Kodi muli ndi ululu wachilendo kapena kutupa pachifuwa panu? Kodi tikambirane za Tietze Syndrome?

Kodi nthawi zina mumamva kupweteka kwambiri pachifuwa chanu, limodzi ndi kutupa pang'ono? Monga munthu amene akukukanikizani, kapena kumva kupsinjika? Izi zitha kukhala zoopsa pang'ono, chifukwa tikamaganiza za kupweteka pachifuwa, nthawi yomweyo timaganiza za vuto la mtima. Lero, tikambirana za vuto losowa koma lofunika lomwe lingayambitse zizindikirozi, lotchedwa Tietze Syndrome.

Kodi matenda a Tietze ndi chiyani?

Mwachidule, matenda a Teets ndi kutupa kwa minyewa ya m'mbali mwa nthiti . Sizachilendo kwenikweni, zomwe zikutanthauza kuti si vuto lofala kwa anthu ambiri. Koma lingayambitse ululu ndi kutupa kutsogolo ndi pamwamba pa chifuwa.

Tsopano onani, nthiti zapamwamba za pachifuwa chathu (nthiti khumi zoyambirira kapena kuposerapo) zalumikizidwa ndi fupa lathyathyathya pakati pa chifuwa, lomwe timalitcha sternum , ndipo pali cartilage pomwe amalumikizana. Cartilage iyi ndi mtundu wa minofu yofewa komanso yosinthasintha yomwe imagwira ntchito ngati thaulo pakati pa mafupa. Chifukwa chake, pakakhala kutupa m'malo olumikizirana pomwe nthiti izi zimalumikizana ndi sternum, zomwe zimatchedwa costochondral joints , vutoli lotchedwa Teets syndrome limachitika.

Mwina munamvapo za matenda otchedwa costochondritis . Zimenezi zimaphatikizaponso kutupa kwa khosi la m'mbali mwa nthiti. Koma matenda a Teets ndi osiyana pang'ono. Nthawi zambiri amakhudza nthiti imodzi yokha mwa zinayi zomwe zili pamwambapa , nthawi zambiri nthiti yachiwiri kapena yachitatu. Chizindikiro china ndi chakuti pali kutupa koonekera . Costochondritis nthawi zambiri siyambitsa kutupa kwakukulu, koma ululu wokha.

Madokotala sakudziwabe chomwe chimayambitsa matenda a Teets (nthawi zina amatchedwa costochondral junction syndrome). Koma nthawi zambiri, si vuto lalikulu . Lingathe kuchiritsidwa kunyumba ndi mankhwala opumulira komanso ochepetsa ululu.

Kodi zizindikiro za matenda a Tietze ndi ziti?

Chinthu chachikulu chomwe mumamva mu mkhalidwe uwu ndi kupweteka pachifuwa . Ululu uwu ukhoza kuyamba mwadzidzidzi kapena kuwonjezeka pang'onopang'ono. Anthu ena amati akangoyimirira , zimamveka ngati ululu wofooka komanso wolemera pachifuwa , koma akasuntha, kutembenuza thupi lawo, kapena kupuma mozama , ululuwo umakhala wakuthwa, ngati kubaya mpeni, kapena ngati wina akuwagwira ndi kuwafinya . Ululuwu ukhoza kukulirakulira akamatsokomola, kuyetsemula, kuchita masewera olimbitsa thupi, kapena kunyamula chinthu cholemera . Ululuwu umamveka kutsogolo, kumtunda kwa chifuwa, nthawi zambiri mbali imodzi yokha. Nthawi zina ululuwu ukhoza kufalikiranso (kufalikira) ku dzanja, phewa, ndi khosi .

Chizindikiro china chachikulu ndi chotupa chomwe chimawonekera pamalo amodzi okha . Mudzachimva pamwamba pa chifuwa chanu, pafupi ndi fupa la m'mawere (sternum), nthawi zambiri mozungulira nthiti yachiwiri kapena yachitatu.Zingawoneke ngati chotupa chaching'ono. Anthu ena amati chimamveka ngati chotupa, cholimba pang'ono . Chingamve ngati chofunda pang'ono chikakhudzidwa, chofiira, kapena chosintha mtundu . Zonsezi ndi zizindikiro za kutupa. Kutupa kumeneku ndi chizindikiro chodziwika kwambiri cha matenda a Teets, ndipo zingatenge nthawi kuti kutupako kuthe kwathunthu ngakhale ululu utachepa.

