So wowɔ ɛyaw a ɛyɛ nwonwa yi nso wɔ wo moma so? Ebetumi ayɛ (Slipping Rib Syndrome)!

So ɛtɔ mmere bi a wote ɛyaw bi a ɛyɛ nwonwa a ɛba mpofirim wɔ wo koko nkyɛn anaa wo yafunu atifi? Ɛte sɛ ɛyaw a ano yɛ nnam, te sɛ sekan a ɛrebɔ wo, na afei ɛbrɛ ase bere tiaa bi akyi. Ebia wobɛte anaasɛ wobɛte nnyigyei bi a "ɛbɔ" nso nka. Eyi nyɛ ade a ɛyɛ mmerɛw kɛkɛ, ebia wowɔ tebea bi a wɔfrɛ no `(Slipping Rib Syndrome)` nso. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm kɔ akyiri na ɛnnɛ ara kwa.

Dɛn ne `(Slipping Rib Syndrome)`?

Sɛ yɛbɛka no tiawa a, `(Slipping Rib Syndrome)` yɛ ɛyaw a ɛba yɛn koko mu ntini mu, a ɛba na ɛkɔ, kyerɛ sɛ, ɛda adi na ɛyera bere ne bere mu. Ɛyaw yi ba mpofirim, ano yɛ den yiye, na afei ɛso tew nkakrankakra. Nnipa binom nso betumi ate "klik" anaa "klik" nnyigyei bi nka wɔ wɔn moma so a ɛyaw yi ka ho.

Eyi ba bere a cartilage (ntini a ɛyɛ mmerɛw a ɛnyɛ den te sɛ dompe) a ɛka mpampam abien bom wɔ yɛn koko a ɛwɔ fam no mu no yɛ mmerɛw anaasɛ entumi nnyina no. Afei mparow biako fi ase twetwe kɔ anim ne akyi wɔ foforo no so. Sɛ eyi twetwe a, ``Intercostal Nerve`` a ɛnam saa mpampam no ntam no twetwe anaasɛ ɛyɛ pintinn. Ɛno nti na yɛte ɛyaw nka no.

Wɔde din afoforo pii frɛ saa `(Slipping Rib Syndrome)` yi. Sɛ yɛbɛbobɔ kakraa bi din a, wɔde edin te sɛ `(Displaced Rib)`, `(Clicking Rib Syndrome)`, `(Floating Rib Syndrome)`, `(Gliding Rib Syndrome)`, `(Rib-Tip Syndrome)` na edi dwuma. Wɔ aduruyɛ mu no, wɔsan frɛ no `(Interchondral Subluxation)`. `(Subluxation)` nkyerɛ sɛ nkwaa bi hwirew koraa, na mmom ɛhwe ase fã. Mmeae a yɛn mpampam a ɛwɔ fam no nnompe ano no ne mpampam a ɛwɔ atifi hɔ no di nkitaho no, wɔfrɛ no `(Interchondral Joints)`.

Saa tebea yi abu so dɛn?

Sɛnea nsɛm a aba foforo kyerɛ no, ɛyaw a ɛyɛ koko fasu 5% pɛ na efi ``Slipping Rib Syndrome.`` Nea ɛyɛ awerɛhow no, ɛnyɛ akwahosan ho adwumayɛfo nyinaa, kyerɛ sɛ, ɛnyɛ nnuruyɛfo nyinaa, na wonim saa tebea yi. Enti, ɛtaa kɔ so a wonhu .

Sɛ mparow bi hwirew a, ɛte dɛn?

Sɛ wudi kan tu mparow bi a, ebia ɛyaw no bɛyɛ mpofirim, ɛyɛ nnam, na ɛyɛ sekan . Wubetumi nso ate anaasɛ wobɛte "klik" anaa "klik" bere a mparow no twam wɔ mparow foforo no so no. Ɛno akyi no, ɛyaw a ano yɛ den no betumi ano abrɛ ase, na ama ne mu duru anaa ɛyaw a ɛyɛ nwonwa a wontumi nhu .

