Yintoni i-Chest Excavated Chest, kutheni isenzeka kwaye ungayilungisa njani

Umxholo

• Lwenziwa njani utyando
• Unjani uchacha
• Zeziphi izizathu eziphambili

Isifuba esigrunjiweyo, esaziwa ngokwenzululwazi njenge pectus excavatum, sisiphene esizalwe naso apho ithambo le-sternum libangela uxinzelelo embindini wesifuba, kwingingqi phakathi kweembambo, kubangela utshintsho emzimbeni womntu othi, nangona ungabeki ubomi emngciphekweni, unokuthintela ukukhula kokuzithemba okanye kubangele utshintsho ngokwasengqondweni emntwaneni.

Isifuba esikroliweyo sinokukhokelela kwiingxaki ezinzima, ezinje ngokucinezelwa kwamalungu kwingingqi, akhuthaza ukukhula kwezifo zokuphefumla kunye nobunzima bokuphefumla, okwenza kube nzima ukwenza umthambo nokwenza intlungu. Oku kungalunganga kunokubonwa kwiimeko ezinje ngesifo sikaMarfan, isifo sikaNoonan, isifo sePoland kunye ne-osteogenesis engafezekanga, umzekelo.

Nangona ingxaki inokuchongwa kwakamsinya emva kokuzalwa, kwiimeko ezininzi iba mbi ngokukhula kobutsha kwaye, ke, unyango luhlala luboniswa kuphela emva kweli xesha, ukunciphisa umngcipheko wengxaki ephindaphindayo. Kwiimeko ezinqabileyo ngakumbi, unyango lunokwenziwa nakwabantu abadala, kodwa luyinkimbinkimbi kwaye ludla ixesha.

Ekuphela kwendlela yokulungisa ngokuqinisekileyo isifuba esembiweyo kukuba kwenziwe utyando ukuze kubuyiselwe amathambo kwindawo efanelekileyo, ke ngoko, le nkqubo iboniswa ikakhulu kwiimeko apho kubonakala khona iimpawu.

Lwenziwa njani utyando

Utyando ukulungisa isifuba esembiweyo singenziwa ngeendlela ezimbini ezahlukeneyo, kuxhomekeke kubukhali kunye nobudala besigulana. Nangona kunjalo, kuwo omabini la matyala kwenziwa phantsi kwe-anesthesia ngokubanzi kwaye kufuneka uhlale esibhedlele kangangeveki e-1.

Ezi ndlela zimbini zotyando zezi:

• Utyando oluvulekileyo okanye iRavitch: isetyenziswa kubantu abadala, kumodareyitha ukuya kwimeko ezinzima, isifuba sabo siqinile kwaye asymmetrical kwaye sihlala phakathi kwe-4 ukuya kwiiyure ze-6. Kule ndlela, ukusikwa okuthe tyaba kwenziwa esifubeni ukususa intlala engaqhelekanga edibanisa iimbambo kwithambo le-sternum, ivumela ithambo ukuba libuyele endaweni yalo echanekileyo. Emva koko kubekwa izinto zoqhaqho ukuze kugcinwe isifuba kwindawo efanelekileyo;
• Utyando olungenelelayo oluncinci okanye iNuss: ihlala yenziwa ebantwaneni kwaye kwiimeko ezinobulali ukuya kumodareyitha kwaye ihlala phakathi kwe-1 ukuya kwiiyure ezi-2. Kule ndlela, kusikwa izinto ezimbini ezincinci phantsi kwekhwapha emva koko kufakwe ibar yesinyithi phakathi kokunqunqa kunye nokunye, ukuze kutyhalelwe i-sternum kwindawo efanelekileyo.

Olu lutyando olubuhlungu kakhulu kwaye, ke ngoko, emva kotyando, kubalulekile ukuhlala esibhedlele ngakumbi ukwenza i-analgesics ngqo emthanjeni kwaye kuphuculwe intuthuzelo, ukukhutshwa kwangoko xa iintlungu ziyancipha kwaye kungekho zingxaki.

Unjani uchacha

Kwelixesha emva kokukhutshwa, kufuneka uye kuthethathethwano rhoqo nogqirha ukwenza i-X-ray okanye ikhompyuter ye-tomography ukuvavanya ukuba i-sternum isekwimo echanekileyo na. Ngolu vavanyo kunokwenzeka ukuba uchonge elona xesha lilungileyo lokususa izinto zotyando okanye ibar yesinyithi eseleyo ngexesha lotyando.

Kwimeko yotyando oluvulekileyo, izinto zihlala zisuswa emva kweenyanga ezi-6 ukuya kwezi-12, ngelixa ibhari yotyando oluncinci oluncinci lususwa kuphela emva kweminyaka emi-2 okanye emi-3.

Ngeli xesha kubalulekile ukuba wazi iimpawu zosulelo okanye ukwaliwa kwezinto zotyando ezishiyekileyo emzimbeni, ezinje ngokudumba okanye ukuba bomvu kwindawo yokusikeka, ifiva engaphezulu kwe-38ºC okanye ukudinwa okugqithisileyo, umzekelo.

Imisebenzi yezemidlalo, kwelinye icala, kufuneka iqalwe kuphela ngemvume kagqirha, kuthintelwe abo banefuthe elikhulu kunye nomngcipheko wokulimala, njengebhola ekhatywayo, ibhola yomnyazi okanye ubugcisa bemfazwe.

Zeziphi izizathu eziphambili

Isizathu sokubonakala kwesifuba esingenamanzi asaziwa, nangona kunjalo, kuqhelekile kumakhwenkwe nakubantu abanembali yosapho yokungahleleki kakuhle.

Nangona ingabeki mngcipheko kubomi bomntwana, isifuba esixhonyiweyo sinokuzibonakalisa de kube kwinqanaba lokufikisa kwaye sibangele iimpawu ezinjengokubetha, ukukhwehlela, ukuziva uxinzelelo esifubeni kunye nosulelo lokuphefumla.