Ngaba wakha waziva intlungu ehlabayo ecaleni kwesifuba sakho xa ngequbuliso ujika umzimba wakho, uphefumla nzulu, okanye uhleka kakhulu? Abantu abaninzi baxhalabile kukuba yingxaki yentliziyo. Kodwa ayizizo zonke iintlungu zesifuba ezibangelwa yintliziyo. Enyanisweni, kukho inkqubo yemisipha emzimbeni wethu ebalulekileyo kwinkqubo yokuphefumla, kodwa asithethi kakhulu ngayo. Namhlanje sithetha ngale nkqubo ibalulekileyo yemisipha efihliweyo phakathi kweembambo zethu, i-Intercostal Muscle.
Zithini ezi zihlunu ze-Intercostal?
Ngamafutshane, ezi zimisipha ezidibanisa iimbambo zakho. Cinga ngekheyiji yakho yembambo njengeleli. Amanqanaba aloo leli ziimbambo. La manqanaba, oko kukuthi, iimbambo, adibene, kwaye agcinwa eqinile kwaye eguquguquka zezi zihlunu ze-intercostal. Igama elithi "intercostal" livela kwigama lesiLatini elithetha "phakathi kweembambo."
Ezi zihlunu zikwiindawo eziphakathi kweembambo, ezibizwa ngokuba "ziindawo eziphakathi kwe-intercostal". Ezi ndawo aziqulathanga kuphela izihlunu, kodwa zikwanazo nemithambo yegazi eyinika igazi kunye nemithambo-luvo ethwala iimvakalelo. Ngoko ke le yinkqubo entsonkothileyo nebaluleke kakhulu.
Kwenzeka ntoni ngokwenene kwezi zihlunu?
Umsebenzi oyintloko nobaluleke kakhulu wezi zihlunu kukuncedisa kwinkqubo yokuphefumla. Xa uphefumla kwaye ukhupha umoya, iimbambo zakho ziyanda kwaye zinciphe, akunjalo? Loo nkqubo ilawulwa zezi Zihlunu ze-Intercostal kunye nemisipha emikhulu ebizwa ngokuba yi-diaphragm eyahlula isifuba nesisu.
Njengeqela eliqhuba isikhephe, ezi zihlunu zisebenza kunye ukwandisa nokufinyeza umngxuma wesifuba.
- Xa uphefumla (uphefumla): Izihlunu zangaphandle ze-intercostal ziyafinyela, zitsale i-rib cage phezulu nangaphandle. Oku kwandisa indawo ngaphakathi kwemiphunga kwaye kunciphisa uxinzelelo. Ngenxa yoko, umoya ovela ngaphandle utsalelwa ngokuzenzekelayo emiphungeni.
- Xa ukhupha umoya (Ukukhupha umoya): Izihlunu zangaphakathi ze-intercostal ziyafinyela, zitsalela i-ribs cage ngaphakathi nasezantsi kwakhona, ziyicinezela. Oku kudala uxinzelelo emiphungeni, kunyanzelise umoya ngaphakathi ngaphandle.
Ukongeza ekuphefumleni, ezi zihlunu ziyanceda nanini na xa ufuna ukukhupha umoya ngokukhawuleza emiphungeni yakho, njengaxa ukhohlela kakhulu, uthimla, uhleka, okanye uncwina.
Makhe sijonge ezi ntlobo zintathu zezihlunu kunye nemisebenzi yazo.
| Uhlobo lweMisipha | Umsebenzi oPhambili |
|---|---|
| Izihlunu zangaphandle ze-intercostal | Inceda kakhulu ekuphefumleni . |
| Izihlunu zangaphakathi ze-intercostal | Inceda kakhulu ekuphefumleni . |
| Izihlunu zangaphakathi ze-intercostal | Xa ukhupha umoya, izihlunu zangaphakathi ze-intercostal ziyaxhaswa. |
Ziziphi iimeko eziqhelekileyo ezichaphazela i-Intercostal Muscle?
Njengayo nayiphi na eminye imisipha, le misipha ye-intercostal inokuchaphazeleka ziingxaki ezahlukeneyo, ukwenzakala, kunye neemeko zempilo.
