ʻO Slipping Rib Syndrome

Anter

• He aha nā ʻōuli o ka slip sl rib?
• He aha ke kumu o ka paheʻe ʻana o ka lip rib?
• Pehea e ʻike ʻia ai ka pahee ʻana o ka maʻi maʻi rib?
• Aia kekahi mau pilikia o ka paheʻe ʻana o ka lip rib?
• Pehea e mālama ʻia ai ka maʻi pale slipping?
• He aha ke kuanaʻike no kekahi me ka maʻi pale ʻiwi?

He aha ka slipping rib syndrome?

Hana ʻia ka paheʻe lip o ka iwi i ka wā e paheʻe ai nā iwi i lalo o nā iwi o lalo a neʻe, e alakaʻi ai i ka ʻeha ma ko lākou umauma a i ʻole luna o ka ʻōpū. Hele ʻo Slipping rib Syndrome i nā inoa he nui, e like me ke kaomi ʻana i nā iwi ʻaoʻao, nā iwi ʻaoʻao i hoʻoneʻe ʻia, nā iwi ʻaoʻao o ka iwi ʻaoʻao, ke aʻa o ke aʻa, ka maʻi ʻeha ʻeha, a me nā subluxation interchondral, a me nā mea ʻē aʻe ʻē aʻe.

ʻOi aku ka maʻamau o ke kūlana i nā wahine ma mua o nā kāne. Ua hōʻike ʻia i ka poʻe ʻōpio ma mua o 12 mau makahiki a ma waena o 80s, akā pili ka hapa nui i ka poʻe waena. Ma ke ʻano holoʻokoʻa, manaʻo ʻia ka maʻi lōkahi.

He aha nā ʻōuli o ka slip sl rib?

ʻOkoʻa nā ʻōuli o ka paheʻe ʻana o ka lip rib mai kekahi kanaka a i kekahi. Ma ka laulaha, wehewehe ʻia nā ʻōuli e like me:

• ʻehaʻeha intermittent ʻoi loa i ka ʻōpū o luna a i hope paha, a ukali ʻia e kahi ʻano puʻupuʻu a ʻeha hoʻi
• paheʻe, paheʻe, a i ʻole ke kaomi ʻana i nā naʻau i nā iwi ʻaoʻao lalo
• paʻakikī i ka hanu ʻana
• ke kaumaha o nā ʻōuli i ke kūlou ʻana, hāpai ʻana, ʻūlū ʻana, ʻūlū ʻana, hanu hohonu ʻana, hohola ʻana, a i ʻole huli ʻana i kahi moe.

ʻO ka hapa nui o nā hihia o ka paheʻe ʻana o ka iwi aoao rib i kekahi ʻaoʻao (unilateral), akā ua hōʻike ʻia ke ʻano ma nā ʻaoʻao ʻelua o ka ribcage (bilateral).

E kipa koke i ke kauka inā pilikia ʻoe i ka hanu a i ʻole ʻeha ka umauma nui, no ka mea hiki i kēia ke hōʻike i kahi mea ʻoi aku ke koʻikoʻi, e like me ka puʻuwai puʻuwai.

He aha ke kumu o ka paheʻe ʻana o ka lip rib?

ʻAʻole maopopo maopopo ke kumu kūpono o ka paheʻe ʻana o ka lip rib. Hiki paha i ka slip rib rib ke loaʻa ma hope o kahi ulia pōpilikia, ʻeha, a ʻoki ʻana, akā ua hōʻike ʻia nā hihia me ka ʻole o nā hōʻeha koʻikoʻi.

Manaʻo ʻia he hopena ia o ka hypermobility o ka iwi iwi laulā (costochondral) a i ʻole nā ​​ligament, ʻo ia hoʻi nā iwi ʻaoʻao 8, 9, a me 10. ʻAʻole pili kēia mau iwi ʻekolu i ka sternum, akā pili aku i kekahi i kekahi e nā mea fibrous liʻiliʻi. Kapa ʻia lākou i kekahi mau lā ʻaoʻao hewa. Ma muli o kēia, maʻalahi lākou i ka trauma, ʻeha, a i ʻole hypermobility.

ʻO kēia paheʻe a neʻe paha e hoʻonāukiuki i nā aʻa a hoʻoluhi paha i kekahi mau mākala ma ia wahi, a hiki i ka mumū a me ka ʻeha.

Pehea e ʻike ʻia ai ka pahee ʻana o ka maʻi maʻi rib?

