Ukutyibilika kwesifo seRib

Umxholo

• Zithini iimpawu zokutyibilika kwembambo yesifo?
• Yintoni ebangela ukutyibilika kwembambo yesifo?
• Ichaphazeleka njani i-rib syndrome?
• Ngaba zikhona iingxaki zokutyibilika kwesibambo?
• Ngaba ukunyangwa kwesibambo kunyangwa njani?
• Yintoni imbonakalo yomntu onesifo sembambo?

Yintoni ukutyibilika kwesibambo?

Ukuhla kwe-rib syndrome kwenzeka xa i-cartilage kwiimbambo ezisezantsi zomntu ihla kwaye ihamba, ekhokelela kwintlungu esifubeni okanye kwisisu esingaphezulu. Islip ye-rib syndrome ihamba ngamagama amaninzi, kubandakanya ukunqakraza ubambo, iimbambo ezifudukayo, isifo se-rib tip, i-nerve nipping, i-rib syndrome, kunye ne-interchondral subluxation, phakathi kwabanye.

Imeko iqheleke kancinci kubantu basetyhini kunamadoda. Kuxelwe kubantu abancinci njenge-12 yeminyaka kwaye baneminyaka ephakathi kwe-80s, kodwa ikakhulu ichaphazela abantu abaphakathi. Ngokubanzi, isifo sithathwa njengonqabileyo.

Zithini iimpawu zokutyibilika kwembambo yesifo?

Iimpawu zokutyibilika kwimbambo ziyahluka ukusuka komnye umntu ukuya komnye. Ngokubanzi, iimpawu zichazwa njenge:

• iintlungu zokuhlaba ezibukhali esiswini esingaphezulu okanye ngasemva, zilandelwe kukungakhathali, uvakalelo olubuhlungu
• ukutyibilika, ukuphuma, okanye ukucofa imvakalelo kwiimbambo ezisezantsi
• ubunzima bokuphefumla
• ukonyuka kweempawu xa ugoba, uphakamisa, ukhohlela, uthimla, uphefumla nzulu, wolula, okanye ujika ebhedini

Uninzi lweziganeko zokutyibilika kwesibambo zivela kwicala elinye (elinye), kodwa imeko ixeliwe ukuba yenzeke kumacala omabini eribhoni.

Ndwendwela ugqirha kwangoko ukuba unengxaki yokuphefumla okanye unentlungu ebuhlungu esifubeni, kuba oku kungabonisa into ebaluleke ngakumbi, njengokuhlaselwa sisifo sentliziyo.

Yintoni ebangela ukutyibilika kwembambo yesifo?

Oyena nobangela wokutyibilika kwembambo akaqondwa kakuhle. Ukutyibilika kwesifo sembambo kunokwenzeka emva konzakalo, ukonzakala, okanye utyando, kodwa iimeko ziye zachazwa ngaphandle kokonzakala okubonakalayo.

Kukholelwa ukuba sisiphumo sokungahambi kakuhle kweembambo zembambo (costochondral) okanye iigaments, ngakumbi iimbambo 8, 9, kunye no-10. Ngamanye amaxesha kuthiwa ziimbambo zobuxoki. Ngenxa yoku, basesichengeni sokonzakala, ukwenzakala, okanye ukungahambi kakuhle emzimbeni.

Le slippage okanye intshukumo iyayicaphukisa imithambo-luvo kwaye inokubangela uxinzelelo kwimisipha ethile kuloo ndawo, ekhokelela kukudumba kunye nentlungu.

Ichaphazeleka njani i-rib syndrome?

Ukushenxisa isifo sembambo kunzima ukufumanisa ukuba iimpawu ziyafana nezinye iimeko. Ugqirha uya kuqala athathe imbali yezonyango kwaye abuze malunga neempawu zakho, kubandakanya ukuba baqale nini kwaye ukuba kukho nantoni na oyenzayo ebenza babe mandundu. Ugqirha wakho uya kufuna ukwazi malunga nemisebenzi oyithathayo inxaxheba kunye nento obuyenza kanye phambi kokuba uqale ukufumana isifuba okanye iintlungu zesisu.

