Ukuqunjelwa kwe-Costochondritis? Izimpawu, Izimbangela, Nokwelashwa

I-Costochondritis yilokhu kubhlungu kwesifuba okubangelwa ukutheleleka kwe-cartilage ehlanganisa ama-ribs akho ne-breastbone yakho. Lokhu kuqunjelwa kwenza ukungakhululeki okukhulu, okuhlungu, noma okucindezelayo okungase kuzwakale kukukhathaza, ikakhulukazi ngoba ukubhlungu kwesifuba ngokwemvelo kusenza sikhathazeke ngezinhliziyo zethu.

Izindaba ezinhle ukuthi i-Costochondritis ngokuvamile ayilimazi futhi iyakwelashwa. Nakuba ukubhlungu kungase kube buhlungu kakhulu futhi ngezinye izikhathi kube nzima, le meko ayilimazi inhliziyo yakho noma ezinye izitho ezibalulekile. Abantu abaningi bayaphila ngokuphelele ngokunakekelwa okuhle nokubekezela.

Iyini i-Costochondritis?

I-Costochondritis kwenzeka lapho i-cartilage ehlanganisa ama-ribs akho ne-breastbone yakho ithatha ukutheleleka futhi icasule. Cabanga ngale cartilage njengezinhlanganisela ezithambile ezisiza i-ribcage yakho ukuthi ihambe uma uphefumula.

Uma lezi zinhlanganisela zithatha ukutheleleka, ziyaba buhlungu futhi zibuhlungu. Ukubhlungu ngokuvamile kuqala ama-ribs aphezulu, ngokuvamile ama-ribs wesibili kuya kwesihlanu. Ungase uzwe odokotela bebiza indawo lapho ama-ribs akho ahlangana khona ne-breastbone yakho ngokuthi "i-costochondral junction."

Le meko ivame kakhulu kunalokho ocabanga ngakho. Ithinta abantu bazo zonke izigaba, nakuba ivame ukubonwa kubantu abadala abangaphezu kweminyaka engama-40. Abafazi bavame ukubhekana ne-Costochondritis kancane kunamadoda.

Ziyini izimpawu ze-Costochondritis?

Isimpawu esiyinhloko yilokhu kubhlungu kwesifuba okungase kube ukungakhululeki okuncane kuya ekuzweleni okukhulu, okuthukuthelayo. Lokhu kubhlungu ngokuvamile kuqala kancane kancane, nakuba ngezinye izikhathi kungase kuvele ngokuzumayo ngemva kokuzivocavoca noma ukulimala.

Nawa ama-zimpawu abalulekile ongawabhekana nawo:

• Ukubhlungu okukhulu, okuhlungu, noma okucindezelayo ngakwesobunxele se-breastbone yakho
• Ukubhlungu okubi uma uphefumula ngokujulile, ukhwehlela, noma uthswala
• Ukungakhululeki okwanda ngokuzivocavoca noma ukunyakaza okuthile
• Ubuhlungu uma ucindezela i-cartilage ye-rib elimele
• Ukubhlungu okungase kusabalale emuva noma esiswini
• Ukungakhululeki okuzwakala kubi uma ulele ezimweni ezithile

Ukubhlungu ngokuvamile kuqala ama-ribs amaningi kunokuba yindawo eyodwa. Ungase uqaphele ukuthi ukungakhululeki kuza futhi kuhamba, ngezinye izikhathi kuzwakala kungcono izinsuku ezimbalwa ngaphambi kokubuya.

Kwezinye izimo, abantu babhekana nalokho okuthiwa yi-Tietze syndrome, isimo esihambisanayo lapho indawo elimele futhi ibonakala iphezulu. Lokhu akunamkhawulo kodwa kungase kuhambisane nezimpawu ze-Costochondritis.

Yini ebangela i-Costochondritis?

