Ushobora kuba warabonye ko hagati mu gituza cyawe — cyane cyane igufwa ry'igituza cyawe — cyangwa iry'umwana wawe cyangwa undi muntu uzi, hagaragara imbere gato. Hari abantu babyita "igituza cy'injinja." Ese koko ni ikintu gikwiye guhangayikishwa? Mu buvuzi, iyi ndwara izwi nka Pectus Carinatum. Reka tubiganireho uyu munsi mu magambo yoroshye kandi arambuye.
Pectus Carinatum ni iki?
Mu magambo make, Pectus Carinatum ni indwara aho igufwa ryawe ry’igituza (sternum) rigaragara inyuma cyane kuruta uko bisanzwe. Kubera ko risa n’igituza cy’inuma, akenshi ryitwa "igituza cy’inuma." Ibi ni ibinyuranye n’ubundi busembwa bw’urukuta rw’igituza bwitwa Pectus Excavatum, aho igufwa ry’igituza ryinjira imbere.
Tekereza ko agasanduku k'igituza cyawe gakozwe mu mbavu zifatanye n'igufwa ryo hagati ry'igituza (sternum). Izi mbavu zihuza n'igufwa ryo hagati ryitwa cartilage . Muri Pectus Carinatum, gukura kudasanzwe kw'iyi cartilage bituma sternum ijya hanze.
Ni ubuhe bwoko bw'ingenzi bwa Pectus Carinatum?
Abaganga bagaragaza ubwoko bubiri bw'ingenzi bw'iyi ndwara:
1. Ubwoko bwa Chondrogladiolar: Ubu ni bwo bwoko bukunze kugaragara cyane . Aha, igice kinini cya sternum (igice cyo hasi) kigaragara inyuma.
2. Ubwoko bwa Chondromanubrial: Muri ubu bwoko, igice cyo hejuru cya sternum kigaragara inyuma.
Byongeye kandi, abaganga bareba niba iyi ndwara igira ingaruka ku mpande zombi z'igituza cyawe mu buryo bungana cyangwa niba sternum ihengamye ku ruhande rumwe.
- Ubwoko bwa I: Iyi ni chondrogladiolar kandi ifata impande zombi z'igituza.
- Ubwoko bwa II: Iyi ni indwara ya chondromanubrial kandi ifata impande zombi z'igituza.
- Ubwoko bwa III: Ibi ntibingana (bigira ingaruka ku ruhande rumwe gusa), kandi ushobora no kubona ihungabana ry'umubiri (rigenda rigabanuka) ku rundi ruhande.
Iyi ndwara ikunze kugaragara gute?
Pectus Carinatum bivugwa ko yibasira umuntu umwe ku bantu 1.000 . Ariko, hari ubushakashatsi bwerekana ko ishobora kuba ikunze kugaragara cyane, ishobora no kwibasira umuntu umwe ku bantu 300.
Iyi ndwara ikunze kugaragara cyane ku bagabo kurusha ku bagore . Nubwo iboneka igihe cyo kuvuka, abantu benshi batangira kuyibona neza mu gihe cy'ubwangavu (ubusanzwe hagati y'imyaka 10 na 18). Ibi biterwa nuko gukura vuba muri iyi myaka bituma ikwirakwira cyane.
Ni ibihe bimenyetso bya Pectus Carinatum?
Inkuru nziza ni uko abantu benshi barwaye Pectus Carinatum nta bimenyetso na bimwe bagaragaza . Ikibazo cyonyine bakunze kugira ni ubwiza bw'igituza cyabo. Ariko, hari abantu bashobora kugira ububabare bworoheje mu gituza mu gihe bakora imyitozo ngororamubiri cyangwa iyo bafashe imyitozo ngororamubiri runaka, nubwo ibi bidakunze kubaho.
Kenshi na kenshi, iyi si indwara iteje akaga. Ntizaguhagarika igihe cyo kubaho cyangwa ngo zikubuze kwishimira ibikorwa byawe bya buri munsi.
Pectus Carinatum iteje akaga?
Oya, Pectus Carinatum si indwara iteje akaga . Byongeye kandi, ntabwo igira ingaruka ku mibereho yawe. Ingaruka nyamukuru ni ku miterere y'umubiri.
