Kubvarura Rib Syndrome

Zvemukati

• Ndezvipi zviratidzo zvekutsvedza mbabvu chirwere?
• Chii chinokonzera kutsvedza kwembabvu syndrome?
• Kutsvedza kwembabvu syndrome kunoonekwa sei?
• Pane here chero zvinetswa zvekutsvedza rib syndrome?
• Kurasira rib rib kunorapwa sei?
• Ndeupi maonero eumwe munhu ane kutsvedza kwembabvu syndrome?

Chii chinonzi kutsvedza rib syndrome?

Kutsvedza rib syndrome kunoitika kana shwashwa iri pambabvu dzepasi dzemunhu ichitsvedza uye ichifamba, zvichitungamira mukurwadziwa mubhokisi ravo kana kumusoro kwedumbu. Kutsemuka kwembambo chirwere kunoenda nemazita mazhinji, kusanganisira kubaya rumbabvu, mbabvu dzakadzingwa, rib tip syndrome, nerve nipping, inorwadza rib rib, uye interchondral subluxation, pakati pemamwe

Mamiriro acho akajairika muvakadzi kupfuura varume. Izvo zvakataurwa muvanhu sevadiki semakore gumi nemaviri uye sevakuru kusvika pakati pe80s, asi zvinonyanya kubata vanhu vane makore ari pakati. Pakazara, iyo chirwere inoonekwa isingawanzo.

Ndezvipi zviratidzo zvekutsvedza mbabvu chirwere?

Zviratidzo zvekutsvedza kwembabvu zvinosiyana kubva pamunhu kusvika pamunhu. Kazhinji, zviratidzo zvinotsanangurwa se:

• kurwadziwa kwepakati nepakati kwakapinza mudumbu repamusoro kana kumashure, kuchiteverwa nekunzwa, kunyemwerera kwekunzwa
• kutsvedza, kubuda, kana kudzvanya zvinonzwa mumumbabvu wezasi
• kunetseka kufema
• kuwedzera kwezviratidzo kana kukotama, kusimudza, kukosora, kuhotsira, kufema zvakadzika, kutambanudza, kana kutendeuka mubhedha.

Mazhinji kesi ekutsvedza kwembambo chirwere anoitika kune rimwe divi (unilateral), asi mamiriro acho akanzi anoitika kumativi ese eribcage (bilateral).

Shanyira chiremba ipapo ipapo kana uchinetseka kufema kana uine kurwadziwa kwakanyanya muchipfuva, nekuti izvi zvinogona kuratidza chimwe chinhu chakakomba, senge chirwere chemwoyo.

Chii chinokonzera kutsvedza kwembabvu syndrome?

Chikonzero chaicho chekutsvedza kwembabvu chirwere hachina kunyatsonzwisiswa. Slipping rib syndrome inogona kuitika mushure mekukuvara, kukuvara, kana kuvhiyiwa, asi zviitiko zvakataurwa pasina kukuvara kunozivikanwa.

Inotendwa semhedzisiro yekusagadzikana kwembambo (costochondral) kana mitsipa, kunyanya mbabvu 8, 9, uye 10. Mbabvu nhatu idzi hadzina kubatana kune sternum, asi panzvimbo pezvo dzakabatana kune yakasununguka fibrous tishu. Dzimwe nguva dzinonzi mbabvu dzenhema. Nekuda kweizvi, ivo vanonyanya kubatwa nekushungurudzika, kukuvara, kana kusagadzikana.

Uku kutsvedza kana kufamba kunotsamwisa tsinga uye kunogona kumesa dzimwe mhasuru munzvimbo, zvichitungamira mukuzvimba uye kurwadziwa.

Kutsvedza kwembabvu syndrome kunoonekwa sei?

Kutsemuka kwembambo chirwere kunonetsa kuongorora nekuti zviratidzo zvakafanana nezvimwe mamiriro. Chiremba anotanga kutora nhoroondo yezvechiremba obvunza nezve ako zviratidzo, kusanganisira pavakatanga uye kana paine chaunoita chinoita kuti zvinyanye. Chiremba wako anozoda kuziva nezve zviitiko iwe zvaunotora chikamu mazviri uye nezvawanga uchiita musati watanga kuona chipfuva kana kurwadziwa mudumbu.

