Isifo sikaHoff

Abantu asebekhulile bavame ukuzwa ubuhlungu obuhlangene, ikakhulukazi ezandleni nasemadolweni. Lokhu kubangelwa ukulungiswa kwemvelo kwamathambo nezicubu zomzimba. Kodwa kunezimo lapho inkinga efanayo ibonakala kubantu abasha. Kodwa ezimweni ezinjalo, kuzohambisana nokuvela kwezifo ezihlukahlukene. Enye yalezi zifo zikaHoff.

Ukuze uhlolisise ngokuhamba kwesikhathi, kufanele wazi ukuthi yini imbangela yokuqala, futhi yiziphi izimpawu eziyinhloko zesifo.

Izimbangela zesifo sikaHoff

Isifo sikaGoff noma i-lipoarthritis yi-aseptic (ngaphandle kokutheleleka ngamagciwane nama-microbes) ukuvuvukala kwezicubu ezinamafutha e-Goff, ngenxa yalokho kancane kancane balahlekelwa ikhono lokuhlehlisa amortize. Kunezinyathelo ezimbili zokuthuthukiswa kwesifo: i-acute futhi engapheli. Uma owokuqala engelapheki ngesikhathi, khona-ke sidlula esibili.

Kunezizathu eziningana zokuthuthukiswa kwesifo sikaHoff emhlangeni wegolo:

• ukuhlukumezeka, etholakale kunoma yikuphi ubudala: ukuwa, ukuphenduka okubukhali noma isandiso;
• ukuhleleka okungahambi kahle emsebenzini: ukuhlala phansi noma ukugxila emadolweni, isibonelo: kubahamba ngebhayisikili noma abadobi;
• izinguquko ze-hormone (umxhwele);
• umthwalo omkhulu njalo emadolweni. Lokhu kutholakala kubadlali, abaculi, ikakhulukazi ibhallet kanye neksiksi;
• i-arthrosis.

Izimpawu zezifo zikaHoff

Isigaba esibucayi sesigaba sesifo kulula ukucacisa:

• ubuthakathaka bama-quadriceps;
• Ukwandiswa kokujoyina kunqunyelwe;
• kukhona izinhlungu ezibukhali;
• ukubomvu kwenzeka;
• i-edema yendawo yakhiwa.

Udokotela onalezi zibonakaliso uhlolisisa isifo sikaHoff kalula, ngisho nokuhlolwa okulula.

Kunzima kakhulu ukucacisa lesi sifo esigabeni esingavamile se-percolation. Kufanelekile ukunaka izimpawu ezinjalo:

• ukubonakala ubuhlungu ebusuku futhi lapho uzama ukuthembela esigxotsheni esithintekile;
• ukwehla emsebenzini we-quadriceps femoris muscle;
• eduze kwamadolo, ukwakheka okusha kukhishwa, kukhululeka ukuphazamiseka lapho ucindezela;
• Ukuhlanganiswa kwamadolo kuqala ukusebenza ngokungazinzile.

Ukuqinisekisa ukuxilongwa, ngaphezu kokuhlolwa nge-palpation, kuzodingeka izifundo ezengeziwe: i-arthroscopy, i-MRI noma i-CT.

Ukwelashwa kwesifo sikaHoff

Noma yisiphi isigaba se-Hoff's isifo emadolweni, kunezinketho ezimbili zokwelapha:

• okunamandla (okusebenzayo);
• okuqaphele.

Ngendlela elula futhi elinganisiwe yesifo, kungase kube nokwelapha okwanele nokulwa nokuvuvukala, okuzoba kanje:

1. Ukusetha imodi yokuphumula yehlangene ephathekayo, ukuthi umbhede onconywa uhlale ngokuhamba okulinganiselwe.
2. Ukufaka izidakamizwa ezihlanganisiwe ze-hortical ( corticosteroids ), ukunciphisa ukuvuvukala.
3. Ukuqhuba izinqubo zangokwenyama (irradiation ngesibani Solluks, laser kanye okwelapha oksijini, udaka kanye paraffin izicelo ozocerite, electromyostimulation).
4. I-LFK, okungukuthi, ukuzivocavoca okuhlose ukuqinisa imisipha ye-extinor of the shin nokubuyisela ukuhamba kwamadolo.

Ezimweni ezinzima kanye nokuqhubeka kwesifo sikaHoff, odokotela batusa ukubuyisela umsebenzi ohlangene ngosizo lokungenelela okuhlinzekwa, okungukuthi ukusika (noma ukususa) ingxenye ethintekile yezindikimba zikaGoff (okwehlukanisiwe), kanye namafindo akhiwe emadolweni. Le nqubo yokuhlinzwa yenziwa ngendlela ye-arthroscopic.

Ngemuva kokusebenza kwamasonto amabili, isiguli sidinga ukuvuselelwa, okuzokwenza ukuthi kutholakale imizimba egcwele fat nokubuyiselwa komsebenzi we-depreciation emadolweni. Izoba phakathi:

• I-Physiotherapy (izinqubo zifana nokuphathwa kokwelapha);
• ukusikhipha;
• imisebenzi yokwelapha ;
• ukwamukela amanzi okugeza, udaka kanye namanzi amancane (i-iodine-bromine, sulfide ne-radon).

Uma ukwelapha isifo seGoff, izikhambi zabantu zingakhululeka kuphela, ngakho-ke uma ufuna ukuthola umphumela omuhle, kufanele uthintane nodokotela wakho uma ubona izibonakaliso zokuqala zesifo.