Magungunan likita na Orthopedic sun zama mafi alhẽri a fahimtar maburorin zafi, kuma fasahar ta kara karfin mu na gano yanayin da aka rigaya ya ɓace. Ɗaya daga cikin tushen ɓacin hanji da kuma ciwo da ake ganowa da yawa ana kiransa da hawaye .
Labrum na hip yana da zobe na guringuntsi wanda ke kewaye da kwasfa na haɗin gwiwa na ball-da-socket.
Sau da yawa ana kwatanta da haɗuwa da haɗin gwiwa ta gwiwa gwiwa, hawaye na lakabi na hip zai iya zama tushen ciwo da rashin tausayi a cikin haɗin hip.
Matsanancin haɗin gwiwa da aka yi amfani da ita sun kasance wani abu ne na asiri. Mutane masu yawa daga kwalejin makaranta da kwalejin zuwa ga magoya bayan 'yan shekarun karshen mako zasu yi kuka da zafi a cikin hanyarsu, sau da yawa a cikin su. Wadannan mutane sun ba da ganewar asali ko kuma sunyi tsoka , amma sau da yawa maimaitawarsu ba shi da tabbas kuma alamar cututtuka a wasu lokuta suna daɗewa.
Yayin da muka sami fahimtar ilimin jikin kwakwalwa, kuma fasaha irin su MRI sun inganta karfin mu na ganin irin abubuwan da ke faruwa a cikin wannan jikin, mun gano wasu ƙananan tushen ciwo a cikin hip. Ɗaya daga cikin tsarin da aka gano a matsayin tushen jin zafi na hip shine labrum na hip.
Lab Hip
Haɗin gwiwa ta kwakwalwa shine ball da socket a jigon saman kashin cinya da ƙashi.
Sabanin sauran zane-zane da sutura kamar ƙwallon ƙafa, hip yana da matashi mai zurfi da barga. Labrum ne mai cuff na guringuntsi wanda ya sa zobe a kusa da gefen ɓangaren hanji. Wannan yana taimakawa wajen zurfafa soket, yayin da kasancewa mai sauƙi (ba kamar ƙashi na soket) don ba da izini ga wasu motsi.
Labrum na hip, kamar sauran nau'i na guringuntsi, yana kula da matsaloli da aka warkar daga rauni. Sanyayyun gaji ba shi da cikakken jini kuma sabili da haka ba shi da ikon warkar bayan lalacewar ya faru. Saboda wannan dalili, da zarar labrum ya lalace, yana nuna nuna alamun lalacewar da bazai gyara a tsawon lokaci ba.
Hip Labrum Tears
Lokacin da aka lalata labrum na haɗin gwiwa, mutane suna magana kan wannan lalacewar kamar "hawaye na labrum." Duk da amfani da wannan harshe don bayyana kawai game da wani rauni ga launi na hip, labaran kwaikwayo na hip ya zo a cikin nau'i-nau'i iri-iri, iri-iri, da iri. Ba kowane lakabi yana da iri ɗaya ba, kuma maganin labrin hawaye na iya bambanta da muhimmanci. Bugu da ƙari, marasa lafiya sun zo da nau'o'in iri daban-daban tare da tsammanin tsammanin sake dawowa da kuma matakai daban-daban a wasu jiyya. Yawancin mahimmanci, ana ganin lokuttan hawaye a cikin lalacewa da sauran lalacewa ta ciki ciki har da arthritis da kashi . A labling yawo a cikin kafa na maganin wariyar launin fata na hip ba kome kamar labral yawo kamar yadda rauni rauni.
Lokacin da aka yi amfani da tiyata don ƙuƙwalwar katako, hanyar da ta fi dacewa ta magance wannan ita ce ta hanyar maganin arthroscopic. An yi amfani da tiyata na Arthroscopic a cikin raunin hanji na shekaru 20 da suka gabata, wanda bai kasance ba a cikin shekaru 10 da suka wuce, amma ya zama wani tsari mai mahimmanci a yau.
A gaskiya ma, a cikin shekaru 10 da suka gabata, tiyata na arthroscopic na hadin gwiwa ta hip ya karu da ninba 18. Duk da wannan karuwa mai girma, an yi nazarin kimiyya kadan game da yadda wannan magani yake amfani da ita don raguwa ta hanji. Musamman, an yi kadan don a kwatanta idan aikin tiyata na arthroscopic ya fi kyau fiye da sauran jiyya don raguwa kamar ƙwayoyin jiki, hutawa, da magungunan marasa lafiya.
Hip Arthroscopy
Hanyar tiyata Arthroscopic wata hanya ce da aka yi a karkashin wariyar launin fata. Kwararren likitanku yana sanya karamin kyamaran telebijin tare da tushen hasken da aka haɗe a cikin haɗin hip, kuma ta hanyar raguwa mai sauki zai iya sanya kayan aiki don magance hawaye na katako.
Hanyoyi na al'ada don magance ƙuƙwalwar hanji na hanzari shine don gyara lalacewa tare da sutures ko kuma a datse sashe mai tsage na labrum. Shawarwarin yadda za a magance hawaye yana dogara ne da abubuwan da suka haɗa da hawaye da kuma wuri.
