Ingabe unesifuba esivelele? Ake sixoxe ngePectus Carinatum

Ingabe ingane yakho iyanqikaza ukugqoka i-T-shirt noma ukuya echibini lokubhukuda? Wake wazizwa sengathi ithambo eliphakathi lesifuba sayo liphuma kancane kunokujwayelekile? Noma, ingabe ufunda lesi sihloko uphethwe yilesi simo? Ungakhathazeki. Ngokwezokwelapha lesi simo sisibiza ngokuthi i-Pectus Carinatum . Abantu abaningi basibiza nangokuthi "isifuba sejuba". Namuhla, sizoxoxa ngayo yonke imibuzo esemqondweni wakho ngalokhu ngendlela elula nenobungane.

Iyini ngempela i-Pectus Carinatum?

Kalula nje, lokhu ukuvela kwethambo eliyisicaba phakathi kwesifuba sethu, i-sternum. Abantu abaningi basibiza ngokuthi "isifuba sejuba" ngoba sibukeka njengesifuba sejuba.

Lolu olunye uhlangothi lwesinye isimo. Abanye abantu obabonile benamabele abo acwile. Lokho sikubiza ngokuthi iPectus Excavatum. Ngakho iPectus Carinatum iwulunye uhlangothi lwalokho, okuyisifuba esiphuma phambili.

Ingabe zikhona izinhlobo eziyinhloko zalokhu?

Yebo, odokotela bayihlukanisa ibe izinhlobo ezimbili eziyinhloko kanye nezinhlobo eziningana. Ukwazi lokhu kubalulekile lapho unquma izindlela zokwelapha.

Akudingeki ucabange kakhulu ngalezi zigaba. Uma ubona udokotela, uzohlola isimo sakho futhi akutshele ukuthi uwela kusiphi isigaba.

Sivame kangakanani lesi simo?

Ngokwezibalo, cishe umuntu oyedwa kwabayi-1,000 unalesi simo. Kodwa-ke, ezinye izifundo ziphakamisa ukuthi singase sivame kakhulu, mhlawumbe sincane njengomuntu oyedwa kwabayi-300.

Kuvame kakhulu kwabesilisa kunabesifazane. Nakuba lesi simo sikhona lapho kuzalwa, sivame ukubonakala kakhulu phakathi neminyaka yobusha , lapho imizimba yezingane ikhula ngokushesha.

Ziyini izimpawu? Ingabe lokhu kuyingozi?

Nansi into ebalulekile. Iningi labantu abane-pectus carinatum abanazo izimpawu . Okusho ukuthi, abazizwa bengakhululekile ngaphandle kokushintsha kwendlela esibukeka ngayo isifuba sabo. Inani elincane kakhulu labantu lingase lizwe ubuhlungu besifuba ngesikhathi semisebenzi ethile noma lapho besezikhundleni ezithile.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Abacwaningi abakayitholi imbangela ethile yalokhu, kodwa bakholelwa ukuthi kubangelwa ukukhula okungavamile kwe-cartilage okuxhumanisa izimbambo zethu nephakathi kwesifuba sethu. Kalula nje, leyo cartilage ikhula ngokushesha kakhulu, isunduza ithambo lesifuba phambili.

Ingabe kukhona ukuxhumana kwezakhi zofuzo nalokhu? Nakuba isakhi sofuzo esithile singakatholakali, kukholelwa ukuthi kungenzeka ukuthi sikhona. Lokhu kungenxa yokuthi cishe abantu abangu-33% abanalesi simo, noma cishe ingxenye eyodwa kwezintathu, banomlando womndeni walolu hlobo lokungajwayelekile kodonga lwesifuba.

Futhi, i-pectus carinatum ingenzeka kanye nezinye izimo zezokwelapha. Lokhu akusho ukuthi wonke umuntu onalezi zimo uzoba nesifuba sejuba, kodwa kungase kube nokuxhumana.

