Hollow chest i nei em? (Pectus Excavatum) chungchang hi han sawi ila!

A châng chuan i rilru lai takah hrual (hollow) i hmu tawh mai thei a, i tawng tawh mai thei bawk. Mi thenkhat tan chuan hei hi rilru hmun tlemte chauh a ni a, thenkhat tan chuan a langsar hle a, rilru chu a pil lut ang maiin a lang a, hei hi doctor ten `(Pectus Excavatum)` an tih chu a ni. He hming i hriat hian hlau lutuk suh, hei hi natna tlanglawn tak a ni. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

He rilru natna hi eng nge ni, a nih loh leh (Pectus Excavatum)?

A awlsam zawngin, `(Pectus Excavatum)` hi kan rilru lai takah ruh lo chhuak, chu chu sternum `(Sternum) a ni.` A dik zawka sawi chuan he rilru ruh lai tak hi a chhung lam hawiin a ben a ni. Chumi avang chuan i rilru chu chiang takin a pil, a nih loh leh a hrual (hollowing) tih i hmu thei. A tlangpuiin, rilru sir lehlamah rib pali emaw panga emaw vel chu hei nen hian an inzawm khawm thin.

Hei hi "sunken chest" emaw "funnel chest" emaw an ti bawk. Hetiang dinhmun hian rilru chhunga hmun awm zat a tihtlem phah a ni. Chuti a nih chuan eng nge thleng? Thinlung leh lungte hnathawh thatna tur hmun a awm lo.

`(Pectus Excavatum)` hi pianpui natna a ni. Chumi awmzia chu mi chu he natna neia piang a ni tihna a ni. Mahse a tam zawkah chuan tleirawl lai, kum sawm leh pathum emaw kum sawm leh pali emaw vel atang khan a lang tan thin. Mahse lungngai suh, doctor te chuan he dinhmun hi minimally invasive surgery emaw traditional open surgery emaw hmangin an siam tha thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm (Pectus Excavatum)?

Hei hi chest wall-a congenital abnormality awm tam ber a ni. A tlangpuiin mi sang zinga pakhat atanga pariat inkar a nghawng a ni. A bik takin mipa naupangah a tam hle.

(Pectus Excavatum) natna lan chhuah dan chu engte nge ni?

Hetiang natna lan chhuah dan hian taksa leh rilru lamah a nghawng thei a ni.

Taksa lama natna lan chhuah dan: 1.1.

• Exercise neih laiin thawk harsa: I tlan lai emaw, inkhelh lai emaw pawhin thawk hah lutuk ang maiin i inhria thei.
• I ṭhian dangte aiin chau deuha inhriatna: Ṭhiante nêna in inkhelh hunah, an tih hmain i chau tih i hre mai thei.
• Chauhna: Chhan bik nei lovin chau reng reng.
• Chest pain: A chang chuan chest tightness emaw, na emaw a awm thei.
• Lungphun mumal lo: I thinlung rhythm a danglam ang maia hriat.
• Heart palpitations: I thinlung thawk ri hriat nghal mai , a nih loh leh a thawk chak hle tih hriatna.

Rilru lam natna lan chhuah dan: 1.1.

Ngaihtuah teh, i rilru a inthlak danglam avang hian i thiante nen tui chawi emaw, infiamna emaw i khelh hian i mualpho a, i hlim lo a nih chuan... a chang chuan i T-shirt pawh i phelh duh lo mai thei. Hetiang thil hian i inrintawkna a ti tlem thei a ni.

• Mualphona nasa tak leh rilru hahna nasa tak, rilru a lan dan avanga lo awm.
• Mahni inngaihsakna chungchang.
• Thil engemaw takah chuan he natna hian clinical depression pawh a thlen thei a ni .

(Pectus Excavatum) hi eng nge a chhan?

Mi tam zawkah hian he natna hi a chhan dik tak hriat a la ni lo. Mahse, mi thenkhatah chuan connective tissue natna Marfan syndrome emaw Ehlers-Danlos syndrome emaw nen a inzawm thei a ni.

Hei hi genetic thil a ni em?

Researcher-te chuan he natna hi genetic link chiang tak an la hmu thei lo. Mahse genetic influence a awm thei niin an ring . Pectus Excavatum vei zinga 40% leh 53% inkar chuan chhungkaw member pakhatin he natna hi vei an nei tih hmuhchhuah a ni.

