Pectus excavatum - hoʻokuʻu

Ua ʻoki ʻia ʻoe a ʻo kāu keiki paha e hoʻoponopono i ka pectus excavatum. ʻO kēia kahi hana maʻamau ʻole o ka iwi iwi ʻaoʻao e hāʻawi i ka umauma i kahi caved-in a i ʻole sunken hiʻohiʻona.

E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka no ka mālama pono ʻana iā ʻoe iho ma ka home.

Ua hana ʻia ke kaha ʻana ma ke ʻano he hāmama a i ʻole pani ʻia. Me kahi ʻoki ākea kahi ʻoki hoʻokahi (incision) i hana ʻia ma ka ʻaoʻao mua o ka umauma. Me kahi kaʻina pani, ua hana ʻia i ʻoki liʻiliʻi ʻelua, hoʻokahi ma kēlā me kēia ʻaoʻao o ka pahu. Hoʻokomo ʻia nā mea hana ʻoki lāʻau i loko o nā ʻokiʻoki e hana i ke ʻoki.

I ka wā o ke ʻoki ʻana, i hoʻokau ʻia i ka pahu hao a i ʻole nā ​​kaula i ka lua o ka pahu e paʻa ai ka umauma i ke kūlana kūpono. E noho ka pa hao i kahi ma kahi o 1 a 3 mau makahiki paha. Lawe ʻia nā struts i 6 a 12 mau mahina.

Hele wāwae ʻoe a ʻo kāu keiki paha i ke ao e hoʻonui i ka ikaika. Pono paha ʻoe e kōkua i kāu keiki e hele i loko a waho o kahi moe i ka 1 a 2 mau pule ma hope o ke kahakaha ʻana.

I ka malama mua ma ka home, e ʻike pono ʻoe a ʻo kāu keiki paha.

• Kulou mau ma nā pūhaka.
• Noho pololei e kōkua i ka hoʻopaʻa ʻana i ka pā. MAI hoʻolohi.
• AOLE e kaʻa i kēlā me kēia ʻaoʻao.

ʻOi aku paha ka ʻoluʻolu e hiamoe hapa e noho ana i kahi recliner no 2 a 4 mau pule ma hope o ke kahakaha ʻana.

ʻAʻole pono ʻoe a me kāu keiki i kahi ʻekeʻeke. E noi i kāu kaukukō i ka nui o ke kaupaona e palekana iā ʻoe a i ʻole i kāu keiki e hāpai a hāpai. E haʻi paha ke kauka iā ʻoe ʻaʻole ia e kaumaha ma mua o 5 a 10 paha mau paona (2 a 4.5 kilokilo).

Pono ʻoe a me kāu keiki e hōʻalo i ka hana ikaika a hoʻopili i nā haʻuki no 3 mau mahina. Ma hope o kēlā, maikaʻi ka hana no ka mea hoʻomaikaʻi i ka ulu ʻana o ka umauma a hoʻoikaika i nā mākala o ka umauma.

E noi i ke kaukōpō ke hiki iā ʻoe a me kāu keiki ke hoʻi i ka hana a kula paha.

ʻO ka hapa nui o nā lole (bandages) e hemo e ka manawa e haʻalele ai ʻoe a kāu keiki paha i ka haukapila. Aia paha he mau ʻāpana o ka lepe ma nā ʻokiʻoki. E waiho i kēia mau mea i kahi. E hāʻule lākou i kā lākou iho. Aia paha he wahi liʻiliʻi o ke kahawai wai ma nā kaha. He maʻamau kēia.

Mālama i nā wā i hoʻopaʻa ʻia me nā kauka. ʻO kēia paha he 2 mau pule ma hope o ke kaha ʻana. Pono e kipa ʻē aʻe i ka wā e paʻa ana ka lāʻau hao a i ʻole strut. E hana ʻia kahi ʻoki hou e wehe i ka ʻauamo a i ʻole nā ​​struts. Hana pinepine ʻia kēia ma kahi kumu maʻi maʻi.

Pono ʻoe a me kāu keiki e komo i kahi kūpeʻe lima lima a i ʻole ka lei lei i ka wā e paʻa ana ka hao hao. Hiki i ke kaukipoki ke hāʻawi iā ʻoe i ka ʻike hou aku e pili ana i kēia.

Kāhea i ke kaukōpō inā loaʻa iā ʻoe a i ʻole paha i kāu keiki kekahi o kēia mau mea:

• Fiva o 101 ° F (38.3 ° C), a ʻoi aku paha
• Hoʻonui i ka pehu, ʻeha, kahe, a i ʻole ke kahe ʻana o ke koko mai nā ʻeha
• ʻEha ʻeha puʻuwai
• Pokole o ka hanu
• Nausea a i ʻole ka luaʻi
• Hoʻololi i ke ʻano o ka umauma ke nānā aku mai ke ʻoki

Papadakis K, Shamberger RC. ʻO nā deformities o ka paia umauma Congenital. I: Selke FW, del Nido PJ, Swanson SJ, eds. ʻO Sabiston lāua ʻo Spencer Surgery o ka umauma. 9th ed. Piladelapia, PA: Elsevier; 2016: chap 24.

Putnam JB. Lū, pā umauma, pleura, a me mediastinum. I: Townsend CM JR, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 57.

• ʻO Pectus excavatum
• Hoʻoponopono Pectus excavatum

• Nā maʻi maʻi cartilage
• Nā ʻeha a me nā maʻi o ka umauma