Matenda otupa nthiti

Matenda otumphuka amatanthauza kupweteka m'chifuwa chanu chapansi kapena pamimba chapamwamba chomwe chingakhalepo pamene nthiti zanu zapansi zimayenda pang'ono kuposa zachilendo.

Nthiti zanu ndi mafupa omwe ali pachifuwa chanu omwe amakulunga kumtunda kwanu. Amalumikiza chifuwa chako ndi msana wako.

Matendawa nthawi zambiri amapezeka mu nthiti za 8 mpaka 10 (zomwe zimadziwikanso kuti nthiti zabodza) kumunsi kwa nthiti zanu. Nthitizi sizilumikizana ndi chifuwa cha chifuwa (sternum). Minyewa yolimba (minyewa), yolumikizani nthitizi kuti zithandizire kuti zizikhala zolimba. Kufooka kwapafupipafupi m'mitsempha kumatha kulola nthiti kusunthira pang'ono kuposa zachilendo ndikupweteka.

Vutoli limatha kuchitika chifukwa cha:

• Kuvulala pachifuwa mukamasewera masewera olumikizana nawo monga mpira, hockey ya ice, kulimbana, ndi rugby
• Kugwa kapena kuwonongeka mwachindunji pachifuwa chanu
• Kupotoza mwachangu, kukankha, kapena kukweza, monga kuponyera mpira kapena kusambira

Nthitizi zikasintha, zimakakamiza minofu, misempha, ndi ziwalo zina. Izi zimayambitsa kupweteka ndi kutupa m'deralo.

Matenda otumphuka amatha kumachitika msinkhu uliwonse, koma ndiofala kwambiri pakati pa achikulire. Akazi atha kukhudzidwa kwambiri kuposa amuna.

Vutoli limapezeka mbali imodzi. Nthawi zambiri, zimatha kuchitika mbali zonse. Zizindikiro zake ndi izi:

• Kupweteka kwambiri m'munsi pachifuwa kapena m'mimba. Ululu ukhoza kubwera ndikupita ndikukhala bwino ndi nthawi.
• Kutuluka, kudina, kapena kuterera.
• Ululu mukamapanikizika ndi dera lomwe lakhudzidwa.
• Kukhosomola, kuseka, kunyamula, kupindika, ndi kugwada kumatha kukulitsa ululu.

Zizindikiro zakuchepa kwa nthiti ndizofanana ndi matenda ena. Izi zimapangitsa kuti vutoli likhale lovuta kuwazindikira.

Wothandizira zaumoyo wanu atenga mbiri yanu yazachipatala ndikufunsani za zomwe mukudwala. Mudzafunsidwa mafunso monga:

• Kodi ululuwo unayamba bwanji? Kodi panali kuvulala?
• Nchiyani chimapangitsa kupweteka kwako kukuipiraipira?
• Kodi pali chilichonse chomwe chimathandiza kuthetsa ululu?

Wothandizira anu ayesa mayeso. Kuyeserera koyeserera kungachitike kuti mutsimikizire matendawa. Muyeso ili:

• Mudzafunsidwa kuti mugone chagada.
• Wopereka wanu amakoka zala zawo pansi pa nthiti zam'munsi ndikuzikoka panja.
• Zowawa komanso kudina komwe kumatsimikizira izi.

Kutengera mayeso anu, mayeso a X-ray, ultrasound, MRI kapena magazi atha kuchitidwa kuti athetse zina.

Ululu nthawi zambiri umatha m'masabata ochepa.

Chithandizo chimayang'ana pakuchepetsa ululu. Ngati ululuwo ndi wofatsa, mutha kugwiritsa ntchito ibuprofen (Advil, Motrin) kapena naproxen (Aleve, Naprosyn) kuti muchepetse ululu. Mutha kugula mankhwala amtunduwu kusitolo.