Kodi n’chifukwa chiyani matenda a Tietze amachitika? Kodi zimayambitsa chiyani?

Zizindikiro za matenda a Teets zimachitika pamene chipolopolo cha m'mbali mwa nthiti zanu chomwe mumamva kupweteka chimayamba kukwiya komanso kutupa . Koma madokotala sakudziwabe chomwe chimayambitsa izi, kapena chifukwa chake zimachitika mwanjira imeneyi. Nchifukwa chiyani zimakhudza nthiti imodzi yokha pamwambapa, kapena chifukwa chiyani imayambitsa kutupa? Izi ndi zinthu zomwe zimasiyanitsa matenda a Teets ndi matenda a costochondritis wamba.

Pali zinthu zingapo zomwe tikuganiza kuti zitha kuyambitsa izi:

• Kuvulala koopsa : Ngozi ya galimoto, kugwa kuchokera kutalika, kapena kuvulala kwambiri pachifuwa mukusewera kungayambitse matenda a titi. Minofu yofewa m'derali imatha kuyankha mosiyana ndi kuvulala. Mwachitsanzo, ngati mutagwa pa njinga ndikugunda pachifuwa chanu, kapena ngati mukugundidwa pachifuwa ndi mpira wothamanga mukusewera cricket, vutoli lingachitike.
• Kuvulala pang'ono mobwerezabwereza (`Microtrauma`) : Matenda enaake otupa amathanso kuchitika chifukwa cha kupsinjika pang'ono (kupsinjika) komwe kumayikidwa nthawi zonse m'khola lanu la nthiti pakapita nthawi. Mwachitsanzo, kutsokomola pafupipafupi komanso mwamphamvu . Tangoganizani kuti anthu ena ali ndi chifuwa chomwe chakhala chikuchitika kwa nthawi yayitali, ndipo kutsokomola nthawi zonse kumaika mphamvu pa minofu ndi minyewa ya pachifuwa. Komanso, vutoli lingayambitsidwe ndi kusanza pafupipafupi, kuchita masewera olimbitsa thupi okweza zolemera molakwika, kapena kugunda chinthu mobwerezabwereza pachifuwa (monga momwe zimakhalira pamasewera ena).

Ndani amene ali ndi mwayi waukulu wopeza izi? (Zinthu Zoopsa)

Muli ndi mwayi waukulu wopeza matenda a Teets ngati mukuchira matenda ena, kapena ngati muli ndi vuto losatha lomwe limafooketsa minyewa ya m'mbali mwa nthiti zanu, kapena ngati mukulisuntha nthawi zonse. Nazi zitsanzo zingapo:

• Matenda a nyamakazi ndi matenda odziteteza ku matenda : Awa ndi matenda omwe chitetezo cha mthupi chimaukira maselo ake. Mwachitsanzo, nyamakazi.
• Matenda obadwa nawo a minofu yolumikizana : Awa ndi matenda obadwa nawo omwe amakhudza minofu yolumikizana ya thupi (monga cartilage).
• Matenda a nyamakazi otupa kapena otupa: Matenda a nyamakazi omwe mafupa amafooka kapena kutupa.
• Matenda a pachifuwa osatha : Chifuwa cha nthawi yayitali chomwe chimayamba chifukwa cha zinthu monga kutsekeka kwa chifuwa pafupipafupi komanso bronchitis.
• Kutsokomola kapena kusanza kosatha: Kutsokomola kapena kusanza kosatha kungayambitse kupanikizika pachifuwa.
• Opaleshoni yaposachedwa m'derali : Ngati mwachitidwa opaleshoni pachifuwa, vutoli lingachitike pamene minofu yozungulira ikuchira.

