Ina tirohia te uma o tāu tamaiti, he āhua totohu ki roto? He rite rānei ki te kūkupa te tū ki mua? Kua kite koe he uaua ki tāu tamaiti te manawa, he mamae rānei tōna uma nā tēnei āhuatanga? Tērā pea kāore ia e pai ki te tākaro me ōna hoa, ki te haere rānei ki te puna kaukau, ā, e tino pouri ana ia mō tēnei huringa o tōna tinana. I tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake ka taea te āwhina i tēnei āhuatanga.
He aha te Tukanga Ravitch?
He whakarāpopototanga noa iho, ko te tikanga Ravitch he tikanga pokanga hei whakatika i te pectus excavatum, i te pectus carinatum rānei. I roto i tēnei tikanga, ka whakatuwherahia e te taote pokanga te uma o tāu tamaiti (pokanga tuwhera), ka tangohia ētahi o ngā kiriuhi kua hē te āhua i waenganui o te uma, te sternum , ka hurihia te tūranga o te sternum.
Ka tino whakaitihia e tēnei pokanga ngā mamae tinana e pāngia ana e te tamaiti, pērā i te uaua ki te manawa me te mamae o te uma . Engari ko te mea nui ake ko te whakamarie e whakaratohia ana mō te hauora hinengaro o te tamaiti. Whakaarohia te pouri o te tamaiti nohinohi ki te whakaaro he rerekē te āhua o tōna uma i ō ētahi atu? I muri i tēnei pokanga, ina whakahokia mai taua āhua, ka tino piki ake te whakapono o te tamaiti ki a ia anō .
He pēhea te noa o tēnei pokanga?
Ko te Pectus Excavatum tētahi o ngā tino take o te āhua o te pakitara o te uma. Kotahi i roto i te 300 tāngata, kotahi hoki i roto i te 1,000 tāngata ka pāngia e tēnei mate. E rua ngā momo pokanga matua hei rongoā i tēnei mate. Ko tētahi ko te Tukanga Ravitch . Ko tētahi ko te Tukanga Nuss . Ahakoa he nui ake te noa o te pokanga Nuss i ētahi whenua, he tino pono te pokanga Ravitch, he pokanga paerewa koura kua oti pai te mahi ki ngā mano tini tāngata huri noa i te ao mō ngā tau neke atu i te 60.
Me pēhea te whakarite māu me tāu tamaiti i mua i te pokanga?
He wāhanga tino nui tēnei māu hei mātua. Kua kitea e ngā rangahau mēnā kei te mataku, kei te manukanuka rānei ngā mātua i mua i te pokanga o te tamaiti, ka pērā anō hoki te āhua o te tamaiti. Nō reira, he kaha nui tēnei mā te tamaiti kia noho marino tonu.
Ka taea e koe te whakamarie i tāu tamaiti mā te kī i ēnei mea:
- "I moe rawa koe i te wā o te pokanga, nō reira kāore koe e rongo i tetahi mea, kāore hoki e pāngia e te mamae ."
- "Ka tiakina koe e ngā tākuta, ā, ka tae atu mātou ki reira."
Hei whakarite i te pokanga, ka tonoa pea e tō tākuta he matawai CT o te uma o tāu tamaiti.Ka tono rātou kia whakamātauria. Whakamāramahia ki te tamaiti he matawai noa iho tēnei, kāore he mamae.
Hei tāpiritanga, ka tohutohu mārama tō tākuta i a koe mō te wā me mutu te kai me te inu i mua i te pokanga, me ngā tikanga hoki hei whakahaere i te mamae i muri i te pokanga.
He aha tonu te mea e tupu ana i te wā o te pokanga?
E rua ki te toru hāora te roa o tēnei pokanga. Me titiro poto tātou ki ngā mahi matua e whai wāhi ana.
| Ngā Hipanga | He whakamārama māmā mō ngā mea e tupu ana |
|---|---|
| 1. Te tāpiri i te tapahi | Ka tapahia e te tākuta he kiri whakapae i te uma o te tamaiti, i runga ake i te sternum. |
| 2. Te hiki i ngā uaua | Ka ata hikitia ake ngā uaua e hipoki ana i te wheua uma (ngā uaua Pectoralis) ka kumea ki tahaki. |
| 3. Te tango i te kiriuhi kua whakapōturitia | Ka ata tangohia ngā kiriuhi kua pirau i ia taha o te sternum, nā ēnei i rerekē ai te āhua. |
| 4. Te whakatikatika i te hope | Ka hiki ake te uma kua totohu ki roto, ka whakaheke iho rānei i te uma kua puta ki waho, kia noho tika ai te tūnga e tika ana. |
| 5. Te tāuta i tētahi tautoko | Hei pupuri i te sternum ki te tūranga tika, ka whakatakotoria he pae iti i hangaia ki te maitai kore waikura ki raro, ka whakatakotoria rānei he pereti ki runga. |
| 6. Te tuitui i te tapahi | Hei whakamutunga, ka whakahokia ngā uaua ki tō rātou tūranga taketake, ā, ka tuia marietia te tapahi kiri kia katia. |
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka whakanohoia kia rua ngā paipa wai iti ki roto i te patunga o te uma o te tamaiti hei tango i te wai nui. Ka whakanohoia hoki he katitere hei tango i te mimi. Kaua e manukanuka ki ēnei. Ka tangohia te katitere i roto i te rā kotahi, e rua rānei. Ka tangohia te ngongo uma i roto i te rua, e toru rānei ngā rā.
