Ukutyibilika kwesifo sembambo

Ukutyibilika kwesifo sembambo kubhekisa kwintlungu yesifuba sakho esezantsi okanye esiswini esingaphezulu esinokubakho xa iimbambo zakho ezisezantsi zihamba kancinci kunesiqhelo.

Iimbambo zakho ngamathambo esifubeni sakho asongela umzimba wakho ongasentla. Badibanisa isifuba sakho nomqolo wakho.

Esi sifo sihlala sivela kwiimbambo ze-8 ukuya kwe-10 (zikwabizwa ngokuba ziimbambo zobuxoki) emazantsi embambo wakho. Ezi zibambo azidibananga nethambo lesifuba (sternum). Izicubu ezinobungqingili (iigaments), qhagamshela ezi iimbambo komnye komnye ukuze uncede ukuzigcina zizinzile. Ubuthathaka obunxulumene nemisipha kunokuvumela iimbambo ukuba zihambe kancinci kunesiqhelo kwaye zibangele iintlungu.

Le meko inokwenzeka ngenxa:

• Ukwenzakala esifubeni ngelixa udlala imidlalo yoqhakamshelwano enjengebhola ekhatywayo, ihokhi yomkhenkce, umlo kunye nombhoxo
• Ukuwa okanye ukwenzakala ngqo esifubeni sakho
• Ukujija ngokukhawuleza, ukutyhala, okanye ukuphakamisa iintshukumo, njengokuphosa ibhola okanye ukuqubha

Xa iimbambo zitshintsha, bacinezela izihlunu, imithambo-luvo kunye nezinye izicwili ezingqongileyo. Oku kubangela iintlungu kunye nokudumba kuloo ndawo.

Ukutshibilika kwimbambo yesifo kunokwenzeka nangaliphi na ixesha, kodwa kuqheleke kakhulu kubantu abadala abakwiminyaka ephakathi. Abasetyhini banokuchaphazeleka ngakumbi kunamadoda.

Imeko ihlala ivela kwicala elinye. Rhoqo, inokwenzeka kumacala omabini. Iimpawu zibandakanya:

• Intlungu ebuhlungu kwisifuba esisezantsi okanye esiswini esingaphezulu. Intlungu inokuza ihambe kwaye iphucule ngokuhamba kwexesha.
• Ukuphuma, ukucofa, okanye ukutyibilika kovalo.
• Ubuhlungu xa ufaka uxinzelelo kwindawo echaphazelekayo.
• Ukukhohlela, ukuhleka, ukuphakamisa, ukujija kunye nokugoba kunokwenza ukuba iintlungu zibe mandundu.

Iimpawu zokutyibilika kwimbambo ziyafana nezinye iimeko zonyango. Oku kwenza ukuba imeko ibenzima ukuyifumanisa.

Umboneleli wakho wezempilo uya kuthatha imbali yakho yezonyango kwaye abuze malunga neempawu zakho. Uya kubuzwa imibuzo efana nale:

• Iqale njani intlungu? Ngaba bekukho ukwenzakala?
• Yintoni ebangela ukuba iintlungu zakho zibe mbi?
• Ngaba ikhona into encedisa ukudambisa iintlungu?

Umboneleli wakho uya kwenza uvavanyo lomzimba. Uvavanyo lokukhangela olunokwenziwa lunokwenziwa ukuqinisekisa ukuxilongwa. Kolu vavanyo:

• Uya kucelwa ukuba ulale ngomqolo.
• Umboneleli wakho uya kubamba iminwe yabo phantsi kweembambo ezisezantsi aze abakhuphele ngaphandle.
• Iintlungu kunye noluvo lokucofa luqinisekisa imeko.

Ngesiseko soviwo lwakho, i-x-ray, i-ultrasound, i-MRI okanye iimvavanyo zegazi zinokwenziwa ukulawula ezinye iimeko.

Iintlungu zihlala ziphela kwiiveki ezimbalwa.

Unyango lujolise ekupheliseni iintlungu. Ukuba iintlungu zithambile, ungasebenzisa ibuprofen (Advil, Motrin) okanye naproxen (Aleve, Naprosyn) yokuphelisa iintlungu. Ungawathenga la mayeza eentlungu kwivenkile.

