How to distinguish from problems with the spine
- Koksartroz: sonning old va lateral yuzasi bo'ylab, ko'pincha tizzagacha radiatsiya bo'ylab, sonda og'riq; yurish va stuldan turganda yomonlashadi; limited internal rotation of the hip
- Radikulopatiya: og'riq oyoqning orqa tomoni bo'ylab tizzadan pastga cho'ziladi, uyqusizlik va zaiflik bilan birga keladi, yo'talish va egilish bilan kuchayadi.
- Oddiy ko'rsatma: agar og'riyotgan oyog'iga paypoq kiyish va poyabzal bog'ichini bog'lash qiyin bo'lsa, bu orqa emas, balki deyarli bo'g'imdir.
Bosqichlari va belgilari
- Morning stiffness up to 30 minutes
- Difficulty putting on socks and shoes, cutting nails
- Harakatlanayotganda bo'g'imda siqilish
- Zararlangan tomonda son va dumba mushaklarining atrofiyasi
- 1 степень: боль после длительной ходьбы, проходит в покое; движения почти не ограничены.
- 2 степень: боль при ходьбе и вставании, отдаёт в пах и колено, появляется хромота, ограничивается вращение и отведение бедра.
- 3 степень: боль почти постоянная, выраженное ограничение движений, укорочение ноги, ходьба с тростью.
Sabablari
- Hip displazi - bolalikda davolanmagan, yoshlarda koksartrozning keng tarqalgan sababi
- Past injuries and fractures
- Femur boshining aseptik nekrozi
- Perthes kasalligi va bolalik davrida epifizioliz
- Yallig'lanishli artrit
- Ortiqcha vazn, og'ir jismoniy mehnat
- Yoshga bog'liq o'zgarishlar
Davolash
- Qo'shimchani tushirish: vazn yo'qotish, qarama-qarshi qo'lda qamish, uzoq yurish va og'irlikni ko'tarishni cheklash
- Jismoniy terapiya - gluteal mushaklarni kuchaytirish uchun mashqlar, asosan yotgan va hovuzda
- Kuchlanish davrida qisqa muddatli NSAIDlar
- Intra-articular injections - performed only under ultrasound or X-ray control
- Fizioterapiya va massaj - yordamchi usullar
- Endoprosthetics - for stage 3, persistent pain and limited function
Плавание и упражнения в воде — оптимальный вид нагрузки: мышцы работают, а сустав разгружен. Бег, прыжки и глубокие приседания при коксартрозе противопоказаны.
Endoprotezlash
Hip replacement is considered one of the most successful operations in orthopedics: it relieves pain and restores the ability to walk normally.
- Indications: stage 3, constant pain, significant limitation of movements, ineffectiveness of conservative treatment
- Zamonaviy protezlar 15-20 yil yoki undan ko'proq xizmat qiladi
- Walking is usually allowed the next day after surgery.
- Rehabilitation begins immediately and continues for several months.
- In the first weeks, restrictions apply: do not bend your leg more than 90 degrees, do not cross your legs, do not sit on a low
- Prevention of thrombosis after surgery is mandatory