Izimbangela Eziningi Ze-Chest (Musculoskeletal) Paint Wall
Ubuhlungu be-chest buhlale buphawu olwesabekayo ngoba ngokuvamile kuvusa ukwesaba isifo senhliziyo. Futhi ngenxa yokuthi ubuhlungu besifuba kungaba isibonakaliso se- angina noma yenye inkinga yenhliziyo, kuhlale kuwumqondo omuhle ukuwuhlola. Kodwa isifo senhliziyo singesinye sezimo eziningi zezimo ezingaveza ubuhlungu besifuba.
Izimbangela ezivamile ze-Wall Pain Wall Pain
Esinye sezimbangela ezivame kakhulu zokuhlunguphazwa kwesifuba se-cardiac isifo sobuhlangu besifuba noma ubuhlungu besifuba se-musculoskeletal.
Okusho ukuthi ubuhlungu besifuba buhlobene nemisipha namathambo endonga yesifuba.
Odokotela baxilonga "ubuhlungu bezinduku zesifuba" okungenani amaphesenti angu-25 eziguli ezifika ekamelweni eliphuthumayo ukuze zibuhlungu esifubeni. Ngeshwa, ezimweni eziningi, kungcono ukuthi udokotela athole ukuxilongwa. Lokhu kungenxa yokuthi u-ER odokotela bavame ukugxila ekuqinisekiseni ukuthi abuhlungu ubuhlungu benhliziyo uma beqede inkinga enkulu, umsebenzi wabo usuqedile.
Uma ungumuntu onalokhu "ubuhlungu besibindi sesifuba" -kubonga ngokuthi kungenzeka ukuthi awunayo inkinga yenhliziyo-usenayo ubuhlungu. Unentshisekelo ekuxilongweni kwangempela ngoba lokho kungakusiza ukuba uqonde ukuthi yini ungakwenza mayelana nobuhlungu.
Kunezimbangela eziningana zokuhlukunyezwa kwendandatho yesifuba, futhi ngenhlanhla, kuningi lwezimo, imbangela eyimbangela yokuhlunguphazwa kwesikhumba sesifuba inobungozi futhi kaningi iyakwazi ukuzilinganisa. Kodwa-ke, ezinye izinhlobo zobuhlungu bezindonga zesifuba zingabonisa inkinga enkulu futhi zingadinga ukwelashwa okuqondile.
Nazi izimbangela ezivame kakhulu zokuhlukunyezwa kwesibindi sekhanda:
I-Chest Trauma
I-trauma edongeni lwesifuba ingabangela izidakamizwa ze-muscle noma izinkinga, izivunguvungu, noma ukuhlukana kwezimbambo. Ukuhlukunyezwa kungase kube ngenxa yesenzakalo esithile esimangalisayo (njengokushaywa yi-baseball noma imoto), noma ukuhlukunyezwa okucashile (njengokuphakamisa into enzima) okungase kube nzima ukukhumbuza, ikakhulu uma ukuqala kobuhlungu ibambezelekile.
Ngenxa yalokho, udokotela wakho kufanele akubuze ngemisebenzi okungenzeka ukuthi ibangele ukuhlukunyezwa kwendonga yesifuba.
I-Costochondritis
I-Costochondritis , ngezinye izikhathi ebizwa ngokuthi i-costosternal syndrome noma i-anterior chest wall syndrome, ibonisa ubuhlungu kanye nozwela ekuhlanganiseni kwezindleko ze-costochondral, okuyiyona ndawo eceleni kwezinhlangothi zesifuba lapho izimbambo zifaka khona.
Ubuhlungu buvame ukutholakala endaweni eyodwa, ikakhulukazi ngakwesokunxele kwesifuba sesifuba. (Kungakhathaliseki ukuthi i-costochondritis engakwesokunxele yinto evamile kakhulu, noma ngabe abantu abanezinhlungu zesifuba esisekhohlo bangamathuba okubona udokotela ngoba bakhathazekile ngenkinga yenhliziyo, akwaziwa.) Ubuhlungu be-costochondritis ngokuvamile bungabuyekezwa ngokucindezela endaweni ethintekile. Izimbangela ze-costochondritis aziqondakali kahle.
