I-Slipping Rib Syndrome

-Delile

• Ziyini izimpawu zokuxega kwezimbambo?
• Yini ebangela ukushelela kwezimbambo?
• Isifo se-rib syndrome sitholakala kanjani?
• Ingabe zikhona izinkinga zokuxega kwezimbambo?
• Yelashwa kanjani i-slip syndrome?
• Uyini umbono womuntu onesifo se-rib syndrome?

Kuyini ukushelela kwezimbambo?

I-Slipping rib syndrome yenzeka lapho uqwanga ezimbanjeni ezingezansi zomuntu lushibilika futhi luhamba, okuholela ezinhlungwini esifubeni noma esiswini esingenhla. I-Slipping rib syndrome ihamba ngamagama amaningi, kufaka phakathi ukuchofoza izimbambo, izimbambo ezihambile, i-rib tip syndrome, i-nerve nipping, i-rib syndrome ebuhlungu, nokuxhuma kwe-interchondral, phakathi kwabanye.

Isimo sivame kakhulu kwabesifazane kunabesilisa. Kubikwe kubantu abancane abaneminyaka eyi-12 futhi abaneminyaka yobudala ephakathi kweminyaka engama-80, kodwa kuthinta kakhulu abantu abaneminyaka ephakathi nendawo. Sekukonke, lesi sifo sibhekwa njengokungajwayelekile.

Ziyini izimpawu zokuxega kwezimbambo?

Izimpawu zokushelela kwezimbambo ziyahlukahluka kuye ngomuntu. Ngokuvamile, izimpawu zichazwa ngokuthi:

• ubuhlungu bokugwaza obuya ngezikhathi esiswini noma emuva, kulandelwe ukuzwa okubandayo, okubuhlungu
• ukushelela, ukuphuma, noma ukuchofoza ukuzwa ezimbanjeni ezingezansi
• ukuphefumula kanzima
• ukwanda kwezimpawu lapho ugoba, uphakamisa, ukhwehlela, uthimula, uphefumula kakhulu, welula, noma ulele embhedeni

Izimo eziningi zokushelela kwezimbambo zivela ohlangothini olulodwa (unilateral), kepha isimo kubikwe ukuthi senzeka ezinhlangothini zombili ze-ribcage (bilateral).

Vakashela udokotela ngokushesha uma unenkinga yokuphefumula noma unobuhlungu obukhulu besifuba, ngoba lokhu kungakhombisa okuthile okubucayi, njengokuhlaselwa yinhliziyo.

Yini ebangela ukushelela kwezimbambo?

Imbangela ngqo yokuxega kwezimbambo ayiqondakali kahle. I-Slipping rib syndrome kungenzeka ngemuva kokuhlukumezeka, ukulimala, noma ukuhlinzwa, kepha amacala abikiwe ngaphandle kokulimala okuphawulekayo.

Kukholakala ukuthi kungumphumela we-hypermobility we-rib cartilage (i-costochondral) noma i-ligaments, ikakhulukazi izimbambo 8, 9, no-10. Lezi zimbambo ezintathu azixhunyiwe ku-sternum, kodwa kunalokho zixhunywe ngezicubu zomzimba ezikhululekile. Ngezinye izikhathi zibizwa ngokuthi izimbambo ezingamanga. Ngenxa yalokhu, basengozini enkulu yokuhlukumezeka, ukulimala, noma i-hypermobility.

Lokhu kushelela noma ukunyakaza kuyayicasula imizwa futhi kungahle kuhluphe imisipha ethile endaweni, okuholele ekuvukeleni nobuhlungu.

Isifo se-rib syndrome sitholakala kanjani?

I-Slipping rib syndrome kunzima ukuyithola ngoba izimpawu zifana nezinye izimo. Udokotela uzoqala athathe umlando wezokwelapha abuze ngezimpawu zakho, kufaka phakathi ukuthi ziqale nini nokuthi uma kukhona okwenzayo kubenza babe babi kakhulu. Udokotela wakho uzofuna ukwazi ngemisebenzi obamba iqhaza kuyo nokuthi ubukwenza ini ngaphambi kokuba uqale ukuzwa ubuhlungu besifuba noma besisu.

