Necrosis na kwaskwarima na Hip
Hip osteonecrosis, wanda ake kira avascular necrosis, shine matsala tare da jinin jini zuwa kashi na haɗin hip . Wannan yanayin yakan auku ne lokacin da akwai katsewar jinin jini zuwa kai na femur (ball, na kwakwalwar ball-da-socket). Rashin rashin jinin jini na ƙwayoyin halitta yana haifar da raguwa a bayarwa na oxygen da na gina jiki zuwa kasusuwa, kuma kwayoyin halitta sun mutu.
Lokacin da ɓangaren kasusuwa ya lalace, ƙarfin kashin ya ragu sosai, kuma kashin yana iya yaduwa.
Dalilin
Babu wanda ya san ainihin abin da ke haifar da osteonecrosis. A lokacin da cutar osteonecrosis ya auku, kashi ya fadi da kuma haɗin gwiwa, da guringuntsi, ya rasa goyon baya. Saboda guringuntsi ya rasa goyon baya daga kasusuwa a ƙasa, daɗaɗɗen haɗin gwiwa yana da sauri, kuma arthritis ya ci gaba da sauri.
Yawancin marasa lafiya tare da osteonecrosis na hip suna hade da ko dai maye gurbi ko amfani da steroid . Wasu dalilai masu haɗari don ƙaddamar da ƙwayar osteonecrosis na ciki sun haɗa da cutar sikila, cututtuka ga hip (dislocation ko fracture), lupus, da wasu cututtukan kwayoyin.
Cutar cututtuka
Hip osteonecrosis yawanci yana da 'yan alamun gargadi. Marasa lafiya sau da yawa koka da sabon fara zafi zafi zafi da wahala tafiya. Common bayyanar cututtuka na hip osteonecrosis sun hada da:
- Ƙunƙarar ciwo a cikin raguwa
- Pain tare da motsi na hip
- Difficulty tafiya ko limp
Sakamakon gwaje-gwajen biyu da suka fi dacewa wajen bincikar maganin cutar ostoostrosis sune rayukan x da kuma MRIs . X-ray na iya zama al'ada, ko kuma yana iya nuna mummunar lalacewar haɗin gwiwa na hip. Idan x-ray na al'ada, ana iya yin MRI don nemo farkon alamun osteonecrosis na hip.
Tsunanin ostonecrosis na farko ba zai iya nunawa a kan x-ray ba, amma ya kamata ya nuna a kan gwajin MRI. Daga baya samfurori na osteonecrosis za su iya nunawa a kan x-ray, kuma MRI bazai zama dole ba kuma basu da taimako sosai. Abin takaici, sau da yawa ta lokacin kallon osteonecrosis ya bayyana a kan rayukan rayukan rayuka, kawai maganin da zai iya samuwa ne matakan canji.
Sauran yanayi waɗanda zasu iya samun irin wannan alamomin sun hada da osteoarthritis na hip , na osteoporosis na hanji , da kuma matsaloli na baya .
Jiyya
Yin maganin osteonecrosis na hip yana da wuya saboda matsalar ta ci gaba da ci gaba da sauri duk da taimakon. A farkon matakai na hip osteonecrosis, cututtuka da magungunan ƙwayoyi masu guba na iya taimakawa.
Zaɓuɓɓuka na zaɓuɓɓuka a farkon matakai na osteonecrosis na hip sun haɗa da lalata da kuma kashi na juyo. Anyi amfani da hanzarin rubutu don taimakawa wajen kara matsa lamba a cikin shugabancin mata wanda zai iya taimakawa wajen rashin jinin jini. An yi rikice-rikice na hanji tare da mai barci a cikin dakin aiki. Ƙananan ramuka an rushe a cikin yankin osteonecrosis don taimakawa matsa lamba a cikin shugaban mata.
Kwancen kafa mai yatsuwa yana motsa jiki mai ƙananan daga ƙananan kafa (tare da jini wanda aka haɗe zuwa kasusuwan), kuma ya sanya wannan a cikin yankin osteonecrosis.
Makasudin wannan tiyata shi ne sadar da jini na al'ada ta al'amuran da aka shafa. Magunguna sunyi gwaji tare da wasu nau'ikan gwal (ciki har da kashi na cadaver da samfurin haɗi) don tayar da warkar da kashi a cikin shugaban mace. Wadannan hanyoyi suna aikatawa ne kawai a farkon matakai na hip osteonecrosis; idan guringuntsi ya riga ya rushe, waɗannan ƙwayoyin za su kasance marasa tasiri.
Mafi magungunan magani na hip osteonecrosis shine iyakar maye gurbin . Idan akwai lalacewa ga guringun motsi na haɗin gwiwa, to sai maye gurbin mai yiwuwa shine mafi kyawun zaɓi. Yayin da sauyawa na hanji na aiki sosai, maye gurbin zai shafe lokaci.
Wannan yana nuna matukar matsala a cikin marasa lafiya marasa lafiya da aka gano tare da osteonecrosis na hip. Wani zaɓi na ƙaramin marasa lafiya an kira aikin tiyata . Wannan tsari yana kama da daidaituwa na hanji , amma yana kawar da kashi mara kyau.
Sources:
Zalavras CG da Lieberman JR. "Osteonecrosis na Shugabar Mata: Bincike da Kulawa" J Am Acad Orthop Surg Yuli 2014 vol. 22 ba. 7 455-464.
CJ Lavernia, RJ Sierra, da kuma FR Grieco "Osteonecrosis na shugaban mata" J. Am. Acad. Ortho. Surg., Jul 1999; 7: 250 - 261.