Ingabe ngezinye izikhathi uzizwa ubuhlungu obungavamile obufika ngokuzumayo ohlangothini lwesifuba sakho noma esiswini sakho esingaphezulu? Kufana nobuhlungu obubukhali, njengommese okugwaza, bese buphela ngemva kwesikhashana. Ungase uzwe noma uzwe umsindo "wokuchofoza". Lokhu akuyona nje into elula, ungase ube nesimo esibizwa ngokuthi `(Slipping Rib Syndrome)`. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe futhi namuhla.
Kuyini `(Slipping Rib Syndrome)`?
Kalula nje, `(Slipping Rib Syndrome)` ubuhlungu obuvela emisipheni yesifuba sethu, obufika budlule, okungukuthi, buvele buphele ngezikhathi ezithile. Lobuhlungu bufika ngokuzumayo, ngamandla amakhulu, bese buncipha kancane kancane. Abanye abantu bangase bezwe nomsindo "wokuchofoza" noma "wokuchofoza" esifubeni sabo kanye nalobuhlungu.
Lokhu kwenzeka lapho i-cartilage (izicubu ezithambile ezingaqinile njengethambo) ezixhumanisa izimbambo ezimbili engxenyeni engezansi yesifuba sethu zikhululeka noma zingazinzile. Bese kuba khona ubambo olulodwa oluqala ukushelela emuva naphambili phezu kolunye. Uma lokhu kushelela, i-"Intercostal Nerve" egijima phakathi kwalezo zibambo iyacindezelwa noma icindezelwe. Yingakho sizwa ubuhlungu.
Le `(Slipping Rib Syndrome)` ibizwa ngamanye amagama amaningi. Uma sibala ambalwa, kusetshenziswa amagama anjenge-`(Displaced Rib)`, `(Clicking Rib Syndrome)`, `(Floating Rib Syndrome)`, `(Gliding Rib Syndrome)`, `(Rib-Tip Syndrome)`. Ngokwezokwelapha, ibizwa nangokuthi `(Interchondral Subluxation)`. `(Subluxation)` akusho ukuthi ilunga liyashelela ngokuphelele, kodwa kunalokho lishelela phakathi. Izindawo lapho amathiphu e-cartilage ezimbambo zethu ezingezansi exhumana khona nezimbambo ezingenhla abizwa ngokuthi `(Interchondral Joints)`.
Sivame kangakanani lesi simo?
Ngokusho kwedatha yakamuva, u-5% kuphela wobuhlungu besifuba obubangelwa yi-"Slipping Rib Syndrome." Ngeshwa, akubona bonke abahlinzeki bezempilo, okungukuthi, akubona bonke odokotela, abaqaphela lesi simo. Ngakho-ke, sivame ukungatholakali .
Kuzwakala kanjani uma ubambo lushelela?
Uma uqala ukukhipha ubambo, ubuhlungu bungaba ngokuzumayo, obubukhali, obuhlabayo . Ungase futhi uzwe noma uzwe "ukuchofoza" noma "ukuchofoza" njengoba ubambo ludlula phezu kolunye ubambo. Ngemva kwalokho, ubuhlungu obubukhali bungase buphele, kushiye ubunzima obungavamile, obungaqondakali noma ubuhlungu obungacacile .
Abantu abaningi bathola ukuthi le ndlela iphindaphinda ngokuhamba kwesikhathi. Lolu bhambo lungashelela uma ukhwehlela, uthimula, noma ujika uye endaweni ethile . Isibonelo, ungase uzizwe ubuhlungu obungazelelwe lapho uthatha okuthile, uvuka embhedeni, noma ushayela imoto.
Ubambo olushelelayo lungacindezela i-intercostal nerve, egijima phakathi kwezimbambo zakho. Lokhu kuvame ukuba imbangela yobuhlungu obukhulu obuzwakala ekuqaleni. Ngokuhamba kwesikhathi, lokhu kungabangela nokuthi izicubu ezithambile ezizungeze ubambo zivuvuke futhi zivuvuke.