Nnipa pii hu sɛ saa su yi resan aba bere a bere kɔ so no. Saa mparow yi betumi ahwe ase bere a wofefe, wofefe, anaa woakyinkyim akɔ baabi pɔtee bi no. Sɛ nhwɛso no, ebia wobɛte ɛyaw mpofirim bere a wode wo nsa ka biribi, wobɔ wo ho fi mpa so, anaa woka kar no.

Mprow a ahwe ase betumi amia ntini a ɛda wo mpampam ntam no. Mpɛn pii no, eyi na ɛde ɛyaw a ano yɛ nnam a ɛwɔ baabi a wote mfiase no ba. Bere kɔ so no, eyi nso betumi ama ntini a ɛyɛ mmerɛw a atwa mparow no ho ahyia no ahonhon na ayɛ hyew.

Esiane eyi nti, ɛtɔ mmere bi a ɛyaw no nyɛ beae biako pɛ, na mmom ebetumi atrɛw kakra, na ɛma ɛyɛ den sɛ wobɛkyerɛ baabi pɔtee a efi ba. Ebetumi ayɛ te sɛ ɛyaw wɔ koko a ɛwɔ fam, anaasɛ ebetumi ayɛ te sɛ ɛyaw wɔ yafunu atifi. Ɛtɔ da bi mpo a, ɛyaw yi betumi atrɛw akɔ w’akyi, nifa anaa benkum.

Mpampam bɛn na `(Slipping Rib Syndrome)` ka no?

Yɛwɔ mpampam abien abien 12, a wɔde nɔma ahyɛ mu fi soro kosi ase. Slipping Rib Syndrome ka mparow a ɛto so awotwe, akron, ne du. Wɔsan frɛ eyinom "atoro mparow." Wunim nea wɔyɛ? Saa mpampam yi ntumi nkɔ dompe a ɛwɔ yɛn koko mfinimfini, sternum no ho tẽẽ.

Mmom no, wɔde saa "atoro mparow" yi mu biara bata mpampam a ɛwɔ n'atifi no ho. Saa nkwaa yi a wɔde nnompe na ɛyɛ no ne nea yɛfrɛɛ no ​​``Interchondral Joints''. Sɛ saa nkwaa yi mu biako yɛ mmerɛw a, "atoro mparow" no hwirew fi baabi.

Nnipa binom nso frɛ eyi ``Floating Rib Syndrome'', nanso ɛno yɛ din a ɛnteɛ. "Floating ribs" kyerɛ yɛn mpampam a ɛto so du-baako ne dumien a ɛba fam sen biara. Saa mpampam yi nni ``Interchondral Joints''. Wɔfrɛ wɔn "floating ribs" efisɛ ɛnbata sternum anaa mpampam afoforo ho, na mmom ɛbata akyi berɛmo no nkutoo ho. Enti, saa mpampam yi ntumi "nhwe ase" saa. Nanso, wubetumi ate ɛyaw a ɛwɔ ntini a atwa wɔn ho ahyia no mu no nka.

Dɛn ne nneɛma a ɛde `(Slipping Rib Syndrome)` ba?

Sɛ wo mpampam biako betumi ahwe ase sɛ ntini a ɛwɔ interchondral nkwaa no mu no yɛ mmerɛw anaasɛ ɛtwetwe fi baabi a ɛwɔ no a. Eyi betumi asi mpofirim anaa nkakrankakra. Wɔ tebea horow bi mu no, ebetumi ayɛ biribi a wɔde awo wo. Nneɛma bi a ebetumi de aba ni:

• Mmerewa a Wɔwo Wɔn (Awo mu Mfomso): Ebia wɔawo nnipa binom a saa ntini a ɛwɔ ntini yi mu no yɛ mmerɛw.
• Nkwaa a Ɛyɛ Den: Ɛda adi sɛ tebea yi bɛba sɛ wo nkwaa no yɛ nea ɛyɛ mmerɛw sen sɛnea ɛte daa, a ɛkyerɛ sɛ ebetumi atu sen sɛnea ɛsɛ sɛ ɛyɛ.
• Apirakuru a Ɛba Mpɛn pii: Sɛ woyɛ kankyee koro no ara mpɛn pii, te sɛ agumadi anaa nnwuma bi mu a, saa nkwaa yi betumi asɛe.
• Apirakuru a Ɛyɛ Hu: Biribi te sɛ asehwe, kar akwanhyia, anaasɛ obi a ɔbɔ denneennen bere a ɔredi agumadi no betumi asɛe saa ntini yi.