Hanyar tiyata Arthroscopic ba tare da wata hadari ba . Wadannan hadarin sun hada da matsaloli irin su kamuwa da cuta, ciwo na ci gaba, da jijiya ko kuma rauni na jini. Bisa ga hadarin da aka sani game da magani, yana da muhimmanci a yi la'akari da cewa a kan amfani da tiyata. Tambayar ita ce ta zama magani ne mafi kyau ko mafi muni fiye da maganin rashin hankali? Domin mun san cewa labine hawaye ba sa warkar da su, mutane da yawa suna ƙarƙashin zaton cewa idan sun so a magance ciwo, hanyar dabarar ita ce kawai zaɓi. Amma wannan shine ainihin lamarin?
Sakamako na Mikiya
Bayanan binciken da aka yi kwanan nan sun bayar da rahoton sakamakon gajeren lokaci mai kyau bayan aikin tiyata na arthroscopic. Yawancin waɗannan binciken sun gano cewa mutanen da ke fama da arthroscopy na hip suna da kyakkyawan sauƙin jin zafi a cikin watanni da shekaru don biyan magani. Musamman ma marasa lafiya wadanda ba su da wata alamar maganin arthritis, waɗannan sakamakon sun kasance sun fi dacewa da lokaci, kuma mutane sun yarda da maganin su. Wannan hujja tana taimakawa wajen kulawa da maganin magani, amma ƙananan bincike sun ƙaddara idan aka kwatanta da magani mai mahimmanci fiye da maganin rashin lafiya.
Ɗaya daga cikin binciken da aka yi a kwanan nan game da ƙwararrun sojoji 100 wadanda ke dauke da hawaye na ƙuƙwalwar hanji suna ba da izinin yin aikin tiyata ko yin maganin ba da gangan. Shekaru biyu bayan an kammala maganin, babu wani bambanci tsakanin kungiyoyi na mutane da suka shafi zalunci tare da wadanda aka bi da su ba tare da ɓata ba. Wannan ba shine cewa kowa ya sami mafi alhẽri ba, yana nufin cewa kusan adadin marasa lafiya sun sami mafi alhẽri tare da maganin rashin fahimta kamar yadda ya kamata. A kan takardun shaida mai kyau, yawancin marasa lafiya a cikin kungiyoyi guda biyu, marasa lafiya da rashin fahimta, sun sami cigaba.
Har ila yau akwai jayayya game da kula da marasa lafiya a kan shekaru 40 da suke da hawaye. Wadannan marasa lafiya dole ne su kusanci sosai a yayin da suke kula da magani. Duk da yake akwai wasu lokuta da mutane masu tsufa na iya samun taimako mai zafi a jikin tiyata na arthroscopic, yawancin mutanen nan ba 'yan takara ne masu kyau ba. Nazarin ya nuna cewa mutane fiye da shekaru 40 suna da babban ciwon arthritis na haɗin gwiwa na hip, kuma yunkurin da aka yi wa yayata shi ne kawai alamar maganin arthritis a cikin hanji. Da yawa daga cikin wadannan marasa lafiya za su ƙare ƙarshe tare da gyare-gyaren gyare-gyare na hip, ko da bayan jurewa na arthroscopic hip.
Kamar yadda yanayin yake tare da sababbin hanyoyin yin amfani da su, ƙwayar cutar ta hanyoyi masu haɗari, wadanda likita masu ilimin likita ne suna koyon ilimin karatun abin da marasa lafiya zasu iya amfana, kuma abin da ba haka ba ne, daga aikin hannu. A bayyane yake cewa ba kowane mutum da ke da ƙuƙwalwar ƙuƙwalwar hanji yana buƙatar aikin tiyata na arthroscopic. A gaskiya ma, maganin rashin daidaito a lokuta da yawa na iya zama kamar tasiri, kuma wani lokacin ma ya fi tasiri, fiye da maganin bawa. Yin aiki don ƙayyade wacce marasa lafiya za su amfane shi shine tsarin ci gaba. A bayyane yake cewa a kusan dukkanin maganganun rashin kulawa da ya kamata ya kamata a fara ƙoƙari na farko kuma marasa lafiya a kan shekaru 40 ya kamata a dauki su sosai a hankali don magani.
Kalma Daga
Magunguna na Arthroscopic babu shakka yana taka muhimmiyar rawa wajen magance cutar ta hanji na hip. Wannan ya ce, mutane da yawa marasa lafiya zasu iya samun magani mai mahimmanci tare da maganin rashin daidaito. A kusan dukkanin al'amurra, dole ne a yi ƙoƙarin yin gwagwarmaya ba tare da yin la'akari da aikin tiyata na arthroscopic ba. Nazarin ya nuna cewa idan aka kwatanta da marasa lafiya da magunguna, sakamakon ba su da bambanci tsakanin waɗannan rukuni; Dukansu jiyya sun saba haifar da ingantaccen bayyanar cututtuka. Akwai lokuta da lokuta marasa lafiya ba su da kyau, kuma ana iya ɗaukar tiyata. Dan takarar dan takara don magani yana da shekaru 40 da haihuwa kuma ba shi da alamun maganin ƙwararru a cikin haɗin gwiwa.
> Sources:
> Mansell NS, Rhon DI, Meyer J, Slevin JM, Marchant BG. "Harkokin Arthroscopic ko Farfesa na jiki ga marasa lafiya tare da ciwo mai ƙwayar cuta na Femoroacetabular: A Randomized Controlled Trial Tare da shekaru 2 Follow-up" Am J Sports Med. 2018 Feb 1: 363546517751912.
> Horner NS, Ekhtiari S, Simunovic N, Safran MR, Philippon MJ, Ayeni KO. "Hip Arthroscopy a cikin marasa lafiya shekaru 40 ko Older: A Review System" Arthroscopy. 2017 Feb, 33 (2): 464-475.e3.