Zvikonzero Zvizhinji zveChifu (Musculoskeletal) Wall Pain
Kuchipa kwepfupa nguva dzose chiratidzo chinotyisa sezvo chinowanzosimudzira kutya kwechirwere chemoyo. Uye nokuti kurwadziwa kwepfupa kunogona kuva chiratidzo chengina kana chimwe cheimwe dambudziko remwoyo, iyo nguva dzose iri pfungwa yakanaka kuti iongorore. Asi chirwere chemwoyo chinongova chimwe chezvizhinji zvemamiriro ezvinhu anogona kubudisa marwadzo emvere.
Zvinowanzokonzera Mubhokisi Ruva Rakabaya
Chimwe chezvinhu zvinowanzokonzera kusuruvara kwepfungwa dzisina mwoyo ndepamapfupa emapuranga ekurwadziwa kana kuti musculoskeletal muchipfuva chepfu.
Iko ndiko, kurwadziwa kwepfupa kwakabatana nemisungo nemapfupa emadziro echipfuva.
Vanachiremba vanoona "chirwere chemaranda" muchikamu chinenge 25 kubva muzana chevarwere vanouya kuchivanze chekukurumidzira kuputika mupfupa. Zvinosuruvarisa, muzviitiko zvakawanda, izvi zvinosvika apo chiremba anotora kuongororwa. Izvi ndezvokuti ER vanachiremba vanowanzotarisa kuve nechokwadi kuti haisi kurwadziwa kwemoyo kana vakangoita kunze kwedambudziko guru, basa ravo raitwa.
Kana iwe uri munhu ane "chifuva murusvingo rwomukati" -kuonga sezvo iwe ungave usina chirwere chemwoyo-uchiri kurwadziwa.Uri kufarira kuongorora kwechokwadi sezvo izvozvo zvingakubatsira kunzwisisa iwe unogona kuita pamusoro pemarwadzo.
Pane zvikonzero zvakasiyana zvemakumbo emapfupa emapfupa, uye nerufaro, muhuwandu hwemamwe mamiriro ezvinhu, chinokonzera chikonzero chepfupa maronda marwadzo anonyanya kuipa uye kazhinji kazhinji anozvigadzirisa. Zvisinei, mamwe mhando dzepfupa maruva kurwadziwa zvinogona kuratidza dambudziko rakakomba uye rinogona kuda kurapwa kwakananga.
Heano zvikonzero zvinowanzoitika zvepfupa maronda kurwadziwa:
Chest Trauma
Kutambudza kumadziro echifuva kunogona kukonzera misi miviri kana maronda, maronda, kana kuputsika kwemabvu. Dambudziko racho rinogona kunge rakakonzerwa nechimwe chiitiko chinoshamisa (zvakadai sokurohwa nebhokisi kana motokari), kana kune zvimwe zvinokanganisa (zvakadai sokusimudza chinhu chakanyanya) chinogona kunge chakaoma kukuyeuka, kunyanya kana kutanga kwekutambudzika inonoka.
Somugumisiro, chiremba wako anofanira kukubvunza pamusoro pezvinhu zvinogona kunge zvakakonzera chifukidzo chemukati chechifuva.
Costochondritis
Costochondritis , dzimwe nguva inonzi costosternal syndrome kana anterior chest wall syndrome, inongoratidzira kurwadziwa uye unyoro mukutengesa kwezvinhu zvinodhura, iyo inharaunda kumativi echepfupa apo mbambo dzinosunga.
Marwadzo acho anowanzowanikwa kune imwe nzvimbo, kakawanda pane kuruboshwe rwezamu. (Kana yakasara-pedo-costochondritis inowanzova yakajairika, kana kuti vanhu vane kurwadziwa kwepamuviri-kuruboshwe vanongowanzoona chiremba nokuti vanonetseka nechinetso chemwoyo, hachizivikanwe.) Marwadzo e-costochondritis anowanzogadzirwa zvakare kuburikidza nekudzvinyirira panzvimbo yakakanganiswa. Zvinokonzera costochondritis hazvinyatsonzwisisiki.
