I-Costochondritis

Uke wabhekana nobuhlungu obuhlabayo obuhlabayo esifubeni noma esifundeni se-thoracic obuba bubi nakakhulu lapho uphefumula ngokujulile noma ukunyakaza? Kungaba uphawu lwe-costochondritis. Kuyisimo esithinta uqwanga oluxhuma izimbambo zakho nethambo lakho lesifuba. 

I-Costochondritis ingabangela ukungakhululeki nokukhathazeka okukhulu, njengoba izimpawu zayo zivame ukulingisa lezo zezimo zenhliziyo ezimbi kakhulu. Ukuqonda lesi simo kubalulekile kulabo abaphethwe yiso, njengoba ukuxilongwa okufanele nokwelashwa kungathuthukisa kakhulu izinga lempilo. 

Ukuqonda lesi simo kubalulekile kulabo abaphethwe yiso, njengoba ukuxilongwa okufanele nokwelashwa kungathuthukisa kakhulu izinga lempilo. Lesi sihloko sizohlola izindawo ezihlukahlukene zobuhlungu be-costochondritis, sixoxe ngezinketho zokwelapha ze-costochondritis eziphumelelayo, futhi sinikeze imininingwane yokuthi kufanele ubone nini udokotela. 

Iyini i-Costochondritis? 

I-Costochondritis yisimo esivamile esibangela ukuvuvukala ku-cartilage ehlanganisa ithambo lesifuba (sternum) nezimbambo. Lokhu kuvuvukala kuholela ebuhlungwini besifuba, okungaba nzima futhi ngokuvamile kuthathwe iphutha a isifo senhliziyo. Kodwa-ke, i-costochondritis ngokuvamile ayinangozi futhi iyazikhawulela. Kuthinta amalunga e-costochondral, avikela izitho ezibalulekile njengenhliziyo namaphaphu. Ubuhlungu obuhlobene ne-costochondritis bungaqala ngokuzumayo noma bukhule kancane kancane, busakazeke esifubeni. Ngokuvamile kuba kubi kakhulu ngokunyakaza, ukuphefumula okujulile, noma ukukhwehlela. I-Costochondritis ivame ukuphatha abantu abadala abaneminyaka engama-40 kuya kwengama-50 futhi kulinganiselwa ukuthi yenzeke ku-4% kuya ku-50% weziguli ezinesifo sikashukela. ubuhlungu besifuba. 

Izinkinga ze-Costochondritis 

Isizathu esiqondile se-costochondritis ngokuvamile asikacaci. Nokho, izici eziningana zingase zibe nomthelela ekuthuthukisweni kwayo, njenge: 

• Ukutheleleka endaweni yesifuba kungaholela ekuvuvukeni kwamalunga e-costochondral. 
• Ukuhlukumezeka okuncane okuphindaphindayo odongeni lwesifuba, okufana nokujima okukhulu noma ukwanda okungazelelwe kokuqina kokujima, nakho kungadala lesi simo. 
• Ukukhwehlela kakhulu noma ukuhlanza iziqephu kungase kucindezele isifuba, okungase kubangele i-costochondritis. 
• Kwezinye izimo, izifo ezivuthayo ezithinta amalunga nomgogodla, njengokuthi sokuqaqamba kwamalunga, kungaba nomthelela ku-cartilage endaweni yesifuba. 
• I-Costochondritis ingase ihlotshaniswe ne-seronegative spondyloarthropathies noma izimila ze-thoracic. 
• Ukusebenzisa kabi izidakamizwa ngomjovo kuye kwaxhunyaniswa nalesi simo futhi. 

Izimpawu ze-Costochondritis 

• I-Costochondritis ngokuyinhloko ibangela ubuhlungu besifuba, okuwuphawu oluvame kakhulu. Lobu buhlungu ngokuvamile bugxile ohlangothini lwesobunxele lwethambo lesifuba futhi bungabukhali, bube buhlungu, noma buzizwe njengokucindezela. 
• Ubuhlungu bungathinta izimbambo eziningi futhi bukhanye ezingalweni nasemahlombe. 
• Ukungakhululeki kuvame ukuba kubi kakhulu lapho uphefumula kakhulu, ukukhwehlela, ukuthimula, noma oluhlanzayo. 
• Imisebenzi ethile ingase ikhulise ubuhlungu be-costochondritis. Lokhu kungase kuhlanganise ukugona, ukuvivinya umzimba, nokulala ngohlangothi oluthintekile. 
• Ubude bezimpawu ze-costochondritis buyahlukahluka, ngokuvamile buhlala kusukela ezinsukwini ezimbalwa kuya emavikini ambalwa. Ezimweni ezingavamile, ukungakhululeki kungase kuqhubeke izinyanga. 
• Kubalulekile ukuqaphela ukuthi ubuhlungu be-costochondritis bungalingana nobokuhlaselwa yinhliziyo, okwenza kubaluleke ukuthola usizo lwezokwelapha uma uzwa ubuhlungu besifuba obuqhubekayo noma oba bubi kakhulu. 

