Ingabe unalobu buhlungu obungavamile noma ukuvuvukala esifubeni sakho? Singaxoxa nge-Tietze Syndrome?

Ingabe ngezinye izikhathi uzizwa ubuhlungu obukhulu engxenyeni eyodwa yesifuba sakho, kanye nokuvuvukala okuncane? Njengomuntu okuncinzayo, noma uzizwa uqinile? Lokhu kungaba yinto eyesabekayo, ngoba uma sicabanga ngobuhlungu besifuba, sicabanga ngokushesha ngenkinga yenhliziyo. Namuhla, sizokhuluma ngesimo esingavamile kodwa esibalulekile esingabangela lezi zimpawu, esibizwa ngokuthi i-Tietze Syndrome.

Iyini i-Tietze Syndrome?

Kalula nje, i-Teets syndrome ukuvuvukala kwe-cartilage esikhumbeni sakho sezimbambo . Akujwayelekile kakhulu, okusho ukuthi akuyona into evamile kubantu abaningi. Kodwa ingabangela ubuhlungu nokuvuvukala endaweni engaphambili nengaphezulu kwesifuba.

Manje bheka, izimbambo eziphezulu zesifuba sethu (izimbambo zokuqala eziyishumi noma ngaphezulu) zixhunywe ethanjeni eliyisicaba phakathi kwesifuba, esilibiza ngokuthi i-sternum , futhi kukhona i-cartilage lapho ixhuma khona. Le cartilage uhlobo lwezicubu ezithambile nezifana nerabha ezisebenza njengesivikelo phakathi kwamathambo. Ngakho-ke, uma kukhona ukuvuvukala emalungeni lapho lezi zimbambo zixhuma khona ne-sternum, ebizwa ngokuthi ama-costochondral joints , lesi simo esibizwa ngokuthi i-Teets syndrome siyenzeka.

Kungenzeka ukuthi uke wezwa ngesimo esibizwa ngokuthi i-costochondritis . Lokho kuhilela nokuvuvukala kwe-cartilage ekhejini lezimbambo. Kodwa i-Teets syndrome ihlukile kancane. Ngokuvamile ithinta eyodwa kuphela yezimbambo ezine ezingenhla , ngokuvamile kakhulu ubambo lwesibili noma lwesithathu. Esinye isici ukuthi kukhona ukuvuvukala okubonakalayo . I-Costochondritis ngokuvamile ayibangeli ukuvuvukala okukhulu, okubonakalayo, kodwa ubuhlungu kuphela.

Odokotela abakakazi kahle ukuthi yini ebangela i-Teets syndrome (ngezinye izikhathi ebizwa ngokuthi i-costochondral junction syndrome). Kodwa isikhathi esiningi, akuyona inkinga enkulu . Ingelashwa ekhaya ngokuphumula kanye nemithi yokwelapha izinhlungu.

Ziyini izimpawu ze-Tietze Syndrome?

Into eyinhloko oyizwayo kulesi simo ubuhlungu besifuba . Lobuhlungu bungaqala ngokuzumayo noma bukhule kancane kancane. Abanye abantu bathi uma bemi nje , kuzwakala njengobuhlungu obungacacile, obunzima esifubeni , kodwa lapho benyakaza, bephendula imizimba yabo, noma bephefumula kakhulu , ubuhlungu buba bubukhali, njengokugwazwa ngommese, noma sengathi othile uyababamba futhi uyabacindezela . Lobuhlungu bungakhula kakhulu uma bekhwehlela, bethimula, bevocavoca, noma bephakamisa into esindayo . Lobuhlungu buzwakala ngaphambili, engxenyeni engenhla yesifuba, ngokuvamile ohlangothini olulodwa kuphela. Ngezinye izikhathi lobu buhlungu bungasakazeka (bukhanye) engalweni, ehlombe, nasentanyeni .

Esinye isibonakaliso esiyinhloko yiqhubu elivela endaweni eyodwa kuphela . Uzolizwa engxenyeni engenhla yesifuba sakho, eduze kwethambo lesifuba (sternum), ngokuvamile eduze kombambo wesibili noma wesithathu.Kungabonakala njengeqhubu elincane, elivuvukile. Abanye abantu bathi kuzwakala sengathi kuyisicubu esinamaqhubu, kunzima kancane . Kungase kuzizwe kufudumele kancane uma kuthintwa, kube bomvu, noma kushintshe umbala . Konke lokhu kuyizimpawu zokuvuvukala. Lokhu kuvuvukala kuyisici esivelele kakhulu se-Teets syndrome, futhi kungathatha isikhathi ukuthi ukuvuvukala kwehle ngokuphelele ngisho nangemva kokuba ubuhlungu sebuphelile.

