Zomwe Muyenera Kudziwa Zokhudza Tietze Syndrome

Zamkati

• Zizindikiro zake ndi ziti?
• Nchiyani chimayambitsa matenda a Tietze?
• Kodi chiopsezo ndi chiyani?
• Kodi matenda a Tietze amasiyana bwanji ndi costochondritis?
• Kodi amapezeka bwanji?
• Amachizidwa bwanji?
• Mfundo yofunika

Matenda a Tietze ndi osowa omwe amakhudza kupweteka pachifuwa m'nthiti zanu zakumtunda. Ndiwowopsa ndipo amakhudza kwambiri anthu azaka zosakwana 40. Zoyambitsa zake zenizeni sizikudziwika.

Matendawa amatchedwa Alexander Tietze, dokotala waku Germany yemwe adawafotokozera koyamba mu 1909.

Nkhaniyi idzawunikiranso zomwe zikuwonetsa, zomwe zingayambitse, zoopsa, kuzindikira, komanso kuchiza matenda a Tietze.

Zizindikiro zake ndi ziti?

Chizindikiro chachikulu cha matenda a Tietze ndi kupweteka pachifuwa. Ndi vutoli, ululu umamveka pafupi ndi nthiti imodzi kapena zingapo zakumtunda, makamaka komwe nthiti zanu zimagwirizana ndi chifuwa chanu.

Malinga ndi kafukufuku yemwe wachitika pamtunduwu, nthiti yachiwiri kapena yachitatu imakhudzidwa. Mu, ululu umakhala mozungulira nthiti imodzi. Kawirikawiri mbali imodzi yokha ya chifuwa imakhudzidwa.

Kutupa kwa karoti ya nthiti yomwe imakhudzidwa kumayambitsa kupweteka. Malo awa a karoti amadziwika kuti mphambano ya costochondral.

Kutupa kumatha kuyambitsa kutupa komwe kumakhala kolimba ndikupindika. Derali limatha kumva kutentha komanso kutentha, ndikuwoneka otupa kapena ofiira.

Matenda a Tietze amatha:

• kubwera mwadzidzidzi kapena pang'onopang'ono
• kumva wakuthwa, kubaya, kuzimiririka, kapena kupweteka
• kuyambira wofatsa mpaka wolimba
• kufalikira kwa dzanja lanu, khosi, ndi mapewa
• zimaipiraipira ngati mukuchita masewera olimbitsa thupi, kutsokomola, kapena kuyetsemula

Ngakhale kuti kutupa kumatha kupitilira, ululuwo umachepa pakatha milungu ingapo.

Nchiyani chimayambitsa matenda a Tietze?

Zomwe zimayambitsa matenda a Tietze sizikudziwika. Komabe, ofufuza akukhulupirira kuti mwina zimachitika chifukwa chovulala pang'ono nthiti.

Kuvulala kumatha kuyambitsidwa ndi:

• kutsokomola kwambiri
• kusanza kwambiri
• matenda opatsirana apamwamba, kuphatikizapo sinusitis kapena laryngitis
• zovuta zolimbitsa thupi kapena zobwerezabwereza
• kuvulala kapena kupwetekedwa mtima

Kodi chiopsezo ndi chiyani?

Zowopsa zazikulu za matenda a Tietze ndi zaka komanso mwina nthawi ya chaka. Kupitirira apo, ndizochepa zomwe zimadziwika pazinthu zomwe zingawonjezere chiopsezo chanu.

Chodziwika ndi ichi:

• Matenda a Tietze amakhudza kwambiri ana komanso anthu osakwana zaka 40. Amakonda kwambiri anthu omwe ali ndi zaka za m'ma 20 ndi 30.
• Kafukufuku wa 2017 adawonetsa kuti kuchuluka kwa milandu inali yayikulu nthawi yachisanu-kasupe.
• Kafukufuku womwewo adapeza kuti azimayi ambiri amakhala ndi matenda a Tietze, koma kafukufuku wina apeza kuti matenda a Tietze amakhudza azimayi ndi abambo mofanana.