Kodi dokotala amazindikira bwanji izi? (Kuzindikira)

Ngati mupita kwa dokotala amene ali ndi ululu pachifuwa, chinthu choyamba chimene angachite ndi kufufuza kuti atsimikizire kuti si matenda a mtima . Popeza ululu pachifuwa ndi chinthu choopsa kwambiri, ndi chinthu choyamba chomwe muyenera kudziwa. Mukatsimikiza kuti si matenda, dokotalayo adzamvetsera mosamala zizindikiro zanu - momwe ululu ulili, nthawi yayitali yomwe wakhalapo, nthawi yomwe ukukulirakulira, komanso ngati pali kutupa kulikonse. Kenako adzafufuza pachifuwa chanu kuti aone komwe kutupako kuli komanso momwe kumawonekera.

Kenako, adzayitanitsa mayeso ojambulira kuti aone zizindikiro za kutupa kapena kuvulala pachifuwa. Madokotala amazindikira matenda a Teets atachotsa matenda ena onse omwe angayambitse zizindikiro zanu (kuzindikira kuti mwachotsedwa) . Izi zikutanthauza kuti, amafika pamfundo imeneyi atachotsa zina zonse.

Mayeso omwe angachitike ndi awa:

• X-ray ya pachifuwa : Kufufuza mavuto a mafupa, monga chibayo. X-ray ya pachifuwa nthawi zambiri imakhala yachibadwa mu matenda a Teets.
• Kujambula kwa CT kapena MRI : Izi zitha kuwonetsa bwino minofu yofewa ndi minyewa yomwe ili mkati mwa chifuwa. Zingathandize kudziwa komwe kutupa kuli komanso kukula kwa kutupako.
• Kujambula kwa Ultrasound : Izi zingagwiritsidwenso ntchito kuona zinthu monga kutupa, momwe minyewa ilili, komanso ngati madzi asonkhana m'derali.
• E.C.G. (`Electrocardiogram - EKG`) : Izi zimachitika kuti zitsimikizire momwe magetsi a mtima amagwirira ntchito ndikuwonetsetsa kuti palibe vuto la mtima.
• Kuyezetsa magazi : Yang'anani zizindikiro za kutupa m'thupi ndipo fufuzani ngati matenda ena ali m'thupi.
• Kufufuza za matenda : Nthawi zina, kachidutswa kakang'ono ka minofu kamatha kutengedwa kuchokera pamalo otupa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu. Izi nthawi zambiri zimachitika kuti zitsimikizire kuti palibe china choopsa kwambiri, monga khansa.

Kodi mankhwala a izi ndi otani? (Chithandizo)

Minofu yanu yofewa ikatupa, imafunika nthawi ndi kupuma kuti ichire. Izi ndi zomwe madokotala nthawi zambiri amalangiza.

• Kupuma : Pewani kuchita zinthu zomwe zimawonjezera ululu, makamaka zinthu zomwe zimaika mphamvu pachifuwa, kwa kanthawi.
• Mankhwala ochepetsa ululu : Mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala angathandize kuchepetsa ululu ndi kutupa. Madokotala nthawi zambiri amalangiza mankhwala otchedwa nonsteroidal anti-inflammatory drugs (NSAIDs ) (monga ibuprofen ndi naproxen). Mankhwalawa amachepetsa kutupa, zomwe zingathandize kuchepetsa ululu.
• Khalani chete : Simudzatha kupita kusukulu kapena kuntchito, koma muyenera kukhala chete, kupewa zochita zolemetsa, kuchita masewera olimbitsa thupi, kapena kunyamula zinthu zolemera kwa kanthawi . Pamene mukuchira pang'onopang'ono, mutha kubwerera kuntchito pang'onopang'ono.
• Mapaketi otentha kapena ozizira : Anthu ena amapeza mpumulo akagwiritsa ntchito botolo la madzi otentha kapena paketi ya ayezi pamalo opweteka.

Komabe, ngati mukumvabe kufunika komwa mankhwala a NSAID patatha masiku pafupifupi khumi, uzani dokotala wanu. Izi zili choncho chifukwa kumwa mankhwalawo kwa nthawi yayitali kungayambitse mavuto ena , makamaka mavuto am'mimba. Dokotala wanu angakuuzeni kuti musinthe mankhwala ena, monga acetaminophen (monga Panadol), kapena kukupatsani jakisoni wa cortisone mwachindunji m'dera lomwe latupa. Jakisoniyu amapereka mankhwalawo mwachindunji kumalo komwe kwatupa, zomwe zimathandiza kuti munthu apumule mwachangu.

