Ingabe ubuhlungu besifuba sakho bubangelwa yi-costochondritis? Ake sixoxe ngakho!

Wake waba nobuhlungu besifuba obungazelelwe wabe usucabanga ukuthi, "Hawu Nkulunkulu, ingabe lokhu kuwukuhlaselwa yinhliziyo?" Sonke siyathuka kancane uma sizwa ubuhlungu besifuba. Kodwa okokuqala udinga ukuqonda ukuthi akuzona zonke izinhlungu zesifuba eziwuphawu lokuhlaselwa yinhliziyo . Ngezinye izikhathi lolu hlobo lobuhlungu lubangelwa yisimo esibizwa ngokuthi "i-costochondritis." Ngakho-ke, ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, akunjalo?

Kuyini ngempela i-costochondritis?

Kalula nje, i-costochondritis ukuvuvukala kwe-cartilage lapho izimbambo zakho zihlangana khona nethambo eliyisicaba phakathi kwesifuba sakho (i-sternum). Amalunga lapho lezi mbambo ne-sternum kuhlangana khona abizwa ngokuthi "amalunga e-costochondral." Lawa amalunga aqinile, aqinile. Lokhu kungenxa yokuthi la malunga asiza ikheji lezimbambo ukuvikela izitho ezibalulekile njengenhliziyo namaphaphu esifubeni sethu.

Ngakho-ke, lapho la ma-cartilage evuvukala, ungase uzwe ubuhlungu obukhulu uma uphefumula noma ushukumisa isifuba sakho kancane. Lobuhlungu bungase buqale ngokuzumayo, noma bungase bukhule kancane kancane busakazeke esifubeni sakho sonke.

Abantu abaningi bacabanga ukuthi ukuhlaselwa yinhliziyo yinto yokuqala abayicabangayo lapho bezwa ubuhlungu besifuba. Kodwa khumbula, kunezimbangela ezimbili eziyinhloko zokuhlaselwa yinhliziyo kanye nezimbangela ezimbili eziyinhloko ze-costochondritis. Ukuba ne-costochondritis akusho ukuthi uzoba nokuhlaselwa yinhliziyo. Kodwa-ke, uma ubuhlungu besifuba, ikakhulukazi uma bungapheli ngemva kwezinsuku ezimbalwa, kungcono ukubona udokotela bese uyahlolwa.

Sivame kangakanani lesi simo esibizwa ngokuthi i-costochondritis?

Eqinisweni, inani elikhulu labantu abafika kodokotela benobuhlungu besifuba banesifo esibizwa ngokuthi i-costochondritis. Abacwaningi balinganisela ukuthi abantu abafika kwesithathu abafika bezobona udokotela ngenxa yobuhlungu besifuba bangase babe nalesi simo.

Ziyini izimpawu ze-costochondritis?

Uphawu oluyinhloko noluvame kakhulu ubuhlungu besifuba .

Buzwakala kanjani ngempela lobu buhlungu?

Ubuhlungu buzwakala buhlukile kubo bonke abantu. I-Costochondritis ivame ukuzwakala njengobuhlungu obuqinile, obuqinile esifubeni eduze kwezimbambo. Uma ushukumisa isifuba sakho noma uphendula umzimba wakho, ubuhlungu bungajika ngokuzumayo, njengommese. Lobuhlungu bungaba bubi kakhulu ngemisebenzi ethile. Isibonelo:

• Uma uphefumula, ikakhulukazi uma uphefumula kakhulu noma uma uphefumula kakhulu.
• Uma ukhwehlela, uthimula, noma uhlanza.
• Uma ujika.
• Uma welula isandla sakho ukuze ucoshe into engaphezulu kwakho.
• Uma othile ekugona.
• Uma uzivocavoca.
• Uma ulele ohlangothini lapho kukhona khona ubuhlungu.

Yiziphi izinto ezibangela i-costochondritis?

