Seo U Lokelang ho se Tseba ka Tietze Syndrome
Litaba
- Matšoao ke afe?
- Ke eng e bakang lefu la Tietze?
- Lisosa tsa kotsi ke life?
- Tietze syndrome e fapana joang le costochondritis?
- E fumanoa joang?
- E alafshoa joang?
- Ntlha ea bohlokoa
Tietze syndrome ke boemo bo sa tloaelehang bo kenyang bohloko ba sefuba likhopong tsa hau tse holimo. E kotsi ebile e ama haholo batho ba ka tlase ho lilemo tse 40. Lebaka la eona le nepahetseng ha le tsejoe.
Boloetse bona bo reiloe Alexander Tietze, ngaka ea Lejeremane e ileng ea bo hlalosa ka lekhetlo la pele ka 1909.
Sengoliloeng sena se tla shebisisa matšoao, lisosa tse ka bang teng, lisosa tsa kotsi, ho hlahlojoa le kalafo ea lefu la Tietze.
Matšoao ke afe?
Letšoao le ka sehloohong la lefu la Tietze ke bohloko ba sefuba. Ka boemo bona, bohloko bo utluoa ho potoloha le leng la likhopo tse 'ne tse holimo, haholo-holo moo likhopo tsa hao li hokelang lesapo la hao la sefuba.
Ho ea ka lipatlisiso tse entsoeng ka boemo bona, likhopo tsa bobeli kapa tsa boraro hangata lia ameha. Ka, bohloko bo teng haufi le khopo e le 'ngoe. Hangata ho ameha lehlakore le le leng feela la sefubeng.
Ho ruruha ha lefufuru la khopo e amehileng ho baka bohloko. Sebaka sena sa lefufuru se tsejoa e le karolo ea costochondral.
Ho ruruha ho ka baka ho ruruha ho bang thata le ho saroloha. Sebaka seo se ka utloahala se le bonolo ebile se futhumetse, 'me se shebahala se ruruhile kapa se le khubelu.
Bohloko ba lefu la Tietze bo ka:
- tla ka tšohanyetso kapa butle-butle
- ikutloa bohale, bo hlaba, bo le lerootho kapa bo opa
- ho tloha bobeng ho ya boima
- namela letsohong la hao, molaleng le mahetleng
- ho mpefala haeba o ikoetlisa, o khohlela kapa o ethimola
Le ha ho ruruha ho ka phehella, bohloko hangata boa fokotseha kamora libeke tse 'maloa.
Ke eng e bakang lefu la Tietze?
Ha ho tsejoe hore na hantle-ntle sesosa sa lefu la Tietze ke eng. Leha ho le joalo, bafuputsi ba lumela hore ekaba phello ea likotsi tse nyane tsa likhopo.
Likotsi li ka bakoa ke:
- ho kgohlela haholo
- ho hlatsa haholo
- tšoaetso e kaholimo ea phefumoloho, ho kenyelletsa sinusitis kapa laryngitis
- mesebetsi e thata kapa e phetakoang ya mmele
- likotsi kapa tsietsi
Lisosa tsa kotsi ke life?
Lisosa tse kholo ka ho fetisisa tsa lefu la Tietze ke lilemo mme mohlomong le nako ea selemo. Ntle ho moo, ha ho tsejoe hanyane ka lintlha tse ka eketsang kotsi ea hau.
Se tsebahalang ke hore:
- Lefu la Tietze le ama bana le batho ba ka tlase ho lilemo tse 40. Le atile haholo bathong ba lilemong tsa bo-20 le bo-30.
- Phuputso ea 2017 e hlokometse hore palo ea linyeoe e ne e phahame nakong ea mariha-selemo.
- Phuputso eona ena e fumane hore karolo e phahameng ea basali e ba le lefu la Tietze, empa lithuto tse ling li fumane hore lefu la Tietze le ama basali le banna ka ho lekana.
Tietze syndrome e fapana joang le costochondritis?
