Hip Pain

Ubuhlungu be-Hip bungenzeka kubantu banoma yikuphi ubudala, okubangela ukungakhululeki nokunciphisa imisebenzi yansuku zonke. Le nkinga evamile isukela ebuhlungwini obuncane iye kobuhlungu obukhulu, obuqeda amandla obuphazamisa ukunyakaza kanye nezinga lempilo. Abantu abaningi bazwa ubuhlungu be-hip ohlangothini olulodwa, ubuhlungu be-hip ephansi, noma ubuhlungu ngaphakathi kwe-hip joint, okwenza kubaluleke kakhulu ukuqonda izimbangela kanye nokwelashwa okutholakalayo. Lesi sihloko sinikeza ukuhlaziywa okuningiliziwe kobuhlungu be-hip, okuhlanganisa izimbangela zabo ezihlukahlukene, izimpawu, kanye nezinketho zokwelapha. 

Iyini I-Hip Pain?

Ubuhlungu ngaphakathi kwe-hip joint yinkinga evamile ye-musculoskeletal ethinta abantu bayo yonke iminyaka, ikakhulukazi njengoba bekhula. Kuhilela ukungakhululeki noma ubuhlungu ngaphakathi noma eduze kwe-hip joint, lapho ithambo lethanga (i-femur) lixhuma ku-pelvis. Leli lunga lingelinye elikhulu kunawo wonke emzimbeni futhi libalulekile ekuhambeni, ekusekeleni isisindo, nasekulondolozeni ibhalansi.

Ubuhlungu be-Hip bungase buzwakale buseduze nendawo engaphezulu noma eduze kwe-hip, ngokuvamile kubonisa inkinga ngemisipha, imisipha, noma imigqa. Ngaphandle kwalokho, ubuhlungu bungase bujule ngaphakathi kwe-hip joint, okuphakamisa inkinga ngamathambo noma uqwanga. Ubuhlungu be-Hip ngezinye izikhathi bungabonakala kwezinye izindawo, njengaphansi komhlane noma i-groin.

Indawo kanye nemvelo yobuhlungu be-hip inganikeza izinkomba mayelana nembangela yayo. Ubuhlungu obungaphakathi kwe-hip joint bungabonisa inkinga ehlukile kunobuhlungu be-hip ephansi noma ubuhlungu be-hip ohlangothini olulodwa. Abanye abantu bazwa ubuhlungu be-hip lapho behlezi noma benza ukunyakaza okuthile, kanti abanye bazizwa bengakhululekile usuku lonke noma ebusuku.

Izimbangela Zobuhlungu Be-Hip

Ubuhlungu be-Hip bungasukela ezimeni nasezicini ezihlukahlukene, njenge:

• I-arthritis: Kuholela ekuvuvukeni kwamalunga. I-osteoarthritis, i-rheumatoid arthritis, ne-ankylosing spondylitis yizinhlobo ze-arthritis ezingabangela ubuhlungu be-hip, ukuvuvukala, nokuqina. 
• Ukulimala kwe-Hip Joint: Lokhu kungenzeka ngenxa yokucindezeleka okuphindaphindiwe, imisebenzi yezemidlalo, noma izingozi.
• Izinkinga ze-Hip Muscle: Izinkinga, ikakhulukazi i-hip flexor strains, ziyizigebengu ezivamile. 
• I-Sciatica: Sciatica noma i-pinched nerve ingabangela ubuhlungu be-hip.
• Ezinye Izimbangela Ezihlobene Nokulimala: Lokhu kufaka phakathi i-aliotibial band syndrome, izinyembezi ze-hip labral, ukuphuka kwamathambo, nokukhishwa kwe-hip.
• I-Bursitis: Kubandakanya ukuvuvukala kwamasaka amancane, agcwele uketshezi okuthiwa ama-bursae, avale izikhala ezizungeze amathambo nezicubu. Izinhlobo ezimbili ezivame kakhulu ezithinta inqulu ziyi-iliopectineal i-bursitis kanye ne-trochanteric bursitis. 
• Izinkinga zesakhiwo: Abanye abantu bazalwa benezimo ezifana ne-femoroacetabular impingement (FAI) noma i-developmental dysplasia of the hip (DDH), ethinta ukuma kwezinqulu zabo futhi ingase ibangele ubuhlungu be-hip.
• Ezinye Izimbangela: Ezinye izimbangela zobuhlungu be-hip zihlanganisa umdlavuza we-hip bone, i-avascular necrosis, i-fibromyalgia, ukutheleleka (i-septic arthritis), nokukhulelwa.

