Ngaba unesifuba esingenanto? Masithethe nge (Pectus Excavatum)!

Ngamanye amaxesha usenokuba ubone, okanye uve, umngxuma embindini wesifuba. Kwabanye abantu, le yinxalenye encinci yesifuba, ngelixa kwabanye, ibonakala kakhulu, ngokungathi isifuba sitshonile. Le yinto oogqirha abayibiza ngokuba yi-`(Pectus Excavatum)`. Musa ukoyika kakhulu xa usiva eli gama, le yimeko eqhelekileyo. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha, ngokulula.

Yintoni le ntlungu yesifuba, okanye (iPectus Excavatum)?

Ngamafutshane, `(Pectus Excavatum)` kukuphuma kwethambo phakathi kwesifuba sethu, oko kukuthi, i-sternum `(Sternum).` Ukuze kube yinyani, eli thambo liphakathi lesifuba ligobile ngaphakathi. Ngenxa yoku, ungabona ukucwila okucacileyo, okanye ukugoba, kwesifuba. Ngokwesiqhelo, malunga neembambo ezine okanye ezintlanu kumacala omabini esifuba ziqhagamshelwe koku.

Oku kukwabizwa ngokuba "sisifuba esitshonileyo" okanye "isifuba sefunnel." Le meko inciphisa ubungakanani besithuba ngaphakathi esifubeni. Kwenzeka ntoni ke ngoko? Akukho ndawo yaneleyo yokuba intliziyo nemiphunga isebenze kakuhle.

`(I-Pectus Excavatum)` yimeko yokuzalwa. Oko kuthetha ukuba umntu uzalwa enale meko. Kodwa uninzi lwexesha, iqala ukubonakala kwasekuqaleni kokufikisa, malunga neminyaka elishumi elinesithathu okanye elishumi elinesine. Kodwa ungakhathazeki, oogqirha banokuyilungisa le meko nokuba ngotyando olungenamsebenzi kangako okanye ngotyando oluvulekileyo lwendabuko.

Ixhaphake kangakanani le meko (Pectus Excavatum)?

Le yeyona nto ixhaphakileyo eyenzeka eludongeni lwesifuba. Xa sithetha nje, ichaphazela umntu omnye ukuya kwabasibhozo kwiwaka ngalinye. Ixhaphake kakhulu ebafaneni.

Zithini iimpawu ze (Pectus Excavatum)?

Iimpawu zale meko zinokuchaphazela zombini ngokwasemzimbeni nangokwengqondo.

Iimpawu zomzimba:

• Ubunzima bokuphefumla ngexesha lokuzilolonga: Usenokuziva ngathi uphelelwa ngumphefumlo nangona ubaleka okanye udlala.
• Ukudinwa ngokukhawuleza kunabanye oontanga: Xa udlala nabahlobo, ungaziva udiniwe ngaphambi kokuba bona badinwe.
• Ukudinwa: Ukuziva udiniwe ngalo lonke ixesha ngaphandle kwesizathu esithile.
• Intlungu yesifuba: Ngamanye amaxesha kunokubakho ukuxinana kwesifuba okanye intlungu.
• Ukubetha kwentliziyo okungaqhelekanga: Ukuziva ngathi isingqisho sentliziyo yakho siyatshintsha.
• Ukubetha kwentliziyo ngesiquphe: Ukuva ngequbuliso isandi sentliziyo yakho ibetha, okanye ukuziva ibetha ngokukhawuleza.

Iimpawu zengqondo:

Khawucinge nje, ukuba uziva uneentloni kwaye ungakhululekanga xa usiya kudada nabahlobo bakho okanye udlala imidlalo ngenxa yolu tshintsho esifubeni sakho... ngamanye amaxesha usenokungafuni nokuzikhulula i-T-shirt yakho. Izinto ezinje zinokunciphisa ukuzithemba kwakho.

• Intloni enkulu kunye nokungonwabi okubangelwa kukubonakala kwesifuba.
• Iingxaki zokuzixabisa.
• Kwezinye iimeko, le meko inokukhokelela nasekudandathekeni ngokwezonyango .

Zithini izizathu ze (Pectus Excavatum)?

Isizathu esichanekileyo sale meko kubantu abaninzi asaziwa. Nangona kunjalo, kwabanye abantu, inokunxulunyaniswa nezifo zezicubu ezinxibelelanayo ezifana neMarfan syndrome okanye i-Ehlers-Danlos syndrome.

Ingaba le yinto yemfuza?

Abaphandi abakakwazi ukufumana unxibelelwano oluqinisekileyo lwemfuza nale meko. Kodwa bacinga ukuba kusenokwenzeka ukuba kukho impembelelo yemfuza . Kufunyenwe ukuba phakathi kwama-40% nama-53% abantu abanePectus Excavatum banelungu losapho elinale meko.