Odokotela abakakazi kahle ukuthi yini ebangela i-costochondritis. Kodwa abanye odokotela bacabanga ukuthi ingabangelwa yimithelela emincane, yesikhathi eside (ebizwa ngokuthi ama-microtraumas) ezimbanjeni. Lawa ma-microtrauma angenzeka uma:

• Ukulimala esifubeni noma ezimbanjeni.
• Ukukhwehlela kakhulu nokuhlanza.
• Ukutheleleka esifubeni.
• Ukuzivocavoca njalo, ukudlala ezemidlalo, noma ukwenza umsebenzi onzima ngokomzimba noma into yokuzilibazisa ngaphandle kokunikeza umzimba ukuphumula okufanele.
• Ukuzibandakanya ngokuzumayo emsebenzini womzimba ngendlela ongakaze uyenze ngaphambili (isibonelo, ukuqala ngokuzumayo ukuzivocavoca ngamandla, noma ukuthuthela endlini yomngane wakho nokuphakamisa izinto ezisindayo izinsuku eziningana).

Ubani osengozini enkulu yokuthola lesi simo?

Noma ubani angaba ne-costochondritis, kodwa abanye abantu basengozini enkulu:

• Abasubathi abadlala imidlalo yokuxhumana.
• Abantu abasebenza emisebenzini edinga ukuzikhandla okukhulu ngokomzimba.
• Ukuba ngowesifazane.
• Ngokwesibonelo, ezinye izinhlanga, ucwaningo lubonisa ukuthi amaHispanic asengozini enkulu.

Ingabe i-costochondritis ingabangela ezinye izinkinga?

I-Costochondritis ngokuvamile ayibangeli izinkinga ezinkulu. Kodwa-ke, ngezinye izikhathi kungaba uphawu lokuthi unesifo esifana nesifo samathambo, ikakhulukazi i-ankylosing spondylitis.

Odokotela basithola kanjani lesi sifo ngokunembile?

I-Costochondritis ivame ukutholakala kusetshenziswa indlela ebizwa ngokuthi "ukuxilongwa kokususwa kwesifo." Lokhu kusho ukuthi udokotela uzoqala akuhlole, enze izivivinyo ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha ezingathi sína, bese ethola ukuthi une-costochondritis.

Udokotela wakho uzokuhlola lokhu ngokuhlolwa ngokomzimba.

• Uzothinta isifuba sakho kanye nezimbambo ukuqinisekisa ukuthi ziphilile.
• Mhlawumbe kufanele ucindezele isifuba sakho kancane ukuze ubone ukuthi uzwela kangakanani nokuthi ubuhlungu bukuphi ngempela.
• Bazohlola nezinye izinkinga noma izimo zezokwelapha ezingase zibangele izimpawu zakho.

Kungase kudingeke futhi ukuthi uhlolwe igazi ukuze kubonakale ukuthi kukhona yini ukutheleleka.

Akukho ukuhlolwa kwesithombe okuqondile okungasho ngokuqinisekile ukuthi une-costochondritis. Kodwa-ke, udokotela wakho angasebenzisa ukuhlolwa kwesithombe ukuhlola ezinye izimbangela zobuhlungu bembambo yakho. Ukuhlolwa okuvame kakhulu yile:

• I-X-ray yesifuba.
• Ukuskena kwe-CT (`Ukuskena kwe-Computed Tomography (CT)`).
• I-MRI (I-Magnetic Resonance Imaging (MRI)).
• Ukuhlolwa kwe-Ultrasound.
• Ukuhlolwa kwe-ECG (`I-Electrocardiogram (EKG)`).

Yiziphi izindlela zokwelapha i-costochondritis?

Ukwelashwa okuvame kakhulu kwe-costochondritis ukunikeza isifuba sakho kanye ne-rib cage ukuphumula okwanele. Into engcono kakhulu ongayenza nge-costochondritis ukunikeza lawo malunga e-costochondral avuvukile futhi abuhlungu isikhathi sokuphulukiswa.

Imithi ethengiswa ngaphandle kwemithi kadokotela (OTC), njengemithi elwa nokuvuvukala engeyona i-steroidal (NSAIDs) noma i-acetaminophen, ingasiza ekunciphiseni ubuhlungu. Kodwa-ke, kungcono ukukhuluma nodokotela wakho ngaphambi kokuthatha imithi yobuhlungu izinsuku ezingaphezu kweshumi ngesikhathi.