Ngokukhulu kwesikhathi, i-Costochondritis iqala ngaphandle kwesizathu esicacile, esiqondakalayo. Odokotela babiza lokhu ngokuthi "i-idiopathic" costochondritis, futhi yilona uhlobo oluvamile lale meko.

Kodwa-ke, izinto eziningi zingase ziqalise noma zifake isandla e-Costochondritis:

• Ukuhlupheka komzimba okuvela ekuthwaleni okukhulu, ukuzivocavoca okukhulu, noma ukunyakaza okuphindaphindwayo kwezandla
• Ukulimala kwesifuba okuvela ekuwa, ezingoveni, noma emidlalweni
• Ukuhlanza okukhulu okuvela ezifo zokuphefumula noma izimo ezinjenge-bronchitis
• Ukutheleleka kwe-viral okubangela ukutheleleka emzimbeni wonke
• Ukutheleleka kwe-bacterial, nakuba lokhu kuncane kakhulu
• Izimo ze-arthritis ezinjenge-rheumatoid arthritis noma i-ankylosing spondylitis
• Iziphuzo ezimbalwa, nakuba lokhu kungavamile kakhulu

Ngezinye izikhathi ukutheleleka kuqala ngemva kwalokho okuzwakala sengumsebenzi omncane. Ungase uthole i-Costochondritis ngemva kokupenda i-ceiling, ukwenza umsebenzi we-yard, noma ngisho nokulala endaweni engakhululekile ecindezela imisipha yakho yesifuba.

Ukuqina nokukhathazeka kungase futhi kudlale indima, hhayi ngokubangela le meko kodwa ngokukwenza uqaphele kakhulu ukungakhululeki kwesifuba futhi kwenze ukubhlungu kuzwakale kubi kakhulu.

Nini okufanele ubheke udokotela nge-Costochondritis?

Kufanele ubheke udokotela uma ubhekana nokubhlungu kwesifuba, ikakhulukazi uma kusha noma kukukhathaza. Nakuba i-Costochondritis ngokuvamile ayilimazi, ukubhlungu kwesifuba ngezinye izikhathi kungase kubonise izimo ezinzima ezidinga ukunakekelwa ngokushesha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma ubhekana nalokhu:

• Ukubhlungu kwesifuba okuhambisana nokuphefumula okunzima, ukukhungatheka, noma isicanucanu
• Ukubhlungu okusabalala e-jaw, engalweni yasekhohlo, noma emuva
• Ukubhlungu okukhulu kwesifuba okuzwakala kucindezela noma kucindezela
• Ukushona okusheshayo noma okungavamile kwenhliziyo kanye nokubhlungu kwesifuba
• Ukuqina kanye nokubhlungu kwesifuba
• Ukuphefumula okunzima noma ukuzwa sengathi awukwazi ukubamba umoya

Ngisho noma izimpawu zakho zivame ukufana ne-Costochondritis, kuhle ukuba udokotela okunakekelayo ahlole ukubhlungu kwesifuba. Bangase bakwazi ukukhipha ezinye izimo futhi bakunikeze izincomo zokwelashwa ezifanele.

Hlela i-aphoyintimenti ejwayelekile uma ukubhlungu kwesifuba kwakho kuncane kodwa kuqhubeka, noma uma uke waba nezimo ezifanayo ngaphambili futhi ufuna ukuxoxa ngezindlela zokuphatha.

Ziyini izinto ezingase zikwenze ube sengozini ye-Costochondritis?

Izinto ezithile zingase zikwenze ube nethuba elikhulu lokuthola i-Costochondritis. Ukuqonda lokhu kungakusiza uqonde ukuthi kungani ungase ube nale meko.

Ubudala budlala indima ebalulekile, ngabantu abadala abangaphezu kweminyaka engama-40 abathinteka kakhulu. Njengoba siqhubeka sikhulile, i-cartilage yethu iba yingxube kakhulu futhi ibe nethuba elikhulu lokutheleleka nokulimala.

