Into ekufuneka uyazi ngeTietze Syndrome

Umxholo

• Ziintoni iimpawu?
• Yintoni ebangela isifo seTietze?
• Ziziphi izinto ezinobungozi?
• I-Tietze syndrome yahluke njani kwi-costochondritis?
• Kufunyaniswa njani?
• Inyangwa njani?
• Umgca wezantsi

Isifo seTietze yimeko enqabileyo ebandakanya iintlungu zesifuba kwiimbambo zakho ezingasentla. Inobungozi kwaye ichaphazela kakhulu abantu abangaphantsi kweminyaka engama-40. Isizathu sayo ngqo asaziwa.

Isifo sithiwe nguAlexander Tietze, ugqirha waseJamani owasichaza okokuqala ngo-1909.

Eli nqaku liza kujonga ngakumbi iimpawu, izizathu ezinokubangela, ubungozi, ukuxilongwa, kunye nokunyangwa kweTietze syndrome.

Ziintoni iimpawu?

Olona phawu luphambili lwesifo seTietze sisifo esifubeni. Ngale meko, iintlungu zivakala zijikeleze enye okanye nangaphezulu kweembambo zakho ezine eziphezulu, ngakumbi apho iimbambo zakho zinamathele kwithambo lakho lesifuba.

Ngokophando olwenziwe kwimeko, ubambo lwesibini okanye lwesithathu luyabandakanyeka. Ku, iintlungu zibekwe zijikeleze ubambo olunye. Ngokwesiqhelo, icala elinye kuphela lesifuba liyabandakanyeka.

Ukudumba kwenqwaba yembambo echaphazelekayo kubangela iintlungu. Lo mmandla we-cartilage ubizwa ngokuba yi-costochondral junction.

Ukudumba kunokubangela ukudumba okuba nzima kunye nokujija okumile. Indawo ingaziva ithambile kwaye ifudumele, kwaye ijongeka ngathi idumbile okanye ibomvu.

Iintlungu zesifo seTietze syndrome zinokuthi:

• iza ngesiquphe okanye ngokuthe ngcembe
• ndiziva ndibukhali, ndigwaza, ndindindisholo, okanye ndibuhlungu
• ukusuka kubumnene ukuya kubunzima
• Nwenwela engalweni, entanyeni nasemagxeni
• iba mandundu xa usenza umthambo, ukhohlela, okanye uthimla

Nangona ukudumba kunokuqhubeka, iintlungu zihlala zincipha emva kweeveki ezimbalwa.

Yintoni ebangela isifo seTietze?

Isizathu ngqo sesifo seTietze asaziwa. Nangona kunjalo, abaphandi bakholelwa ukuba inokuba sisiphumo sokonzakala okuncinci kwiimbambo.

Ukulimala kunokubangelwa:

• ukukhohlela kakhulu
• ukugabha kakhulu
• usulelo oluphezulu lokuphefumula, kubandakanya i-sinusitis okanye i-laryngitis
• imisebenzi enzima okanye ephindaphindayo yomzimba
• ukwenzakala okanye ukwenzakala

Ziziphi izinto ezinobungozi?

Izinto ezinobungozi obukhulu kwi-Tietze syndrome zineminyaka yobudala kwaye mhlawumbi lixesha lonyaka. Ngaphandle koko, kuncinci okwaziwayo malunga nezinto ezinokunyusa umngcipheko.

Yintoni eyaziwayo kukuba:

• Isifo seTietze sichaphazela ikakhulu abantwana kunye nabantu abangaphantsi kweminyaka engama-40. Ixhaphake kakhulu kubantu abakwiminyaka yama-20 nengama-30 ubudala.
• Uphononongo lwango-2017 luqaphele ukuba inani lamatyala laliphezulu ngexesha lasebusika-entwasahlobo.
• Olu pho nonongo lufumene inani eliphezulu labasetyhini abaphuhlisa i-Tietze syndrome, kodwa ezinye izifundo zifumene ukuba i-Tietze syndrome ichaphazela abesifazana nabesilisa ngokulinganayo.

I-Tietze syndrome yahluke njani kwi-costochondritis?

