Yintoni i-hernia yokuzalwa ene-diaphragmatic

Umxholo

• Ziintoni iimpawu
• Izizathu ezinokubangela
• Yintoni isifo
• Unyango lwenziwa njani

I-hernia ye-diaphragmatic ye-Congenital ibonakaliswe ngokuvula kwi-diaphragm, ekhoyo ekuzalweni, evumela amalungu avela kummandla wesisu ukuba ahambe esifubeni.

Oku kwenzeka ngenxa yokuba, ngexesha lokwakheka komntwana ongekazalwa, uvalo alukhuli ngokuchanekileyo, luvumela amalungu abekwe kwingingqi yesisu ukuba aye esifubeni, esinokucinezela emiphungeni, oko kuthintela ukukhula kwawo.

Esi sifo kufuneka silungiswe ngokukhawuleza, kwaye unyango luquka ukwenza utyando ukulungisa uvalo nokubekwa kwakhona kumalungu.

Ziintoni iimpawu

Iimpawu ezinokuthi zenzeke kubantu abane-hernia yokuzalwa ene-diaphragmatic, zixhomekeke kubukhulu be-hernia, nakwilungu eliye lafudukela kwingingqi yesifuba. Ke, ezona mpawu ziqhelekileyo zezi:

• Ubunzima bokuphefumla, obubangelwa luxinzelelo oluvela kwamanye amalungu emiphungeni, othintele ukuba ungakhuli kakuhle;
• Ukwanda kwenqanaba lokuphefumla, okwenzekayo ukubuyekeza ubunzima bokuphefumla;
• Ukonyusa ukubetha kwentliziyo, okwenzeka kwakhona ukubuyekeza ukungasebenzi kwemiphunga kunye nokuvumela ioksijini yeoksijini;
• Umbala oluhlaza okwesibhakabhaka kwesikhumba ngenxa yokunganeli kweoksijini yeethishu.

Ukongeza, abanye abantu banokuthi babone ukuba isisu sishwabene kunesiqhelo, kungenxa yommandla wesisu onokubuyisa umva ngenxa yokungabikho kwamanye amalungu akummandla we-thoracic, kwaye unokuqulatha amathumbu.

Izizathu ezinokubangela

Akukacaci ukuba yintoni imvelaphi ye-hernia ye-diaphragmatic ye-congenital, kodwa sele isaziwa ukuba inxulumene nokutshintsha kwemfuza kwaye kuqatshelwe ukuba oomama ababhityileyo okanye abatyebe kakhulu banokuba semngciphekweni omkhulu wokumithisa umntwana ngale nto. uhlobo lotshintsho.

Yintoni isifo

Ukuxilongwa kunokwenziwa kwangaphambi kokuzalwa, esiswini sikamama, ngexesha le-ultrasound. Ukuba ayibhaqwanga ngexesha lovavanyo ngaphambi kokubeleka, ihlala ifunyaniswa ngokuzalwa ngenxa yobukho beempawu, ezinje ngokuphefumla, ukungahambi kakuhle kwesifuba, umbala wolusu oluhlaza, phakathi kwezinye iimpawu kunye neempawu zesifo.

Emva kovavanyo lomzimba, kubukho bezi mpawu, ugqirha unokucebisa ngokusebenza kovavanyo lwe-imaging njenge-X-reyi, i-resonance yemagneti, i-ultrasound okanye i-computed tomography, ukugcina imeko yamalungu. Ukongeza, unokucela umlinganiso weoksijini egazini, ukuvavanya ukusebenza kwemiphunga.

Unyango lwenziwa njani

Unyango lubandakanya, ukuqala, kokwenza amanyathelo okhathalelo olunzulu lomntwana, kwaye kamva lokwenza utyando, apho kuvulwa khona uvalo kulungiswa kwaye amalungu atshintshwe esiswini, ukuze kukhululeke indawo esifubeni, ukuze imiphunga ikwazi ukwanda ngokufanelekileyo.