Une chipfuva chisina chinhu here? Ngatikurukurei nezve (Pectus Excavatum)!

Dzimwe nguva ungave wakaona, kana kuona, buri pakati pechipfuva. Kune vamwe vanhu, ichi chikamu chidiki chechipfuva, nepo kune vamwe, chinoonekwa zvakanyanya, sekunge chipfuva chanyura mukati. Izvi ndizvo zvinonzi navanachiremba `(Pectus Excavatum)`. Usatye zvakanyanya paunonzwa zita iri, ichi chirwere chinowanzoitika. Nhasi, tichataura nezvazvo zvakadzama, zviri nyore.

Chii chinonzi kurwadziwa kwechipfuva uku, kana kuti (Pectus Excavatum)?

Zvichitaurwa zviri nyore, `(Pectus Excavatum)` ipfupa riri pakati pechipfuva chedu, kureva sternum `(Sternum).` Kutaura chokwadi, pfupa iri repakati rechipfuva rakakombama mukati. Nekuda kweizvi, unogona kuona kunyura kwakajeka, kana kuti kuburitswa kwechipfuva. Kazhinji, mbabvu dzinenge ina kana shanu kumativi ese echipfuva dzakabatana neizvi.

Izvi zvinonziwo "chipfuva chakanyura" kana kuti "chipfuva chefunnel." Dambudziko iri rinoderedza nzvimbo mukati mechipfuva. Chii chinoitika ipapo? Hapana nzvimbo yakakwana yekuti mwoyo nemapapu zvishande zvakanaka.

`(Pectus Excavatum)` chirwere chekuzvarwa nacho. Izvi zvinoreva kuti munhu anozvarwa aine chirwere ichi. Asi kazhinji, chinotanga kuoneka pakutanga kwekuyaruka, pazera remakore gumi nematatu kana gumi nemana. Asi musazvidya mwoyo, vanachiremba vanogona kugadzirisa chirwere ichi nekuvhiyiwa kusingapindi zvakanyanya kana kuvhiyiwa kwechinyakare.

Zvakawanda sei mamiriro aya (Pectus Excavatum)?

Uku ndiko kusakwana kwemuviri kunowanzoitika pamadziro echipfuva. Zvichitaurwa zviri nyore, kunokanganisa vanhu vari pakati pemunhu mumwe chete nevasere pavanhu chiuru chega chega. Kunonyanya kuitika kuvakomana.

Ndezvipi zviratidzo zve (Pectus Excavatum)?

Zviratidzo zvechirwere ichi zvinogona kukanganisa muviri nepfungwa.

Zviratidzo zvemuviri:

• Kuomerwa nekufema panguva yekurovedza muviri: Unganzwa sekunge uri kufema zvakanyanya kunyangwe uri kumhanya kana kutamba.
• Kunzwa kuneta nekukurumidza kupfuura vamwe vezera rako: Paunenge uchitamba neshamwari, unogona kunzwa kuneta ivo vasati vaneta.
• Kuneta: Kunzwa kuneta nguva dzese pasina chikonzero chaicho.
• Kurwadziwa kwechipfuva: Dzimwe nguva panogona kuva nekuoma kwechipfuva kana kurwadziwa.
• Kurova kwemoyo kusina kurongeka: Kunzwa sekunge mutinhimira wemoyo wako uri kuchinja.
• Kurova kwemoyo: Kunzwa kamwe kamwe kwemoyo wako uchirova, kana kunzwa uchirova nekukurumidza.

Zviratidzo zvepfungwa:

Fungidzira, kana uchinzwa kunyara uye kusagadzikana paunoenda kunoshambira neshamwari dzako kana kutamba mitambo nekuda kwekuchinja uku muchipfuva chako ... dzimwe nguva ungasada kubvisa T-shirt yako. Zvinhu zvakaita seizvi zvinogona kuderedza kuzvivimba kwako.