Izimpawu Zobuhlungu Be-Hip

Ubuhlungu be-hip bungabonakala ngezindlela ezihlukahlukene, kusukela ekuzweleni okubukhali, okunamandla kuya ekubuhlungu okubuhlungu. Izimpawu ezijwayelekile ezihlobene nezinkinga ze-hip zihlanganisa:

• Ubumnene noma ubuhlungu endaweni ehlangene ye-hip
• Ukungakhululeki ku-groin, i-hip yangaphandle, ithanga, noma izinqe
• Ubunzima bokuhambisa inqulu noma imilenze
• Inkinga yokulala endaweni ethintekile yenyonga
• Ukuzwa imisindo ehlwithayo noma yokuchofoza okhalweni (crepitus)
• Ukuxhuga noma ukunciphisa ububanzi bokunyakaza
• Ukuqina, ikakhulukazi ngemva kwezikhathi zokungasebenzi

Ubuhlungu bungase bufike futhi budlule, ngokuvamile buba bubi kakhulu ngokunyakaza futhi ngcono ngokuphumula. Abanye abantu babhekana nobuhlungu obukhulu be-hip ngenkathi behlezi noma behamba, kuyilapho abanye bebona ukwanda kokungakhululeki ebusuku noma lapho bevuka ekuseni.

Sifo

Ukuhlonza ubuhlungu be-hip kuhilela ukuhlolwa okuphelele komlando wezokwelapha wesiguli, ukuhlolwa ngokomzimba, kanye nokuhlolwa kwezithombe zezithombe. 

• Umlando Wesiguli: Odokotela babuza mayelana nemvelo yobuhlungu, indawo yabo, nanoma yiziphi izici eziba zimbi kakhulu noma ezidambisa ukungakhululeki, noma yikuphi ukulimala kwangaphambilini, umlando womndeni wezinkinga ze-hip, kanye nomthelela wobuhlungu emisebenzini yansuku zonke.
• Ukuhlolwa Komzimba: Odokotela babheka ukuhamba nokuma kwesiguli. Bahlola ububanzi bokunyakaza ekuhlanganyeleni kwe-hip, benze izivivinyo zamandla emisipha, futhi babambe indawo ethintekile. 
• Ukuhlolwa Kwezithombe: Ama-X-ray ngokuvamile ayisinqumo sokuqala. Odokotela kwesinye isikhathi bangase baphakamise amasu okuthwebula athuthuke kakhulu afana nezikena ze-MRI noma ze-CT ukuze bathole ukulimala kwezicubu ezithambile noma ukungalungi kahle kwamathambo.

Ezigulini ezisolwa ukuthi zinezinkinga zenyonga ye-intra-articular, imijovo yokubulala izinzwa eqondiswa yi-ultrasound ingasetshenziselwa kokubili izinjongo zokuxilonga nokwelapha. Le mijovo isiza ukukhomba umthombo wobuhlungu futhi ingase inikeze ukukhululeka kwesikhashana.

Ukwelashwa

Ukwelashwa kobuhlungu be-hip kuncike kumbangela nobukhulu bayo obuyisisekelo. 

