Iningi lezingane ezine-pectus excavatum - eyaziwa nangokuthi "isifuba esinyanyisiwe" noma "isifuba se-funnel" - sinenkinga embalwa yezempilo ngenxa yalesi simo; Nokho, kwezinye izingane, zingathinta umsebenzi wenhliziyo nephuzi efanelekile.
Lezi zinhlayiya ziyi-cartilage eningi kakhulu, izicubu ezinamandla, ezinamapulangwe ezakha isifuba somntwana. Kule nkinga, i-cartilage eyengeziwe ifaka phezu kwezimbambo ngaphambi kokuzalwa.
Lesi simo singaba nzima ngemva kokusana njengentuthuko kwenzeka.
Indlela Ethinta Ngayo Inhliziyo Yomzimba Nokusebenza
Nazi izindlela ukuthi i-pectus excavatum ingahle ilahlekise umsebenzi wenhliziyo nephuphu:
- I-cartilage iphenduka ithambo. Phakathi kokuzalwa kanye neminyaka engu-3 ubudala, i-cartilage yazo zonke izingane iba amathambo, ngaphandle kwezinye izindawo lapho ihlala iqina, njengezingxenye zezindlebe nekhala. Ibuye ihlanganise amalunga.
- I-sternum iqhubekela phambili. Njengoba uqwanga lomntwana ophethe i-pectus excavatum lukhuni, i-sternum iphoqelelwa ngaphakathi ngaphakathi kwenqwaba ye-cartilage ehlanganisa izimbambo, okwenza kubonakale "kubonwe". Njengoba inqubo iqhubeka phakathi nentsha, inhliziyo ingase iqhubekele kancane kancane esifubeni sesobunxele. Ukucindezela okuvela enxanteni elukhuni kungaphazamisa ikhono lenhliziyo ukugcwalisa ngegazi bese uliphonsa emzimbeni ngokushesha.
- Usayizi we-Heart nephaphu uthintekile. Inhliziyo namaphaphu kungase kube mncane kunokujwayelekile ngoba akanayo indawo eyanele yokuba bafinyelele usayizi ojwayelekile. Ukuphefumula okuvamile nokujikelezwa kwegazi kuthinteka.
Ezimweni eziningi, i-pectus excavatum iphumela enhliziyweni nasemaphakathini amandla angaphansi kwesilinganiso futhi ayithinti ukuphila kwansuku zonke. Kodwa inhliziyo ingase ingakwazi ukupompa kahle ngokwanele ukuvumela umsebenzi okhuthele.
Ngisho nesimo esibucayi se-pectus excavatum ngeke sisongele ukuphila, kodwa singabangela ukukhubazeka ngokomzimba futhi kungumthombo wokuziqhenya.
Lezi zibonakaliso zisho i-pectus excavatum kanye nokuhleleka okuhambisana nezinkinga zenhliziyo:
- Ukuphelelwa umoya
- Ukubekezelelana okuphansi kokuzivocavoca
- Ubuhlungu besifuba
Ubunzima obunzima bokuphefumula kanye nokushisa okuhlala njalo, kungabangela izinhlobo ezincane kakhulu ze-pectus excavatum. Izimpawu zingase zibe zibi kakhulu ngobudala, zilinganise njengoba usayizi ophelele ufinyelelwe.
I-Pectus excavatum ingahlolwa ngokusebenzisa i-x-ray, i-CT, i- MRI , i-lung function test noma i- echocardiography , esebenzisa amagagasi omsindo ukuveza izithombe zenhliziyo.
Ukuhlinzwa Kungasiza
Iminyaka efanelekayo yokuhlinza i-pectus i-excavatum isebenze iminyaka engaphezu kwengu-6, kodwa ngaphambi kokukhula, lapho amathambo ne-cartilage behluleka ukuziphendulela. Ukuhlinzwa kwenziwa kubantu abasha kanye nabantu abadala.
Kunezinqubo ezintathu zokuhlinzwa ezikhona:
Ukulungiswa kwe-Ravitch: I-cartilages ephansi emine noma emihlanu isusiwe futhi i-sternum isekelwa okwesikhashana isebenzisa ibha yensimbi, ekhishwa cishe ngonyaka. Ingane igcinwe esibhedlela izinsuku ezinhlanu; Umsebenzi okhanyayo ungaqala emavikini ambalwa, kodwa kuzoba izinyanga ezimbalwa ngaphambi kokudlala okusebenzayo kulungile ukuqhubeka.
Inqubo ye-Nuss: Ibha esesimweni sodonga lwesifuba esifuna efakwe ngaphansi kwe-sternum. Ibha isuswa cishe eminyakeni emibili kamuva. Ukubuyisela kufana nalokhu kweRavitch ukukhanda okuhlinzekwayo.
Inqubo Yokumisa Umzila Omncane Magnetic: Umshini owodwa ufakwa ngaphakathi kwesifuba futhi omunye ufakwa emgqonyeni ongaphandle we-nudge umcuba we-chest ukuze awulethe isikhundla esivamile, okuholela ekulungiseni ngemva kwezinyanga ezimbalwa. Iziguli ziya ekhaya ngosuku olufanayo futhi zingabuyekeza imisebenzi ngokushesha.
Zonke izindlela zithuthukisa ikhono lokuxosha inhliziyo, kodwa kuphela ezimweni ezingavamile ukuthi ukuhlinzwa kuthuthukisa ikhono lamaphaphu.
Imithombo
"Inqubo Yokumisa Umzila Omncane Magnetic." pedsurg.ucsf.edu . 2008. University of California, eSan Francisco. 6 uNhlolanja 2008
"Pectus Excavatum." cardiothoracicsurgery.wustl.edu . 2008. University of Washington eSt. Louis. 6 uNhlolanja 2008
"Pectus Excavatum." cincinnatichildrens.org . Mar. 2007. Isibhedlela sezingane zeCincinnati. 6 uNhlolanja 2008
"Pectus Excavatum." csmc.edu . 2008. Isikhungo sezokwelapha saseCedars-Sinai. 6 uNhlolanja 2008
"Pectus Excavatum." pedsurg.ucsf.edu . 2008. University of California, eSan Francisco. 6 uNhlolanja 2008
"Ukwelashwa kwe-Pectus Excavatum." lluh.edu . 2008. Isibhedlela saseRobert Wood Johnson University. 6 uNhlolanja 2008