Kodi inunso muli ndi ululu wachilendo uwu pachifuwa chanu? Ungakhale (Slipping Rib Syndrome)!

Kodi nthawi zina mumamva ululu wachilendo womwe umadza mwadzidzidzi m'mbali mwa chifuwa chanu kapena m'mimba mwanu? Umakhala ngati ululu wakuthwa, ngati mpeni ukukubayani, kenako umatha pakapita kanthawi. Muthanso kumva kapena kumva phokoso la "kudina". Izi sizinthu zosavuta chabe, muthanso kukhala ndi vuto lotchedwa `(Slipping Rib Syndrome)`. Musadandaule, tikambirana izi mwatsatanetsatane komanso lero.

Kodi `(Slipping Rib Syndrome)` ndi chiyani?

Mwachidule, `(Slipping Rib Syndrome)` ndi ululu womwe umachitika m'minofu ya pachifuwa chathu, womwe umabwera ndikupita, kutanthauza kuti, umawonekera ndi kutha nthawi ndi nthawi. Ululu uwu umabwera mwadzidzidzi, mwamphamvu kwambiri, kenako umachepa pang'onopang'ono. Anthu ena angamvenso phokoso la "click" kapena "click" pachifuwa chawo limodzi ndi ululuwu.

Izi zimachitika pamene chipolopolo cha mafupa (minofu yofewa yomwe si yolimba ngati fupa) yomwe imalumikiza nthiti ziwiri m'munsi mwa chifuwa chathu yakhala yomasuka kapena yosakhazikika. Kenako nthiti imodzi imayamba kutsetsereka m'mbuyo ndi mtsogolo pamwamba pa inzake. Izi zikatsetsereka, ``Intercostal Neva`` yomwe imayenda pakati pa nthitizo imapanikizika kapena kukanidwa. Ndicho chifukwa chake timamva kupweteka.

`(Slipping Rib Syndrome)` iyi imatchedwa ndi mayina ena ambiri. Kutchula ochepa, mayina monga `(Displaced Rib)`, `(Clicking Rib Syndrome)`, `(Floating Rib Syndrome)`, `(Gliding Rib Syndrome)`, `(Rib-Tip Syndrome)` amagwiritsidwa ntchito. M'mawu azachipatala, imatchedwanso `(Interchondral Subluxation)`. `(Subluxation)` sizitanthauza kuti cholumikizira chimatsetsereka kwathunthu, koma m'malo mwake chimatsetsereka pakati. Malo omwe nsonga za cartilage za nthiti zathu zam'munsi zimalumikizana ndi nthiti pamwambapa amatchedwa `(Interchondral Joints)`.

Kodi vutoli ndi lofala bwanji?

Malinga ndi deta yaposachedwa, 5% yokha ya ululu pachifuwa umayambitsidwa ndi ``Slipping Rib Syndrome``. Tsoka ilo, si onse opereka chithandizo chamankhwala, kapena madokotala onse, omwe amadziwa za vutoli. Chifukwa chake, nthawi zambiri silipezeka .

Kodi mumamva bwanji nthiti ikatsetsereka?

Mukayamba kusuntha nthiti, ululu ukhoza kukhala wadzidzidzi, wakuthwa, wobaya . Mungamvenso kapena kumva "kudina" kapena "kudina" pamene nthitiyo ikudutsa pa nthiti inayo. Pambuyo pake, ululu wakuthwa ukhoza kuchepa, kusiya kulemera kwachilendo, kosadziŵika kapena kupweteka kofewa .

Anthu ambiri amaona kuti izi zimachitikanso pakapita nthawi. Nthiti iyi imatha kutsetsereka mukatsokomola, kuyetsemula, kapena kupotoka pamalo enaake . Mwachitsanzo, mungamve kupweteka mwadzidzidzi mukatenga chinachake, kudzuka pabedi, kapena kuyendetsa galimoto.

Nthiti yotsetsereka imatha kufinya mitsempha ya intercostal, yomwe imayenda pakati pa nthiti zanu. Izi nthawi zambiri zimakhala chifukwa cha ululu wakuthwa womwe mumamva poyamba. Pakapita nthawi, izi zingayambitsenso minofu yofewa yozungulira nthiti kutupa ndi kutupa.

Pachifukwa ichi, nthawi zina ululu sumangokhala pamalo amodzi okha, koma ukhoza kufalikira pang'ono, zomwe zimapangitsa kuti zikhale zovuta kudziwa komwe ukuchokera. Ungamve ngati ululu m'chifuwa cham'munsi, kapena ungamve ngati ululu m'mimba chapamwamba. Nthawi zina, ululuwu ukhoza kufika ngakhale kumbuyo kwanu, kumanja kapena kumanzere.

Ndi nthiti ziti zomwe zimakhudzidwa ndi `(Slipping Rib Syndrome)`?

