ʻO Pectus excavatum

ʻO Pectus excavatum kahi huaʻōlelo olakino e wehewehe ana i kahi hana maʻamau ʻole o ka iwi iwi ʻaoʻao e hāʻawi i ka umauma i kahi aniani a i loko o ka helehelena.

Kū ʻo Pectus excavatum i kahi pēpē e ulu nei i ka ʻōpū. Hiki iā ia ke hoʻomohala i ka pēpē ma hope o ka hānau ʻana. Hiki ke maʻalahi a paʻakikī paha ke ʻano.

ʻO Pectus excavatum ma muli o ka ulu nui o nā mea hoʻopili e hoʻopili i nā iwi ʻaoʻao i ka umauma (sternum). ʻO kēia ke kumu o ka ulu ʻana o ka sternum i loko. ʻO ka hopena, aia kahi kaumaha i ka umauma ma luna o ka sternum, i ʻike ʻia a hohonu loa.

Inā koʻikoʻi ke ʻano, hiki ke hoʻopili ʻia ka puʻuwai a me nā māmā. Eia kekahi, ke ʻano o ka nānā ʻana o ka umauma ke kumu o ke kaumaha o ka naʻau no ke keiki.

ʻAʻole ʻike ʻia ke kumu kūpono. Kū ʻo Pectus excavatum iā ia iho. A i ʻole he moʻolelo ʻohana paha ke ʻano o ke ʻano. ʻO nā pilikia olakino ʻē aʻe i pili me kēia ʻano:

• ʻO Marfan Syndrome (nā maʻi maʻi pili)
• Noonan syndrome (maʻi e kumu i nā ʻāpana o ke kino e hoʻomōhala kino ʻole)
• Pōlani maʻi (maʻi e kumu ʻole ai ka ulu ʻana o nā mākala a i ʻole nā ​​mea āpau)
• Rikeke (palupalu a nāwaliwali hoʻi o nā iwi)
• Scoliosis (ʻōwili ʻole o ka ʻōiwi)

Kāhea aku i kāu kahu mālama ola inā ʻoe a ʻo kāu keiki paha kekahi o kēia mau mea:

• ʻEha ʻeha
• Hī pilikia
• Nā manaʻo kaumaha a huhū paha e pili ana i ke ʻano
• Luhi ka luhi, ʻoiai ʻaʻole e ʻeleu

E hana ana kāu mea hāʻawi i kahi hoʻokolokolo kino. Loaʻa paha i kahi pēpē me pectus excavatum nā hōʻailona ʻē aʻe a me nā hōʻailona, ​​ke lawe pū ʻia, e wehewehe i kahi kūlana kikoʻī i ʻike ʻia he maʻi.

E nīnau pū ka mea hāʻawi e pili ana i ka mōʻaukala, e like me:

• I ka manawa hea i ʻike mua ʻia ai ka pilikia?
• Ke hele nei a maikaʻi, ʻino, a noho like paha?
• He umauma ʻokoʻa ko nā ʻohana ʻē aʻe?
• He aha nā hōʻailona ʻē aʻe i laila?

Hiki ke hana i nā hoʻāʻo e kāpae i nā maʻi i manaʻo ʻia. Pili pū paha kēia mau hoʻāʻo:

• Nā aʻo Chromosome
• ʻO nā enzyme assays
• Nā aʻo Metabolic
• Nā kukuna X
• CT scan

E hoʻokolohua ʻia nō hoʻi e ʻike i ke ʻano o ka hopena o ka māmā a me ka puʻuwai.

Hiki ke hoʻoponopono hou i kēia ʻano. Kūkā ʻia ke ʻoki kino inā aia kekahi mau pilikia olakino ʻē aʻe, e like me ka hanu pilikia. Hiki ke hana ʻoki ʻia e hoʻomaikaʻi i ka hiʻohiʻona o ka umauma. E kamaʻilio i kāu mea hoʻolako e pili ana i nā koho lapaʻau.

Umauma Funnel; ʻO ka umauma o Cobbler; Pahu poho

• Pectus excavatum - hoʻokuʻu

• ʻO Pectus excavatum
• Lipine
• Hoʻoponopono Pectus excavatum - moʻo

ʻO Boas SR. Nā maʻi skeletal e hoʻoliʻiliʻi ana i ka hana pulmonary. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 445.

ʻO Gottlieb LJ, Reid RR, Slidell MB. Nā pahu kīnā keiki a me nā kīnā kumu. I loko o: Rodriguez ED, Losee JE, Neligan PC, eds. ʻOki kino: Volume 3: Craniofacial, ʻoki poʻomanaʻo poʻo a me nā ʻāʻī a me nā ʻoki lula pediatric. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 40.

ʻO Martin L, Hackam D. ʻO nā deformities o ka pale umauma. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier Saunders; 2017: 891-898.