Izingozi Zezingozi 

Nakuba i-costochondritis ingathinta noma ubani, amaqembu athile anengozi enkulu yokuthola lesi simo, njenge: 

• Abasubathi ababamba iqhaza kwezemidlalo yokuxhumana 
• Abantu abanemisebenzi enzima ngokomzimba 
• Abesifazane kanye nabantu abanikezwe abesifazane lapho bezalwa (AFAB) nabo banengozi enkulu, ikakhulukazi labo abangabasubathi. 
• Iminyaka yobudala idlala indima, kanti abantu abadala abaneminyaka engaphezu kuka-40-50 basengozini enkulu. 
• Abantu bokhokho base-Hispanic babonise izehlakalo eziphezulu ze-costochondritis. 
• Ukuhlukumezeka ngokomzimba kwakamuva endaweni yesifuba 
• Ukuchayeka kaningi ezintweni ezicasulayo kulabo abane-allergies 
• Abantu abanezinkinga ze-rheumatologic 
• Abantu abasebenzisa kabi izidakamizwa ngokufakwa imijovo 

Sifo 

Ukuxilongwa kwe-costochondritis kuhilela inqubo yokuqeda. Odokotela benza ukuhlolwa okuphelele ngokomzimba, ngokugxila odongeni lwesifuba. Bangase bacindezele esifubeni ukuze bakhombe izindawo zothando, okuvame ukuphindaphinda ku-costochondritis. Ukuhlolwa kuhlanganisa nokuhlola umphumela wokuphefumula okujulile kanye nokunyakaza komzimba okuphezulu ebuhlungu. 

Nakuba kungekho ukuhlolwa okuqondile kwe-costochondritis, odokotela bangase baqhube: 

• Ukuhlolwa kwegazi ukuze kukhishwe izifo 
• Ukuhlolwa kwesithombe njengama-X-ray esifuba, ama-CT scan, noma i-MRIS ukuze kungafaki ezinye izimo 
• I-electrocardiogram (ECG) ukuze ikhiphe izinkinga zenhliziyo 

Ukwelashwa kwe-Costochondritis 

Ukwelashwa kwe-costochondritis kugxile ekunciphiseni ubuhlungu, njengoba isimo ngokuvamile sizixazulula ngokwaso. 

• Ukuphumula kubalulekile, okuvumela amalunga e-costochondral acasukile ukuthi aphole. 
• Ukufaka ukushisa noma i-ice compress endaweni ethintekile kungase futhi kunikeze impumuzo. 
• Ukudambisa izinhlungu ngaphandle kwe-counter kungasiza ekulawuleni ukungakhululeki. 
• Kwezinye izimo, odokotela bangase banikeze imithi enamandla njengama-NSAIDs noma, okungavamile, imijovo ye-corticosteroid yezimpawu eziqhubekayo. 
• Ukuzivocavoca okulula kwemisipha yesifuba kungaba yinzuzo. Lokhu kungafaka ukunwebeka komnyango noma ukusebenzisa i-foam roller. 
• Kubalulekile ukugwema imisebenzi eyenza ubuhlungu bube bubi kakhulu futhi uvakashele udokotela uma izimpawu ziqhubeka noma ziba zimbi. 