Ko te mea nui ko te tango i te pae tautoko rino e whakanohoia ana ki roto i te uma i roto i tētahi pokanga iti i te tau i muri mai . Engari he tino māmā noa iho, ā, ka taea e te tamaiti te hoki ki te kāinga i taua rā anō. I ētahi wā, ki te whakauruhia he pereti kua mau ki ngā tīwiri, kāore e hiahiatia kia tangohia anō.
He tūponotanga, he raruraru rānei kei roto i tēnei pokanga?
Pērā i ngā pokanga katoa, he iti noa ngā mōrearea. Engari ko te rongo pai ko te iti iho i te 5% te auau raruraru mō te tikanga Ravitch whakarerekētia . Ko te tikanga ka ea katoatia te 95 o roto i te 100 ngā take. Anei ētahi o ngā raruraru ka puta.
| Ngā raruraru pea | He whakamārama māmā |
|---|---|
| Pneumothorax | Te whakawhāiti i te pukahukahu. |
| Atelectasis | Te hinganga o tētahi wāhanga o te pukahukahu. |
| Te rerenga toto i roto i te pleural | Te whakakī wai i te taha o ngā pukahukahu. |
| Pericarditis | Te pupuhi o te kiriuhi e hipoki ana i te ngākau. |
| Mate pāwera | He patunga, he mate pāwera rānei kei roto i te tinana. |
| Te peke atu i te pae | Te nekehanga mai i te tautoko pumau. |
| Te hokinga mai o te mate | Ka hoki te āhua o te ū ki tōna āhua o mua i muri i tētahi wā (he tino onge). |
Kia pēhea te roa o te wā e ora ai?
E toru, e whā rānei ngā rā i muri i te pokanga ka taea e koe te kawe i tāu tamaiti ki te kāinga mai i te hōhipera. I ētahi wā, ki te whakamahia he tikanga whakamatao io (Nerve Cryoablation) hei whakahaere i te mamae i te wā pokanga, ka taea te whakaiti i te roa o te noho hōhipera ki raro iho i te toru ngā rā.
I mua i te hokinga ki te kāinga, ka mea te tamaiti:
- Me taea e koe te whakahaere i te mamae.
- Me āhei koe ki te kai me te haere ki te wharepaku ko koe anake.
- Me taea e koe te hikoi paku.
Pātai atu ki tō tākuta āhea koe ka taea te hoki ki te kura. Heoi, me karohia ngā hākinakina pā kia ora rawa tō uma, ā, e ono ki te waru wiki pea te roa .
I muri i te pokanga, ka tono te tākuta kia hoki mai koe mō tētahi atu tirotiro i roto i ngā wiki e rua, ngā marama e toru, me te tau kotahi.
Āhea koe me waea atu ki te tākuta tonu?
Mena kei te pāngia tāu tamaiti e tētahi o ngā tohu i raro nei i muri i tana hokinga ki te kāinga, waea atu ki tō tākuta tonu atu.
| Mena ka puta ēnei tohu i muri i te pokanga, waea atu ki tō tākuta tonu. | |
|---|---|
| Tohu | He aha ngā mea hei aro atu |
| Ngā tohu o te mate urutā | Te kirika nui, te whero, te pupuhi, te pupuhi rānei e puta mai ana i te patunga. |
| Mamae kore e taea te whakahaere | He tino kaha te mamae, ā, kāore e taea te whakahaere mā te whakamahi i ngā rongoā whakamamae mamae i hoatu. |
| Te uaua ki te manawa | He uaua ki te tamaiti te manawa, he pēhanga rānei tōna. |
Ehara i te mea ngāwari ki ngā mātua te whakatau kia pokangahia te tamaiti. Engari he uaua hoki te mātakitaki i tāu tamaiti e mamae ana i te tinana, i te hinengaro rānei nā tōna āhua. Nō reira, kia noho hei kaiwhakahē mō tāu tamaiti. Kōrero ki tō tākuta mō ō āwangawanga, mō ō wehi rānei. Kōrero ki tāu tamaiti, whakarongo ki ō rātou kare ā-roto. Ehara tēnei i te whakatau ka taea te mahi i roto i te pō kotahi. Kōrero ki te whānau, ā, whakatauhia te mea pai mō te katoa.
Karere Tangohia ki te Kāinga
- He tino angitu te Tukanga Ravitch, he pokanga kua roa e whakamahia ana hei whakatika i ngā ū e totoro ana, e pūwero ana rānei.
- He otinga pai tēnei mō ngā uauatanga tinana o te tamaiti (pērā i te uaua ki te manawa) me ngā uauatanga hinengaro (pērā i te kore whakapono ki a ia anō).
- He mea tino nui mō te whakarite hinengaro o te tamaiti kia noho marino ngā mātua i mua i te pokanga.
- Ko te whakaoranga me whai wā maha ki te hōhipera, me ētahi wiki okioki ki te kāinga, inā koa te karo i ngā hākinakina pā.
- Kaua rawa e mangere ki te kōrero ki te tākuta o tāu tamaiti mō ō āwangawanga, ō ruarua rānei.
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