Ni iki gitera iyi ndwara?
Abashakashatsi ntibaramenya impamvu nyayo ya Pectus Carinatum. Ariko, bemeza ko iterwa n'ikibazo cy'uruti rw'imitsi ruhuza imbavu n'igufwa ry'ibere (sternum).
Nubwo isano yihariye y’uturemangingo itaramenyekana neza, ishobora kuboneka mu gihe kiri imbere. Ibi biterwa nuko abantu bagera kuri 33% barwaye Pectus Carinatum bafite amateka yo mu muryango wabo yo kugira ubumuga mu rukuta rw'igituza .
Pectus Carinatum rimwe na rimwe ishobora kujyana n'izindi ndwara, harimo:
- Marfan syndrome: Indwara y’uturemangingo ifata ingingo z’umubiri.
- Indwara ya Noonan: Indwara y'uturemangingo .
- Scoliosis: Kugorama kudasanzwe k'umugongo.
- Asima ( Asima ): Indwara iterwa n'ibihaha .
- Bronchite: Kubyimba imiyoboro y'impumuro.
- Kugwa kwa valvu ya Mitral: Indwara ifata imwe mu miyoboro y'umutima.
Ni izihe ngorane za Pectus Carinatum?
Nubwo iyi ndwara idakunze gutera ibibazo bikomeye ku buzima bw'umubiri, ishobora gutera ibibazo bimwe na bimwe bitaziguye:
- Ibibazo byo kwiyubaha: Cyane cyane mu myaka y'ubugimbi, itandukaniro ry'imiterere y'igituza rishobora gutera umuntu kwiyumva nabi, isoni, cyangwa guhangayika.
- Imiterere mibi: Guhagarara inyuma kw'igituza rimwe na rimwe bishobora gutuma umuntu agira imiterere mibi.
- Kubabara umugongo: Bitewe n'imiterere mibi y'umubiri no guhinduka k'imikorere y'igituza, bamwe mu bantu bashobora kugira ububabare bw'umugongo.
Nigute Pectus Carinatum Yapimwe?
Iyo ugiye kwa muganga, bazagusuzuma neza amateka y’ubuzima bwawe, bagukorere isuzuma ryimbitse ry’umubiri wawe . Bazasuzuma ingano n’imiterere y’aho utuye, bagusuzume niba hari ibimenyetso by’indwara ya scoliosis. Nibiba ngombwa, bazagutegeka ko hakorwa ibindi bipimo byo gusuzuma indwara.
Ni ibihe bipimo byo gusuzuma indwara bikorwa?
Ikizamini cy'ibanze gikoreshwa mu gusuzuma Pectus Carinatum ni X-ray yo mu gituza , akenshi ifatwa imbere no ku ruhande.
Ibindi bizamini byo gusuzuma indwara birimo:
- CT scan ( CT scan – Computed Tomography scan): Ubwoko bwihariye bwa X-ray butanga amashusho arambuye kandi arambuye.
- Isuzuma rya MRI (Isuzuma rya Magnetic Resonance Imaging Scan): Isuzuma ry’amashusho rikoresha imbaraga za rukuruzi aho gukoresha imirasire kugira ngo hakorwe amashusho arambuye.
Ibi bizamini bifasha itsinda ry’abaganga gusuzuma neza imiterere y’amagufwa yo mu gituza cyawe n’umuti wo mu gituza cyawe, ndetse n’urugero nyarwo rw’aho uturutse.
Indwara ya Pectus Carinatum ivurwa ite?
Ku bashaka gukosora iki kibazo, hari uburyo bubiri bw'ingenzi bwo kuvura: kwambara icyuma gikingira umubiri cyangwa kubagwa .
Igikoresho cyo gukingira Pectus Carinatum
Ibi bikora kimwe no kubona ibyuma bikingira amenyo. Uzambikwa icyuma gikingira amenyo cyihariye. Gishobora kwambarwa mu buryo bwimbitse munsi cyangwa hejuru y'imyenda yawe. Igikoresho gishyira igitutu ku gituza cyawe imbere n'inyuma, buhoro buhoro kigasubiza igufwa ry'ibere (sternum) mu mwanya waryo usanzwe.
