Ngaba ngamanye amaxesha ukhe uzive intlungu engaqhelekanga efika ngequbuliso ecaleni kwesifuba sakho okanye esiswini sakho esingaphezulu? Ifana nentlungu ebukhali, njengemela ekuhlabayo, ize iphele emva kwexesha elithile. Usenokuva okanye uve isandi "sokuklikha". Oku akusiyonto ilula nje, usenokuba unesifo esibizwa ngokuba yi-`(Slipping Rib Syndrome)`. Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha nangokulula namhlanje.
Yintoni i-`(Slipping Rib Syndrome)`?
Ngamafutshane, `(Slipping Rib Syndrome)` yintlungu eyenzeka kwimisipha yesifuba sethu, efika ize ihambe, oko kukuthi, ivele ize inyamalale ngamanye amaxesha. Le ntlungu iza ngequbuliso, ngamandla kakhulu, ize inciphe kancinci kancinci. Abanye abantu banokuziva isandi "sokuklikha" okanye "sokuklikha" esifubeni sabo kunye nale ntlungu.
Oku kwenzeka xa i-cartilage (isicwili esithambileyo esingaqinanga njengethambo) esidibanisa iimbambo ezimbini kwinxalenye esezantsi yesifuba sethu ikhululeka okanye ingazinzi. Emva koko olunye ubambo luqala ukutyibilika lubuyela umva phezu kolunye. Xa oku kutyibilika, i-"Intercostal Nerve" ehamba phakathi kwezo mbambo iyacinezelwa okanye icinezelwe. Yiyo loo nto siziva iintlungu.
Le `(Slipping Rib Syndrome)` ibizwa ngamanye amagama amaninzi. Ukubala ambalwa, kusetyenziswa amagama anje `(Displaced Rib)`, `(Clicking Rib Syndrome)`, `(Floating Rib Syndrome)`, `(Gliding Rib Syndrome)`, `(Rib-Tip Syndrome)`. Ngokwezonyango, ikwabizwa ngokuba yi `(Interchondral Subluxation)`. `(Subluxation)` ayithethi ukuba ilungu lityibilika ngokupheleleyo, kodwa endaweni yoko lityibilika phakathi. Iindawo apho iincam ze-cartilage zeembambo zethu ezisezantsi zidibana neembambo ezingasentla zibizwa ngokuba yi `(Interchondral Joints)`.
Ixhaphake kangakanani le meko?
Ngokwedatha yamva nje, yi-5% kuphela yeentlungu zodonga lwesifuba ezibangelwa yi-"Slipping Rib Syndrome." Ngelishwa, ayingabo bonke ababoneleli bezempilo, oko kukuthi, ayingabo bonke oogqirha, abayaziyo le meko. Ngoko ke, ihlala ingafunyaniswa .
Kuvakala njani xa ubambo lutyibilika?
Xa uqala ukukhupha ubambo, intlungu inokuba ngequbuliso, ibukhali, ihlaba . Usenokuva okanye uve "ukucofa" okanye "ukucofa" njengoko ubambo ludlula kolunye ubambo. Emva koko, intlungu ebukhali inokuphela, ishiye ubunzima obungaqhelekanga, obungabonakaliyo okanye iintlungu ezibuhlungu .
Abantu abaninzi bafumanisa ukuba le ndlela iphindaphindeka ngokuhamba kwexesha. Olu bhambo lunokutyibilika xa ukhohlela, uthimla, okanye ujika uye kwindawo ethile . Umzekelo, ungaziva intlungu ngequbuliso xa ufikelela kwinto ethile, uphuma ebhedini, okanye uqhuba imoto.
Ubambo olutyibilikayo lunokucinezela umthambo we-intercostal, ohamba phakathi kweembambo zakho. Oku kudla ngokuba yimbangela yentlungu ebukhali, ekwindawo ethile ozivayo ekuqaleni. Ekuhambeni kwexesha, oku kunokubangela ukuba izicubu ezithambileyo ezijikeleze ubambo zidumbe kwaye zivuvuke.
