Imithi yokuzilahla emantwaneni yi-hernia yokubeletha eyenzeka komunye wabantwana abayizinkulungwane ezinhlanu. Okuyinhloko ye-pathology yukuthi e-utero ukwakheka kwe-diaphragm akulungile - kuyakha imbobo. Ngalo emgodini wesifuba ungangena kwezinye izitho, ezifake amaphaphu. Lapho umntwana ezalwa, unenkinga ngokuphefumula, intambo yomgogodla, izinso.
Isizathu esiyinhloko nesibaluleke kunazo zonke yentuthuko emtholampilo wakhe osanda kuzalwa unobuthakathaka futhi awukwazi ngokwanele izicubu ezihlangene.
Ukwelashwa nokubikezela
I-hernia yokuxuba emantwaneni izalwa idinga ukwelashwa, kodwa ingaqala ngaphambi kokuzalwa. Uma udokotela ehloniphe ukukhubazeka kwe-fetus ngenkathi i-ultrasound yesiguli sesisu somama okhulelwe, khona-ke indlela yokulungisa i-fetoscopic iyasebenza. Lokhu kuyindlela yokuhlinzwa, lapho ibhaluni ijoqelwa khona emthonjeni wengane, ekhuthaza ukuthuthukiswa kwamapayipi ayo. Kodwa-ke, le nqubo inqunywe ngokusongela kwangempela empilweni ye-fetus, ngoba ubungozi bokuphulukana kwesifo somzimba kanye nokubeletha ngaphambi kwesikhathi kuphezulu kakhulu. Uma izimpawu ze-hernia eziphazamisayo zitholakala ngemva kokubeletha, ukwelashwa kuqala nge-ventilation ngokushesha ngemva kokubeletha. Khona-ke ingane izohlinzwa. Odokotela bawuthunqa umgodi, futhi uma kunesidingo, gcoba izicubu ezingekho zokwenziwa. Emva kwezinyanga ezimbalwa ngokuhlinzwa okuphinda, i-flap izosuswa.
Amathuba omntwana ukuba asinde lapho ehlonza i-hernia ye-diaphragm ibanga kusuka ku-60-80%. Kodwa-ke, lezi zibalo azisho lutho ngokwabo, ngoba izici eziyinhloko ziwubukhulu besici, kanye nendawo ye-hernia (ohlangothini lwesokudla noma lwesobunxele lomzimba). Udokotela kuphela ongakutshela ngezindlela eziphumelela kakhulu zokwelapha.