- Ukonakala kwemisipha: Le yeyona nto ixhaphakileyo. Khawuthelekelele uphakamisa into enzima, ujika umzimba wakho ngequbuliso ngelixa udlala imidlalo, okanye ukhohlela kakhulu emva kosuku olude. Ngala maxesha, ezi zihlunu zinokuxinezeleka, zikrazuke, okanye ziqine.
- Iimbambo eziqhekekileyo: Ukuba imbambo yaphukile ngenxa yengozi okanye ukuwa, izihlunu ezijikeleze i-intercostal nazo zinokonakala.
- Ukuphazamiseka kwemiqondiso evela ebuchotsheni: Kwezinye izifo zenkqubo yemithambo-luvo, ezifana ne-amyotrophic lateral sclerosis (ALS), imiqondiso esuka ebuchotsheni eya kwimisipha iba buthathaka. Oku kunokubangela ukuba imisipha ebandakanyeka ekuphefumleni ibe buthathaka.
- Ukulimala komqolo: Ukuba imithambo-luvo yonakaliswe yingozi yomqolo, ezi zihlunu zinokukhubazeka.
- Unyango lwezonyango: Ngamanye amaxesha, ezi zihlunu zinokuchaphazeleka ngexesha lotyando lwemiphunga okanye unyango olufana ne-thoracostomy, olubandakanya ukubeka ityhubhu esifubeni.
Ngamanye amaxesha intlungu oyivayo inokuba ibangelwa yimeko ebizwa ngokuba yi-"costochondritis." Oku kukudumba kwe-cartilage edibanisa iimbambo nethambo le-"sternum" eliphakathi kwesifuba. Le ayisiyongxaki yemisipha, kodwa iimpawu ziyafana kangangokuba zinokuphazamaniswa nayo.
Uyibona njani ingxaki ngezi zihlunu? Zithini iimpawu?
Ukuba unengxaki ngezihlunu zakho ze-intercostal, unokufumana iimpawu ezahlukeneyo. Ezinye zezi mpawu zinokufana nezo zokuhlaselwa yintliziyo, nto leyo enokubangela uloyiko kubantu abaninzi. Nangona kunjalo, kukho umahluko ocacileyo phakathi kwezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu yesifuba semisipha | Le ntlungu idla ngokuba bukhali, ihlaba. Intlungu iyanda xa uphefumla nzulu, ukhohlela, okanye ujika umzimba wakho. Ungakhomba indawo echanekileyo yentlungu. Intlungu yokuhlaselwa yintliziyo idla ngokuvakala ngathi kukucinezelwa embindini wesifuba. |
| Ukudumba | Ungaphawula ukudumba okuncinci kwindawo apho izihlunu zonzakele khona. |
| Ukugruzuka | Ukuba umsipha wonakele kwingozi, ulusu olukuloo ndawo lunokuba luhlaza okwesibhakabhaka. |
| Ubuthathaka okanye ukukhubazeka | Kwimeko yomonakalo wemithambo-luvo, unokufumana ubunzima bokuphefumla okanye ubuthathaka kwimisipha yesifuba sakho. |
| Ingxamiseko: Ukurhoxiswa kweMicimbi yeNtlalo | |
| Ukurhoxa kwe-Intercostal | Le yimeko enzima kakhulu efuna unyango olukhawulezileyo.Ukuba ulusu oluphakathi kweembambo lubonakala ngathi lungena ngaphakathi xa kuphefumlwa, oko kuthetha ukuba ukuphefumla kunzima kakhulu. Le meko ixhaphake kakhulu kubantwana abancinci abanezifo zokuphefumla. Ukuba ubona uphawu olunjalo, kufuneka ubathathe ngokukhawuleza baye kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane. |
Ugqirha ujonga njani oku?
Xa usiya kugqirha oneempawu ezifana nezi, uya kwenza iimvavanyo ezininzi ukuze afumane unobangela.
