Kusiyana pakati pa Costochondritis, Tietze Syndrome, ndi Matenda a Mtima
Matenda a Costochondritis ndi Tietze amagwirizanitsidwa ndi kupweteka pamphuno. Ngakhale kupweteka pachifuwa si chizindikiro chosazolowereka, ndizosokoneza, kunena pang'ono. Pakakhala kupweteka pachifuwa, anthu amaganiza za matenda a mtima . Koma, zizindikiro zina zingapo zimayanjananso ndi kupweteka pachifuwa. Kuwonjezera pa matenda a mtima, costochondritis, ndi Tietze matenda, kupweteka pachifuwa angagwirizane ndi matenda a pulmonary kapena m'mimba.
Ululu umatha kutuluka pachifuwa ndi chiberekero kapena matenda a thora. Ndikofunika kuti munthu amene ali ndi kupweteka pachifuwa ayesedwe mwamsanga ndipo akhale ndi chifukwa chokhazikitsira.
Kusiyana pakati pa Costochondritis ndi Tietze Syndrome
Ngakhale kuti matenda a costochondritis ndi Tietze amalembedwa ngati maina osiyanasiyana mofanana, palinso chinthu chimodzi chomwe chimasiyanitsa pakati pawo. Matenda a Costochondritis ndi Tietze amayamba chifukwa cha kutupa kwa nkhono za nkhono za nthiti kapena ziwalo zonyansa za khoma lachifuwa. Zonsezi zimakhala ndi kukoma mtima kwa mapepala otsika mtengo omwe amatha kugwiritsira ntchito sternum (ie, mfupa) ndi malekezero a nthiti. Komabe, pali kutupa komwe kumakhala ndi matenda a Tietze ndipo palibe kutupa ndi costochondritis. Ndicho kusiyana kwakukulu.
Costochondritis:
- ndi wamba kuposa matenda a Tietze.
- amagwirizanitsidwa ndi ululu ndi chifundo cha khoma la chifuwa, popanda kutupa.
- limagwirizanitsidwa ndi chikondi chomwe nthawi zambiri chimawonjezeka kuposa malo amodzi olemera kwambiri m'magawo 90 peresenti.
- Kawirikawiri zimaphatikizapo mgwirizano wachiwiri kapena wachisanu.
- amatchedwanso kuti matendawo a m'mwamba, matenda otsika mtengo, chondrodynia yopanda pakhosi, kapena matenda a chifuwa cha chifuwa.
- Amakhala ndi zaka zoposa 40.
Matenda a Tietze:
- sizolowereka kusiyana ndi costochondritis.
- amadziwika ndi kuyamba kumene kungakhale pang'onopang'ono kapena mwadzidzidzi.
- amadziwika ndi kutupa komwe kawirikawiri kumachitika m'chigawo chachiwiri kapena chachitatu chamtengo wapatali.
- Zitha kukhala zowawa zomwe zimawombera paphewa ndipo zimapwetekedwa ndi chifuwa, kunyoza kapena kuyenda kwa khoma la chifuwa.
- limagwirizanitsidwa ndi chikondi chomwe sichimveka bwino (mwachitsanzo, chikondi pokhudzidwa kapena kumverera).
- imaphatikizapo malo amodzi okhaokha a cartilage m'malo 70 peresenti ya milandu.
- nthawi zambiri amakula muunyamata wamkulu, asanakwanitse zaka 40.
Kuzindikira Costochondritis
Pakati pa kuunika kwa thupi, kupweteka kwa chifuwa chomwe chingathe kubwerekedwa ndi palpation pamagalimoto otsika mtengo kawirikawiri ndikwanira kuti apeze matenda a costochondritis kwa ana, achinyamata, ndi achinyamata. An EKG (electrocardiogram) ndi chifuwa cha x-ray nthawi zambiri amalimbikitsidwa, kuwonjezera pa kuunika kwa thupi, kwa anthu omwe ali ndi zaka zoposa 35, anthu omwe ali ndi chiopsezo kapena mbiri ya matenda a mitsempha yamakono , kapena aliyense amene ali ndi zizindikiro za mtima.
Kuchiza Costochondritis
Chithandizo cha costochondritis chimangoganizira za kupweteka kwa ululu. Acetaminophen , mankhwala osakanikirana ndi anti-inflammatory drugs (NSAIDs), ndi mankhwala ena ozunguza bongo amachitidwa kuti athetse ululu wokhudzana ndi chikhalidwe.
Pamodzi ndi mankhwala olamulidwa, kuyendetsa kupweteka kumaphatikizapo mpumulo, kutentha kumaphatikizapo makapu otentha, komanso kupewa zinthu zomwe zimapweteka. Mankhwalawa safunikira kwenikweni, koma nthawi zina, zingakhale zothandiza. Zilonda za Lidocaine / corticosteroid m'madera okhudzidwa ndi ndalama zamtunduwu zingaganizidwe, makamaka ngati njira zina zothandizira mankhwala sichikuthandizani pang'ono, koma sizikusowa.
Nthawi ya Zizindikiro za Costochondritis
Kutalika kwa costochondritis kumasiyana. Chikhalidwechi chimakhala kwa milungu ingapo. Zitha kukhala miyezi. Pafupipafupi, mtengo wa costochondritis umathetsedwa mkati mwa chaka chimodzi.
N'zotheka, koma kawirikawiri, kukhala ndi vuto lopitirira kwambiri la chifuwa cha chifuwa ndi mtengo wa costochondritis.
Mfundo Yofunika Kwambiri
Anthu omwe ali ndi matenda a nyamakazi ali ndi chiopsezo chachikulu cha matenda a mtima poyerekezera ndi anthu ambiri. Kuzindikira za chiopsezo chachikulu kumapangitsa kupweteka kwa chifuwa kumawopsyeza anthu omwe ali ndi nyamakazi. Ngati mukumva kupweteka kwa chifuwa, kufunika koyesedwa, mwamsanga, sikungatheke. Kupweteka kwa chifuwa ndi matenda achipatala ndipo zizindikiro zimayenera kuwonedwa.
> Zotsatira:
> Primer > pa Rheumatic Diseases. Arthritis Foundation. Kusindikiza kwachisanu ndi chitatu.
> Proulx, Anne M. DO > ndi > Zryd, Teresa W. MD Costochondritis: Kuzindikira ndi Chithandizo. American Family Physician. 2009 September 15; 80 (6): 617-620.
> Tietze Syndrome. NIH. GARD (Chigawo Chodziwitsa Anthu Zachilombo). November 11, 2014.