Ngenxa yalokhu, ngezinye izikhathi ubuhlungu abugcini nje endaweni eyodwa, kodwa bungasakazeka kancane, okwenza kube nzima ukukhomba ngqo ukuthi buvelaphi. Bungazwakala njengobuhlungu esifubeni esingezansi, noma bungase buzwe njengobuhlungu esiswini esingaphezulu. Ngezinye izikhathi, lobu buhlungu bungaze bufike emhlane wakho, kwesokudla noma kwesobunxele.
Yiziphi izimbambo ezithinteka yi-`(Slipping Rib Syndrome)`?
Sinezimbambo ezingu-12, ezinezinombolo kusukela phezulu kuya phansi. I-Slipping Rib Syndrome ithinta izimbambo zesishiyagalombili, zesishiyagalolunye, nezeshumi. Lezi zibizwa nangokuthi "izimbambo zamanga." Uyazi ukuthi ziyini? Lezi zimbambo azixhumani ngqo nethambo eliphakathi kwesifuba sethu, i-sternum.
Kunalokho, ngayinye yalezi "zimbambo ezingamanga" ixhunywe embanjeni engenhla kwayo. Lawa majoyinti, enziwe nge-cartilage, yilokho esikubize ngokuthi "ama-Interchondral Joints". Uma elinye lala majoyinti liba buthakathaka, "i-false rib" iyaphuma endaweni yayo.
Abanye abantu babiza lokhu ngokuthi "Floating Rib Syndrome", kodwa lokho kuyigama elingalungile. "Floating ribs" ibhekisela ezimbanjeni zethu zeshumi nanye nezeshumi nambili eziphansi kakhulu. Lezi zimbambo azinawo "ama-Interchondral Joints". Zibizwa ngokuthi "floating ribs" ngoba azinamathele e-sternum noma kwezinye izimbambo, kodwa emgogodleni kuphela. Ngakho-ke, lezi zimbambo azikwazi "ukushelela" kanjalo. Kodwa-ke, ungazizwa ubuhlungu ezicutshini ezizungezile.
Yiziphi izimbangela ze-`(Slipping Rib Syndrome)`?
Olunye lwezimbambo zakho lungashelela uma i-cartilage ejoyintini le-interchondral iba buthakathaka noma ishelela isuka endaweni yayo. Lokhu kungenzeka ngokuzumayo noma kancane kancane. Kwezinye izimo, kungaba yinto ozalwa nayo. Nazi ezinye zezimbangela ezingaba khona:
- Ubuthakathaka Bokuzalwa (Isici Sokuzalwa): Abanye abantu bangase bazalwe benalezi zingxenye ze-cartilage ezibuthakathaka.
- Ukunyakaza Okungaguquguquki Kwamalunga: Lesi simo kungenzeka uma amalunga akho eguquguquka kakhulu kunokujwayelekile, okusho ukuthi anganyakaza ngaphezu kwalokho okufanele akwenze.
- Ukulimala Kokucindezeleka Okuphindaphindayo: Uma wenza uhlobo olufanayo lokunyakaza ngokuphindaphindiwe, njengakweminye imidlalo noma imisebenzi, la malunga angonakala.
- Ukulimala Okubuhlungu: Le cartilage ingonakaliswa yinto efana nokuwa, ingozi yemoto, noma ukushayeka kanzima ngenkathi udlala imidlalo.
Ungahlola kanjani `(Slipping Rib Syndrome)`?
Udokotela ohlola ubuhlungu bakho angase aqale acele ukuhlolwa kwesithombe, njenge-X-ray yesifuba noma i-CT scan. Kodwa-ke,Ubambo olushelelayo aluvamile ukubonakala ezithombeni ezinganyakazi. Udokotela ufuna ukubona ukuthi lusebenza kanjani.
Enye indlela yokubona lokhu iwukuhlola i-"Dynamic Ultrasound". Lokhu kusho ukuthi kuthathwa i-"Ultrasound" ngenkathi wenza ukunyakaza okuthile (isib. ukujika umzimba wakho, ukukhwehlela, ukwenza i-"Valsalva Maneuver" - okungukuthi, ukubamba umoya wakho nokuwucindezela). Ngemuva kwalokho cishe ungabona ubambo lushelela ngaleso sikhathi.
