Uma ubheka isifuba sengane yakho, ingabe sibonakala sengathi sicwile ngaphakathi? Noma siphuma phambili njengejuba? Uke waphawula ukuthi ingane yakho inobunzima bokuphefumula noma ubuhlungu besifuba ngenxa yalesi simo? Mhlawumbe ayithandi ukudlala nabangani noma ukuya echibini lokubhukuda, futhi iphatheke kabi kakhulu ngalolu shintsho emzimbeni wayo. Namuhla sikhuluma ngokuhlinzwa okukhethekile okungasiza ngesimo esinjalo.
Iyini inqubo yeRavitch?
Kalula nje, inqubo yeRavitch inqubo yokuhlinzwa yokulungisa i-pectus excavatum noma i-pectus carinatum. Kule nqubo, udokotela ohlinzayo uvula isifuba sengane yakho (ukuhlinzwa okuvulekile), asuse ingxenye ye-cartilage ekhubazekile ezungeze maphakathi nesifuba, i-sternum , bese ebeka kabusha i-sternum.
Lokhu kuhlinzwa kunciphisa kakhulu ukungakhululeki ngokomzimba ingane ebhekana nakho, njengobunzima bokuphefumula kanye nobuhlungu besifuba . Kodwa okubaluleke nakakhulu impumuzo enikezwa yiyo empilweni yengqondo yengane. Cabanga ukuthi kuyacasula kangakanani ngengane encane ukuzwa ukuthi isimo sayo sesifuba sihlukile kwesabanye? Ngemva kwalokhu kuhlinzwa, uma lokho kubukeka sekubuyiselwe, ukuzethemba kwengane kukhula kakhulu.
Kuvame kangakanani lokhu kuhlinzwa?
I-Pectus Excavatum iyimbangela evamile yokukhubazeka kodonga lwesifuba. Lesi simo sithinta umuntu oyedwa kwabangu-300 kanye noyedwa kwabangu-1,000. Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa zokwelapha lesi simo. Enye yi -Ravitch Procedure . Enye yi -Nuss Procedure . Nakuba ukuhlinzwa kwe-Nuss kuvame kakhulu kwamanye amazwe, inqubo ye-Ravitch iwukuhlinzwa okuthembekile kakhulu, okujwayelekile okuye kwenziwa ngempumelelo ezinkulungwaneni zabantu emhlabeni wonke iminyaka engaphezu kwengu-60.
Wena nomntwana wakho nizilungiselela kanjani ngaphambi kokuhlinzwa?
Lena yingxenye ebaluleke kakhulu kuwe njengomzali. Ucwaningo luthole ukuthi uma abazali besaba noma bekhathazekile ngaphambi kokuhlinzwa kwengane, ingane izozizwa ngendlela efanayo. Ngakho-ke, kungamandla amakhulu enganeni ukuhlala izolile ngangokunokwenzeka.
Ungamthulisa umntwana wakho ngokusho lezi zinto:
- "Ubulele ngokuphelele ngesikhathi sokuhlinzwa, ngakho ngeke uzwe lutho noma uzwe ubuhlungu ."
- "Odokotela bazokunakekela kahle, futhi sizobe silapho."
Mhlawumbe ukuze ahlele ukuhlinzwa, udokotela wakho uzoyala ukuthi kuhlolwe isifuba sengane yakho nge-CT scan.Bacela ukuhlolwa. Chazela ingane ukuthi ukuskena okuvamile okungenabuhlungu.
Ngaphezu kwalokho, udokotela wakho uzokutshela ngokucacile ukuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa, kanye nezindlela zokulawula ubuhlungu ngemva kokuhlinzwa.
Kwenzekani ngempela ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamathathu. Ake sibheke kafushane izinyathelo eziyinhloko ezihilelekile.
| Izinyathelo | Incazelo elula yalokho okwenzekayo |
|---|---|
| 1. Ukufaka ukusika | Udokotela wenza ukusika okuvundlile esikhumbeni esifubeni sengane, ngaphezu kwe-sternum. |
| 2. Ukuphakamisa imisipha phezulu | Imisipha emboze ithambo lesifuba (imisipha yePectoralis) iphakanyiswa kancane bese idonswa eceleni. |
| 3. Ukususwa kwe-cartilage ekhubazekile | Ama-cartilage aqinile asemaceleni omabili e-sternum, abangele ukushintsha kwesimo, asuswa ngokucophelela. |
| 4. Ukulungiswa kwe-Sternum | Iphakamisa ithambo lesifuba elicwile noma eliwehlisayo ithambo lesifuba eliphumile, iligcina lisendaweni efanele nefanele okufanele libe kuyo. |
| 5. Ukufaka isisekelo | Ukuze i-sternum ihlale isendaweni efanele, kufakwa insimbi engagqwali ngaphansi kwayo noma kubekwa amapuleti phezulu. |
| 6. Ukuthunga imbobo | Ekugcineni, imisipha ibuyiselwa endaweni yayo yokuqala futhi ukunqunywa kwesikhumba kuthungwa ngokucophelela. |
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzofakwa amapayipi amabili amancane esilondeni sesifuba sengane ukuze kukhishwe uketshezi oluningi. Kuzofakwa ne-catheter ukuze kukhishwe umchamo. Ungakhathazeki ngalezi zinto. I-catheter izokhishwa ngosuku olulodwa noma ezimbili. Ipayipi lesifuba lizokhishwa ezinsukwini ezimbili kuya kwezintathu.