(Pectus Excavatum) tan hian eng risk factors nge awm?

Hetiang dinhmun hi a chhan dik tak hriat a la nih loh avangin a hlauhawmna dik tak hriat chian a harsa hle. Mahse, i chhungkuaa mi tu emaw hian he natna hi a nei a nih chuan, emaw, a hmaa kan sawi tawh ang khan a kaihhnawih nia hriat syndrome i neih chuan, he natna hi i vei theihna tur i nei thei a ni.

Hetiang dinhmun avang hian eng harsatna nge awm thei?

Pectus Excavatum avanga harsatna awm thei te chu:

• Exercise thiamna tlahniam.
• Mitral valve prolapse (thinlung valve khar tha lo).
• I thinlung compression.

Engtin nge Pectus Excavatum hi hmuhchhuah a nih?

Doctor chuan taksa enfiahna awlsam tak hmangin he natna hi a hre thei a ni. Thil tam takah chuan doctor-te chuan i naupan lai thlengin an hre lo mai thei. Pectus Excavatum hian i thinlung leh lung hnathawh a nghawng nasat zia hriat nan test hrang hrang an ti thei a ni.

(Pectus Excavatum) hi eng test nge hman thin?

Chumi atana test-naah chuan:

• Chest magnetic resonance imaging (MRI) hmanga enfiah a ni.
• A rilru CT scan a ni.
• Cardiopulmonary exercise test neih a ni.
• Electrocardiogram (EKG) hmanga tih a ni.
• Thinlung echocardiogram hmanga siam a ni.
• Pulmonary Function Test (PFTs) hmanga tih hi a ni.

Pectus Excavatum hi engtin nge enkawl a nih?

Surgeon chuan he dinhmun (Pectus Excavatum) hi minimally invasive procedure (Nuss procedure) emaw open procedure (Ravitch procedure) emaw hmangin a siam tha thei a ni. I surgeon chuan eng procedure nge i tan a tha ber tih a sawipui ang che. Hetiang tih danah hian i hnute ruh (sternum) chu a sang deuh theih nan dah leh a ngai a ni. Procedure pahnih hmang hian:

• I thinlung leh lung chunga pressure a tihziaawm a, chu taksa pengte chu a thawk tha zawk thei a ni.
• I rilru a tha chho zel a.

Taksa lama natna lanchhuahna i neih emaw, Pectus Excavatum avanga rilru lama harsatna i tawh emaw chuan operation hi i tan a tha hle mai thei. Surgery neih hun tha ber chu kum 10 leh 14 inkar a ni a, chutih lai chuan rilru bang chu a la flexible reng a ni. I doctor chuan operation hun tha ber tur chu a rel ang che.

Nuss tih dan tur

Hei hi a invasive lo ber a ni. Hemi kawngah hian surgeon chuan:

• Surgery kalpui dan tur kaihruai turin a rilru chhungah camera dah a ni.
• A rilru sir lehlamah incision te te pahnih siam a ni.
• A bik taka siam, curved steel band emaw band emaw chu rilru ruh lai tak hnuaiah dah a ni a, ruh chu chawi sang turin siamrem a ni.
• He belt hi chest wall sir lamah a inbun a, chu sagging appearance chu a ti bo ta a ni.

He steel band hi kum engemawzat chhung chu a hmunah dah a ngai a ni. Tichuan surgeon chuan outpatient procedure awlsam tak hmangin a paih chhuak ta a (chumi ni vek chuan in lamah i haw thei tihna a ni).

Ravitch kalphung

Hei hi open surgery tih dan pangngai a ni. Hemi kawngah hian surgeon chuan:

• A rilru hmalam chu incision siam a ni.
• Chest bone lai tak chhung lam hawia nawr chhuaktu connective tissue lo thang lian lutuk chu lakchhuah a ni.
• Middle breastbone chu thinlung leh lung atanga sawn chhuah a ni a, hmalam pan a, chest wall-a a awmna tur dik takah hruai a ni.
• Tichuan, plate te tak te leh screw te te , emaw, thir band te tak te hmangin, rilru ruh lai tak chu a awmna tharah a nghet tlat a ni.

He metal band hi thla 6 atanga thla 12 vel hnuah outpatient procedure tawi te hmangin lakchhuah a ni. He band hi ``Nuss procedure''-a hman band aiin a te zawk a ni.Plate te hi lakchhuah a ni lo va, chuvangin operation dang tih belh a ngai lo.