Ngenxa yesi sizathu, ngamanye amaxesha intlungu ayibikho kwindawo enye kuphela, kodwa isenokusasazeka kancinci, nto leyo eyenza kube nzima ukuyiqonda ngqo apho ivela khona. Ingavakala ngathi yintlungu esifubeni esisezantsi, okanye ingavakala ngathi yintlungu esiswini esingaphezulu. Ngamanye amaxesha, le ntlungu ingade ifike emqolo wakho, ngasekunene okanye ngasekhohlo.
Zeziphi iimbambo ezichaphazeleka yi-`(Slipping Rib Syndrome)`?
Sineembambo ezili-12, ezibalwe ukusuka phezulu ukuya ezantsi. I-Slipping Rib Syndrome ichaphazela imbambo yesibhozo, eyesithoba, neyeshumi. Ezi zikwabizwa ngokuba "ziimbambo ezibuxoki." Uyazi ukuba zeziphi? Ezi mbambo azidibani ngqo nethambo eliphakathi kwesifuba sethu, i-sternum.
Kunoko, nganye kwezi "zimbambo zobuxoki" iqhagamshelwe kwimbambo engaphezulu kwayo. Ezi mbombo, ezenziwe nge-cartilage, zezo sizibiza ngokuba yi-"Interchondral Joints". Xa enye yezi mbombo iba buthathaka, "imbambo yobuxoki" iyashenxa endaweni yayo.
Abanye abantu babiza le gama ngokuthi "Floating Rib Syndrome", kodwa loo nto ayifanelekanga. "Floating ribs" ibhekisa kwiimbambo zethu zeshumi elinanye nezeshumi elinesibini ezisezantsi. Ezi mbambo azinazo "ii-Interchondral Joints". Zibizwa ngokuba "ziimbambo ezidadayo" kuba azinamatheliswanga kwi-sternum okanye kwezinye iimbambo, kodwa zinamathele kumqolo kuphela. Ngoko ke, ezi mbambo azina "kutyibilika" ngolo hlobo. Nangona kunjalo, ungaziva iintlungu kwizicubu ezizingqongileyo.
Zithini izizathu ze-`(Slipping Rib Syndrome)`?
Enye yeembambo zakho inokutyibilika ukuba i-cartilage ekwi-interchondral joint ibuthathaka okanye ityibilika isuka endaweni yayo. Oku kungenzeka ngequbuliso okanye kancinci kancinci. Kwezinye iimeko, inokuba yinto ozalwa nayo. Nazi ezinye zezizathu ezinokwenzeka:
- Ubuthathaka Bokuzalwa (Isiphene Sokuzalwa): Abanye abantu banokuzalwa benala malungu e-cartilage abuthathaka.
- Ukunganyakazi kwamalungu: Le meko inokwenzeka ukuba amalungu akho aguquguquka ngakumbi kunesiqhelo, oko kuthetha ukuba anokushukuma ngaphezu kokuba kufanele.
- Ukulimala Koxinzelelo Oluphindaphindayo: Xa uphinda-phinda ukwenza uhlobo olufanayo lokunyakaza, njengakweminye imidlalo okanye imisebenzi, la malungu anokonakala.
- Ukulimala Okubuhlungu: Le cartilage ingonakaliswa yinto efana nokuwa, ingozi yemoto, okanye ukungqubana okukhulu ngelixa udlala imidlalo.
Ungayijonga njani i-`(Slipping Rib Syndrome)`?
Ugqirha ophanda iintlungu zakho angayalela uvavanyo lomfanekiso, olufana ne-X-ray yesifuba okanye i-CT scan. Nangona kunjalo,Ubambo olutyibilikayo aluqhelekanga ukubonakala kwimifanekiso engashukumiyo. Ugqirha ufuna ukubona ukuba lusebenza njani.
Enye indlela yokubona oku kukusebenzisa uvavanyo lwe-"Dynamic Ultrasound". Oku kuthetha ukuba kuthathwa i-"Ultrasound" ngelixa usenza iintshukumo ezithile (umz. ukujika umzimba wakho, ukukhohlela, ukwenza i-"Valsalva Maneuver" - oko kukuthi, ukubamba umphefumlo wakho nokuwucinezela). Emva koko ungayibona imbambo ityibilika ngelo xesha.