Kodwa-ke, uma udokotela esevele esola ukuthi kukhona i-"Slipping Rib Syndrome", angayibona ngesikhathi sokuhlolwa ngokomzimba. Lokhu kwenziwa ngokwenza ukuhlolwa okubizwa ngokuthi i-"Hooking Maneuver".
Kulesi sivivinyo esilula, udokotela ubeka iminwe yakhe ngaphansi komphetho ongezansi wekheji lakho lezimbambo bese eliphakamisa kancane kancane . Uma enza lokhu, ubuhlungu obuvela ku-"Slipping Rib Syndrome" buzophinde buvele, futhi ngezinye izikhathi uzozwa lowo msindo othi "click" noma "tock". Lokhu kuzonikeza udokotela umbono ongcono ngalesi simo.
Uphulukisa kanjani ubambo olushelele?
Ngezinye izikhathi, ubambo olushelelayo lungaphola lodwa ngaphandle kokwelashwa . Uma ungekho enkingeni enkulu, udokotela wakho angakutshela ukuthi ulinde isikhashana ukuze ubone ukuthi luyaphola lodwa. Okwamanje, ungenza lezi zinto ezilula ukusiza ekunciphiseni ubuhlungu:
- Ukwelapha Okushisayo/Okubandayo: Ukufaka ibhodlela lamanzi ashisayo noma iphakethe leqhwa endaweni ebuhlungu.
- Imithi yobuhlungu etholakala ngaphandle kwemithi kadokotela: Ama-painkiller angathengwa ekhemisi ngaphandle kwencwadi kadokotela, njenge-NSAID.
- Phumula isikhashana, bese kuba ukwelashwa ngokomzimba: Gwema imisebenzi ekhulisa ubuhlungu isikhashana, bese uzivocavoca ngaphansi kwesiqondiso sochwepheshe wezokwelapha ngokomzimba.
Uma lezi zinto zingasebenzi, udokotela wakho angase asikisele i-"Intercostal Nerve Block," ehilela ukufaka umuthi emsipheni ocindezelwayo. Lokhu kunganciphisa ubuhlungu okwesikhashana futhi ngezinye izikhathi kusize enkambisweni yokuphulukiswa.
Ingabe ukuhlinzwa kuzodingeka?
Uma lezi zimpawu zingathuthuki ngokuhamba kwesikhathi, kungase kudingeke ukuhlinzwa ukuze kulungiswe i-"Slipping Rib Syndrome." Odokotela abahlinzayo basebenzisa izindlela ezingangenisi kakhulu noma nini lapho kungenzeka, njenge-"Video-Assisted Thoracic Surgery (VAT)". Lokhu kusho ukuthi ukuhlinzwa kwenziwa ngaphandle kokwenza ukusika okukhulu, kodwa ngokufaka ikhamera namathuluzi ngemigodi emincane.
Ukuhlinzwa kokulungisa ubambo olushelele kungahlanganisa okulandelayo:
- Ukuqina: Kuqinisa izimbambo ukuze zingaphinde zishelele.
- Ukususwa Kwezimbambo Ezingaphelele: Ingxenye ye-cartilage eyinkinga iyasuswa.
- Ukufakwa Kwezimbambo: Lokhu kuvimbela izimbambo ukuthi zingakhuhlani.
Kwenzekani uma nginalesi simo?
Ukuthola imbangela ye-"Slipping Rib Syndrome" kuyisigamu sempi enqotshiwe. Uma udokotela esethole lesi simo, inqubo yokuphulukiswa ingaqala. Abantu abaningi bathola impumuzo ngokuhamba kwesikhathi ngalezi zindlela zokwelapha ezilula .
Akuwona wonke umuntu ozodinga ukuhlinzwa ngenxa ye-"Slipping Rib Syndrome." Kodwa-ke, uma kudingeka ukuhlinzwa, kuvame ukuphumelela. Akuvamile, ngezizathu ezingaziwa, lezi zimpawu zingase ziphinde zivele kolunye ubambo kamuva.
