Arthrosis na hadin gwiwa na hip (coxorrosisis) - Wannan cuta ce ta yau da kullun na lalata, wanda ke haifar da lalata nama kashi. Tare da cokekrosis, duk abubuwan haɗin gwiwa na haɗin gwiwa suna da hannu a cikin tsarin ilimin: articular gawarwari, da synoalments, capsule da m tsokoki. Idan akwai cutar, an lalata guringura masu kasusuwa da kasusuwa da osteophytes (haɓakar haɓakawa) ya bayyana, kuma kumburi na kayan aikin tsoka na haɗin gwiwa na dindindin yana bayyana.
A cikin duniya, kowane mutum na biyar yana korar matsalolin haɗin gwiwa tare da gidajen abinci. Wannan na iya zama jin zafi ko ƙuntatawa na motsi a cikin gidajen abinci, da haɗuwa da waɗannan alamun. Kowane hangen nesa na gaba daya ya faɗi akan marasa lafiya da rikice-rikice na ƙusa, yayin da kashi 66% na shari'o'in mutane ne ke ƙasa da shekara 65. A cewar binciken sabon bincike, yaduwar arthrosis na gwiwa da kuma gidajen gwiwa a tsakanin yawan manya shine 13%.
Abubuwan da ke tattare da ci gaban coxorrosis:
- Tsabtacewar kwayoyin cuta. Ainihin sanadin coksartrosis na haɗin gwiwar hips ne na congenital ko kuma ya sami maye gurbi na nau'in nau'in nau'in II prollagen.
- Tsofaffi. Babban dalilin kawar da Arthrosis a cikin tsufa abu ne tsakanin lalata tasirin hadin gwiwa a kan tudu da iyawarsa don dawo da shi.
- Bene. Matan suna fama da cutar osteoarthritis sau da yawa fiye da maza. Wannan ya faru ne saboda tasirin tasirin ƙirar mata na mata na estrogen akan ƙashin metabolism. Koyaya, tasirin bene yana da damuwa - a cewar wasu marubutan, ba kamar lalacewar wasu gidajen abinci ba, a maza, anshrosis na haɗin gwiwa yana da sau da yawa kamar mata.
- Wuce haddi jikin. An tabbatar da dangantakar tsakanin adadin jikin mutum da abin da ya faru na arthros. Wuce haddi adon nama yana ƙara nauyin lalata akan guringuntsi. Bugu da kari, Adiose nama yana samar da enzyflammatus enzymes wanda ke warware matsalar carlage.
- Ci gaba m ci gaba da kasusuwa da gidajen abinci. Dangane da bincike, kashi 80% na coxorthrosis, wanda ya faru ne a bayyane, yana da alaƙa da lahani a baya ba a taɓa fuskantar haɗin gwiwa ba.
- Nauyi na jiki aiki. A wuce haddi a kan gidajen gwiwa tare da wasu nau'ikan aikin aiki na zahiri na iya haifar da lalacewar gidajen abinci da kuma samuwar arthrosis. A haɗarin shine ma'aikatan noma, masu lambobi da mutanen da irin wannan aiki na sana'a.
- Raunin raunin. Hadarin tasirin coxarthrosis yana ƙaruwa bayan rauni ga haɗin gwiwa. Haka kuma, duka mutane da suka ji rauni hadin gwiwa da duka zasu iya shiga cikin aiwatarwa.
- Sports wasa wasanni. Sports Sports na iya tsokani abin da ya faru na coxarthrosis duka saboda yawan nauyin da ya wuce akan gidajen abinci da kuma raunin raunin da ya faru. Wasanni masu haɗari sun haɗa da wasan motsa jiki mai nauyi, dan wasa mai tsalle, wasan kwaikwayo na parachute.
- Kasusuwa da cututtukan haɗin gwiwa - Rheumatoid Arthritis, amosisic arthritisis, cututtukan haɗin gwiwa, cututtukan haɗin gwiwa, necrosis, gouty arthritis, da dai sauransu.