• Indlela yeRICE: Ukuphumula, Iqhwa, Ukucindezela, Nokuphakama. Le ndlela iphumelela ngokukhethekile phakathi kwamahora angu-24 kuya kwangu-48 okuqala ngemva kokuqala kobuhlungu be-hip. Ukuphumula inqulu ethintekile, ukusebenzisa amaphakethe e-ice emaminithini we-15 njalo ngemva kwamahora ambalwa, usebenzisa ama-compress wraps, nokuphakamisa inqulu ngaphezu kwezinga lenhliziyo kungasiza ekunciphiseni ukuvuvukala nobuhlungu.
• Imithi: Ama-over-the-counter anciphisa ubuhlungu angasiza ekunciphiseni ukuvuvukala nokungakhululeki.
• Ukwelashwa Kwemvelo: I-physiotherapist ingakwazi ukuhlela uhlelo lokuzivocavoca ukuqinisa imisipha ezungeze i-hip joint, ukuthuthukisa ukuguquguquka, nokugcina uhla lokunyakaza. 
• Imijovo yeCortisone eqondiswa nge-Ultrasound: Lokhu kunganikeza ukukhululeka okuphawulekayo kwezinye iziguli lapho zijova endaweni ehlangene ye-hip. Le mijovo ingasiza futhi ukuqinisekisa ukuthi ilunga le-hip liwumthombo wobuhlungu.
• Ukuhlinzwa: Ezimweni ezimbi kakhulu ezingaphenduli ekwelashweni okudala, ukuhlinzwa kungase kudingeke. I-Hip arthroscopy (inqubo yokuhlinza engavamile kancane) ivumela odokotela abahlinzayo ukuba balungise umonakalo ngaphakathi kwe-hip joint. 
• Ukushintshwa kwe-Hip: Ezimweni ze-osteoarthritis ethuthukisiwe noma ukuphuka kwenyonga okukhulu, isamba ukuphinda esikhundleni kungase kunconywe ukubuyisela ukusebenza kwamalunga e-hip futhi kudambise ubuhlungu.

Umfonele Nini Udokotela

Nakuba ubuhlungu be-hip buvamile, umuntu udinga ukunakekelwa kwezokwelapha ngokushesha uma:

• Ubuphathe izinhlungu zenyonga ekhaya amasonto amabili ngaphandle kokuba ngcono
• Ubuhlungu buphazamisa imisebenzi yansuku zonke noma ukulala 
• Unokuqina okungapheli enqulwini yakho imizuzu engaphezu kwengu-30 ngemva kokuvuka 
• Uzwa ubuhlungu obukhulu be-hip obuqala ngokuzumayo ngaphandle kokulimala okubonakalayo.
• Unezimpawu eziyisixwayiso, ezihlanganisa ukuvuvukala nokufudumala enqulwini, ukushintsha kombala wesikhumba eduze kwendawo ethintekile, noma ubuhlungu benyonga obuhambisana nomkhuhlane noma amakhaza. 

Ukuze uthole izimo ezibucayi kakhulu, finyelela izimo eziphuthumayo ngokushesha ngangokunokwenzeka. Lokhu kuhlanganisa: 

• Kungazelelwe, ubuhlungu obukhulu be-hip ngemva kokuwa noma ukulimala
• Ukungakwazi ukuhlala, ukuhamba, noma ukubeka isisindo emlenzeni wakho 
• Noma yikuphi ukuzwa okugedla noma ukulahlekelwa umuzwa okhalweni noma emlenzeni wakho ngemva kokulimala

Imibuzo Evame Ukubuzwa

1. Ingabe ukuhamba kuhle kubuhlungu benyonga?

Ukuhamba ngokuvamile kunenzuzo ebuhlungu be-hip. Ukuvivinya umzimba njalo kugcina imisipha ezungeze inqulu iqinile futhi iguquguquka, okungalawula ukuvuvukala eduze kwelunga elimele. Ukunyakaza nakho kugcina ilunga ligcotshiwe kanye nemisipha isebenza. Nokho, kulabo abanobunzima sokuqaqamba kwamalunga noma izimpawu eziwohlozayo, ukuhamba kungase kubangele ubuhlungu. Kungcono ukubonana nodokotela mayelana nesimiso sakho sokuzivocavoca uma unezinhlungu ze-hip.