Tili ndi nthiti 12, zowerengedwa kuyambira pamwamba mpaka pansi. Matenda a nthiti otsetsereka amakhudza nthiti yachisanu ndi chitatu, yachisanu ndi chinayi, ndi ya khumi. Izi zimatchedwanso "nthiti zabodza." Kodi mukudziwa kuti ndi chiyani? Nthitizi sizimalumikizana mwachindunji ndi fupa lomwe lili pakati pa chifuwa chathu, sternum.

M'malo mwake, "nthiti zonyenga" zonsezi zimalumikizidwa ndi nthiti yomwe ili pamwamba pake. Malumikizidwe awa, omwe amapangidwa ndi cartilage, ndi omwe tidawatcha "Interchondral Joints". Limodzi mwa malumikizidwe awa likafooka, "nthiti zonyenga" zimachoka pamalo pake.

Anthu ena amatchanso kuti "Floating Rib Syndrome", koma dzina lolakwika ndi limeneli. "Floating ribs" amatanthauza nthiti zathu zotsika kwambiri za khumi ndi chimodzi ndi khumi ndi ziwiri. Nthitizi zilibe "Interchondral Joints". Zimatchedwa "floating ribs" chifukwa sizimangiriridwa ku sternum kapena nthiti zina, koma ku msana kokha. Chifukwa chake, nthitizi sizingaterereke motere. Komabe, mutha kumva kupweteka m'minofu yozungulira.

Kodi zifukwa za `(Slipping Rib Syndrome)` ndi ziti?

Nthiti imodzi ikhoza kuterereka ngati chipolopolo cha m'malo olumikizirana pakati pa chondrochondral chafooka kapena chatuluka pamalo ake. Izi zitha kuchitika mwadzidzidzi kapena pang'onopang'ono. Nthawi zina, zitha kukhala chinthu chomwe mumabadwa nacho. Nazi zina zomwe zingayambitse:

• Kufooka kwa Kubadwa Nako (Chilema Chobadwa Nacho): Anthu ena amabadwa ndi ziwalo za cartilage izi zofooka.
• Kusayenda Bwino kwa Ma Joint: Vutoli limatha kuchitika ngati ma joint anu ali osinthasintha kuposa mwachizolowezi, zomwe zikutanthauza kuti amatha kusuntha mopitirira muyeso.
• Kuvulala Kobwerezabwereza: Mukachita mobwerezabwereza mtundu womwewo wa mayendedwe, monga pamasewera ena kapena ntchito zina, mafupa awa amatha kuwonongeka.
• Kuvulala Kwambiri: Kanyama kakang'ono kameneka kangawonongeke ndi chinthu monga kugwa, ngozi ya galimoto, kapena kuvulala kwambiri mukamasewera.

Kodi mungayang'anire bwanji `(Slipping Rib Syndrome)`?

Dokotala amene akufufuza ululu wanu angayambe walamula kuti akuyeseni, monga X-ray pachifuwa kapena CT scan.Nthiti yotsetsereka nthawi zambiri siimawonekera pazithunzi zosasunthika. Dokotala akufuna kuona momwe imagwirira ntchito.

Njira imodzi yodziwira izi ndi mayeso a "Dynamic Ultrasound". Izi zikutanthauza kuti "Ultrasound" imatengedwa pamene mukuchita mayendedwe ena (monga kutembenuza thupi lanu, kukhosomola, kuchita "Valsalva Maneuver" - kutanthauza kugwira mpweya wanu ndikuufinya). Kenako mutha kuwona nthiti ikutsetsereka panthawiyo.

Komabe, ngati dokotala akukayikira kale kuti pali vuto la "Slipping Rib Syndrome", akhoza kulizindikira akamamufufuza. Izi zimachitika pochita mayeso otchedwa "Hooking Maneuver".

Mu mayeso osavuta awa, dokotala amaika zala zake pansi pa m'mphepete mwa nthiti zanu ndikuzikweza pang'onopang'ono . Akachita izi, ululu wochokera ku ``Slipping Rib Syndrome'' umabwereranso, ndipo nthawi zina mumamva phokoso la "click" kapena "tock". Izi zidzapatsa dokotalayo lingaliro labwino la vutoli.

Kodi mumachiritsa bwanji nthiti yotsetsereka?