Kukhona ukuhlolwa okubizwa nge-hooking maneuver okusiza ukuxilonga ukushelela kwezimbambo. Ukuze wenze lokhu kuhlolwa, udokotela wakho ubamba iminwe yakhe ngaphansi kwezikhala zezimbambo bese ebahambisa phezulu nasemuva.

Uma lokhu kuhlolwa kulungile futhi kubangela ukungakhululeki okufanayo, khona-ke udokotela wakho ngokuvamile ngeke adinge ukwenza noma yiziphi izivivinyo ezengeziwe njenge-X-ray noma i-MRI scan. Le nqubo ibizwa ngokuthi yi-differential diagnostic.

Ezinye izimo ezingenzeka udokotela wakho azofuna ukuzikhipha zihlanganisa:

• kucofe
• isisu
• izilonda esiswini
• ukucindezeleka ukuphuka
• izinyembezi zemisipha
• ubuhlungu besifuba se-pleuritic
• i-bronchitis
• isifuba somoya
• i-costochondritis, noma i-Tietze syndrome
• i-appendicitis
• izimo zenhliziyo
• ama-metastases amathambo

Udokotela wakho angakudlulisela kuchwepheshe ukuze aqhubeke nokuhlolwa. Uchwepheshe angakucela ukuthi uhambise izingxenye ezithile zomzimba wakho noma ugcine ukuma okuthile ukuze ufune ubudlelwane phakathi kwabo nobukhulu bezinhlungu zakho.

Ingabe zikhona izinkinga zokuxega kwezimbambo?

Kwabanye abantu, ubuhlungu bungaba bukhulu ngokwanele ukudala ukukhubazeka. Izenzo ezilula njengokuphendukela kolunye uhlangothi ngenkathi ulele noma ugqoke ubhodisi kungaba buhlungu kakhulu.

I-Slipping rib syndrome ayiqhubeki ilimaze noma yini ngaphakathi.

Yelashwa kanjani i-slip syndrome?

Kwezinye izimo, ukushelela kwe-rib syndrome kuyazixazulula ngokwakho ngaphandle kokwelashwa. Ukwelashwa kwasekhaya kungafaka:

• ukuphumula
• ukugwema imisebenzi enzima
• ukufaka ukushisa noma iqhwa endaweni ethintekile
• ukuthatha i-painkiller efana ne-acetaminophen (i-Tylenol) noma i-nonsteroidal anti-inflammatory drug (NSAID), efana ne-ibuprofen (Advil, Motrin IB) noma naproxen (Aleve)
• ukwenza izivivinyo zokuzelula nokuzungezisa

Uma ubuhlungu buqhubeka naphezu kokuthatha i-painkiller, udokotela wakho angazama:

• umjovo we-corticosteroid ukusiza ukunciphisa ukuvuvukala
• i-intercostal nerve block (umjovo we-anesthetic ku-intercostal nerve) ukudambisa izinhlungu
• ukwelashwa ngokomzimba

Uma isimo siqhubeka noma sidala ubuhlungu obukhulu, kunganconywa ukuhlinzwa. Inqubo, eyaziwa njenge-costal cartilage excision, ikhonjisiwe ezifundweni zomtholampilo ukuze ibe yindlela yokwelashwa eshibilikayo yezimbambo.

Uyini umbono womuntu onesifo se-rib syndrome?

I-Slipping rib syndrome ayibangeli monakalo wesikhathi eside noma ithinte izitho zangaphakathi. Isimo kwesinye isikhathi siyazihambela sodwa ngaphandle kokwelashwa.

Ezimweni ezinzima kakhulu, i-intercostal nerve block eyodwa ingaletha ukukhululeka unomphela kwabanye, kepha ukuhlinzwa kungadingeka uma ubuhlungu buthena amandla noma bungapheli. Ucwaningo lwamacala luye lwabonisa imiphumela emihle ngemuva kokuhlinzwa, kodwa kuphela amacala ambalwa ashicilelwe.