Anthu ena amafunika chithandizo kuti asiye kuyetsemula, kutsokomola, ndi kusanza chifuwa chawo chisanachiritsidwe. Ngati zinthuzi zipitirira, minyewa ya pachifuwa sichidzachira. Lankhulani ndi dokotala wanu nthawi zonse za momwe mukuchiritsira.

Chofunika kwambiri ndichakuti musapitirize kugwiritsa ntchito mankhwala aliwonse popanda upangiri wa dokotala, makamaka mankhwala monga NSAIDs.

Kodi chimachitika ndi chiyani kwa munthu amene ali ndi matenda a Tietze? Kodi adzachira? (Mkhalidwe ndi Kuchira - Kuneneratu za matenda)

Matenda a Costochondral junction syndrome (omwe amadziwikanso kuti Teets syndrome) ndi matenda akanthawi kochepa , zomwe zikutanthauza kuti si matenda okhalitsa. Mutha kuyembekezera kuchira kwathunthu . Anthu ambiri amachira mkati mwa milungu ingapo , nthawi zina mwezi umodzi kapena iwiri. Komabe, matupi a anthu ena angatenge nthawi yayitali, ngakhale miyezi ingapo, kuti achire. Nthawi zina, kutupa kumatha kupitirira kwa miyezi ingapo ululu utatha. Kumatha pang'onopang'ono.

Kawirikawiri, matenda a Teets amatha kutha kenako n’kubwereranso. Chifukwa cha zifukwa zosiyanasiyana komanso zinthu zomwe zingawabweretsere mavuto (monga chifuwa chosatha), anthu ena amatha kukhala ndi vutoli kwa nthawi yayitali kuposa ena, kapena lingabwerenso.

Mukakhala ndi ululu pachifuwa, makamaka ngati simukudziwa chomwe chikuyambitsa, ndiye kutiNdi zoopsa. Zimenezo ndi zachilendo. Komabe, matenda a Teets si chinthu choopa kapena choika moyo pachiswe . Ngakhale kuti angakhale osasangalatsa kwa kanthawi, amatha kuchiritsidwa kunyumba mpaka atachira.

Vuto lalikulu la matenda a Teets lingakhale kupeza matenda olondola . Popeza ndi matenda osowa kwambiri ndipo ali ndi zizindikiro zofanana ndi matenda ena ambiri (makamaka kupweteka pachifuwa), dokotala wanu ayenera kuchotsa zina zonse asanakupezeni matenda a Teets. Zimenezi zingatenge nthawi.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, tsopano popeza takambirana za Tietze Syndrome, ndikukhulupirira kuti mwamvetsetsa bwino. Nazi zinthu zingapo zomwe muyenera kukumbukira:

• Matenda a Teets ndi matenda otupa omwe amakhudza khungu la nthiti .
• Zizindikiro zazikulu ndi kupweteka pachifuwa ndi kutupa komwe kumawoneka bwino m'dera limodzi .
• Kawirikawiri vutoli silili lalikulu ndipo lingathe kuchiritsidwa kunyumba ndi kupuma, mankhwala ochepetsa ululu, komanso mwina mankhwala ena monga momwe dokotala wanenera.
• Komabe, ngati muli ndi ululu pachifuwa, muyenera kuonana ndi dokotala kuti mudziwe chifukwa chenicheni . Chifukwa ndikofunikira kwambiri kuonetsetsa kuti si vuto lalikulu monga matenda a mtima. Musachite mantha, koma funsani upangiri kwa dokotala.
• Mukalandira matenda oyenera ndikutsatira malangizo a dokotala, mutha kuchira kwathunthu ku vutoli . Ndikofunikira kukhala oleza mtima.

Choncho, ngati inu kapena munthu amene mumamudziwa ali ndi zizindikirozi, musachite mantha ndikupita kwa dokotala. Kenako akhoza kuchita mayeso ofunikira ndikupeza zomwe zikuchitika. Ndikufunira aliyense thanzi labwino!

Matenda a Tietze , Kupweteka pachifuwa, Kutupa kwa m'chiuno, Kutupa kwa m'chiuno, Kutupa kwa m'chiuno, Kupweteka pachifuwa