Ngamanye amaxesha usenokuba ukhe wabona abanye abantwana benemeko apho inxalenye ephakathi yesifuba sabo, apho ithambo lesifuba (sternum) likhoyo, ibonakala ngathi itshonile. Ngokwezonyango oku kubizwa ngokuba yiPectus Excavatum . Le meko inokubangela ubunzima bokuphefumla kunye nentlungu yesifuba kwabanye abantwana. Ngoko ke, unyango oluphumelelayo nolwanamhlanje loku lubizwa ngokuba yiNuss Procedure. Nangona igama lisenokuvakala lingaqhelekanga, olu lutyando olubaluleke kakhulu. Namhlanje, siza kuthetha ngale nto ngokulula nangendlela onokuyiqonda.
Ngamafutshane, yintoni le Nuss Procedure?
Inkqubo yeNuss lutyando olungenamsebenzi kangako lokulungisa iPectus Excavatum , okanye isifuba esitshonileyo. Olu tyando lunokwenziwa ngokusikwa okuncinci kabini okanye kathathu, endaweni yokwenza isikrweqe esikhulu esifubeni njengangaphambili.
Oku kuquka ukufaka ucingo olukhethekileyo (ibha) olwenziwe nge-titanium, olwenzelwe wena ukuba lulingane nomzimba womntwana, esifubeni ukuze kutyhalelwe phambili ithambo lesifuba elitshonileyo kwaye lilungelelaniswe. Olu cingo lushiywa esifubeni kangangeminyaka emithathu, luze lususwe kwakhona ngotyando oluncinci.
Ngowuphi umnyaka ofanelekileyo wokwenza olu tyando?
Olu tyando ludla ngokwenziwa kubantu abaselula , abaneminyaka emalunga ne-14 ubudala. Alufane lwenziwe nakubani na ongaphantsi koko. Nangona kunjalo, akukho mda weminyaka ephezulu koku. Oku kuthetha ukuba nomntu omdala unokwenza olu tyando ukuba ufuna. Nangona kunjalo, iziphumo ezilungileyo ziyafumaneka ukuba oku kwenziwa eselula.
Kutheni kufuneka senze olu tyando?
Eyona nzuzo inkulu yolu tyando kukuba imo yesifuba ibuyela kwimo yaso yokuqala emva nje kotyando. Oku kuthetha ukuba imbonakalo itshintshile ngokupheleleyo. Ikwanceda ithambo lesifuba kunye ne-cartilage ukuba zikhule kakuhle ngelixa ucingo lukhona.
Esi sisisombululo esihle kungekuphela nje kwinkangeleko, kodwa nakwezinye iingxaki zempilo ezibangelwa yile meko.
I-Pectus Excavatum inokubangela ukuba ithambo lesifuba licinezele intliziyo nemiphunga. Olu tyando lunokunciphisa olo xinzelelo kwaye luncede ukuphucula ukusebenza kwentliziyo nemiphunga.
Olu tyando lunokuphelisa ezi mpawu zilandelayo:
- Iintlungu zesifuba
- Ubunzima bokuphefumla (ingakumbi xa uzilolonga)
- Ukubetha kwentliziyo
- Ukungakwazi ukwenza umthambo ixesha elide
Yintoni omele uyenze ngaphambi kotyando?
Kwiintsuku ezimbalwa ngaphambi kotyando, ugqirha wakho uza kuyalela umntwana wakho iimvavanyo ezininzi. Ezi zizilingo ezibalulekileyo ukuze kuqinisekiswe ukuba umntwana wakho ufanelekile na kolu tyando.
| Uvavanyo | Kalula nje... |
|---|---|
| Uvavanyo lokusebenza kwemiphunga | Balinganisa indlela esebenza kakuhle ngayo imiphunga yomntwana kunye namandla akhe okuphefumla. |
| Iskeni se-CT (Computed Tomography) okanye i-MRI (Magnetic Resonance Imaging) | Olu hlobo lwezikrini luthatha imifanekiso ecacileyo yangaphakathi kwesifuba, lulinganisa ngqo ukuba isifuba siwile kangakanani kwaye umonakalo owenziweyo entliziyweni nasemiphungeni ungakanani. |
Lwenziwa njani utyando?
Utyando lungathatha malunga neeyure ezine. Ngalo lonke eli xesha, umntwana uphantsi kwe-anesthesia jikelele . Oku kuthetha ukuba umntwana akaziva nto, ulele ngokupheleleyo.
Ugqirha ulandela la manyathelo:
1. Ukusikwa okuncinci: Kwenziwa imingxunya emibini emincinci kakhulu eluswini kumacala omabini esifubeni somntwana.
2. Ukufakwa kwekhamera: Ikhamera encinci ekwaziyo ukubona ngaphakathi emzimbeni ifakwe ngenxeba elinye. Oku kuvumela ugqirha ukuba enze utyando ngelixa ejonge isikrini.
