I fa hian T-shirt hak emaw, swimming pool-a kal emaw chu a hreh deuh em? A rilru ruh lai tak chu a hma aia tlem a rawn chhuak ang maiin i hria ngai em? A nih loh leh, he thuziak hi i chhiar a, he natna hi i tuar em? Lungngai suh. Damdawi lamah chuan he natna hi Pectus Carinatum kan ti a ni. Mi tam tak chuan "pigeon chest" an ti bawk. Vawiin hian hemi chungchanga i rilrua zawhna awm zawng zawngte chu awlsam leh friendly takin kan sawi dawn a ni.
Pectus Carinatum chu eng nge ni tak tak?
A awlsam zawngin, hei hi kan rilru lai tak, sternum-a ruh zau tak lo chhuak chu a ni. Mi tam takin "pigeon chest" an ti a, a chhan chu pigeon rilru ang deuh a nih vang a ni.
Hei hi condition dang lehlam a ni. Mi thenkhat i hmuh tawhah chuan an rilru a pil lut a, chu chu Pectus Excavatum kan ti a. Chuvangin Pectus Carinatum chu chu chu a sir lehlamah a ni a, chu chu hmalam atanga chhuak rilru chu a ni.
Hei hi chi hrang hrang lian ber ber a awm em?
Ni e, doctor-te chuan chi hnih leh chi hrang hrang engemaw zatah an ṭhen a. Enkawlna tur ruahmanna siam hunah hei hi hriat a pawimawh hle.
| Lampang | A awlsam zawngin... |
|---|---|
| Chondrogladiolar tih a ni | Hei hi a tam ber chi a ni . Hetah hian middle breastbone hnuai lam chu hmalam hawiin a rawn chhuak ber a ni. |
| Chondromanubrial tih a ni | Hetiang chi ah hian middle breastbone chunglam chu hmalam pan a ni. |
| Classification dangte pawh a awm bawk | |
| Type I tih a ni | A chi tam ber (Chondrogladiolar) hian rilru sir lehlamah a nghawng a ni. |
| Type II a ni | A chi tlem zawk (Chondromanubrial) hian rilru sir lehlamah a nghawng a ni. |
| Type III a ni | Chutiang a nih chuan rilru sir khat chauh chu hmalam hawiin a chhuak thei a, a sir dang erawh chu chhung lam hawia pil ang maiin a lang thei thung. |
Heng classification te hi ngaihtuah lutuk a ngai lo. Doctor i hmuh chuan i dinhmun a enfiah ang a, eng category-ah nge i tlak tih chiang takin a hrilh ang che.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Statistics atanga a lan dan chuan mi 1,000 zinga pakhat velin he natna hi an vei a ni. Mahse, zirchianna ṭhenkhat chuan a tam zâwk pawh a ni thei a, mi 300 zînga pakhat chauh pawh a ni thei.
Hmeichhia aiin mipaah a tam zawk . He natna hi pian tirh lamah awm mah se, tleirawl lai , naupang taksa a lo thang chak em em lai hian a langsar zawkin a langsar zawk fo thin.
Eng nge a lan chhuah dan? Hei hi a hlauhawm em?
Hetah hian a pawimawh ber. Pectus carinatum vei tam zawk chuan symptom an nei lo . Chu chu, an rilru pianhmang danglam tih loh chu hrehawmna dang an nei lo tihna a ni. Mi tlemte chauh hian thil engemaw tih laiin emaw, dinhmun thenkhatah emaw an rilru natna an nei thei.
Chuti a nih chuan hei hi a hlauhawm em? Ni miah lo. A awlsam zawngin sawi ila, pectus carinatum hi natna hlauhawm tak a ni lo. A tlangpuiin i dam chhung, i thinlung leh i lung hnathawhnaah nghawng a nei lo.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Zirchiangtute chuan hei hi a chhan chiang tak an la hmu lo a, mahse kan ruhte leh kan rilru lai tak inzawmtu cartilage a lo thang dan pangngai lo vang niin an ngai. A awlsam zawngin, chu cartilage chu a lo thang chak lutuk a, rilru ruh chu hmalam pan turin a nawr a ni.
Hei hi genetic link a awm em? Gene bik chu hriat chhuah ni lo mah se, a awm thei niin an ngai. Hei hi a chhan chu he natna vei zinga 33% vel, a nih loh leh hmun thuma ṭhena hmun khat vel hian chhungkaw history-ah hetiang chest wall abnormality hi an nei a ni.