Izinga lakho lomsebenzi nendlela yakho yokuphila kungase futhi kuthonye ingozi yakho:

• Ukuhlanganyela njalo emidlalweni yokuxhumana noma imisebenzi enezandla eziphindaphindwayo
• Imisebenzi edinga ukuthwala okukhulu, ukufinyelela ngaphezulu, noma ukunyakaza okuphindaphindwayo
• Ukutheleleka kwesifuba kwamuva okubangele ukuhlanza okukhulu
• Umbhalo wokulimalala kwesifuba noma ukulimala
• Izimo ezithile ze-autoimmune ezinjenge-rheumatoid arthritis
• I-Fibromyalgia noma ezinye izimo zobhlungu oluqhubekayo

AbaFazazi bangase babe nethuba elikhulu kunamadoda, nakuba i-Costochondritis ingathinta noma ubani kungakhathaliseki ubulili. Ukuba ne-Costochondritis ngaphambili futhi kukwandisa amathuba akho okuyithola futhi.

Kubalulekile ukuqaphela ukuthi ukuba sengozini enkulu akusho ukuthi uzoba ne-Costochondritis. Abantu abaningi abanazo izinto ezingase zibangele le meko abayitholi, kanti abanye abangenazo izinto ezingase zibangele le meko bayithola.

Ziyini izinhlanganisela ezingase zenzeke nge-Costochondritis?

Izindaba ezinhle ukuthi i-Costochondritis ayivamile ukubangela izinhlanganisela ezinzima. Le meko ngokuvamile ibhekwa njengengalimi, okusho ukuthi ayibangeli ukulimala okuhlala njalo emzimbeni wakho noma ibeke impilo yakho engozini.

Izinhlanganisela eziyinhloko zihilela indlela ukubhlungu okuthonya ngayo impilo yakho yansuku zonke:

• Ukukhuluphala kokulala ngenxa yokungakhululeki kwesifuba uma ulele
• Ukunciphisa umsebenzi womzimba ukuze ugweme ukubangela ukubhlungu
• Ukukhathazeka ngokubhlungu kwesifuba, ikakhulukazi uma ukhathazekile ngezinkinga zenhliziyo
• Ukulinganiselwa okwesikhashana ekukwenzeni ukuzivocavoca noma ukwenza imisebenzi ethile
• Ubuhlungu obuqhubekayo ezimweni lapho isimo siqhubeka izinyanga
• Ukuqina kwemisipha entanyeni nasemahlombe okuvela ekuvikeleni ukubhlungu

Abanye abantu bathuthukisa isakhiwo lapho ukukhathazeka ngokubhlungu kwabo kwesifuba kwenza ukungakhululeki kuzwakale kubi kakhulu. Lokhu kuqondakala ngokuphelele, njengoba ukubhlungu kwesifuba ngokwemvelo kubangela ukukhathazeka ngempilo yenhliziyo.

Kwezinye izimo ezingavamile, uma i-Costochondritis ibangelwa ukutheleleka kwe-bacterial, ukutheleleka kungase kusabalale uma kungelashwa. Kodwa-ke, lokhu akunamkhawulo futhi ngokuvamile kwenzeka kubantu abanezinhlelo zokulwa nezifo ezingasebenzi kahle.

I-Costochondritis ihlonishwa kanjani?

Ukuhlola i-Costochondritis ngokuyinhloko kuhilela ukuhlolwa komzimba nokuxoxa ngezimpawu zakho. Udokotela wakho uzoqala ngokubuza ngokubhlungu kwakho, lapho kwaqala khona, yini eyenza kube ngcono noma kubi kakhulu, nanoma yimiphi imisebenzi noma ukulimala kwamuva.

Phakathi nokuhlolwa komzimba, udokotela wakho uzoqonda ngobumnene esifubeni sakho eduze kwe-breastbone nama-ribs. Uma une-Costochondritis, lokhu kucindezela ngokuvamile kuzophinde kube khona noma kube kubi ukubhlungu kwakho. Lobu buhlungu ngokuvamile yisibonakaliso esiyinhloko sokuhlola.

