Ukuhlukanisa phakathi kweCostochondritis, Tietze Syndrome, nezinkinga zeCardiac
I-Costochondritis ne-Tietze syndrome zihlotshaniswa nobuhlungu bezindonga zesifuba. Nakuba ubuhlungu besifuba akusona uphawu olungavamile, kuphazamisa, ukusho okungenani. Uma ubhekene nobuhlungu besifuba, abantu ngokuvamile bacabanga ngokuhlaselwa kwenhliziyo . Kodwa, nezinye izimo eziningana nazo zihlobene nobuhlungu besifuba. Ngaphandle kwezinkinga ze-cardia, i-costochondritis, ne-Tietze syndrome, ubuhlungu besifuba singase buhlotshaniswe nesifo se-pulmonary noma esiswini.
Ubuhlungu bungabuye bufinyelele esifubeni ngesifo somlomo wesibeletho noma se-thoracic spine . Kubalulekile ukuthi umuntu ozwa ubuhlungu besifuba ahlolwe ngokushesha futhi abe nesizathu esinqunyiwe.
Ukuhlukanisa phakathi kweCostochondritis ne-Tietze Syndrome
Nakuba i-costochondritis ne-Tietze syndrome ngokuvamile ibhekwa njengamagama ahlukile esimweni esifanayo, kunesici esisodwa esihlukanisa phakathi kwabo. I-Costochondritis ne-Tietze syndrome zibangelwa ukuvuvukala kwamaqoqo e-costochondral wezimbambo noma izingxenyana ezingezansi zodonga lwesifuba sangaphambili. Zombili lezi zimo zibhekwa ngothando lwezinqola zokugqoka-izidumbu ezihlanganisa i-sternum (okungukuthi, isifuba) kanye nemikhawulo yezintambo. Kodwa-ke, kukhona ukuvuvukala kwendawo nge-Tietze syndrome futhi akukho ukuvuvukala nge-costochondritis. Yilokho umehluko omkhulu.
I-Costochondritis:
- kuvamile kakhulu kune-Tietze syndrome.
- ihlotshaniswa nobuhlungu kanye nobubele besendonga sesifuba, ngaphandle kokuvuvukala.
- ihlotshaniswa nothando oluvame ukudlulisa ngaphezu kweyodwa indawo ebiza izindleko ngamaphesenti angama-90 wamacala.
- ngokuvamile kuhilela ukuhlanganiswa kwesibili kuya kweyisihlanu kwezindleko ze-costochondral.
- ibuye ibizwe ngokuthi i-anterior wall syndrome, i-costosternal syndrome, i-chondrodynia yangaphandle, noma i-wall wall syndrome.
- ngokuvamile kuvela kulabo abangaphezu kweminyaka engama-40 ubudala.
Tietze syndrome:
- akuvamile kakhulu kune-costochondritis.
- ibonakala ngokuqala okungase kube kancane kancane noma kungazelelwe.
- ibonakala ngokuvuvukala okuvame ukuvela ku-cartilage yesibili noma yesithathu ebiza izindleko.
- kungabandakanya ubuhlungu obuya ehlombe futhi bukhukhumezwe ngokukhwehlela, ukuphawula noma ukunyakaza kwendonga yesifuba.
- kuhlotshaniswa nothando oluzwakalayo (ie, ithenda uma uthintwa noma uzizwa).
- kuhilela indawo eyodwa kuphela yezindleko ze-cartilage endaweni engamaphesenti angu-70 amacala.
- ngokuvamile ukhula ebusheni obudala, ngaphambi kweminyaka engama-40.
Ukubona i-Costochondritis
Ngesikhathi sokuhlolwa komzimba, ubuhlungu besifuba obungenziwa kabusha nge-palpation phezu kwe-cartilages ebiza izindleko ngokuvamile kukwanele ukuxilongwa kwe-costochondritis ezinganeni, ezinsheni, nakubantu abadala. I-EKG (electrocardiogram) nesifuba x-ray kuvame ukuphakanyiswa, ngaphezu kokuhlolwa ngokomzimba, kubantu abaneminyaka engaphezu kuka-35 ubudala, abantu abanengozi noma umlando we- coronary artery disease , noma noma ubani onezimpawu ze-cardiopulmonary.
Ukwelapha i-Costochondritis
Ukwelashwa kwe-costochondritis ngokuyinhloko kugxile ekusizeni ubuhlungu. I-Acetaminophen , izidakamizwa ezingezona ukuvuvukala (non- steroidal anti-inflammatory drugs ) (NSAIDs), nezinye izidakamizwa ze-analgesic ngokuvamile zihlelwe ukuphatha ubuhlungu obuhambisana nesimo.
Kanye nemithi enqunyiwe, ukuphathwa kobuhlungu kungabandakanya ukuphumula, ukushisa kuqeda imishini yokushisa, nokugwema noma yimiphi imisebenzi ekhulisa ubuhlungu. Ukwelapha ngokomzimba akudingeki ukuthi kutholakale, kodwa kwezinye izimo, kungase kube usizo. Izilonda ze-Lidocaine / corticosteroid ezindaweni ezithintekayo ze-costochondral zingacatshangelwa, ikakhulukazi uma ezinye izinketho zokwelapha zinganikeli usizo oluncane, kepha akudingeki neze.
Ubude besikhathi seCostochondritis Izimpawu
Ubude be-costochondritis buhluka. Isimo ngokuvamile sihlala amasonto ambalwa. Kungathatha izinyanga. Cishe njalo, i-costochondritis ixazululwa kungakapheli unyaka owodwa.
Kungenzeka, kodwa kungavamile, ukuba necala eliphikisanayo lezintambo zesifuba sekhanda nge-costochondritis.
Okubalulekile
Abantu abane- arthritis ye-rheumatoid basengozini enkulu yezifo zenhliziyo uma kuqhathaniswa nomphakathi jikelele. Ukuqwashisa ngengozi enkulu kwenza ukuba abantu abane-arthritis ye-rheumatoid babesabekayo. Uma uzwa ubuhlungu besifuba, ukubaluleka kokuhlolisiswa, ngaphandle kokulibaziseka, akunakuqedwa. Ubuhlungu besifuba yisimo esiphuthumayo sezokwelapha futhi izimpawu kufanele zihlolwe ngaphandle.
> Imithombo:
> Primer > kuma-Rheumatic Diseases. I-Arthritis Foundation. Umagazini weshumi nantathu.
> Proulx, Anne M. DO > no > Zryd, uTeresa W. MD Costochondritis: Ukuxilongwa Nokunakekelwa. I-American Family Physician. 2009 September 15; 80 (6): 617-620.
> Qondanisa i-Syndrome. I-NIH. I-GARD (Isikhungo Sokwazisa Ngezifo Zamafuba). Novemba 11, 2014.