Isifo sikaHoff

Abantu asebekhulile bahlala behlushwa iintlungu, ngokukodwa ezandleni nasemadolweni. Oku kwenzeka ngenxa yesisombululo sesimo seethambo kunye nezicubu zomzimba. Kodwa kukho iimeko xa kukho ingxaki efanayo kubantu abatsha. Kodwa kwiimeko ezinjalo, kuya kubandakanywa nokuvela kwezifo ezahlukahlukeneyo. Esinye sezi zifo zikaHoff.

Ukuze uhlolisise ngexesha, kufuneka ukwazi ukuba yintoni imbangela yokuqala, kwaye zeziphi iimpawu eziphambili zesifo.

Izizathu zesifo sikaHoff

Isifo sikaGoff okanye i-lipoarthritis yi-aseptic (ngaphandle kokusuleleka kwiintsholongwane kunye ne-microbes) ukuvuvukala kwezicubu ezinamafutha e-Goff, ngenxa yoko balahlekelwa bucala ngokwaneleyo ukuba bakwazi ukuhlaziywa. Kukho izigaba ezi-2 zokuphuhliswa kwesi sifo: ezinzima kwaye ezingapheliyo. Ukuba owokuqala aphilwanga ngexesha, ngoko uya kudlula okwesibini.

Kukho izizathu ezininzi zokuphuhliswa kwesifo sikaHoff emxolweni.

• ukuxhwaleka, okufunyenwe nanini na ubudala: ukuwa, ukujika okubukhali okanye ukongezwa;
• Ukungahambi kakuhle emsebenzini: ukuhlala phantsi okanye ukuxhoma emadolweni, umzekelo: kubaqhubi okanye abapolisi;
• utshintsho lwama-hormones (i-climax);
• umthwalo ohlala rhoqo emadolweni. Oku kufumaneka kubadlali, abaculi, ngakumbi ibhallet kunye neesksi;
• arthrosis.

Izibonakaliso zezifo zeHoff

Isigaba esicacileyo sekhosi lesi sifo kulula ukucacisa:

• ubuthathaka be-quadriceps;
• Ukongezwa kokubambisana kulinganiselwe;
• kukho ubuhlungu obukhulu;
• kubomvu;
• i-edema yendawo yakhiwa.

Ugqirha onezi zibonakaliso zifumanisa isifo sikaHoff lula, nangona uvavanyo olulula.

Kunzima kakhulu ukubona isigulo kwisigaba esingapheliyo se-percolation. Kufanelekile ukuthobela ingqalelo iimpawu ezinjalo:

• ukubonakala kwintlungu ebusuku kwaye xa uzama ukuxhomekeka kwilungu elichaphazelekayo;
• kuncipha kumsebenzi we-quadriceps ye-femoris muscle;
• Ngasemva kweedolo, amaziko amasha awakhiwa, akhulula ukuphazamiseka xa ecinezela kubo;
• Udibaniso lwamadolo luqala ukusebenza ngokungaqinisekiyo.

Ukuqinisekisa ukuxilongwa, ngaphezu kweemviwo kunye nesifo, kukho izifundo ezongezelelweyo ziya kufuneka: i-arthroscopy, i-MRI okanye i-CT.

Ukunyangwa kwesifo sikaHoff

Ngaliphi na isigaba sesifo sikaHoff emadolweni, kukho iindlela ezimbini zokonyango:

• (esebenzayo);
• ekhuselekileyo.

Ngendlela elula kunye neyimodareyithwa yesifo, kunokuthi kubekho unyango olwaneleyo kunye nolwaphulo-mthetho oluya kuthi lube lulandelayo:

1. Ukubeka imodeli yokuphumla idibeneyo echaphazelekayo, okucetywayo ukuphumla kombhede nokuhamba okuncinci.
2. Ukufaka izidakamizwa ze-hormone ezihlangeneyo ( corticosteroids ), ukunciphisa ukuvuvukala.
3. Ukuqhuba iinkqubo zomzimba (irradiation kunye nesibane Solluks, i-laser kunye ne-oxygen yonyango, udaka kunye neeparafini izicelo ze-ozocerite, i-electromyostimulation).
4. I-LFK, oko kukuthi, ukuzilolonga kuhlose ukuqinisa imisipha ye-extinor ye-shin nokubuyisela ukuhamba kwamadolo.

Kwiimeko ezinzima kunye nokuqhubela phambili kwesifo sikaHoff, oogqirha bancoma ukubuyisela umsebenzi odibeneyo ngoncedo lwongenelelo olungagqirha, oko kukuthi ngokusika (okanye ukususa) inxalenye echaphazelekayo yemizimba yeGoff (i-strangulated), kunye namaqhina akhiwe emadolweni. Le nkqubo yokugonywa yenziwa yindlela ye-arthroscopic.

Emva kokusebenza kweeveki ezingama-2-3, isigulane sidinga ukulungiswa, okuza kushukumisa ukubunjwa kwamagqabi apheleleyo kunye nokubuyiselwa komsebenzi wexabiso emadolweni. Kuya kubandakanya:

• I-Physiotherapy (iinkqubo zifana neyonyango olulondolozayo);
• ukusilisa;
• imisebenzi yokonyango ;
• ukwamkelwa kwamabhati, udaka kunye namanzi amancinci (i-iodine-bromine, sulphide kunye ne-radon).

Xa unyanga isifo seGoff, izilwanyana zabantu ziyakucinwa kuphela iintlungu, ngoko ke ukuba ufuna ukufumana impembelelo enhle, kufuneka uqhagamshelane nodokotela wakho xa ubona iimpawu zokuqala zesifo.