Tikayang'ana pachifuwa cha ana ena, timaona kuti chikuoneka cholowa mkati, kapena ngati dzenje? Mu zamankhwala, vutoli limatchedwa 'Pectus Excavatum'. Ili ndi vuto lobadwa nalo. Chifukwa cha izi, ana ena amatha kukhala ndi vuto lopuma, kupweteka pachifuwa, komanso kutopa mwachangu akamachita masewera olimbitsa thupi. Chifukwa chake, chimodzi mwa njira zamakono zochizira izi ndi 'Nuss Procedure'. Lero, tikambirana izi mosavuta, kuti mumvetse.
Mwachidule, kodi njira ya Nuss ndi chiyani?
Opaleshoni ya 'Nas' ndi opaleshoni yapadera yomwe imachitidwa kuti ikonze chifuwa chomwe chalowa (Pectus Excavatum). M'malo mopanga ming'alu yayikulu ndikutsegula chifuwacho, opaleshoniyi imachitidwa kudzera m'mabowo awiri ang'onoang'ono mbali zonse ziwiri za chifuwacho . Ichi ndichifukwa chake imatchedwa 'opaleshoni yocheperako' kapena opaleshoni yocheperako.
Pa opaleshoniyi, ndodo yokhotakhota kapena ndodo, zomwe nthawi zambiri zimapangidwa ndi titaniyamu, zimayikidwa m'chifuwa kuti zikankhire fupa la pachifuwa lomwe lalowa patsogolo ndikuliwongola. Ndodo zimenezi zimasiyidwa m'chifuwa kwa zaka pafupifupi zitatu. Panthawi imeneyo, mafupa a pachifuwa amakula bwino.
Kodi zaka zabwino kwambiri zochitira opaleshoni iyi ndi ziti?
Opaleshoni iyi nthawi zambiri imachitika kwa ana aang'ono , makamaka akakwanitsa zaka 14. Izi zili choncho chifukwa chakuti pa msinkhu umenewo, thupi limakhala likukulabe, ndipo zimakhala zosavuta kupanga chifuwacho kuti chikhale ndi mawonekedwe oyenera. Komabe, palibe malire a zaka zapamwamba pa izi. Akuluakulu nawonso akhoza kuchita opaleshoni iyi ngati pakufunika kutero. Muyenera kulankhula ndi dokotala wanu ndikusankha ngati opaleshoniyi ndi yoyenera mwana wanu kapena inu.
N’chifukwa chiyani opaleshoni imeneyi imachitika? Kodi ubwino wake ndi wotani?
Choyamba n'chakuti nthawi yomweyo opaleshoni itatha, mawonekedwe a chifuwa amatha ndipo mawonekedwe ake amakhala abwinobwino . Izi ndizofunikira kwambiri pa thanzi la maganizo a mwana komanso kudzidalira .
Kuphatikiza apo, pambuyo pa opaleshoni iyi, kuthamanga kwa mtima ndi mapapo kumachepa, ndipo ntchito yawo imatha kusintha. Anthu ambiri amakumana ndi kuchepa kwa zizindikiro monga:
- Kupweteka pachifuwa
- Kupuma movutikira
- Kugunda kwa mtima
- Kutopa msanga ngakhale mutachita masewera olimbitsa thupi pang'ono
Kodi muyenera kuchita chiyani musanachite opaleshoni?
Masiku angapo opaleshoni isanachitike, dokotala adzalamula mayeso angapo. Izi ndi kuyeza molondola momwe chifuwa cha mwana chilili komanso ngati thupi lake lili lokonzeka opaleshoniyo.
- Kuyesa kugwira ntchito kwa mapapo: Onani momwe mwana amatha kupuma bwino.
- Kujambula kwa CT (Computed Tomography) kapena MRI (Magnetic Resonance Imaging):Izi zimatenga zithunzi zomveka bwino za mkati mwa chifuwa ndi kuyeza molondola zinthu monga kuchuluka kwa zomwe zili mkati mwake komanso momwe zilili pafupi ndi mtima.