Nangona kunjalo, ukuba ugqirha sele erhanela ukuba kukho i-"Slipping Rib Syndrome", unokuyibona ngexesha lovavanyo lomzimba. Oku kwenziwa ngokwenza uvavanyo olubizwa ngokuba yi-"Hooking Maneuver".
Kolu vavanyo lulula, ugqirha ubeka iminwe yakhe phantsi komphetho ongezantsi wembambo yakho aze ayiphakamise kancinci . Xa esenza oku, intlungu evela kwi-"Slipping Rib Syndrome" iya kubuya kwakhona, kwaye ngamanye amaxesha uya kuva eso sandi "click" okanye "tock". Oku kuya kunika ugqirha umbono ongcono wemeko.
Uyiphilisa njani imbambo etyibilikileyo?
Ngamanye amaxesha, ubambo olutyibilikayo lunokuphila ngokwalo ngaphandle konyango . Ukuba awukho ngxakini ingako, ugqirha wakho angakuxelela ukuba ulinde ithutyana ukuze ubone ukuba luyaphila ngokwalo na. Okwangoku, ungenza ezi zinto zilula ukunceda ukunciphisa iintlungu:
- Unyango Olushushu/Olubandayo: Ukufaka ibhotile yamanzi ashushu okanye iphakheji yomkhenkce kwindawo ebuhlungu.
- Amayeza eentlungu athengiswa ngaphandle kwemvume kagqirha: Iipilisi zokunciphisa iintlungu ezinokuthengwa kwikhemesti ngaphandle kwemvume kagqirha, njengee-NSAID.
- Phumla okwethutyana, uze emva koko wenze unyango lomzimba: Zigcine kude nemisebenzi eyonyusa iintlungu okwethutyana, uze wenze umthambo phantsi kwesikhokelo sengcali yonyango lomzimba.
Ukuba ezi zinto azisebenzi, ugqirha wakho unokucebisa i-"Intercostal Nerve Block," equka ukufaka iyeza kwimithambo-luvo ecinezelwayo. Oku kunokunciphisa iintlungu okwethutyana kwaye ngamanye amaxesha kuncede kwinkqubo yokuphiliswa.
Ngaba utyando luza kufuneka?
Ukuba ezi mpawu aziphucuki ngokuhamba kwexesha, utyando lunokufuneka ukuze kulungiswe i-"Slipping Rib Syndrome." Oogqirha basebenzisa iindlela ezingaphantsi kakhulu xa kunokwenzeka, ezinje nge-"Video-Assisted Thoracic Surgery (VATS)`. Oku kuthetha ukuba utyando lwenziwa ngaphandle kokwenza umngxuma omkhulu, kodwa ngokufaka ikhamera nezixhobo ngemingxunya emincinci.
Utyando lokulungisa ubambo olutyibilikileyo lungabandakanya oku kulandelayo:
- Uzinzo: Iqinisa iimbambo ukuze zingatyibiliki kwakhona.
- Ukususwa kweembambo ezingaphelelanga: Isiqwenga se-cartilage esinengxaki siyasuswa.
- Ukubeka Iimbambo: Oku kuthintela iimbambo ukuba zingakhuhlani.
Kuza kwenzeka ntoni ukuba ndinesi sifo?
Ukuchonga unobangela we-"Slipping Rib Syndrome" sisiqingatha sedabi eliphumeleleyo. Nje ukuba ugqirha ayifumanise le meko, inkqubo yokuphiliswa inokuqala. Abantu abaninzi bafumana isiqabu ngokuhamba kwexesha ngolu nyango lulula .
Akuyena wonke umntu oya kufuna utyando lwe-"Slipping Rib Syndrome." Nangona kunjalo, ukuba utyando luyimfuneko, ludla ngokuphumelela. Amaxesha amaninzi, ngenxa yezizathu ezingaziwayo, ezi mpawu zinokuphinda zibuye kwelinye ubambo kamva.