Pane bvunzo inonzi hooking maneuver iyo inobatsira kuongorora kutsvedza kwembabvu syndrome. Kuti uite iyi bvunzo, chiremba wako anokochekera minwe yavo pasi pemabvu margins uye anovaendesa kumusoro uye kumashure.

Kana bvunzo iyi iri yakanaka uye ichikonzera kusagadzikana kumwe chete, saka chiremba wako kazhinji haazodi kuita chero bvunzo dzekuwedzera senge X-ray kana MRI scan. Izvi zvinonzi kusiyanisa kuongororwa.

Mimwe miitiro inogoneka iyo chiremba wako yaanoda kutonga kunze inosanganisira:

• cholecystitis
• esophagitis
• maronda emudumbu
• kushungurudzika kuputsika
• tsandanyama misodzi
• pleuritic kurwadziwa kwepfupa
• bronchitis
• asima
• costochondritis, kana Tietze syndrome
• appendicitis
• mamiriro emwoyo
• pfupa metastases

Chiremba wako anogona kukuendesa kune nyanzvi kuti uwedzere kuongorora. Iyo nyanzvi ingakukumbire iwe kuti utamise zvimwe zvikamu zvemuviri wako kana chengetedza mamwe mamiro kuti utsvage kusangana pakati pavo uye kukura kwekutambudzika kwako.

Pane here chero zvinetswa zvekutsvedza rib syndrome?

Mune vamwe vanhu, marwadzo anogona kuve akaomarara zvakakwana kukonzera hurema. Zviito zvakapusa sekutendeuka kune rimwe divi paunenge wakarara kana kupfeka bhurezha zvinogona kunyanya kurwadza.

Kutsvedza rib syndrome hakuenderere mberi kukuvadza chero chinhu mukati.

Kurasira rib rib kunorapwa sei?

Mune zvimwe zviitiko, kutsvedza kwembabvu kunogadzirisa pachako pasina kurapwa. Kurapa kwepamba kunogona kusanganisira:

• kuzorora
• kudzivisa zviitiko zvinonetsa
• kuisa kupisa kana chando kunzvimbo yakakanganiswa
• kutora painkiller kunge acetaminophen (Tylenol) kana nonsteroidal anti-inflammatory drug (NSAID), senge ibuprofen (Advil, Motrin IB) kana naproxen (Aleve)
• kuita kutambanudza uye kutenderera maitiro

Kana kurwadziwa kuchipfuurira kunyangwe uchitora painkiller, chiremba wako anogona kuedza:

• jekiseni re corticosteroid kubatsira kudzora kuzvimba
• intercostal nerve block (jekiseni yeanesthetic muiyo intercostal nerve) kubvisa marwadzo
• kurapa kwepanyama

Kana mamiriro acho achiramba achikonzera kurwadziwa kwakanyanya, kuvhiyiwa kunogona kukurudzirwa. Maitiro acho, anozivikanwa sekudhura kwecartilage excision, akaratidzirwa muzvidzidzo zvekiriniki kuti ive mushonga unoshanda wekutsvedza rib rib.

Ndeupi maonero eumwe munhu ane kutsvedza kwembabvu syndrome?

Kutsvedza rib syndrome hakukonzeri kukuvara kwenguva refu kana kukanganisa nhengo dzemukati. Mamiriro acho dzimwe nguva anoenda ega pasina kurapwa.

Muzviitiko zvakakomba, imwe chete intercostal nerve block inogona kununura zvachose kune vamwe, asi kuvhiyiwa kunogona kudikanwa kana kurwadziwa kuchikanganisa kana kusingaendi. Nyaya dzezvakaitika dzakaratidza mibairo yakanaka mushure mekuvhiyiwa, asi zviitiko zvishoma chete zvakaburitswa.