• I-Marfan syndrome: Lesi yisifo esithinta izicubu zomzimba ezixhumeneyo.
• I-Noonan syndrome: Lesi yisimo sofuzo.
• I-Scoliosis: Ukugoba komgogodla.
• Isifuba somoya
• I-Bronchitis: Ukuvuvukala kwamapayipi e-bronchial.
• Ukwehla kwe-valve ye-Mitral: Ubuthakathaka obuncane kwenye yama-valve enhliziyo.

Ingabe zikhona ezinye izinkinga ezingavela kulokhu?

Njengoba kushiwo ngaphambili, noma ngabe akukho nkinga enkulu yomzimba, lesi simo singadala ezinye izinkinga. Lezi zingaba yingozi kakhulu, ikakhulukazi kumuntu osemusha.

• Izinkinga zokuzethemba: Ungase uzizwe unamahloni noma ukhathazekile ngokubukeka kwakho. Ungase unqikaze ukukhumula i-T-shirt yakho, ukuyobhukuda, noma ukudlala nabangani.
• Ukuma kabi: Ungase ube nomkhuba wokugoba ngokuzenzakalelayo ngoba uzama ukufihla ukukhukhumala kwesifuba sakho.
• Ubuhlungu emhlane: Lokhu kuma okungalungile kungabangela ubuhlungu emhlane ngokuhamba kwesikhathi.

Udokotela ukuxilonga kanjani lokhu ngqo?

Uma unokungabaza ngalokhu, into engcono kakhulu ongayenza ukubonana nodokotela. Uzokwazi ukuthola lesi simo kalula.

1. Ukuthola umlando wezokwelapha: Wena nabazali bakho nizobuzwa ngalokhu.

2. Ukuhlolwa komzimba: Isifuba sizohlolwa. Bangase futhi bahlole i-scoliosis.

3. Ukuhlolwa uma kudingeka: Lokhu ngokuvamile kungatholakala ngokuhlolwa ngokomzimba. Kodwa-ke, ukuze kutholakale ubucayi besimo futhi uma kucatshangelwa ukuhlinzwa, kungase kudingeke ukuba kwenziwe ezinye izivivinyo ukuze kubhekwe isimo sezitho zangaphakathi zesifuba.

• I-X-ray yesifuba: I-X-ray ithathwa ngaphambili nasohlangothini ukuze kubhekwe indawo yamathambo.
• I-CT Scan (I-Computed Tomography - I-CT scan): Lolu futhi uhlobo olukhethekile lwe-X-ray.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI scan): Indlela yokuthola izithombe ezinemininingwane zangaphakathi lomzimba ngaphandle kokusebenzisa ama-X-ray.

Yiziphi izindlela zokwelapha?

Njengoba lesi akusona isimo esiyingozi, ukwelashwa akudingekile ngaphandle kokuthi kunenkinga enkulu ngokubukeka. Kodwa-ke, uma kukhona ukukhathazeka ngokubukeka noma uma kukhona ukungakhululeki okuncane, kunezindlela zokwelapha ezisebenzayo zalokhu. Kunezindlela ezimbili eziyinhloko.

Ukugqoka i-brace (i-brace)

Lokhu kufana nebhande eligqokwa esifubeni.

• Isebenza kanjani?: Lesi sibopho sicindezela ithambo eliphumayo esifubeni kusukela ngaphambili nangemuva. Ngokuhamba kwesikhathi, lokho kucindezela kubangela ukuthi ithambo libuyele kancane kancane endaweni yalo evamile.
• Indlela yokusebenzisa: Ingagqokwa ngaphansi noma ngaphezulu kwezingubo. Kunconywa ukuthi uyigqoke cishe amahora angama-24 ngosuku. Ingasuswa uma ugeza noma udlala imidlalo.
• Ilungele bani?: Le ndlela isebenza kahle kakhulu eminyakeni yokukhula kwengane . Okusho ukuthi, lapho isencane. Lokhu kungenxa yokuthi ngaleso sikhathi amathambo kanye ne-cartilage yesifuba kusaguquguquka. Ngakho-ke, kulula ukuzivumelanisa nokucindezela kwe-brace. Ingagqokwa noma kuphi kusukela ezinyangeni eziyisithupha kuya eminyakeni eminingana.

Ukuhlinzwa

Uma i-brace ingasebenzi, noma uma umuntu omdala edinga ukwelashwa, kungase kucatshangelwe ukuhlinzwa.

