Kodi Chifuwa Chofukula ndi chiyani, ndichifukwa chiyani zimachitika komanso momwe mungakonzekere

Zamkati

• Kodi opaleshoniyi yachitika bwanji
• Kodi kuchira kuli bwanji?
• Kodi ndizomwe zimayambitsa

Chifuwa chofukula, chodziwika mwasayansi monga pectus excavatum, ndimatenda obadwa nawo pomwe fupa la sternum limayambitsa kukhumudwa pakatikati pa chifuwa, m'chigawo pakati pa nthiti, ndikupangitsa kusintha kwa mawonekedwe amthupi omwe, ngakhale sakuwopseza moyo, atha kulepheretsa kudzidalira kapena zimayambitsa kusintha kwamisala mwa mwana.

Chifuwa chofukulidwacho chimatha kubweretsa zovuta zazikulu, monga kupanikizika kwa ziwalo m'derali, zomwe zimalimbikitsa kukula kwa matenda am'mapapo komanso kupuma movutikira, zomwe zimapangitsa kuti zikhale zovuta kuchita masewera olimbitsa thupi ndikupweteketsa. Vutoli limatha kuwonedwa ngati Matenda a Marfan, Matenda a Noonan, Matenda a ku Poland ndi matenda opanda ungwiro.

Ngakhale vutoli limatha kudziwika atangobadwa, nthawi zambiri limakulirakulira ndikukula kwaunyamata ndipo chifukwa chake, chithandizo chamankhwala chimangowonetsedwa patatha nthawi imeneyi, kuti muchepetse vuto lomwe lingabwererenso. Nthawi zambiri, chithandizo chitha kuchitidwanso mwa akulu, koma ndizovuta komanso zimawononga nthawi.

Njira yokhayo yothetsera pachifuwa chomwe chidafukulidwa ndikuti achite opaleshoni kuti abwezeretse mafupa pamalo oyenera, chifukwa chake, njirayi imawonetsedwa makamaka pomwe zikuwonekera.

Kodi opaleshoniyi yachitika bwanji

Kuchita opaleshoni kuti akonze chifuwa chofukula kumatha kuchitika m'njira ziwiri zosiyana, kutengera kulimba komanso msinkhu wa wodwalayo. Komabe, pazochitika zonsezi zimachitika pansi pa anesthesia ndipo ndikofunikira kukhala mchipatala kwa sabata limodzi.

Mitundu iwiri ya opaleshoni ndi iyi:

• Opaleshoni yotseguka kapena Ravitch: imagwiritsidwa ntchito kwa achikulire, pang'ono pang'ono, omwe chifuwa chawo chimakhala cholimba komanso chopanda malire ndipo chimatha pakati pa 4 mpaka 6 maola. Mwa njirayi, kudula kopingasa kumapangidwa pachifuwa kuti achotse katemera wosazolowereka womwe umalumikiza nthiti ndi fupa la sternum, kulola kuti fupa libwerere pamalo ake oyenera. Kenako zida zopangira opaleshoni zimayikidwa kuti chifuwa chikhale pamalo oyenera;
• Opaleshoni yochepa kwambiri kapena Nuss: nthawi zambiri imachitidwa mwa ana komanso modekha mpaka pakati ndipo imatenga pakati pa 1 mpaka 2 maola. Mwa njirayi, timadula tating'ono tating'ono pansi pa chikwapu kenako chitsulo chimalowetsedwa pakati pakadula ndi chimzake, kuti akankhire sternum pamalo oyenera.

Uku ndi opaleshoni yopweteka kwambiri, chifukwa chake, pambuyo pa opareshoniyo, ndikofunikira kukhala mchipatala makamaka kuti apange ma analgesics molunjika mumtambo ndikusintha chitonthozo, kumasulidwa ukangotsika ululu ndipo palibe zovuta.

Kodi kuchira kuli bwanji?

Pakadutsa nthawi yakutuluka, m'pofunika kupita kukaonana ndi dokotala pafupipafupi kuti apange X-ray kapena computed tomography kuti muwone ngati sternum akadali pamalo oyenera. Ndi kuwunikaku ndikothekanso kudziwa nthawi yabwino yochotsera zopangira opaleshoni kapena chitsulo chomwe chatsalira pakuchita opareshoni.

Pankhani ya opaleshoni yotseguka, zinthuzo zimachotsedwa pakadutsa miyezi 6 mpaka 12, pomwe bala yochitirako pang'ono imachotsedwa patadutsa zaka ziwiri kapena zitatu.

Munthawi imeneyi nkofunikanso kudziwa zizindikilo zakukhala ndi matenda kapena kukana zinthu zopangira opaleshoni zomwe zatsala mthupi, monga kutupa kapena kufiira pamalo pomwe pali mabala, kutentha thupi kopitilira 38ºC kapena kutopa kwambiri, mwachitsanzo.

Zochita zamasewera, Komano, ziyenera kungoyambika ndikuvomerezedwa ndi adotolo, kupewa omwe ali ndi vuto lalikulu komanso kuvulala, monga mpira, basketball kapena masewera andewu.

Kodi ndizomwe zimayambitsa

Zomwe zimayambira pachifuwa chopanda pake sizikudziwika, komabe, ndizofala kwambiri mwa anyamata ndi anthu omwe ali ndi mbiri yabanja yokhudzana ndi zolakwika.

Ngakhale sizimaika pachiwopsezo chilichonse pamoyo wamwana, chifuwa chobowolacho chitha kudziwonetsera mpaka unyamata ndikupangitsa zizindikilo monga kupindika, kutsokomola, kumva kupsinjika pachifuwa ndi matenda opuma.