- Pathologir endcrine - Hypothyroisism, Hypomomathyroiidism, ACRPAGEGYSOIDIDIDIDIDIDIDIOLIDSIOLY CIGABA DA CIKIN SAUKI BEDIURS), Ciwon Car Mats), ciwon sukari, kiba.
Idan an gano alamun iri ɗaya, nemi likita. Kada ku yarda da kai - yana da haɗari ga lafiyarku!
Bayyanar cututtuka na arthrosis na kayan haɗin gwiwa
Babban bayyanar cututtuka na coxorthrosis sun hada da: raunin motsi da crunch a cikin gidajen abinci, nakasassu na rage ƙananan reshe da lokacin kumburi a cikin gidajen abinci.
Jin zafi da yawa. Zafi a cikin haɗin gwiwa shine yalwata da ba a sani ba kuma tasowa na ɗan gajeren lokaci. Sun bayyana ko karfafawa yayin tafiya ko tare da wasu ƙwazo na zahiri, alal misali, a lokacin daukar hoto, son kai da kuma ɗaga nauyi. Kamar yadda cutar ta taso, tsananin ƙarfi har ma da dogon hutu baya kawo taimako. Bugu da kari, jin zafi yana faruwa ne tare da tsawan tsawan tsawan hadari a matsayi daya.
Marasa lafiya korafi "farawa" farawa "farawa a cikin gidajen cin abinci na hip bayan barci, tuki a cikin mota da sauran abubuwan da suka tsawaita su. "Farawa" zafi don coxarthrosis yana wuce minti 30. Zafi ya karfafa yayin hypothermia ko a cikin yanayin damuwa. Ana iya karkatar da su a cikin fouttock ko gwaiwa, a gaban ko saman cinya. Tare da yaduwar jin zafi akan jijiyoyin lumbar plexus, ana iya yada shi ga cinya nesa daga tsakiyar jiki ko a gwiwa. Wani lokacin zafin ya shafi maganin lumbiscal da wutsiya.

Ƙuntatawa motsi motsi. Kungiyoyi a cikin hadin gwiwar hip tare da cokekrosis suna iyakance saboda jin zafi. A lokaci guda, juyawa (juya biyu a ciki da waje) kuma kawo ƙananan reshe (motsi zuwa tsakiyar jiki) sun fi tsufa (motsi daga tsakiyar gungun jiki), har ma da juyawa da fadada da fadada da fadada da fadada da fadada da fadada da fadada da fadada da fadada da fadada da fadada da fadada da fadada da fadada. Rashin iya yin ƙungiyoyi na ciki a cikin haɗin gwiwa saboda cututtukan zafi mai faɗi yana haifar da nuna wariyar launin fata. Canjin mai haƙuri na mai haƙuri, bettocks ya fito da baya, jiki ya yanke gaba yayin sauya nauyi zuwa gefen da ya lalace. Tare da lalacewa tsakanin mutane a cikin marasa lafiya da coksartrosis, "duckji gait" an kafa.
Tare da coxarthrosis lokaci yana faruwa kumburi a cikin hadin gwiwawanda zai iya zama marar ganuwa saboda tsoka da mai. Hakanan, cutar halayya ce Cryst a cikin gidajen abinci yayin motsi, nakasassu na ƙarshe da rage ƙananan reshe.
Sau da yawa, haɗin gwiwa ya shafi cutar, to aikin ya shafi wasu. Amma wani lokacin zane-zane yana shafar gidajen abinci da yawa a lokaci ɗaya da polyososarothritis na faruwa. Polyosteoachrosis ne halayyar tsofaffi ko tare da cututtukan da ke tattare da cututtuka - cututtuka na kasusuwa, gidaje da rikicewar enonscrine.
Pathogeneis na arthrosis na kayan haɗin gwiwa
A cikin pathogenis na arthrosis na kayan haɗin gwiwa, muhimmin rawar da aka buga ta hanyar lalata kayan inji (raunin da ƙwayoyin cuta, hormonraumas saboda abubuwan da ke cikin rayuwa. Sau da yawa ba zai yiwu ba a gano wane irin abu ne ya rinjayi ci gaban cutar a cikin mai haƙuri, amma sau da yawa cutar ta taso bayan lalacewar nama tare da lalacewa ta inji da rauni na inji.