• Inqubo yeRavitch: Kule nqubo, udokotela ohlinzayo wenza i-incision encane phakathi kwesifuba bese esusa i-cartilage ekhule kakhulu. I-sternum bese ibuyiselwa endaweni yayo evamile bese ibanjwa kusetshenziswa izindlela ezahlukene (i-sutures, amapuleti ensimbi, noma i-bar).
• Ukuhlinzwa okungenangozi kangako: Lokhu kufana nenqubo ye-Nuss. Lapha, kwenziwa imicu emincane kuzo zombili izinhlangothi zesifuba, kufakwa insimbi, bese ithambo eliphumayo liboshelwa endaweni yalo. Intambo ishiywa endaweni yayo unyaka noma ngaphezulu, bese isuswa ngokuhlinzwa okuncane.

Zombili lezi zindlela sezithuthuke kakhulu futhi ziphephile. Udokotela wakho ohlinzayo uzochaza ukuthi iyiphi indlela efaneleka kakhulu esimweni sakho.

Ingabe ikhona imiphumela emibi noma izinkinga zokwelashwa?

• Ukugqoka i-brace: Lena indlela ephephile kakhulu. Ngezinye izikhathi izindawo lapho i-brace icindezela khona esikhumbeni zingase zibe bomvu kancane futhi ziklwebhe. Uma lokhu kwenzeka, ungayeka ukusebenzisa i-brace isikhashana bese ucela udokotela wakho ukuthi ayilungise kahle.
• Ukuhlinzwa: Njenganoma yikuphi ukuhlinzwa okukhulu, kunezingozi ezithile. Kodwa-ke, lokhu ngokuvamile kuyindlela yokuhlinzwa ephephile futhi ephumelelayo. Izinkinga ezingaba khona zifaka:
• I-Pneumothorax (iphaphu eliwile)
• Ukopha
• Ukuqongelela koketshezi emaphashini (i-Pleural effusion)
• Ukuvuvukala kolwelwesi oluzungeze inhliziyo (i-pericarditis)
• Izifo
• Isisekelo esisetshenziselwa ukulungisa ithambo siphukile.
• Ukuphindaphinda

Kuthatha isikhathi esingakanani ukuphulukiswa?

Ngemva kokuhlinzwa, uzobe usesibhedlela usuku olulodwa kuya kwezinhlanu. Uzoba nokuhlolwa okulandelayo nodokotela wakho ohlinzayo emavikini ambalwa. Udokotela wakho uzokwazisa ukuthi ungabuyela nini emisebenzini evamile.

Kufanele ngimbone nini udokotela?

Lokhu kubaluleke kakhulu. Kunezikhathi eziningana lapho wena noma ingane yakho kufanele niye kudokotela.

• Uma uzwa ubuhlungu besifuba noma ukungakhululeki.
• Uma ukubukeka kwamabele akho kunciphise ukuzethemba kwakho, kukwenze wazizwa ukhathazekile, noma kukwenze wazizwa ungabaza ukuxhumana nabantu .
• Uma lesi simo siphazamise impilo yakho yansuku zonke nganoma iyiphi indlela.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza le mibuzo.

• "Dokotela, ingabe i-brace noma ukuhlinzwa kungcono kakhulu esimweni sami?"
• "Uma kufanele ngigqoke i-brace, mangaki amahora ngosuku futhi ngizoyigqoka isikhathi esingakanani?"
• "Yimiphi imiphumela evamile ye-brace noma ukuhlinzwa?"
• "Uma kunenkinga nge-brace, ungashesha yini ukuzoyilungisa?"
• "Kuthatha isikhathi esingakanani ukululama ngokuphelele ngemva kokuhlinzwa?"

Ukuphila nalolu hlobo loshintsho esikoleni nakubangane kungaba nzima ngezinye izikhathi. Kodwa khumbula, awuwedwa. Ungagcini lokhu kuwe. Khuluma nabazali bakho, umuntu omdala omethembayo, noma udokotela wakho. Ngeseluleko nokwelashwa okufanele, lesi simo singaphathwa kahle.