Intlungu yombambo otyibilikayo inokuba nkulu kakhulu, idideke, kwaye yoyike , ingakumbi xa ugqirha engenakukwazi ukuyichaza. Kuyacaphukisa kakhulu ukuhlala nentlungu engapheliyo ngaphandle kokuxilongwa okanye isicwangciso sonyango.
Kodwa iindaba ezimnandi zezokuba ulwazi nge-"Slipping Rib Syndrome" lukhula kancinci kancinci. Nangona lubonakala luyimfihlakalo, aluyonto inganyangekiyo, esongela ubomi - yingxaki nje yomzimba, yesakhiwo enokulungiswa ngotyando.
Umyalezo Wokugqibela Wokuya Ekhaya
Ngoko ke, ukuba uneempawu ezichazwe kweli nqaku, ezinje ngentlungu yesifuba ngequbuliso, intlungu ehamba nesandi esithi "click" okanye "click", okanye intlungu eyandayo ngokweendawo ezithile, musa ukoyika ekuqaleni .
Eyona nto ibalulekileyo kukubona ugqirha ofanelekileyo uze uchaze iimpawu zakho ngokucacileyo . Emva koko ugqirha unokwenza uvavanyo olufunekayo aze afumanise ngokuchanekileyo ukuba le yi-"Slipping Rib Syndrome" okanye yenye imeko.
- Khumbula, le meko isenokungabonwa, ngoko ke qiniseka ukuba uchaza iimpawu zakho ngononophelo.
- Abantu abaninzi bafumana isiqabu ngonyango olulula.
- Nokuba kufuneka utyando, ludla ngokuphumelela.
- Esi asisosifo esinganyangekiyo.
Ukufumana iimpendulo kwimibuzo yakho kungathatha ixesha, kodwa ngolwazi olufanelekileyo kunye nenkxaso, ungafumana isiqabu kule meko. Hlala usempilweni!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ingaba i-Slipping Rib Syndrome yimeko apho iimbambo ziqhekeka khona?
Iimbambo aziphuki! Iimbambo ezisezantsi kwesifuba sethu (iimbambo zobuxoki / 8, 9, 10) aziqhagamshelwanga ngqo kwithambo lesifuba (sternum); ziqhagamshelwa yi-cartilage (njengamalungu). Kulapho loo cartilage ikhululeka okanye iqhekeka, kwaye xa imbambo engaphantsi 'itsiba/ityibilika', imithambo-luvo engasemva kwayo iyacinezelwa kwaye ibangele iintlungu eziqatha.
💬 Ndingazi njani ukuba olunye lweembambo zam lutyibilikile/lutyibilikile kwaye lubambekile?
Kukho uphawu olucacileyo! Xa ugoba, ujika ebhedini, ukhohlela kakhulu, okanye uphefumla, uya kuziva intlungu ebukhali esifubeni sakho okanye esisezantsi kwesisu. Kwangaxeshanye, uya kuva isandi esithi 'click/pop' xa uchukumisa imbambo.
💬 Ngaba kufuneka ndixhalabe ukuba oku kukuhlaselwa yintliziyo? Luluphi unyango lwale nto?
Ayikokuhlaselwa yintliziyo, kodwa ekuqaleni kuvakala ngathi kukuhlaselwa yintliziyo! Oku kunokuchongwa lula ngugqirha owenza 'iHooking maneuver' (uvavanyo apho ugqirha ebeka isandla sakhe phantsi kwembambo aze asitsale phezulu). Uninzi lwexesha, oku akudingi nyango luphezulu (ii-Ice packs, ii-Painkillers, i-Rest). Nangona kunjalo, ukuba intlungu inzima, oogqirha baya kufaka i-painkillers (i-Nerve block/Steroid injections) okanye baphinde bafake i-cartilage ngotyando oluncinci.
Isifo sembambo esityibilikayo, iintlungu zesifuba, ukutyibilika kwembambo, iintlungu zembambo, imithambo-luvo ephakathi, isifo seCyriax, i-hooking maneuver
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