Tin, pectus carinatum hi damdawi lam thil dang nen pawh a inzawm thei bawk. Hei hian heng natna vei zawng zawng hian pigeon chest an nei vek dawn tihna a ni lo va, mahse inzawmna a awm thei.
- Marfan syndrome: He natna hi taksa inzawmkhawmna (connective tissue) te a nghawng thin a ni.
- Noonan syndrome: Hei hi genetic condition a ni.
- Scoliosis: A ruhro (spine) a curvature (curvature) a ni.
- Asthma natna a ni
- Bronchitis: Bronchial tube-a natna hrik awm.
- Mitral valve prolapse: Thinlung valve pakhata chak lohna tlem a awm.
Hemi a\ang hian harsatna dang lo chhuak thei a awm em?
Sawi tawh angin taksa lama harsatna lian tham awm lo mah se, he dinhmun hian harsatna dang a thlen thei a ni. Chûngte chu a pawi hle thei a, a bîk takin kum naupang tê tân chuan.
- Mahni inngaihsakna chungchang: I hmel lan danah i mualpho emaw, i lungkham emaw a ni thei. I T-shirt phelh emaw, tui chawi emaw, ṭhiante nena inkhelh emaw chu i hreh mai thei.
- Bad posture: I rilru bulge thup i tum avangin automatic in hunching over i nei thei.
- Back pain: Hetiang dinhmun dik lo hian hun kal zelah hnungzang natna a thlen thei.
Engtin nge doctor hian hei hi a hriat chian tak tak?
Hemi chungchangah hian rinhlelhna i neih chuan a tha ber chu Doctor hmuh hi a ni. He natna hi awlsam takin a hmuchhuak thei dawn a ni.
1. Medical history neih: Nang leh i nu leh pate hnenah he thu hi zawh a ni ang.
2. Taksa endik: A rilru endik a ni ang. Scoliosis a awm leh awm loh pawh an enfiah thei bawk.
3. A tul chuan test: Hei hi taksa enfiahna hmanga hriat theih a ni tlangpui. Mahse, a natna nasat dan leh operation ngaihtuah a nih chuan test thenkhat chu rilru chhungril lam thil awm dan enfiah tura tih a ni thei.
- Chest X-ray: Ruh awmna hmun en nan hmalam leh sir atanga X-ray lak a ni.
- CT Scan (Computed Tomography - CT scan): Hei hi X-ray chi khat bik a ni bawk.
- MRI scan (Magnetic Resonance Imaging - MRI scan): X-ray hmang lova taksa chhung lam chipchiar taka thlalak lak chhuah dan a ni.
Enkawlnate chu engte nge ni?
Hei hi dinhmun hlauhawm tak a nih loh avangin hmel lan danah harsatna lian tak a awm loh chuan enkawl a ngai lo. Mahse, hmel lan dan chungchangah ngaihtuahna a awm emaw, harsatna tenau a awm chuan emaw, hei hi enkawlna tha tak tak a awm a ni. Thil tih dan tlangpui pahnih a awm.
Brace (Bracing) vuah a ni.
Hei hi rilru chhunga brace bun ang mai a ni.
- Engtin nge a thawh?: He brace hian hmalam leh hnunglam atanga rilru chhunga ruh lo chhuak chu pressure a pe a. Hun a kal zel a, chu pressure chuan ruh chu zawi zawiin a dinhmun pangngaiah a kal leh ta a ni.
- Hman dan: Thawmhnaw hnuaiah emaw, thawmhnaw chungah emaw hak theih a ni. Ni khatah darkar 24 vel bun a tha. Inbual lai emaw, infiamna kan khelh lai emaw pawhin lakchhuah theih a ni.
- Tu tan nge a tha ber?: Hetiang hmanraw hi naupang a lo puitlin lai hian a hlawk ber . Chu chu an naupan lai a ni. Hei hi a chhan chu chutih lai chuan rilru ruh leh ruh (cartilage) te chu a la inthlak danglam thei a ni. Chuvangin brace pressure ang zela insiamrem a awlsam zawk. Thla 6 atanga kum engemaw zat chhung khawi hmunah pawh bun theih a ni.
Inzai
Brace a that loh chuan, emaw, kum upa zawkin enkawl a ngai a nih chuan, operation tih ngaihtuah theih a ni.
- Ravitch procedure: Hetiang procedure ah hian surgeon chuan a rilru lai takah incision te tak te a siam a, a cartilage lian lutuk chu a paih chhuak thin. Chumi hnuah chuan sternum chu a awmna pangngaiah dah lehin, kawng hrang hrang (suture, metal plate, emaw bar) hmangin a hmunah an vawng tlat a ni.