• Lankhulani ndi omwe amakupatsani mankhwala musanagwiritse ntchito mankhwalawa ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, matenda a chiwindi, kapena mudakhala ndi zilonda zam'mimba kapena kutuluka magazi m'mbuyomu.
• Tengani mlingo monga mwakulangizira ndi woperekayo. MUSAMATenge zochuluka kuposa zomwe zimaperekedwa mubotolo. Werengani mosamala machenjezo omwe ali pa chizindikirocho musanamwe mankhwala aliwonse.

Wothandizira anu amathanso kukupatsirani mankhwala opweteka kuti muchepetse ululu.

Mutha kufunsidwa kuti:

• Ikani kutentha kapena ayezi pamalo opweteka
• Pewani zinthu zomwe zimapangitsa kuti kupweteka kukukulirakulira, monga kukweza katundu, kupotoza, kukankha, ndi kukoka
• Valani chifuwa cholimbitsira nthiti
• Funsani dokotala

Kuti mupweteke kwambiri, omwe amakupatsani akhoza kukupatsani jakisoni wa corticosteroid pamalo opweteka.

Kupwetekako kukapitilira, opareshoni itha kuchitidwa kuti ichotse karoti ndi nthiti zotsika, ngakhale sizomwe zimachitika kawirikawiri.

Ululu nthawi zambiri umatha pakapita nthawi, ngakhale ululu umatha. Jekeseni kapena opaleshoni ingafunike nthawi zina.

Zovuta zingaphatikizepo:

• Kuvuta kupuma.
• Kuvulala pa jakisoni kumatha kuyambitsa pneumothorax.

Nthawi zambiri palibe zovuta zazitali.

Muyenera kuyimbira omwe akukuthandizani nthawi yomweyo ngati muli:

• Kuvulala pachifuwa chanu
• Ululu m'chifuwa chanu chapansi kapena m'mimba
• Kuvuta kupuma kapena kupuma movutikira
• Zowawa pazochitika za tsiku ndi tsiku

Itanani 911 ngati:

• Mukuthyola mwadzidzidzi, kufinya, kumangika, kapena kupanikizika m'chifuwa.
• Ululu umafalikira (kutulutsa) nsagwada zanu, mkono wamanzere, kapena pakati pamapewa anu.
• Mumakhala ndi mseru, chizungulire, thukuta, mtima wothamanga, kapena kupuma movutikira.

Kugonjetsedwa kwa Interchondral; Kudina nthiti; Matenda otumphuka-nthiti; Matenda a nthiti; Khumi ndi ziwiri nthiti matenda; Nthiti zosamutsidwa; Matenda a nthiti; Kugonjetsedwa kwa nthiti; Nthiti yoponya pachifuwa

• Nthiti ndi mapapu anatomy

Dixit S, Chang CJ. Thorax ndi kuvulala m'mimba. Mu: Madden CC, Putukian M, McCarty EC, Young CC, eds. Mankhwala a Netter's Sports. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: mutu 52.

Kolinski JM. Kupweteka pachifuwa. Mu: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, olemba. Kuzindikira Kwa Matenda a Nelson Pediatric. Philadelphia, PA: Elsevier; 2018: mutu 7.

(Adasankhidwa) McMahon, LE. Slipping rib syndrome: Kuwunikanso kuwunika, kuzindikira ndi chithandizo. Masemina mu Opaleshoni ya Ana. 2018;27(3):183-188.

Waldmann SD. Matenda otupa nthiti. Mu: Waldmann SD, mkonzi. Atlas of Syntr Pain Pain Syndromes. Wachitatu ed. Philadelphia, PA: Elsevier; 2020: chap 72.

Waldmann SD. Kuyeserera koyeserera kwa matenda otupa nthiti. Mu: Waldmann SD, mkonzi. Kuzindikira Thupi Lopweteka: Atlas of Zizindikiro ndi Zizindikiro. Wachitatu ed. St Louis, MO: Elsevier; 2016: chap 133.