Iyo pectus excavatum inozivikanwawo se "funnel chest" kana "hollow chest". Iro deformation ye thorax inoratidzirwa nekunyanya kana kushoma kuderera kwe sternum. Pectus excavatum inowanzoitika muvarume kupfuura vakadzi, uye inowanzoitika panguva yekuyaruka. Nzira dzakawanda dzekurapa dzinogona kufungwa.

Tsanangudzo yepectus excavatum

Iyo pectus excavatum inomiririra paavhareji 70% yezviitiko zvekuremara kwethorax. Iyi deformation inoratidzwa nekuderera kukuru kana kuduku kweanterior wall of chest. Chikamu chezasi che sternum, pfupa rakatsetseka riri pamberi pe thorax, rinonyura mukati. Mukutaura kwakafanana, tinotaura nezve "funnel chest" kana "hollow chest". Iyi deformation inoumba aesthetic kusagadzikana asi zvakare inopa njodzi ye cardio-kufema kusagadzikana.

Zvikonzero zvezamu rakacherwa

Kwakabva deformation iyi haisati yanyatsonzwisiswa. Zvidzidzo zvenguva pfupi yapfuura zvinoratidza kuti mhedzisiro yemuchina wakaoma. Zvisinei, chisakiso chinowanzogamuchirwa ndechekuremara kwekashwa uye mabhonzo embabvu.

A genetic predisposition inogona kutsanangura zvimwe zviitiko. Nhoroondo yemhuri yakawanikwa mune inokwana 25% yezviitiko zve pectus excavatum.

DIAGNOSTIC yezamu rakacherwa

Inowanzobva pakuongorora kwepanyama uye kuongororwa kwechiremba imaging. MRI (magnetic resonance imaging) kana CT scan inowanzoitwa kuyera Haller's index. Iyi indekisi yekuongorora kuoma kwe pectus excavatum. Huwandu hwayo hwepakati hwakatenderedza 2,5. Iyo yakakwirira iyo index, iyo yakanyanya kuoma iyo pectus excavatum inofungidzirwa. Iyo Haller index inobvumira vashandi vehutano kutungamira sarudzo yekurapa.

Kuti vaone njodzi yezvinetso, varapi vanogonawo kukumbira mamwe bvunzo. Semuenzaniso, EKG inogona kuitwa kuongorora kushanda kwemagetsi kwemoyo.

Vanhu vanobatwa ne pectus excavatum

Pectus excavatum inogona kuoneka kubva pakuzvarwa kana panguva yehucheche. Zvakangodaro, inowanzoonekwa panguva yekukura pakati pemakore gumi nemaviri kusvika gumi nemashanu. Iyo deformation inowedzera sezvo pfupa rinokura.

Chiitiko chepasi rose che pectus excavatum chiri pakati pe 6 uye 12 kesi pa 1000. Kuremara uku kunobata kuberekwa kumwe chete mu 400 uye kunyanya kunobata bonde rechirume nereshiyo yevakomana vashanu vanobatwa nemusikana mumwe.

Aesthetic kusagadzikana

Avo vanobatwa kazhinji vanonyunyuta nezve aesthetic kusagadzikana kunokonzerwa ne pectus excavatum. Izvi zvinogona kuve nemhedzisiro yepfungwa.

Cardio-respiratory disorders

Kuremara kwechipfuva kunogona kukanganisa kushanda kwemhasuru yemwoyo uye hurongwa hwekufema. Cardio-respiratory disorders inogona kuonekwa nezviratidzo zvinotevera:

• dyspnea, kana kunetseka kufema;
• kurasikirwa kwesimba;
• kuneta;
• dzungu;
• kurwadziwa muchipfuva;
• palpitations;
• tachycardia kana arrhythmia;
• zvirwere zvokufema.

Kusarudzwa kwekurapa kunoenderana nekuoma uye kusagadzikana kunokonzerwa ne pectus excavatum.

Kuvhiya kunogona kuitwa kurapa pectus excavatum. Inogona kushandisa nzira mbiri:

• iyo yakavhurika oparesheni, kana sterno-chondroplasty, iyo ine incision inosvika masendimita makumi maviri kuderedza kureba kwekashasha isina kurongeka ipapo kuiswa kwebhari pamberi pechipfuva chechipfuva;
• kuvhiya kwacho maererano neNuss iyo inoumbwa neakachekwa kaviri masendimita matatu pasi pehapwa kuunza bhawa reconvex iro kutenderera kunoita kuti sternum isimudzwe.

Kuvhiya kwacho maererano neNuss hakunetse pane kuvhurika asi kunongoitwa mune mamwe mamiriro. Inofungidzirwa apo kuora mwoyo kwe sternum kuri pakati nepakati uye symmetrical, uye apo elasticity yemadziro echifuva inobvumira.

Seimwe nzira kana kuwedzera kururamiswa kwekuvhiya, kurapa kwebhero revacuum kunogona kupihwa. Iri ibhero rekusveta silicone iro zvishoma nezvishoma rinoderedza kuremara kwechipfuva.

Kusvika iye zvino, hapana matanho ekudzivirira akaiswa mberi. Tsvagiridzo inoenderera mberi nekunzwisisa zvirinani chikonzero (s) che pectus excavatum.