Uma sibheka isifuba sabanye abantwana, sibona ukuthi sibonakala sicwile, noma sinjengembobo? Kwezokwelapha, lesi simo sibizwa ngokuthi 'iPectus Excavatum'. Lesi yisimo sokuzalwa. Ngenxa yalokhu, abanye abantwana bangase babe nobunzima bokuphefumula, ubuhlungu besifuba, kanye nokukhathala ngokushesha ngesikhathi sokuzivocavoca. Ngakho-ke, enye yezindlela zokwelapha eziphumelela kakhulu nesimanje zalokhu 'iNuss Procedure'. Namuhla, sizokhuluma ngalokhu kalula, ukuze uqonde.
Kalula nje, iyini inqubo ye-Nuss?
Ukuhlinzwa kwe-'Nas' kuyindlela ekhethekile yokuhlinzwa eyenzelwa ukulungisa isifuba esicwile (i-Pectus Excavatum). Esikhundleni sokwenza ukusika okukhulu nokuvula isifuba, lokhu kuhlinzwa kwenziwa ngezimbobo ezimbili ezincane kuzo zombili izinhlangothi zesifuba . Yingakho kubizwa ngokuthi 'ukuhlinzwa okuvalela kancane' noma okuvalela kancane.
Kulokhu kuhlinzwa, induku noma izinduku ezigobile, ngokuvamile ezenziwe nge-titanium, zifakwa esifubeni ukuze kusunduzwe ithambo lesifuba elicwilile phambili futhi liqondiswe. Lezi zinduku zishiywa esifubeni cishe iminyaka emithathu. Phakathi naleso sikhathi, amathambo esifuba ayakhula futhi akheke kahle.
Yimuphi umnyaka ongcono kakhulu wokwenza lokhu kuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa ezinganeni ezincane , ikakhulukazi ngemva kweminyaka eyi-14. Lokhu kungenxa yokuthi kuleyo minyaka, umzimba usakhula, futhi kulula ukubumba isifuba sibe nesimo esifanele. Kodwa-ke, akukho mkhawulo weminyaka ephezulu kulokhu. Abantu abadala nabo bangenza lokhu kuhlinzwa uma kudingeka. Kufanele ukhulume nodokotela wakho bese unquma ukuthi lokhu kuhlinzwa kulungele ingane yakho noma wena.
Kungani kwenziwa lokhu kuhlinzwa? Ziyini izinzuzo?
Into yokuqala ukuthi ngokushesha ngemva kokuhlinzwa, ukubonakala kwesifuba okucwilayo kuyanyamalala futhi ukubukeka kuba okuvamile . Lokhu kubaluleke kakhulu empilweni yengqondo yengane kanye nokuzethemba .
Ngaphezu kwalokho, ngemva kwalokhu kuhlinzwa, ingcindezi enhliziyweni nasemaphashini iyancishiswa, futhi ukusebenza kwawo kungathuthuka. Abantu abaningi babhekana nokwehla kwezimpawu ezifana nalezi:
- Ubuhlungu besifuba
- Ukuphelelwa umoya
- Ukushaya kwenhliziyo
- Ukukhathala ngokushesha ngisho nangemva kokuzivocavoca okuncane
Yini okufanele uyenze ngaphambi kokuhlinzwa?
Ezinsukwini ezimbalwa ngaphambi kokuhlinzwa, udokotela uzoyala ukuhlolwa okuningana. Lokhu kuhloswe ukukala ngokunembile isimo sesifuba sengane nokubona ukuthi umzimba usukulungele yini ukuhlinzwa.
- Ukuhlolwa kokusebenza kwamaphaphu: Bona ukuthi ingane ingaphefumula kahle kangakanani.
- Izikena ze-CT (Computed Tomography) noma i-MRI (Magnetic Resonance Imaging):Lezi zithatha izithombe ezicacile zengaphakathi lesifuba futhi zilinganise ngokunembile izinto njengokuthi kungakanani okucwile ngaphakathi nokuthi kuseduze kangakanani nenhliziyo.
Kwenziwa kanjani ukuhlinzwa?