• Kunyara kwakanyanya uye kusagadzikana kunokonzerwa nekuonekwa kwechipfuva.
• Nyaya dzekuzviremekedza.
• Mune zvimwe zviitiko, chirwere ichi chinogona kutokonzera kuora mwoyo .

Ndezvipi zvinokonzera (Pectus Excavatum)?

Chikonzero chaicho chechirwere ichi muvanhu vazhinji hachizivikanwe. Zvisinei, mune vamwe vanhu, chinogona kunge chakabatana nezvirwere zve connective tissue zvakaita seMarfan syndrome kana Ehlers-Danlos syndrome.

Izvi zvine chekuita nemajini here?

Vaongorori havasati vawana hukama chaihwo hwemajini nechirwere ichi. Asi vanofungidzira kuti panogona kunge paine kukanganisa kwemajini . Zvakaonekwa kuti pakati pe40% ne53% yevanhu vane Pectus Excavatum vane nhengo yemhuri ine chirwere ichi.

Ndezvipi zvinhu zvinokonzera njodzi ye (Pectus Excavatum)?

Sezvo chikonzero chaicho chechirwere ichi chisati chazivikanwa, zvakaoma kuziva zvinhu chaizvo zvinogona kukonzera njodzi. Zvisinei, kana mumwe munhu mumhuri yako aine chirwere ichi, kana kuti uine chimwe chezvirwere zvataurwa kare zvakaonekwa kuti zvine chekuita nacho, unogona kunge uri panjodzi yekubatwa nechirwere ichi.

Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?

Matambudziko anogona kuitika nePectus Excavatum anosanganisira:

• Kudzikira kwekugona kuita maekisesaizi.
• Kupera kwevharuvhu yeMitral (vharuvhu yemoyo isingavharike zvakanaka).
• Kudzvinyirirwa kwemoyo wako.

Pectus Excavatum inoongororwa sei?

Chiremba anogona kuona chirwere ichi nekungoongororwa zviri nyore. Kazhinji, vanachiremba vanogona kusazviona kusvika wava mudiki. Vanogona kuita bvunzo dzakasiyana-siyana kuti vaone kuti Pectus Excavatum yakakanganisa sei mashandiro emwoyo nemapapu ako.

Ndezvipi zviedzo zvinoshandiswa kuongorora chirwere (Pectus Excavatum)?

Miedzo yeizvi inogona kusanganisira:

• Kuongororwa kweMRI pachipfuva.
• Kuongororwa kweCT pachipfuva.
• Kuongororwa kwekurovedza muviri kwemwoyo nemapapu.
• Kuongororwa kwemoyo (EKG).
• Echocardiogram yemoyo.
• Miedzo yeMashandiro eMapupa (PFTs).

Pectus Excavatum inorapwa sei?

Chiremba anogona kugadzirisa dambudziko iri (Pectus Excavatum) kungave kuburikidza nekushandisa nzira isinganyanyi kukuvadza (Nuss procedure) kana kuti nzira yakavhurika (Ravitch procedure) . Chiremba wako achakurukura newe kuti ndeipi nzira yakakunakira. Maitiro aya anosanganisira kuisa pfupa rechipfuva chako (sternum) panzvimbo yaro kuti risimudzwe zvishoma. Nemaitiro ese ari maviri:

• Zvinoderedza kumanikidzwa kwemwoyo nemapapu, zvichiita kuti nhengo idzodzo dzishande zviri nani.
• Chipfuva chako chiri kuvandudzika.

Kana uine zviratidzo zvemuviri kana kuti uri kusangana nematambudziko epfungwa nekuda kwePectus Excavatum, kuvhiyiwa kungave sarudzo yakanaka kwauri. Nguva yakanakisa yekuvhiyiwa ndeyemakore ari pakati pe10 ne14, apo madziro echipfuva achiri kuchinjika. Chiremba wako achakubatsira kusarudza nguva yakanakisa yekuvhiyiwa.