Kunyange zvazvo chinokwana "-titis" inowanzoshandiswa mukurapa kuratidzira kuputika , pane chaizvoizvo hakuna uchapupu hwekuputika ne costochondritis. Izvi zvinoreva kuti, hakuna kuvhara, kubwinya, kana kupisa munzvimbo inorwadza. Muvana uye vaduku, chirwere ichi chinoonekwa dzimwe nguva chichibatanidza kuoma kana kuderera kwezvinyorwa zvinoputika (musuru pakati pebhubu), zvichienderana nekudzokorora zvinhu zvinomesa mitsipa iyoyo sekutakura bhuku rakakura.
Mune zvimwe zviitiko, costochondritis inoratidzika yakabatana nekusavhiringidza kwakavanzika kwebambo. Kunyange zvazvo chiropractors ari kunyatsoziva nharo yekusununguka sechikonzero che costochondritis, vanachiremba havana kazhinji vanzwa nezvazvo. Izvozvo zvinogona kuitika kumashure, apo nhavu uye musana unobatana. Izvi zvishoma nezvishoma zvinokonzera kukanganiswa kwembambo uye pamwe nefupa remafupa (pakusanganiswa kwekodochondral) nemigumisiro inorwadza. Rubvu runogona "kuputika" mukati uye kunze kwekunyorera kwayo (kazhinji mune kumwe kusununguka kwechikwata chemuti kana bhanhire remapfudzi), mumamiriro ezvinhu apo marwadzo achauya oenda.
Chiropractors kazhinji vanonyatsodzidza kubata chibvu chakasununguka zvakare panzvimbo yavo chaiyo uye kubvisa marwadzo.
Costochondritis inowanzove yakagadzikana. Dzimwe nguva inobatwa nehutano hwemunharaunda kana kutengesa maitiro, asi hazvizivikanwe kana zviyero zvakadaro zvichibatsira. Kana marwadzo e-costochondritis anowedzera kweinopfuura kwevhiki kana zvakadaro, kuongorora kutarisa mamwe mamiriro emadziro emadziro angave pfungwa yakanaka uye kubvunza chiropractor kungabatsirawo.
Lower Rib Pain Syndrome
Chine rib pain syndrome (inonziwo kusvetwa nenyuchi syndrome) inokanganisa nenyuchi dziri pasi, uye vanhu vane chirwere ichi vanowanzonyunyutira marwadzo muzasi kwechifuva kana mudumbu. Muchirwere ichi, imwe yenyuchi dziri pasi (yechisere, yepfumbamwe kana yegumi yebhiti) inosunungurwa kubva pakubatana kwayo kusvika kumafupa, kazhinji inotevera humwe rudzi rwekutambudzika. Nhamba ye "kufamba" inokonzera mitsipa iri pedyo inoita marwadzo. Izvi zvinowanzotarisirwa zvakakodzera nemazano ekudzivisa zvinhu zvinounza marwadzo mukuedza kubvumira mbabvu kuporesa, asi kuvhiyirwa kunogona kudiwa kuti igadzikane nenyundo yokudhonza.
Precordial Catch
"Precordial catch" inonyanya kuchena uye yakajairika, iyo inowanzoonekwa muvana kana kuti vaduku, umo marwadzo akangoerekana apinza, ane ruzivo rwechipfuva anoitika, kazhinji kuruboshwe rwechipfuva, rinogara kwemaminitsi mashomanana kusvika kumaminitsi mashoma. Inowanzoitika pakuzorora, uye munguva yechiitiko, marwadzo anowedzera nekufema. Pashure pemasekondi mashomanana kana maminetsi mashomanana, kurwadziwa kunogadzirisa zvachose. Chikonzero chechiitiko ichi hachizivikanwi, uye hachina chizivo chekurapa chinozivikanwa.