Lalacewa da nama ta karu da rabo na kwayar nama carlage nama (yayin samar da Cytunkines Cytobinge a cikin adadi kaɗan. Cyttoines fara aiwatar da kumburi tsari, alal misali, a karkashin tasirin Pro-1, an rarrabe enzymes wanda ke lalata guringuntsi. Hakanan, a karkashin tasirin Cytunsines, samar da tsog-2 enzyme da sauran abubuwa masu guba a kan guringure yana ƙaruwa.
Synoves kuma suna taka rawa sosai a ci gaban coxorrosis - cututtukan kumburi na synbes ko jijiyoyin jini tare da tara ruwa a cikin kogon.
Rage a cikin elasticity da ƙarfin kera katifa da ke tattare da rikice-rikicen metabolism na haifar da raguwa a cikin juriya na inji. Tare da cokekrosis, duk abubuwanda aka gyara na gidajen abinci suna cikin tsarin ilimin, gami da kashi na kashi. Saboda gaskiyar cewa manyan gidajen abinci na ƙananan ayyukan haɗin gwiwa don manyan abubuwan haɗin gwiwa na jiki, suna fuskantar mahimmancin farantin inji, saboda wane microvalomas faruwa a cikin farantin farantin jiki da carlalomas. Sakamakon haka, kashin kashi na subchondring an haɗa shi, wanda yake kaiwa zuwa haɓakar yanki na nama mai ƙashi - osteofhyes. Kuma wannan, bi da bi, yana ƙarfafa ƙarin lalatawar guringuntsi.
A wasu halaye, arthrosis na haɗin haɗin gwiwa an gadar da shi. Arhrosis Arthrosis da zato pentenic gado polygenic da zato - saboda aikin halittar halittu da yawa, kowane ɗayan yana shafar rauni. Dalilin wasu cututtukan maye gurbi ne a cikin kwayoyin halittar macromekeces na articular graile na articular, wanda ke haifar da tsinkayen sa. Gashin da ke da alhakin rarraba Chundrocytes ma zai sha wahala. Bugu da kari, cututtukan metabolism na rayuwa, kamar pyrophosphate Arthropathing - wata cuta wacce lu'ulu'u na pyroumphosphate tara a cikin artichoshatal na clote da ruwa mai ma'ana.
Rarrabuwa da matakai na ci gaban arthrosis na kayan haɗin gwiwa
Ya danganta da abubuwan da ke haifar da cutar, coxandrosis ya kasu kashi biyu manyan siffofin: firamare (adanar (Idipathic) da sakandare (tasowa daga ko saboda sauran cututtuka).
Makon COKSARTRRSOS:
- Cityirƙira (ayyukan haɗin gwiwa kawai suna shafar):
- da ba a bambanta;
- a cikinsu.
- Jagora (polyosteothrosis) tare da rauni na aƙalla ƙungiyoyi na haɗin gwiwa uku (alal misali, hip, gwiwa da ƙananan gidajen abinci ko ƙafafunsu).
Sakandare na sakandare:
- Bet -Tatic:
- m - sakamakon rauni mai rauni;
- Na kullum - saboda azuzuwan wasu wasanni ko sakamakon ayyukan ƙwararru.
- Cutar cututtukan metabolic (oconosis, cutar hemochramis, cutar Wilson, gacher cuta).
- Haske na ilimin engenital da Laifin ci gaba (Lokenital dysplasia na haɗin gwiwa, perges cuta, zamewa daga ƙarshen reshe, scoliosis, kashi dysplasia).
- Pathologir endcrine (acromegaly, hypothyroidism, ciwon sukari mellitus, hyperparathyroidism, kiba).
- Al'ummar Salts (pyrophosphate arthropathy, alfarmar allo).