ʻO ka paheʻe ʻana o ka lip rib he paʻakikī e hōʻoia no ka mea ua like nā hōʻailona me nā kūlana ʻē aʻe. E lawe mua kahi kauka i kahi mōʻaukala olakino a nīnau e pili ana i kāu mau ʻōuli, e like me ka wā i hoʻomaka ai lākou a inā ʻoi aku ka maikaʻi o kekahi mea āu e hana ai. E makemake ana kāu kauka e ʻike e pili ana i nā hana āu e komo ai a me nā mea āu e hana nei ma mua o kou hoʻomaka ʻana e ʻike i ka ʻeha a i ʻole ka ʻeha o ka ʻōpū.

Aia kahi hōʻike i kapa ʻia ka maneuver hooking e kōkua ana i ke kuhi hewa ʻana i ka maʻi o ka iwi ʻaoʻao. E hana ai i kēia hoʻokolohua, hoʻokuʻi kāu kauka i ko lākou mau manamana lima ma lalo o ka ʻaoʻao o ka iwi ʻaoʻao a hoʻoneʻe iā lākou i luna a i hope.

Inā maikaʻi kēia hoʻokolohua a kumu i ka ʻoluʻolu like, no laila ʻaʻole pono kāu kauka e hana i nā hoʻokolohua hou e like me ka X-ray a i ʻole ka MRI scan. Kapa ʻia kēia kaʻina hana he diagnost diagnostical.

ʻO nā kūlana kūpono ʻē aʻe e makemake ai kāu kauka e kāpae i nā:

• cholecystitis
• ʻākope
• ʻōpū gastric
• haʻi haʻihaʻi
• waimaka mākala
• ʻeha umauma pleuritic
• bronchitis
• hānō
• costochondritis, a i ʻole Tietze Syndrome
• pākuʻi
• nā kūlana puʻuwai
• iwi metastases

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea no ka loiloi hou. E noi paha ka loea iā ʻoe e neʻe i kekahi mau ʻāpana o kou kino a mālama paha i kekahi mau kūlana e nānā i kahi hui ma waena o lākou a me ka nui o kou ʻeha.

Aia kekahi mau pilikia o ka paheʻe ʻana o ka lip rib?

I kekahi poʻe, hiki i ka ʻeha ke lilo i mea ikaika e hiki ai ke kīnā ʻole. ʻO nā hana maʻalahi e like me ka huli ʻana i ka ʻaoʻao ʻē aʻe ke hiamoe nei a i ʻole ka ʻaʻa ʻana i ka bra hiki ke ʻeha loa.

ʻAʻole holomua ʻo Slipping rib syndrome e hōʻino i kekahi mea o loko.

Pehea e mālama ʻia ai ka maʻi pale slipping?

I kekahi mau hihia, hoʻonā ʻo slipping rib syndrome iā ia iho me ka ʻole o ka lāʻau. Hiki ke hoʻopili ʻia ka mālama ʻana i ka home:

• e hoʻomaha ana
• e hōʻalo nei i nā hana ikaika
• ke noi nei i ka wela a i ʻole ka hau i ka wahi i hoʻopilikia ʻia
• ke lawe nei i kahi painkiller e like me acetaminophen (Tylenol) a i ʻole kahi lāʻau anti-inflammatory nonsteroidal (NSAID), e like me ibuprofen (Advil, Motrin IB) a i ʻole naproxen (Aleve)
• hana i nā hana hoʻolōʻihi a me ka hoʻohuli

Inā hoʻomau ka ʻeha me ka lawe ʻana i kahi painkiller, e hoʻāʻo paha kāu kauka:

• kahi kīkiʻi corticosteroid e kōkua i ka hoʻēmi ʻana i ka pehu
• kahi aʻa intercostal nerve (kahi injection o kahi anesthetic i ke aʻalolo intercostal) e hoʻomaha ai i ka ʻeha
• hoʻōla kino

Inā hoʻomau ke ʻano a i ʻole ke kumu o ka ʻeha nui, e koi ʻia ke ʻoki. ʻO ke kaʻina hana, i ʻike ʻia ʻo ke kāwili ʻana o ka cartilage costal, ua hōʻike ʻia i loko o nā noiʻi maʻi e lilo i lāʻau lapaʻau maikaʻi no ka paheʻe ʻana o ka iwi ʻaoʻao.

He aha ke kuanaʻike no kekahi me ka maʻi pale ʻiwi?

ʻAʻole hopena ka paheʻe i ka lip rib i kahi pōʻino wā lōʻihi a hoʻopili paha i nā mea kūloko. Hele ke kūlana i kona manawa iho me ka ʻole o ka lapaʻau.

I nā hihia ʻoi aku ka paʻakikī, hiki i kahi poloka intercostal nerve ke hāʻawi i ke kōkua mau no kekahi, akā pono paha ke ʻoki ʻana inā palupalu ka ʻeha a hele ʻole paha. Ua hōʻike nā noiʻi hihia i nā hopena maikaʻi ma hope o ke kaha ʻana, akā he mau hihia wale nō i paʻi ʻia.