Xa sijonga isifuba sabanye abantwana, sibona ukuba sijongeka sitshonile, okanye sinjengomngxuma? Kwizonyango, le meko ibizwa ngokuba yi-'Pectus Excavatum'. Le yimeko yokuzalwa. Ngenxa yoku, abanye abantwana banokufumana ubunzima bokuphefumla, iintlungu zesifuba, kunye nokudinwa ngokukhawuleza ngexesha lokuzilolonga. Ngoko ke, enye yezona ndlela zonyango ziphumeleleyo nezinamhlanje zoku yi-'Nuss Procedure'. Namhlanje, siza kuthetha ngale nto ngokulula, ukuze uqonde.
Ngamafutshane, yintoni iNuss Procedure?
Utyando lwe-'Nas' lutyando olukhethekileyo olwenziwa ukulungisa isifuba esitshonileyo (iPectus Excavatum). Endaweni yokwenza umngxuma omkhulu nokuvula isifuba, olu tyando lwenziwa ngemingxunya emibini emincinci kumacala omabini esifuba . Yiyo loo nto lubizwa ngokuba 'lutyando olungena kakhulu' okanye olungena kancinci.
Kolu tyando, intonga egobileyo okanye iintonga, eziqhele ukwenziwa nge-titanium, zifakwa esifubeni ukuze zityhale ithambo lesifuba elitshonileyo phambili kwaye zilolule. Ezi ntonga zishiywa esifubeni kangangeminyaka emithathu. Ngeli xesha, amathambo esifuba ayakhula aze akheke kakuhle.
Ngowuphi umnyaka ofanelekileyo wokwenza olu tyando?
Olu tyando ludla ngokwenziwa kubantwana abancinci , ingakumbi emva kweminyaka eli-14 ubudala. Oku kungenxa yokuba kuloo minyaka, umzimba usakhula, kwaye kulula ukubumba isifuba sibe kwimo echanekileyo. Nangona kunjalo, akukho mda weminyaka ephezulu koku. Abantu abadala nabo banokwenza olu tyando ukuba kuyimfuneko. Kuya kufuneka uthethe nogqirha wakho uze ugqibe ukuba olu tyando lufanelekile na kumntwana wakho okanye kuwe.
Kutheni le nto kwenziwa olu tyando? Zithini iingenelo zalo?
Into yokuqala kukuba emva nje kotyando, ukubonakala kwesifuba esitshonileyo kuyanyamalala kwaye ukubonakala kuba yinto eqhelekileyo . Oku kubaluleke kakhulu kwimpilo yengqondo yomntwana kunye nokuzithemba kwakhe .
Ukongeza, emva kolu tyando, uxinzelelo entliziyweni nasemiphungeni luyancitshiswa, kwaye ukusebenza kwazo kunokuphucula. Abantu abaninzi bafumana ukwehla kweempawu ezifana nezi:
- Iintlungu zesifuba
- Ukuqhawukelwa ngumphefumlo
- Ukubetha kwentliziyo
- Ukudinwa ngokukhawuleza nangona emva kokuzilolonga kancinci
Yintoni omele uyenze ngaphambi kotyando?
Kwiintsuku ezimbalwa ngaphambi kotyando, ugqirha uza kuyalela uvavanyo oluninzi. Olu vavanyo luza kulinganisa ngokuchanekileyo imeko yesifuba somntwana nokujonga ukuba umzimba wakhe ukulungele na utyando.
- Uvavanyo lokusebenza kwemiphunga: Jonga ukuba umntwana unokuphefumla kakuhle kangakanani.
- Iiskeni ze-CT (Computed Tomography) okanye i-MRI (Magnetic Resonance Imaging):Ezi zithatha imifanekiso ecacileyo yangaphakathi kwesifuba kwaye zilinganise ngokuchanekileyo izinto ezifana nokuba kungakanani okutshonileyo kunye nokuba kukufutshane kangakanani nentliziyo.
Lwenziwa njani utyando?