Kodi matenda a Tietze amasiyana bwanji ndi costochondritis?

Matenda a Tietze ndi costochondritis onse amayambitsa kupweteka pachifuwa kuzungulira nthiti, koma pali kusiyana kwakukulu:

Kodi amapezeka bwanji?

Matenda a Tietze amatha kukhala ovuta kuwazindikira, makamaka zikafika pakusiyanitsa ndi costochondritis, yomwe imafala kwambiri.

Mukawona wothandizira zaumoyo chifukwa cha kupweteka pachifuwa, choyamba adzafuna kuthana ndi vuto lililonse kapena mwina loopseza moyo lomwe limafunikira kuchitapo kanthu mwachangu monga angina, pleurisy, kapena matenda amtima.

Wopereka chithandizo chamankhwala adzakuyesani ndikufunsani za matenda anu. Ayeneranso kuyitanitsa mayeso apadera kuti athetse zoyambitsa zina ndikuwathandiza kudziwa kuwunika koyenera.

Izi zingaphatikizepo:

• kuyezetsa magazi kuti ayang'ane zizindikiro za matenda a mtima kapena zina
• kujambula kwa ultrasound kuti muyang'ane nthiti zanu ndikuwona ngati pali kutupa kwa karoti
• X-ray pachifuwa kuti mufufuze kupezeka kwa matenda kapena zovuta zina zamankhwala zokhudzana ndi ziwalo zanu, mafupa, ndi minyewa yanu
• MRI ya pachifuwa kuti muwone bwinobwino kukula kwa katemera kapena kutupa
• kusanthula fupa kuti muwone bwinobwino mafupa anu
• electrocardiogram (EKG) kuti muwone momwe mtima wanu ukugwirira ntchito ndikuthana ndi matenda amtima

Kuzindikira matenda a Tietze kumachokera pazizindikiro zanu ndikuwonetsa zina zomwe zingayambitse ululu wanu.

Amachizidwa bwanji?

Njira yothandizira odwala matenda a Tietze ndi:

• kupumula
• kupewa zinthu zovuta
• kuthira kutentha m'deralo

Nthawi zina, kupweteka kumatha kutha palokha popanda chithandizo.

Pofuna kuthandizira kupweteka, wothandizira zaumoyo wanu angakuuzeni kuti muchepetse zowawa monga ma anti-anti-inflammatory (NSAIDs).

Ngati ululu wanu ukupitilira, amatha kukupatsani mankhwala ochepetsa ululu.

Mankhwala ena omwe angakhalepo pakumva kupweteka kosalekeza komanso kutupa ndi jakisoni wa steroid kuti achepetse kutupa kapena jakisoni wa lidocaine pamalo omwe akhudzidwa kuti athetse ululu.

Ngakhale kuti kutupa kumatha kupitilira, ululu wamatenda a Tietze nthawi zambiri umatha mkati mwa miyezi ingapo. Nthawi zina vutoli limatha kuthetsa kenako kubwerera.

Nthawi zovuta kwambiri pomwe mankhwala osamalitsa samathandiza kuchepetsa kupweteka ndi kutupa, kuchitidwa opaleshoni kumafunika kuchotsa khungwa lowonjezera ku nthiti zomwe zakhudzidwa.

Mfundo yofunika

Matenda a Tietze ndichizoloŵezi chosavuta, chosaopsa chomwe chimaphatikizapo kutupa kowawa ndi kukoma kwa khunyu kuzungulira nthiti imodzi kapena zingapo zakumtunda komwe zimagwirizana ndi chifuwa chanu. Amakhudza kwambiri anthu ochepera zaka 40.

Ndizosiyana ndi costochondritis, vuto lofala lomwe limayambitsanso kupweteka pachifuwa, lomwe limakhudza kwambiri anthu azaka zopitilira 40.

Matenda a Tietze amapezeka kuti amaweruza zina zomwe zimayambitsa kupweteka pachifuwa. Nthawi zambiri imatha kupumula ndikupaka kutentha m'deralo.