I-hernia yeDiaphragmatic

I-hernia ye-diaphragmatic sisiphene sokuzalwa apho kukho ukuvulwa okungaqhelekanga kwisithsaba. Idayaphragm sisihlunu esiphakathi kwesifuba kunye nesisu esikunceda uphefumle. Umngxunya uvumela amalungu athile esiswini ukuba aye kwisifuba kufutshane nemiphunga.

I-hernia ye-diaphragmatic sisiphene esinqabileyo. Kwenzeka ngelixa umntwana ekhula esibelekweni. I-diaphragm ayiphuhliswanga ngokupheleleyo. Ngenxa yoku, amalungu, anjengesisu, amathumbu amancinci, udakada, inxalenye yesibindi, kunye nezintso zinokuthatha indawo yesifuba.

I-CDH ihlala ibandakanya icala elinye kuphela kwidayaphragm. Kuqheleke kakhulu kwicala lasekhohlo. Rhoqo, izicubu zemiphunga kunye nemithambo yegazi kwindawo leyo ayikhuli ngendlela eqhelekileyo. Akucaci ukuba i-hernia ye-diaphragmatic hernia ibangela ukuba izicubu zemiphunga ezingaphuhliswanga kunye nemithambo yegazi, okanye enye indlela ejikeleze.

Iipesenti ezingama-40 zeentsana ezikule meko zinazo nezinye iingxaki. Ukuba nomzali okanye umntakwenu onale meko kwandisa umngcipheko.

Iingxaki zokuphefumla kakhulu zihlala zikhula kwakamsinya emva kokuba umntwana ezelwe. Oku kubangelwe yinxalenye yokuhamba okungalunganga kwemisipha yedayaphragm kunye nokuxinana kwethishu yemiphunga. Iingxaki ngokuphefumla kunye namanqanaba eoksijini zihlala zibangelwa kukungaphuhli kwezicubu zemiphunga kunye nemithambo yegazi ngokunjalo.

Ezinye iimpawu zibandakanya:

• Ulusu olunombala oluhlaza okwesibhakabhaka ngenxa yokunqongophala kweoksijini
• Ukuphefumla ngokukhawuleza (tachypnea)
• Inqanaba lentliziyo elikhawulezayo (tachycardia)

I-fetal ultrasound ingabonisa amalungu esisu kwisifuba. Umfazi okhulelweyo unokuba nesixa esikhulu se-amniotic fluid.

Uvavanyo lwentsana lubonisa:

• Ukuhamba kwesifuba ngokungaqhelekanga
• Ukungabikho komphefumlo uvakala ecaleni kwe-hernia
• Izandi zamathumbu zivakala esifubeni
• Isisu esijongeka ngathi sineproberant encinci kunosana oluqhelekileyo olusandul 'ukuzalwa kwaye siziva sigcwele xa sichukumisiwe

I-x-ray yesifuba ingabonisa amalungu esiswini kwisifuba.

Ukulungiswa kwe-hernia eline diaphragmatic kufuna utyando. Utyando lwenziwa ukubeka amalungu esisu kwindawo efanelekileyo kwaye kulungiswe ukuvulwa kwidayaphragm.

Usana luya kufuna inkxaso yokuphefumla ngexesha lokululama. Olunye usana lubekwa kumatshini wokudlula kwentliziyo / wemiphunga ukunceda ukuhambisa ioksijini eyaneleyo emzimbeni.

Iziphumo zotyando zixhomekeka kwindlela umphunga womntwana okhule ngayo. Kuxhomekeke ekubeni ngaba zikhona ezinye iingxaki zokuzalwa. Amaxesha amaninzi umbono ulungile kwiintsana ezinexabiso elaneleyo lokusebenza kwethishu yemiphunga kwaye azinazo ezinye iingxaki.

Inkqubela phambili kwezonyango yenze ukuba kube lula ukuba ngaphezulu kwesiqingatha seentsana ezinale meko ukuba zisinde. Iintsana ezisindayo zihlala zineengxaki eziqhubekayo ngokuphefumla, ukondla kunye nokukhula.

Iingxaki zinokubandakanya:

• Usulelo lwemiphunga
• Ezinye iingxaki zokuzalwa

Akukho sithintelo saziwayo. Amaqabane anembali yosapho yale ngxaki anokufuna ukufumana iingcebiso ngemfuzo.

Hernia - uvalo; I-hernia yokuzalwa ye-diaphragm (CDH)

• Intsana ye-diaphragmatic hernia
• Ukulungiswa kwe-hernia ye-diaphragmatic-uthotho

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