Vana vakawanda vane pectus excavatum - inozivikanwawo se "chifukidzo chezuva" kana "chifukidzo chechipfuva" - vane matambudziko mashoma ezvehutano nekuda kwechiitiko ichi; zvisinei, mune vamwe vana, zvinogona kukanganisa zvakakodzera mwoyo nemapapu.
Izvo zvinokonzerwa nekartilage, yakasimba, miviri yakasimba inogadzira skeleton yemwana. Muchiitiko ichi, kuwedzera maronda kune maitiro asati aberekwa.
Ichi chiitiko chinogona kuva chinotambudza mushure mucheche sekubudirira kunoitika.
Iyo Inobata Sei Mwoyo uye Nhengo Yechiremera
Heano nzira iyo pectus excavatum inogona kukanganisa mwoyo uye mapapu basa:
- Chikoroti chinodzokera kune pfupa. Pakati pekuberekwa uye nemakore matatu, chirwere chevana vose vanova pfupa, kunze kweimwe nzvimbo iyo inoramba yakasununguka, sezvikamu zvehutsi nemhino. Inogadzirisawo marongerwo.
- Sternum inoputira mukati. Sezvo maronda omwana ane pectus excavatum akaoma, sternum inomanikidzwa mukati nehuwandu hwehututi hwakafukidza nenyundo, iyo inoita "kutarisa" kutarisa. Sezvo urongwa hunoenderera mberi kuburikidza nekuyaruka, mwoyo unogona kunge uchingopedzisira wapinda mubhokisi rezasi. Kushushikana kubva kuhutakiti unorema kunogona kukanganisa kukwanisa kwemoyo kuzadza neropa nekuriputira kumutumbi zvakaringana.
- Urefu hwemwoyo uye mapapu hunovhiringidzwa. Mwoyo nemapapu zvinogona kunge zviduku kudarika zvinowanzoitika nekuti hapana nzvimbo yakakwana yekuti vasvike pakukura kwemazuva ose. Kufema kwemazuva ose uye kupararira kweropa zvinoshandiswa.
Muzviitiko zvakawanda, pectus excavatum inoguma mumoyo nemapapu simba rinenge riri pasi pevhareji uye haigoni kuchinja zuva nezuva. Asi mwoyo unogona kunge usingagoni kukwira zvakanaka zvakakwana kubvumira basa rinotyisa.
Kunyangwe nyaya yakakomba ye pectus excavatum haingatyisidzi hupenyu, asi inogona kuguma nekuremara mumuviri uye inokonzera kuzviziva.
Aya zviratidzo zvinoratidza pectus excavatum uye inogona kuwirirana yezvinetso zvemwoyo:
- Kupfupika kwemhepo
- Kutsigira kwakanyanya kwekushandisa
- Chipfuva chepfu
Kubata kufema kunetseka uye kazhinji, kutonhora kwenguva refu kunogona kubva kune zviduku zvakanyanya zvepectus excavatum. Zviratidzo zvingava zvakanyanya kukura nekukwegura, kuenzanisa sezvo huwandu hwakazara hwasvika.
Pectus excavatum inogona kuongororwa uchishandiswa x-ray, CT, MRI , mapapu ekushanda kwemapapu kana echocardiography , iyo inoshandisa mazaya akajeka kubudisa mifananidzo yemwoyo.
Kuvhiya Kunogona Kubatsira
Nguva yakakodzera yekuvhiya kwepectus excavatum yakakura kudarika makore 6, asi vasati vava kuyaruka, apo mapfupa nekartilage zvishoma nezvishoma zvinokanganisika. Kuvhiya kwave kuri kuitwa pavechiri kuyaruka uye vechidiki vechidiki.
Nzira zvitatu dzokuvhiya dzokuvhiya dziripo:
Kugadziriswa Kwemhashu: Masiraji pasi mana kana mashanu anobviswa uye sternum inotsigirwa kwenguva pfupi uchishandiswa nesimbi yesimbi, iyo inotorwa mukati megore. Mwana wacho ari muchipatara kwemazuva mashanu; Basa rekuedza rinogona kutanga mumavhiki mashomanana, asi richave mwedzi yakaverengeka mberi kutamba kwekuita zvakanaka kwakanaka kuti uende zvakare.
Nuss Nzira: Bhar iri muchimiro chemafuro echifuva chaidiwa inowanikwa pasi pe sternum. Bhari inobviswa anenge makore maviri gare gare. Kudzorera kwakafanana neyaRavitch chirongwa chokugadzira.
Magnetic Mini-Mover Process: Rimwe magnet rinowanikwa mukati mechipfuva uye imwe inowanikwa kune imwe nudge nhengo yepamusoro yebhandi yebhokisi kuti iiise panzvimbo yakasarudzika, iyo inoguma nekururamisa mushure memwedzi yakawanda. Varwere vanodzokera kumusha musi iwoyo uye vanogona kudzokerazve mabasa pakarepo.
Nzira dzose dzinovandudza hutano hwemwoyo, asi muzviitiko zvisingashamisi kuvhiyiwa kunovandudza simba remapapu.
Sources
"Magnetic Mini-Mover Process." pedsurg.ucsf.edu . 2008. Yunivhesiti yeKalifornia, San Francisco. 6 Nov. 2008
"Pectus Excavatum." cardiothoracicsurgery.wustl.edu . 2008. University University of Washington. 6 Nov. 2008
"Pectus Excavatum." cincinnatichildrens.org . Mar. 2007. Cincinnati Children's Hospital. 6 Nov. 2008
"Pectus Excavatum." csmc.edu . 2008. Cedars-Sinai Medical Center. 6 Nov. 2008
"Pectus Excavatum." pedsurg.ucsf.edu . 2008. Yunivhesiti yeKalifornia, San Francisco. 6 Nov. 2008
"Pectus Excavatum Treatment." rwjuh.edu . 2008. Robert Wood Johnson University Hospital. 6 Nov. 2008