Sɛnea wobɛhwɛ sɛ `(Slipping Rib Syndrome)` anaa?

Oduruyɛfo a ɔreyɛ wo yaw no mu nhwehwɛmu betumi adi kan ahyɛ sɛ wɔnyɛ mfoniniyɛ mu nhwehwɛmu, te sɛ ``Chest X-ray'' anaa ``CT Scan''. Mmom,Mpɛn pii no, wontumi nhu mpampam a ahwe ase wɔ mfonini ahorow a enhinhim mu. Oduruyɛfo no pɛ sɛ ohu sɛnea ɛyɛ adwuma.

Ɔkwan baako a wobɛfa so ahu eyi ne ``Dynamic Ultrasound'' sɔhwɛ. Wei kyerε sε wכfa ``Ultrasound'' bere a woreyɛ kankyee bi (e.g. woredan wo nipadua, wofefe, woreyɛ ``Valsalva Maneuver'' - kyerɛ sɛ, wokura wo home mu na wopiapia no). Afei ebia wubetumi ahu mparow no sɛ ɛrehwe ase saa bere no.

Nanso, sɛ oduruyɛfo bi susuw dedaw sɛ ``Slipping Rib Syndrome`` a, obetumi ahu bere a wɔreyɛ nipadua mu nhwehwɛmu no. Wɔnam sɔhwɛ bi a wɔyɛ a wɔfrɛ no ``Hooking Maneuver`` so na ɛyɛ eyi.

Wɔ sɔhwɛ a ɛnyɛ den yi mu no, oduruyɛfo no de ne nsateaa hyɛ wo mpampam no ase ano na ɔde nkakrankakra ma so kɔ soro . Sɛ ɔyɛ eyi a, ɛyaw a efi ``Slipping Rib Syndrome'' mu no bɛsan aba bio, na ɛtɔ mmere bi a wobɛte saa "click" anaa "tock" nnyigyei no. Eyi bɛma oduruyɛfo no ahu tebea no ho adwene pa.

Wobɛyɛ dɛn asa mparow a ahwe ase?

Ɛtɔ mmere bi a, mparow a ahwe ase no ankasa tumi sa yare a wɔansa no yare biara . Sɛ woanhyia ɔhaw kɛse a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ twɛn kakra na woahwɛ sɛ n’ankasa ho bɛsa anaa. Saa bere yi de, wubetumi ayɛ nneɛma a ɛnyɛ den yi de aboa ma ɛyaw so atew:

• Ɔhyew/Awɔw Ayaresa: Nsu a ɛyɛ hyew toa anaa nsukyenee a wɔde gu baabi a ɛyɛ yaw no.
• Nnuru a wɔde sa ɛyaw a wɔtɔn: Nnuru a wɔde kum ɛyaw a wobetumi atɔ wɔ nnurutɔnbea a oduruyɛfo nkyerɛw wo krataa, te sɛ NSAID.
• Gye w’ahome kakra, afei apɔw-mu-teɛteɛ: Twe wo ho fi dwumadi ahorow a ɛma ɛyaw no yɛ kɛse ho kakra, afei teɛteɛ w’apɔw mu wɔ apɔw-mu-teɛteɛ ho ɔbenfo akwankyerɛ ase.

Sɛ saa nneɛma yi ankɔ yiye a, ebia wo duruyɛfo bɛkyerɛ sɛ wɔmfa "Intercostal Nerve Block," a nea ɛka ho ne sɛ wode aduru bi bɛhyɛ ntini a wɔrebɔ no mu. Eyi betumi atew ɛyaw so bere tiaa bi na ɛtɔ mmere bi a aboa wɔ ayaresa no mu.

So ɛho behia sɛ wɔyɛ oprehyɛn?

Sɛ saa sɛnkyerɛnne yi ankɔ yiye bere kɔ so a, ebia ɛho behia sɛ wɔyɛ oprehyɛn de siesie ``Slipping Rib Syndrome.`` Oprehyɛnfo de akwan a ɛnyɛ den pii di dwuma bere biara a ɛbɛyɛ yiye, te sɛ ``Video-Assisted Thoracic Surgery (VATS)``. Eyi kyerɛ sɛ wɔyɛ oprehyɛn no a wɔnyɛ ntwitwiridii kɛse, na mmom wɔde mfoninitwa afiri ne nnwinnade fa ntokuru nketewa mu.

