Hip nkwonkwo ogwu ogbugba

Ngwunye ogwu bu uzo ogwu n'ime ogwu. Ọgwụ ahụ nwere ike inye aka belata ihe mgbu na mbufụt. O nwekwara ike inyere aka chọpụta isi ihe mgbu hip.

Maka usoro a, onye nlekọta ahụike na-etinye agịga na hip ma gbanye ọgwụ na nkwonkwo. Onye na-eweta ọrụ ahụ na-eji x-ray oge (fluoroscopy) iji hụ ebe a ga-etinye agịga ahụ na nkwonkwo.

Enwere ike inye gị ọgwụ iji nyere gị aka izu ike.

Maka usoro:

• Will ga-edina na tebụl x-ray, a ga-ehichakwa akụkụ hip gị.
• A ga-etinye ọgwụ na-agwụ ike n'ebe a na-agba ogwu.
• A ga-eduzi obere agịga na mpaghara nkwonkwo mgbe onye na-eweta ya na-elele ntinye ya na ihuenyo x-ray.
• Ozugbo agịga ahụ dị ebe kwesịrị ekwesị, a na-agbanye ntakịrị ihe dị iche iche dị iche iche ka onye na-eweta ya wee hụ ebe ọ ga-etinye ọgwụ ahụ.
• A na-eji nwayọọ nwayọọ ọgwụ ọgwụ steroid na nkwonkwo.

Mgbe ịgba ntụtụ ahụ, ị ​​ga-anọ na tebụl ọzọ ruo minit 5 ruo 10 ọzọ. Onye na-eweta gị ga-agwa gị ka ị bugharịa hip iji hụ ma ọ ka na-egbu mgbu. Nkwonkwo hip ga-adịkwu mgbu ma emesịa mgbe ọgwụ ahụ na-akụ ọgwụ agwụla. O nwere ike ịbụ ụbọchị ole na ole tupu ị hụ ihe mgbu ọ bụla.

Ntinye ogwu na-eme iji belata ihe mgbu hip na-akpata site na nsogbu na ọkpụkpụ ma ọ bụ cartilage nke hip gị. A na-enwekarị ihe mgbu hip:

• Bursitis
• Ọrịa ogbu na nkwonkwo
• Akwa akwa (a dọkatụrụ adọka na cartilage nke a na-etinye n'akụkụ ọnụ nke ọkpụkpụ oghere)
• Mmebi nke nkwonkwo hip ma ọ bụ gburugburu
• Nwee oke ma ọ bụ nsogbu site na ịgba ọsọ ma ọ bụ ihe omume ndị ọzọ

Ngwunye ogwu nwere ike inye aka chọpụta ihe mgbu hip. Ọ bụrụ na ogbugba ahụ emeghị ka ihe mgbu belata n'ime ụbọchị ole na ole, mgbe ahụ, nkwonkwo hip nwere ike ọ gaghị abụ isi iyi nke mgbu hip.

Ize ndụ dị obere, mana nwere ike ịgụnye:

• Na-akụda
• Ọzịza
• Skin iyatesịt
• Ihe nfụkasị ahụ na ọgwụ
• Ofufe Ọrịa
• Ọbara ọgbụgba na nkwonkwo
• Adịghị ike na ụkwụ

Gwa onye na - enye gị ọrụ banyere:

• Ọ bụla nsogbu ahụ ike
• Ọ bụla allergies
• Ọgwụ ị na-a ,ụ, gụnyere ọgwụ ndị ana-ere ọgwụ
• Ọgwụ ọ bụla na-adịchaghị ọbara, dị ka aspirin, warfarin (Coumadin), dabigatran (Pradaxa), apixaban (Eliquis), rivaroxaban (Xarelto), ma ọ bụ clopidogrel (Plavix)

Buru ụzọ mee ka mmadụ kwọọrọ gị laa n'ụlọ mgbe usoro ahụ gasịrị.

Mgbe ogwu ogbugba ahụ, soro ntuziaka ọ bụla onye nyere gị nyere gị. Ndị a nwere ike ịgụnye:

• Itinye ice na apata ụkwụ gị ma ọ bụrụ na ị nwere ọzịza ma ọ bụ ihe mgbu (kechie ice ahụ na akwa nhicha iji kpuchido akpụkpọ gị)
• Izere ọrụ siri ike ụbọchị nke usoro ahụ
• Medicinesnara ọgwụ mgbu dị ka a gwara gị

Next nwere ike ịmaliteghachi ọtụtụ ọrụ nkịtị n'echi ya.

Imirikiti ndị mmadụ na-enwe obere ihe mgbu mgbe ha mechara ọgwụ hip.

• May nwere ike chọpụta ihe mgbu belatara 15 ruo 20 nkeji oge ogwu ahụ.
• Mgbu nwere ike ịlaghachi na elekere 4 ruo 6 ka ọgwụ na-akụ akwụ na-akwụsị.
• Dika ogwu ogwu nke steroid malitere imetuta 2 ruo 7 ụbọchị mgbe emesịrị, nkwonkwo úkwù gị kwesịrị inwe obere ihe mgbu.

Nwere ike ịchọ ihe karịrị otu ogwu. Ogologo oge ole ịgba ahụ na-adịgasị iche site na mmadụ gaa na mmadụ, ọ dabere n'ihe kpatara mgbu ahụ. Maka ụfọdụ, ọ nwere ike izu ma ọ bụ ọnwa ole na ole.

Cortisone gbara - hip; Mgbapu hip; Intra-articular steroid injections - ikpere

Ebe nrụọrụ weebụ American College of Rheumatology. Injections nkwonkwo (ebumnuche njikọ). www.rheumatology.org/I-Am-A/Patient-Caregiver/Treatments/Joint-Injection-Aspiration. Emelitere June 2018. Nabata December 10, 2018.

Naredo E, Möller I, Rull M. Ọchịchọ na ntụtụ nke nkwonkwo na anụ ahụ periarticular na ọgwụgwọ intralesional. Na: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. Nke 7. Philadelphia, PA: Elsevier; 2019: isi 44.

Zayat AS, Buch M, Wakefield RJ. Arthrocentesis na ogwu ogwu nke nkwonkwo na aru di nro. Na: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Akwụkwọ Kelly na Firestein nke Rheumatology. Nke iri. Philadelphia, PA: Elsevier; 2017: isi 54.