Costochondritis (kupweteka kwa sternum): ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zomwe zingayambitse
• Zizindikiro zazikulu
• Momwe mungasiyanitsire matenda a Tietze
• Momwe matendawa amapangidwira
• Momwe mankhwalawa amachitikira
• Nthawi yoti mupite kwa dokotala

Costochondritis ndikutupa kwa ma cartilage omwe amalumikiza nthiti ndi fupa la sternum, lomwe ndi fupa lomwe limapezeka pakati pachifuwa ndipo limayang'anira khungu ndi nthiti. Kutupa uku kumawoneka chifukwa cha kupweteka pachifuwa komwe kukula kwake kumasiyana malinga ndi mayendedwe omwe amaphatikizira thunthu, monga kupuma kwambiri, kupsinjika kwakuthupi ndi kupanikizika m'chifuwa, zomwe zimatha kusokonezedwa ndi infarction. Umu ndi momwe mungazindikire zizindikiro za matenda amtima.

Costochondritis ndichofala, kutupa pang'ono komwe nthawi zambiri sikusowa chithandizo, chifukwa kumatha mwachilengedwe. Komabe, ngati kupweteka kumakulirakulira kapena kumatha milungu ingapo, tikulimbikitsidwa kukaonana ndi dokotala, yemwe angalimbikitse kugwiritsa ntchito mankhwala opha ululu kapena oletsa kutupa.

Zomwe zingayambitse

Ngakhale palibe chifukwa chenicheni cha costochondritis, mayendedwe kapena zochitika zokhudzana ndi thunthu zimatha kukondera uku, monga:

• Kupsyinjika pachifuwa, monga chomwe chimachitika chifukwa cha lamba wapachivomezi mwadzidzidzi, mwachitsanzo;
• Kaimidwe koipa;
• Kuvulala kapena kuvulala m'dera la thoracic;
• Yovuta zolimbitsa thupi;
• Mpweya wakuya;
• Finyani;
• Chifuwa;
• Nyamakazi;
• Fibromyalgia.

Nthawi zovuta kwambiri, costochondritis imatha kuphatikizidwa ndi zotupa za pachifuwa, momwe zimakhala zovuta kupuma ndi kumeza, kuchepa thupi, kutopa, kuuma ndi kupweteka pachifuwa.

M'magawo omaliza amimba mayi amatha kumva kupweteka pachifuwa komwe kumatha kukulira chifukwa cholimbikira ndikupumira mpweya. Izi ndichifukwa cha kupanikizika kwa mapapo ndi chiberekero chokulitsa.

Zizindikiro zazikulu

Chizindikiro chachikulu cha costochondritis ndikumva kupweteka pachifuwa, komwe kumafotokozedwa kuti ndi kovuta, koonda kapena kokhala ngati kupsinjika, komwe kumatha kukulira mwamphamvu kutengera mayendedwe. Kupweteka kumangokhala kudera limodzi, makamaka kumanzere, koma kumatha kuwonekera mbali zina za thupi, monga kumbuyo ndi pamimba.

Zizindikiro zina za costochondritis ndi izi:

• Ululu mukamatsokomola;
• Ululu mukamapuma;
• Kupuma pang'ono;
• Kuzindikira dera kuti palpation.

Nthawi zambiri, nthiti zimalola kuti mapapo azitha kupuma, koma akatenthedwa, kuyenda kumayamba kupweteka.

Momwe mungasiyanitsire matenda a Tietze

Costochondritis nthawi zambiri imasokonezedwa ndi matenda a Tietze's, amenenso ndi matenda omwe amadziwika ndi kupweteka m'chifuwa chifukwa cha kutupa kwa ma cartilage pachifuwa. Chomwe chimasiyanitsa zinthu ziwirizi ndikutupa kwa olowa omwe amapezeka mu Tietze's syndrome. Matendawa ndi ocheperako kuposa a costochondritis, omwe amapezeka pafupipafupi pakati pa abambo ndi amai, amapezeka mwa achinyamata ndi achikulire ndipo amadziwika ndi chotupa mbali imodzi limodzi ndi kutupa kwa dera. Zomwe zimayambitsa, kuzindikira ndi kuchiza matenda a Tietze ndizofanana ndi za costochondritis.

Momwe matendawa amapangidwira

Kuzindikira kwa costochondritis kumapangidwa kutengera zomwe wodwalayo anali nazo kale komanso matenda, kuyezetsa thupi komanso kuyesa ma radiological omwe amatulutsa zina zomwe zimayambitsa kupweteka pachifuwa, monga electrocardiogram, X-ray pachifuwa, computed tomography ndi maginito oyeserera. Onani zina zomwe zimayambitsa kupweteka pachifuwa.

Momwe mankhwalawa amachitikira

Malangizo oyambira pochiza kupweteka kwa costochondritis apumula, gwiritsani ntchito compress yofunda m'deralo ndikupewa mayendedwe omwe angapangitse ululuwo, monga kukweza zinthu zolemetsa kapena kusewera masewera. Komabe, zolimbitsa thupi zolimbitsa thupi zomwe zimachepetsa zizindikilo zingalimbikitsidwenso, motsogozedwa ndi dokotala kapena physiotherapist.

Nthawi zina, kugwiritsa ntchito mankhwala opha ululu kapena oletsa kutupa, monga Naproxen kapena Ibuprofen, nthawi zonse amalimbikitsidwa, ndi malangizo azachipatala, kuti athe kupweteka. Nthawi zovuta kwambiri, adokotala amalimbikitsa jakisoni kuti muchepetse mitsempha yoyambitsa kupweteka.Kuphatikiza apo, kutengera mtundu, kuchuluka ndi kupweteka kwakanthawi, chithandizo chamankhwala chitha kuwonetsedwa.

Nthawi yoti mupite kwa dokotala

Ndibwino kuti mupite kuchipatala kapena kukaonana ndi dokotala wamba pamene ululu ukuphatikizidwa ndi zizindikiro zina monga:

• Kupuma pang'ono;
• Ululu wowala kumanja kapena m'khosi;
• Kukula kwa ululu;
• Malungo;
• Kuvuta kugona.

Dokotala amatha kuyesa kangapo, makamaka kuti aone ngati ali ndi vuto la mtima, zomwe zimatha kubweretsa zizindikilo zofananira.