The Complete Guide to Dislocated Hip: Zvinokonzera uye Solutions

Kuziva nzira dzekurapa dzehudyu yakatsemuka kunobatsira vanhu kukurumidza kudzoreredza uye kupora?

Dislocated Hip

Kutsemuka kwehudyu kukuvara kusingawanzoitiki asi kunogona kuitika nekuda kwekushungurudzika kana kutevera hudyu kutsiva kuvhiyiwa. Inowanzoitika mushure mekushungurudzika kwakanyanya, kusanganisira kubonderana kwemotokari, inowira, uye dzimwe nguva kukuvara kwemitambo. (Caylyne Arnold et al., 2017) Hudyu yakabviswa inogonawo kuitika mushure mekuvhiyiwa kwehudyu. Kumwe kukuvadzwa senge ligament misodzi, kukuvadzwa kwecartilage, uye kuputsika kwepfupa kunogona kuitika padivi peiyo dislocation. Mazhinji kuputika kwehudyu kunobatwa nemaitiro ekuderedza akabatana anodzosera bhora musocket. Inowanzoitwa ne sedation kana general anesthesia. Rehabilitation inotora nguva uye inogona kuva mwedzi mishomanana isati yakwana. Kurapa kwepanyama kunogona kubatsira kudzorera kufamba uye simba muhudyu.

Chii ichochi?

Kana hudyu ichingobviswa zvishoma, inonzi hip subluxation. Kana izvi zvikaitika, musoro wehudyu wehudyu unongobuda zvishoma kubva pachigadziko. Hudyu yakatsemuka inguva apo musoro kana bhora rejoinhi rinochinja kana kubuda musocket. Nekuti hudyu yekugadzira inosiyana neyakajairwa hudyu yakabatana, njodzi yekusagadzikana inowedzera mushure mekutsiviwa kwemajoini. Ongororo yakawana kuti inosvika 2% yevanhu vanodzoserwa hudyu zvachose vachaona kuputika kwehudyu mukati megore, nengozi yekuwedzera inowedzera neinosvika 1% mumakore mashanu. (Jens Dargel et al., 2014) Zvisinei, michina mitsva yeprosthetics uye nzira dzokuvhiya dziri kuita kuti izvi zvisanyanya kuwanda.

Hip Anatomy

• Hudyu bhora-ne-socket joint inonzi femoroacetabular joint.
• Iyo socket inonzi acetabulum.
• Bhora rinonzi musoro wechikadzi.

Bony anatomy nemarunda akasimba, tsandanyama, uye tendon zvinobatsira kugadzira kubatana kwakagadzikana. Simba rakakosha rinofanira kushandiswa pajojo kuti kuputika kwehudyu kuitike. Vamwe vanhu vanotaura kunzwa kubatwa-batwa kwehudyu. Izvi kazhinji hazvisi kuputika kwechiuno asi zvinoratidza chirwere chakasiyana chinonzi snapping hip syndrome. (Paul Walker et al., 2021)

Posterior Hip Dislocation

• Around 90% yehudyu dislocations ari kumashure.
• Mumhando iyi, bhora rinosundirwa kumashure kubva pasocket.
• Posterior dislocations inogona kukonzera kukuvara kana kutsamwa kune sciatic nerve. (R Cornwall, TE Radomisli 2000)

Anterior Hip Dislocation

• Anterior dislocations ishoma.
• Murudzi urwu rwekukuvara, bhora rinosundirwa kunze kwesocket.

Hip Subluxation

• A hip subluxation inoitika apo bhora rekubatana kwehudyu rinotanga kubuda kubva pachigadziko zvishoma.
• Iyo inozivikanwawo sechikamu chechidimbu, inogona kushanduka kuita chidimbu chehudyu chakanyatsoputika kana chisingabvumirwi kupora zvakanaka.

zviratidzo

Zviratidzo zvinogona kusanganisira:

• Gumbo riri panzvimbo isina kujairika.
• Kutadza kufamba.
• Kurwadza kwehudyu kwakanyanya.
• Kusakwanisa kutakura uremu.
• Mechanical kurwadza kwepashure kunogona kukonzeresa kuvhiringidzika pakuita kuongororwa kwakakodzera.
• Nekudzongonyedzwa kwemashure, ibvi netsoka zvinotenderedzwa zvakananga pakati pemuviri.
• An anterior dislocation inotenderedza ibvi netsoka kure nepakati. (American Academy yeOrthopedic Surgeons. 2021)

Zvinokonzera

Dislocation inogona kukonzera kukanganisa kune zvimiro zvinobata bhora musocket uye zvinogona kusanganisira:

• Cartilage kukuvadzwa kwejoint -
• Misodzi mulabrum nemarunda.
• Kutsemuka kwebhonzo pajoini.
• Kukuvadza kumidziyo inopa ropa kunogona kutungamirira kune avascular necrosis kana osteonecrosis yehudyu. (Patrick Kellam, Robert F. Ostrum 2016)
• Kubviswa kwehudyu kunowedzera njodzi yekubatana nearthritis mushure mekukuvadzwa uye inogona kusimudza njodzi yekuda kuchinjwa hudyu gare gare muupenyu. (Hsuan-Hsiao Ma et al., 2020)

