Yawancin yara tare da ƙwaƙwalwa na pectus - wanda aka sani da suna "chestken chest" ko "kwalliya mai kwakwalwa" - suna da wasu matsalolin kiwon lafiyar a sakamakon wannan yanayin; Duk da haka, a wasu yara, yana iya rinjayar zuciya da ƙwayar zuciya.
Mai laifi yana da ƙwayar faya-faye, nau'i mai karfi, wanda zai iya haifar da kwarangwal jariri. A cikin wannan yanayin, karin kayan tiyata yana haɓaka riba kafin haifa.
Wannan yanayin zai iya zama muni bayan yaro yayin da ake ci gaba.
Yadda Yayi Shafan Zuciya da Lung Function
Ga wadansu hanyoyin da pectus excavatum zasu iya daidaitawa da zuciya da ƙwayar cuta:
- Guringuntsi yana juya zuwa kashi. Tsakanin haihuwar da shekaru 3, ƙwayar ƙwayar dukan jariran ya zama kashi, sai dai a wasu wurare inda ya kasance na roba, kamar sassan kunnuwa da hanci. Har ila yau yana layi da gidajen abinci.
- Sternum yana motsawa ciki. Yayinda ake yalwataccen yarinyar da yaro da ƙwaƙwalwa na pectus, sternum yana motsawa cikin ciki ta hanyar adadin ƙarancin kewayo wanda ke haifar da kullun, wanda ya haifar da kallon "sunken". Yayin da wannan tsari ya ci gaba da tsufa, za a iya motsa zuciyar cikin kirji na hagu. Jarraba daga ƙwaƙwalwar ƙwayoyi yana iya tsoma baki tare da iyawar zuciya don cike da jini da kuma ɗaga shi a jikin jiki da sauri.
- Zuciya da ƙwayar ƙwayar cuta sun shafi. Zuciyar da ƙwaƙwalwa na iya zama karami fiye da na al'ada domin ba su da isasshen dakin da za su iya isa girman ƙimar. Hakan yana tasirin numfashi da jini.
A mafi yawancin lokuta, ƙwaƙwalwar pectus yana haifar da zuciya da ƙwaƙwalwar ƙwayar ƙarfin dan kadan a ƙasa kuma ba zai shafi rayuwar yau da kullum ba. Amma zuciya bazai iya yin famfo sosai don ba da damar yin aiki mai tsanani ba.
Hatta mawuyacin hali na excavatum na pectus ba zai barazanar rai ba, amma zai iya haifar da nakasar jiki kuma shine tushen farinciki.
Wadannan alamun sun bada shawara game da launi na pectus da kuma yiwuwar halayyar zuciya:
- Rawancin numfashi
- Ƙaramar haƙuri don motsa jiki
- Ƙunƙun zuma
Matsanancin matsalolin rashin lafiya da kuma lokuta mai tsawo, mai sanyi na tsawon lokaci zai iya haifar da ƙananan siffofin pectus excavatum. Kwayar cututtuka na iya kara tsanantawa da shekarun haihuwa, ƙaddamarwa a matsayin cikakken girman kai.
Ana iya kimanta fassarar launi na Pectus ta amfani da x-ray, CT, MRI , gwajin aikin gwaggwon biri ko kuma echocardiography , wanda yayi amfani da raƙuman motsi don samar da hotuna na zuciya.
Hoto zai iya Taimako
Matsayin da ya dace domin aikin tiyata na pectus ya tsufa shekaru 6, amma kafin yaro, lokacin da kasusuwa da guringuntsi suka zama marasa sauki. An yi tiyata a kan matasa da matasa.
Hanyoyi uku na aikin tiyata sun wanzu:
Ravitch Gyara: Ana cire ƙananan kwalliya huɗu ko biyar kuma sternum yana tallafawa na dan lokaci ta amfani da igiyan karfe, wanda aka ɗauka cikin kusan shekara guda. Yaron ya asibiti har zuwa kwanaki 5; Ayyukan haske zasu iya farawa a cikin 'yan makonni, amma zai zama watanni da yawa kafin wasan kwaikwayo na aiki ya yi kyau don ci gaba.
Nuss Dokar: An sanya bar a siffar rumfar da aka so a cikin sternum. An cire mashaya a kusa da shekaru 2 daga baya. Maidowa kamar kamannin gyaran gyaran gyare-gyare na Ravitch.
Hanyar Magnetic Mini-Mover: An sanya magnet daya a cikin kirji kuma an sanya shi a waje da ƙuƙwalwar ƙuƙwalwa na kirji don kawo shi cikin matsayi mafi mahimmanci, wanda zai haifar da gyara bayan wasu watanni. Marasa lafiya sun koma gida a wannan rana kuma zasu iya fara ayyukan nan da nan.
Duk hanyoyi na inganta ƙwarewar zuciya, amma a lokuta masu yawa ne tiyata yana inganta karfin kututtuka.
Sources
"Hanyar Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙararrawa." pedsurg.ucsf.edu . 2008. Jami'ar California, San Francisco. 6 Nuwamba 2008
"Pectus Excavatum." cardiothoracicsurgery.wustl.edu . 2008. Jami'ar Washington a St. Louis. 6 Nuwamba 2008
"Pectus Excavatum." cincinnatichildrens.org . Mar. 2007. Cincinnati Yarayar Yara. 6 Nuwamba 2008
"Pectus Excavatum." csmc.edu . 2008. Cedars-Sinai Medical Center. 6 Nuwamba 2008
"Pectus Excavatum." pedsurg.ucsf.edu . 2008. Jami'ar California, San Francisco. 6 Nuwamba 2008
"Jiyya na Pectus Excavatum." rwjuh.edu . 2008. Cibiyar asibitin Robert Wood Johnson. 6 Nuwamba 2008