- Minimally invasive surgery: Hei hi Nuss tih dan nen a inang hle. Hetah hian a rilru sir lehlamah incision te te siamin, thir bar dahin, ruh chhuak chu a hmunah clamp a ni. Bar hi kum khat emaw a aia rei emaw chhung chu a hmunah dah a ni a, chutah chuan operation tenau dang hmangin lakchhuah a ni.
Tunah chuan heng hmanraw pahnih hi a hmasawn hle a, a him hle bawk. I surgeon chuan i dinhmun nena inmil ber tur method chu a hrilhfiah ang che.
Enkawlna hian side effect emaw complication emaw a nei em?
- Brace bun dan: Hei hi hmanraw him tak a ni. A châng chuan brace-in vun a pressna hmunte chu a sen deuh a, a hrual thei bawk. Chutiang a nih chuan brace hman hi rei lo te chhung chu i chawlhsan thei a, i doctor hnenah uluk taka siamrem turin i hrilh thei bawk.
- Surgery: Surgery lian dang ang bawkin, hlauhawmna engemaw zat a awm. Mahse, hengte hi a tlangpuiin surgery him leh hlawhtling tak a ni. Harsatna awm thei te chu:
- Pneumothorax (lung tlu) 1.1.
- Thisen chhuak
- Lung vel a tui awmkhawm (Pleural effusion) .
- Thinlung chhehvel membrane a inflammation (pericarditis) .
- Infection awm thei te
- Ruh siam thatna atana hman support chu a chhe vek tawh.
- A lo lang leh thin
Eng chen nge tihdam a ngaih?
Surgery hnuah ni khat atanga ni nga chhung damdawi inah i awm ang. Kar tlemte hnuah i surgeon nen follow-up visit i nei ang. I doctor chuan i hnathawh pangngaia i kir leh theih hun tur a hrilh ang che.
Engtikah nge Doctor ka hmuh ang?
Hei hi a pawimawh hle. Nangmah emaw, i fa emaw doctor pan tur vawi engemaw zat a awm.
- I rilru na emaw, nuam lo emaw i hriat chuan.
- I hnute lan dan chuan i inrintawkna a tihziaawm a, i lungkham phah a, a nih loh leh inpawh duh lohna a siam a nih chuan .
- Hetiang dinhmun hian engti kawng mahin i nitin nun a tibuai a nih chuan.
I rilru hriselna chu i taksa hriselna ang bawkin a pawimawh tih hre reng ang che . I hmel lan dan avang hian rilru lama hrehawm tawrh a ngai lo. Hemi atan hian enkawlna a awm.
Doctor hnenah eng zawhna nge i zawh tur?
Doctor hmu tura i kal hunah heng zawhnate hi zawh theihnghilh suh.
- "Doctor, ka dinhmun atan brace emaw surgery emaw hi a tha ber em?"
- "Brace ka bun a ngai a nih chuan ni khatah darkar engzat nge ka hak ang a, eng chen nge ka bun a ngai ang?"
- "Brace emaw surgery emaw avanga result tlangpui chu eng nge ni?"
- "Brace-ah harsatna a awm a nih chuan siam that turin i lo kal vat thei ang em?"
- "Operation hnua a dam kim theih nan eng chen nge hun a duh?"
Sikul-ah leh ṭhiante nêna hetiang inthlâk danglamna nêna nun chu a châng chuan a harsa thei hle. Mahse, nangmah chauh i ni lo tih hre reng ang che. Hei hi i rilruah dah suh. I nu leh pate emaw, puitling rintlak tak emaw, i doctor emaw nen inbia ang che. Thurawn leh enkawlna dik tak nen chuan he natna hi uluk taka enkawl theih a ni.
Take-Home Thuchah a ni
- Pectus Carinatum (‘pigeon chest’) hi natna hlauhawm tak a ni lo. A tlangpuiin dam rei zawng emaw, thinlung emaw, lung emaw a nghawng lo.
- Mi tam tak chuan hmel danglam tih loh chu symptom dang an nei lo .
- Hetiang dinhmun hi a bul berah chuan cosmetic problem a ni fo thin .
- Brace vuah hi naupang puitling tan chuan enkawlna tha tak a ni .
- Puitling emaw brace method hlawhchham tan emaw tan chuan surgery hian result hlawhtling tak a nei thei a ni .
- I hmel lan danah lungngaihna emaw, mualphona emaw i neih chuan doctor hnenah hemi chungchang hi sawi hreh suh. I rilru hriselna pawh a pawimawh hle .











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