʻakikī. Ke kiʻekiʻe, ka mea hoʻomanawanui lala hua'ōlelo, kanaka gait hou. Oe i ke lena sideways a kū ma luna o nā manamana e koena kalepa.

Inā he pilikia e hoʻomōhala ana i hou aku, e hiki aku ai i ka mea i ka neʻeʻana i loko o ke ami o pau kahi e.

ʻike, a me ka lapaʻau o coxarthrosis

Ua noʻonoʻo ka luna symptoms o ka hip-hui maʻi, ka mea e e olelo mai i keia pilikia hiki ke diagnosed hoʻohana 'radiography. Inā lōpū eha, hiki ke kōkua i ultrasound ole MRI (i kēia mau haʻawina e i ka manawa e hooholo, ina paha he li nui).

Inā mākou e kamailio e pili ana i na kahua o ka hoʻonaʻauao mua elua o ka maʻi, i ka iapaau ana maanei, e e makeʻe kulana. I ka papa kuhikuhiE manao o ke kauka - e hoʻolako maʻamau ami ka hoʻoneʻe. Ke kolu o ke kahua pono he okoa lapaʻau: ka lawelawe ana ai 'a e wehe li nui, hiki ke hoʻohana i kela ae pani loli ma na ami. Ma kūikawā hoopii, ka mea hiki ke hoikeia endoprosthesis.

Perthes maʻi

Pono no hoi i ke noonoo i ka maʻi Perthes hip-. Ua mea waiwai 'ana i kumumanaʻo i ka maʻi loa pinepine e loli ai i na keiki ma waena o nā makahiki o ke 3 a me ka 12 makahiki. I ka Ia manawa ae aku mai ka mea oi pinepine ma mua o nā keikikāne. Naʻe, i ka maʻi i loko o hanana kaikamahine Ua oi hoʻoponopono.

He aha ka Perthes mai o ka hip-ami? Pela, ua maikai pathological kaʻina ka wā pilikia maʻamau koko holo i loko o ka Hip poo, i ke kumu no ia o ka pilikia e like me necrosis. He nui ka e hoailona oukou i ka loaʻa o nā unilateral a meʻeluaʻaoʻao poino.

I kēia lā, kauka iʻaʻole i hiki i kekahi, he pono ole ka hopena, ka mea i ka papa kuhikuhiE kumu o keia maʻi. Ke kahua o ka maʻi Perthes kēia:

1. Ma hope o ka hoʻomaka 'ana o ka poho o ka maʻamau ke koko lako i ka femoral poo necrosis e hoʻomōhala ai.
2. Secondary poo iwi fracture i loko o ka wahi o ka make.
3. Necrotic'aʻaʻa ua i nā resorbed. Ua hiki aku i ka mea i loaʻa o ka hua'ōleloʻo o ka femoral'ā'ī.
4. Ka paena necrosis ulu connective'aʻaʻa.
5. Connective'aʻaʻa ua i nā UAIAaIN ma ka iwi.

Ke loaa kaʻina hana ma keia hihia hilinaʻi nui ma luna o ke kahua o ka maʻi ole. Inā ka manawa e hoʻomaka lapaʻau, piha ke ola me ke kūʻokoʻa. I ole ia, i ka poo e hoohiolo no ia i kekahi mau loa, a pinepine hiki aku ai i ka hoʻohana 'ia, splicing ino.

Ka mea, e olelo ana pehea e nana Perthes maʻi o ka Hip hui, photo. Pono e nana i na kiʻi o ka maʻi keiki, e ike i keia maʻi kekahi kumu no loli ma ka nānā aku ( 'o ia hoʻi, E. E e claudication a me ka lala hua'ōleloʻo iho). Ua maʻi ua pu aku la keia ma kaʻeha. Ma mua ka mea, e lilo ka hoopaa, hoʻomaka e hōʻike i hele. Aia paha e kekahi hōʻemi iki limp a pripadanie ma ka iki i wāwae. Other lapaʻau symptoms i malama. Ma keia a pau ka pilikia, no ka mea, kanaka me ka like hoopii kākaʻikahi huli i ka podiatrist. Inā he ua he mīkini'opihia fracture, ka eha ua me ka nui loa hoʻokāʻoi, ua ike ikaika lameness, ia mea maopopo hiki i ka 'ē aʻe. Aia He He hoʻokumu 'ana o ka neʻe' ana, me ka holoholo mea pilikia. Hiki hoonui i ke kino mahana e subfebrile nā hoailona.

Maʻi ua diagnosed hoʻohana 'radiography. Iapaau ana e wahi i loko o ka 'Oihana o Orthopedics, i hoakaka ia - i ka hoʻomanawanui. Ka lōʻihi like 'ole o ka makeʻe kulana lapaʻau: ma kahi o 12-14 mahina. ʻoki lāʻau lapaʻau 'uao i e hōʻike wale nō i loko o ka loa loa hihia.