Kukho uvavanyo olubizwa ngokuba yi-hooking maneuver enceda ukufumanisa isifo seembambo. Ukwenza olu vavanyo, ugqirha wakho ubamba iminwe yabo phantsi kweembambo kwaye ubashukumisela phezulu nasemva.

Ukuba olu vavanyo luchanekile kwaye lubangela ukungonwabi okufanayo, ugqirha wakho uhlala engayi kufuna ukwenza naluphi na uvavanyo olongezelelweyo njenge-X-ray okanye iMRI scan. Le nkqubo ibizwa ngokuba sisifo esahlukileyo.

Ezinye iimeko ezinokuthi ugqirha wakho afune ukuzikhupha zibandakanya:

• cholecystitis
• isisu
• izilonda esiswini
• uxinzelelo lokophuka
• iinyembezi zemisipha
• iintlungu zesifuba
• inyumoniya
• umbefu
• I-costochondritis, okanye iTietze syndrome
• isihlomelo
• iimeko zentliziyo
• metastases yethambo

Ugqirha wakho unokukuthumela kwingcali ukuze iphinde ivavanywe. Ingcali inokukucela ukuba uhambise iinxalenye ezithile zomzimba wakho okanye ugcine iindlela ezithile zokuma ujonge umanyano phakathi kwabo kunye nobukhulu beentlungu zakho.

Ngaba zikhona iingxaki zokutyibilika kwesibambo?

Kwabanye abantu, iintlungu zinokuba nzima ngokwaneleyo ukubangela ukukhubazeka. Izenzo ezilula njengokujika kwelinye icala ngelixa ulele okanye unxibe ibra kunokuba buhlungu kakhulu.

Ukutyibilika kwesifo sembambo akuqhubeki kwenzakalise nantoni na ngaphakathi.

Ngaba ukunyangwa kwesibambo kunyangwa njani?

Ngamanye amaxesha, ukutyibilika kwesifo sembambo kusombulula ngokwakho ngaphandle konyango. Unyango lwasekhaya lunokubandakanya:

• ukuphumla
• ukunqanda imisebenzi enzima
• ukusebenzisa ubushushu okanye umkhenkce kwindawo echaphazelekayo
• ukuthatha i-painkiller njenge-acetaminophen (iTylenol) okanye ichiza elichasayo (i-NSAID), njenge-ibuprofen (Advil, Motrin IB) okanye naproxen (Aleve)
• ukwenza ukuzolula kunye nokujikeleza umthambo

Ukuba iintlungu ziyaqhubeka ngaphandle kokuthatha ipilisi yeentlungu, ugqirha wakho unokuzama:

• Inaliti ye-corticosteroid ukunceda ukunciphisa ukudumba
• ibhloko ye-intercostal nerve (inaliti ye-anesthetic kwi-intercostal nerve) yokuphelisa iintlungu
• ulungiso lwenyama

Ukuba imeko iyaqhubeka okanye ibangela iintlungu ezinzima, kunokucetyiswa utyando. Inkqubo, eyaziwa njengexabiso lokususa intlala, ibonakalisiwe kwizifundo zeklinikhi ukuba ibe lunyango olusebenzayo lokuhambisa isifo sembambo.

Yintoni imbonakalo yomntu onesifo sembambo?

Ukushenxisa isifo sembambo akubangeli nawuphi na umonakalo wexesha elide okanye kuchaphazele amalungu angaphakathi. Le meko ngamanye amaxesha iyazimela ngaphandle konyango.

Kwiimeko ezinzima kakhulu, ibhloko enye ye-intercostal nerve inokuhambisa isiqabu esisigxina kwabanye, kodwa utyando lunokufuneka ukuba iintlungu ziyadodobalisa okanye zingapheli. Izifundo zamatyala zibonise iziphumo ezincomekayo emva kotyando, kodwa kuphela iimeko ezimbalwa ezipapashiweyo.