Ana ambiri omwe ali ndi pectus excavatum - amadziwika kuti "chifuwa chowoneka" kapena "chifuwa chachitsulo" - ali ndi mavuto ochepa chifukwa cha matendawa; Komabe, mwa ana ena, izi zingakhudze mtima woyenera ndi mapapo.
Mlanduwu ndi mchere wambiri, wolimba kwambiri, womwe umapanga mafupa a mwana. Mu chikhalidwe ichi, mitundu yowonjezera yodula pamwamba pa nthiti asanabadwe.
Matendawa akhoza kukhala ovuta kuyambira ali wakhanda ngati chitukuko chimachitika.
Mmene Zimakhudzira Mtima ndi Ntchito Yokwiya
Nazi njira zomwe pectus excavatum ikhoza kusokoneza ntchito ya mtima ndi mapapo:
- Katemera wotembenukira ku fupa. Pakati pa kubadwa ndi zaka zitatu, khungu la ana onse limakhala fupa, kupatula m'malo ena omwe amakhalabe otsika, monga mbali za makutu ndi mphuno. Ikulumikizanso ziwalo.
- Sternum ikudutsa mkati. Monga katemera wa mwana yemwe ali ndi pectus excavatum amauma, chimathamangira mkati mwa nyerere yowonjezera nthiti, zomwe zimayambitsa "kuyang'ana". Pamene ndondomeko ikupitirira kupyolera mu unyamata, mtima ukhoza kuyamba pang'onopang'ono kuchoka mu chifuwa chakumanzere. Kupanikizika kuchokera ku kanyumba kovuta kungachititse kuti mtima ukhale wodzazidwa ndi magazi ndikuponyera thupi mwamsanga.
- Kukula kwa mtima ndi mapapu kumakhudzidwa. Mtima ndi mapapo angakhale ang'onoang'ono kuposa achibadwa chifukwa palibe malo okwanira kuti afike kukula kwakenthu. Kupuma kwabwino ndi kusakaza magazi kumakhudza.
Kawirikawiri, pectus excavatum amachititsa mtima ndi mphamvu zamapapu mochepa chabe ndipo sizikukhudzanso moyo wa tsiku ndi tsiku. Koma mtima sungakhoze kupopera mokwanira kuti ulole ntchito yovuta.
Ngakhale vuto lalikulu la pectus excavatum silidzaopseza moyo, koma likhoza kuchititsa kufooka kwa thupi komanso kumangokhala wodzidalira.
Zizindikiro izi zimasonyeza kuti pectus excavatum ndi mavuto omwe amakhala nawo pamtima:
- Kupuma pang'ono
- Kulekerera pang'ono pa zolimbitsa thupi
- Kupweteka pachifuwa
Mavuto ochepa opuma komanso nthawi zambiri, chimfine chimatha chifukwa cha mitundu yochepa ya pectus excavatum. Zizindikiro zikhoza kuwonjezereka ndi ukalamba, kuwerengera ngati kukula kwakukulu kumafikira.
Pectus excavatum ikhoza kuyesedwa pogwiritsira ntchito x-ray, CT, MRI , mapapu a ntchito zamapapu kapena zojambula zamakono , zomwe zimagwiritsa ntchito mafunde kuti apange zithunzi za mtima.
Opaleshoni Angathandize
Msinkhu woyenera wa opaleshoni ya pectus opavatum ndi wamkulu kuposa zaka zisanu ndi chimodzi, koma asanakhale wachinyamata, mafupa ndi khunyu sizingatheke. Kuchitidwa opaleshoni kwa achinyamata ndi achinyamata.
Njira zitatu zothandizira opaleshoni zilipo:
Kukonza kwa Mphungu : Magalimoto ocheperapo anayi kapena asanu amachotsedwa ndipo sternum imathandizidwa pang'onopang'ono pogwiritsa ntchito chitsulo chamatabwa, chomwe chimatengedwa pafupifupi chaka chimodzi. Mwanayo ali kuchipatala kwa masiku asanu; Ntchito yowonongeka ikhoza kuyamba masabata angapo, koma idzakhala miyezi ingapo kuti masewera olimbitsa thupi ayambe bwino.
Ndondomeko ya Nuss: Bala lofanana ndi khoma lachifuwa lomwe limafunidwa limaikidwa pansi pa sternum. Babu amachotsedwa patatha zaka ziwiri. Kubwezeretsa kuli kofanana ndi kwa Ravitch kukonza opaleshoni.
Ndondomeko ya Maginito Mini-Mover Procedure: Maginito amodzi amaikidwa m'kati mwa chifuwa ndipo imodzi imayikidwa pamtundu wa nudge nthge ya chifuwa kuti iibweretse pamalo oyenera, zomwe zimabweretsa kutsata pambuyo pa miyezi ingapo. Odwala amapita kunyumba tsiku lomwelo ndipo akhoza kuyambiranso ntchito yomweyo.
Njira zonse zimapangitsa kuti mtima uyambe kupopera, koma nthawi zambiri opaleshoni imawongolera mphamvu zamapapo.
Zotsatira
"Magnetic Mini-Mover Procedure." pedsurg.ucsf.edu . 2008. University of California, San Francisco. 6 Nov. 2008
"Pectus Excavatum." khalidakalila.wustl.edu . 2008. University of Washington ku St. Louis. 6 Nov. 2008
"Pectus Excavatum." yanjimachi.biz . Mar. 2007. Chipatala cha ana a Cincinnati. 6 Nov. 2008
"Pectus Excavatum." csmc.edu . 2008. Cedars-Sinai Medical Center. 6 Nov. 2008
"Pectus Excavatum." pedsurg.ucsf.edu . 2008. University of California, San Francisco. 6 Nov. 2008
"Chithandizo cha Pectus Excavatum." yunthu.edu . 2008. Chipatala cha Yunivesite ya Robert Wood Johnson. 6 Nov. 2008