Lalacewa ta hanzari shine mummunan rauni wanda ya fi sau da yawa sakamakon mummunan rauni. Hanyoyin da suka fi dacewa da raguwa ta hanyoyi sun haɗa da haɗarin motar motar, daga sama, kuma wani lokacin raunin da ya faru na hatsi.
Mutanen da ke fama da wannan rauni zasu sami ciwo mai tsanani , wahalar matsaloli, da rashin iya yin nauyi a kan iyakar.
Kwancen zai kasance cikin matsananciyar matsayi a sakamakon lalacewa, mafi sau da yawa tare da kafa ta takaita kuma ya juya.
Hannun hanyoyi na kwakwalwa na iya faruwa a matsayin ƙwayar aikin tiyata . Saboda maye gurbin hanji na wucin gadi ya bambanta da haɗin gwiwa ta al'ada, kwashewa bayan maye gurbin haɗari yana yiwuwa haɗarin tiyata . A gaskiya ma, tsakanin 1-4% na marasa lafiya na iya shawo kan raunin hanzari bayan sunyi aikin tiyata. Sabbin nau'o'in maye gurbin hip da kuma sababbin hanyoyin yin aikin tiyata suna yin wannan a cikin sauki.
Haɗin gwiwa ta Hip
Haɗin gwiwa na kwakwalwa yana haɗin gwiwa da ball-and-socket. Hulɗar kwatankwacin hip yana da zurfin ɓangaren kasusuwa wanda shine ɓangare na ƙashin ƙugu (wanda ake kira acetabulum). Ball shine saman kashin cinya (femur) - sunan mahaɗin kwakwalwa shine haɗin femoroacetabular. Dalilin da ya sa raunin zubar da ƙyallen abu ne mai ban mamaki, shi ne cewa ana gudanar da kwallon ne a cikin ɓacin hanji.
Ba kamar kaɗaɗɗar kafada ba, inda ball yana zaune a kan kwasfa, ɓoyewar hanyoyi ba abu ne ba, yayin da gurɓin kafaɗa ya zama na kowa.
Bugu da ƙari ga kashi kashi na hip wanda ya haifar da haɗin gwiwa, jiki kuma yana da haɗari mai ƙarfi, da yawa tsokoki, da kuma tendons wanda ke taimakawa ga zaman lafiyar haɗin hip.
Domin yakamata a fara yaduwa ta hanzari, dole ne a yi amfani da karfi ga haɗin gwiwa. Mutanen da suke ji daɗin fahimta na hanji ba su da wata katsewar haɗin gwiwa; Wadannan ka'idodin sune aka sani da ciwon ƙwayar cutar hip .
Hip Dislocations
Lokacin da raunin hanzari ya faru, akwai lalacewa ga tsarin da ke riƙe da kwallon a cikin soket. Raunin da ya faru na yau da kullum da ke faruwa a yayin da yarinya ya faru ya haɗu da haɗuwa da kashin da ke kewaye da hanji, hawaye a cikin labrum da ligaments na hanji, da kuma lalata haɗin gwiwar haɗin gwiwa. Bugu da ƙari, rauni ga tasoshin jini wanda ke haifar da kashi zai iya haifar da yanayin da ake kira necrosis (wanda ake kira osteonecrosis na hip ).
Mutanen da ke raunin maganin ƙuƙwalwa suna da mummunar haɗari na tasowa daga cikin haɗin gwiwa a cikin watanni da shekaru da suka biyo rauni kuma suna da haɗari mafi girma don neman sauyawa a baya a rayuwarsu. Dangane da irin yadda lalacewar gurasar na iya ƙayyade yiwuwar bunkasa matsalolin gaba a cikin haɗin gwiwa.
Jiyya
Mafi mahimmanci magani na katako wanda aka katse shi ne ya dace da sanya ball a cikin soket - wanda ya rage rage haɗin gwiwa. Domin sake maye gurbin haɗin hip, mai haƙuri zai buƙaci bugun ƙwayar cuta .
Ba kamar ƙalubalen kafa ba ne da yawa marasa lafiya, musamman ma wadanda suka yi watsi da kullun, zasu iya canzawa a kan kansu, rikice-rikice na hanzari yana buƙatar mahimmancin karfi don maye gurbin.
Da zarar ball ya dawo a cikin soket, likitanku zai kimantawa ga wasu raunuka, ciki har da raunuka ga kashi, kayan tiyata, da haɗi. Dangane da raunin da ya faru, wani magani zai iya zama dole. Ƙasusuwa ƙasusuwa na iya buƙata a gyara don kiyaye ball a cikin soket, kuma lalata guringuntsi yana iya cirewa daga cikin haɗin gwiwa.
Hanyar arthroscopy na hanzari ya zama mafi amfani da shi azaman kayan aiki don tabbatar da haɗin gwiwa yana lafiya kamar yadda zai yiwu bayan irin wannan rauni.
Bugu da ƙari, ƙaddamar da ciwon wariyar launin fata na hanji yana da mahimmanci bayan bin irin mummunar cututtuka zuwa haɗin gwiwa. Saboda haka, marasa lafiya da yawa waɗanda ke da katsewar hanzari suna buƙatar yin aikin tiyata .
Hip Subluxation
An kira wani rauni mai lalacewa ta hanyar rikici. Hanya ta haɗin gwiwa wata hanya ce wadda ta kwatanta abin da mutane ke kira sau da yawa. A game da haɗin gwiwa na hip, wannan yana nufin kwallon fara fitowa daga cikin soket amma bai fito ba ko ya fita. Abokan da ke fama da launi na hanzari na iya samun wasu matsalolin matsala guda ɗaya kamar yadda waɗanda ke riƙe da lalacewa ta hanyoyi. Wadannan mutane na iya haifar da hawaye na ƙuƙwalwar hanji, da osteonecrosis, da kuma arthritis. Raunin hankalin da aka yi a ciki shine rauni wanda ya ƙare a matsayin dan wasan kwallon kafa Bo Jackson.
Sources:
"Ƙididdiga ta Ƙarƙashin Ƙasa amma Ƙwararrun Kwallon Kwallon Karancin Duke Medicine News and Communications, ranar 3 ga watan Nuwamban 2004.
Foulk DM da Mullis BH. "Hip Dislocation: Bayani da Gudanarwa" J Am Acad Orthop Surg Afrilu 2010; 18: 199-209.