Maitiro eNuss

Iyi ndiyo nzira isinganyanyi kupindira. Mukuita izvi, chiremba anovhiya:

• Kamera inoiswa muchipfuva kuti itungamirire kuvhiyiwa.
• Kuchekwa kudiki kuviri kunoitirwa kumativi ese echipfuva.
• Bhandi resimbi rakagadzirwa zvakanaka, rakakombama kana kuti mabhandi anoiswa pasi pepakati pepfupa rechipfuva, uye anogadziriswa kuti pfupa risimudzwe kumusoro.
• Bhandi iri rakasungirirwa kumativi emadziro echipfuva uye rinobvisa chitarisiko ichocho chekurembera.

Bhandi resimbi iri rinofanira kusiyiwa panzvimbo yaro kwemakore akati wandei. Zvadaro chiremba anoribvisa nenzira iri nyore yekuvhiya kunze kwechipatara (zvichireva kuti unogona kuenda kumba zuva rimwe chete iroro).

Maitiro eRavitch

Iyi ndiyo nzira yechinyakare yekuvhiya yakavhurika. Mukuita izvi, chiremba anovhiya:

• Kuchekwa kwechipfuva kunoitirwa pamberi pechipfuva.
• Nyama inobatana yakakura inosundira pakati pepfupa rechipfuva mukati inobviswa.
• Pfupa repakati rechipfuva rinobviswa pamwoyo nemapapu, rodhonzwa mberi, roiswa panzvimbo chaiyo pamadziro echipfuva.
• Zvadaro, uchishandisa plate diki ne screws diki , kana bhandi diki resimbi, pakati pepfupa rechipfuva panogara panzvimbo itsva.

Bhandi resimbi iri rinobviswa mushure memwedzi mitanhatu kusvika gumi nemiviri mushure mekuvhiyiwa kwenguva pfupi kwemurwere ari kunze kwechipatara. Bhandi iri diki pane bhandi raishandiswa mu "Nuss procedure." Maplate acho haabviswi, saka hapana imwe oparesheni inodiwa.

Matambudziko ekurapwa

Kufanana nekuvhiyiwa kupi zvako kukuru, kuvhiyiwa kwekugadzirisa Pectus Excavatum kune dzimwe njodzi. Maitiro eNuss uye nzira yakagadziriswa yeRavitch zvakachengeteka uye zvinoshanda. Zvisinei, matambudziko haawanzoitiki.

Matambudziko angangoitika ekuvhiyiwa kwe `(Pectus Excavatum)`:

• Pneumothorax.
• Kubuda ropa.
• Kubuda kweropa muropa.
• Utachiona.
• Kupenga kubva paive nebhandi rakaiswa.
• Kudzokorora kwemamiriro e`(Pectus Excavatum)` mushure mekubviswa kwebhandi.
• Kukuvadzwa kwenyama dzakapoteredza.
• Kurwadziwa kusingaperi.

Zvinotora nguva yakareba sei kuti munhu apore kubva mukurapwa uku?

Nekufambira mberi mukurapa marwadzo, nguva yekupora mushure mekuvhiyiwa yava pfupi uye isinganyanyi kurwadza kupfuura kare.

Cryoablation inoomesa kwenguva pfupi tsinga dziri mumadziro echipfuva pakati pembabvu dzinonzwa kurwadziwa. Mishonga inouraya marwadzo yemunzvimbo inobayiwa mutsinga idzodzo vasati vavhiyiwa uye mushure mekuvhiyiwa, uye mishonga inonyaradza marwadzo inonwiwawo.

Kushandisa nzira iyi ye "Cryoablation" kuderedza marwadzo anorwadza anoitika mushure me "Nuss procedure" kwakaderedza zvakanyanya nguva yekugara muchipatara, pamwe nekudiwa kwemishonga inoderedza marwadzo yakaita se "Opioids".