Ngesikhathi isixhumi "-itis" ngokuvamile esetshenziswa emithi ukukhombisa ukuvuvukala , empeleni akukho ubufakazi bokuvuvukala nge-costochondritis. Okusho ukuthi, akukho ukuvuvukala, ubomvu, noma ukushisa ezindaweni ezibuhlungu. Ezinganeni nakubantu abadala, lesi sifo sibonakala ngezinye izikhathi sihlobene nokuhlukunyezwa noma ukubuthakathaka kwemisipha ye-intercostal (imisipha ephakathi kwezimbambo), elandela imisebenzi ephindaphindiwe ecindezela lezo zinhlanzi ezifana nokuthwala isikhwama esinzima sencwadi.
Kwezinye izimo, i-costochondritis ibonakala ihlotshaniswa nokuhlukaniswa okucashile kombambo. Ngenkathi izidakamizwa ziyazi kahle ukuthi izimbambo zisuke zibangelwa i-costochondritis, odokotela baye bavame ukuzwa ngakho. I-dislocation ingase ivele ngemuva, lapho umhlanga kanye nokuhlangana komgogodla. Lokhu kuphazamiseka okuncane kakhulu kubangela ukuqhuma kombundu kanye nethambo lesifuba (ekuhlanganiseni kwe-costochondral) nemiphumela ebuhlungu. Isibambo singase "siphume" ngaphakathi nangaphandle kwesimo salo esifanele (ngokuvamile ngokunyakaza okuphindaphindiwe kwe-trunk noma ibhande lehlombe), lapho kwenzeka ubuhlungu buzofika khona.
Ngokuvamile izidakamizwa zikwazi ukuphatha isikhwama esivela endaweni yaso evamile nokukhulula ubuhlungu.
I-Costochondritis ivame isimo esizimele. Ngezinye izikhathi kuphathwa ngokushisa okwenziwe endaweni noma ukuzivivinya okulula, kodwa akucaci ukuthi izinyathelo ezinjalo zizosiza yini. Uma ubuhlungu be-costochondritis buqhubeka isikhathi esingaphezu kweviki noma kunjalo, ukuhlolwa okubheke kwezinye izimo zodonga lwesifuba kungase kube umbono omuhle futhi ukubonisana nodokotela we-chiropractor kungase kube usizo.
I-Rib Rib Pain Syndrome
I-Lower rib pain syndrome (ebizwa ngokuthi i-slipping syndrome) ithinta izimbambo ezingezansi, futhi abantu abanezimo ngokuvamile bakhononda ubuhlungu engxenyeni engezansi yesifuba noma esiswini. Kule syndrome, esinye sezimbambo ezingezansi (isibhozo sesishiyagalombili, isibalo sesishiyagalolunye noma sesishiyagalombili) sikhululeka kusuka ekuxhumaneni kwayo okuyizintambo kuya kwesifuba, ngokuvamile ngokulandela uhlobo oluthile lokuhlukunyezwa. Isibambo "esihambayo" esithinta izinzwa eziseduze ziveza ubuhlungu. Lesi simo ngokuvamile siphathwa ngendlela efaneleko neseluleko sokugwema imisebenzi eveza ubuhlungu emzamweni wokuvumela izimbambo ukuba ziphulukise, kodwa ukuhlinzwa kungadingeka ukuze kuqiniswe imbambo yokudonsa.
I-Precordial Catch
"Ukudoba okuphambili" kuyisimo esibucayi futhi esivamile kakhulu, ngokuvamile esibonakala kubantwana noma kubantu abadala, lapho kuqhuma khona ubuhlungu obuhlungu obuhlungu, ngokusobala ngakwesobunxele besifuba, okuhlala imizuzwana embalwa kuya emaminithini ambalwa. Ngokuvamile kwenzeka ngesikhathi sokuphumula, futhi ngesikhathi sesiqephu, ubuhlungu buyanda ngokuphefumula. Ngemva kwemizuzwana embalwa noma imizuzu embalwa, ubuhlungu buxazulula ngokuphelele. Isizathu salesi simo asikwazi, futhi asikho ukuvezwa kwezokwelapha okuyaziwayo.