Ziziphi izinto ezibangela umngcipheko (iPectus Excavatum)?

Ekubeni unobangela wale meko ungekafunyanwa, kunzima ukuqaphela ezona zinto zibangela umngcipheko. Nangona kunjalo, ukuba kukho umntu kusapho lwakho onayo le meko, okanye ukuba unayo nayiphi na kwezi syndromes zikhankanyiweyo ngaphambili eziye zafunyaniswa ukuba zidibene nayo, usenokuba sengozini yokuhlaselwa yile meko.

Ziziphi iingxaki ezinokwenzeka ngenxa yale meko?

Iingxaki ezinokuthi zenzeke ngePectus Excavatum ziquka:

• Ukuncipha kwamandla okwenza umthambo.
• I-Mitral valve prolapse (ivalvu yentliziyo engavali kakuhle).
• Ukucinezelwa kwentliziyo yakho.

Ifunyaniswa njani iPectus Excavatum?

Ugqirha angasixilonga esi sifo ngovavanyo olulula lomzimba. Kwiimeko ezininzi, oogqirha basenokungayiboni de ube mncinci. Banokwenza uvavanyo olwahlukeneyo ukuze babone ukuba iPectus Excavatum iyichaphazele kangakanani na intliziyo yakho kunye nokusebenza kwemiphunga.

Zeziphi iimvavanyo ezisetyenziselwa ukuxilonga (iPectus Excavatum)?

Uvavanyo loku lungabandakanya:

• Iskeni se-MRI (i-MRI) yesifuba.
• Iskeni ye-CT yesifuba.
• Uvavanyo lokuzilolonga lwentliziyo nemiphunga.
• I-Electrocardiogram (EKG).
• I-Echocardiogram yentliziyo.
• Uvavanyo lweMisebenzi yeMiphunga (ii-PFT).

Iphathwa njani iPectus Excavatum?

Ugqirha angalungisa le meko (iPectus Excavatum) nokuba ngenkqubo engaphantsi kakhulu (inkqubo yeNuss) okanye ngenkqubo evulekileyo (inkqubo yeRavitch) . Ugqirha wakho uza kuxoxa nawe ngenkqubo efanelekileyo kuwe. Le nkqubo ibandakanya ukubeka ithambo lakho lesifuba (sternum) endaweni yalo ukuze liphakanyiswe kancinci. Ngazo zombini ezi nkqubo:

• Iyanciphisa uxinzelelo entliziyweni nasemiphungeni yakho, ivumela loo malungu ukuba asebenze ngcono.
• Isifuba sakho siya siphucuka.

Ukuba uneempawu zomzimba okanye unengxaki yengqondo ngenxa yePectus Excavatum, utyando lunokuba lolona khetho lulungileyo kuwe. Ixesha elifanelekileyo lokwenza utyando liphakathi kweminyaka eli-10 neli-14 ubudala, xa udonga lwesifuba lusaguquguquka. Ugqirha wakho uya kukunceda ukhethe ixesha elifanelekileyo lokwenza utyando.

Inkqubo yeNuss

Le yeyona ndlela ingenazo zonke izifo. Kule ndlela, ugqirha otyandayo:

• Ikhamera ifakwa esifubeni ukuze iqondise utyando.
• Kwenziwa imingxunya emibini emincinci kumacala omabini esifubeni.
• Ibhendi okanye iibhendi zentsimbi eziyilwe ngokukodwa, ezigobileyo zifakwa phantsi kombindi wethambo lesifuba, kwaye zilungiswe ukuze ziphakamise ithambo phezulu.
• Le bhanti inamathele emacaleni odonga lwesifuba kwaye isusa loo mbonakalo yokuwohloka.

Le ntsimbi kufuneka ishiywe endaweni yayo kangangeminyaka eliqela. Emva koko ugqirha uyayisusa ngendlela elula yokunyanga ngaphandle (oko kuthetha ukuba ungaya ekhaya ngaloo mini inye).

Inkqubo yeRavitch

Le yindlela yesintu yotyando oluvulekileyo. Kule ndlela, ugqirha otyandayo:

• Kwenziwa ukusika ngaphambili esifubeni.
• Izicubu ezidityanisiweyo ezikhule kakhulu ezityhala umbindi wethambo lesifuba ngaphakathi ziyasuswa.
• Ithambo lesifuba eliphakathi liyasuswa entliziyweni nasemiphungeni, litsalwe phambili, lize libekwe kwindawo efanelekileyo eludongeni lwesifuba.
• Emva koko, kusetyenziswa ipleyiti encinci kunye nezikrufu ezincinci , okanye ibhendi encinci yesinyithi, umbindi wethambo lesifuba uyaqiniswa kwindawo entsha.