Ubusanzwe uzakenera kwambara iyi brace kugeza ku masaha 24 ku munsi, mu gihe cy'amezi atandatu kugeza ku myaka myinshi . Ariko, ushobora kuyikuramo by'agateganyo iyo wiyuhagiye, ukina siporo, cyangwa indi mirimo ngororamubiri.
Gukoresha iyi mfashanyigisho bigira akamaro cyane mu gihe cyo gukura—igihe cy’iterambere ryihuse ry’umubiri . Ibi biterwa nuko urukuta rw’igituza cyawe rukiri rworoshye kandi rworoshye kuvugurura. Ariko, kwambara iyi mfashanyigisho buri gihe rimwe na rimwe bishobora kugora abana n’ingimbi.
Kubaga Pectus Carinatum
Uburyo bw'ibanze bwo kubaga bukoreshwa ni uburyo bwa RavitchMuri iki gikorwa cyo kubaga, umuganga wawe atema igituza hagati mu gituza cyawe kugira ngo akureho agahu karenze urugero. Hanyuma bakata agace gato mu gituza cyawe, bigatuma gishyirwa hasi mu mwanya usanzwe kandi ugororotse. Hanyuma gifatwa neza hakoreshejwe imigozi yo kubaga, ibyuma cyangwa utubati.
Ubundi buryo ni ukubaga mu buryo budakoresha uburyo bwinshi, busa na Nuss . Muri ubu buryo, agace k'icyuma gakoreshwa mu gukanda no kuvugurura igufwa ry'ibere. Aka gace gasigara mu gituza cyawe mu gihe cy'umwaka umwe cyangwa urenga hanyuma kagakurwaho mu gihe cyo kubaga gato.
Nubwo abaganga b'inzobere bashobora guhindura ubu buryo kugira ngo bujyane neza n'imiterere yawe yihariye, intego nyamukuru ni ugutuma igufwa ryawe riguma mu buryo busanzwe.
Ni izihe ngorane n'ingaruka mbi zo kuvura?
Uburyo bwo Gutera Inkoni: Gukoresha inkoni yihariye kuri Pectus Carinatum ni byiza cyane . Abantu bake cyane bashobora kugira ububabare bworoheje bw'uruhu cyangwa kwangirika k'uruhu aho inkoni ikandagira ku ruhu. Niba ubonye ubutuku, ububabare, cyangwa ububabare bw'uruhu, hagarika gukoresha inkoni ako kanya kandi uduhamagare cyangwa umuganga wawe kugira ngo tugukorere.
Uburyo bwo Kubaga: Nk’uko bigenda mu kubaga gukomeye kose, kubaga Pectus Carinatum bifite ingaruka zimwe na zimwe. Nubwo uburyo bwo kubaga bwa Ravitch na Nuss bufite umutekano kandi bufite akamaro, ingorane zishobora kubaho zishobora kuba zirimo:
- Pneumothorax : Ibi bivuga igihaha cyaguye.
- Kuva amaraso .
- Pleural effusion: Kurundanya amazi hirya no hino mu bihaha byawe.
- Pericarditis: Kubyimba kw'ururabo rukikije umutima wawe.
- Kwandura indwara .
- Gusimbuza imigozi cyangwa implants zikoreshwa mu gukingira uruhu mu mwanya wazo ukwiye .
- Isubiramo rya Pectus Carinatum.
Gukira bifata igihe kingana iki?
Nyuma yo kubagwa, ubusanzwe uzakenera kumara iminsi imwe kugeza kuri itanu mu bitaro . Uzakenera kubonana n'umuganga wawe kugira ngo agukurikirane mu byumweru bike. Kugira ngo ukire neza kandi usubire mu mirimo yawe yose isanzwe y'imyitozo ngororamubiri mu mutekano bishobora gufata amezi abiri.
Pectus Carinatum irashobora kwirindwa?
Oya . Kugeza igihe abashakashatsi mu by'ubuvuzi bamenye impamvu nyayo ya Pectus Carinatum, nta buryo buzwi bwo kuyirinda. Kubera ko akenshi ifitanye isano n'ibintu bigize imiterere y'umubiri biva mu miryango, si ikintu ushobora kwirinda.