Nthawi zina, nthiti yotsetsereka imatha kudzichiritsa yokha popanda chithandizo chilichonse . Ngati simuli pamavuto aakulu, dokotala wanu angakuuzeni kuti mudikire kaye kuti muwone ngati ikuchira yokha. Pakadali pano, mutha kuchita zinthu zosavuta izi kuti muchepetse ululu:

• Chithandizo cha Kutentha/Kuzizira: Kupaka botolo la madzi otentha kapena paketi ya ayezi pamalo opweteka.
• Mankhwala ochepetsa ululu omwe amagulitsidwa kunja kwa ofesi ya dokotala: Mankhwala ochepetsa ululu omwe angagulidwe ku pharmacy popanda mankhwala ochokera kwa dokotala, monga NSAIDs.
• Pumulani kwakanthawi, kenako chitani masewera olimbitsa thupi: Pewani kuchita zinthu zomwe zimawonjezera ululu kwa kanthawi, kenako chitani masewera olimbitsa thupi motsogozedwa ndi katswiri wa masewera olimbitsa thupi.

Ngati zinthuzi sizikugwira ntchito, dokotala wanu angakupatseni mankhwala otchedwa "Intercostal Nerve Block," omwe akuphatikizapo kubaya mankhwala mu mitsempha yomwe ikutsinidwa. Izi zitha kuchepetsa ululu kwakanthawi ndipo nthawi zina zimathandiza pakuchira.

Kodi opaleshoni idzakhala yofunikira?

Ngati zizindikirozi sizikuchira pakapita nthawi, opaleshoni ingafunike kuti ikonze "Slipping Rib Syndrome." Madokotala ochita opaleshoni amagwiritsa ntchito njira zosavulaza kwambiri nthawi iliyonse yomwe zingatheke, monga "Video-Assisted Thoracic Surgery (VATS)". Izi zikutanthauza kuti opaleshoni imachitika popanda kudula kwakukulu, koma poika kamera ndi zida kudzera m'mabowo ang'onoang'ono.

Opaleshoni yokonza nthiti yotsetsereka ingaphatikizepo izi:

• Kukhazikika: Kumalimbitsa nthiti kuti zisatererekenso.
• Kuchotsa Nthiti Pang'ono: Chidutswa cha cartilage chomwe chili ndi vuto chimachotsedwa.
• Kuphimba Nthiti: Izi zimateteza nthiti kuti zisakhudzene.

Kodi chimachitika ndi chiyani ndikakhala ndi vutoli?

Kuzindikira chomwe chimayambitsa "Slipping Rib Syndrome" ndi theka la nkhondo yopambana. Dokotala akangozindikira vutoli, njira yochiritsira imatha kuyamba. Anthu ambiri amapeza mpumulo pakapita nthawi ndi mankhwala osavuta awa .

Si aliyense amene adzafunika opaleshoni ya ``Slipping Rib Syndrome``. Komabe, ngati opaleshoni ikufunika, nthawi zambiri imakhala yopambana. Kawirikawiri, pazifukwa zosadziwika, zizindikirozi zimatha kubwereranso ku nthiti ina mtsogolo.

Kupweteka kwa nthiti yotsetsereka kungakhale koopsa kwambiri, kosokoneza, komanso koopsa , makamaka ngati dokotala sangathe kufotokoza. N'zokhumudwitsa kwambiri kukhala ndi ululu wosatha popanda matenda kapena njira yothandizira.

Koma nkhani yabwino ndi yakuti chidziwitso cha "Slipping Rib Syndrome" chikuwonjezeka pang'onopang'ono. Ngakhale kuti zingawoneke zachilendo bwanji, si matenda osachiritsika, oopsa - ndi vuto la thupi lomwe lingathetsedwe ndi opaleshoni.

Uthenga Womaliza Wopita Nawo Kunyumba

Choncho, ngati muli ndi zizindikiro zomwe zafotokozedwa m'nkhaniyi, monga kupweteka pachifuwa mwadzidzidzi, kupweteka komwe kumayenderana ndi phokoso la "click" kapena "click", kapena kupweteka komwe kumawonjezeka ndi malo enaake, musachite mantha poyamba .

Chofunika kwambiri ndikuonana ndi dokotala wodziwa bwino ntchito yanu ndikukufotokozerani bwino zizindikiro zanu . Kenako dokotalayo akhoza kuchita mayeso ofunikira ndikuzindikira molondola ngati iyi ndi ``Slipping Rib Syndrome'' kapena vuto lina.

• Kumbukirani kuti vutoli nthawi zambiri silingadziwike, choncho onetsetsani kuti mwafotokoza bwino zizindikiro zanu.
• Anthu ambiri amapeza mpumulo ndi mankhwala osavuta.
• Ngakhale opaleshoni ikufunika, nthawi zambiri imayenda bwino.
• Iyi si matenda osachiritsika.

Kupeza mayankho a mafunso anu kungatenge nthawi, koma ndi chidziwitso choyenera ndi chithandizo, mutha kupeza mpumulo ku vutoli. Khalani ndi thanzi labwino!

Matenda a nthiti zotsetsereka, kupweteka pachifuwa, kutsetsereka kwa nthiti, kupweteka kwa nthiti, mitsempha yamkati, matenda a Cyriax, maneuver yolumikizirana