Ma ka hopena ia mea kumukuai 'ana i kumumanaʻo ia ina na maʻi likeʻole o ka hip-ami i loko o nā keiki a mākou noonoo, ua mea pinepine kamailio e pili ana i ka maʻi.

I ka maʻi pale o ka femoral-acetabular impingement

Ua mea waiwai 'ana i kumumanaʻo i keia mea i kekahi o na anomalies, a ke hai aku i ka hip-ami. Ma keia hihia, he mea kekahi hookui hookahe koko ana a me clash o ka iwi hale a iloko o kanaka ana (ma keia hope aku i ka inoa - impingement, oa pololei ole hookui hookahe koko ana ..). Ka mau kumu i hiki i keia kulana, laekahi lapaʻau ua,ʻaʻole iʻikeʻia. Symptoms o ka Hip maʻi i loko o keia hihia e like penei:

• eha e ia lŘlŘ ma ka kekahiʻoihana o ke kanaka, pinepine i anuenue;
• hoʻokau 'ana o kekahi mau ka neʻe' ana.

Ka pilikia ua diagnosed ka hoʻohana 'ana rentgtenografii. Eia naʻe, e like me keia maʻi ka mea i like loa i nā maʻi, kauka pinepine kuhihewa, a kau i ka hewaʻike. Makeʻe kulana lapaʻau no keia pilikia mea pau lapuwale. ʻoki lāʻau lapaʻau 'uao mea pono. Wale ma keia ala e Makuakane me ka maʻi.

bursitis

Kekahi maʻi i mea hoi e pono e noonoo - ka hip-bursitis. Ma keia hihia mākou e kamaʻilio e pili ana i li nui i loko o ka bursa, nona ka papa kuhikuhiE hana - e pale kū'ē.

Hou, ua noonoo i kekahi hapa o ka kanaka kino me ka hip-ami. Symptoms o ka maʻi i kēia bursitis:

1. Pain. He he huʻi,, pili aa ana. IIeEeAIEUAA: oi pinepine ka mea, o ka pā hapa o ka uha.
2. E like me ka pilikia o ka eha ua hoopaa hoi i. Eia naʻe, ma ka laulā o kona haawi aku maoli.
3. Hoʻokāʻoi 'eha ma ke ki kala flexion-mailaila aku. Nō hoʻi, he kanaka hiki ke hana ino aku ia e moe ma konaʻaoʻao, mai make.
4. I ka purulent bursitis eha mea, no ka ikaika i ka mea,ʻo ia ka mea hiki ole ia e hoʻoneʻe maʻamau.

I ka papa kuhikuhiE ano o kaʻike,: lapaʻau ninaninau, palpation, auscultation o ka hoopii. No ka hou pololeiʻike, o ka hoʻomanawanui ua kauoha ia a hiki i ka X-Ray paha MRI. Holo nōhie, lapaʻau mea makeʻe kulana. Ma pohihihi keia hoopii,ʻoki kino i ke koi 'ia ma ka holomua maʻi.

tendinitis

E noonoo hou aku e aloha ia i ka Hip hui, symptoms, lapaau i ka likeʻole pilikia. Mākou e maopopo leʻa kamailio hou e pili ana i mea e like mea tendonitis. No ka laʻana, he li nui o na tendons ma wahi kona hoopaa me ka iwi. I ka papa kuhikuhiE symptoms ma keia hihia:

1. Like i loko o nā mea a pau hoʻoʻino keʻano o ka hanaʻana, redness akaka ma ka ili.
2. E hōʻoia i ka eha, e ala mai oe. Ua Ua IIeEeAIEUIeXAIIUE i loko o ka wahi o ka loli ana o ligament.
3. A, o ka papa, e emi Hawaii hanana hulina o ka hoʻomanawanui.

Keia pilikia ua diagnosed ka hoʻohana 'ana i ka nana. ultrasound i e hoonoho no houʻike. Iapaau ana Heʻano nui makeʻe kulana. Eia naʻe, i loko o pohihihi keia manawa, ma laila nō nāʻikepili no kaʻoki kino.

moe paha, ka '

Pinepine, ua pili nā mea maʻi i loko o ka ninau o ka mea mau loa pinepine i ka maʻi o ke ki kala ami i loko o nā wāhine? Initially, e pono ke kūʻai 'ana i kumumanaʻo ana ia i ka ikaika e pono ai, aole ia i nei. Kekahi luna-i ho'ākāka 'ia maʻi e loli ai kanaka o nā sexes aneane like. Eia naʻe, 'ikepili helu hōʻike i ke kumu nui mai o ke ki kala ami i loko o nā wāhine - ia mea arthritis a me ka arthrosis. Eia hou, i kēia mau maʻi ana i loko o kanaka o ka holomua makahiki.