Ni iki cyagufasha kubona Pectus Carinatum?
Humura, Pectus Carinatum ntigabanya igihe cyo kubaho kwawe . Ku bantu benshi, ahanini ni ikibazo cy’ubwiza , nubwo hari ibimenyetso bimwe na bimwe bigaragara ku mubiri.
Muri rusange, icyerekezo cy’abantu barwaye Pectus Carinatum ni cyiza cyane . Waba uhisemo gusimbuza amaguru cyangwa amaboko, abarwayi bakunze kunyurwa cyane n’ibisubizo byabo ndetse n’isura yabo igaragara neza.
Nigute nakwiyitaho?
Abantu benshi barwaye Pectus Carinatum babaho ubuzima busanzwe kandi busanzwe nta mbogamizi z'umubiri bafite . Niba udafite ikibazo, nta mpamvu yo kugabanya ibikorwa byawe bya buri munsi cyangwa siporo.
Ni ryari wagombye kubonana na muganga?
Ugomba kugana muganga niba Pectus Carinatum yawe itangiye kubangamira ubuzima bwawe bwa buri munsi . Ikindi kandi, ntukirengagize imibereho myiza yo mu mutwe wawe . Niba wumva ufite impungenge ku miterere y'igituza cyawe kandi ugasanga bigira ingaruka ku kwiyubaha kwawe, gushaka uburyo bwo kuvura bishobora gutanga ihumure rikomeye mu byiyumvo no mu mitekerereze.
Ibibazo byo Kubaza Umukozi Wawe w'Ubuzima
Kugira ngo uyobore ikiganiro cyawe, dore ibibazo bike ushobora kubaza muganga wawe:
- Utekereza ko icyuma gikingira umubiri cyagira akamaro kuri njye, cyangwa nzakenera kubagwa?
- Nzakenera kwambara icyuma gishyigikira amaguru igihe kingana iki buri munsi?
- Ese hari amatsinda yo gufasha abantu bambaye imishumi y'imbere?
- Nakubona vuba gute niba igipfuko cyanjye gikeneye guhindurwa?
- Ni ibihe bisubizo ukunze kubona mu gihe cyo gusimbuza amaguru ugereranije no kubagwa?
Kwishyira mu ishuri bishobora kugorana ku rubyiruko urwo ari rwo rwose. Iyo igituza cyawe gisa n'icy'abandi, ni ibisanzwe kumva ufite isoni cyane. Niba Pectus Carinatum irimo kugira ingaruka ku cyizere cyawe, nyamuneka tekereza kuvugana n'umujyanama w'inzobere. Ntabwo ari ngombwa ko wikorera uyu mutwaro w'amarangamutima wenyine. Iyo witeguye gusuzuma uburyo bwo kuvurwa, twandikire kuri Nirogi Lanka cyangwa uganire na muganga kugira ngo tuganire ku nzira nziza yo kugufasha.
Incamake y'incamake (Ubutumwa bwawe bwo kujyana mu rugo)
Pectus Carinatum ibaho iyo igufwa ryawe riturutse inyuma, niyo mpamvu akenshi ryitwa "igituza cy'inyugu".
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Mu bihe byinshi, ntacyo bitwaye na gato kandi ntibigira ingaruka ku buzima bwawe cyangwa ku buzima bwawe bw'igihe kirekire.
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Kubera ko bigira ingaruka cyane cyane ku miterere yawe, rimwe na rimwe bishobora kugira ingaruka ku byiyumvo, cyane cyane ku rubyiruko n'ingimbi.
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Uburyo bwiza bwo kuvura, nko kubaga igituza no kuvura indwara, bushobora gutanga umusaruro mwiza cyane.
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Niba ufite ikibazo cyangwa impungenge, intambwe ya mbere nziza ni ukugana inzobere. Muri Nirogi Lanka, twifuza ko wibuka ko imibereho myiza y'amarangamutima n'iy'ubwonko ari ingenzi kimwe n'ubuzima bwawe bw'umubiri.
