Matenda opweteka kwambiri a trochanteric

Matenda opweteka kwambiri a trochanteric (GTPS) ndi ululu womwe umachitika kunja kwa mchiuno. Trochanter wamkulu amakhala kumtunda kwa ntchafu (femur) ndipo ndiye gawo lotchuka kwambiri m'chiuno.

GTPS itha kuyambitsidwa ndi:

• Kugwiritsa ntchito mopitirira muyeso kapena kupsinjika m'chiuno pochita masewera olimbitsa thupi kapena kuyimirira kwakanthawi
• Kuvulala kwa m'chiuno, monga kugwa
• Kukhala wonenepa kwambiri
• Kukhala ndi mwendo umodzi womwe ndi wautali kuposa winayo
• Mafupa amatuluka m'chiuno
• Matenda a m'chiuno, bondo, kapena phazi
• Mavuto opweteka a phazi, monga bunion, callas, plantar fasciitis, kapena Achilles tendon pain
• Mavuto a msana, kuphatikizapo scoliosis ndi nyamakazi ya msana
• Kusamvana kwa minofu komwe kumapangitsa kupsinjika kwakukulu kuzungulira minyewa ya mchiuno
• Misozi mu minofu ya matako
• Matenda (osowa)

GTPS imafala kwambiri kwa achikulire. Kukhala wopanda thupi kapena wonenepa kwambiri kungakuike pachiwopsezo chachikulu cha ntchafu bursitis. Amayi amakhudzidwa kwambiri kuposa amuna.

Zizindikiro zodziwika ndizo:

• Zowawa pambali pa ntchafu, zomwe zimathanso kumva kunja kwa ntchafu
• Ululu womwe umakhala wolimba kapena wolimba poyamba, koma umatha kukhala wopweteka kwambiri
• Kuvuta kuyenda
• Kuuma pamodzi
• Kutupa ndi kutentha kwa mgwirizano wa mchiuno
• Kugwira ndikudina kutengeka

Mutha kuzindikira zowawa kwambiri pamene:

• Kutuluka pampando kapena pabedi
• Kukhala nthawi yayitali
• Kuyenda masitepe
• Kugona kapena kugona mbali yomwe yakhudzidwa

Wothandizira zaumoyo wanu adzakuyesani ndikufunsani za matenda anu. Wothandizirayo atha kuchita izi polemba mayeso:

• Funsani kuti mufotokozere komwe kuli ululu
• Mverani ndikudina m'chiuno mwanu
• Sungani mchiuno ndi mwendo wanu mutagona patebulo loyeserera
• Funsani kuti muyime, yendani, khalani pansi ndikuyimirira
• Yesani kutalika kwa mwendo uliwonse

Kuti muchepetse zina zomwe zingayambitse matenda anu, mutha kukhala ndi mayeso monga:

• X-ray
• Ultrasound
• MRI

Milandu yambiri ya GTPS imachoka ndikupuma komanso kudzisamalira. Wothandizira anu akhoza kukulangizani kuti muyese zotsatirazi:

• Gwiritsani ntchito phukusi la ayisi katatu kapena kanayi patsiku masiku awiri kapena atatu oyamba.
• Tengani zothetsa ululu monga ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn) kuti muthandizire kuthana ndi zotupa.
• Pewani zinthu zomwe zimakulitsa ululu.
• Mukagona, musagone mbali yomwe ili ndi bursitis.
• Pewani kuyimirira kwa nthawi yayitali.
• Mukayimirira, imani pamalo ofewa, omata. Ikani kulemera kofanana pa mwendo uliwonse.
• Kuyika pilo pakati pa mawondo anu mutagona chammbali kungakuthandizeni kuchepetsa kupweteka kwanu.
• Valani nsapato zomata, zomata bwino ndi chidendene chotsika.
• Kuchepetsa thupi ngati muli wonenepa kwambiri.
• Limbikitsani minofu yanu yapakati.

Ululu ukamatha, omwe amakupatsirani mwayi amatha kunena kuti zolimbitsa thupi zimalimbitsa komanso kupewa kupindika kwa minofu. Mungafunike chithandizo chamankhwala ngati mukuvutika kusuntha chophatikizacho.

Mankhwala ena ndi awa:

• Kuchotsa madzimadzi ku bursa
• Steroid jekeseni

Kuthandiza kupewa kupweteka m'chiuno:

• Nthawi zonse konzekerani ndikutambasula musanachite masewera olimbitsa thupi ndikukhala ozizira pambuyo pake. Tambasulani ma quadriceps anu ndi ma hamstrings.
• Musakulitse mtunda, mphamvu, ndi kuchuluka kwa nthawi yomwe mumachita masewera olimbitsa thupi nthawi imodzi.
• Pewani kuthamanga molunjika m'mapiri. Yendani pansi m'malo mwake.
• Sambani mmalo mothamanga kapena pa njinga.
• Yendetsani pamalo osalala, ofewa, ngati njanji. Pewani kuthamanga pa simenti.
• Ngati muli ndi phazi lathyathyathya, yesani kuyika nsapato mwapadera ndi zotchingira (orthotic).
• Onetsetsani kuti nsapato zanu zothamanga zikukwanira bwino ndikukhala ndi chisamaliro chabwino.

Itanani omwe akukuthandizani ngati zizindikiro zibwereranso kapena sizikusintha mukatha chithandizo chamasabata awiri.

Pezani chithandizo chamankhwala nthawi yomweyo ngati muli ndi izi:

• Kupweteka kwanu m'chiuno kumayambitsidwa chifukwa cha kugwa kwakukulu kapena kuvulala kwina
• Mwendo wanu wapunduka, watunduka kwambiri, kapena akutuluka magazi
• Simungathe kusunthira mchiuno mwanu kapena kunyamula cholemetsa chilichonse mwendo wanu

Kupweteka kwa m'chiuno - matenda opweteka kwambiri a trochanteric; GTPS; Chiuno cha chiuno; Chiuno bursitis

Fredericson M, Lin CY, Chew K. Matenda opweteka kwambiri a trochanteric. Mu: Frontera WR, Silver JK, Rizzo TD, olemba. Zofunikira pa Thupi Lathupi ndi Kukonzanso. Wolemba 4. Philadelphia, PA: Elsevier; 2019: mutu 62.

Javidan P, Gortz S, Fricka KB, Bugbee WD. Chiuno. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, olemba. Zamatsenga. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chap 85.

• Bursitis
• Zovulala M'chiuno ndi Matenda