Akuvamile kakhulu, uma izimpawu zakho zingathuthuki ngemva kwamasonto ambalwa, udokotela wakho angase afake umuthi obizwa ngokuthi i-corticosteroid emalungeni avuvukile. Lokhu kuzonciphisa ukuvuvukala.

Kwabanye abantu, i-costochondritis iba ngcono ngaphandle kokwelashwa. Kodwa ungacabangi ukuthi "izophela yodwa." Uma uzwa ubuhlungu besifuba, bheka udokotela ngokushesha.

Singazivikela kanjani kulesi simo esibizwa ngokuthi i-costochondritis?

Njengoba singazi kahle ukuthi yini ebangela i-costochondritis, kunzima ukusho ukuthi ungazivikela kanjani ngokuphelele kuyo.

Kodwa ngokuvamile, gwema ukucindezela noma ukukhandleka okungadingekile esifubeni nasezimbanjeni zakho. Ungakhohlwa ukunikeza umzimba wakho ukuphumula okudingayo ukuze ululame ngemva kokusebenza kanzima ngokomzimba.

Kwenzekani uma ngine-costochondritis? Yini okufanele ngiyilindele?

Khumbula ukuthi uma une-costochondritis, ungalulama ngokugcwele . Uma ukuvuvukala sekwehlile, kufanele ukwazi ukubuyela kuyo yonke imisebenzi yakho evamile ngaphandle kwemiphumela yesikhathi eside.

Ingxenye enzima kakhulu nge-costochondritis ukuthi abantu bavame ukucabanga ukuthi banesifo senhliziyo ngenxa yobuhlungu besifuba. Ngakho-ke, uma uhlangabezana nanoma yiziphi izimpawu ezintsha, kubalulekile ukuthi uhlolwe udokotela ngokushesha ukuze uqiniseke ukuthi akuyona into embi kangako.

Kuzothatha isikhathi esingakanani ukuthi lokhu kuphulukiswe?

I-Costochondritis ivame ukuba yesikhashana. Iningi labantu liba nezimpawu izinsuku ezimbalwa kuya emavikini ambalwa. Akuvamile kakhulu, ingahlala izinyanga.

Iningi labantu liba ngcono ngokuphumula kanye nemithi yokubulala izinhlungu. Uma ubuhlungu bezimbambo zakho bungapheli ngemva kwamasonto ambalwa okwelashwa, khuluma nodokotela.

Ngisho nangemva kokuba lesi simo sesipholile, kunethuba elincane lokuthi sizophinde sibuye.

Kufanele ngimbone nini udokotela?

Uma uhlangabezana nanoma yiziphi izimpawu ezintsha noma izinguquko esifubeni sakho noma endaweni ezungezile, ikakhulukazi ubuhlungu obusha , bona udokotela ngokushesha. Nakuba i-costochondritis ngokuvamile ingeyona ingozi, kubalulekile ukuqeda ezinye izimo ezimbi ngokushesha okukhulu.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma ucabanga ukuthi unezimpawu zokuhlaselwa yinhliziyo , shayela u-1990 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha noma uye egumbini lezimo eziphuthumayo eliseduze. Lezi zimpawu yilezi:

• Ubunzima bokuphefumula (i-Dyspnea) noma ukuphelelwa umoya.
• Ukucanuzela noma ukucasuka kwesisu.
• Ukuzwa ukushaya kwenhliziyo.
• Umuzwa wokwesaba, umuzwa wokuthi kukhona okubi okuzokwenzeka ('isijeziso esisondelayo').
• Ukujuluka.
• Isiyezi (i-vertigo) noma umuzwa wokujikeleza.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungabuza le mibuzo:

• Ingabe nginenkinga ye-costochondritis noma enye inkinga yembambo?
• Hlobo luni lokuhlolwa okuzodingeka ngenze?
• Kuzothatha isikhathi esingakanani ukuthi lokhu kuphulukiswe?
• Yimiphi imisebenzi okufanele ngiyigweme ngize ngilulame?
• Ngingaqala nini imisebenzi yomzimba efana nezemidlalo futhi?