Isifo seTietze kunye ne-costochondritis zombini zibangela iintlungu zesifuba ezijikeleze iimbambo, kodwa kukho umahluko obalulekileyo:

Kufunyaniswa njani?

Isifo seTietze sinokuba ngumngeni ekuchongeni, ngakumbi xa kufikwa kumba wokwahlulahlula kwi-costochondritis, exhaphake kakhulu.

Xa ubona umboneleli wezempilo kwiintlungu zesifuba, baya kuqala bafune ukukhupha nayiphi na imeko enokuba yingozi okanye enokusongela ubomi efuna ukungenelela kwangoko njenge-angina, pleurisy, okanye isifo sentliziyo.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu zakho. Banokuyalela iimvavanyo ezithile ukulawula ezinye izizathu kunye nokubanceda baqonde isifo.

Oku kunokubandakanya:

• uvavanyo lwegazi ukukhangela iimpawu zesifo sentliziyo okanye ezinye iimeko
• imaging ye-ultrasound ukujonga kwiimbambo zakho kwaye ubone ukuba ngaba kukho ukuvuvukala kwe-cartilage
• iX-ray yesifuba ukukhangela ubukho besifo okanye ezinye izinto ezixhalabisayo kwezonyango ezibandakanya amalungu akho, amathambo kunye nezicubu
• isifuba se-MRI ukujonga ngokuthe kratya nakweyiphi na i-cartilage ukuqina okanye ukudumba
• ukuskena amathambo ukujonga ngokusondeleyo amathambo akho
• i-electrocardiogram (EKG) ukujonga indlela esebenza ngayo intliziyo yakho kunye nokulawula isifo sentliziyo

Ukuxilongwa kweTietze syndrome kusekelwe kwiimpawu zakho kwaye ulawula ezinye izizathu ezinokubangela iintlungu zakho.

Inyangwa njani?

Unyango oluqhelekileyo lonyango lweTietze syndrome yile:

• phumla
• ukunqanda imisebenzi enzima
• ukufaka ubushushu kwindawo echaphazelekayo

Ngamanye amaxesha, iintlungu zinokusombulula zodwa ngaphandle konyango.

Ukukunceda ngeentlungu, umboneleli wakho wezempilo unokucebisa ukunciphisa iintlungu ezinje nge-over-the-counter (OTC) iziyobisi ezingezizo ezokulwa nokudumba (i-NSAID).

Ukuba iintlungu zakho ziyaqhubeka, banokumisela ukuba iintlungu ziyomelele.

Olunye unyango olunokubakho lweentlungu eziqhubekayo kunye nokudumba kubandakanya inaliti ye-steroid ukunciphisa ukudumba okanye i-lidocaine inaliti kwindawo echaphazelekayo ukunciphisa iintlungu.

Nangona ukudumba kunokuqhubeka ixesha elide, iintlungu zesifo seTietze zihlala ziphucula ngaphakathi kweenyanga. Ngamanye amaxesha imeko inokusombulula kwaye iphinde ibuye.

Kwiimeko ezigabadeleyo apho unyango olulondolozayo lungancedi ukunciphisa iintlungu nokudumba, kunokufuneka kwenziwe uqhaqho ukuze kususwe intambo engaphezulu kwiimbambo ezichaphazelekayo.

Umgca wezantsi

I-Tietze syndrome yimeko enqabileyo, enobungozi ebandakanya ukudumba okubuhlungu kunye nokuthantamisa kwe-cartilage ejikeleze enye okanye nangaphezulu kweembambo zakho ezingaphezulu apho zinamathela kwithambo lakho lesifuba. Ichaphazela ikakhulu abantu abangaphantsi kweminyaka engama-40.

Kwahlukile kwi-costochondritis, imeko exhaphake kakhulu ekwabangela iintlungu esifubeni, ezichaphazela ikakhulu abantu abangaphezulu kweminyaka engama-40.

I-Tietze syndrome ichongwa ngokulawula ezinye iimeko ezibangela iintlungu esifubeni. Ihlala isombulula ngokuphumla nangokusebenzisa ubushushu kwindawo echaphazelekayo.