2. Ubuhlungu be-hip obungazelelwe ngaphandle kokulimala: bubangelwa yini?

Ubuhlungu be-hip obungazelelwe ngaphandle kokulimala bungenzeka ngenxa yezizathu ezihlukahlukene. I-osteoarthritis ngezinye izikhathi ingabangela ubuhlungu ukuthi buvele ngokuzumayo. Izimo ezifana ne-bursitis noma i-tendinitis nazo zingaholela ekuphathekeni kwe-hip kungazelelwe. Ubuhlungu be-Hip bungabhekiselwa kubo njengobuhlungu obuvela kwezinye izindawo, njengomgogodla ophansi noma isisu.

3. Iyiphi imbangela evame kakhulu yobuhlungu be-hip?

Ubuhlungu be-Hip bungaba nezimbangela eziningi, futhi isizathu esivame kakhulu singahluka ngokusekelwe eminyakeni yobudala kanye nezici zokuphila. I-osteoarthritis iyimbangela evamile yobuhlungu obuqhubekayo, obuthuntu e-hip, ikakhulukazi kubantu abadala asebekhulile. Ezinye izimbangela ezivamile zihlanganisa i-bursitis, i-tendinitis, nezinkinga zesakhiwo ezifana nokufakwa kwe-hip.

4. Yini okungafanele uyenze uma inqulu yakho ibuhlungu?

Nakuba ngokuvamile kuhle ukugcina amalunga akho enyakaza ngisho nalapho ubhekene nobuhlungu, kunezinye izinto okufanele uzigweme. Ukuzivocavoca okunomthelela ophezulu kanye nokuphakamisa izinsimbi kungandisa ubuhlungu kubantu abane-hip arthritis. Imidlalo ehlanganisa ukuma nokunyakaza okungazelelwe, okufana nethenisi ne-baseball, ingafaka ingcindezi enkulu emalungeni. Kungcono ukugwema izivivinyo ezibangela ubuhlungu obukhulu futhi uxhumane nodokotela ukuze uthole isiqondiso.

5. Ingabe ubuhlungu be-hip bungelapheka?

Ukwelashwa kanye namandla okwelapha kuncike kumbangela eyinhloko yobuhlungu be-hip. Ezimweni eziningi, ubuhlungu be-hip bungaphathwa ngokuphumelelayo ngokusebenzisa imithi ehlukahlukene, kuhlanganise nemithi, ukwelapha ngokomzimba, nokuguqulwa kwendlela yokuphila. Ezinye izimo zingadinga ukuhlinzwa ukuze kusizwe isikhathi eside. 

6. Kungani ubuhlungu be-hip bukhulu kakhulu ebusuku?

Ubuhlungu be-hip buvame ukuba bubi kakhulu ebusuku ngenxa yezizathu eziningana. Isimo sakho sokulala singadlala indima ebalulekile, ikakhulukazi uma ulala ngohlangothi lwakho, njengoba lokhu kubeka ingcindezi ekuhlanganyeleni kwe-hip. Umatilasi othambile kakhulu noma oqine kakhulu nawo ungabangela amaphuzu okucindezela enza izinqulu zakho zibe buhlungu. Ukwengeza, ukulala phansi kungandisa ukuvuvukala ejoyintini, okuholela ekungakhululeki okwengeziwe. Ukushintsha indawo yakho yokulala noma ukusebenzisa imicamelo esekelayo kusiza ekudambiseni ubuhlungu be-hip ebusuku.

UDkt. Romil Rathi

MBBS, MS (I-Orthopedics)
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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