Uninzi lwabantwana abane-pectus excavatum - eyaziwa nangokuthi "isifuba esibonisiweyo" okanye "isifuba se-funnel" - baneengxaki ezimbalwa zempilo ngenxa yolu meko; Nangona kunjalo, kwabanye abantwana, kunokuchaphazela intliziyo yesimo kunye nomphunga.
Umgwebi uninzi lwe-cartilage, i-tissue eqinile, ephikisayo eyenza isisu somntwana. Kule meko, i-cartilage eyongeziweyo ngaphezu kwembambo ngaphambi kokuzalwa.
Le meko ingaba yingxaki emva kokusana njengentuthuko eyenzekayo.
Indlela Echaphazela Ngayo Intliziyo Yomsebenzi kunye Nomsebenzi
Nazi iindlela i-pectus excavatum inokuyenza ingonakalise umsebenzi wentliziyo kunye nemiphunga:
- I-cartilage ijika ithambo. Phakathi kokuzalwa kunye neminyaka eyi-3 ubudala, i-cartilage yazo zonke iintsana iba yithambo, ngaphandle kwezinye iindawo apho ihlala i-elastic, njengezinye iindlebe neempumlo. Kwakhona kufaka amanqaku.
- I-sternum iqhubela ngaphakathi. Njengoko i-cartilage yomntwana ene-pectus excavatum iyanzima, i-sternum ifakwe ngaphakathi ngaphakathi kwinqanaba le-cartilage elimboze iimbambo, nto leyo eyenza "ibonakale". Njengoko inkqubo iyaqhubeka ngokusukela ebusheni, intliziyo ingashenxiswa ngokukhawuleza kwisifuba esasekhohlo. Uxinzelelo olusuka kwi-cartilage olukhuni lunokuphazamisa amandla enhliziyo ukuba agcwalise ngegazi kwaye uyipompele emzimbeni ngokukhawuleza.
- Ubungakanani bentliziyo kunye nomphunga buchaphazelekayo. Intliziyo nemiphunga ingancinci kuneyona evamile kuba akukho ndawo eyaneleyo yokufikelela ubungakanani obuqhelekileyo. Ukuphefumula ngokuqhelekileyo kunye nokujikeleza kwegazi kuyachaphazeleka.
Kwiimeko ezininzi, i-pectus excavatum iphumela kwintliziyo kunye nempompo amandla angaphantsi kwe-average kwaye ayichaphazeli ubomi bemihla ngemihla. Kodwa intliziyo ayinakukwazi ukupompa kakuhle ngokwaneleyo ukuvumela umsebenzi onzima.
Nangona imeko ebalulekileyo ye-pectus excavatum ayiyi kusongela ubomi, kodwa inokubangela ukukhubazeka ngokomzimba kunye nomthombo wokuzimela.
Le miqondiso ibonisa i-pectus excavatum kunye neendlela ezinxulumene neengxaki zentliziyo:
- Ukuqhawukelwa ngumphefumlo
- Ukunyamezela ngokunyanzela ukusetyenziswa
- Iintlungu zesifuba
Ubunzima bokuphefumula kunye nokuhlala kubanda kubangelwa yimifuno engaphantsi kwe-pectus excavatum. Iimpawu zingadala ngokukhula, ukuhlawulela njengoko ubungakanani obupheleleyo bufikelelwa.
I-Pectus excavatum ingahlolwa ngokusebenzisa i-x-ray, i-CT, i- MRI , iimvavanyo zomsebenzi wamaphaphu okanye i- echocardiography , esebenzisa amaza omsindo ukuvelisa imifanekiso yentliziyo.
Utyando lu no kunceda
Iminyaka efanelekileyo yokuba u-pectus opavatum utyando uphelele kuneminyaka engama-6, kodwa ngaphambi kokukhula, xa amathambo kunye ne-cartilage ziba ngaphantsi. Ugqirha lwenziwe kwintsha kunye nabantu abadala.
Kukho iindlela ezintathu zokuhlinzwa ezikhoyo:
Ukulungiswa kweRavitch: I-cartilages esezantsi okanye ezintlanu zisuswa kwaye i-sternum ixhaswa okwesikhashana isebenzisa ibha yensimbi, eyenziwa malunga nonyaka. Umntwana uhlala esibhedlele iminyaka engama-5; Umsebenzi wokukhanya ungaqalisa kwiiveki ezimbalwa, kodwa kuya kuba neenyanga ezimbalwa ngaphambi kokuba umdlalo osebenzayo ulungele ukuqhubeka kwakhona.
Inkqubo yeNuss: Ibha ebomini yodonga lwebhokisi elifunwayo lifakwa phantsi kwe-sternum. Ibha isuswe malunga neminyaka emibili kamva. Ukubuyiselwa kufana neyo-Ravitch yokukhanda.
Inkqubo yeMetro-Mover Procedure: Omnye umbane ufakwa ngaphakathi kwesifuba kwaye enye ifakwe kwi-outer nudge ne-cartilage yebhokisi ukuyibeka kwindawo eqhelekileyo, ekhokelela ekulungiseni emva kweenyanga eziliqela. Izigulane zibuyela ekhaya ngaloo mini kwaye ziyakwazi ukuqhuba imisebenzi ngokukhawuleza.
Zonke iindlela zithuthukisa ikhono lokumquba kwenhliziyo, kodwa kwiimeko ezinqabileyo ukwenziwa kotyando kuphucula amandla emiphunga.
Imithombo
Inkqubo yeMetrotic Mover. pedsurg.ucsf.edu . 2008. Yunivesithi yaseCalifornia, eSan Francisco. 6 Novemba 2008
"Pectus Excavatum." cardiothoracurgurgery.wustl.edu . 2008. IYunivesithi yaseWashington eSt. Louis. 6 Novemba 2008
"Pectus Excavatum." cincinnatichildrens.org . Mar. 2007. Isibhedlele sezingane zeCincinnati. 6 Novemba 2008
"Pectus Excavatum." csmc.edu . 2008. I-Cedars-iSinayi Centre Centre. 6 Novemba 2008
"Pectus Excavatum." pedsurg.ucsf.edu . 2008. Yunivesithi yaseCalifornia, eSan Francisco. 6 Novemba 2008
"Pectus Excavatum Treatment." bjuh.edu . 2008. Isibhedlele saseYunivesithi sikaRobert Wood Johnson. 6 Novemba 2008