Yini i-Excavated Chest, kungani kwenzeka nokuthi ungayilungisa kanjani

-Delile

• Kwenziwa kanjani ukuhlinzwa
• Lulama kanjani
• Ziyini izimbangela ezinkulu

Isifuba esimbiwe, esaziwa ngokwesayensi njenge pectus excavatum, kungukuzalwa okungahambi kahle lapho ithambo le-sternum lidala ukucindezeleka maphakathi nesifuba, esifundeni esiphakathi kwezimbambo, kubangele ushintsho emfanekisweni womzimba okuthi, noma kungenjalo kusongele impilo, kungaphazamisa ukukhula kokuzethemba noma kubangele ushintsho ngokwengqondo enganeni.

Isifuba esimbiwe singaholela ezinkingeni ezinzima, njengokucindezelwa kwezitho esifundeni, ezikhuthaza ukuthuthukiswa kwezifo zokuphefumula kanye nobunzima bokuphefumula, okwenza kube nzima ukuzivocavoca umzimba nokubanga ubuhlungu. Lokhu kungalungi kungabonakala ezimweni ezinjengeMarfan's syndrome, iNoonan's syndrome, iPoland's syndrome kanye ne-osteogenesis engaphelele, ngokwesibonelo.

Yize inkinga ingakhonjwa ngemuva nje kokuzalwa, ezimweni eziningi iba yimbi ngokukhula kobusha futhi, ngakho-ke, ukwelashwa kuvame ukukhonjiswa kuphela ngemuva kwalesi sikhathi, ukunciphisa ubungozi benkinga yokuphinda yenzeke. Ezimweni ezingavamile kakhulu, ukwelashwa kungenziwa nakubantu abadala, kepha kuyinkimbinkimbi futhi kudla isikhathi.

Ukuphela kwendlela yokulungisa ngokuqinisekile isifuba esimbiwe ukuhlinzwa ukuze kubuyiselwe amathambo endaweni efanele, ngakho-ke, le nqubo ikhonjiswa ikakhulukazi ezimweni lapho kuvela khona izimpawu.

Kwenziwa kanjani ukuhlinzwa

Ukuhlinzwa ukulungisa isifuba esimbiwe kungenziwa ngezindlela ezimbili ezihlukene, kuya ngobukhulu nobudala besiguli. Kodwa-ke, kuzo zombili izimo kwenziwa ngaphansi kwe-anesthesia ejwayelekile futhi kuyadingeka ukuhlala esibhedlela isikhathi esingangesonto elilodwa.

Izinhlobo ezimbili zokuhlinzwa yilezi:

• Ukuhlinzwa okuvulekile noma i-Ravitch: isetshenziswa kubantu abadala, ezimeni ezilinganiselayo kuya kwezinzima, isifuba sabo siqinile futhi asilingani futhi sihlala phakathi kwamahora amane kuya kwayisithupha. Ngale ndlela, kusikwa okuvundlile esifubeni ukuze kususwe uqwanga olungavamile oluxhuma izimbambo nethambo le-sternum, okuvumela ithambo ukuthi libuyele endaweni yalo efanele. Bese kubekwa izinto zokuhlinza ukugcina isifuba endaweni efanele;
• Ukuhlinzwa okuncane okuhlaselayo noma i-Nuss: kuvame ukwenziwa ezinganeni futhi ezimweni ezimnene kuya kokuphakathi futhi ihlala phakathi kwehora elilodwa kuya kwele-2. Kule ndlela, kusikwa kabili okuncane ngaphansi kwekhwapha bese kufakwa insimbi phakathi kokukodwa nokusika, ukuze kuphushelwe i-sternum endaweni efanele.

Lokhu ukuhlinzwa okubuhlungu kakhulu futhi, ngakho-ke, ngemuva kokuhlinzwa, kuyadingeka ukuthi uhlale esibhedlela ikakhulukazi ukwenza ama-analgesics ngqo emthanjeni futhi uthuthukise induduzo, ukhishwe ngokushesha lapho ubuhlungu buncipha futhi kungabikho zinkinga.

Lulama kanjani

Esikhathini ngemuva kokukhishwa, kubalulekile ukuya ekubonaneni kaningi nodokotela ukwenza i-X-ray noma i-computed tomography ukuze uhlole ukuthi ngabe i-sternum isesimweni esifanele yini. Ngalezi zivivinyo kungenzeka futhi ukunquma isikhathi esihle sokususa impahla yokuhlinza noma ibha yensimbi esele ngesikhathi sokuhlinzwa.

Endabeni yokuhlinzwa okuvulekile, okokusebenza kuvame ukususwa ngemuva kwezinyanga eziyi-6 kuye kwezingu-12, kuyilapho ibha yokuhlinzwa okuncane kungasuswa kuphela ngemuva kweminyaka emibili noma emithathu.

Ngalesi sikhathi kubalulekile futhi ukuqaphela izimpawu zokutheleleka noma ukwenqaba okokuhlinzwa okushiywe emzimbeni, njengokuvuvukala noma ukubomvu endaweni esikiwe, imfiva engaphezulu kuka-38ºC noma ukukhathala ngokweqile, isibonelo.

Imisebenzi yezemidlalo, ngakolunye uhlangothi, kufanele iqalwe kuphela ngemvume kadokotela, igweme labo abanomthelela omkhulu nobungozi bokulimala, njengebhola, i-basketball noma ubuciko bempi.

Ziyini izimbangela ezinkulu

Isizathu sokuvela kwesifuba esiyize asaziwa, noma kunjalo, kuvame kakhulu kubafana nakubantu abanomlando womndeni wokungalungi.

Yize kungabeki engcupheni empilweni yengane, isifuba esingenalutho singazibonakalisa kuze kube seminyakeni yobusha futhi sidale izimpawu ezifana nokushaywa, ukukhwehlela, ukuzwa ukucindezelwa esifubeni kanye nezifo zokuphefumula.