Developmental Dislocation yeHip

• Vamwe vana vanozvarwa vaine kukura kwehudyu kana kuti DDH.
• Vana vane DDH vane majoini ehudyu asina kuumbwa zvakanaka panguva yekukura.
• Izvi zvinokonzeresa kusununguka kunokwana musocket.
• Mune zvimwe zviitiko, mubatanidzwa wehudyu unobviswa zvachose.
• Mune dzimwe, zvinowanzoita kubviswa.
• Muzviitiko zvakapfava, mubatanidzwa wacho wakasununguka asi hausi nyore kutsemuka. (American Academy yeOrthopedic Surgeons. 2022)

mabatiro

Joint reduction ndiyo nzira yakajairika yekurapa hudyu yakatsemuka. Iyo nzira inodzosera bhora kumashure musocket uye inowanzoitwa ne sedation kana pasi peanesthesia. Kuisazve hudyu kunoda simba guru. Kubviswa kwehudyu kunoonekwa sechimbichimbi, uye kuderedzwa kunofanirwa kuitwa nekukurumidza mushure mekudzungaira kudzivirira matambudziko echigarire uye kurapwa. (Caylyne Arnold et al., 2017)

• Kana bhora richinge radzoka muhomwe, mupi wehutano achatsvaga kukuvara kwemapfupa, cartilage, uye ligament.
• Zvichienderana nezvinowanikwa nemupi wehutano, kumwe kurapwa kunogona kudiwa.
• Mabhonzo akatyoka kana akatyoka angada kugadziriswa kuti bhora rirambe riri mukati me socket.
• Cartilage yakakuvadzwa inogona kubviswa.

Surgery

Kuvhiyiwa kungave kuri madikanwa kudzorera fundo panzvimbo yaro yenguva dzose. Hip arthroscopy inogona kuderedza kupindira kwemamwe maitiro. Chiremba anovhiya anopinza kamera ine microscopic mujoint yehudyu kubatsira muvhiyi kugadzirisa kukuvara achishandisa zviridzwa zvinoiswa kuburikidza nezvimwe zvidiki.

Kuvhiyiwa kwehudyu kunotsiva bhora nesoketi, nzira yakajairika uye inobudirira yemapfupa ekuvhiya. Kuvhiyiwa uku kunogona kuitwa nekuda kwezvikonzero zvakasiyana-siyana, kusanganisira kushungurudzika kana arthritis, sezvinowanzoita kutanga arthritis yehudyu mushure merudzi urwu rwekutambudzika. Ichi ndicho chikonzero vazhinji vane dislocation pakupedzisira vanoda hip replacement operation. Senzira huru yekuvhiya, haisi pasina njodzi. Zvinetso zvinobvira zvinosanganisira:

• Kurwara
• Aseptic kusunungura (kusunungurwa kwejoint pasina utachiona)
• Hip kubviswa

kupora

Kupora kubva pakubviswa kwehudyu inguva refu. Vanhu vanozoda kufamba nemadondoro kana zvimwe zvishandiso pakutanga kupora. Kurapa kwepanyama kuchavandudza huwandu hwekufamba uye kusimbisa misumbu yakatenderedza hudyu. Nguva yekupora ichaenderana nekuti kumwe kukuvadzwa, sekutsemuka kana misodzi, kuripo. Kana mubatanidzwa wehudyu wakadzikiswa uye pakanga pasina kumwe kukuvadzwa, zvinogona kutora mavhiki matanhatu kusvika gumi kuti adzoke kusvika pakuremera kunogona kuiswa pagumbo. Inogona kuva pakati pemwedzi miviri kusvika mitatu yekupora zvakakwana. Kuchengeta uremu kubva pagumbo kunokosha kusvikira chiremba kana chiremba wepanyama anopa zvose-zvakajeka. Injury Medical Chiropractic uye Functional Medicine Clinic ichashanda nemunhu mukuru wehutano hwehutano uye vamwe vanachiremba kana nyanzvi kuti vagadzire chirongwa chekurapa chemunhu.

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Chiropractic Solutions yeOsteoarthritis

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References

Arnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Kugadzirisa kutsemuka kwehudyu, ibvi, uye ankle mudhipatimendi rekukurumidzira [digest]. Emergency mushonga tsika, 19(12 Suppl Points & Maparera), 1–2.

Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Dislocation zvichitevera kuchinjwa kwehudyu yose. Deutsches Arzteblatt international, 111(51-52), 884–890. doi.org/10.3238/arztebl.2014.0884

Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: A Comprehensive Update. Ongororo dzeOrthopedic, 13(2), 25088. doi.org/10.52965/001c.25088

Cornwall, R., & Radomisli, TE (2000). Kukuvadzwa kwetsinga mukushungurudzika kuparadzaniswa kwehudyu. Clinical orthopedics uye tsvakurudzo yakabatana, (377), 84-91. doi.org/10.1097/00003086-200008000-00012

American Academy yeOrthopedic Surgeons. (2021). Hip dislocation. orthoinfo.aaos.org/en/diseases-conditions/hip-dislocation

Kellam, P., & Ostrum, RF (2016). Kuongorora Kwakarongeka uye Meta-Kuongorora kweAvascular Necrosis uye Posttraumatic Arthritis Mushure meKushungurudza Hip Dislocation. Chinyorwa chekukuvara kwemapfupa, 30 (1), 10-16. doi.org/10.1097/BOT.0000000000000419

Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Migumisiro yenguva refu kune varwere vane kushungurudzika kwehudyu fracture-dislocation: Zvakakosha kufungidzira zvinhu. Nyaya yeChinese Medical Association : JCMA, ​​83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366

American Academy yeOrthopedic Surgeons. (2022). Developmental dislocation (dysplasia) yehudyu (DDH). orthoinfo.aaos.org/en/diseases-conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/