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Lonkkaniveltulehdus on lonkkanivelen ruston rappeutumista.

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작성자 Margarita 작성일23-10-30 05:21 조회25,132회 댓글51건

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Lonkka on pallonivel, jossa pallo on reisiluun yläosassa (reisiluun pää). Pallo on erotettu syvennyksestä (acetabulum) rustolla. Rusto toimii liukkaana pinnoitteena pallon ja hylsyn välillä, mikä mahdollistaa pallon liukumisen ja pyörimisen tasaisesti jalan liikkuessa. Labrum, vahva rusto, joka reunustaa hylsyn ulkoreunaa, tarjoaa vakautta.

Kun lonkan rusto vaurioituu, siitä tulee karkeaa. Rustojen oheneminen kaventaa luiden välistä tilaa. Pitkälle edenneissä tapauksissa luu hankaa luuta ja mikä tahansa liike voi aiheuttaa kipua ja jäykkyyttä. Kun missä tahansa luiden välisessä kohdassa on kitkaa, se voi myös johtaa luun kannuihin - luun reunoilla oleviin luukasveihin, jotka muuttavat sen muotoa.

Kaavio, jossa näkyy normaali lonkkanivel verrattuna lonkkaniveleen, jossa on niveltulehdus, jossa rusto on vaurioitunut
Lonkkaniveltulehduksen tyypit ja syyt
Lonkan nivelrikko
Nivelrikko on rappeuttava nivelsairaus, mikä tarkoittaa, että se vaurioittaa niveltä vähitellen. Se on lonkkaniveltulehduksen yleisin muoto ja voi vaikuttaa muihin niveliin. Lonkan nivelrikko johtuu tyypillisesti ikääntymiseen liittyvästä kulumisesta ja pahenee ajan myötä. Ruston hajoaminen johtaa kipuun ja tulehdukseen.

Lonkkanivelrikko voi kehittyä nopeammin joillakin ihmisillä lonkkanivelen muodostavien luiden epäsäännöllisen muodon vuoksi. Jos esimerkiksi lonkkanivelen pallo- ja syvennysosat eivät sovi täydellisesti yhteen (tila, joka johtaa lonkan törmäykseen), ne voivat hieroa toisiaan vasten, mikä lopulta johtaa nivelrikkoon. Tämä voi tapahtua myös ihmisillä, joilla on lonkkadysplasia ja joiden lonkka on liian matala tukemaan reisiluun palloa. Tämä rasittaa rustoa epänormaalisti, mikä aiheuttaa sen ennenaikaisen kulumisen.


Lonkan nivelrikon vaiheet
Vaihe 1: Vähäinen lonkkanivelten kuluminen ja pienet luun kannut, usein vähän tai ei ollenkaan kipua.
Vaihe 2: Rusto alkaa hajota, ja luun kasvaimet näkyvät usein röntgensäteissä. Oireita ovat kipu, epämukavuus ja jäykkyys lonkassa. Tätä vaihetta kutsutaan myös lieväksi lonkkanivelrikoksi.
Vaihe 3: Rusto alkaa kulua ja lonkkaluiden välinen rako kapenee. Normaalit toiminnot, Astman lääkkeet kuten kävely, polvistuminen tai kyykky, aiheuttavat kipua ja turvotusta. Tätä vaihetta kutsutaan myös kohtalaiseksi lonkkanivelrikoksi.
Vaihe 4 (vakain vaihe): Rusto on melkein poissa, mikä aiheuttaa kroonisen tulehduksen. Kipua ja jäykkyyttä tuntuu melkein koko ajan.
Lonkan nivelreuma
Nivelreuma (RA) on sairaus, joka johtuu immuunijärjestelmän hyökkäämisestä nivelten, mukaan lukien lonkan, tervettä kudosta vastaan. Se aiheuttaa nivelkalvon, lonkkaniveltä ympäröivän kapselin, tulehduksen. Tulehdussolut vapauttavat aineita, jotka hajottavat lonkkarustoa ajan myötä. Nivelreuma vaikuttaa tyypillisesti pienempiin niveliin, kuten ranteeseen ja sormiin, eikä sitä välttämättä havaita lonkassa ennen kuin se aiheuttaa oireita.

Psoriaattinen lonkan niveltulehdus
Psoriaattinen niveltulehdus on eräänlainen niveltulehdus, joka voi kehittyä ihmisille, joilla on psoriaasi, autoimmuuninen ihosairaus, joka voi myös aiheuttaa tulehdusta nivelissä, mukaan lukien lonkka. Ajan mittaan hoitamaton tulehdus voi johtaa nivelvaurioihin. Lonkan psoriaattinen niveltulehdus on krooninen sairaus. Se voi kehittyä ennen psoriaasin iho-oireiden ilmaantumista tai sen jälkeen.

Posttraumaattinen lonkkaniveltulehdus
Lonkan vamma tai trauma, kuten lonkkamurtuma, voi johtaa niveltulehduksen kehittymiseen myöhemmin elämässä. Traumat, kuten kaatumiset, urheiluvammat ja auto-onnettomuudet, voivat vahingoittaa rustoa. Vaikka itse vamma voi parantua, rustovaurio ja kaikki muutokset lonkkanivelen kohdistuksessa tai anatomiassa voivat johtaa niveltulehdukseen vuosia myöhemmin.laakkeet.org

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