Kei te pāngia hoki koe e tēnei mamae rerekē i roto i tō uma? Tērā pea ko te (Slipping Rib Syndrome)!

Ka rongo koe i ētahi wā i tētahi mamae rerekē e puta whakarere mai ana i te taha o tō uma, i tō puku o runga rānei? He rite ki te mamae koi, me te maripi e wero ana i a koe, kātahi ka memeha haere i muri i tētahi wā. Tērā pea ka rongo koe, ka rongo rānei i tētahi tangi "pāwhiri". Ehara i te mea ngāwari noa iho tēnei, tērā pea he mate kei a koe e kīia nei ko te `(Slipping Rib Syndrome)`. Kaua e manukanuka, ka kōrerohia e tātou tēnei i tēnei rā me te taipitopito, me te ngāwari hoki.

He aha te `(Slipping Rib Syndrome)`?

He whakarāpopototanga noa iho, ko te `(Slipping Rib Syndrome)` he mamae e puta ana i roto i ngā uaua o tō tātou uma, e haere mai ana, e haere atu ana, arā, ka puta mai, ka ngaro atu i ia wā, i ia wā. Ka puta ohorere mai tēnei mamae, he tino kaha, kātahi ka heke haere. Tērā pea ka rongo ētahi tāngata i te tangi "pāwhiri" i roto i ō rātou uma me tēnei mamae.

Ka puta tēnei ina wetekina, ina koretake rānei te kiriuhi (he kiko ngohengohe kāore i te pakeke pērā i te wheua) e hono ana i ngā rara e rua i te pito o raro o tō tātou uma. Kātahi ka tīmata te nekeneke haere o tētahi rara ki mua, ki mua i runga i tētahi atu. Ina nekeneke tēnei, ka pēhia, ka kōpiritia rānei te "Ira I waenganui i te korokoro" e rere ana i waenganui i aua rara. Koia te take e mamae ai tātou.

He maha atu anō ngā ingoa e huaina ana mō tēnei `(Slipping Rib Syndrome)`. Hei tauira, ko ngā ingoa pēnei i te `(Displaced Rib)`, `(Clicking Rib Syndrome)`, `(Floating Rib Syndrome)`, `(Gliding Rib Syndrome)`, `(Rib-Tip Syndrome)` ka whakamahia. I roto i ngā kupu hauora, ka kiia hoki ko `(Interchondral Subluxation)`. Ehara i te mea ko te `(Subluxation)` te tikanga he paheke rawa te hononga, engari he paheke kia rua. Ko ngā wāhi e hono ai ngā pito o te kiriuhi o ō tātou rara o raro ki ngā rara i runga ake nei ka kiia ko `(Interchondral Joints)`.

He pēhea te noa o tēnei āhuatanga?

E ai ki ngā raraunga hou, e 5% noa iho o ngā mamae o te uma i puta mai i te "Slipping Rib Syndrome." Engari, kāore ngā kaiwhakarato hauora katoa, arā, ehara i te katoa o ngā tākuta, e mōhio ana ki tēnei mate. Nō reira, he maha ngā wā kāore e kitea he mate .

He aha te āhua o te paheke o te rara?

Ina motuhia te rara i te tuatahi, ka ohorere pea te mamae, ka koi, ka werohia . Tērā pea ka rongo koe, ka rongo rānei i te "pāwhiri" i te "pāwhiri" rānei i te haerenga o te rara i runga i te rara kē atu. Whai muri i tēnā, ka memeha haere te mamae koi, ka waiho he taumaha rerekē, kāore e taea te tautuhi, he mamae puhoi rānei .

He tokomaha te hunga e kite ana i tēnei āhua ka hoki anō i roto i te wā. Ka paheke pea tēnei rara ina maremare koe, ina tihe, ina piko rānei ki tētahi tūranga. Hei tauira, ka pāngia pea koe e te mamae ohorere ina toro atu koe ki tētahi mea, ina takahuri koe i te moenga, ina taraiwa rānei i tētahi motuka.

Ka taea e te rara paheke te pēhi i te io intercostal, e rere ana i waenganui i ō rara. Koinei te take o te mamae koi, ā-rohe i te tīmatanga. I roto i te wā, ka taea hoki e tēnei te pupuhi me te mumura o te kiko ngohengohe huri noa i te rara.

Nā tēnei, i ētahi wā, kāore te mamae i te wāhi kotahi anake, engari ka horapa noa, ā, he uaua ki te tohu i te pūtake. Ka rite ki te mamae i te uma o raro, ka rite rānei ki te mamae i te puku o runga. I ētahi wā, ka horapa atu tēnei mamae ki tō tuara, ki matau, ki maui rānei.

Ko ēhea rara e pāngia ana e te `(Slipping Rib Syndrome)`?