Tietze syndrome le costochondritis ka bobeli li baka bohloko ba sefuba ho potoloha likhopo, empa ho na le phapang ea bohlokoa:
Matšoao a Tietze | Litšenyehelo |
E fumaneha ka seoelo mme hangata e ama batho ba ka tlase ho lilemo tse 40. | E tloaelehile ebile e ama batho ba fetang lilemo tse 40. |
Matšoao a kenyelletsa ho ruruha le bohloko. | Matšoao a kenyelletsa bohloko empa eseng ho ruruha. |
E kenyelletsa bohloko sebakeng se le seng feela maemong. | E kenyelletsa libaka tse fetang bonngoe bonyane maemong. |
Hangata ho kenyelletsa khopo ea bobeli kapa ea boraro. | Hangata ho kenyelletsa likhopo tsa bobeli ho isa ho tsa bohlano. |
E fumanoa joang?
Matšoao a Tietze a ka ba phephetso ho a fumana, haholo ha ho tluoa ho e khetholleng ho costochondritis, e atileng haholo.
Ha u bona mofani oa tlhokomelo ea bophelo bakeng sa bohloko ba sefuba, ba tla qala ho batla ho tlosa boemo bofe kapa bofe bo kotsi kapa bo ka bang kotsing ea bophelo bo hlokang ho kenella hanghang joalo ka angina, pleurisy kapa lefu la pelo.
Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao a hau. Mohlomong ba tla odara liteko tse ikhethang ho felisa lisosa tse ling le ho ba thusa ho fumana tlhahlobo e nepahetseng.
Sena se ka kenyelletsa:
- liteko tsa mali ho sheba matšoao a lefu la pelo kapa maemo a mang
- litšoantšo tsa ultrasound ho sheba likhopo tsa hau le ho bona hore na ho na le ho ruruha ha lefufuru
- X-ray sefubeng ho sheba boteng ba lefu kapa mathata a mang a bongaka a amang litho tsa hau, masapo le lisele tsa hau
- sefuba sa MRI ho shebisisa botebo ba lefufuru kapa ho ruruha
- sekena sa masapo ho hlahlobisisa masapo a hau
- electrocardiogram (EKG) ho sheba hore na pelo ea hau e sebetsa hantle hakae le ho felisa lefu la pelo
Ho fumanoa ha lefu la Tietze ho ipapisitse le matšoao a hau mme ho lahla lisosa tse ling tsa bohloko ba hau.
E alafshoa joang?
Phekolo e akaretsang ea kalafo ea lefu la Tietze ke:
- phomolo
- ho qoba mesebetsi e boima
- ho kenya mocheso sebakeng se amehileng
Maemong a mang, bohloko bo ka rarolla bo le bong ntle le kalafo.
Ho thusa ka bohloko, mofani oa hao oa tlhokomelo ea bophelo a ka fana ka maikutlo a ho kokobetsa bohloko bo joalo ka li-anti-inflammatory (NSAID) tse fetang li-counter-the-counter (OTC).
Haeba bohloko ba hau bo ntse bo tsoela pele, ba ka fana ka setlhare se matlafatsang bohloko.
Mefuta e meng ea kalafo ea bohloko bo tsoelang pele le ho ruruha e kenyelletsa liente tsa steroid ho fokotsa liente tsa ho ruruha kapa lidocaine sebakeng se amehileng ho fokotsa bohloko.
Le ha ho ruruha ho ka nka nako e teletsana, bohloko ba Tietze syndrome bo ntlafala nakong ea likhoeli. Ka linako tse ling boemo bo ka rarolla ebe bo ipheta.
Maemong a feteletseng moo liphekolo tse itlhommeng pele li sa thuseng ho fokotsa bohloko le ho ruruha, ho ka hlokahala ho buuoa ho tlosa lefufuru likhopolong tse amehileng.
Ntlha ea bohlokoa
Tietze syndrome ke boemo bo sa tloaelehang, bo bobebe bo kenyelletsang ho ruruha ho bohloko le bonolo ba lefufuru ho potoloha le leng la likhopo tsa hau tse holimo moo li ikopantseng le lesapo la hao la sefuba. E ama haholo batho ba ka tlase ho lilemo tse 40.
E fapane le costochondritis, boemo bo tloaelehileng le bona bo bakang bohloko ba sefuba, bo amang haholo batho ba fetang lilemo tse 40.
Tietze syndrome e fumanoa e laoloa ke maemo a mang a bakang bohloko ba sefuba. Hangata e rarolla ka ho phomola le ka ho sebelisa mocheso sebakeng se amehileng.