Ukuhlinzwa konke kungathatha cishe amahora amane. Ingane ingaphansi kwe-anesthesia ejwayelekile phakathi nenqubo, ngakho ngeke izwe lutho.
Udokotela ohlinzayo ulandela lezi zinyathelo:
1. Okokuqala, kwenziwa imicu emibili emincane kuzo zombili izinhlangothi zesifuba.
2. Kufakwa ikhamera encane nge-incision eyodwa ukuze kubhekwe ngaphakathi.
3. Kwezinye izimo, imizwa esifubeni iyaqina ukuze kuncishiswe ubuhlungu ngemva kokuhlinzwa. Lokhu kubizwa ngokuthi 'i-cryoablation' .
4. Ngemuva kwalokho, kufakwa insimbi egobile, eyenziwe ngokwezifiso ukuze ilingane nesifuba somntwana, nge-incision, ibekwe ngaphansi kwethambo lesifuba elicwilisiwe, bese isunduzelwa phezulu. Le nsimbi ithungelwa odongeni lwesifuba.
5. Uma ungakwazi ukuqondisa isifuba sakho kahle ngenduku eyodwa nje, ungangeza induku yesibili noma ngisho neyesithathu.
6. Ekugcineni, ikhamera iyasuswa bese kuthi imivimbo ivalwe bese ithungwa ivalwe.
Kwenzekani ngemva kokuhlinzwa?
Ingane ngokuvamile kufanele ihlale esibhedlela cishe usuku lonke. Kusukela ngosuku olulandela ukuhlinzwa, ikhuthazwa ukuba ihlale iqonde embhedeni, iphefumule kakhulu, futhi ihambe amabanga amafushane. Lokhu kusiza kakhulu inqubo yokuphulukiswa. Iphinde inikwe imithi ( imithi yokuhlanza ) yokuvimbela ukuqunjelwa okungenzeka ngenxa yemithi yobuhlungu.
Kubuhlungu kangakanani ukuhlinzwa?
Uma ngikhuluma iqiniso, kuba nobuhlungu ngemva kokuhlinzwa 'kwekhala'. Ngakho-ke, kufanele usebenzise izinhlobo eziningana ezahlukene zezinhlungu zobuhlungu ukulawula ubuhlungu.
Lezi zindlela zokulawula ubuhlungu zisetshenziswa ngesikhathi usesibhedlela futhi cishe amasonto amabili ngemva kokuba usubuyele ekhaya.
| Indlela yokuphatha ubuhlungu | Incazelo |
|---|---|
| Ukuvuvukala Kwezinzwa | Ukuvimbela okwesikhashana imizwa esifubeni ngesikhathi sokuhlinzwa. Lokhu kunciphisa kakhulu ubuhlungu izinyanga. |
| Imithi Yomlomo | Amaphilisi obuhlungu avamile njenge-Acetaminophen, i-Ibuprofen, i-Gabapentin, kanye, uma kudingeka, amaphilisi obuhlungu anamandla anikezwa isikhathi esilinganiselwe ngokweseluleko sikadokotela. |
Ziyini izingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa amathuba okuba lokhu kwenzeke mancane.
- Ukopha
- Ukutheleleka
- Ubuhlungu
- Ukuthutha ibha
Into ebaluleke kakhulu okufanele uyiqaphele induku ehambahambayo . Ukuze uvimbele lokhu, udinga ukutshela ingane yakho ngqo ngalezi zinto emasontweni amane okuqala:
- Hlala uqonde.
- Uma ugoba, goba okhalweni kuphela.
- Ungalali ufulathele umhlane.
- Ungenzi noma yimuphi umsebenzi wokujika.
Kuthatha isikhathi esingakanani ukululama ngokuphelele?
Kungathatha izinyanga eziyisithupha ukululama ngokuphelele, kodwa izingane eziningi ziyakwazi ukuqhubeka nemisebenzi evamile ngokushesha. Zingaya esikoleni zingakapheli inyanga .