Tekau mā rua ā tātou takirua rara, kua tau mai i runga ki raro. Ka pāngia ngā rara tuawaru, tuaiwa, me te tekau e te Slipping Rib Syndrome. Ka kiia hoki ēnei ko ngā "rara teka". E mōhio ana koe he aha ēnei? Kāore ēnei rara e hono tika ki te wheua i waenganui o tō tātou uma, te sternum.

Engari, ko ia o ēnei "rara rūpahu" e hono ana ki te rara i runga ake. Ko ēnei hononga, he mea hanga ki te kiriuhi, koia ēnei i huaina e mātou ko ngā "Hononga I waenganui i ngā Korokoro". Ina ngoikore tētahi o ēnei hononga, ka paheke te "rara rūpahu" i tōna tūranga.

Ka karangatia hoki tēnei e ētahi ko te "Floating Rib Syndrome", engari he ingoa hē tēnā. Ko te "floating ribs" e pā ana ki ō tātou rara tekau mā tahi me te tekau mā rua o raro. Kāore he "Interchondral Connections" o ēnei rara. Ka karangatia rātou ko ngā "floating ribs" nā te mea kāore i te piri ki te sternum, ki ētahi atu rara rānei, engari ki te tuaiwi anake. Nō reira, kāore e taea e ēnei rara te "paheke" pērā. Heoi, ka taea e koe te rongo i te mamae o ngā kiko e karapoti ana i a rātou.

He aha ngā take o te `(Slipping Rib Syndrome)`?

Ka paheke pea tētahi o ō rara mēnā ka ngoikore, ka paheke rānei te kiriuhi i roto i te hononga i waenganui i ngā uaua o te hononga. Ka pā ohorere pea tēnei, ka āta haere rānei. I ētahi wā, he mea nō te whānautanga mai. Anei ētahi take pea:

• Ngāwaritanga o te whānautanga (Hapa whānau): Tērā pea ka whānau mai ētahi tāngata me ēnei wāhanga wheua ngoikore.
• Te Nekenekehanga Nui o ngā Hononga: Tērā pea ka puta tēnei āhuatanga mēnā he ngāwari ake ō hononga i te mea noa, arā, ka taea e rātou te neke neke atu i te mea e tika ana.
• Te Whara o te Takahitanga Auau: Ina mahi tonu koe i te momo nekehanga kotahi, pērā i ētahi hākinakina, mahi rānei, ka pakaru pea ēnei hononga.
• Whara Tūkino: Ka taea te pakaru o tēnei kiriuhi i tētahi mea pēnei i te hinganga, i tētahi aituā motuka, i te pānga kaha rānei i te wā e takaro ana i ngā hākinakina.

Me pēhea te tirotiro mō te `(Slipping Rib Syndrome)`?

Tērā pea ka tonoa tuatahitia e te tākuta e tirotiro ana i tō mamae he whakamātautau whakaahua, pērā i te hihi-X o te uma, te matawai CT rānei. Heoi anō,Kāore e kitea te rara paheke i roto i ngā whakaahua. E hiahia ana te tākuta kia kite me pēhea te mahi.

Ko tētahi huarahi hei kite i tēnei ko te whakamātautau "Dynamic Ultrasound". Ko te tikanga o tēnei ka tangohia he "Ultrasound" i a koe e mahi ana i ētahi nekehanga (hei tauira, te huri i tō tinana, te maremare, te mahi i te "Valsalva Maneuver" - arā, te pupuri i tō manawa me te kōpeke). Kātahi pea ka kite koe i te rara e paheke ana i taua wā.

Heoi, ki te whakapae kē te tākuta he "Slipping Rib Syndrome" tēnei, ka taea e ia te kite i tēnei i te wā e tirotirohia ana e te tinana. Ka mahia tēnei mā te whakahaere i tētahi whakamātautau e kiia nei ko te "Hooking Maneuver".

I tēnei whakamātautau māmā, ka whakatakotoria e te tākuta ōna maihao ki raro i te taha o raro o tō rara, ā, ka āta hiki ake . Ina mahi ia i tēnei, ka hoki anō te mamae o te "Slipping Rib Syndrome", ā, i ētahi wā ka rangona e koe te tangi "pāwhiri" "tōki" rānei. Mā tēnei ka mārama ake te tākuta ki te āhua o te mate.

Me pēhea te whakaora i te rara kua paheke?

