Pakaru O Te Labrum O Te Hip

Ko te haehenga o te labrum o te hipu e pā ana ki te mowhiti o te cartilage (labrum) e whai ana i te taha o waho o te kokonga o te hononga hipu. Haunga te whakamarie i te hononga hipu, ka mahi te labrum ano he hiri rapa, he kāpeka rānei hei awhina i te pupuri i te porowhita kei runga o te wheua huha i roto i te kokonga hipu.

Ko ngā kaitākaro e whai wāhi ana ki ngā hākinakina penei i te hākinakina hau, te whutupōro, te whutupōro, te korowha me te parāe he nui ake te tūponotanga o te whanake i ngā haehenga o te labrum hipu. Ka taea hoki e ngā raruraru hanganga o te hipu te arahi ki te haehenga o te labrum hipu.

Ko te nuinga o ngā whati o te labrum o te hip e kore e whakaatu i ngā tohu rānei i ngā tohu rānei. Heoi, ko ētahi tāngata, he kotahi, he maha rānei o ēnei e whai ake nei:

• Te mamae i te hip, i te uaua rānei, e kaha ake ana te mamae i te roa o te tū, te noho rānei, te hikoi rānei, te mahi hākinakina rānei
• He āhua ārai, pēnei rānei, kei te hopu i roto i te hononga hip
• Te ngohe, te iti rānei o te nekehanga o te hononga hip

Tena rawa te rapu i te awhina hauora mena ka kino ake nga tohu, kaore ranei e pai ake i roto i nga wiki e ono.

Ko ngā take pea mō te pakaru o te labrum o te hūpē:

• Traumatic. Te whara, te taka rānei o te hononga hūpē—ka puta pea tēnei i ngā tūnga waka, i ngā hākinakina whakapā hoki pēnei i te whutupōro, te hākinakina tī, rānei—ka taea e tēnei te pakaru i te labrum o te hūpē.

• Ngā raruraru hanganga. Whānau ana etahi me ngā raruraru hūpē ka tere ake te whakangū ngā āwangawanga o te hononga, ā, ka mutu ka pakaru te labrum o te hūpē. Ka uru atu ki ēnei te kore e hipoki katoa te kokonga i te pōro o te whenua o runga o te waewae (dysplasia), te kokonga hohonu rānei, ka nui ake te pēhanga ki te labrum.

  Ka taea hoki e te iwi i te hūpē, e kiia nei ko te femoroacetabular impingement (FAI), te kōpiko i te labrum, ā, ka taea te pakaru i te roanga o te wā.

• Ngā nekehanga whakahokia. Ngā mahi hākinakina me ētahi atu mahi tinana—ka uru atu ki ēnei te oma tawhiti me ngā nekehanga ohorere o te hurihuri, te piko rānei e noho pūmau ana i te korowhiti, te poitūkohu rānei—ka taea te whakangū i te hononga, ā, ka mutu ka pakaru te labrum o te hūpē.

Ka taea e te tangata tetahi wahi o te hipu, engari ka nui ake te tūponotanga o ētahi āhuatanga me ngā mahi.

Ko te hunga he raruraru hanganga kei te hipu, pēnei i te āwangawanga, te dysplasia, te ngāwari ranei o ngā hononga, ka nui ake te tūponotanga kia puta he wahi o te hipu i te wā.

Ko te whakauru ki ētahi mahi e whakauru ana i ngā nekehanga whakahoki anō, ka nui ake te tūponotanga o te wahi o te hipu. Kei roto i ēnei ngā hākinakina pēnei i te parāre, te korowhiti me te kaukau. Ko te takaro i ngā hākinakina hononga pēnei i te whutupōro me te hoki ka nui ake te tūponotanga o ngā whara o te hipu, tae atu ki ngā wahi o te hipu.

Ka taea e te haehenga o te labrum o te hipu te whakaiti i te tūponotanga o te osteoarthritis i taua hononga.

Mēnā he nui te pēhanga o ngā hākinakina e takaro ana koe ki ō upoko, whakangungua ngā uaua e karapotia ana ki ngā whakangungu kaha me te ngawari.

Ka uiui tō kaiwhakarato hauora ki a koe mō ō mamae. Ko te whakamātautau tinana pea ka uru ki te neke i tō waewae, ā, tērā pea tō hononga huha, ki ngā āhuatanga rerekē hei tirotiro i te mamae me te aromatawai i te whānuitanga o te nekehanga o tō huha. Āta mā te titiro atu ki a koe e hikoi ana.

Ka rāre te motu o te labrum huha. I te nuinga o ngā wā, kei ētahi atu hanganga i roto i te hononga huha ngā whara. He pai ngā X-ray ki te whakaatu i te wheua. Ka taea e rātou te tirotiro i te mate khớp và i ngā raruraru hanganga.

Ka taea e te arthrography pūāhuwhenua pākahiko (MRA) te whakarato i ngā whakaahua taipitopito o ngā ngota ngohengohe o tō huha. Ka whakakotahi te angiography pūāhuwhenua pākahiko (MRA) i te hangarau MRI me te rauemi whakakāhua i whakauruhia ki te wāhi hononga huha hei ngāwari ake te kite i te motu o te labrum.

Ka taea te whakaeke i te mamae huha e ngā raruraru i roto i te hononga, i waho rānei o te hononga. Pea ka kōrero tō kaiwhakarato hauora ki te whakauru i te raau taumanutia ki te wāhi hononga. Ki te whakaora tēnei i tō mamae, pea ko tō raruraru kei roto i tō hononga huha.

Ko te rongoā e whakahaeretia ana e te kaha o ō tohu. Ka ora etahi i roto i ngā wiki torutoru mā te whakamahi i ngā rongoā māori, tae atu ki te okioki me ngā mahi whakarerekē; me etahi atu e hiahia ana ki te pokanga arthroscopic hei whakatika i te wahanga pakaru o te labrum.

Ka taea e ngā rongoā anti-inflammatory kore-steroidal, pēnei i te ibuprofen (Advil, Motrin IB, me ētahi atu) me te naproxen sodium (Aleve), te whakaora i te mamae me te whakaiti i te mumura. Ka taea hoki te whakahaere i te mamae mō tētahi wā mā te whakauru i ngā corticosteroids ki roto i te hononga.

Ka taea e te kaiwhakaora tinana te whakaako i a koe ki ngā whakakori hei whakapiki i te whānuitanga o te nekehanga o tō huha me te hanga i te kaha me te pumau o te huha me te pū. Ka taea hoki e ngā kaiwhakaora te whakaako ki a koe kia karo i ngā nekehanga e tukuna ana te ahotea ki tō hononga huha.

Ki te kore ngā rongoā māori e whakaora i ō tohu, ka taea e tō kaiwhakarato hauora te tūtohutia te pokanga arthroscopic—i roto i te whakauruhia he kāmera fiber-optic me ngā taputapu pokanga mā ngā wahi iti i roto i tō kiri.

I runga i te take me te whānuitanga o te pakaru, ka taea e te taote te tango i te wāhanga pakaru o te labrum, te whakatika rānei i te kiko pakaru mā te tuitui anō.

Ko ngā raruraru o te pokanga ka uru atu ki te mate, te toto, te whara o ngā io me ngā tohu hoki mai ki te kore te whakatikatika e ora pai. Ko te hokinga ki ngā hākinakina ka noho tonu i te 3-6 marama.

Kaore he uauatanga