Kuyini ukuzalwa kwe-hernia e-diaphragmatic

-Delile

• Ziyini izimpawu
• Izimbangela ezingaba khona
• Yini ukuxilongwa
• Yelashwa kanjani

I-hernia ye-diaphragmatic ye-Congenital ibonakala ngokuvula ku-diaphragm, ekhona lapho izalwa, evumela izitho ezivela esifundeni sesisu ukuba ziye esifubeni.

Lokhu kwenzeka ngoba, ngesikhathi ukwakheka kombungu, i-diaphragm ayikhuli kahle, ivumela izitho ezisendaweni yesisu ukuba ziye esifubeni, ezingacindezela emaphashini, ngaleyo ndlela zivimbele ukukhula kwayo.

Lesi sifo kufanele silungiswe ngokushesha okukhulu, futhi ukwelashwa kuqukethe ukwenza ukuhlinzwa ukulungisa i-diaphragm nokubeka izitho kabusha.

Ziyini izimpawu

Izimpawu ezingenzeka kubantu abanesifo sokuzalwa esine-diaphragmatic hernia, zincike kubukhulu be-hernia, kanye nasogumbini olwathuthela esifundeni sesifuba. Ngakho-ke, izimpawu ezivame kakhulu yilezi:

• Ukuphefumula kanzima, okubangelwa ingcindezi evela kwezinye izitho emaphashini, okukuvimbele ukuthi ikhule kahle;
• Izinga lokuphefumula lenyukile, elenzeka ukukhokhela ubunzima bokuphefumula;
• Ukushaya kwenhliziyo okwandisiwe, okwenzeka futhi ukunxephezela ukungasebenzi kahle kwamaphaphu futhi kuvumele i-oxygenation yezicubu;
• Umbala oluhlaza okwesibhakabhaka wesikhumba ngenxa yokwanele kwe-oxygenation yezicubu.

Ngaphezu kwalokho, abanye abantu bangaqaphela ukuthi isisu sishwabene kakhulu kunokujwayelekile, kungenxa yesifunda sesisu esingahlehla ngenxa yokungabikho kwezinye izitho ezisendaweni yesifuba, futhi kungahle kuqukethe namathumbu.

Izimbangela ezingaba khona

Akukacaci ukuthi yini umsuka we-hernia e-diaphragmatic yokuzalwa, kepha kuyaziwa vele ukuthi kuhlobene nokuguquka kwezakhi zofuzo futhi kuyabonakala ukuthi omama abancane kakhulu noma abakhuluphele kakhulu bangaba nengozi enkulu yokukhulelwa ingane ngalokhu uhlobo lwenguquko.

Yini ukuxilongwa

Ukuxilongwa kungenziwa ngaphambi kokuzalwa, esiswini sikamama, ngesikhathi se-ultrasound. Uma ingatholakali ngesikhathi sokuhlolwa kokubeletha, imvamisa kutholakala lapho izalwa ngenxa yokuba khona kwezimpawu, njengobunzima bokuphefumula, ukunyakaza kwesifuba okungajwayelekile, umbala wesikhumba ohlaza okwesibhakabhaka, phakathi kwezinye izimpawu nezimpawu zesifo.

Ngemuva kokuhlolwa komzimba, lapho kukhona lezi zimpawu, udokotela angaphakamisa ukwenziwa kokuhlolwa kwe-imaging okufana ne-X-ray, resonance magnetic, ultrasound noma i-computed tomography, ukubona ukuma kwezitho. Ngaphezu kwalokho, ungacela futhi ukulinganiswa komoya-mpilo osegazini, ukuhlola ukusebenza kwamaphaphu.

Yelashwa kanjani

Ukwelashwa kuqala, kokwenza izinyathelo zokunakekelwa okunamandla kwengane, futhi kamuva kokuhlinzwa, lapho kuvulwa khona ukuvuleka kwesithambile bese kufakwa ezinye izitho esiswini, ukuze kukhululeke isikhala esifubeni, ukuze amaphaphu akwazi ukukhula kahle.