Le bhendi yesinyithi isuswa emva kweenyanga ezimalunga nezi-6 ukuya kwezili-12 kwinkqubo emfutshane yokulaliswa ngaphandle. Le bhendi incinci kunebhendi esetyenzisiweyo kwinkqubo ethi "Nuss." Iipleyiti azisuswa, ngoko ke akukho mfuneko yotyando olongezelelweyo.

Iingxaki zonyango

Njengalo naluphi na utyando olukhulu, utyando lokulungisa iPectus Excavatum lunemingcipheko ethile. Zombini inkqubo yeNuss kunye nendlela yeRavitch eguquliweyo zikhuselekile kwaye ziyasebenza. Nangona kunjalo, iingxaki azifane zenzeke.

Iingxaki ezinokubakho zotyando lwe-`(Pectus Excavatum)`:

• I-Pneumothorax.
• Ukopha.
• Ukuphuma kwegazi emzimbeni.
• Usulelo.
• Ndiqala ukuphambana apho bendifakwe khona.
• Ukuphinda kwemeko ye-`(Pectus Excavatum)` emva kokususwa kwebhanti.
• Ukonakala kwezicubu ezingqongileyo.
• Intlungu engapheliyo.

Kuthatha ixesha elingakanani ukuchacha kolu nyango?

Ngenxa yokuqhubela phambili ekulawuleni iintlungu, ixesha lokuchacha emva kotyando ngoku lifutshane kwaye alibangeli ntlungu njengangaphambili.

I-Cryoablation iqandisa okwethutyana imithambo-luvo eseludongeni lwesifuba phakathi kweembambo eziva iintlungu. Ii-anesthetics zasekuhlaleni zifakwa kuloo mithambo-luvo ngaphambi nasemva kotyando, kwaye kunikwa neentlungu zomlomo.

Ukusebenzisa le ndlela ye-"Cryoablation" ukunciphisa iintlungu eziqatha ezenzeka emva kwenkqubo ye-"Nuss" kuye kwanciphisa kakhulu ixesha lokuhlala esibhedlele, kunye nesidingo see-painkillers ezifana ne-"Opioids".

Ngaphambili, kuba kwakuthatha malunga nenyanga ukuchacha kule nkqubo "yeNuss", abantwana besikolo kwakufuneka bayenze ngexesha leeholide ezinde. Kodwa ngoku, ngenxa yeendlela ezintsha zokulawula iintlungu ezifana ne "Cryoablation," ukuhlala esibhedlele kufutshane kwaye ukuchacha kukhawuleza, ngoko ke kungenziwa nangexesha leeholide zesikolo ezifutshane.

Iindlela zemveli zokulawula iintlungu zifuna iveki esibhedlele emva kwenkqubo yeNuss. Kufuneka ne-epidural anesthesia, ilandelwe ziiveki ezininzi zee-opioid painkillers, ezinokuba ngumlutha.

Kodwa nge-Cryoablation, uninzi lwabantu lunokubuyela ekhaya ngosuku olulandela utyando. Abanye abantu abayidingi kwaphela i-IV okanye i-opioids yomlomo ngelixa besesibhedlele. Kwanabo bafuna i-opioids yomlomo banokuyeka ukuyithatha emva kosuku olunye okanye ezimbini. I-Cryoablation inokushiya udonga lwesifuba lungasebenzi kakuhle kangangeenyanga ezintandathu ukuya kunyaka.

Ngaba iPectus Excavatum inokuthintelwa?

Hayi. De kufunyanwe unobangela othile we-`(Pectus Excavatum)`, akukho ndlela yokuwuthintela.

Ukuba ndinayo (iPectus Excavatum), ndimele ndilindele ntoni?

Injongo ephambili yotyando lwePectus Excavatum kukunciphisa uxinzelelo entliziyweni nasemiphungeni yakho, oku kwenza ukuba isebenze ngcono. Oku kudla ngokuphumela ekuphuculeni ukuphefumla, ubunzima bokuzilolonga, kunye nentlungu yesifuba. Usenokuba ubuvakalelwa kukuba ukuphefumla kwakho namandla akho bekuqhelekile ngaphambi kotyando, kodwa kuphela emva kotyando apho uya kuqonda ukuba kubhetele kangakanani.

Abo ingxaki yabo yayikukubonakala okungaqhelekanga kwamabele abo baye babona ukuphucuka okukhulu ekuzithembeni kwabo nasekuzithembeni emva kotyando.Abantu abadala abane-`(Pectus Excavatum)` basenokungayiboni imida ebonakalayo kwimisebenzi yabo bade babe neminyaka engama-30 okanye engama-40.

Ihlala ixesha elingakanani (iPectus Excavatum)?

Uza kuba nale meko de ube notyando ukuze uyilungise.

Ndingabuyela nini kwimisebenzi yam yesiqhelo?

