Ukushelela kwezimbambo

I-Slipping rib syndrome isho ubuhlungu esifubeni sakho esezansi noma esiswini esingaphezulu esingaba khona lapho izimbambo zakho ezingezansi zihamba kancane kunokujwayelekile.

Izimbambo zakho zingamathambo esifubeni sakho asonga umzimba wakho ongaphezulu. Baxhuma ithambo lakho lesifuba nomgogodla wakho.

Lesi sifo sivame ukwenzeka ezimbanjeni ze-8 kuya kwezi-10 (ezaziwa nangokuthi yizimbambo ezingamanga) engxenyeni engezansi yezimbambo zakho. Lezi zimbambo azixhumene nethambo lesifuba (sternum). Izicubu eziyimicu (imigqa), xhuma lezi zimbambo komunye nomunye ukusiza ukuzigcina zizinzile. Ubuthakathaka obuhlobene nemisipha bungavumela izimbambo ukuba zihambe kancane kunokujwayelekile futhi zidale ubuhlungu.

Isimo singenzeka njengomphumela we:

• Ukulimala esifubeni ngenkathi udlala imidlalo yokuxhumana efana nebhola, i-ice hockey, i-wrestling, ne-rugby
• Ukuwa noma ukuhlukumezeka okuqondile esifubeni sakho
• Ukujija, ukusunduza noma ukuphakamisa ngokushesha, njengokuphonsa ibhola noma ukubhukuda

Lapho izimbambo zigudluka, zicindezela imisipha, izinzwa nezinye izicubu ezizungezile. Lokhu kubangela ubuhlungu nokuvuvukala endaweni.

I-Slipping rib syndrome ingenzeka kunoma yisiphi isikhathi, kepha ivame kakhulu kubantu abadala abaneminyaka ephakathi. Abesifazane bangathinteka kakhulu kunabesilisa.

Isimo ngokuvamile sivela ohlangothini olulodwa. Ngokuvamile, kungenzeka ezinhlangothini zombili. Izimpawu zifaka:

• Ubuhlungu obukhulu esifubeni esingezansi noma esiswini esingaphezulu. Ubuhlungu bungafika buhambe budlule ngokuhamba kwesikhathi.
• Ukuvela, ukuchofoza, noma ukuxegiselwa.
• Ubuhlungu lapho ufaka ingcindezi endaweni ethintekile.
• Ukukhwehlela, ukuhleka, ukuphakamisa, ukusonta nokugoba kungenza ubuhlungu bube nzima kakhulu.

Izimpawu zokushelela kwezimbambo ziyefana nezinye izimo zezokwelapha. Lokhu kwenza isimo kube nzima ukusithola.

Umhlinzeki wakho wokunakekelwa kwezempilo uzothatha umlando wakho wezokwelapha abuze ngezimpawu zakho. Uzobuzwa imibuzo efana nale:

• Ubuhlungu buqale kanjani? Ngabe kube khona ukulimala?
• Yini eyenza ubuhlungu bakho bube nzima kakhulu?
• Ngabe kukhona okusizayo ekudambiseni izinhlungu?

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba. Ukuhlolwa kwe-hooking maneuver kungenziwa ukuqinisekisa ukuxilongwa. Kulesi sivivinyo:

• Uzocelwa ukuthi ulale ngomhlane.
• Umhlinzeki wakho uzohlanganisa iminwe yabo ngaphansi kwezimbambo ezingezansi bese ebadonsela ngaphandle.
• Ubuhlungu nokuzwa okuchofoza kuqinisekisa isimo.

Ngokwesisekelo sokuhlolwa kwakho, i-x-ray, i-ultrasound, i-MRI noma ukuhlolwa kwegazi kungenziwa ukukhipha ezinye izimo.

Ubuhlungu buvame ukuphela emasontweni ambalwa.

Ukwelashwa kugxile ekudambiseni izinhlungu. Uma ubuhlungu buphansi, ungasebenzisa ibuprofen (Advil, Motrin) noma naproxen (Aleve, Naprosyn) ukukhulula izinhlungu. Ungathenga le mithi yezinhlungu esitolo.

• Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, isifo sesibindi, noma uke waba nezilonda zesisu noma ukopha ngaphakathi esikhathini esedlule.
• Thatha umthamo ngokwelulekwa ngumhlinzeki. Ungathathi ngaphezu kwenani elinconywe ebhodleleni. Funda ngokucophelela izexwayiso ezikulebula ngaphambi kokuthatha noma imuphi umuthi.

Umhlinzeki wakho futhi anganikeza ngemithi yezinhlungu ukudambisa izinhlungu.

Ungacelwa ukuthi:

• Faka ukushisa noma iqhwa endaweni yobuhlungu
• Gwema izinto ezenza izinhlungu zibe zimbi kakhulu, njengokuphakamisa okunzima, ukusonteka, ukududula, nokudonsa
• Gqoka isibopho sesifuba ukusimamisa izimbambo
• Xhumana nodokotela womzimba

Ngobuhlungu obukhulu, umhlinzeki wakho angakunika umjovo we-corticosteroid esizeni sobuhlungu.

Uma ubuhlungu buqhubeka, kungahlinzwa ukuze kususwe uqwanga nezimbambo eziphansi, yize kungeyona inqubo ejwayele ukwenziwa.

Ubuhlungu buvame ukuphela ngokuphelele ngokuhamba kwesikhathi, yize ubuhlungu bungaba bude. Ukujova noma ukuhlinzwa kungadingeka kwezinye izimo.

Izinkinga zingafaka:

• Kunzima ukuphefumula.
• Ukulimala ngesikhathi somjovo kungadala i-pneumothorax.

Ngokuvamile azikho izinkinga zesikhathi eside.

Kufanele ushayele umhlinzeki wakho ngokushesha uma une:

• Ukulimala esifubeni sakho
• Ubuhlungu esifubeni sakho esingezansi noma esiswini esingaphezulu
• Ukuphefumula kanzima noma ukuphefumula okuncane
• Ubuhlungu ngesikhathi semisebenzi yansuku zonke

Shayela ku-911 uma:

• Unokuchoboza ngokungazelelwe, ukukhama, ukuqina, noma ukucindezela esifubeni sakho.
• Ubuhlungu busakazeka (buphuma) emhlathini, engalweni yangakwesobunxele, noma phakathi kwamahlombe akho.
• Unesicanucanu, isiyezi, ukujuluka, inhliziyo yokujaha, noma ukuphefumula okuncane.

I-Interchondral subluxation; Ukuchofoza i-rib syndrome; Islip-rib-cartilage syndrome; Ubuhlungu bezimbambo; Isifo seshumi nambili sezimbambo; Izimbambo ezilahlekile; Isifo se-Rib-tip; Ukwehliswa kobambo; Imbambo eshibilika esifubeni

• Izimbambo ne-anatomy yamaphaphu

UDixit S, Chang CJ. Thorax nokulimala esiswini. Ku: Madden CC, Putukian M, McCarty EC, Young CC, ama-eds. Imithi Yezemidlalo yeNetter. Okwesibili. IPhiladelphia, PA: Elsevier; 2018: isahluko 52.

UKolinski JM. Ubuhlungu besifuba. Ku: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Ukuxilongwa Okusekelwe kuNelson Pediatric Syndrome-based. IPhiladelphia, PA: Elsevier; 2018: isahluko 7.

UMcMahon, LE. I-Slipping rib syndrome: Ukubuyekezwa kokuhlolwa, ukuxilongwa kanye nokwelashwa. Izingqungquthela ekuhlinzweni kwezingane. 2018;27(3):183-188.

I-Waldmann SD. Ukushelela kwezimbambo. Ku: Waldmann SD, ed. I-Atlas Yezimpawu Ezingavamile Zobuhlungu. 3rd ed. IPhiladelphia, PA: Elsevier; 2020: isahluko 72.

I-Waldmann SD. Isivivinyo se-hooking maneuver sokuxega kwesifo sezimbambo. Ku: Waldmann SD, ed. Ukuxilongwa kobuhlungu ngokomzimba: i-Atlas of Signs and Symptoms. 3rd ed. ISt Louis, MO: Elsevier; 2016: isahluko 133.