Into ebaluleke kakhulu ukuthi insimbi yokusekela efakwe ngaphakathi kwesifuba idinga ukususwa ngokuhlinzwa okuncane cishe ngonyaka olandelayo . Kodwa kulula kakhulu, futhi ingane ingaya ekhaya ngalolo suku. Ngezinye izikhathi, uma kufakwa amapuleti aqiniswe ngezikulufo, akudingeki asuswe futhi.
Ingabe kukhona izingozi noma izinkinga ngalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane kakhulu. Kodwa izindaba ezinhle ukuthi izinga lezinkinga zenqubo yeRavitch eguquliwe lingaphansi kuka-5% . Lokho kusho ukuthi amacala angu-95 kwangu-100 azoxazululwa ngokuphelele. Nazi ezinye zezinkinga ezingaba khona.
| Inkinga engaba khona | Incazelo elula |
|---|---|
| I-Pneumothorax | Ukufinyela kwamaphaphu. |
| I-Atelectasis | Ukuwa kwengxenye yamaphaphu. |
| Ukuphuma kwe-Pleural | Ukugcwala koketshezi emaphashini. |
| I-Pericarditis | Ukuvuvukala kolwelwesi olumboze inhliziyo. |
| Ukutheleleka | Inxeba noma ukutheleleka emzimbeni. |
| Ukugxuma kusuka ebharini | Ukuhamba kusuka ekusekelweni okuqinile. |
| Ukuphinda kwalesi sifo | Ibele libuyela esimweni salo sangaphambilini ngemva kwesikhathi esithile (okungavamile kakhulu). |
Kuthatha isikhathi esingakanani ukululama?
Ungalindela ukuthi uzokwazi ukuthatha ingane yakho uyiyise ekhaya isuka esibhedlela izinsuku ezintathu kuya kwezine ngemuva kokuhlinzwa. Ngezinye izikhathi, uma inqubo yokupholisa imizwa (i-Nerve Cryoablation) isetshenziswa ukulawula ubuhlungu ngesikhathi sokuhlinzwa, ukuhlala esibhedlela kungancishiswa kube ngaphansi kwezinsuku ezintathu.
Ngaphambi kokuba ingane ibuyele ekhaya, ithi:
- Udinga ukwazi ukulawula ubuhlungu.
- Udinga ukukwazi ukudla nokuya endlini yangasese wedwa.
- Kufanele ukwazi ukuhamba kancane.
Buza udokotela wakho ukuthi ungabuyela nini esikoleni. Kodwa-ke, imidlalo yokuxhumana kufanele igwenywe kuze kube yilapho isifuba sakho sesipholile ngokuphelele, okumele kuthathe cishe amasonto ayi-6 kuya kwayi-8 .
Ngemva kokuhlinzwa, udokotela uzokucela ukuthi ubuye uzobona udokotela wakho ngemva kwamasonto amabili, izinyanga ezintathu, kanye nonyaka.
Kunini lapho kudingeka ushayele udokotela ucingo ngokushesha?
Uma ingane yakho inezinye zezimpawu ezingezansi ngemva kokubuyela ekhaya, shayela udokotela wakho ngokushesha.
| Uma unalezi zimpawu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha. | |
|---|---|
| Isibonakaliso | Okufanele ukunake |
| Izimpawu zokutheleleka | Umkhuhlane omkhulu, ukubomvu, ukuvuvukala, noma ubomvu obuphuma esilondeni. |
| Ubuhlungu obungalawuleki | Ubuhlungu bukhulu kangangokuthi abukwazi ukulawulwa ngemithi yobuhlungu enikezwayo. |
| Ubunzima bokuphefumula | Ingane inenkinga yokuphefumula noma izizwa ifuthwe. |
Ukwenza isinqumo sokuhlinzwa kwengane akuyona into elula kubazali. Kodwa futhi kunzima ukubona ingane yakho ihlupheka ngokomzimba noma ngokwengqondo ngenxa yokubukeka kwayo. Ngakho-ke yiba ummeli wengane yakho. Khuluma nodokotela wakho nganoma yiziphi izinkinga noma ukwesaba onakho. Khuluma nengane yakho, lalela ukuthi izizwa kanjani. Lesi akusona isinqumo esingenziwa ngobusuku obubodwa. Khuluma nomndeni bese unquma ukuthi yini engcono kakhulu kuwo wonke umuntu.
Umlayezo Wokuya Nawe Ekhaya
- Inqubo yeRavitch iyindlela yokuhlinzwa ephumelele kakhulu, eneminyaka eminingi yokulungisa amabele axegayo noma avele ngaphandle.
- Lokhu kunikeza ikhambi elihle kokubili ebunzimeni bomzimba bomntwana (njengobunzima bokuphefumula) kanye nobunzima bengqondo (njengokungazithembi).
- Kubaluleke kakhulu ekulungiseleleni kwengqondo yengane ukuthi abazali bahlale bezolile ngaphambi kokuhlinzwa.
- Ukululama kudinga izinsuku eziningana esibhedlela kanye namasonto amaningana okuphumula ekhaya, ikakhulukazi ukugwema imidlalo yokuxhumana.
- Ungalokothi unqikaze ukuxoxa nganoma yiziphi izinkinga noma ukungabaza onakho nodokotela wengane yakho.
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