I ētahi wā, ka taea e te rara paheke te ora ake me te kore he maimoatanga . Ki te kore koe e raru nui, ka kī atu pea tō tākuta kia tatari koe mō tētahi wā kia kite ai mēnā ka ora ake. I taua wā tonu, ka taea e koe te mahi i ēnei mea ngāwari hei āwhina i te whakaiti i te mamae:

• Maimoatanga Wera/Mātao: Te paninga i tētahi pounamu wai wera, i tētahi kete huka rānei ki te wāhi mamae.
• Ngā rongoā mamae ka taea te hoko kore utu: Ngā rongoā mamae ka taea te hoko mai i te whare rongoā me te kore he whakahaunga mai i te tākuta, pērā i ngā NSAID.
• Okioki mō tētahi wā, kātahi ka whakaora tinana: Kaua e mahi i ngā mahi e whakanui ana i te mamae mō tētahi wā, kātahi ka whakakorikori tinana i raro i te arataki a tētahi kaiwhakaora tinana ngaio.

Ki te kore ēnei mea e mahi, ka tūtohu pea tō tākuta i tētahi "Poraka Nerve Intercostal," arā, ko te werohanga i tētahi rongoā ki roto i te io e pēhia ana. Ka taea e tēnei te whakaiti i te mamae mō te wā poto, ā, i ētahi wā ka āwhina i te tukanga whakaora.

Me mahi pokanga rānei?

Ki te kore ēnei tohu e pai ake i roto i te wā, tera pea me pokanga hei whakatika i te "Slipping Rib Syndrome." Ka whakamahia e ngā taote pokanga ngā tikanga iti rawa te whakaekenga i ngā wā katoa e taea ana, pērā i te "Video-Assisted Thoracic Surgery (VATS)". Ko te tikanga o tēnei ka mahia te pokanga me te kore e tapahia he tapahi nui, engari mā te whakauru i tētahi kāmera me ngā taputapu mā roto i ngā kōhao iti.

Ko te pokanga hei whakatika i te rara paheke ka uru pea ki ēnei e whai ake nei:

• Whakapūmau: Ka whakapūmau i ngā rara kia kore ai e paheke anō.
• Te Tango Wāhanga o te Ripeka: Ka tangohia te wahi kiriuhi e raru ana.
• Whakakikorua Ripeka: Mā tēnei ka ārai i te mirimiri o ngā rara tetahi ki tetahi.

Ka aha mēnā kei ahau tēnei āhuatanga?

Ko te tautuhi i te pūtake o te "Slipping Rib Syndrome" he haurua o te pakanga kua toa. Kia tautuhia te mate e te tākuta, ka taea te tīmata te tukanga whakaora. He maha ngā tāngata e kite ana i te whakaoranga i roto i te wā mā ēnei maimoatanga ngāwari .

Ehara i te mea ka hiahiatia he pokanga mō te "Slipping Rib Syndrome" mō te katoa. Heoi, ki te hiahiatia he pokanga, he angitu tonu. He onge pea, nā te kore e mōhiotia ngā take, ka puta anō ēnei tohu i tētahi atu rara i muri mai.

Ka tino kaha, ka pōhēhē, ka whakamataku hoki te mamae o te rara paheke, ina koa ka kore e taea e te tākuta te whakamārama. He tino whakarihariha te noho me te mamae tonu me te kore he tātaritanga, he mahere maimoatanga rānei.

Engari ko te rongo pai, kei te piki haere te mōhiotanga ki te "Slipping Rib Syndrome". Ahakoa te āhua ngaro, ehara i te mate e kore e taea te rongoā, e morearea ana ki te ora - he raruraru tinana, hanganga noa iho ka taea te whakatika mā te pokanga.

Karere Whakamutunga mō te Tango ki te Kāinga

Nō reira, ki te mea kei a koe ngā tohu kua whakaahuatia i roto i tēnei tuhinga, pērā i te mamae ohorere o te uma, te mamae e haere tahi ana me te tangi "pāwhiri" me te "pāwhiri" rānei, te mamae rānei e piki haere ana i ētahi tūnga, kaua e mataku i te tuatahi .

Ko te mea nui ko te toro atu ki tētahi tākuta whai tohu, me te whakamārama mārama i ō tohumate . Kātahi ka taea e te tākuta te whakahaere i ngā whakamātautau e tika ana, me te tātari tika mēnā he "Slipping Rib Syndrome" tēnei, he mate kē atu rānei.

• Kia maumahara, he maha ngā wā kāore e taea te tautuhi i tēnei mate, nō reira kia tino whakaahuahia ō tohumate.
• He tokomaha e kite ana i te whakamarie mā roto i ngā maimoatanga māmā noa iho.
• Ahakoa me mahi pokanga, he angitu tonu i te nuinga o te wā.
• Ehara tēnei i te mate e kore e taea te rongoā.

Tērā pea ka roa te wā e rapu ana i ngā whakautu ki ō pātai, engari mā te mōhiotanga tika me te tautoko tika, ka taea e koe te kimi i te whakaoranga mai i tēnei āhuatanga. Kia ora tonu!

` mate paheke rara, mamae uma, paheke rara, mamae rara, io intercostal, mate Cyriax, nekehanga mau