Fibromyalgia
Fibromyalgia chirwere chinowanzojairika chinosanganisira marwadzo akasiyana-siyana, akapararira musculoskeletal pain. Pain over the chest is common with this condition. Fibromyalgia inowanzova nezvimwe zviratidzo zvinowedzera kune zvinorwadza, zvakadai sekuneta, kuora kwehope, uye zviratidzo zvepamuviri, izvo zvinoita kuti vanachiremba vazhinji vatarise chiitiko ichi seimwe yeyysautonomias .
Rheumatic Diseases Associated With Chest Wall Pain
Chipfuva murwadzo rwomukati runosangana nekuputika kwepamusoro kana musungo wembambo kunogona kuonekwa nemhando dzakawanda dzedheumatic, kunyanya, rheumatoid arthritis, ankylosing spondylitis , uye psoriatic arthritis . Kunyange zvazvo zvisinganzwisisiki kuti kurwadziwa kwepfuva kuve chiratidzo choga chinosanganiswa nemumwe wemamiriro aya, kusanzwisiswa kwemapuranga emadziro emadziro, kunyanya kana kuongorora kunoratidza kuti yakabatana nechirwere chechirwere kana chimwe cheimwe chirwere chekuvhiringidza, chinofanira kutungamirira chiremba kuti atore chirwere cherheumatic sechikonzero chinokonzera.
Kushungurudzika Kuputika
Kushungurudzika kwezvipembenene zvembambo zvinogona kuonekwa mumitambo inopinda mumatambudziko, okudzokororazve kunobatanidza muviri wepamusoro, zvakadai semidhora kana baseball pitchers. Kushungurudzika mupfungwa kunogona kuonekwawo kune vanhu vane osteoporosis kana kushayikwa kwevitamini D.
Cancer
Nhanho dzakapfurikidza dzekenza dzinopinda mudanda rechifuva zvinogona kubereka kurwadziwa kukuru. Kenza yepabonde nemukenza wemapapu ndeyemhando mbiri dzakawanda dzekenza dzinobudisa dambudziko iri. Kenza yepamusoro yemibvu ndeyoyo inonyanya kushandiswa iyo inogona kubudisa ruvara rwemapuranga.
Sickle-Cell Crisis
Iko zvino inofunga kuti rusvingo rwechifuva rinorwadza pane dzimwe nguva kuonekwa nevarwere vane chirwere-chema chinetso chinogona kunge chichibva nekuda kwezviduku zvishoma mumabvu. Nhamo yebubvu inowanzogadzirisa nekukurumidza sezvinenge chikwangwani-sechiini chinoshandiswa pasi pesimba.
Shoko Rinobva
Chifuva murusvingo rwemafupa rwakakurumbira kune vanhu vanoonekwa navanachiremba nokuda kwekurwadziwa kwepfuva, asi haisi nguva dzose yakabatana nechirwere chakakomba sechirwere chemwoyo. Kunyangwe zviratidzo zvepfupa zviratidzo zvinogona uye zvinofanira kutorwa zvakanyanyisa, muzvizhinji zvezviitiko, zviri nyore kune chiremba ane hanya kuti aongorore chikonzero chepfupa remarwadzo emadziro uye kurumbidza kurapa kwakakodzera.
> Sources:
> Almansa C, Wang B, Achem SR. Pascardiac Chest Pain, uye Fibromyalgia. Med Clin Clin North 2010; 94: 275.
> Bösner S, Becker A, Haasenritter J, et al. Chep Pain In Primary Care: Epidemiology uye Pre-work-up Probabilities. Eur J Gen Pract 2009; 15: 141.
> Ebell MH. Kuongorora Chest Pain In Primary Care Patients. Ndiye Chiremba weNzara 2011; 83: 603.
> Eslick GD. Chirongwa, Natural History, Epidemiology, uye Njodzi dzeChina cheScarcarac Chest Pain. Dis Mon 2008; 54: 593.