I-Fibromyalgia
I-Fibromyalgia iyisifo esivamile kakhulu esinezinhlungu ezihlukahlukene ze-musculoskeletal. Ubuhlungu phezu kwesifuba buvame nalesi simo. Ngokuvamile i-fibromyalgia inezinye izimpawu eziningi ngaphezu kobuhlungu, njengokukhathala, ukuphazamiseka kokulala, nezimpawu zamathumbu, okubangela odokotela abaningi ukuba babonise lesi simo njengenye ye- dysautonomias .
Izifo Ze-Rheumatic Associated With Wall Chest Wall Pain
Ubuhlungu bezindonga zesifuba ezihambisana nokuvuvukala kwamalungu omgogodla noma izimbambo kungabonwa ngezimo eziningana ze-rheumatic, ikakhulukazi, i-arthritis ye-rhumum, i- ankylosing spondylitis ne- psoriatic arthritis . Nakuba kungavamile ukuthi ubuhlungu besifuba bube uphawu olulodwa oluhlotshaniswa nanoma yimiphi yalezi zimo, ubuhlungu obungasetshenzisiwe bomlenze wesifuba, ikakhulukazi uma ukuhlolwa kuphakamisa ukuthi kuhlobene ne-arthritis noma olunye uhlobo lwesifo sokuvuvukala, kufanele kuholele udokotela okungenani ucabange isifo se-rheumatic njengesizathu esithile.
Ukucindezeleka Ukuhlukana
Ukucindezeleka ukuhlukana kwezimbambo kungabonwa kubadlali abahlanganyela ezinkundleni ezikhuni, eziphindaphindiwe ezibandakanya umzimba ophezulu, njengabagwedli noma amabhulogi e-baseball. Ukucindezeleka ngokweqile kungabonakala kubantu abane-osteoporosis noma i- vitamin D.
I-Cancer
Izigaba ezithuthukisiwe zomdlavuza ezihlasela udonga lwesifuba zingaveza ubuhlungu obukhulu. Umdlavuza wesibeletho nomdlavuza wamaphaphu yizinhlobo ezimbili ezivame kakhulu zomdlavuza oveza le nkinga. Umdlavuza oyinhloko wezimbambo uyimeko engavamile kakhulu engabangela ubuhlungu bezindonga zesifuba.
Isifo Sengculaza-Cell
Manje sekukholelwa ukuthi ubuhlungu besibindi sesifuba ngezinye izikhathi kubonakala ezigulini ezinenkinga ye- sickle-cell kungenzeka ngenxa yezingcingo ezincane ezimbambo. Ukuhlunguphaza komvuthwandaba kuvamise ukuxazulula ngokushesha njengoba inkinga ye-sickle-cell ilawulwa.
Izwi elivela
Ubuhlungu bezindonga zesifuba buvame kakhulu kubantu ababonwa odokotela ngobuhlungu besifuba, kodwa akuhlali njalo kuhlotshaniswa nokugula okungathí sina njengesifo senhliziyo. Nakuba izimpawu zobuhlungu besifuba zingakwazi ukuthathwa ngokungathí sina, iningi lamacala, kulula ukuba udokotela oqaphele ukuxilonga imbangela yesikhumba sekhanda esifubeni nokuncoma ukwelashwa okufanele.
> Imithombo:
> Almansa C, Wang B, Achem SR. Ubunzima be-Noncardiac Breast, ne-Fibromyalgia. I-Med Clin North Am 2010; 94: 275.
> Bösner S, Becker A, Haasenritter J, et al. Ubuhlungu be-Chest ekunakekelwa okuyinhloko: I-Epidemiology ne-Pre-work-up Probabilities. I-Eur J Gen Pract 2009; 15: 141.
> Ebell MH. Ukuhlolwa Kwezinhlungu Zezifuba Ezigulini Zokunakekelwa Okuyinhloko. Am Fam Physician 2011; 83: 603.
> Eslick GD. Ukuhlukaniswa, Umlando Wezemvelo, Isifo Se-Epidemiology, kanye Nezicabangela Zengozi Yezinhlungu Zezinhlungu Zengculazi. Dis Mon 2008; 54: 593.