- Uvavanyo lomzimba: Le yinto yokuqala eyenziwayo. Ugqirha uza kukubuza imibuzo, efana nokuba intlungu iqale njani kwaye iba mandundu nini. Emva koko baza kumamela isifuba sakho, bacinezele kwindawo yentlungu, baze bajonge indlela ophefumla ngayo.
- Uvavanyo lokujonga imifanekiso: Olu vavanyo lunceda ukujonga imeko yezihlunu, amathambo, kunye nezicubu ezingqongileyo. Kunokwenziwa i-ultrasound okanye, ukuba kuyimfuneko, i-magnetic resonance imaging (MRI).
- Uvavanyo lwemithambo-luvo: Ukuba kurhanelwa ukuba kukho umonakalo kwimithambo-luvo, kunokwenziwa uphando lokuqhuba imithambo-luvo, olulinganisa isantya esihamba ngaso imiqondiso kwimithambo-luvo, okanye i-electromyography, elinganisa umsebenzi wombane wemisipha.
Usenokungazidingi zonke ezi mvavanyo. Ugqirha wakho uya kugqiba ukuba loluphi uvavanyo olufanelekileyo kuwe ngokusekelwe kwiimpawu zakho kunye nemeko yakho.
Wenza ntoni njengonyango?
Iindlela zonyango zixhomekeke kwimeko yakho, ubukhali bayo, kunye nesizathu.
Amaxesha amaninzi, ukuxinana kwemisipha okuncinci akudingi nyango lukhethekileyo. Kuza kuphola ngokwako ngokuhamba kwexesha. Kwimeko ezinjalo, ugqirha angakunika iingcebiso ezifana nezi:
- Phumla: Zigcine kude nemisebenzi eyonyusa intlungu kangangeentsuku ezimbalwa.
- Umkhenkce: Kwiintsuku ezimbini ukuya kwezintathu zokuqala, faka ipakethe yomkhenkce kwindawo ebuhlungu nedumbileyo izihlandlo ezininzi ngemini.
- Iipilisi zokunciphisa iintlungu: Sela i-paracetamol okanye enye ipilisi yokunciphisa iintlungu ecetyiswe ngugqirha wakho.
Nangona kunjalo, ukuba intlungu inzima, kukho ubunzima bokuphefumla, okanye ukuba ingxaki ibangelwa yenye imeko yezonyango enzulu, inokufuna unyango olukhethekileyo. Ngoko ke kungcono kwaye kukhuselekile ukuthetha nogqirha wakho ukuze ufumane ukuba loluphi unyango olulungele wena.
Nangona ufunda eli nqaku, ii-Intercostal Muscles zakho ziyasebenza ngaphandle kokuba wena ungazi. Emva kwayo yonke into oyenzayo, kukho ukusebenza kwezi zihlunu. Asicingi ngazo de zisebenze kakuhle. Kodwa xa kuvela ingxaki encinci, intlungu yenza kube nzima ukucinga ngenye into. Ngoko ke ukuba uneempawu okanye amathandabuzo malunga nezi zihlunu, musa ukucinga kabini ngokufuna ingcebiso kugqirha.
Umyalezo Wokuya Ekhaya
- Izihlunu ze-Intercostal liqela lezihlunu ezifumaneka phakathi kweembambo zakho ezibalulekileyo kwinkqubo yokuphefumla.
- Ayizizo zonke iintlungu zesifuba ezibangelwa yintliziyo. Intlungu ebukhali eyandayo xa uphefumla nzulu, ukhohlela, okanye ujika umzimba wakho isenokuba ngenxa yokuxinana kwemisipha.
- Ezi zihlunu zinokonakala ngenxa yeengozi, umthambo ogqithisileyo, okanye ukukhohlela ixesha elide.
- Ukuba ulusu oluphakathi kweembambo lutsalela ngaphakathi xa uphefumla (ii-Intercostal retractions), yimeko embi kakhulu kwaye ifuna ukungeniswa ngokukhawuleza kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele.
- Ukuba uneentlungu esifubeni okanye unengxaki yokuphefumla, qiniseka ukuba ubonana nogqirha wakho ukuze ufumane unyango olufanelekileyo.
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