Kodi opaleshoniyi imachitidwa bwanji ?
Opaleshoni yonse ingatenge pafupifupi maola anayi. Mwanayo amakhala pansi pa mankhwala oletsa ululu panthawi yonse ya opaleshoni, kotero sadzamva chilichonse.
Dokotala wa opaleshoni amatsatira njira izi:
1. Choyamba, mabala awiri ang'onoang'ono amapangidwa mbali zonse ziwiri za chifuwa.
2. Kamera yaying'ono imayikidwa kudzera mu mng'alu umodzi kuti ione mkati.
3. Nthawi zina, mitsempha ya pachifuwa imazizira kuti ichepetse ululu pambuyo pa opaleshoni. Izi zimatchedwa 'cryoablation' .
4. Kenako, chitsulo chopindika, chopangidwa mwapadera kuti chigwirizane ndi chifuwa cha mwana, chimayikidwa kudzera mu chocheka, ndikuyikidwa pansi pa fupa la pachifuwa lolowa, ndikukankhidwira mmwamba. Chopinga ichi chimakokedwa kukhoma la pachifuwa.
5. Ngati simungathe kuwongola chifuwa chanu bwino ndi ndodo imodzi yokha, mutha kuwonjezera ndodo yachiwiri kapena yachitatu.
6. Pomaliza, kamera imachotsedwa ndipo mabala amatsekedwa ndikusokedwa.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Mwana nthawi zambiri amakhala m'chipatala kwa tsiku limodzi. Kuyambira tsiku lotsatira opaleshoni, amalimbikitsidwa kukhala molunjika pabedi, kupuma mpweya wambiri, ndikuyenda mtunda waufupi. Izi zimathandiza kwambiri pakuchira. Amapatsidwanso mankhwala ( mankhwala otsekereza ) kuti apewe kudzimbidwa komwe kungachitike chifukwa cha mankhwala ochepetsa ululu.
Kodi opaleshoniyi ndi yopweteka bwanji?
Kunena zoona, pamakhala ululu wina pambuyo pa opaleshoni ya 'mphuno'. Chifukwa chake, muyenera kugwiritsa ntchito mitundu yosiyanasiyana ya mankhwala ochepetsa ululu kuti muchepetse ululu.
Njira zochepetsera ululu izi zimagwiritsidwa ntchito muli kuchipatala komanso kwa milungu iwiri mutapita kunyumba.
| Njira yowongolera ululu | Kufotokozera |
|---|---|
| Kuphulika kwa Mitsempha | Kuletsa mitsempha ya pachifuwa kwakanthawi panthawi ya opaleshoni. Izi zimachepetsa ululu kwa miyezi ingapo. |
| Mankhwala Omwa | Mankhwala opha ululu odziwika bwino monga Acetaminophen, Ibuprofen, ndi Gabapentin, ndipo ngati pakufunika, mankhwala amphamvu opha ululu amaperekedwa kwa kanthawi kochepa motsatira malangizo a dokotala. |
Kodi zoopsa za opaleshoni iyi ndi ziti?
Monga opaleshoni iliyonse, pali zoopsa zina zomwe zingachitike, koma mwayi woti izi zichitike ndi wochepa.
- Kutuluka magazi
- Matenda
- Ululu
- Kusuntha kwa bala
Chofunika kwambiri kusamala ndi ndodo yoyendayenda . Kuti mupewe izi, muyenera kuuza mwana wanu makamaka za izi m'masabata anayi oyambirira:
- Khalani molunjika.
- Mukapindapinda, pindani m'chiuno mokha.
- Osagona mozungulira msana.
- Musachite ntchito iliyonse yopotoza.
Kodi zimatenga nthawi yayitali bwanji kuti munthu achire bwino?
Zingatenge miyezi isanu ndi umodzi kuti achire bwino, koma ana ambiri amatha kuyambiranso ntchito zawo zachizolowezi msanga. Amatha kupita kusukulu mkati mwa mwezi umodzi .