Udokotela wakho angase akukhuthaze ukuhlolwa okwengeziwe ukuze akhiphe ezinye izimo:

• I-Electrocardiogram (ECG) ukuhlola i-rhythm yenhliziyo yakho futhi ukhiphe izinkinga zenhliziyo
• I-X-ray yesifuba ukubuka izinkinga ze-lung noma ezinye izinto ezingavamile zesifuba
• Ukuhlolwa kwegazi ukuhlola izimpawu zokutheleleka noma ukutheleleka
• I-CT scan noma i-MRI ezimweni ezingavamile lapho ukuhlola kungacaci

Inqubo yokuhlola ngokuvamile ihilela ukukhipha ezinye izimbangela zokubhlungu kwesifuba kunokuthola izimpawu ezithile ze-Costochondritis. Udokotela wakho ufuna ukuqinisekisa ukuthi awubhekene nokuhlaselwa kwenhliziyo, izinkinga ze-lung, noma ezinye izimo ezinzima.

Ngezinye izikhathi ukuhlola kuyaqondakala ngokuhamba kwesikhathi njengoba izimpawu zakho ziphendula ekwelapheni okuvamile kwe-Costochondritis. Iqiniso lokuthi ukubhlungu kuphindaphindwayo ngokucindezela esifubeni sakho futhi akuhileli inhliziyo yakho kusiza ukuqinisekisa ukuhlola.

Iyini indlela yokwelapha i-Costochondritis?

Ukuphatha i-Costochondritis kugxile ekunciphiseni ukutheleleka nokuphatha ukubhlungu ngenkathi umzimba wakho uyahlanza ngokwemvelo. Izimo eziningi ziyathuthuka kakhulu phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa ngokunakekelwa okuhle.

Umgca wokuqala wokwelapha ngokuvamile uhilela imithi yokulwa nokutheleleka:

• I-NSAIDs engaphezu kokuthengiswa njenge-ibuprofen noma i-naproxen ukunciphisa ukutheleleka nobuhlungu
• I-Acetaminophen yokunciphisa ubuhlungu uma ungakwazi ukuthatha i-NSAIDs
• Imithi yokulwa nokutheleleka evela kudokotela ezimweni ezinzima kakhulu
• I-pain relievers ezibekwa ngqo endaweni elimele

Udokotela wakho angase futhi akukhuthaze i-physical therapy uma izimpawu zakho ziqhubeka. I-physical therapist ingakufundisa ukuzivocavoca okuthambile nokuphumula okusiza ekuqedeni ukuqina kwemisipha eduze kwama-ribs akho.

Kwezinye izimo ezinzima ezingaphenduli kwezinye izindlela zokwelapha, udokotela wakho angase acabangele:

• Ukuqhafaza kwe-corticosteroid ngqo e-cartilage elimele
• Imithi yokunciphisa ubuhlungu evela kudokotela ukusetshenziswa isikhathi esifushane
• I-Nerve blocks ezimweni ezingavamile, eziqhubekayo

Izindaba ezinhle ukuthi abantu abaningi bathola ukukhululeka okukhulu ngemithi elula yokulwa nokutheleleka nokuguqulwa komsebenzi. Ukuhlinzwa cishe akukaze kudingeke nge-Costochondritis.

Indlela yokuphatha i-Costochondritis ekhaya?

Ukuphatha ekhaya kudlala indima ebalulekile ekuphatheni i-Costochondritis futhi kungasiza kakhulu ekuqedeni ukubhlungu kwakho nokukhawulezisa ukuphulukisa. I-key ukuthola ibhalansi efanele phakathi kokupumula nomsebenzi oluthambile.