- Cututtuka na kasusuwa da gidajen abinci (rheumatoid arthritis, cutar gashinta, cutar sankara, cututtukan avasculsis, cututtukan avascrosis, kamuwa da su).
Dangane da bayyanar asibiti, ana rarrabe siffofin coxarthrosis na coxtrosis:
- Karamin cutar.
- An bayyana shi, mai haske ta hanyar bayyanar cututtukan asibiti mai haske:
- A cikin saurin cigaba, wanda bayyanar cututtuka ke ci gaba a farkon shekaru huɗu daga cikin farkon cutar;
- Sannu a hankali ci gaba - mafi tsananin alamu bayyanar da sun bayyana bayan shekaru biyar na cutar.
Daidai da hoton X-Day, nau'ikan arthrosis na haɗin gwiwar hips za a iya gano su:
- Hypertrophic - tare da alamun ƙara yawan amsa mai gyara (raunuka ana maye gurbinsu da sabon nama, alal misali, ostetopyes bayyana);
- Atrophic (rage girman nama).
Ana iya tantance matakai na cutar radiolically da asibiti. Don sanin tsarin radiyo na arthrosis na haɗin gwiwar hip, da rarrabuwa na Kellgren da Lawrence (1957) ana amfani da yawancin lokuta.
Matakai na Arthrosis a cikin rarrabuwa
Dakali | Alamu |
---|---|
0 | Babu alamun Arthrosis a cikin hotunan x -ray |
1 | Ba a canza GAP |
2 | Ba a canza hanyar haɗin gwiwa ba, ana ganin Osteofhytes na yanki |
3 | Tsayin hadin gwiwar hadin gwiwa yana raguwa a matsakaici, an hango osteofhyes na yanki |
4 | Tsawon hadin gwiwar hadin gwiwa yana raguwa sosai, osteophytes na yanki da kuma osteosclerosis na yanki ana ganinsu (ƙirar ƙashi a ƙarƙashin ƙananan farfajiya tare da tsarin guringuntsi tare da tsarin guringuntsi) |
Don tantance matakin asibiti na cutar, ana amfani da rarrabuwa (1961), wanda ke amfani da alamu na asibiti da ƙa'idodin gani.
Matakan Clinical na Arthrosis
Dakali | Alamu |
---|---|
0 | An taƙaita gibin mai articocially kuma ba tare da izini ba, gefuna na fasahar articular suna ba da ɗanɗano (farkon osteofhytes), ƙananan ƙugan motsi ana lura da su |
1 | Gagarin zane mai sanyin gwiwa yana da muhimmanci sosai (50-60%), babban osteophytes, subchondral osteocossosis da fadakarwa mai fadi a cikin kashi na ciki; Asibitin ya fi ciki ta hanyar ƙuntatawa a cikin gidajen abinci, rauni mai rauni yayin ƙungiyoyi, marasa ƙarfi ko matsakaici mai tsoka mai tsoka |
2 | Rashin daidaituwa, taurin haɗin haɗin gwiwa; Fiye da rata na articular ya kunshi sama da 60-70% na Dabi'a ko ba ya nan gaba ɗaya, Cystrents, Cystren "Cystren" Cystric, Cystrad, Cystrican Cystric, Cystrar ko Mixan Kashi na Cire |
Rikitarwa na arthrosis na kayan haɗin gwiwa
Tare da coxarthrosis, duk rikice-rikice suna da alaƙa da canje-canje na cututtukan cututtuka a cikin gidajen abinci.
A hanya cokekrosis na iya zama rikitarwa ta hanyar tafiyar matakai na gida:
- Bursite - kumburi da synoval jaka jaka a cikin gidajen abinci;
- Hadarinitis - kumburi da na ciki harsashi na farji na jijiyoyin tsoka;
- Nunin-Pannels na jijiya saboda samuwar manyan osteofhytes ko tare da lalata hadin gwiwa.
Tare da ci gaba na coxarthrosis da sauyin ta II da III Clinical Stages, zafin ya halarci motsi na haɗin gwiwa, kuma a kan lokaci, hadin gwiwa na ciki yana faruwa, tare da cikakkiyar lalata ta.