Main Hip maʻi i loko o na kanaka - bursitis a me ka tendonitis. A pau no ka mea, na aku i ka hapanui hana i loko o ka hana, a me ka mea i oi nui haawe ana ma luna o ke kino. A pau i kēia pinepine hiki aku i ka muli o ia mau pilikia a me ka hip-ami.

lapaʻau '

Initially, ka mea e e kaulana ia i loko o ka wā o keʻano o kaʻeha ma ka Hip ami e koke nīnau i kou kauka no ka'ōlelo aʻo. No, ma keia hihia ia mea hiki ke diagnose i ka maʻi ma ka koke ke kahua. A ka mea,ʻo ia ka mea maʻalahi a me ka nui loa hoʻopōkole 'oe i ke kaʻina hana o ka hou ana o ka hoʻomanawanui. I ole ia he mea he pilikia o ka piha immobilization o ka loli ana o ka lala.

He aha nā 'ano e hiki i kekahi, e diagnose likeʻole pilikia i mea e hopohopo nei ka hip-?

1. Ka ninaninau ana i ka hoʻomanawanui. Nunui ike hiki "haʻi aku" wale, oa. E symptoms. O ka pilikia no i ka hoʻomanawanui complains. e hoolohe ia ia ma hope, pinepine ke kauka i, i ka mua hopena a e pili ana i mea i ka maʻi i noho i loko o ka hoʻomanawanui.
2. Palpation. Ma kekahi mau hihia, i ke ahonui o ka manao o ka pio wahi hiki no hoi i pane i kekahi mau ninau.
3. Ka loa mau hoʻohana PalekanaEND_LINK hana no ka maʻi likeʻole o ka Hip ami - he radiography.
4. Hoʻomanawanui iki mai no hoi i hoʻokohu 'ia ultrasound (no kekahi mau maʻi) a MRI (ʻume mākenēki resonance kiʻi) i loko o ka hanana i ka hoʻomanawanui i li nui.

lapaʻau

Manawa a hiki i kēia maʻi hiki haʻalele hip-ami? Lapaʻau - i kēia mea nui loa i loko o keia hihia. Ma hope o nā mea a pau, ina o ka hoʻomaka 'manawa, he mea hiki ole i kekahi pilikia, a no ka Makuakane i ka maʻi o ka ho'āʻo pono. He aha hiki i ke kauka i hoakaka ia?

Ho'olapa mālama'ole.

1. Ke kaukino, ke kaukino kino, nā kānana. 'O kēia ka mea e pono ai no kekahi mākia o ka ma'i. Eia na'e, inā i'ike mua'ia ka ma'i, hiki i ka manawa ke hiki ke ho'omaopopo wale i kēia mau'ano.
2. Anesthetics. No laila, pinepine i ka ho'ohemo'ana i nā lā'au'alo-anti-inflammatory non-steroidal. Eia na'e, he mea nui e wehewehe'a'ole lākou e hakakā i kēia ma'i, akā ho'oikaika wale i nā hō'ailona maika'i'ole. Hiki iā ia ke ho'ohana i nā lā'au e like me "Texamen", "Celebrex", "Nimulide", "Nalgezin", "Diklak", a pēlā aku. A i ka ho'ohana'ana i kēia mau lā'au, pono'oe e ho'omana'o he nui ka papa inoa o nā hō'ailona .
3. Nā koho koho. 'O nā lā'au lapa'au kēia e ho'oponopono ai i ke'ano o ka lole cartilagin. Hā'a'ia lākou ma ka glucosamine, a me ka chondroitin sulfate. 'Amela: ho'omākaukau "Mukosat", "Hondrolon". Nā papa: ho'omākaukau "Hondroksid", "Structum". Nä mea 'aila: "Elastenga", "Chondroxide".
4. I mea e ho'omaika'i ai i ke kahe o ka toto ma ke po'o o ka hui hope. 'O ia nā lā'au lapa'au e like me Stugeron, Pentoxifylline.
5. Eia kekahi, e hiki ke ho'oponopono'ia nā'ano ho'opi'i pūnaewele, nā hanana synovial flu substitutes.

'O ke kūkōkino'oko'a kekahi ala e ho'opau ai i ka pilikia. Ho'onohonoho'ia'o ia kahi hopena hope loa, inā hiki'ole ke pale aku i ka pilikia me nā'ano ku'una. I kēia hihia, hana pinepine'ia nā endoprosthetics. 'O ia, ua ho'oku'u'ia ka pūpū ma'i, a ua ho'okomo'ia kahi kūikawā kūikawā ma kona wahi,'a'ohe mea kūpono i ka hana ma'amau.