Okudingeka Ukwazi Nge-Tietze Syndrome

-Delile

• Ziyini izimpawu?
• Yini ebangela i-Tietze syndrome?
• Yiziphi izinto eziyingozi?
• I-Tietze syndrome yehluke kanjani ku-costochondritis?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Okubalulekile

I-Tietze syndrome yisimo esingajwayelekile esibandakanya ubuhlungu besifuba ezimbanjeni zakho ezingaphezulu. Inobungozi futhi ithinta kakhulu abantu abangaphansi kweminyaka engama-40. Imbangela yayo ngqo ayaziwa.

Lesi sifo sibizwa ngo-Alexander Tietze, udokotela waseJalimane owasichaza okokuqala ngo-1909.

Lo mbhalo uzobhekisisa izimpawu, izimbangela ezingaba khona, izinto ezinobungozi, ukuxilongwa, kanye nokwelashwa kweTietze syndrome.

Ziyini izimpawu?

Uphawu olukhulu lwe-Tietze syndrome ubuhlungu besifuba. Ngalesi simo, ubuhlungu buzwakala eduze kolunye noma ngaphezulu kwezimbambo zakho ezingenhla ezine, ikakhulukazi lapho izimbambo zakho zinamathisela khona esifubeni sakho.

Ngokuya ngocwaningo olwenziwe ngaphansi kwalesi simo, ubambo lwesibili noma lwesithathu luvame ukubandakanyeka. Ku, izinhlungu zitholakala zizungeze ubambo olulodwa. Ngokuvamile kuhilela uhlangothi olulodwa lwesifuba kuphela.

Ukuvuvukala kwe-cartilage yezimbambo ezithintekile kubangela ubuhlungu. Le ndawo ye-cartilage yaziwa ngokuthi i-costochondral junction.

Ukuvuvukala kungadala ukuvuvukala okuba lukhuni nokwakheka kokuphotha. Indawo ingazizwa ithambile futhi ifudumele, futhi ibukeke ivuvukile noma ibomvu.

Ubuhlungu be-Tietze syndrome bungase:

• eze ngokungazelelwe noma kancane kancane
• uzizwe ubukhali, ugwaza, ubuthuntu, noma ubuhlungu
• isukela kokuphakathi kuya kokunzima
• sandiselwa engalweni, entanyeni nasemahlombe
• kuba kubi kakhulu uma uzivocavoca, ukhwehlela, noma uthimula

Yize ukuvuvukala kungaqhubeka, ubuhlungu ngokuvamile buyancipha ngemuva kwamasonto ambalwa.

Yini ebangela i-Tietze syndrome?

Imbangela ngqo yesifo seTietze ayaziwa. Kodwa-ke, abacwaningi bakholelwa ukuthi kungaba umphumela wokulimala okuncane ezimbanjeni.

Ukulimala kungabangelwa:

• ukukhwehlela ngokweqile
• ukuhlanza okukhulu
• izifo eziphezulu zokuphefumula, kufaka phakathi i-sinusitis noma i-laryngitis
• imisebenzi enzima noma ephindaphindayo yomzimba
• ukulimala noma ukuhlukumezeka

Yiziphi izinto eziyingozi?

Izici ezinobungozi obukhulu be-Tietze syndrome zineminyaka yobudala futhi mhlawumbe nesikhathi sonyaka. Ngaphandle kwalokho, kuncane okwaziwayo ngezici ezingakhuphula ubungozi bakho.

Yini eyaziwayo ukuthi:

• Isifo i-Tietze syndrome sithinta kakhulu izingane nabantu abangaphansi kweminyaka engama-40. Sivame kakhulu kubantu abaseminyakeni yama-20 nengama-30.
• Ucwaningo lwango-2017 luphawule ukuthi inani lamacala laliphezulu ngesikhathi sasebusika-entwasahlobo.
• Lolu cwaningo olufanayo luthole ingxenye enkulu yabesifazane eba neTietze syndrome, kepha olunye ucwaningo luye lwathola ukuthi iTietze syndrome ithinta abesifazane nabesilisa ngokulinganayo.

I-Tietze syndrome yehluke kanjani ku-costochondritis?