Izindlela zokuphatha ubuhlungu ongazama ekhaya zihlanganisa:

• Ukubekela ama-ice packs endaweni elimele imizuzu engama-15-20 izikhathi eziningi ngosuku
• Ukusebenzisa i-heat therapy ngama-compresses afudumele uma i-ice ingasizi
• Ukuthatha imithi yokulwa nokutheleleka engaphezu kokuthengiswa njengoba kuqondiswe
• Ukulala ngama-pillows engeziwe ukuthola indawo ekhululekile
• Ukuzivocavoca okuthambile kwesifuba namahlombe akho
• Ukusebenzisa amasu okuphumula ukulawula ukucindezeleka nokuqina kwemisipha

Ukuthuthukiswa komsebenzi kungasiza ekugwemeni ukubangela izimpawu zakho. Zama ukugwema ukuthwala okukhulu, ukunyakaza okuphindaphindwayo kwezandla, nemisebenzi eyenza ukubhlungu kwakho kube kubi. Kodwa-ke, ukulala ngokuphelele akudingeki futhi kungase kukwenze uzwe uqine kakhulu.

Ukuzivocavoca okuthambile kokuphefumula kungasiza ekuqinisweni kwe-ribcage yakho ngaphandle kokucindezela i-cartilage elimele. Thatha imiphumela ebuthakathaka, ejulile izikhathi eziningi ngosuku, kodwa yeka uma lokhu kwenza ukubhlungu kwakho kube kubi.

Qaphela isimo sakho, ikakhulukazi uma usebenza edeskini. Isimo esibi singase sibeke ukucindezela okwengeziwe emisipha yakho yesifuba futhi kwenze ukubhlungu kwe-Costochondritis kube kubi.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kungasiza ekuqinisekiseni ukuthi uthola ukuhlolwa okuchane kakhulu nesiqondiso sokwelapha esisebenzayo. Qala ngokubhala phansi imininingwane ngezimpawu zakho, kufaka phakathi lapho kwaqala khona nokuthi yini ebonakala iyibangela.

Letha uhlu lolwazi oluzokwabelana ngalo nodokotela wakho:

• Indawo eqondile yokubhlungu kwakho nokuthi izwakala kanjani (okukhulu, okuhlungu, okucindezelayo)
• Yimiphi imisebenzi noma ukunyakaza okwenza ukubhlungu kube ngcono noma kubi kakhulu
• Noma yimiphi imali, izifo, noma izinguquko emsebenzini wakho wokuzivocavoca kwamuva
• Yonke imithi nezinye izinto ozithatha njengamanje
• Izimo zangaphambili zokubhlungu okufanayo kwesifuba
• Noma yimuphi umlando womndeni wesifo senhliziyo noma izimo ze-autoimmune

Cabanga ukuqapha idayari yobhlungu olufushane izinsuku ezimbalwa ngaphambi kwe-aphoyintimenti yakho. Qaphela lapho ukubhlungu kwenzeka khona, ukuthi kububi kangakanani kwisikali se-1-10, nokuthi wawenzani lapho kuqala khona.

Lungiselela imibuzo yokubuza udokotela wakho, njengokuthi isimo sivame ukuphela isikhathi esingakanani, yimiphi imisebenzi okufanele uyigweme, nokuthi kufanele ulandelele nini. Unganqikazi ukucela incazelo kunoma yini ongayiqondi.

Uma uthatha noma iyiphi imithi yokunciphisa ubuhlungu, yilethe nawe noma ube nohlu lwento oyizamile nokuthi isebenze kangcono kangakanani.

Iyini into ebalulekile nge-Costochondritis?

I-Costochondritis yisimo esivamile, esingalimi ngokuvamile esibangela ukubhlungu kwesifuba ngenxa yokutheleleka kwe-cartilage ehlanganisa ama-ribs akho ne-breastbone yakho. Nakuba ukubhlungu kungase kube buhlungu futhi kukukhathaze, le meko ayilimazi inhliziyo yakho noma ezinye izitho ezibalulekile.

