Xa ujonga isifuba somntwana wakho, ngaba sibonakala ngathi sitshone ngaphakathi? Okanye siphuma phambili njengehobe? Ngaba ukhe waphawula ukuba umntwana wakho unobunzima bokuphefumla okanye iintlungu zesifuba ngenxa yale meko? Mhlawumbi akathandi ukudlala nabahlobo okanye ukuya echibini lokudada, kwaye ukhathazekile kakhulu ngolu tshintsho emzimbeni wakhe. Namhlanje sithetha ngotyando olukhethekileyo olunokunceda kwimeko enjalo.
Iyintoni inkqubo yeRavitch?
Ngamafutshane, inkqubo yeRavitch yinkqubo yotyando yokulungisa i-pectus excavatum okanye i-pectus carinatum. Kule nkqubo, ugqirha otyandayo uvula isifuba somntwana wakho (utyando oluvulekileyo), asuse inxalenye ye-cartilage eguqukileyo ejikeleze ithambo lesifuba, i-sternum , aze abeke i-sternum endaweni yayo.
Olu tyando lunciphisa kakhulu ukungonwabi komzimba umntwana akufumanayo, njengobunzima bokuphefumla kunye nentlungu yesifuba . Kodwa okubaluleke ngakumbi kukukhululeka okubonelelwa yimpilo yengqondo yomntwana. Khawuthelekelele indlela ekucaphukisa ngayo umntwana omncinci ukuziva ukuba isifuba sakhe sahlukile kwesabanye? Emva kolu tyando, xa loo mbonakalo ibuyiselwe, ukuzithemba komntwana kukhula kakhulu.
Luqheleke kangakanani olu tyando?
I-Pectus Excavatum yimbangela eqhelekileyo yokukhubazeka kodonga lwesifuba. Le meko ichaphazela umntu omnye kwabangama-300 kunye nomnye kwabayi-1,000. Kukho iintlobo ezimbini eziphambili zotyando lokunyanga le meko. Enye yiRavitch Procedure . Enye yiNuss Procedure . Nangona utyando lweNuss luqheleke kakhulu kwamanye amazwe, inkqubo yeRavitch lutyando oluthembekileyo kakhulu nolusemgangathweni olungileyo oluye lwenziwa ngempumelelo kumawaka abantu kwihlabathi liphela kangangeminyaka engaphezu kwama-60.
Wena nomntwana wakho nizilungiselela njani ngaphambi kotyando?
Le yinxalenye ebaluleke kakhulu kuwe njengomzali. Uphando lufumanise ukuba ukuba abazali bayoyika okanye baxhalabile ngaphambi kotyando lomntwana, umntwana uya kuziva ngendlela efanayo. Ke ngoko, ngamandla amakhulu kumntwana ukuhlala ezolile kangangoko kunokwenzeka.
Ungamthomalalisa umntwana wakho ngokuthi:
- "Ubulele ngokupheleleyo ngexesha lotyando, ngoko ke awuyi kuva nto okanye uve ntlungu ."
- "Oogqirha baza kukunyamekela kakuhle, kwaye siza kube silapho."
Mhlawumbi ukuze acwangcise utyando, ugqirha wakho uza kuyalela ukuba umntwana wakho ahlolwe isifuba nge-CT scan.Bacela uvavanyo. Mchazele umntwana ukuba siskeni esiqhelekileyo esingenabuhlungu.
Ukongeza, ugqirha wakho uza kukuxelela ngokucacileyo ukuba kufuneka uyeke nini ukutya nokusela ngaphambi kotyando, kunye neendlela zokulawula iintlungu emva kotyando.
Kwenzeka ntoni kanye kanye ngexesha lotyando?
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu. Makhe sijonge kafutshane amanyathelo aphambili abandakanyekayo.
| Amanyathelo | Ingcaciso elula yoko kwenzekayo |
|---|---|
| 1. Ukusika isikere | Ugqirha wenza ukusika okuthe tye eluswini esifubeni somntwana, ngaphezu kwe-sternum. |
| 2. Ukuphakamisa izihlunu phezulu | Izihlunu ezigqume ithambo lesifuba (izihlunu zePectoralis) ziphakanyiswa ngobunono zize zitsalwe ecaleni. |
| 3. Ukususwa kwe-cartilage ekhubazekileyo | Ii-cartilage eziguqukileyo ezikwicala le-sternum, ezibangele ukuba imo itshintshe, zisuswa ngononophelo. |
| 4. Ukulungiswa kweSternum | Iphakamisa ithambo lesifuba elitshone okanye elithontsileyo kwithambo lesifuba eliphumileyo, iligcina likwindawo efanelekileyo nefanelekileyo. |
| 5. Ukufaka inxaso | Ukuze i-sternum ihlale ikwindawo eyiyo, kufakwa intsimbi encinci eyenziwe ngentsimbi engagqwaliyo phantsi kwayo okanye kubekwe iipleyiti phezulu. |
| 6. Ukuthunga isiqwenga | Ekugqibeleni, izihlunu zibuyiselwa kwindawo yazo yokuqala kwaye ulusu luthungwa ngononophelo. |
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuza kufakwa imibhobho emibini emincinci enxebeni lesifuba somntwana ukuze kukhutshwe ulwelo olugqithisileyo. Kuza kufakwa ne-catheter ukuze kukhutshwe umchamo. Musa ukukhathazeka ngale mibhobho. I-catheter iza kususwa emva kosuku olunye okanye ezimbini. Umbhobho wesifuba uza kususwa emva kweentsuku ezimbini ukuya kwezintathu.
