Ngenxa yefuthe leemeko ezahlukeneyo, ukutshatyalaliswa kwezicubu ze-pelvic kunye nentloko yesifazane kunye namathambo. Ihamba kunye neenkqubo eziphazamisayo-i-dystrophic process, apho i-osteophytes (i-outgrowths) yenziwa kwaye i-arthrosis iyaqhubeka. Esi sifo, i-aseptic necrosis yentloko yesifazana, ngokuhambelana nesigaba sokufa kwesisu, kunokukhokelela kwimiphumo emibi, ukukhubazeka.
Iimbangela ze-aseptic necrosis yentloko yekhohlo yesinxele okanye sokunene
Ukuchazwa kwentsholongwane yokuhluthwa kweethambo kwakha xa kuhlanganiswe izinto ezininzi zidweliswe ngezantsi:
- kwamkela i corticosteroids ;
- ukulimala komatshini we-joint hip;
- ukuphulwa kweenkqubo zokutshintshiselwa;
- ukuchithwa kwimizila emisebe yelanga;
- ukusetyenziswa kakubi kotywala;
- i-anemia yegciwane-iseli;
- pancreatitis;
- isifo se thambo;
- ukugqithiswa rhoqo kwe-joint hip;
- izifo zesistim.
Ukuba awukwazi ukucacisa imbangela yesifo, kuthathwa njenge-idiopathic.
Iimpawu ze-aseptic necrosis yentloko yesifazane
Impawu eziphambili zesifo:
- i-atrophy yezicubu ezithambileyo kunye nezihlunu ze-hip;
- isifo sesifo;
- ukudlulisela ubuninzi bomthwalo kumlenze onempilo;
- ukunyuka kokuhamba kokubambisana.
Kwakhona, ikhosi ye-aseptic necrosis yentloko yesibini ixhomekeke kwisigaba sayo, kukho ezine kuphela:
- Kwizigaba zokuqala zesifo eso umntu uvakalelwa intlungu ebonakalayo, ebonakala ngokuzikhandla ngokomzimba kwaye inokubuyisela kwi-groin. Ngexesha elifanayo, ukuphakama okuqhelekileyo kokuhamba kwimilo ehlanganyelweyo, isisindo somzimba sisasazwa ngokufanayo kwimilenze yomibini.
- Isigaba sesibini sibonakaliswe ngokuqiniswa kwesifo sesifo, esihlala sisigxina. Ngenxa yoko, ukuhamba kwesibambano kunciphisa, isigulane sizama ukukhulula umlenze owonzakeleyo, obangela i-atrophy ephawulekayo yezihlunu ze-hip.
- Isigaba sesithathu sihamba nentlungu enzima, eyenzeka nangaphantsi kwemithwalo encinci. Ngenxa yoko, umsebenzi we-motor of the joint uhlahloka, ukuphawula kunye ne-atrophy ehambelana nemisipha kungekhona kuphela kwethanga, kodwa kunye ne-shin. Ngamanye amaxesha ukunciphisa umlenze onobuhlungu kubonakala ngokuphawulekayo.
- Kwisigaba sesine, ukukhubazeka kubangela ukuba intshabalalo epheleleyo yamathambo, umntu akakwazi ukuhamba ngaphandle koncedo okanye ukulungelelaniswa okukhethekileyo.
I-X-ray kwi-aseptic necrosis yentloko yesifazane
Uvavanyo lwe-X-ray luyona ndlela yokufundisa nokuchanekileyo.
Iifoto zibonisa ngokucacileyo indawo ze-necrosis kunye nethambo elingabonakaliyo okanye elinyanisiweyo kwi-joint joint, intloko engalinganiyo, utshintsho kwimeko yesigxina kwi-femur, i-osteophytes engaphantsi. Ngombulelo kwi-X-ray, unokuchonga ngokuchanekileyo isigaba sesifo.
Iindlela zokuxilonga ezongezelelweyo:
- I-Podography;
- ukulinganiswa kweenkxaso kunye nokuhamba kweeparitha;
- MRI;
- inkcazo yexinzelelo lwe-intraosseous.
Unyango kunye nokulungiswa okucetywayo kwe-aseptic necrosis yentloko yesifazane
Indlela edibeneyo ekwenzeni unyango oluqwalaselwe ngolu hlobo lulandelayo:
- I-gymnastics yezonyango kunye nokuthotyelwa kwemirhumo yamathambo. Uxinzelelo oluninzi oludibeneyo oludibeneyo luboniswa.
- Ukulungiswa kokuhamba. Ngokukhethekileyo ukucetyiswa kwamanyathelo omandla okukhuthaza.
- Unyango. I-Vascular (i-Kurantil), ukuxilwa kweentlungu (Ibuprofen), i- chondroprotectors (iRumalon, i-Mukartrin), abalawuli
i-calcium metabolism (Alfacalcidol ne-Xidiphon). - Ukunciphisa ukulungelelanisa kunye nokuvalwa kwexesha elide (autograft inxube noNovokain, Kurantil).
- Izifo ezithintekayo. I-vitreous ne-oxygen isetyenziswa.
Kubalulekile kunye ne-physiotherapy ye-aseptic necrosis yentloko ye-femer - laser, i-magnetic, i-EHF.
Ukuba isicwangciso sonyango esinikezelweyo asinakwenzeka, kungenelela ngoncedo lwangonyango:
- osteotomy;
- i-autoplasty ye-head of femor of the subchondral type.