ʻIke ʻia ka pectus excavatum ma ke ʻano he "hunnel chest" a i ʻole "hollow chest". He deformation ia o ka thorax i hōʻike ʻia e ke kaumaha nui a i ʻole ka nui o ka sternum. ʻOi aku ka maʻamau o ka pectus excavatum i nā kāne ma mua o nā wahine, a ʻike pinepine ʻia i ka wā ʻōpio. Hiki ke noʻonoʻo ʻia kekahi mau koho lapaʻau.

Ka wehewehe ʻana o ka pectus excavatum

Hōʻike ka pectus excavatum ma ka awelika 70% o nā hihia o ka deformity o ka ʻāʻī. Hōʻike ʻia kēia deformation e ke kaumaha nui a liʻiliʻi paha o ka paia mua o ka umauma. ʻO ka ʻaoʻao haʻahaʻa o ka sternum, he iwi palahalaha ma mua o ka ʻāʻī, e poho i loko. Ma ka ʻōlelo maʻamau, ʻōlelo mākou no ka "puʻu puʻupuʻu" a i ʻole "ka umauma hollow". ʻO kēia deformation he mea ʻehaʻeha aesthetic akā hāʻawi pū kekahi i kahi pilikia o nā maʻi cardio-respiratory.

Nā kumu o ka umauma ʻeli ʻia

ʻAʻole maopopo loa ke kumu o kēia deformation. Hōʻike nā haʻawina hou loa he hopena ia o kahi mīkini paʻakikī. Eia nō naʻe, ʻo ke kumu i ʻae ʻia ʻo ia ka ulu ʻana o ke kino o ka cartilage a me nā iwi iwi o nā iwi ʻaoʻao.

Hiki i kahi predisposition genetic ke wehewehe i kekahi mau hihia. Ua ʻike ʻia kahi moʻolelo ʻohana ma kahi o 25% o nā hihia o ka pectus excavatum.

DIAGNOSTIC o ka umauma eli

Hoʻokumu maʻamau ia ma ka hoʻokolokolo kino a me ka hoʻokolokolo kiʻi olakino. Hana ʻia kahi MRI (magnetic resonance imaging) a i ʻole CT scan no ke ana ʻana i ka helu helu o Haller. He papa kuhikuhi kēia no ka loiloi ʻana i ke koʻikoʻi o ka pectus excavatum. ʻO kona kumukūʻai maʻamau ma kahi o 2,5. ʻO ke kiʻekiʻe o ka index, ʻoi aku ka paʻakikī o ka pectus excavatum i manaʻo ʻia. Hāʻawi ka Haller index i nā limahana mālama ola e alakaʻi i ke koho o ka lāʻau lapaʻau.

No ka loiloi i ka pilikia o nā pilikia, hiki i nā kauka ke noi i nā hoʻokolohua hou. No ka laʻana, hiki ke hana i kahi EKG e loiloi i ka hana uila o ka puʻuwai.

ʻO ka poʻe i hoʻopilikia ʻia e ka pectus excavatum

Hiki ke ʻike ʻia ka pectus excavatum mai ka hānau ʻana a i ka wā kamaliʻi. Eia nō naʻe, ʻike pinepine ʻia i ka wā ulu ma waena o 12 mau makahiki a me 15 mau makahiki. Piʻi ka deformation i ka ulu ʻana o ka iwi.

ʻO ka nui o ka pectus excavatum ma waena o 6 a me 12 mau hihia no 1000. Pili kēia deformity ma kahi o hoʻokahi hānau ʻana ma 400 a ʻoi aku ka maikaʻi o ke kāne kāne me ka ratio o 5 mau keikikāne i hoʻopilikia ʻia no 1 kaikamahine.

ʻAʻohe ʻoluʻolu

ʻO ka poʻe i hoʻopilikia pinepine ʻia e hoʻopiʻi i ka ʻeha aesthetic i hoʻokumu ʻia e ka pectus excavatum. Hiki i kēia ke loaʻa ka hopena noʻonoʻo.

ʻO nā maʻi maʻi puʻuwai

Hiki ke hoʻopilikia i ka hana o ka ʻiʻo o ka puʻuwai a me ka ʻōnaehana hanu. Hiki ke ʻike ʻia nā maʻi cardio-respiratory me nā hōʻailona penei:

• dyspnea, a pilikia paha ka hanu;
• lilo o ke kūpaʻa;
• luhi;
• ʻūpā;
• ʻeha ka umauma;
• palpitations;
• tachycardia a i ʻole arrhythmia;
• nā maʻi hanu.

ʻO ke koho ʻana o ka lāʻau lapaʻau e pili ana i ka paʻakikī a me ka hōʻoluʻolu i hana ʻia e ka pectus excavatum.

Hiki ke hana ʻia no ka mālama ʻana i ka pectus excavatum. Hiki iā ia ke hoʻohana i ʻelua ala:

• ka hana hāmama, a i ʻole sterno-chondroplasty, kahi i ʻoki ʻia ma kahi o 20 knm e hoʻemi i ka lōʻihi o nā cartilages malformed a laila ke kau ʻana o kahi pā ma ka ʻaoʻao mua o ka ʻāʻī;
• ʻO ka hana e like me ka Nuss i loaʻa i ʻelua incision o 3 cm ma lalo o nā armpits e hoʻokomo i kahi pā convex nona ka pōʻai e hiki ai ke hoʻokiʻekiʻe i ka sternum.

ʻO ka hana e like me ka Nuss ʻoi aku ka liʻiliʻi ma mua o ka hana wehe akā hana ʻia ma lalo o kekahi mau kūlana. Manaʻo ʻia ia i ka wā o ke kaumaha o ka sternum ka haʻahaʻa a me ka symmetrical, a i ka wā e ʻae ai ka elasticity o ka paia o ka umauma.

Ma ke ʻano he ʻokoʻa a i ʻole ka hoʻohui ʻana i ka hoʻoponopono ʻokiʻoki, hiki ke hāʻawi ʻia kahi lapaʻau ʻana i ka bele. ʻO kēia ka silicone suction bele e hoʻemi mālie i ka deformity o ka umauma.

I kēia lā, ʻaʻohe hana pale i waiho ʻia. Ke hoʻomau nei ka noiʻi e hoʻomaopopo maikaʻi i ke kumu (s) o ka pectus excavatum.