I-hernia e-diaphragmatic
I-hernia e-diaphragmatic ukukhubazeka kokuzalwa lapho kukhona ukuvuleka okungavamile ku-diaphragm. I-diaphragm isicubu esiphakathi kwesifuba nesisu esisiza ekuphefumuleni. Ukuvuleka kuvumela ingxenye yezitho ezisuka esiswini ukuthi iye emgodini wesifuba eduze kwamaphaphu.
I-hernia e-diaphragmatic iyisici esingavamile. Kwenzeka ngenkathi ingane ikhula esibelethweni. I-diaphragm ayithuthukisiwe ngokuphelele. Ngenxa yalokhu, izitho, ezifana nesisu, amathumbu amancane, ubende, ingxenye yesibindi, nezinso kungathatha ingxenye yomgodi wesifuba.
I-CDH imvamisa ihilela uhlangothi olulodwa lwesichotho. Kuvame kakhulu ohlangothini lwesobunxele. Imvamisa, izicubu zamaphaphu nemithambo yegazi endaweni ayikhuli ngokujwayelekile. Akucaci ukuthi ngabe i-hernia e-diaphragmatic ibangela izicubu zamaphaphu ezingathuthukile nemithambo yegazi, noma enye indlela.
Amaphesenti angama-40 ezingane ezinalesi sifo anezinye izinkinga futhi. Ukuba nomzali noma ingane yakini enalesi simo kwandisa ingozi.
Izinkinga ezinzima zokuphefumula zivame ukukhula ngemuva nje kokuzalwa kwengane. Lokhu kungenxa yokuhamba okungahambi kahle kwesicubu se-diaphragm nokucinana kwezicubu zamaphaphu. Izinkinga ngamazinga okuphefumula nawomoya-mpilo imvamisa kungenxa yezicubu zamaphaphu ezingathuthuki kanye nemithambo yegazi.
Ezinye izimpawu zifaka:
- Isikhumba esinemibala eluhlaza okwesibhakabhaka ngenxa yokushoda komoya-mpilo
- Ukuphefumula okusheshayo (tachypnea)
- Ukushaya kwenhliziyo okusheshayo (tachycardia)
I-fetal ultrasound ingabonisa izitho zesisu esifubeni. Owesifazane okhulelwe angaba nenani elikhulu le-amniotic fluid.
Ukuhlolwa kosana kubonisa:
- Ukuhamba kwesifuba okungavamile
- Ukungaphefumuli kuzwakala eceleni kwe-hernia
- Imisindo yamathumbu ezwakala esifubeni
- Isisu esibukeka singaphucuzekile kancane kunezingane ezisanda kuzalwa futhi esizizwa sigcwele lapho sithintwa
I-x-ray yesifuba ingakhombisa izitho zesisu esifubeni sesifuba.
Ukulungiswa kwe-hernia okudabukisayo kudinga ukuhlinzwa. Kuhlinzwa ukwenziwa ukubeka izitho zesisu endaweni efanele futhi kulungiswe imbobo ku-diaphragm.
Usana luzodinga ukusekelwa kokuphefumula ngesikhathi sokululama. Ezinye izinsana zifakwa emshinini wokudlula wenhliziyo / wamaphaphu ukusiza ukuletha umoya-mpilo owanele emzimbeni.
Umphumela wokuhlinzwa uncike ekutheni amaphaphu engane athuthuke kanjani. Kuya futhi ngokuthi ngabe zikhona yini ezinye izinkinga zokuzalwa. Imvamisa ukubuka okuhle kuzinsana ezinenani elanele lezicubu zamaphaphu ezisebenzayo futhi ezingenazo ezinye izinkinga.
Intuthuko yezokwelapha yenze ukuthi kube khona ngaphezu kwengxenye eyodwa yezinsana ezinalesi simo ukuze zisinde. Izingane ezisindayo zivame ukuba nezinselelo eziqhubekayo ngokuphefumula, ukondla nokukhula.
Izinkinga zingafaka:
- Ukutheleleka kwamaphaphu
- Ezinye izinkinga zokuzalwa
Akukho ukuvimbela okwaziwayo. Imibhangqwana enomlando womndeni wale nkinga ingafuna ukululekwa ngofuzo.
Hernia - diaphragmatic; I-hernia ezalwa nayo ye-diaphragm (CDH)
- I-hernia e-diaphragmatic yezinsana
- Ukulungisa i-hernia ye-diaphragmatic - uchungechunge
I-Ahlfeld SK. Izinkinga zokuphefumula. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 122.
UCrowley MA. Izinkinga zokuphefumula ezingakazalwa. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff kanye neMithi kaMartin's Neonatal-Perinatal Medicine. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 66.
IHarting MT, uHollinger LE, uLally KP. I-hernia ye-diaphragmatic yokuzalwa nokuzalwa. Ku: Holcomb GW, Murphy JP, St Peter SD, ama-eds. Ukuhlinzwa Kwezingane zeHolcomb ne-Ashcraft. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2020: isahluko 24.
UKearney RD, Lo MD. Ukuvuselelwa kwe-Neonatal. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 164.