• Thetha nomboneleli wakho ngaphambi kokusebenzisa la mayeza ukuba unesifo sentliziyo, uxinzelelo lwegazi oluphezulu, isifo sezintso, isifo sesibindi, okanye unezilonda esiswini okanye ukopha ngaphakathi ngaphambili.
• Thatha idosi njengoko kucetyisiwe ngumboneleli. Sukuthatha ngaphezulu kwesixa esinconyelwe kwibhotile. Funda ngononophelo izilumkiso kwileyibhile ngaphambi kokuba uthathe naliphi na iyeza.

Umboneleli wakho unokumisela amayeza entlungu ukuthomalalisa iintlungu.

Unokucelwa ukuba:

• Faka ubushushu okanye umkhenkce kwindawo yeentlungu
• Ziphephe izinto ezenza ukuba iintlungu zibe mandundu, njengokuphakamisa okunzima, ukujija, ukutyhala, kunye nokutsala
• Nxiba isibopheleli esifubeni ukuzinzisa iimbambo
• Dibana nonyango

Ngeentlungu ezibuhlungu, umboneleli wakho unokukunika inaliti ye-corticosteroid kwindawo yeentlungu.

Ukuba iintlungu ziyaqhubeka, kungenziwa utyando ukususa intlala kunye neembambo ezisezantsi, nangona ingelulo oluqhutywa rhoqo.

Intlungu ihlala iphela ngokuhamba kwexesha, nangona iintlungu zinokuhlala zingapheliyo. Inaliti okanye utyando kunokufuneka kwezinye iimeko.

Iingxaki zinokubandakanya:

• Kunzima ukuphefumla.
• Ukwenzakala ngexesha lenaliti kunokubangela i-pneumothorax.

Ngokuqhelekileyo akukho ngxaki yexesha elide.

Kuya kufuneka ubize umnikezeli wakho ngoko nangoko ukuba unayo:

• Ukwenzakala esifubeni sakho
• Ubuhlungu kwisifuba sakho esisezantsi okanye esiswini esingaphezulu
• Ukuphefumla nzima okanye ukuphefumla kancinci
• Intlungu ngexesha lomsebenzi wemihla ngemihla

Tsalela umnxeba ku-911 ukuba:

• Utyumza ngequbuliso, ucudisa, uqinisa, okanye uxinzelelo esifubeni sakho.
• Intlungu iyasasazeka (imitha) kumhlathi wakho, ingalo yasekhohlo, okanye phakathi kwamagxa egxalaba.
• Unesicaphucaphu, isiyezi, ukubila, intliziyo ebalekayo, okanye umphefumlo omfutshane.

I-interchondral subluxation; Ukucofa isifo sembambo; Islip-rib-cartilage syndrome; Iimbambo zesifo esibuhlungu; Isifo seshumi elinesibini; Iimbambo ezilahliwe; Isifo se-Rib-tip; Ukuhluthwa kwembambo; Iimbambo zokuhambisa iintlungu esifubeni

• Iimbambo kunye ne-anatomy yemiphunga

UDixit S, uChang CJ. Thorax kunye nokulimala esiswini. Ku: Madden CC, Putukian M, McCarty EC, CC encinci, ii-eds. Unyango lweMidlalo yeNetter. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 52.

IKolinski JM. Iintlungu zesifuba. Ku: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, ii-eds. UNelson Pediatric Syndromeom-based Diagnosis. IPhiladelphia, PA: Elsevier; I-2018: isahluko 7.

UMcMahon, LE. Ukushenxisa isifo sembambo: Uphengululo lovavanyo, isifo kunye nonyango. Iisemina kuNyango lwabantwana. 2018;27(3):183-188.

Waldmann SD. Ukushenxisa isifo sembambo. Ku: Waldmann SD, ed. IiAtlas zeSyndromes zeNtlungu eziQhelekileyo. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2020: isahluko 72.

Waldmann SD. Uvavanyo lokukhangela ukutyibilika kwesifo sembambo. Ku: Waldmann SD, ed. Ukuchongwa komzimba weNtlungu: IAtlas yeZimpawu kunye neMpawu. Ngomhla wesi-3. ISt Louis, MO: Elsevier; I-2016: isahluko 133.