Diaphragmatic heniya

Iyo diaphragmatic hernia chirema chekuberekwa umo mune kuvhurika kusingaenzanisike mudhayaphiramu. Iyo diaphragm ndiyo mhasuru iri pakati pechipfuva nedumbu iyo inobatsira iwe kufema. Kuvhura kwacho kunotendera chikamu chenhengo kubva mudumbu kufamba mukati mechipfuva padhuze nemapapu.

Iyo diaphragmatic hernia inoshoma hurema. Zvinoitika mwana achiri kukura mudumbu. Iyo diaphragm haina kunyatso kuvandudzwa. Nekuda kweizvi, nhengo, senge dumbu, ura mudiki, spleen, chikamu chechiropa, uye itsvo dzinogona kutora chikamu chechipfuva.

CDH kazhinji inosanganisira chete divi rimwe diaphragm. Inowanzoitika kuruboshwe. Kazhinji, mapapu emapundu nemidzi yeropa munzvimbo iyi hazvikure zvakajairika futi. Hazvisi pachena kana iyo diaphragmatic hernia inokonzeresa isina kugadzirwa yemapapu tishu nemidzi yeropa, kana imwe nzira yakatenderedza.

40 muzana yevana vane chirwere ichi vane mamwe matambudziko zvakare. Kuva nemubereki kana munin'ina ane mamiriro acho kunowedzera njodzi.

Zvinetso zvakanyanya zvekufema zvinowanzoitika mwana achangoberekwa. Izvi zvinokodzera muchikamu chekufamba kwakashata kwetsika yedhayaphragm uye kuwanda kwemapapu emapapu. Matambudziko nekufema uye neokisijeni mazinga anowanzo kuve nekuda kwekusasarudzika kwemapapu tishu nemidzi yeropa futi.

Zvimwe zviratidzo zvinosanganisira:

• Bluish ganda ganda nekuda kwekushaya oxygen
• Kukurumidza kufema (tachypnea)
• Kutsanya kwemoyo moyo (tachycardia)

Fetal ultrasound inogona kuratidza nhengo dzemudumbu mubhokisi rechipfuva. Mukadzi ane nhumbu anogona kunge aine huwandu hwakawanda hweamniotic fluid.

Kuongorora kwechecheche kunoratidza:

• Kufamba zvisina kufanira kwechifuva
• Kushaya mweya unonzwika padivi nehernia
• Ura mutsindo unonzwika mubhokisi
• Dumbu rinotaridzika kushomeka kupfuura remwana achangozvarwa uye rinonzwa kushoma kana rakabatwa

X-ray yechipfuva inogona kuratidza nhengo dzemudumbu mubhokisi rechipfuva.

Iyo diaphragmatic hernia kugadzirisa inoda kuvhiyiwa. Kuvhiya kunoitwa kuisa nhengo dzemudumbu munzvimbo kwayo uye kugadzirisa kuvhura mudhiramu.

Mwana mucheche anoda rubatsiro rwekufema panguva yekudzoreredza. Vamwe vacheche vanoiswa pamushini wemoyo / wemapapu wekupfuura kuti ubatsire kuendesa oxygen yakakwana kumuviri.

Mhedzisiro yekuvhiyiwa inoenderana nekuti mapapu emwana akakura sei. Zvinoenderana nekuti pane mamwe matambudziko ekuberekwa. Kazhinji kazhinji maonero akanaka kune vacheche vane huwandu hwakaringana hwekushanda kwemapapu emapundu uye vasina mamwe matambudziko.

Kufambira mberi kwekurapa kwakaita kuti zvive nyore kweinopfuura hafu yevacheche vane chirwere ichi kuti vararame. Vacheche vanopona vanowanzo kuve nematambudziko anoenderera nekufema, kufudza, uye kukura.

Zvinetso zvinogona kusanganisira:

• Zvirwere zvemapapu
• Mamwe matambudziko ekuberekwa

Iko hakuna kunozivikanwa kudzivirira. Vakaroorana vane nhoroondo yemhuri yedambudziko iri vangangoda kutsvaga kwehungwaru.

Hernia - diaphragmatic; Kuberekwa heniya diaphragm (CDH)

• Mucheche diaphragmatic hernia
• Diaphragmatic hernia kugadzirisa - akateedzana

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Crowley MA. Neonatal mweya wekufema. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chitsamba 66.

Harting MT, Hollinger LE, Lally KP. Congenital diaphragmatic hernia uye chiitiko. Mune: Holcomb GW, Murphy JP, St. Peter SD, eds. Holcomb uye Ashcraft's Pediatric Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2020: chitsama 24.

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