Mahimmancin jingin jiki na iya haifar da Karaya ko kuma aseptic necrosis na kasusuwa. Don cokekrosis, sakamakon necrosis na shugaban mata shine mafi yawan rikitarwa.
Tare da furta coksartrrosis, na iya faruwa subluxation da watsawa da haɗin gwiwakazalika da shigar azzakari cikin farjinta a cikin rami na pelvic. Damuwa da subluxation na haɗin gwiwa na haɗin gwiwa na haifar da jin zafi (da farko m da ciwo), lamita, kuma wani lokacin don taƙaitaccen reshe.
Duk da rashin bayyanar cututtukan cututtukan cututtukan arthrosis da kanta, a cikin aikin asibiti na zamani, ana biyan ƙarin kulawa ga cututtukan da ke hade da shi. Waɗannan yanayin ne irin wannan yanayin da ke wanzu ko tasowa a kan tushen cutar ta yanzu. A dangane da halayen kumburi da ke tattarawa a lokacin Arthrosis, da samuwar athrosclerototic plaquotic a jikin bangon ciki an inganta, wanda ke kara hadarin Cututtukan zuciya. Raguwa a cikin aiki na jiki saboda jin zafi da ƙuntatawa motsi yana haifar da kiba, bacin rai da deterioration a cikin ingancin rayuwa. Tare da tsawaita amfani da magungunan da ba -ninflammal, Babban sassan gastrointes na sama ne, Da kuma Hadarin cututtukan cututtukan zuciya da cututtukan koda.
Ganewar asali na Arthrosis na kayan haɗin gwiwa
Ganowar "Cooksartrosis" an yi shi ne akan bayyanar asibiti da kuma gwajin radiological. Babu alamun dakin gwaje-gwaje don ganewar asali na Arthrosis.
A tsakanin bayyanannun asibiti Babban don ganewar asali na Arthrosis na haɗin gwiwa shine zafi da halinsa. Jin zafi don Arthrosis na haɗin gwiwar hip yana faruwa kuma sannu a hankali tsawon shekaru da yawa (wani lokacin watanni da yawa tare da tsari mai saurin ci gaba). Zafin yana faruwa ko haɓaka yayin yunƙurin jiki ko a cikin matsayin tsaye. Idan mai haƙuri ya fara jin zafi shi kaɗai, to kumburi (Synovitis) ya shiga. Bayanin an lura da shi har zuwa minti 30 da safe kuma tare da tsawaita rashin kwanciyar hankali.
Iyakar motsi na haɗin gwiwa yana ƙaruwa sosai, wannan ya shafi duka ƙungiyoyi masu aiki. Tare da ci gaba da cutar, hadin gwiwar suna nunawa, rage girman tsayin daka na iya faruwa.
A kan jarrabawar likita Akwai iyakancewar motsi na haɗin gwiwa, gajarta wata gabobi, zafi akan palpation na haɗin gwiwa da babban zubar da femur, atrophy na femur, a shirin tsoka.
Hanyoyin dakin gwaje-gwaje Don ganewar asali na Arthrosis na kayan haɗin gwiwa na hipp ba a buƙatar. Koyaya, ana iya amfani da su don bambancin ganewar asali na coxorthrosis tare da amurrin jini a gaba ɗaya, tunda matakan huhun jini, da matakan acid ba su ƙaruwa. Bugu da kari, ta amfani da gwaje-gwaje na dakin gwaje-gwaje, an bayyana contraindications don hanyoyin kulawa da magani.
Hanyoyin kayan aiki Don ganewar asali na Arthrosis na haɗin gwiwa na hip:
- Jindara - Wannan shine babbar hanyar gano arthrosis na kayan haɗin gwiwa. Hoton rediyo yana yanke shawarar canje-canjen Cokekrosis: kunkuntar rarar hadin gwiwa, lalacewa da rauni na guringuntsi, cystrens da osteosclerosis. Rubutun X -Ray hanya ce ta al'ada don ganewar asali na coxorthrosis, da alamu radiolrosissiis. Koyaya, a halin yanzu, sauran hanyoyin da aka hango abubuwan gani na haɗin gwiwa ana ƙara amfani da su, kamar su duban dan tayi kuma magnetic resonsa.