3. Ukulawula iintlungu: Ngamanye amaxesha, ukunciphisa iintlungu emva kotyando, inkqubo ebizwa ngokuba yi-"Cryoablation" ingasetyenziselwa ukuvala okwethutyana imithambo-luvo esifubeni. Oku kuyayiqandisa imithambo-luvo.
4. Ukufakwa kwentambo: Ngesinye isikhewu, kufakwa intambo yesinyithi egobileyo (ibha) eyenzelwe ngokukodwa umntwana, ngokusekelwe kumlinganiselo wangaphambili, idluliselwe phantsi kwesifuba esitshonileyo, ize ityhalelwe phambili.
5. Ukulungisa ucingo: Olu cingo lubotshelelwa ngezititshi ukuze lungachukumisi udonga lwesifuba. Ngamanye amaxesha, ukuba ucingo olunye alwanelanga, zimbini okanye ezintathu zingasetyenziswa.
6. Ukugqiba utyando: Ekugqibeleni, ikhamera iyakhutshwa kwaye amanxeba amancinci athungwa.
Kwenzeka ntoni emva kotyando kwaye intlungu injani?
Ngokwesiqhelo, umntwana kufuneka ahlale esibhedlele usuku olunye okanye ezimbini. Kukho iintlungu emva kotyando. Ngenxa yesi sizathu, umntwana unikwa iintlobo ezahlukeneyo zeepilisi zokuthomalalisa iintlungu. Ezinye zazo zinokuba namandla kakhulu.
Ukususela ngosuku olulandela utyando, umntwana ufundiswa ukuhlala ebhedini, aphefumle nzulu, aze akhuthazwe ukuba ahambe kancinci. Ezi zinto zibaluleke kakhulu kwinkqubo yokuphiliswa. Kwakhona, amayeza okudambisa iintlungu anokubangela ukuqhina, ngoko ke anikwa amayeza alo mbandela.
Ngaba kukho iingozi kunye neengxaki?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa ezi azixhaphakanga kakhulu.
- Ukopha
- Iintsholongwane
- Intlungu
- Intshukumo esuka kwintambo efakiweyo
Ukuthintela intambo ukuba ingashukumi...
Intambo isenokushukuma kwiiveki zokuqala ezine ukuya kwezintlanu, ngoko ke kufuneka ufundise umntwana wakho ukuba alumke kakhulu ngezi zinto:
- Hlala umqolo wakho uthe nkqo.
- Goba phambili kuphela esinqeni.
- Xa ulele ebhedini, musa ukujikajika. Ufanele ulale ngecala.
Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
Kungathatha ukuya kuthi ga kwiinyanga ezintandathu ukuba umntwana aphile ngokupheleleyo, kodwa uninzi lwabantwana lunokuphinda luqalise imisebenzi yesiqhelo kwangethuba . Ngokwesiqhelo banokuya esikolweni kwinyanga enye.
Nangona kunjalo, akukhuthazwa ukwenza umthambo wokuphakamisa izinto ezisindayo, imidlalo yokudibanisa umzimba, kunye nokuzilolonga ngokujika umzimba kangangeenyanga ezininzi, kuba zinokushukumisa ucingo. Ugqirha wakho uza kukuxelela ngokweenkcukacha ukuba zeziphi izinto onokukwazi ukuzenza nongenakukwazi ukuzenza.
Udinga nini ukubona ugqirha?
Kufuneka ulumke kakhulu ngomntwana wakho emva kotyando. Ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngokukhawuleza.
| Iimpawu ekufuneka uziqaphele |
|---|
| Ifiva. |
| Ububomvu, ukudumba, okanye ukukhupha okufana nobovu ecaleni kweendawo ezisikiweyo. |
| Intlungu ebuhlungu esifubeni. |
| Ubunzima bokuphefumla. |
| Ndivakalelwa ngathi ucingo olungaphakathi lutsaliwe. |
Kwakhona, kufuneka umse umntwana wakho ekliniki ngemihla ugqirha akunike yona. Ngalo lonke ixesha, ugqirha uza kujonga ukuba amanxeba apholile na, ukuba isifuba sakheke njani, nokuba ucingo lukhona na.
Umyalezo Wokuya Ekhaya
- Inkqubo yeNuss lutyando lwanamhlanje noluphumeleleyo lokulungisa isifuba esitshonileyo (iPectus Excavatum).
- Kule meko, kufakwa intsimbi esifubeni kangangeminyaka emithathu ukuze ithambo lesifuba libe kwimo efanelekileyo.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo, ingakumbi imiqathango yokusebenza, ngexesha lokuchacha emva kotyando.
- Ukuba ufumana iimpawu ezinje ngomkhuhlane, iintlungu eziqatha, okanye ubunzima bokuphefumla, bonana nogqirha ngokukhawuleza.
- Olu tyando alunakuphucula nje kuphela inkangeleko yomntwana, kodwa lunokwenza umahluko omhle kwindlela yokuphefumla nokusebenza kwentliziyo. Ngoko ke musa ukoyika oku, thetha nogqirha uze wenze isigqibo.
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