Lefu le leholo la trochanteric

Lefu le leholo la trochanteric (GTPS) ke bohloko bo hlahang kantle ho letheka. Trochanter e kholo e kaholimo ho serope (femur) mme ke karolo e hlahelletseng ea letheka.

GTPS e ka bakoa ke:

• Ho sebelisa hampe kapa ho imeloa kelellong lethekeng ka lebaka la ho ikoetlisa kapa ho ema nako e telele
• Kotsi ea letheka, joalo ka ho oa
• Ho ba motenya haholo
• Ho ba le leoto le leng le lelelele hofeta le leng
• Lesapo le qhotsa thekeng
• Ramatiki ea letheka, lengole, kapa leoto
• Mathata a bohloko a leoto, joalo ka bunion, callas, plantar fasciitis, kapa bohloko ba tendon ea Achilles
• Mathata a mokokotlo, ho kenyelletsa scoliosis le ramatiki ea mokokotlo
• Ho se leka-lekane ha mesifa ho behang khatello ea maikutlo ho potoloha mesifa ea letheka
• Keleketsa mesifa ea marameng
• Tšoaetso (e sa tloaelehang)

GTPS e atile haholo ho batho ba baholo. Ho se sebetse hantle kapa boima bo feteletseng ho ka u beha kotsing e kholo ea hip bursitis. Basali ba amehile haholo ho feta banna.

Matšoao a tloaelehileng a kenyelletsa:

• Bohloko lehlakoreng la letheka, le lona le kanna la utluoa kantle ho serope
• Bohloko bo bohale kapa bo matla qalong, empa bo ka ba bohloko haholo
• Ho thata ho tsamaea
• Ho satalla ho kopaneng
• Ho ruruha le mofuthu oa lenonyeletso la letheka
• Ho ts'oasa le ho tobetsa maikutlo

U ka hlokomela bohloko ho feta ha:

• Ho tsoa setulong kapa moalong
• Ho lula nako e telele
• Ho tsamaea ka litepisi
• Ho robala kapa ho paqama ka lehlakore le amehileng

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao a hau. Mofani oa thepa a ka etsa tse latelang nakong ea tlhahlobo:

• Kopa ho supa moo bohloko bo leng teng
• Ikutloe 'me u hatelle sebakeng sa hao sa letheka
• Tsamaisa letheka le leoto ha u ntse u robetse tafoleng ea liteko
• Kopa ho ema, ho tsamaea, ho lula fatše le ho ema
• Lekanya bolelele ba leoto ka leng

Ho laola maemo a mang a ka bakang matšoao a hau, o kanna oa ba le liteko tse kang:

• Li-X-ray
• Ultrasound
• MRI

Maemo a mangata a GTPS a fela ka phomolo le boitlhokomelo. Mofani oa hau a ka khothaletsa hore o leke tse latelang:

• Sebelisa pakete ea leqhoa makhetlo a 3 ho isa ho a mane ka letsatsi matsatsing a 2 kapa a mararo a pele.
• Nka meriana e kokobetsang bohloko joaloka ibuprofen (Advil, Motrin) kapa naproxen (Aleve, Naprosyn) ho thusa ho kokobetsa bohloko le ho ruruha.
• Qoba mesebetsi e tla mpefatsa bohloko.
• Ha u robetse, u se ke oa robala ka lehlakore le nang le bursitis.
• Qoba ho ema nako e telele.
• Ha u eme, ema holim 'a bonolo, a koetsoeng. Beha boima bo lekanang leoto le leng le le leng.
• Ho beha mosamo pakeng tsa mangole ha u robetse ka lehlakore ho ka thusa ho fokotsa bohloko ba hau.
• Apara lieta tse phutholohileng, tse koetsoeng hantle le serethe se tlaase.
• Fokotsa boima ba 'mele haeba o nonne haholo.
• Matlafatsa mesifa ea hau ea mantlha.

Ha bohloko bo fela, mofani oa hau a ka fana ka maikutlo a ho ikoetlisa ho aha matla le ho thibela ho fokola ha mesifa. U kanna ua hloka kalafo ea 'mele haeba u na le bothata ba ho tsamaisa lenonyello.

Mefuta e meng ea kalafo e kenyelletsa:

• Ho tlosa mokelikeli ho bursa
• Ente ea steroid

Ho thusa ho thibela bohloko ba letheka:

• Kamehla futhumala 'me u ikotlolle pele u ikoetlisa' me u pholile ka mor'a moo. Otlolla li-quadriceps le li-hamstrings tsa hau.
• Se ke oa eketsa sebaka, matla, le nako eo u ikoetlisang ka eona ka nako e le 'ngoe.
• Qoba ho matha ka ho otloloha ho theosa le maralla. Tsamaea fatše ho fapana.
• Sesa ho fapana le ho matha kapa ho palama baesekele.
• Matha sebakeng se boreleli, se bonolo, joalo ka pina. Qoba ho matha ka samente.
• Haeba u na le maoto a bataletseng, leka ho kenya lieta ka ho khetheha le lithuso tsa arch (orthotic).
• Etsa bonnete ba hore lieta tsa hau tse matha li lekana hantle 'me li na le cushioning e ntle.

Bitsa mofani oa hau haeba matšoao a khutla kapa a sa ntlafale kamora libeke tse 2 tsa kalafo.

Fumana thuso ea bongaka hang-hang haeba u e-na le tse ling tsa tse latelang:

• Bohloko ba hao ba letheka bo bakoa ke ho oa ho tebileng kapa kotsi e 'ngoe
• Leoto la hao le holofetse, le na le maqeba a mabe kapa u tsoa mali
• Ha o khone ho tsamaisa letheka kapa ho jara boima bo leoto la hao

Bohloko ba letheka - lefu le leholo la trochanteric; GTPS; Letheka; Lefu la bursitis

Fredericson M, Lin CY, Chew K. Lefu la bohloko bo boholo ba trochanteric. Ka: Frontera WR, Silver JK, Rizzo TD, bahlophisi. Bohlokoa ba Phekolo ea 'mele le Ntlafatso. La 4 ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 62.

Javidan P, Gortz S, Fricka KB, Bugbee WD. Letheka. Ho: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, bahlophisi. Rheumatology. La 7th. Philadelphia, PA: Elsevier; 2019: khaolo ea 85.

• Bursitis
• Likotsi le Mathata a Hip