Necrosis ea Avascular ea Hip
Osteonecrosis ea Hip, eo hape e bitsoang avascular necrosis, ke bothata ba phepelo ea mali ho bone ea motsoako oa hip . Boemo bona bo etsahala ha ho e-na le ho sitisoa ha phallo ea mali ho ea hloohong ea mosali (ball, ea li-ball-and-socket hip joint). Ho haella ha mali a tloaelehileng lisele tsa lesapo ho etsa hore ho fokotsehe ha oksijene le limatlafatsi ho lesapo, ebe masela a masapo a shoa.
Ha lisele tsa masapo li senngoa, matla a lesapo a fokotsehile haholo, 'me lesapo le ka senyeha.
Lisosa
Ha ho motho ea tsebang hantle hore na ke eng e bakang hip osteonecrosis. Ha letheka le osteonecrosis le hlaha, masapo a oa 'me karolo e kopaneng, lefuba, le lahleheloa ke tšehetso ea lona. Kaha sethoathoa se lahleheloa ke tšehetso ea masapo a ka tlas'a lefatše, karolo e kopanetsoeng e potlakile ho fela, 'me ramatiki e tsoela pele ka potlako.
Bakuli ba bangata ba nang le osteonecrosis ea hip ba amahanngoa le tšebeliso ea tahi kapa steroid . Mabaka a mang a kotsi a ho hlahisa hip osteonecrosis a kenyelletsa lefule cell disease, tšoaetso ho letheka (dislocation kapa fracture), lupus, le mathata a mang a liphatsa tsa lefutso.
Matšoao
Hangata osteonecrosis ea Hip e na le lipontšo tse seng kae tsa temoso. Bakuli ba atisa ho tletleba ka bohloko bo bocha ba ho hema le ho tsamaea ka thata. Matšoao a tloaelehileng a hip osteonecrosis a kenyeletsa:
- Ho utloisoa bohloko ke botala
- Bohloko ba ho tsamaea ha letheka
- Bothata ba ho tsamaea kapa ho koala
Liteko tse peli tse thusang haholo ho hlahloba le ho phekola osteonecrosis ea hip ke li-rays le MRIs . X-ray e ka 'na ea e-ba e tloaelehileng ka ho feletseng, kapa e ka bontša tšenyo e matla motopong oa hip. Haeba x-rasaense e tloaelehile, ho ka etsoa MRI e le hore e batle matšoao a qalang a hip osteonecrosis.
Osteonecrosis ea pele ea letheka e ka 'na ea se ke ea bonahala ka tloaelo ea x-ray, empa e lokela ho hlahella kamehla tlhahlobo ea MRI. Methati e latelang ea osteonecrosis e tla hlaha habonolo ho x-ray, 'me li-MRIs ha li hlokahale' me ha li na thuso. Ka bomalimabe, khafetsa ha nako ea hip osteonecrosis e bonahala ka x-ray, phekolo feela ea phekolo e ka fumanoang ke mekhoa e ncha ea phetolo.
Maemo a mang a ka ba le matšoao a joalo a kenyelletsa lefu la osteoarthritis ea letheka , lefu la ho fokola ha masapo le nakoana le mathata a morao .
Phekolo
Phekolo ea hip osteonecrosis e thata hobane bothata bo atisa ho tsoela pele ka potlako ho sa tsotellehe ho kenella. Maemong a qalang a hip osteonecrosis, lithupa le meriana e khahlanong le ho ruruha ho ka ba molemo.
Likgetho tsa ho buoa ka mekhahlelo ea pele ea hip osteonecrosis li kenyelletsa ho tlōla ho tlōla le ho kenngoa ha masapo. Ho qhekella ha Hip ho etsoa ho fokotsa khatello e eketsehileng ho hlooho ea bosomane e ka 'nang ea tlatsetsa ho haelloa ke mali a tloaelehileng. Ho tepella ho tlōla ho etsoa le mokuli a robetse kamoreng ea ho sebetsa. Likoti tse nyenyane li khabisitsoe sebakeng sa hip osteonecrosis ho fokotsa khatello ka har'a hlooho ea basali.
Setšoantšo sa masapo a vascularized se tsamaisa masapo a phetseng hantle ho tloha leotong le ka tlaase (hammoho le methapo ea mali e khomaretsoeng masapo), ebe e beha sena sebakeng sa hip osteonecrosis.
Sepheo sa opereishene ena ke ho fana ka phallo e tloaelehileng ea mali ho thekeng e amehileng. Lingaka tsa ho buuoa li 'nile tsa leka hape ka mefuta e meng ea lihlopha (ho akarelletsa le cadaver bone le synthetic grafts) ho etsa hore pholiso ea lesapo le hlooho ea basali e be le phekolo. Tsamaiso ena e etsoa feela mehatong ea pele ea hip osteonecrosis; haeba lefuba le se le oele, mekhoa ena ea ho buoa e ke ke ea atleha.
Kalafo e tloaelehileng ka ho fetisisa ea ho buuoa ea hip osteonecrosis ke phetoho e feletseng ea letheka . Haeba ho na le tšenyo ea lefuba la motsoako, joale lekhetlo le leng le le leng le ka 'na la e-ba molemo ka ho fetisisa. Ha ts'ebetso ea hip e sebetsa hantle, ho nkeloa sebaka ho tla fela ho feta nako.
Sena se hlahisa bothata bo boima ho bakuli ba bacha ba fumanoang ba le letheka la opaonecrosis. Khetho e 'ngoe ho bakuli ba banyenyane e bitsoa hip resurfacing operation . Ts'ebetso ena e tšoana le phetoho e tloaelehileng ea letheka , empa e tlosa masapo a sa tloaelehang.
Lisebelisoa:
Zalavras CG le Lieberman JR. "Osteonecrosis ea Mosali Hlooho: Tlhahlobo le Phekolo" J Am Acad Orthop Surgery July 2014 vol. 22 che. 7455-464.
CJ Lavernia, RJ Sierra, le FR Grieco "Osteonecrosis ea hlooho ea bosomane" J. Am. Acad. Ortho. Surg., Aug 1999; 7: 250 - 261.