Komabe, muyenera kupewa kuchita zinthu monga kunyamula zolemera komanso kuchita masewera olimbitsa thupi kwa miyezi ingapo. Dokotala wanu adzakupatsani malangizo atsatanetsatane a zochita zomwe mungayambirenso komanso nthawi yake.
Kodi muyenera kupita kwa dokotala liti?
Pambuyo pa opaleshoni, ngati mwana wanu ali ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo.
- Malungo
- Kufiira kapena kutupa kuzungulira malo odulidwawo
- Kutuluka magazi kapena mafinya chifukwa cha mabala
- Kupweteka kwambiri pachifuwa
- Kuvuta kupuma
- Ngati mukumva ngati mukubayidwa pachifuwa
Kuphatikiza apo, ndikofunikira kukaonana ndi dokotala nthawi ndi nthawi mpaka chivundikirocho chitachotsedwa.
Uthenga Wopita Nawo Kunyumba
- Njira ya Nuss ndi opaleshoni yamakono komanso yopambana yomwe siifuna kuduladula kwakukulu kuti ikonze chifuwa chomwe chalowa (Pectus Excavatum).
- Apa, ndodo yachitsulo imayikidwa kuti ikonze mawonekedwe a chifuwa, ndipo imachotsedwanso kudzera mu opaleshoni yaying'ono patatha zaka zitatu.
- Ndikofunikira kwambiri kulamulira ululu mutatha opaleshoni ndikupewa zochita zomwe zimaphatikizapo kupotoza thupi mwezi woyamba.
- Mawonekedwe a ana ambiri, kupuma kwawo, ndi luso lawo lochita masewera olimbitsa thupi zimakula kwambiri pambuyo pa opaleshoni.
- Ngati mukukumana ndi mavuto aliwonse mutachita opaleshoni, monga kutentha thupi, kupweteka kwambiri, kapena kupuma movutikira, funsani dokotala nthawi yomweyo.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 🕒 Kodi mankhwala ochizira umuna msanga ndi ati?
Chifukwa chachikulu chomwe chimayambitsa kutaya umuna msanga panthawi yogonana ndi nkhawa komanso mavuto okhudzana ndi mawonekedwe a thupi. Mwachitsanzo, munthu amene ali ndi chifuwa cholowa (Pectus Excavatum) akhoza kuchita manyazi kwambiri kapena kuopa mawonekedwe ake. Kupsinjika maganizo komwe kumachitika chifukwa cha mavuto oterewa kumakhudza mwachindunji magwiridwe antchito ogonana. Chifukwa chake, ndikofunikira kuwona ngati zolakwika zakuthupi zoterezi zitha kukonzedwa musanamwe mankhwala.
💬 💪 Kodi kukhala ndi chifuwa cholowa (Pectus Excavatum) kumakhudza mphamvu zogonana?
Inde, ngati chifuwa chili chozama kwambiri, chimatha kukakamiza mtima ndi mapapo. Kenako, ngakhale mukugwira ntchito yanthawi zonse, mudzatopa msanga. Izi zitha kukhalanso vuto kwa anthu ambiri chifukwa amatopa msanga panthawi yogonana. Pamene njira ya 'Nuss' ikonza mawonekedwe a chifuwa ndikuchepetsa kupsinjika kumeneku, mphamvu ya thupi ndi mphamvu zogonana zimawonjezeka zokha.
💬 🩺 Kodi njira ya Nuss idzachepetsa mavuto amtunduwu?
Ndithudi. Pambuyo pa opaleshoni iyi, mawonekedwe a chifuwa amabwerera mwakale, kotero kudzidalira pa maonekedwe a munthu kumawonjezeka kwambiri. Zimachotsa mantha amisala omwe amakhudza mavuto okhudzana ndi kugonana. Komanso, popeza mapapu ali ndi mpweya wabwino, munthu amatha kukhala wotanganidwa kwa nthawi yayitali osatopa. Chifukwa chake iyi ikhoza kukhala yankho lokhazikika ku vuto la kutulutsa umuna msanga.
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