Kare, nekuti zvaitora mwedzi kuti vana vechikoro vaporeswe kubva mu "Nuss procedure", vana vechikoro vaifanira kuiitwa panguva yezororo refu. Asi ikozvino, nekuda kwenzira itsva dzekurapa marwadzo dzakadai se "Cryoablation," kugara muchipatara kwava kupfupi uye kupora kwacho kwava kukurumidza, saka zvinogona kuitwa kunyangwe panguva yezororo rechikoro pfupi.

Nzira dzechinyakare dzekurapa marwadzo dzinoda vhiki imwe chete muchipatara mushure mekuvhiyiwa kweNuss. Anesthesia yeEpidural inodiwawo, ichiteverwa nemavhiki akati wandei emishonga inoderedza marwadzo yeopioid, iyo inogona kukanganisa murwere.

Asi neCryoablation, vanhu vazhinji vanogona kudzokera kumba zuva rapfuura mushure mekuvhiyiwa. Vamwe vanhu havadi IVs kana opioids yekunwa zvachose pavanenge vari muchipatara. Kunyangwe avo vanoda opioids yekunwa vanogona kurega kuitora mukati mezuva rimwe kana maviri. Cryoablation inogona kusiya madziro echipfuva asina simba kwemwedzi mitanhatu kusvika pagore.

Pectus Excavatum inogona kudzivirirwa here?

Kwete. Kusvikira chikonzero chaicho che `(Pectus Excavatum)` chawanikwa, hapana nzira yekudzivirira.

Kana ndakamborwara (Pectus Excavatum), chii chandinofanira kutarisira?

Chinangwa chikuru chekuvhiyiwa kwePectus Excavatum ndechekuderedza kumanikidzwa kwemwoyo nemapapu, zvichiita kuti zvishande zviri nani. Izvi zvinowanzoita kuti kufema kuve nani, kuoma kwekurovedza muviri, uye kurwadziwa kwechipfuva. Ungave wakanzwa kuti kufema kwako nesimba rako zvaive zvakajairika usati wavhiyiwa, asi mushure mekuvhiyiwa ndipo paunozoona kuti zviri nani sei.

Avo vane dambudziko guru raiva chitarisiko chisina kujairika chemazamu avo vakaona kuvandudzika kukuru mukuzviremekedza kwavo uye kuzvivimba kwavo mushure mekuvhiyiwa.Vakuru vane `(Pectus Excavatum)` vangasaona zvirambidzo zviri pachena mumabasa kusvika vava kuda kusvika makore makumi matatu kana makumi mana.

(Pectus Excavatum) inogara kwenguva yakareba sei?

Uchava nedambudziko iri kusvika wavhiyiwa kuti rigadziriswe.

Ndingadzokera rini kumabasa angu enguva dzose?

Mushure mekuvhiyiwa, uchafanira kuzorora kwenguva yakati nekuti uchanzwa kusagadzikana. Kana kusagadzikana kwapera, unogona kutanga kufamba nekumhanya zvakare. Chiremba wako ndiye achasarudza kuti ungatanga riini kusimudza zvinorema uye kutamba mitambo yemakwikwi zvakare.

Vana vezera rekuenda kuchikoro vanofanira kukwanisa kudzokera kuchikoro mukati memavhiki maviri kusvika matatu mushure mekuvhiyiwa kwe `(Pectus Excavatum)`.

Ndeipi tarisiro ye (Pectus Excavatum)?

Maitiro ese ari maviri eNuss neRavitch ane mhedzisiro yakanaka kwazvo. Mushure mekupora, vanhu vanowanzogutsikana nemanzwiro avo uye chitarisiko chavo. Mwero wekudzoka kwechirwere uri pasi pe1% pamaitiro ese ari maviri.

Ndinozvitarisira sei?