Kungani kwenzeka i-Tietze Syndrome? Ziyini izimbangela?

Izimpawu ze-Teets syndrome zenzeka lapho i-cartilage esezimbanjeni zakho lapho uzwa khona ubuhlungu buqala ukucasuka nokuvuvukala . Kodwa odokotela abasazi kahle ukuthi yini ebangela lokhu, noma ukuthi kungani kwenzeka ngendlela okwenzeka ngayo. Kungani kuthinta kuphela olunye lwezimbambo ezingenhla, noma kungani kubangela lokho kuvuvukala? Lezi yizinto ezihlukanisa i-Teets syndrome ne-costochondritis evamile.

Kunezinto eziningana esicabanga ukuthi zingase zibangele lokhu:

• Ukulimala okubuhlungu : Ingozi yemoto, ukuwa kusuka ekuphakameni, noma ukushaywa okukhulu esifubeni ngenkathi udlala kungabangela i-teat syndrome. Izicubu ezithambile kule ndawo zingasabela ngendlela ehlukile ekulimaleni. Isibonelo, uma uwa ebhayisikilini bese ushaya isifuba sakho, noma uma ushaywa esifubeni yibhola elihamba ngokushesha ngenkathi udlala ikhilikithi, lesi simo singavela.
• Ukulimala okuncane, okuphindaphindiwe (`Microtrauma`) : Isimo esithile sokuvuvukala singase senzeke ngenxa yokucindezeleka okuncane (ukucindezeleka) okufakwa njalo ekhejini lakho lezimbambo ngokuhamba kwesikhathi. Isibonelo, ukukhwehlela okuvamile, okukhulu . Cabanga ukuthi abanye abantu banokukhwehlela obekulokhu kuqhubeka isikhathi eside, futhi ukukhwehlela kuhlala kucindezela imisipha kanye ne-cartilage yesifuba. Futhi, lesi simo singabangelwa ukuhlanza njalo, ukwenza izivivinyo zokuphakamisa izinsimbi ngendlela engafanele, noma ukushaya okuthile esifubeni ngokuphindaphindiwe (njengakweminye imidlalo).

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici Eziyingozi)

Kungenzeka kakhulu ukuthi ube nesifo i-Teets syndrome uma ululama kwesinye isimo sezokwelapha, noma uma unesifo esingamahlalakhona esenza buthaka uqwanga olusezimbanjeni zakho, noma uma uhlala ulushukumisa. Nazi izibonelo ezimbalwa:

• Izifo ze-rheumatic kanye nezifo zokuzivikela komzimba : Lezi yizifo lapho amasosha omzimba ehlasela khona amangqamuzana awo. Isibonelo, i-rheumatoid arthritis.
• Izifo zezicubu ezixhumeneyo ezidluliselwa ngefa : Lezi yizifo ezizuzwe njengefa ezithinta izicubu ezixhumeneyo zomzimba (njenge-cartilage).
• I-Arthritis ewohlokayo noma evuvukalayo: Izimo ze-arthritis lapho amalunga ewohloka noma evuvukala khona.
• Ukutheleleka kwesifuba okungapheli : Ukukhwehlela isikhathi eside okubangelwa izinto ezifana nokuminyana kwesifuba njalo kanye ne-bronchitis.
• Ukukhwehlela noma ukuhlanza okungapheli: Ukukhwehlela noma ukuhlanza okuqhubekayo kungabangela ukucindezeleka kwesifuba.
• Ukuhlinzwa kwakamuva endaweni : Uma uke wahlinzwa esifubeni, lesi simo singase senzeke ngenkathi izicubu ezizungezile ziphola.

Udokotela ukubona kanjani lokhu? (Ukuxilongwa)

Uma uya kudokotela onesifo sesifuba, into yokuqala azoyenza ukuhlola ukuqinisekisa ukuthi akusona isifo senhliziyo . Ngenxa yokuthi ubuhlungu besifuba buyinto eyingozi kakhulu, yinto yokuqala okudingeka uyigweme. Ngemva kokuqinisekisa ukuthi abukho, udokotela uzolalela izimpawu zakho ngokucophelela - ukuthi ubuhlungu bunjani, ukuthi sebukhona isikhathi esingakanani, ukuthi buba bubi kangakanani, nokuthi kukhona yini ukuvuvukala. Ngemuva kwalokho bazohlola isifuba sakho ukuze babone ukuthi ukuvuvukala kukuphi nokuthi kubukeka kanjani.