Emva kotyando, kuya kufuneka uphumle okwethutyana kuba uya kuziva ungakhululekanga. Nje ukuba ukungakhululeki kuphele, ungaqala ukuhamba nokubaleka kwakhona. Ugqirha wakho uya kugqiba ukuba ungaqala nini ukuphakamisa iintsimbi nokudlala imidlalo yokhuphiswano kwakhona.

Abantwana abakwiminyaka yokufunda isikolo kufuneka bakwazi ukubuyela esikolweni kwiiveki ezimbini ukuya kwezintathu emva kotyando lwe-`(Pectus Excavatum)`.

Iyintoni imbono ye (Pectus Excavatum)?

Zombini iinkqubo zeNuss kunye neRavitch zineziphumo ezilungileyo kakhulu. Emva kokuchacha, abantu ngokubanzi bayaneliseka yindlela abaziva ngayo kunye nendlela ababukeka ngayo. Izinga lokuphinda kwenzeke lingaphantsi kwe-1% kuzo zombini iinkqubo.

Ndingazinyamekela njani?

Kwabo banganyangwanga `(Pectus Excavatum)`, iimpawu zomzimba nezengqondo ziyinxalenye yobomi bemihla ngemihla. Nangona abanye besenokuthi, "Yingxaki nje yobuhle," basenokungaqondi ukuba uziva njani. Fumana ugqirha oqondayo iimpawu zakho kwaye anokukunceda uzilawule.

Ndifanele ndimbone nini ugqirha wam?

Ukuhlolwa rhoqo ngugqirha wakho kuya kubanceda bagqibe ukuba ufuna utyando nini (okanye ukuba imeko yakho imbi ngokwaneleyo ukuba ingadinga utyando). Emva kotyando, kuya kufuneka ubone ugqirha wakho rhoqo ude uphile ngokupheleleyo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Eminye imibuzo onokuyibuza ugqirha wakho malunga ne-`(Pectus Excavatum)`:

• " Ungandithumela kumcebisi onokundinceda ngengxaki yengqondo endijongene nayo ngenxa yesi simo?"
• " Ngaba kukho iqela lenkxaso labantu abane-`(Pectus Excavatum)`?"
• " Ungacebisa utyando ngenxa yemeko yam?"
• " Ndifanele ndityandwe xa ndineminyaka emingaphi?"

Ingaba (iPectus Excavatum) iba mandundu xa ukhula?

Iimpawu zakho zinokuba mandundu ngokuhamba kwexesha. Oku kusenokwenzeka ukuba kungenxa yenkqubo eqhelekileyo yokwaluphala. Kwakhona, kuba nzima ngakumbi ukuhlawula imida ebekwe entliziyweni yakho nakwimiphunga yiPectus Excavatum njengoko ukhula.

Ukuba andityandwa, ngaba (iPectus Excavatum) iya konakalisa intliziyo yam kunye nemiphunga, okanye iya kunciphisa ubomi bam?

Akukho bungqina bokuba iPectus Excavatum inciphisa ixesha lokuphila okanye yonakalisa intliziyo nemiphunga ngokuhamba kwexesha. Nangona kunjalo, iimpawu zakho zinokuba mandundu ukuba awutyandwa.

Abafazi abane-`(Pectus Excavatum)` banokuba nokukhulelwa okuqhelekileyo baze bazale umntwana.

Ukuba ndinayo (iPectus Excavatum) kwaye ndifuna utyando lwentliziyo, ngaba zombini ezi nkqubo zingenziwa ngaxeshanye?

Ewe. Oogqirha benze utyando lokulungisa iPectus Excavatum kunye notyando lwentliziyo kwaye iziphumo zilungile kakhulu. Oku kufuna ulungelelwaniso oluhle phakathi koogqirha abenza zombini ezi nkqubo.

Okokugqibela, umyalezo oya ekhaya:

I-Pectus Excavatum, imeko apho ithambo lesifuba likhula ngendlela engaqhelekanga, inokuba yingxaki ngenxa yeempawu zalo zomzimba nezengqondo. Thetha ngokwakho kwaye ufumane uncedo olufunayo kwiimpawu zakho. Ungoyiki ukuthetha noogqirha bakho ngemeko yakho. Bakho ukuze bakuncede, njengokuba bencede abanye ngaphambi kwakho. Ukuba utyando lukhetho olufanelekileyo kuwe, buza imibuzo ukuze uqonde ukuba loluphi uhlobo lotyando olulungele wena. Khumbula, kukho unyango olusebenzayo lwesi sifo, kwaye ungaphila ubomi obusempilweni nobusebenzayo!

Ukukhupha iPectus , isifuba esitshonileyo, iintlungu zesifuba, utyando lwesifuba, Inkqubo yempumlo, Inkqubo yeRavitch, ukuphefumla kancinci, iintlungu zesifuba, i-sternum, imeko yokuzalwa, isifuba esitshonileyo