I-Tietze syndrome ne-costochondritis zombili zibangela ubuhlungu besifuba ezizungeze izimbambo, kepha kukhona umehluko obalulekile:

Kutholakala kanjani?

I-Tietze syndrome ingaba yinselele ukuxilonga, ikakhulukazi uma kukhulunywa ngokuyihlukanisa ne-costochondritis, evame kakhulu.

Uma ubona umhlinzeki wezokunakekelwa kwezempilo ebuhlungu besifuba, bazofuna kuqala ukukhipha noma yisiphi isimo esibi noma okungenzeka sisongele impilo esidinga ukungenelwa ngokushesha njenge-angina, pleurisy, noma isifo senhliziyo.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu zakho. Kungenzeka ba-oda izivivinyo ezithile ukukhipha ezinye izimbangela nokubasiza ukuthi banqume ukuxilongwa okulungile.

Lokhu kungafaka:

• ukuhlolwa kwegazi ukubheka izimpawu zesifo senhliziyo noma ezinye izimo
• i-imaging ye-ultrasound ukubheka izimbambo zakho futhi ubone ukuthi ngabe kukhona yini ukuvuvukala kwe-cartilage
• iX-ray yesifuba yokubheka ubukhona besifo noma okunye ukukhathazeka kwezokwelapha okubandakanya izitho zakho, amathambo, nezicubu zakho
• i-MRI yesifuba ukuze ubhekisise noma yikuphi ukuqina koqwanga noma ukuvuvukala
• ukuskena amathambo ukuze ubhekisise amathambo akho
• i-electrocardiogram (EKG) yokubheka ukuthi inhliziyo yakho isebenza kahle kanjani nokulawula isifo senhliziyo

Ukuxilongwa kwe-Tietze syndrome kusekelwe ezimpawu zakho futhi kunqume ezinye izimbangela zobuhlungu bakho.

Ilashwa kanjani?

Uhlobo lwemithi ejwayelekile yokwelashwa kweTietze syndrome yile:

• ukuphumula
• ukugwema imisebenzi enzima
• ukufaka ukushisa endaweni ethintekile

Kwezinye izimo, ubuhlungu bungazixazululela bodwa ngaphandle kokwelashwa.

Ukuze usize ngobuhlungu, umhlinzeki wakho wezokunakekelwa kwempilo angaphakamisa ukuthi kuncishiswe izinhlungu ezifana ne-over-the-counter (OTC) izidakamizwa ezingezona ukuvuvukala (ama-NSAID).

Uma ubuhlungu bakho buqhubeka, bangase bakunikeze umuthi wokuqeda izinhlungu onamandla.

Okunye ukwelashwa okungenzeka kobuhlungu obuqhubekayo nokuvuvukala kufaka phakathi imijovo ye-steroid ukunciphisa imijovo yokuvuvukala noma ye-lidocaine endaweni ethintekile ukunciphisa izinhlungu.

Yize ukuvuvukala kungaqhubeka isikhathi eside, ubuhlungu be-Tietze syndrome buba ngcono ezinyangeni ezimbalwa. Kwesinye isikhathi isimo singaxazululwa siphinde sibuye.

Ezimweni ezimbi kakhulu lapho izindlela zokwelapha ezilondolozayo zingasizi ukunciphisa ubuhlungu nokuvuvukala, kungadingeka ukuhlinzwa ukuze kususwe uqwanga olwengeziwe ezimbanjeni ezithintekile.

Okubalulekile

I-Tietze syndrome yisimo esingajwayelekile, esinobungozi esibandakanya ukuvuvukala okubuhlungu nokuthamba koqwanga oluzungeze olunye lwezimbambo zakho ezingaphezulu lapho zinamathisela khona esifubeni sakho. Kuthinta kakhulu abantu abangaphansi kweminyaka engama-40.

Ihlukile kwi-costochondritis, isimo esivame kakhulu esidala nobuhlungu besifuba, esithinta kakhulu abantu abangaphezu kweminyaka engama-40.

I-Tietze syndrome ivame ukutholakala ngokulawula ezinye izimo ezibangela ubuhlungu besifuba. Imvamisa ixazululeka ngokuphumula nangokusebenzisa ukushisa endaweni ethintekile.