- Tashin duban dan tayi (duban dan tayi) - Amfanin duban dan tayi yana cikin rashin radial a jiki.
- Magnetic Resonance Tomography (MRI) - A kwatankwacin wasu hanyoyin, yana ba ka damar ƙarin haɗuwa da haɗari a bayyane.
- Arthroscycy - Yana ba ku damar gano lalacewar guringuhari na articular: daga bangarorin cirewa (suturar gyaran ƙasa da ƙashin ƙasa da ƙuruciya waɗanda ke shiga cikin ƙashi 10 da kuma samuwar zurfin urcers. Hakanan za'a iya ganin fasahar superficialici da matsakaici da lalacewa.
The identification of coksartrosis usually does not represent special difficulties, but when assessing a specific clinical situation, it is necessary to remember the possible secondary origin of arthrosis of the hip joints (as complications of other diseases, for example, with endocrine disorders).
Jiyya na Arthrosis na kayan haɗin hips
Jiyya na Arthrosis na kayan haɗin gwiwa na iya zama duka masu ra'ayin mazan jiya (magani kuma wanda ba a daɗaɗa) ko aiki. Ana amfani da maganin ra'ayin mazan jiya a matakai 1-2 na cutar, tiyata-a 3 matakai. Za'a iya ba da shawarar yin magani a matakai 2 tare da raɗaɗi da rashin jin daɗi ga maganin ra'ayin mazan jiya.
Makasudin Conservatipy:
- haɓaka ingancin rayuwa - rage zafin da ƙara motsi hadin gwiwa;
- Tsaya ko rage girman ci gaban cutar.
Hanyoyin kulawa marasa amfani sun haɗa da:
- Fitar da haɗin gwiwa na hip (raguwa cikin nauyin jiki, halittar ƙarin tallafi da canja wurin ɓangarorin nauyin jiki zuwa karuwa ko coutches);
- Ilimin jiki na jiki;
- Hanyoyin magani na jiki.
Jiyya na coxarthrosis yana farawa da hanyoyin da ba -darrug ba, ana ba da muhimmiyar rawa ga darussan motsa jiki na motsa jiki. Tare da mummunan ciwo, haƙuri ya kamata yayi amfani da tallafi. Tare da cutar da aka faɗi da kuma kasancewar al'adun gargajiya da na endopretics, dole ne a yi amfani da tallafin don rayuwa.
Magani na cuxartrosis Ya hada da magunguna waɗanda ke rage alamun cutar. Waɗannan 'yan antalgesics ne, da magunguna daga rukuni na kwayoyi na unsteridal magunguna (NSAIDs). NSAIds sun kasu kashi-kashi da kuma zaba.
Analgesicsics da NSAids don Arthrosis na Arthrosis na cinikin hip na ɗan gajeren lokaci don rage zafin rai da kumburi. A halin yanzu, babu ingantaccen damar da wakili na anti -inflammator a kan wani, don haka zaɓi na wani miyagun ƙwayoyi ya dogara da sakamako da takamaiman yanayin asibiti da ya haifar.
Dole ne a tuna cewa NSAIds suna da tasirin sakamako. A lokacin da suke ɗaukar su, membrane membrane na ciki da Duodenum ya shafa, sakamakon wanda ulcers da zub da jini suna yiwuwa. Yawancin NSAIDs suna da tasirin guba a hanta da kodan. Bugu da kari, NSAIDs ta rushe tarawa, kuma, a sakamakon haka, mai haƙuri ya rushe shi kuma akwai sha'awar zubar jini. NSAIDs tare da tsawaita amfani da ciyar da matakai na hematopoiesis kuma na iya haifar da anemia da agranulocytosis. Liyafar zabi NSAIDs yana haifar da mahimman rikice-rikice.