Ngemuva kwalokho, bazo-oda ukuhlolwa kwezithombe ukuze babheke izimpawu zokuvuvukala noma ukulimala esifubeni. Odokotela baxilonga i-Teets syndrome ngemuva kokukhipha zonke ezinye izimo ezingase zibangele izimpawu zakho (ukuxilongwa kokungabandakanywa) . Okusho ukuthi, bafinyelela kulesi siphetho ngemuva kokukhipha konke okunye.

Ukuhlolwa okungenziwa yile:

• I-X-ray yesifuba : Ukuhlola izinkinga zamathambo, njenge-pneumonia. I-X-ray yesifuba ivame ukuba yinto evamile kwi-Teets syndrome.
• I-CT scan noma i-MRI scan : Lokhu kungabonisa izicubu ezithambile kanye ne-cartilage ngaphakathi kwesifuba ngokucacile. Kungasiza ekunqumeni indawo yokuvuvukala kanye nobukhulu bokuvuvukala.
• Ukuskena nge-Ultrasound : Lokhu kungasetshenziswa futhi ukubona izinto ezifana nokuvuvukala, isimo se-cartilage, kanye nokuthi ngabe uketshezi luqongelelene yini endaweni.
• I-E.C.G. (`I-Electrocardiogram - EKG`) : Lokhu kwenziwa ngokuqinisekile ukuhlola ukusebenza kukagesi kwenhliziyo nokuqinisekisa ukuthi akukho ukuhlaselwa yinhliziyo.
• Ukuhlolwa kwegazi : Hlola izimpawu zokuvuvukala emzimbeni bese unquma ukuthi azikho yini ezinye izifo.
• I-Biopsy : Ngezinye izikhathi, ingxenye encane yezicubu ingathathwa endaweni yokuvuvukala bese ihlolwa ngaphansi kwe-microscope. Lokhu kuvame ukwenziwa ukuqinisekisa ukuthi akukho lutho olubi kakhulu, njengomdlavuza.

Yiziphi izindlela zokwelapha lokhu? (Ukwelashwa)

Uma izicubu zakho ezithambile zivuvukele, zidinga isikhathi nokuphumula ukuze zelapheke. Yilokho odokotela abavame ukukweluleka ngakho.

• Ukuphumula : Gwema imisebenzi ekhulisa ubuhlungu, ikakhulukazi imisebenzi ebeka ingcindezi esifubeni, isikhashana.
• Imithi yokunciphisa ubuhlungu : Imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela ingasiza ekunciphiseni ubuhlungu nokuvuvukala. Odokotela bavame ukuncoma imithi ebizwa ngokuthi imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID ) (njenge-ibuprofen ne-naproxen). Le mithi inciphisa ukuvuvukala, okungasiza ekunciphiseni ubuhlungu.
• Zithokozise : Ngeke ukwazi ukuya esikoleni noma emsebenzini, kodwa kuzodingeka uzithokozise, ​​ugweme imisebenzi enzima, ukuzivocavoca, noma ukuphakamisa izinto ezisindayo isikhashana . Njengoba ululama kancane kancane, ungabuyela emsebenzini kancane kancane.
• Amaphakethe ashisayo noma abandayo : Abanye abantu bathola impumuzo ngokusebenzisa ibhodlela lamanzi ashisayo noma iphakethe leqhwa endaweni ebuhlungu.

Kodwa-ke, uma usazizwa udinga ukuthatha ama-NSAID ngemva kwezinsuku eziyishumi, tshela udokotela wakho. Lokhu kungenxa yokuthi ukuwathatha isikhathi eside kungabangela imiphumela emibi , ikakhulukazi izinkinga zesisu. Udokotela wakho angase akutshele ukuthi ushintshele komunye umuthi, njenge -acetaminophen (isib. i-Panadol), noma akunike umjovo we-cortisone ngqo endaweni yokuvuvukala. Lo mjovo uletha umuthi ngqo endaweni yokuvuvukala, okuhlinzeka ngokukhululeka okusheshayo.

