Femoral-Acetabular Impingement idambudziko rinorwadza rinoitika apo patella yefupa remukadzi haina huwandu hwakazara hwekufamba muchigadziko chepelvic bone acetabulum. Impingement inokonzera kurwadziwa, kuzvimba, kuzvimba, uye kuderera kwekufamba kwejojo rehudyu. Kuita maekisesaizi kunogona kuva kwakaoma zvikuru uye kunorwadza kana ukapinzwa.
Hip arthroscopy inoshandiswa kurapa femoral-acetabular impingement uye inogona kukubvumira kuti udzore zvizere uye udzokere kumitambo yako yakajairika uye yekurovedza muviri.
Chii?
Femoral-acetabular impingement inogona kukamurwa kuita marudzi maviri. A cam impact inokonzerwa nekuwanda kwebhonzo kuumbwa kwakatenderedza bhora kana mutsipa wefemur. Pinch impact inoitika nekuda kwekuwandisa kwerimu re acetabular socket kana socket yaiswa angled kuitira kuti abnormal impact iitike pakati pe femur ne socket.
Kukanganisa kunogona kukonzera kukuvadza kune cartilage uye labrum Vanodzivirira femur uye pelvic bone, zvichikonzera kurwadziwa, kuzvimba, uye kuzvimba kwematishu akatenderedza. Ichi chirwere chinogona kuitika kana iwe uri pakati pemakore makumi maviri ne20.
Femoracetabular impingement inogona kusanganisira kusagadzikana kwemusoro wechikadzi (bhora) kana acetabulum (socket). Mune zvimwe zviitiko, kuwedzera kwepfupa kukura kunogona kutungamirira kune labral misodzi uye kutanga arthritis, asi chiratidzo chinowanzoonekwa kurwadziwa kwegoro. Inogonawo kukonzera kudhonza, kubuda, kana kupinza manzwiro mumubatanidzwa wehudyu. Kunyunyuta kwemarwadzo ehudyu kunowanzoita kuti X-ray kana MRI ione chikonzero chemarwadzo.
maekisesaizi anorambidzwa
Femoral-acetabular impingement inokonzera marwadzo pamberi pehudyu uye groin nzvimbo. Marwadzo anowanzoitika mushure mekugara kwenguva refu kana kufamba.
Marwadzo ane chekuita nekukanganisa anokanganisa mabasa ezuva nezuva uye anowanzo kutitadzisa kurovedza muviri. Tinogona kuita maekisesaizi akaderera, akadai sokufamba, kushambira, uye kuchovha bhasikoro, sezvatinogona kushivirira marwadzo. Pamusoro pezvo, isu tinokwanisa kuita maekisesaizi ekusimudza uremu anonangana nemuviri wepamusoro uye asingakanganisi kufamba kwehudyu.
Tinofanira kudzivisa zvinhu zvinowanzosakara hudyu nokukurumidza, zvakadai se kusvetuka, kumhanya nekusimudza zvinhu zvinorema. Kunyangwe kusati kwaitwa femoral acetabular impingement yakarapwa, kune mamwe maitiro echinyakare anofanirwa kudziviswa kana kurwadziwa kwehudyu kuripo. Sezvo mutemo wega wega, chero maitiro anoita kuti ibvi rifambe pamusoro pehudyu inofanira kuchinjwa kana kusaitwa. Zvakare, huremu hunorema kana kudzokororwa kujoinha yehudyu kunogona kukonzera marwadzo kana kumwe kukuvadza. Mimwe mienzaniso ndeiyi:
- Deep squats (kunyanya misiyano senge sumo squats)
- mabvi akakwirira
- Matanho
- gumbo press
- Kurema kwakafa
- high box kusvetuka
- kukwasva pa ergometer
- Plyometric maekisesaizi sekusvetuka uye squats
Kana chiitwa chisina kunyorwa pamusoro uye chinokonzera kurwadziwa kwehudyu, inofanirawo kudziviswa. Zvimwe zviitwa, semuenzaniso kuchovha bhasikoro, zvinogona kuitwa, asi zvakakosha kuti midziyo yacho ive saizi yakakodzera kutsigira kufamba kwemajoini kune hutano.
Exercises mushure mekuvhiyiwa
Hip arthroscopy ishoma invasive nzira yekuvhiya inoshandiswa kurapa femoral-acetabular impingement muvanhu vanoshanda.
Kurapa kwepanyama uye maekisesaizi akareruka anofanirwa kutangwa nekukurumidza mushure mekuvhiyiwa kuti utange kuvandudza simba uye kushanduka kwehudyu yako. Zvakadaro, maekisesaizi akasimba uye ane simba guru anofanira kudziviswa kusvikira tanyatsopora.
Maekisesaizi anokurudzirwa anogona kusanganisira kutenderedzwa kwehudyu, kupambwa, kutenderera, uye kuchinjika kufambisa gumbo rakatwasuka. Tinogona kurairwa kukwira bhasikoro rakamira kana kutanga kushambira mazuva mashoma mushure mekuvhiyiwa. Maitiro ekuita maekisesaizi anochinjwa zvishoma nezvishoma kuti asanganise zvidhori zveisometric uchishandisa bhora rekusimba uye mabhendi ekupikisa.