Lonke utyando lungathatha malunga neeyure ezine. Umntwana uphantsi kwe-anesthesia jikelele kulo lonke inkqubo, ngoko akayi kuva nto.
Ugqirha ulandela la manyathelo:
1. Okokuqala, kwenziwa imingxunya emibini emincinci kumacala omabini esifuba.
2. Ikhamera encinci ifakwa ngesinye isikhewu ukuze ijonge ngaphakathi.
3. Kwezinye iimeko, imithambo-luvo esifubeni iyabanda ukuze kuncitshiswe iintlungu emva kotyando. Oku kubizwa ngokuba yi -'cryoablation' .
4. Emva koko, intsimbi egobileyo, eyenzelwe ngokukodwa ukulingana nesifuba somntwana, ifakwa nge-incision, ibekwe phantsi kwesifuba esitshonileyo, ize inyuswe. Le ntsimbi ithungelwa eludongeni lwesifuba.
5. Ukuba awukwazi ukulula isifuba sakho ngokufanelekileyo ngentonga enye kuphela, ungongeza enye okanye enye intonga yesithathu.
6. Ekugqibeleni, ikhamera iyasuswa kwaye amanxeba ayavalwa aze athungwe avale.
Kwenzeka ntoni emva kotyando?
Umntwana uhlala esibhedlele kangangemini enye. Ukususela ngosuku olulandela utyando, ukhuthazwa ukuba ahlale ebhedini ngokuthe nkqo, aphefumle nzulu, aze ahambe umgama omfutshane. Ezi zinto zinceda kakhulu kwinkqubo yokuphiliswa. Banikwa namayeza ( i-laxatives ) ukuthintela ukuqhina okunokwenzeka ngenxa yeziyobisi ezibulala iintlungu.
Lubuhlungu kangakanani olu tyando?
Inyaniso kukuba, kukho iintlungu emva kotyando 'lwempumlo'. Ngoko ke, kufuneka usebenzise iintlobo ezahlukeneyo zeentlungu zokuphelisa iintlungu ukulawula iintlungu.
Ezi ndlela zokulawula iintlungu zisetyenziswa xa usesibhedlele kwaye malunga neeveki ezimbini emva kokuba ubuyile ekhaya.
| Indlela yokulawula iintlungu | Inkcazo |
|---|---|
| Ukuvuvukala kwemithambo-luvo | Ukuphazamisa imithambo-luvo esifubeni okwethutyana ngexesha lotyando. Oku kunciphisa kakhulu iintlungu kangangeenyanga. |
| Amayeza Omlomo | Iipilisi zokuthomalalisa iintlungu eziqhelekileyo ezifana ne-Acetaminophen, i-Ibuprofen, kunye ne-Gabapentin, kwaye ukuba kuyimfuneko, iipilisi zokuthomalalisa iintlungu ezinamandla zinikwa ixesha elifutshane ngokwengcebiso kagqirha. |
Zithini iingozi zolu tyando?
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa amathuba okuba oku kwenzeke aphantsi.
- Ukopha
- Usulelo
- Intlungu
- Ukuhamba kwebha
Eyona nto ibalulekileyo ekufuneka uyilumkele yintonga ehambahambayo . Ukuze uthintele oku, kufuneka uxelele umntwana wakho ngokuthe ngqo ngezi zinto kwiiveki ezine zokuqala:
- Hlala uthe nkqo.
- Xa ugoba, goba esinqeni kuphela.
- Musa ukulala ujike umqolo.
- Musa ukwenza naluphi na umsebenzi wokujika.
Kuthatha ixesha elingakanani ukuchacha ngokupheleleyo?
Kungathatha ukuya kuthi ga kwiinyanga ezintandathu ukuba umntwana aphile ngokupheleleyo, kodwa uninzi lwabantwana luyakwazi ukuphinda luqalise imisebenzi yesiqhelo kwangethuba. Bangaya esikolweni kwisithuba senyanga .