Kune avo vasina kurapwa `(Pectus Excavatum)`, zviratidzo zvemuviri nezvepfungwa chikamu chehupenyu hwezuva nezuva. Kunyange vamwe vangati, "Inyaya yekunaka chete," vangasabvuma manzwiro ako. Tsvaga chiremba anonzwisisa zviratidzo zvako uye anogona kukubatsira kuzvigadzirisa.

Ndinofanira kuona chiremba wangu rini?

Kuongororwa nachiremba wako nguva dzose kuchavabatsira kusarudza kuti unoda kuvhiyiwa riini (kana kuti chirwere chako chakanyanya kuoma zvekuda kuvhiyiwa). Mushure mekuvhiyiwa, uchafanirwa kuona chiremba wako nguva nenguva kusvika wapora zvakakwana.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Mimwe mibvunzo yaunogona kubvunza chiremba wako nezve `(Pectus Excavatum)`:

• " Munganditumira kune mupi wezano anogona kundibatsira nedambudziko repfungwa randinaro nekuda kwechirwere ichi here?"
• " Pane boka rekutsigira vanhu vane `(Pectus Excavatum)` here?"
• " Munokurudzira kuvhiyiwa here nekuda kwedambudziko rangu?"
• " Ndinofanira kuvhiyiwa ndine makore mangani?"

Ko (Pectus Excavatum) inowedzera kuipa nekukura here?

Zviratidzo zvako zvinogona kuwedzera nekufamba kwenguva. Izvi zvingangove zvichikonzerwa nekukwegura kwakajairika. Zvakare, zvinova zvakaoma kutsiva zvirambidzo zvinoiswa pamoyo nemapapu ako nePectus Excavatum sezvaunokura.

Kana ndikasavhiyiwa, (Pectus Excavatum) ichakuvadza mwoyo nemapapu angu here, kana kuti ichaderedza hupenyu hwangu?

Hapana humbowo hunoratidza kuti Pectus Excavatum inoderedza nguva yekurarama kana kukuvadza mwoyo nemapapu nekufamba kwenguva. Zvisinei, zviratidzo zvako zvinogona kuwedzera kana ukasavhiyiwa.

Vakadzi vane `(Pectus Excavatum)` vanogona kuva nepamuviri pakanaka uye vobereka mwana.

Kana ndakaita (Pectus Excavatum) uye ndichida kuvhiyiwa kwemoyo, maitiro ese ari maviri anogona kuitwa panguva imwe chete here?

Ehe. Vanachiremba vakavhiya Pectus Excavatum pamwe chete nekuvhiya mwoyo zvikaita kuti pave nemigumisiro yakanaka. Izvi zvinoda kuti vanachiremba vari kuita maoparesheni ese ari maviri vashande pamwe chete.

Pakupedzisira, meseji yekuenda nayo kumba:

Pectus Excavatum, chirwere chinoita kuti pfupa repachipfuva rikure zvisina kujairika, chinogona kushungurudza nekuda kwezviratidzo zvaro zvemuviri uye zvepfungwa. Taura wega wega uwane rubatsiro rwaunoda pazviratidzo zvako. Usatya kutaura navanachiremba vako nezvechirwere chako. Varipo kuti vakubatsire, sezvavakambobatsira vamwe vakambokubatsira. Kana kuvhiyiwa kuri sarudzo yakakunakira, bvunza mibvunzo kuti unzwisise kuti rudzii rwekuvhiyiwa rwakakunakira. Yeuka, kune mishonga inoshanda yechirwere ichi, uye unogona kurarama hupenyu hune hutano uye hunoshanda!

Kuchekwa kwePectus , chipfuva chakanyura, kurwadziwa kwechipfuva, kuvhiyiwa kwechipfuva, nzira yeNass, nzira yeRavitch, kufema zvishoma, kurwadziwa kwechipfuva, sternum, mamiriro ekuzvarwa nawo, chipfuva chakanyura