IPectus Excavatum

Umxholo

• Iimpawu zepectus excavatum ezinzima
• Ungenelelo lotyando
• Inkqubo yeRavitch
• Inkqubo yeNuss
• Iingxaki zotyando lwepectus excavatum
• Olundini

UPectus excavatum ligama lesiLatin elithetha “isifuba esixhonyiweyo.” Abantu abanolu hlobo lokuzalwa banesifuba esicacileyo. I-concave sternum, okanye ithambo lesifuba, linokubakho xa kuzalwa. Inokukhula kamva, ihlala ifikisa. Amanye amagama aqhelekileyo kule meko afaka isifuba somkhandi, isifuba sefaneli, kunye nesifuba esitshonileyo.

Phantse iipesenti ezingama-37 zabantu abane-pectus excavatum nabo banesihlobo esisondeleyo kunye nale meko. Oku kuphakamisa ukuba inokuba lilifa. I-Pectus excavatum lolona donga lwesifuba luqhelekileyo phakathi kwabantwana.

Kwiimeko ezinzima, inokuphazamisa ukusebenza kwentliziyo kunye nemiphunga. Kwiimeko ezinobumnene, kunokubangela iingxaki zomfanekiso ozimeleyo. Abanye abaguli abanale meko bahlala beyiphepha imisebenzi enjengokudada eyenza ukufihla imeko kube nzima.

Iimpawu zepectus excavatum ezinzima

Izigulana ezine-pectus excavatum ezinzima zinokufumana ukuphefumla okufutshane kunye nentlungu esifubeni. Utyando lunokuba yimfuneko ukukhupha ukungonwabi kunye nokukhusela intliziyo kunye nokuphefumla okungaqhelekanga.

Oogqirha basebenzisa i-X-ray yesifuba okanye i-CT scan ukwenza imifanekiso yezakhiwo zangaphakathi zesifuba. Oku kunceda ukulinganisa ubungqongqo begophe. Isalathiso seHaller ngumlinganiso omiselweyo osetyenziselwa ukubala ubungqongqo bemeko leyo.

Isalathiso seHaller sibalwa ngokwahlula ububanzi bembambo kumgama osuka kwisternum uye kumqolo. Isalathiso esiqhelekileyo simalunga ne-2.5.Isalathiso esingaphezulu kwe-3.25 sithathwa njengobunzima ngokwaneleyo ukuba kulungiswe utyando. Izigulana zinokhetho lokungenzi nto ukuba i-curvature ithambile.

Ungenelelo lotyando

Utyando lunokungenelela okanye lungenelele kancinci, kwaye lunokubandakanya ezi nkqubo zilandelayo.

Inkqubo yeRavitch

Inkqubo yeRavitch yinkqubo yotyando engafunekiyo eyaba nguvulindlela ngasekupheleni kweminyaka yoo-1940. Obu buchule buquka ukuvula isifuba ngesiciko esibanzi esithe tyaba. Amacandelo amancinci embambo asuswe kwaye i-sternum icabalele.

Imigca, okanye imivalo yesinyithi, inokufakwa ukuze kubambe i-cartilage kunye namathambo endaweni. Imijelo ibekwe macala omabini okuqanjwa, kwaye ukubethelwa kubuyiselwe umva kunye. I-Struts ingasuswa, kodwa yenzelwe ukuhlala endaweni ngokungenammiselo. Iingxaki zihlala zincinci, kwaye ukuhlala esibhedlele okungaphantsi kweveki kuqhelekile.

Inkqubo yeNuss

Inkqubo yeNuss yaphuhliswa kwii-1980s. Yinkqubo encinci engenayo. Kubandakanya ukusikwa okuncinci okumbini ngapha nangapha kwesifuba, ngaphantsi kwenqanaba leengono. Isigculelo sesithathu esincinci sivumela ogqirha ukuba bafake ikhamera encinci, esetyenziselwa ukukhokela ukufakwa kwebar yesinyithi egobileyo. Ibha ijikelezisiwe ngoko ijika ngaphandle xa sele iphantsi kwamathambo kunye ne-cartilage yethambo eliphezulu. Oku kunyanzela i-sternum ngaphandle.

Ibha yesibini inokuncanyathiselwa ngokungafaniyo neyokuqala ukunceda ukugcina indawo egobileyo. Imisonto ivaliwe ngemithungo, kwaye amadreyini ethutyana abekwa kwiindawo ezikufuphi okanye kufutshane nazo. Obu buchule abufuni kusikwa okanye kususwe intlala okanye ithambo.

Imivalo yentsimbi iyasuswa ngexesha lenkqubo yokugula malunga neminyaka emibini emva kotyando lokuqala kwizigulana ezisencinci. Okwangoku, ukulungiswa kulindeleke ukuba kube sisigxina. Imivalo ayinakususwa kangangeminyaka emithathu ukuya kwemihlanu okanye isenokuhlala isigxina kubantu abadala. Inkqubo iya kusebenza kakuhle kubantwana, amathambo abo kunye ne-cartilage zisakhula.

Iingxaki zotyando lwepectus excavatum

Ukulungiswa kotyando kunempumelelo enkulu. Nayiphi na inkqubo yotyando ibandakanya umngcipheko, kubandakanya:

• intlungu
• umngcipheko wosulelo
• kungenzeka ukuba ukulungiswa kungasebenzi kakuhle kunokuba bekulindelwe

Izikrelemnqa azinakuphepheka, kodwa zincinci ngokufanelekileyo ngenkqubo yeNuss.

Kukho umngcipheko we-thoracic dystrophy ngenkqubo yeRavitch, enokubangela iingxaki zokuphefumla ezinzima. Ukunciphisa lo mngcipheko, utyando luhlala lulibaziseka kude kube semva kweminyaka eli-8 ubudala.

Iingxaki aziqhelekanga ngoqhaqho, kodwa ubunzima kunye nobunzima beengxaki ziphantse zilingane zombini.

Olundini

Oogqirha bavavanya indlela entsha: inkqubo yemagneti eshukumayo. Le nkqubo yovavanyo ibandakanya ukufaka umazibuthe onamandla ngaphakathi kodonga lwesifuba. Imagnethi yesibini incanyathiselwe ngaphandle kwesifuba. Iimagnethi zivelisa amandla aneleyo okulungisa ngokuthe ngcembe i-sternum kunye neembambo, zibanyanzela ngaphandle. Imagnethi yangaphandle inxitywe njengesihlangu se-brace senani elimiselweyo leeyure ngosuku.