Abanye abantu badinga ukwelashwa ukuze bayeke ukuthimula, ukukhwehlela, nokuhlanza ngaphambi kokuba isifuba sabo siphole. Uma lezi zinto ziqhubeka, uqwanga esifubeni luzoba nethuba elincane lokuphulukiswa. Khuluma nodokotela wakho njalo ngenqubo yakho yokuphulukiswa.

Into ebaluleke kakhulu ukuthi ungaqhubeki nokusebenzisa noma yimuphi umuthi ngaphandle kweseluleko sikadokotela, ikakhulukazi imithi efana nama-NSAID.

Kwenzekani kumuntu one-Tietze Syndrome? Ingabe uzolulama? (Isimo Nokululama - Ukubikezela)

I-Costochondral junction syndrome (eyaziwa nangokuthi i-Teets syndrome) yisimo sesikhashana , okusho ukuthi akuyona inkinga ehlala njalo. Ungalindela ukululama ngokuphelele . Iningi labantu liyalulama phakathi namasonto ambalwa , ngezinye izikhathi inyanga noma ezimbili. Kodwa-ke, imizimba yabanye abantu ingathatha isikhathi eside, ngisho nezinyanga, ukuphola. Ngezinye izikhathi, ukuvuvukala kungaqhubeka izinyanga ngemva kokuba ubuhlungu sebuphelile. Kuzophela kancane kancane.

Akuvamile ukuthi i-Teets syndrome ibonakale sengathi iyanyamalala bese ibuye. Ngenxa yezimbangela ezahlukahlukene kanye nezici eziyingozi (njengokukhwehlela okuqhubekayo), abanye abantu bangase babe nalesi simo isikhathi eside kunabanye, noma singase sibuye.

Uma uzwa ubuhlungu esifubeni, ikakhulukazi uma ungayazi imbangela, empeleniKuyesabeka. Lokho kuyinto evamile. Kodwa-ke, i-Teets syndrome akuyona into okufanele uyesabe noma esongela impilo . Nakuba ingase ingakhululeki okwesikhashana, ingelashwa ekhaya ize ibe ngcono.

Inselele enkulu nge-Teets syndrome kungaba ukuthola ukuxilongwa okunembile . Ngenxa yokuthi kuyisimo esingavamile futhi sinezimpawu ezifana nezinye izimo eziningi (ikakhulukazi ubuhlungu besifuba), udokotela wakho kuzodingeka akhiphe konke okunye ngaphambi kokuba akuhlole ukuthi une-Teets syndrome. Lokho kungathatha isikhathi.

Umyalezo Wokugcina Wokuya Nasekhaya

Kulungile, manje njengoba sesikhulume nge-Tietze Syndrome, ngithemba ukuthi usunokuqonda okungcono. Nazi izinto ezimbalwa okufanele uzikhumbule:

• I-Teets syndrome yisimo sokuvuvukala esingavamile esithinta uqwanga lwezimbambo .
• Izimpawu eziyinhloko ubuhlungu besifuba kanye nokuvuvukala okubonakalayo endaweni eyodwa .
• Lesi ngokuvamile akusona isimo esibucayi futhi singelashwa ekhaya ngokuphumula, amaphilisi obuhlungu, kanye nezinye izindlela zokwelapha njengoba kuqondiswe udokotela.
• Kodwa-ke, uma unesifo esifubeni, kufanele nakanjani ubone udokotela ukuze uthole imbangela eqondile . Ngoba kubaluleke kakhulu ukuqinisekisa ukuthi akuyona into engathi sína njengokuhlaselwa yinhliziyo. Ungesabi, kodwa funa iseluleko sezokwelapha.
• Uma usuthole ukuxilongwa okufanele futhi ulandela imiyalelo kadokotela, ungalulama ngokuphelele kulesi simo . Kubalulekile ukubekezela.

Ngakho-ke, uma wena noma othile omaziyo enalezi zimpawu, ungesabi futhi ubone udokotela. Ngemuva kwalokho bangenza izivivinyo ezidingekayo futhi bathole ukuthi kwenzekani ngempela. Ngifisela wonke umuntu impilo enhle!

I- Tietze Syndrome, Ubuhlungu Besifuba, I-Cartilage Yezimbambo, Ukuvuvukala Kwesifuba, I-Costochondritis, Ubuhlungu Besifuba