Kodwa-ke, kuzodingeka ugweme imisebenzi efana nokuphakamisa izinsimbi kanye nokuxhumana nezemidlalo izinyanga ezimbalwa. Udokotela wakho ohlinzayo uzokunikeza imiyalelo eningiliziwe yokuthi yimiphi imisebenzi ongayiqala kabusha nokuthi nini.
Kufanele ubonane nini nodokotela?
Ngemva kokuhlinzwa, uma ingane yakho inezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
- Imfiva
- Ubomvu noma ukuvuvukala okuzungeze indawo yokusikwa
- Ukopha noma ubomvu obuvela ekusikeni
- Ubuhlungu obukhulu besifuba
- Ubunzima bokuphefumula
- Uma uzizwa sengathi ugwazwa esifubeni
Ngaphezu kwalokho, kubalulekile ukulandelelana nodokotela njalo kuze kube yilapho i-bant isusiwe.
Umlayezo Wokuya Nawe Ekhaya
- Inqubo ye-Nuss iwukuhlinzwa kwesimanje okuphumelelayo okungadingi ukusikwa okukhulu ukuze kwelashwe isifuba esicwile (i-Pectus Excavatum).
- Lapha, kufakwa induku yensimbi ukulungisa ukuma kwesifuba, bese sisuswa futhi ngokuhlinzwa okuncane ngemva kweminyaka emi-3.
- Kubaluleke kakhulu ukulawula ubuhlungu ngemva kokuhlinzwa nokugwema imisebenzi ehilela ukusonta umzimba ngenyanga yokuqala.
- Ukubukeka kwezingane eziningi, ukuphefumula, kanye nekhono lokuzivocavoca kuthuthuka kakhulu ngemva kokuhlinzwa.
- Uma uhlangabezana nanoma yiziphi izinkinga ngemva kokuhlinzwa, njengomkhuhlane, ubuhlungu obukhulu, noma ubunzima bokuphefumula, xhumana nodokotela wakho ngokushesha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 🕒 Yimiphi imithi yokukhipha isisu ngaphambi kwesikhathi?
Isizathu esiyinhloko sokuphuma kocansi ngaphambi kwesikhathi ngesikhathi socansi ukukhathazeka nezinkinga zomfanekiso womzimba. Isibonelo, umuntu onesifuba esicwile (i-Pectus Excavatum) angase abe namahloni kakhulu noma esaba ukubukeka kwakhe. Ukucindezeleka kwengqondo okubangelwa yilezi zinkinga zomzimba kuthinta ngqo ukusebenza kocansi. Ngakho-ke, kubalulekile ukubona ukuthi lezi ziphazamiso zomzimba zingalungiswa yini ngaphambi kokwelashwa.
💬 💪 Ingabe ukuba nesifuba esicwile (i-Pectus Excavatum) kuyawuthinta amandla ocansi?
Yebo, uma isifuba sijule kakhulu, singabeka ingcindezi enhliziyweni nasemaphashini. Khona-ke, ngisho nalapho wenza umsebenzi ojwayelekile, uzokhathala ngokushesha. Lokhu kungaba yinkinga nakubantu abaningi ngoba basheshe bakhathale ngesikhathi socansi. Lapho inqubo ethi 'Nuss' ilungisa ukuma kwesifuba futhi yehlisa le ngcindezi, amandla omzimba namandla ocansi ayanda ngokuzenzakalelayo.
💬 🩺 Ingabe inqubo ethi 'Nuss' izonciphisa lolu hlobo lwezinkinga?
Nakanjani. Ngemva kwalokhu kuhlinzwa, isimo sesifuba sibuyela esimweni esijwayelekile, ngakho ukuzethemba ngokubukeka komuntu kuyanda kakhulu. Kuqeda ukwesaba kwengqondo okuthinta izinkinga zocansi. Futhi, njengoba amaphaphu ephefumula kahle, umuntu angahlala ekhuthele isikhathi eside ngaphandle kokukhathala. Ngakho-ke lokhu kungaba yisisombululo esihlala njalo senkinga yokuphuma kokuphuma kowesifazane ngaphambi kwesikhathi.
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