Eyona nto ibalulekileyo kukuba intsimbi exhasayo efakwe ngaphakathi esifubeni kufuneka isuswe kutyando oluncinci emva konyaka . Kodwa kulula kakhulu, kwaye umntwana angaya ekhaya ngaloo mini inye. Ngamanye amaxesha, ukuba kufakwa iipleyiti ezifakwe izikrufu, akufuneki zisuswe kwakhona.
Ngaba kukho naziphi na iingozi okanye iingxaki ngolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezincinci kakhulu. Kodwa iindaba ezimnandi zezokuba izinga leengxaki zenkqubo yeRavitch eguquliweyo lingaphantsi kwe-5% . Oko kuthetha ukuba amatyala angama-95 kwali-100 aza kusonjululwa ngokupheleleyo. Nazi ezinye zeengxaki ezinokubakho.
| Ingxaki enokwenzeka | Ingcaciso elula |
|---|---|
| I-Pneumothorax | Ukuxinana kwemiphunga. |
| I-Atelectasis | Ukuwa kwenxalenye yomphunga. |
| Ukuphuma kwePleural | Ukuzaliswa kolwelo olujikeleze imiphunga. |
| I-Pericarditis | Ukudumba kwenwebu egqume intliziyo. |
| Usulelo | Inxeba okanye usulelo emzimbeni. |
| Ukutsiba kwibhari | Ukuhamba ukusuka kwinkxaso esisigxina. |
| Ukuphinda kwesifo | Ibele libuyela kwimo yalo yangaphambili emva kwexesha elithile (linqabile kakhulu). |
Kuthatha ixesha elingakanani ukuchacha?
Ungalindela ukuba umntwana wakho akwazi ukumthatha aye naye ekhaya emva kweentsuku ezintathu ukuya kwezine emva kotyando. Ngamanye amaxesha, ukuba inkqubo yokupholisa imithambo-luvo (iNerve Cryoablation) isetyenziselwa ukulawula iintlungu ngexesha lotyando, ixesha lokuhlala esibhedlele lingancitshiswa libe ngaphantsi kweentsuku ezintathu.
Ngaphambi kokuba umntwana aye ekhaya, funda:
- Kufuneka ukwazi ukulawula iintlungu.
- Ufanele ukwazi ukutya nokuya kwigumbi lokuhlambela wedwa.
- Ufanele ukwazi ukuhamba kancinci.
Buza ugqirha wakho ukuba ungabuyela nini esikolweni. Nangona kunjalo, imidlalo yokuchukumisa umzimba kufuneka ithintelwe de isifuba sakho siphiliswe ngokupheleleyo, nto leyo emele ithathe malunga neeveki ezi-6 ukuya kwezi-8 .
Emva kotyando, ugqirha uza kukucela ukuba ubuye ukuze ubuye kwakhona kwiiveki ezimbini, kwiinyanga ezintathu, nangonyaka.
Kufuneka ufowunele ugqirha ngokukhawuleza nini?
Ukuba umntwana wakho unezinye zeempawu ezingezantsi emva kokubuyela ekhaya, fowunela ugqirha wakho ngoko nangoko.
| Ukuba unale mpawu emva kotyando, fowunela ugqirha wakho ngoko nangoko. | |
|---|---|
| Uphawu | Yintoni ekufuneka uyiqwalasele |
| Iimpawu zosulelo | Umkhuhlane ophezulu, ukubomvu, ukudumba, okanye ubomvu obuphuma enxebeni. |
| Intlungu engalawulekiyo | Intlungu inzima kangangokuba ayinakulawulwa ngamayeza okuthomalalisa iintlungu anikiweyo. |
| Ubunzima bokuphefumla | Umntwana unengxaki yokuphefumla okanye uziva efuthanisekile. |
Ukwenza isigqibo sokwenza utyando lomntwana asinto ilula kubazali. Kodwa kunzima nokubukela umntwana wakho ebandezeleka emzimbeni okanye engqondweni ngenxa yenkangeleko yakhe. Ngoko ke yiba ngummeli womntwana wakho. Thetha nogqirha wakho malunga nazo naziphi na izinto ezikuxhalabisayo okanye uloyiko onalo. Thetha nomntwana wakho, mamela indlela avakalelwa ngayo. Esi asisosigqibo esinokwenziwa ngobusuku obunye. Thetha nosapho kwaye wenze isigqibo sokuba yintoni elungele wonke umntu.
Umyalezo Wokuya Ekhaya
- Inkqubo yeRavitch lutyando oluphumelele kakhulu, oluneminyaka emininzi lusetyenziswa ukulungisa amabele aqumbileyo okanye aphumayo.
- Oku kubonelela ngesisombululo esihle kwiingxaki zomzimba zomntwana (ezifana nobunzima bokuphefumla) kunye neengxaki zengqondo (ezifana nokungazithembi).
- Kubaluleke kakhulu ukulungiselela ingqondo yomntwana ukuba abazali bahlale bezolile ngaphambi kotyando.
- Ukuchacha kufuna iintsuku ezininzi esibhedlele kunye neeveki ezininzi zokuphumla ekhaya, ingakumbi ukuphepha imidlalo edibanisa umzimba.
- Ungaze ungathandabuzi ukuxoxa ngayo nayiphi na inkxalabo okanye amathandabuzo onawo nogqirha womntwana wakho.
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