Nangona kunjalo, kuya kufuneka uphephe imisebenzi efana nokuphakamisa iintsimbi kunye nemidlalo edibeneyo kangangeenyanga ezimbalwa. Ugqirha wakho uza kukunika imiyalelo eneenkcukacha malunga nemisebenzi onokuqala kuyo kwaye nini.
Ufanele uye nini kugqirha?
Emva kotyando, ukuba umntwana wakho unezinye zezi mpawu zilandelayo, fowunela ugqirha wakho ngokukhawuleza.
- Ifiva
- Ubomvu okanye ukudumba okujikeleze i-incision
- Ukopha okanye ubomvu obuvela kumanxeba
- Intlungu ebuhlungu esifubeni
- Ubunzima bokuphefumla
- Ukuba uziva ngathi uhlatywa esifubeni
Ukongeza, kubalulekile ukuba uqhagamshelane nogqirha rhoqo de kususwe i-splint.
Umyalezo Wokuya Ekhaya
- Inkqubo yeNuss lutyando lwanamhlanje noluphumeleleyo olungadingi mingxunya mikhulu ukulungisa isifuba esitshonileyo (iPectus Excavatum).
- Apha, kufakwa intonga yesinyithi ukulungisa imo yesifuba, kwaye isuswa kwakhona ngotyando oluncinci emva kweminyaka emi-3.
- Kubaluleke kakhulu ukulawula iintlungu emva kotyando kwaye uphephe imisebenzi equka ukujija umzimba kwinyanga yokuqala.
- Inkangeleko yabantwana abaninzi, ukuphefumla, kunye nokukwazi kwabo ukuzilolonga kuyaphucuka kakhulu emva kotyando.
- Ukuba ufumana naziphi na iingxaki emva kotyando, ezinje ngomkhuhlane, iintlungu eziqatha, okanye ubunzima bokuphefumla, qhagamshelana nogqirha wakho ngoko nangoko.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 🕒 Ngawaphi amayeza okukhupha umchamo ngaphambi kwexesha?
Isizathu esiphambili sokuphuma komntwana ngaphambi kwexesha ngexesha lokwabelana ngesondo kukuxhalaba kunye neengxaki zomfanekiso womzimba. Umzekelo, umntu onesifuba esitshonileyo (iPectus Excavatum) unokuba neentloni kakhulu okanye oyike ukubonakala kwakhe. Uxinzelelo lwengqondo olubangelwa ziingxaki ezinjalo zomzimba luchaphazela ngqo ukusebenza ngokwesondo. Ke ngoko, kubalulekile ukubona ukuba ezo ziphene zomzimba zinokulungiswa na ngaphambi kokuba afumane amayeza.
💬 💪 Ngaba ukuba nesifuba esitshonileyo (iPectus Excavatum) kuyayichaphazela indlela esisebenza ngayo ngokwesondo?
Ewe, ukuba isifuba sinzulu kakhulu, sinokubangela uxinzelelo entliziyweni nasemiphungeni. Emva koko, nokuba wenza umsebenzi oqhelekileyo, uya kudinwa ngokukhawuleza. Oku kunokuba yingxaki nakubantu abaninzi kuba bakhawuleza badinwe ngexesha lokwabelana ngesondo. Xa inkqubo ye-'Nuss' ilungisa imo yesifuba kwaye yehlisa olu xinzelelo, amandla omzimba kunye namandla esondo ayanda ngokuzenzekelayo.
💬 🩺 Ngaba inkqubo ethi 'Nuss' iza kunciphisa olu hlobo lweengxaki?
Ngokuqinisekileyo. Emva kolu tyando, imo yesifuba ibuyela esiqhelweni, ngoko ke ukuzithemba ngenkangeleko yomntu kuyanda kakhulu. Kuphelisa uloyiko lwengqondo oluchaphazela iingxaki zesondo. Kwakhona, ekubeni imiphunga inomoya ococekileyo, umntu unokuhlala ekhuthele ixesha elide ngaphandle kokudinwa. Ngoko ke oku kungaba sisisombululo esihlala sihleli kwingxaki yokuphuma komlomo ngaphambi kwexesha.
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