Ehe, isu tinomira kurovedza muviri kana iwe uchinzwa kusanzwa kurwadza kana kubuda manzwiro muhudyu yako uye groin. Tinogonawo kunzwa kurwadziwa parutivi rwechidya uye mumagaro. Tichataura nachiremba kana tichinzwa kurwadziwa, kunyanya mushure mekufamba kwenguva refu kana kugara. Kana ikasiyiwa isina kubatwa, kupindira kwevakadzi-acetabular kunogona kutungamirira mukuderera uye arthritis iyo inozoda kuvhiyiwa kwehudyu.
Hip flexor kutambanudza
Vanhu vazhinji vane femoral-acetabular hip impingement vanoona kushungurudzika muboka remisumbu inonzi iliopsoas. Idzi mhasuru, dziri pamberi pehudyu, dzinobatsira kuchinjisa hudyu kumusoro. Kushushikana pano kunogona kunge kuri chimwe chikonzero chekunzwa kwekupinza kwaunowana pamberi pehudyu yako paunenge wakagara kana kukotama. Kutambanudza hip flexors kunogona kuve chikamu cheiyo femoral-acetabular impingement exercise chirongwa.
- Tichapinda muhafu yekupfugama, tichiisa rimwe ibvi pasi. Iri ibvi rinofanirwa kunge riri iro rine yakasimba hip flexor yaunoda kutambanudza. Imwe tsoka inofanira kuva yakati sandara pasi pamberi pedu.
- Tichachengeta musana wedu wakatwasuka nechipfuva chepamusoro. Tichaendesa muviri mberi zvishoma nezvishoma.
- Tichasvina zvinyoro nyoro matumbu tichiunza guvhu pedyo nemusana.
- Isu tichasvina mhasuru dze glutes yako.
- Tinofanira kunzwa kutambanudza zvinyoro kumberi kwehudyu uye chidya chegumbo nebvi pasi.
- Tichachengetedza kutambanudza kwe15 kusvika ku30 seconds.
Piriformis Stretch
Iyo piriformis muscle inowanikwa mukati mehudyu, pasi pe gluteal muscles. Iyo inotarisira kutendeuka nekudzikamisa hudyu. Tinogona kunzwa kuoma kana tiine hudyu impingement kana femoral-acetabular impingement.
Murapi wepanyama angakurudzira kuti titambanudze piriformis muscle sechikamu chekugadzirisa kwevakadzi-acetabular impingement.
- Ticharara nemanhede takakotama mabvi.
- Tichayambuka gumbo kuti titambanudze kune rimwe ibvi. Chidzitiro chinofanira kugara pachidya pedyo nebvi.
- Tichatora chidya chegumbo takabata gumbo rakakotama. Tichadhonza zvinyoro nyoro takananga kuchipfuva.
- Tinofanira kunzwa kudhonza zvishoma kumashure kwehudyu.
- Tichachengetedza kutambanudza kwe15 kusvika ku30 seconds. Ipapo tichazorora.
groin stretch
Femoral-acetabular impingement inowanzokonzera kukakavara mukati mehudyu uye kugomera. Murapi wepanyama anogona kukutungamira kuti utambanudze mhasuru dzako dzezvidya kana hip adductors sechikamu chemaitiro ekuita maekisesaizi.
Muchiitiko ichi, tinogona kuita butterfly kutambanudza:
- Tichagara misana yedu yakatwasuka uye makumbo edu pamberi pedu.
- Tichakotama mabvi uye tinobatana nemakumbo etsoka.
- Ticharega mabvi akabhenda achidonha zvinyoro-nyoro kusvika pasi kusvikira tanzwa kudhonzwa mukati mechikamu chemukati chehudyu uye groin.
- Tinogonawo kusendamira hunde mberi zvishoma kana tichida kutambanudza zvishoma.
balance exercises
Balance uye proprioception inogona kuverengerwa mune yevakadzi-acetabular impingement rehabilitation routine. Proprioception kuziva kwemuviri nezvenzvimbo yedu muchadenga uye kuti inodyidzana sei nezvose zvakatipoteredza.
Kuvandudza kuenzanisa kunogona kubatsira kudzora pelvic uye nzvimbo dzepasi. Kuita izvi kunotora kumanikidza kubva pajojo rehudyu uye kunobatsira kubvisa marwadzo.
Maekisesaizi ekuenzanisa anogona kutanga nechimiro chakareruka chegumbo rimwe: isu tichamira netsoka imwe uye kuenzanisa kwemasekonzi makumi matatu. Tichaita kuti kurovedza muviri kuve kwakaoma nekuvhara maziso edu kana kumira panzvimbo isina kugadzikana, senge piro kana tauro rakapetwa.
Mamwe maekisesaizi ekuenzanisa anogona kunge ari ega gumbo squat, akamira negumbo rimwe aine bhora achikandira, akamira pabalance board kana bhodhi rinozunguzika.