Abantu abaningi bayaphila ngokuphelele ngokwelashwa okuhle, okuvamile okuhilela imithi yokulwa nokutheleleka, ukuguqulwa komsebenzi, nesikhathi sokuphulukisa. Isimo ngokuvamile siphulukana phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi noma yiluphi ukubhlungu kwesifuba okusha kufanele kuhlolwe yisikhungo sezokwelapha. Nakuba i-Costochondritis ngokuvamile iyimbangela yokubhlungu kodonga lesifuba, kubalulekile ukuqeda ezinye izimo ezinzima kuqala.

Ngokunakekelwa okuhle nokubekezela, ungalindela ukubuya emisebenzini yakho evamile ngaphandle kokuthinteka okuhlala njalo okuvela e-Costochondritis. Gxila ekunakekelweni okuthambile, landela izincomo zedokotela wakho, futhi unganqikazi ukufuna ukunakekelwa kwezokwelapha uma izimpawu zakho zishintsha noma zibe zimbi.

Imibuzo evamile ebuzwa nge-Costochondritis

Ingabe i-Costochondritis ingaba yingozi noma ibe yingozi eyingozi?

Cha, i-Costochondritis ngokwayo ayiyona ingozi noma iyingozi eyingozi. Yisimo esingalimi esibangela ukubhlungu kodwa asilimazi inhliziyo yakho, ama-lung, noma ezinye izitho ezibalulekile. Kodwa-ke, kubalulekile ukuba ukubhlungu kwesifuba kuhlolwe kahle yisikhungo sezokwelapha ukuze kuqedwe ezinye izimo ezinzima.

I-Costochondritis ivame ukuphela isikhathi esingakanani?

Izimo eziningi ze-Costochondritis ziyathuthuka phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa ngokwelashwa okuhle. Abanye abantu baqaphela ukuthuthuka phakathi kwezinsuku zokuqala bokuqala imithi yokulwa nokutheleleka, kanti abanye bangase babe nezimpawu izinyanga eziningi. Izimo eziqhubekayo ezithatha isikhathi esingaphezu konyaka kungenzeka kodwa azivamile.

Ingabe i-Costochondritis ingabuya ngemva kokuba iphulukile?

Yebo, i-Costochondritis ingabuya, ikakhulukazi uma uthanda le meko noma uqhubeka nemisebenzi ecindezela indawo yesifuba sakho. Ukuba ne-Costochondritis kanye kukwenza ube nethuba elikhulu lokuyithola futhi. Kodwa-ke, abantu abaningi bane-episode eyodwa kuphela futhi abayitholi futhi.

Kuluphephile yini ukuzivocavoca nge-Costochondritis?

Ukuzivocavoca okulula ngokuvamile kuluphephile futhi kungasiza nge-Costochondritis, kodwa kufanele ugweme imisebenzi eyenza ukubhlungu kwakho kube kubi. Ukuhamba okulula, ukuzivocavoca okulula, nemisebenzi engathinti kakhulu ngokuvamile kulungile. Gwema ukuthwala okukhulu, imidlalo yokuxhumana, noma ukuzivocavoca okuhilela ukunyakaza okuphindaphindwayo kwezandla kuze kube yilapho izimpawu zakho ziphulukile.

Uyini umehluko phakathi kwe-Costochondritis nokuhlaselwa kwenhliziyo?

Ukubhlungu kwe-Costochondritis ngokuvamile kubakhulu noma kuhlungu, kubi kakhulu ngokunyakaza noma ukucindezela esifubeni, futhi kuhlala endaweni yodonga lesifuba. Ukubhlungu kokuhlaselwa kwenhliziyo ngokuvamile kuchazwa njengokucindezela noma ukucindezela, kungase kusabalale engalweni noma e-jaw, futhi ngokuvamile kuza nezinye izimpawu ezinjengokuphefumula okunzima, isicanucanu, noma ukushona. Noma yikuphi ukukhathazeka ngokubhlungu kwesifuba okuhlobene nenhliziyo kudinga ukunakekelwa kwezokwelapha ngokushesha.