Uyini umehluko phakathi kwe-costochondritis kanye ne-Tietze syndrome?

I-Tietze syndrome iyisimo esifana kakhulu ne-costochondritis. Lulunye uhlobo lokuvuvukala okwenzeka emalungeni akho e-costochondral.

Umehluko omkhulu phakathi kwalokhu kokubili ukuvuvukala kanye nezimbambo ezivame ukuthinteka.

• I-Tietze syndrome ibangela ubuhlungu, ukuqina, kanye nokuvuvukala (isigaxa ongasizwa) esijoyintini se-costochondral esithintekile. Ngokuvamile ithinta izimbambo eduze kwengxenye ephezulu yesikhongozeli sezimbambo zakho, eduze kwamahlombe akho - izimbambo zesibili noma zesithathu.
• Izimpawu ze -costochondritis zifana kakhulu ne-Tietze syndrome. Kodwa-ke, nge-costochondritis , akukho ukuvuvukala ongakubona noma ukukuzwa. Ngokuvamile kuthinta izimbambo ezingezansi kwekheji lezimbambo - kusukela ophahleni lwesibili kuya kolwesihlanu.

I-Costochondritis kanye ne-Tietze syndrome zifana kakhulu kangangokuthi ngezinye izikhathi zingadideka. Izindaba ezinhle ukuthi zombili zelashwa futhi zixilongwe ngendlela efanayo. Uma unobuhlungu noma ukuvuvukala esifubeni sakho noma eduze kwaso, bheka udokotela.

Kungani izimbambo zami zibuhlungu? Yiziphi ezinye izimbangela ezingaba khona?

Kunezimo eziningi kanye nokulimala okungabangela ubuhlungu bembambo. Ngaphandle kwe-costochondritis noma i-Tietze syndrome, ezinye izimbangela zobuhlungu bembambo zifaka:

• Ukuphuka kwembambo.
• I-GERD (i-reflux ye-acid engapheli).
• I-Covid-19 `(COVID-19)`.
• I-Fibromyalgia.
• I-Lupus.

Bona udokotela uma unezimpawu ezintsha ezimbanjeni zakho noma esifubeni. I-Costochondritis ngokuvamile ayibangeli ubuhlungu besifuba noma ubuhlungu bemisipha.

Ubuhlungu lapho uphefumula noma ushukumisa umzimba wakho bungaba yinto ecasulayo ngempela. Ikakhulukazi uma ubuhlungu busesifubeni sakho, eduze kwezimbambo zakho. Ngenhlanhla, i-costochondritis ngokuvamile ayisona isibonakaliso sanoma yini eyingozi noma engathí sina. Kodwa lokho akusho ukuthi ubuhlungu ezimbambo zakho bungamanga.

Bonana nodokotela ngokushesha nje lapho uzwa ubuhlungu besifuba. Bangakusiza ukuthi uqonde ukuthi yini ebangela lokhu, ukuthi ungasiza kanjani umzimba wakho ukuthi ululame, nokuthi yiziphi izinto okufanele uziqaphele uze ululame.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu nge-costochondritis. Into ebaluleke kakhulu okufanele uyikhumbule ukuthi uma unesihlungu esifubeni, ungesabi. Kodwa ungasinaki futhi.

• I-Costochondritis iyisimo esivamile futhi ngokuvamile esingeyona ingozi.
• Lesi simo singelapheka ngokuphumula okuhle, futhi uma kudingeka, siphuze amaphilisi okudambisa izinhlungu.
• Kodwa-ke, uma unesifo sesifuba, qiniseka ukuthi ufuna iseluleko sezokwelapha ukuqinisekisa ukuthi akuyona into engathi sína njengokuhlaselwa yinhliziyo.
• Ukulandela imiyalelo kadokotela kubaluleke kakhulu ukuze ululame ngokushesha.

Ngikufisela impilo enhle!

I- Costochondritis, ubuhlungu besifuba, ubuhlungu bembambo, ukuvuvukala kwe-cartilage, ukuphelelwa umoya, ukuzikhandla ngokomzimba, iseluleko sezokwelapha