Enkawlna avanga harsatna awm thei

Surgery lian dang ang bawkin Pectus Excavatum siamthatna tur surgery hian hlauhawm engemaw zat a keng tel a ni. Nuss procedure leh modified Ravitch technique te hi a him a, a hlawk bawk. Mahse, harsatna a awm tlem hle.

`(Pectus Excavatum)` surgery avanga harsatna awm thei te:

• Pneumothorax natna (Pneumothorax) a ni.
• Thisen chhuak.
• Pleural effusion a awm thin.
• Kaichhawng.
• Belt dahna hmun atang chuan a rilru a buai ta.
• Belt lakchhuah hnua `(Pectus Excavatum)` dinhmun lo lang leh.
• A chhehvel tissue te tihchhiat.
• Natna rei tak a awm.

He enkawlna atanga dam leh tur hian eng chen nge a mamawh?

Natna enkawlna lama hmasawnna a awm avangin tunah chuan operation hnua dam hun chu a hma aiin a tawi tawh a, a na lo zawk bawk.

Cryoablation hian natna hre thei ribs inkar chest wall-a nerve te chu hun engemaw chen a freeze tir thin. Chutiang nerve-ah chuan local anesthetics chu operation hma leh operation hnuah inject a ni a, oral painkiller pawh pek a ni bawk.

He ``Cryoablation'' method hmang hian ``Nuss procedure'' hnua natna nasa tak lo awm thin tihziaawmna hian damdawi ina awm rei pawh nasa takin a tihtlem a, chubakah ``Opioids'' ang chi natna tidamtu damdawi hman a ngai bawk.

Tun hma chuan he ``Nuss procedure'' atanga an dam leh theih nan thla khat vel a mamawh avangin sikul naupangte chuan chawlh rei tak chhungin an tihsak a ngai thin. Mahse tunah chuan ``Cryoablation'' ang chi natna tihdam dan thar avang hian damdawi ina awm hi a rei zawk a, a dam chak zawk bawk a, chuvangin sikul chawlh rei lo te chhung pawhin tih theih a ni.

Traditional pain management methods ah chuan Nuss procedure zawhah kar khat chhung damdawi inah a ngai a ni. Epidural anesthesia pawh a ngai a, chumi hnuah kar engemaw zat opioid painkillers ei a ngai a, hei hian addictive a siam thei a ni.

Mahse Cryoablation hmang hian mi tam zawk chu operation an neih zawh ni khatah an haw thei a ni. Mi thenkhat chuan damdawi ina an awm chhung hian IV emaw oral opioid emaw an mamawh lo tak zet a ni. Oral opioid mamawh tak takte pawhin ni khat emaw ni hnih emaw chhungin an ei tawh lo thei. Cryoablation hian thla ruk atanga kum khat chhung chu chest wall a ti na thei a ni.

Pectus Excavatum hi ven theih a ni em?

No. `(Pectus Excavatum)` awm chhan bik hmuh a nih hma chuan ven dan tur a awm lo.

(Pectus Excavatum) ka neih chuan eng nge ka beisei ang?

Pectus Excavatum surgery tum ber chu i thinlung leh lungte pressure tihziaawm a, hnathawh that zawk theihna tur a ni. Hei hian thawk a titha tlangpui a, exercise lak a harsat a, rilru a na bawk. Operation hma khan i thawk leh chakna chu a pangngaiin i hre tawh mai thei a, mahse operation hnuah chauh a tha zawk tih i hre thei.

An harsatna ber chu an hnute pianphung pangngai lo a nih avangin operation an neih hnuah mahni inngaihhlutna leh mahni inrintawknaah nasa takin hma an sawn tih an hmuchhuak a ni.`(Pectus Excavatum)` vei puitlingte chuan kum 30 hnuai lam emaw, kum 40 hnuai lam emaw thlengin hnathawhnaah tihkhawtlai chiang tak an hmu lo thei.

(Pectus Excavatum) hi eng chen nge a daih?

Hetiang dinhmun hi siamthat tura operation i neih hma loh chuan i nei ang.

Engtikah nge ka thiltih pangngaiah ka kir leh theih ang?