Uzoyibona Nini Udokotela 

Nakuba i-costochondritis ivame ukuzixazulula ngokwayo, ukufuna usizo lwezokwelapha ezimweni ezithile kubalulekile, njenge: 

• Uma uzwa ubuhlungu obungapheli noma obunzima esifubeni 
• Uma unenkinga yokuphefumula, umkhuhlane ophezulu, noma izimpawu zokutheleleka njengobomvu, ububomvu, noma ukuvuvukala ezimbanjeni zakho, thintana nodokotela wakho ngokushesha. 
• Uma izinhlungu zakho ziba zimbi noma zingathuthuki ngemithi 
• Uma unobuhlungu obubukhali ngawo wonke umoya 

Ukuvimbela 

Nakuba kungase kungenzeki ukuvimbela i-costochondritis ngokuphelele, ungathatha izinyathelo zokunciphisa ingozi yakho, njenge: 

• Ukuma ngendlela efanele kubalulekile, ikakhulukazi phakathi nemisebenzi ecindezela imisipha yesifuba. 
• Gwema ukunyakaza okuphindaphindiwe okufaka ingcindezi endaweni yesifuba. 
• Ngaphambi kokuzivocavoca, zifudumeze futhi welule ukuze ulungise imisipha yakho. 
• Lapho uphakamisa izinto ezisindayo, sebenzisa amasu afanele ukuze ugweme ubunzima obukhulu. 
• Ukugqoka amagiya okuzivikela phakathi nemisebenzi enobungozi bokulimala esifubeni nakho kungasiza. 
• Ukwelapha ngokushesha izifo zokuphefumula kungase kwehlise amathuba okuthuthukisa i-costochondritis njengenkinga. 
• Uma uke waba ne-costochondritis ngaphambili, ukwenza njalo ukuzilolonga nokuzivocavoca kwe-postural kungasiza ukugcina izimpawu zilawulwa. 

Khumbula ukuphumula ngemva kokusebenza kanzima ukuze unikeze umzimba wakho isikhathi sokululama futhi unciphise ukucindezeleka esifubeni nasezimbanjeni zakho. 

Isiphetho 

I-Costochondritis, nakuba ngokuvamile iyimbangela yokukhathazeka, ngokuvamile iyisimo esilawulekayo ngendlela efanele. Ukuqonda izimpawu zayo, izizathu, kanye nezinketho zokwelashwa kubalulekile ukuze ubhekane ngokuphumelelayo nalokhu kuvuvukala kwezindonga zesifuba. Ukuphumula, ukudambisa izinhlungu ngaphandle kwe-counter, kanye nokuzivocavoca ukuzelula kancane kuvame ukunikeza impumuzo kubantu abaningi. Kodwa-ke, kubalulekile ukukhumbula ukuthi akufanele uthathe ubuhlungu besifuba kalula, futhi ukufuna isiqondiso sezokwelapha kubalulekile ukuze ukhiphe izimo ezimbi kakhulu. 

Ukuthatha izinyathelo zokuvimbela i-costochondritis kungahamba ibanga elide ekugcineni impilo yesifuba. Ngokuhlala benolwazi futhi bematasa, abantu bangaphatha kangcono lesi simo futhi bathuthukise ikhwalithi yabo yonke yempilo. 

FAQ sika 

1. Ingabe i-costochondritis iyingozi? 

I-Costochondritis ngokuvamile ayiyona ingozi. Kuyisimo esibucayi esibangela ubuhlungu odongeni lwesifuba ngenxa yokuvuvukala koqwanga oluxhuma izimbambo nethambo lesifuba. Nakuba ubuhlungu bungaba nzima futhi bulingise izimpawu zokuhlaselwa yinhliziyo, ngokuvamile abunangozi futhi buyazibekela umkhawulo. Kodwa-ke, ukufuna usizo lwezokwelapha ngenxa yobuhlungu besifuba kubalulekile ukukhipha izimo ezimbi kakhulu. 

2. Yini engingayilindela uma ngine-costochondritis? 

Uma une-costochondritis, ungalindela ubuhlungu besifuba obungase bubukhali, bube buhlungu, noma buzizwe njengokucindezela. Ukungakhululeki kuvame ukuba kubi kakhulu ngokuphefumula okujulile, ukukhwehlela, noma ukunyakaza. Iningi labantu liba nezimpawu izinsuku ezimbalwa kuya emavikini ambalwa, okulindelwe ukululama okuphelele. 

3. I-costochondritis ihlala isikhathi esingakanani? 

I-Costochondritis ngokuvamile ihlala amasonto ambalwa kuya ezinyangeni ezimbalwa. Ezimweni eziningi, ixazulula phakathi kwamaviki angu-6-8. Kodwa-ke, abanye abantu bangase babe nezimpawu ezingapheli noma eziphindaphindayo ezingase ziqhubeke isikhathi eside. 

