Chithokomiro cha zakuthwa

Chotupa chofufumitsa ndi chilema chobadwa chomwe chimakhala ndi kutseguka kwachilendo mu diaphragm. Chizindikiro ndi minofu pakati pa chifuwa ndi pamimba yomwe imakuthandizani kupuma. Kutsegulira kumalola ziwalo zina kuchokera m'mimba kuti zisunthire pachifuwa pafupi ndi mapapo.

Chingwe choterechi chimatha kuchepa. Zimachitika mwana akamakula m'mimba. Chizindikiro sichikula bwino. Chifukwa cha izi, ziwalo, monga m'mimba, matumbo ang'onoang'ono, ndulu, gawo la chiwindi, ndi impso zimatha kutenga gawo la chifuwa.

CDH nthawi zambiri imangokhala mbali imodzi yokhayokha. Zimapezeka kwambiri kumanzere. Kawirikawiri, minofu ya m'mapapo ndi mitsempha ya m'deralo imakula bwino. Sizikudziwika ngati chophukacho chimayambitsa matenda am'mapapo ndi mitsempha yamagazi, kapena njira ina.

Ana 40 pa 100 aliwonse amene ali ndi vutoli ali ndi mavuto enanso. Kukhala ndi kholo kapena m'bale kapena mlongo yemwe ali ndi vutoli kumawonjezera ngozi.

Mavuto akulu opuma nthawi zambiri amayamba mwana akangobadwa. Izi zimachitika chifukwa cha kusayenda bwino kwa minofu ndikulemera kwa minofu yam'mapapo. Mavuto a kupuma ndi mpweya wabwino nthawi zambiri amayamba chifukwa cha minofu yam'mapapo yomwe sinakule bwino komanso mitsempha yamagazi.

Zizindikiro zina ndizo:

• Khungu lamtundu wa Bluish chifukwa chosowa mpweya
• Kupuma mofulumira (tachypnea)
• Kuthamanga kwa mtima (tachycardia)

Fetal ultrasound imatha kuwonetsa ziwalo zam'mimba pachifuwa. Mayi wapakati atha kukhala ndimadzi amniotic ambiri.

Kuyesedwa kwa khanda kukuwonetsa:

• Kusuntha pachifuwa kosasintha
• Kupanda mpweya kumamveka pambali ndi chophukacho
• Phokoso la matumbo lomwe limamveka pachifuwa
• Mimba yomwe imawoneka yocheperako poyerekeza ndi mwana wakhanda wabwinobwino ndipo imadzimva kukhuta ikakhudzidwa

X-ray pachifuwa imatha kuwonetsa ziwalo zam'mimba pachifuwa.

Kukonzanso kwa hernia kumafuna kuchitidwa opaleshoni. Opaleshoni imachitika kuti ziwalo zam'mimba zizikhala pamalo oyenera ndikukonzanso kotseguka.

Khanda lidzafunika kupuma panthawi yopuma. Ana ena amaikidwa pamakina odutsa pamtima / m'mapapo kuti athandizire kupereka mpweya wokwanira mthupi.

Zotsatira za opaleshoni zimadalira momwe mapapu a mwana amakulira bwino. Zimadaliranso ngati pali mavuto ena obadwa nawo. Nthawi zambiri malingaliro ndiabwino kwa makanda omwe ali ndi minyewa yambiri yamapapu yogwira ntchito ndipo alibe mavuto ena.

Kupita patsogolo kwachipatala kwathandiza kuti theka la ana omwe ali ndi vutoli apulumuke. Ana omwe amakhala ndi moyo nthawi zambiri amakhala ndi zovuta pakupuma, kudyetsa, komanso kukula.

Zovuta zingaphatikizepo:

• Matenda a m'mapapo
• Mavuto ena obadwa nawo

Palibe njira yodziwika yopewera. Mabanja omwe ali ndi mbiri yabanja pamavuto awa angafune kupita kukalandira upangiri wa majini.

Hernia - zakulera; Matenda obadwa nawo a diaphragm (CDH)

• Mng'alu wachinyamata wakhanda
• Diaphragmatic hernia kukonza - mndandanda

Ahlfeld luso ndi ndani. Matenda a kupuma. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 122.

[Adasankhidwa] Crowley MA. Matenda opatsirana a Neonatal. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 66.

Harting MT, Hollinger LE, Lally KP. Mpweya wobadwa nawo wobadwa nawo komanso zochitika. Mu: Holcomb GW, Murphy JP, St. Peter SD, olemba. Opaleshoni ya Ana ya Holcomb ndi Ashcraft. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2020: chap 24.

[Adasankhidwa] Kearney RD, Lo MD. Kubwezeretsa kwa Neonatal. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 164.