Ubuhlungu bembambo eshelelayo bungaba bukhulu kakhulu, budideke, futhi bubesabe , ikakhulukazi uma udokotela engakwazi ukubuchaza. Kuyacasula ngempela ukuphila nobuhlungu obungapheli ngaphandle kokuxilongwa noma uhlelo lokwelashwa.
Kodwa izindaba ezinhle ukuthi ukuqwashisa nge-"Slipping Rib Syndrome" kuyanda kancane kancane. Nakuba kungase kubonakale kuyimfihlakalo, akusona isifo esingelapheki nesisongela ukuphila - kuyinkinga nje yomzimba, yesakhiwo engalungiswa ngokuhlinzwa.
Umyalezo Wokugcina Wokuya Nasekhaya
Ngakho-ke, uma unezimpawu ezichazwe kulesi sihloko, njengobuhlungu besifuba obungazelelwe, ubuhlungu obuhambisana nomsindo othi "chofoza" noma "chofoza", noma ubuhlungu obukhula ngezikhundla ezithile, ungesabi ekuqaleni .
Into ebaluleke kakhulu ukubona udokotela oqeqeshiwe bese uchaza izimpawu zakho ngokucacile . Ngemuva kwalokho udokotela angenza izivivinyo ezidingekayo futhi ahlole ngokunembile ukuthi lokhu "yi-Slipping Rib Syndrome" noma esinye isimo.
- Khumbula, lesi simo singase singatholakali, ngakho qiniseka ukuthi uchaza izimpawu zakho ngokucophelela.
- Abantu abaningi bathola impumuzo ngokwelashwa okulula.
- Ngisho noma kudingeka ukuhlinzwa, ngokuvamile kuyaphumelela.
- Lesi akusona isifo esingelapheki.
Ukuthola izimpendulo zemibuzo yakho kungathatha isikhathi, kodwa ngolwazi olufanele kanye nokusekelwa, ungathola impumuzo kulesi simo. Hlala uphilile!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe i-Slipping Rib Syndrome yisimo lapho izimbambo ziphuka khona?
Izimbambo aziphuki! Izimbambo ezingezansi kwesifuba sethu (izimbambo zamanga / izimbambo ezingu-8, 9, 10) azixhunywanga ngqo nethambo lesifuba (sternum); zixhunywana yi-cartilage (njengamalunga). Yilapho leyo cartilage ikhululeka noma iphuka, futhi lapho ubambo olungaphansi 'lugxuma/lushelela', imizwa engemuva kwayo iyacindezelwa futhi ibangele ubuhlungu obukhulu.
💬 Ngingazi kanjani ukuthi olunye lwezimbambo zami lushelele/lushelele futhi lubambekile?
Kukhona uphawu olucacile! Uma ugoba, uphenduka embhedeni, ukhwehlela kakhulu, noma uphefumula, uzozwa ubuhlungu obukhulu esifubeni sakho noma esiswini esingezansi. Ngesikhathi esifanayo, uzozwa umsindo othi 'click/pop' uma uthinta ikheji lezimbambo.
💬 Ingabe kufanele ngikhathazeke ngokuthi lokhu ukuhlaselwa yinhliziyo? Iyini indlela yokwelapha lokhu?
Akuyona inhlungu yenhliziyo, kodwa kuzwakala sengathi inhlungu yenhliziyo ekuqaleni! Lokhu kungahlolwa kalula udokotela enza 'i-Hooking maneuver' (ukuhlolwa lapho udokotela ebeka isandla sakhe ngaphansi kwe-rib cage bese esidonsa phezulu). Esikhathini esiningi, lokhu akudingi ukwelashwa okukhulu (ama-ice packs, ama-Painkillers, ukuphumula). Kodwa-ke, uma ubuhlungu bukhulu, odokotela bazofaka umuthi wobuhlungu (imijovo ye-Nerve block/Steroid) noma baphinde bafake i-cartilage ngokuhlinzwa okuncane.
` i-slipping rib syndrome, ubuhlungu besifuba, ukushelela kwembambo, ubuhlungu bembambo, i-intercostal nerve, i-Cyriax syndrome, i-hooking maneuver
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