4. Uyini umehluko phakathi kwe-costochondritis vs. Tietze syndrome? 

Nakuba zombili izimo zihilela ukuvuvukala kwe-cartilage ebiza kakhulu, kunomehluko oyinhloko: 

• I-Costochondritis: 
  • Kuthinta izimbambo eziningi 
  • Akukho ukuvuvukala okubonakalayo 
  • Okuvame kakhulu futhi ngokuvamile kuthinta abantu abadala 
• I-Tietze syndrome: 
  • Ngokuvamile kuthinta ubambo olulodwa, ngokuvamile owesibili noma wesithathu 
  • Ibonakala ngokuvuvukala okubonakalayo endaweni ethintekile 
  • Akuvamile futhi kuthinta abantu abasha 

5. Ingabe i-costochondritis ingelapheka? 

I-Costochondritis ivame ukuzixazulula ngokwayo ngokuhamba kwesikhathi. Nakuba lingekho “ikhambi” elithile, ukwelashwa kugxile ekulawuleni izimpawu nokukhuthaza ukuphulukiswa: 

• Phumula futhi ugweme imisebenzi ekhulisa ubuhlungu 
• Izidakamizwa ezidambisa izinhlungu ezingaphezu kwe-counter kanye nemithi elwa nokuvuvukala 
• Ukwelashwa kokushisa noma okubandayo 
• Izivivinyo ezilula zokwelula 
• Kwezinye izimo, imijovo ye-corticosteroid yobuhlungu obukhulu 

Abantu abaningi bathola ukuthuthuka okukhulu ngokwelashwa okuvamile. 

6. Yikuphi ukudla okubangela i-costochondritis? 

Ukudla okukhethekile ngokuvamile akubangeli i-costochondritis. Kodwa-ke, abanye abantu babika ukuthi ukukhetha okuthile kokudla kungathonya ukuvuvukala emzimbeni, okungase kuthinte izimpawu zabo: 

• Ukudla okunamafutha amaningi kanye namafutha agcwele 
• Ukudla okugayiwe kanye noshukela ocolisisiwe 
• Utshwala 

Nakuba kungekho ukuxhumana okuqondile phakathi kokudla kanye ne-costochondritis, ukugcina ukudla okulinganiselayo, okulwa nokuvuvukala okunothisiwe emifino, izithelo, nama-omega-3 fatty acids kungase kusekele impilo yonke futhi kunciphise ukuvuvukala. 

7. Ingabe ukucindezeleka kubangela i-costochondritis? 

Ukucindezeleka ngokwako akubangeli ngokuqondile i-costochondritis, kodwa kungabamba iqhaza ekwandiseni izimpawu: 

• Ukucindezeleka kungakhuphula ukungezwani kwemisipha, okungase kubhebhethekise ukuvuvukala okukhona 
• Ukucindezeleka kungase kwehlise ukubekezelela ubuhlungu, kwenze izimpawu zizwe ziqine kakhulu 
• ukukhathazeka okuhlobene nobuhlungu besifuba kungaholela ekuphefumuleni okungajulile, okungase kube kubi nakakhulu ukungakhululeki 

Nakuba amasu okunciphisa ukucindezeleka angasiza ekunciphiseni izimpawu, kubalulekile ukuqaphela ukuthi i-costochondritis inezimbangela ezihlukahlukene ezingase zibe ngaphezu kokucindezeleka. 

8. Ubani osengozini ye-costochondritis? 

Kunezici eziningana ezingandisa amathuba okuthuthukisa i-costochondritis: 

• Iminyaka yobudala nobulili: Kuvame kakhulu kubantu abasha nabasebasha, ikakhulukazi abesifazane 
• Umsebenzi womzimba: Abasubathi noma labo abenza umnyakazo wangaphezulu womzimba 
• Izimo zokuphefumula: Abantu abanokukhwehlela okungapheli noma izifo eziphezulu zokuphefumula 
• Ukuhlukumezeka: Ukuhlukumezeka kwesifuba kwangaphambilini noma ukuhlinzwa 
• Izimo ezithile zezokwelapha: I-Fibromyalgia, i-rheumatoid arthritis, noma ezinye izifo ezivuthayo 
• Ukuma okungalungile: Kungaba nomthelela ekucindezelekeni kwezindonga zesifuba 

UDkt. Suhas P. Ithiphu

MBBS, TDD, DNB (Izifo Zokuphefumula), CTCCM (ICU Fellowship), CCEBDM
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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