Maganin shafawa da kuma gels suna amfani da gida mafi ƙarancin sakamako fiye da samfuran baka. Don lura da arthrosis, magunguna tare da dumama da rage zafin rana ana amfani da su. Zasu iya sakan Tursy, methol, sittin Nicotinic acid, siliclings, kudan venom. Hakanan, NSAIds suna da sakamako mai kyau.
Idan babu tasirin analgesic da nsaids ko kuma idan ba shi yiwuwa zaɓi mafi kyawun kashi za a iya yin wajabta ɗan gajeru.

Idan akwai kumburi, ana amfani da tsarin cinikin Corticosteroids. Corticosteroids ba a yi amfani da amfani da sau 2-3 a shekara, tun da ƙarin amfani akai-akai na iya haifar da gulmar tattarawa.
A hankali aikata magunguna da raunana alamomin cutar sun hada da chlesparotector, abubuwan da basu dace da avocados ko soya, acid din ba. Wadannan kwayoyi an haɗa su cikin shawarwarin Turai antiferatatic League don lura da Arthrosis na haɗin gwiwa na hip. Shirye-shirye suna rage zafi da haɓaka motsi hadin gwiwa.
EntopTostics na kayan haɗin hip Ana amfani dashi a lokuta masu tsauri na mataki III, lokacin da ake iya kawar da cutar zafi, da kuma motsi na haɗin gwiwa yana da iyaka sosai. Prostivics na haɗin gwiwa na haɗin gwiwa yana haifar da raguwa a cikin cututtukan zafi, ci gaba a cikin yanayin aikin haɗin gwiwa da ingancin rayuwar mai haƙuri. Sakamakon ya dage tsawon shekaru 10-15, bayan wanda ake buƙatar aiki na biyu. A lokacin tiyata, ana maye gurbin hadin gwiwar hip ta hanyar kwaikwayon hipificiking na reramicalcations, karfe (galibi ana amfani da titanium prosthes) ko polymer.
Hasashen. Rigakafi
Tsabtaccen na Arthrosis na kayan haɗin gwiwa dangane da rayuwar mai haƙuri yana da kyau, amma cutar sau da yawa take haifar da nakasa. A cewar kungiyar Lafiya ta Duniya, 80% na tsofaffi marasa lafiya tare da coxarthrosis da keta da motsi, kuma 25% ba zai iya yin al'amuran yau da kullun ba. A wannan batun, rigakafin farko na Arthrosis na kayan haɗin gwiwa yana da mahimmanci.
Matsakawar matakan rigakafin:

- Rage nauyi jiki. Wajibi ne a daidaita abinci mai gina jiki domin rage nauyi da kuma rage nauyin haɗin gwiwa. Bugu da kari, raguwa a cikin girman adipose nama rage adadin kumburi da aka saki.
- Guji aiki mai nauyi da kuma wasannin wasanni. Umarni na jiki galibi shine sanadin Arthrosis na kayan haɗin gwiwa, yayin da ake ci gaba da motsa jiki, akasin haka, yana riƙe da motsi a cikin al'ada, yana riƙe da kayan aikinta na yau da kullun.
- Gyara cutar da ke haifar da cuta. Idan an gano mai haƙuri a cikin cututtuka waɗanda zasu iya haifar wa coksartrrosis na biyu (endocrine, rheumatic da sauransu), cuta ce ta ƙasa wajibi ne. Aure na asali na asali da cimma nasarar ambaton jijiya da cututtukan fata shine duka manyan rigakafin arthrosis, kuma yana ba ka damar rage ci gaban.
- Jagoranci salon rayuwa. Abincin abinci mai daidaitacce tare da isasshen abun ciki na shuka da furotin na dabbobi, da iyakancewar carbohrosis har ma da abubuwan haɗari.
A yanzu haka, rigakafin cututtukan cututtukan gwiwa na tilas ne a Neonatology da ilimin yara. A lokaci, da aka gyara congenital dysplasia na haɗin gwiwa na haɗin gwiwa yana rage haɗarin coxarthrosis a cikin balaga.