Surgery i neih zawh chuan hun engemaw chen i chawlh a ngai dawn a, a chhan chu i rilru hahdamna engemaw chen i nei dawn a ni. I hrehawmna a reh tawh chuan kea kal leh tlan i tan leh thei tawh ang. I surgeon chuan engtikah nge weights i chawi tan theih ang a, competitive sports i khelh leh theih ang tih a rel ang.

School-age naupangte chu `(Pectus Excavatum)` surgery an neih hnuah kar hnih atanga kar thum chhungin sikul an kal leh thei tur a ni.

(Pectus Excavatum) hmalam hun chu eng nge ni?

Nuss leh Ravitch procedure pahnih hian result tha tak a nei a. Mite chu an dam hnuah an rilru put hmang leh an hmel lan danah an lungawi tlangpui. Procedure pahnihah hian recurrence rate chu 1% aia tlem a ni.

Engtin nge ka in enkawl ang?

Enkawl loh `(Pectus Excavatum)` nei tan chuan taksa leh rilru lam natna lanchhuahna te hi nitin nunah a tel ve a ni. Mi ṭhenkhat chuan, "Cosmetic issue mai a ni" an tih laiin, i rilru put hmang chu an pawm lo mai thei. I natna lan chhuah dan hrethiam leh enkawl tura pui theitu doctor zawng rawh.

Engtikah nge ka doctor ka hmuh ang?

I doctor hnena check-up neih fo hian engtikah nge operation i mamawh tih (a nih loh leh i dinhmun a nasat em avangin operation a ngai em tih) an rel thei ang. Operation hnuah i dam kim hma loh chuan i surgeon chu regular takin i hmu a ngai dawn a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

`(Pectus Excavatum)` chungchanga doctor i zawh theih tur zawhna thenkhat:

• " Hetiang dinhmun avanga rilru hahna ka tawrh mek hi min pui thei tur counselor hnenah min refer thei ang em?"
• " `(Pectus Excavatum)` vei te tan support group a awm em?"
• " Ka dinhmun avang hian surgery i rawt em?"
• " Eng kum ah nge operation ka neih ang?"

Kum upat deuh deuh hian (Pectus Excavatum) hi a na zual em?

Hun kal zelah i symptom te chu a zual thei hle. Hei hi tar chakna pangngai vang a nih a rinawm. Tin, i tar chhoh zel chuan Pectus Excavatum-in i thinlung leh lung a tihkhawtlai thinte chu phuhruk a harsa zual hle bawk.

Surgery ka neih loh chuan (Pectus Excavatum) hian ka thinlung leh lung a tichhe dawn em ni, a nih loh leh ka dam chhung a tikhawtlai dawn em ni?

Pectus Excavatum hian dam rei zawng a tihtlem emaw, hun kal zelah thinlung leh lung a tichhe emaw tih finfiahna a awm lo. Mahse, operation i neih loh chuan i symptoms chu a zual thei hle.

Hmeichhia `(Pectus Excavatum)` vei te hian naupai pangngai an nei thei a, nau an pai thei bawk.

(Pectus Excavatum) ka neih a, thinlung surgery ka mamawh a nih chuan, a rualin tih theih pahnih hi tih theih a ni em?

Awle. Surgeon-te chuan Pectus Excavatum correction surgery bakah heart surgery an nei a, result tha tak an nei bawk. Hei hian operation pahnih titu surgeon-te inkara inremna tha tak a mamawh a ni.

A tawp berah chuan take-home message:

Pectus Excavatum, rilru ruh a lo thang lian lo hle a, taksa leh rilru lama a natna lan chhuah dan avang hian a lungchhiatthlak thei hle. Nangmah ngeiin thu sawi la, i natna lan chhuah dan tur atana i mamawh tanpuina dawng rawh. I dinhmun chungchang hi doctor te nen sawipui hlau suh. I hmaa midangte an lo puih tawh ang bawkin nangmah tanpui turin an awm reng a ni. Surgery hi i tan a tha ber a nih chuan eng surgery nge i tan a tha ber tih hriatthiam nan zawhna zawt rawh. He natna hi enkawlna \ha tak tak a awm tih hre reng la, nun hrisel leh thawkrim takin i nung thei bawk!

` Pectus excavatum, rilru pil, rilru na, rilru surgery, Nass procedure, Ravitch procedure, thawk hah, rilru na, sternum, pianpui dinhmun, rilru pil