Nani

Nani

ʻO ka ʻūhā (mai ka latina coxa, hip) kūlike i ka ʻāpana o ka lālā lalo i waena o ka ʻūhā a me ke kuli.

Anatomia ʻūhā

Iwi iwi ʻūhā. Hoʻokumu ʻia ka ʻūhā i hoʻokahi iwi: ʻo ka elongated femur (1). ʻO ka luna, a i ʻole ka proximal, ka hopena o ka femur i haʻi ʻia me ka iwi pūhaka e hana i ka ʻūhā. ʻO ka lalo, a i ʻole ka distal, hoʻopau i nā art me nā tibia, fibula (a fibula), a me patella e hana i ke kuli.

Nā mākala ʻūhā. Hana ʻia ka ʻūhā i ʻekolu mau keʻena musele (2):

  • ʻO ke keʻena mua, aia i mua o ka femur, i hana ʻia e ka sartorius a me ka quadriceps.
  • ʻO ka ʻaoʻao hope, aia ma ke kua o ka femur, hana ʻia i nā mākala hamstring ʻo ia ka semi-tendinous, semi-membrane a me nā biceps femoris.
  • Aia i ka ʻāpana o loko ka pectineum, ka gracilius a me nāʻiʻo adductor ʻo ia ka adductor longus, ka adductor brevis a me ka adductor magnus.

ʻO ka hoʻoheheʻe ʻana. Hāʻawi ʻia ka vascularization o ka ʻūhā e ke aʻa wahine.

innervation. Hoʻokomo ʻia nā mākala o nā keʻena o mua a me hope i ka nerve femoral a me ka nerve sciatic. Hoʻokomo nui ʻia nā mākala o ka ʻāpana i loko e ka nerve obturator, akā e nā ʻāʻī sciatic a me nā femoral (2).

Physiology o ka ʻūhā

Ka lawe ʻana o ke kaupaona. ʻO ka'ūhā, keu hoʻi ma o ka femur, ke lawe i ke kaumaha o ke kino mai ka iwi hip i ka tibia. (3)

ʻO ka hoʻoikaika kino. Hoʻokomo nā mākala a me nā hono o ka ʻūhā i ka pae o ka pūhaka a me ke kuli i ka hiki i ka meaola ke neʻe a mālama pono i ke kahua. ʻAe, ʻae nā mākala o ka'ūhā i nā neʻe o ka flexion, hoʻolōʻihi, kaʻapuni, hoʻohui o ka'ūhā a me kekahi mau neʻe o ka wāwae (2).

Nā ʻaoʻao ʻehā

Hiki i nā ʻeha ʻeha i ka ʻūhā ke loaʻa nā kumu like ʻole.

  • Liona iwi. ʻO ka ʻeha nui ma ka ʻūhā ma muli o ka femur haʻi.
  • Nā pathology iwi. ʻO ka ʻehaʻeha paha ma muli o kahi maʻi iwi e like me ka osteoporosis.
  • Nā maʻi maʻi muscular. Hiki ke hōʻeha ʻia nā ʻūhā o ka ʻūhā me ka ʻole o ka ʻeha e like me ka cramping a i ʻole ke kākoʻo ʻana i ka ʻeha o ka ʻū e like me ke kanikau ʻana. I nā mākala, hiki i nā ʻāʻī ke hōʻeha i ka ʻūhā, keu hoʻi i nā tendinopathies e like me ka tendonitis.
  • Nā pathology Vascular. I ka lawa ʻole o ka venous i ka ʻūhā, ʻike ʻia ka manaʻo o nā wāwae kaumaha. Hōʻike ʻia ia kikoʻī e ke kani ʻana, ke kani a me ka helu ʻana. ʻO nā kumu o nā hōʻailona o ka wāwae kaumaha. I kekahi mau hihia, ʻike ʻia nā ʻōuli ʻē aʻe e like me nā veins varicose ma muli o ka hoʻonui ʻia ʻana o nā veins a i ʻole phlebitis ma muli o ke ʻano o ke kahe o ke koko.
  • Nā pathology nerve. Hiki i nā ʻūhā ke kahua o nā pathologies hopohopo e like me, no ka laʻana, neuralgia sciatic. Ma muli o ka hōʻino ʻia o ke aʻalolo sciatic, hōʻike ʻia kēia e ka ʻehaʻeha i ʻike ʻia ma ka ʻūhā.

Nā kuʻuna ʻūhā a me ka pale ʻana

Nā lāʻau lapaʻau. Kaukaʻi ʻia i ka maʻi maʻi i hōʻike ʻia, hiki i nā ʻano lāʻau like ʻole ke kuhikuhi ʻia e hōʻemi i ka ʻeha a me ka mumū a me ka hoʻoikaika ʻana i ka iwi iwi.

Hōʻailona hōʻailona. I ke ʻano o nā pathologies vascular, hiki i ka compression elastis ke kuhikuhi ʻia e hōʻemi i ka dilation o nā uaua.

Lapaʻau ʻoki kino. Kaukaʻi ʻia i ke ʻano o ka maʻi maʻi i hōʻike ʻia, hiki ke hana ʻia ke ʻoki.

Hoʻomaʻo Orthopedic. Kaukaʻi ʻia i ke ʻano o ka haki, hiki ke hoʻokō ʻia ke kau ʻana i kahi plaster a i ʻole kahi kēpau.

Lapaʻau kino. Hiki ke kuhikuhi ʻia nā hoʻoponopono kino, ma o nā papahana hoʻoikaika kino e like me ka physiotherapy a i ʻole ka physiotherapy.

Nā hoʻāʻo ʻūhā

Ninaninau kino. ʻO ka mea mua, hana ʻia kahi hoʻokolohua hoʻokolohua i mea e nānā a loiloi ai i nā ʻōuli i ʻike ʻia e ka mea maʻi.

Nānā Lapaʻau. I mea e ʻike ai i kekahi mau pathology, hiki ke hoʻokō ʻia ke koko a me ka mimi e like me, e laʻa me ke ana o ka phosphor a me ka calcium.

ʻImi hoʻokolohua kiʻi. ʻO ka X-ray, CT a i ʻole MRI scintigraphy examinations, a i ʻole ka densitometry iwi no nā pathologies iwi, hiki ke hoʻohana ʻia e hōʻoia a hohonu paha i ka ʻike.

ʻO ultrasound Doppler. Hiki i kēia ultrasound kikoʻī ke nānā i ke kahe o ke koko.

ʻO ka mōʻaukala a me ka hōʻailona o ka ʻūhā

ʻO ka sartorius, gracilis a me nā mākala semi-tendinous i kapa ʻia hoʻi he "mākala nā wāwae o ka moa". Pili kēia inoa i ka hoʻokomo ʻia ʻana o nā olonā o kēia mau mākala ma ka pae o ka tibia, e hāʻawi ana i ke kinona e like me nā wāwae o ka moa (4).

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