Ebia oprehyɛn a wɔbɛyɛ de asiesie mparow a ahwe ase no bi ne nea edidi so yi:

• Stabilization: Ɛma mpampam no gyina sɛnea ɛbɛyɛ a ɛrenhwe ase bio.
• Partial Rib Resection: Woyi ntini a ɛyɛ ɔhaw no fi hɔ.
• Rib Plating: Eyi mma mparow no ntumi nsɛe wɔn ho wɔn ho.

Sɛ mewɔ saa tebea yi a, dɛn na ɛba?

Sɛ wohu nea ɛde ``Slipping Rib Syndrome'' ba a, ɛyɛ ɔko a wodii nkonim no fã. Sɛ oduruyɛfo hu yare no wie a, ayaresa kwan no betumi afi ase. Nnipa pii nya ahotɔ bere kɔ so denam ayaresa a ɛnyɛ den yi so .

Ɛnyɛ obiara na obehia oprehyɛn ama ``Slipping Rib Syndrome.`` Nanso, sɛ ɛho hia sɛ wɔyɛ oprehyɛn a, ɛtaa yɛ yiye. Ɛntaa mma, esiane ntease ahorow a wonnim nti, saa sɛnkyerɛnne ahorow yi betumi asan aba bio wɔ mparow foforo mu akyiri yi.

Ɛyaw a ɛwɔ mpampam a ahwe ase mu no betumi ayɛ nea emu yɛ den ankasa, ayɛ basaa, na ɛyɛ hu , titiriw bere a oduruyɛfo ntumi nkyerɛkyerɛ mu no. Ɛyɛ abasamtu ankasa sɛ wobɛtra ase a wote ɛyaw bere nyinaa a wunhu yare no anaasɛ ayaresa ho nhyehyɛe biara.

Nanso asɛmpa no ne sɛ ``Slipping Rib Syndrome'' ho nimdeɛ renya nkɔanim nkakrankakra. Ɛmfa ho sɛnea ɛbɛyɛ te sɛ nea ɛyɛ ahintasɛm no, ɛnyɛ yare a wontumi nsa, a ɛde nkwa to asiane mu - ɛyɛ honam fam, nhyehyɛe mu ɔhaw bi kɛkɛ a wobetumi de oprehyɛn asiesie.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Enti, sɛ wowɔ sɛnkyerɛnne ahorow a wɔaka ho asɛm wɔ asɛm yi mu, te sɛ wo koko mu yaw mpofirim, ɛyaw a "klik" anaa "klik" nnyigyei ka ho, anaa ɛyaw a ɛkɔ soro bere a wogyina mmeae bi a, mma wo ho nnpopo mfiase no .

Ade a ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo a ɔfata nkyɛn na woakyerɛkyerɛ wo yare no ho sɛnkyerɛnne ahorow mu pefee . Afei oduruyɛfo no betumi ayɛ nhwehwɛmu a ɛho hia na wahu pɛpɛɛpɛ sɛ ebia eyi yɛ ``Slipping Rib Syndrome'' anaa tebea foforo.

• Kae sɛ mpɛn pii no, tebea yi betumi akɔ so a wontumi nhu, enti hwɛ hu sɛ wobɛka wo sɛnkyerɛnne ahorow no ho asɛm yiye.
• Nnipa pii nya ahotɔ denam ayaresa a ɛnyɛ den so.
• Sɛ ɛho hia sɛ wɔyɛ oprehyɛn mpo a, mpɛn pii no ɛyɛ yiye.
• Eyi nyɛ yare a wontumi nsa.

Ebia wo nsɛmmisa ho mmuae a wubenya no begye bere kakra, nanso sɛ wunya nsɛm a ɛfata ne mmoa a, wubetumi anya ahotɔ afi tebea yi mu. Kɔ so nya apɔwmuden!

` mpampam a ɛtwetwe, koko mu yaw, mpampam a ɛtwetwe, mpampam yaw, intercostal nerve, Cyriax syndrome, hooking maneuver