I-hernia ye-diaphragmatic yabantwana yindlala yokuzalwa ebanjwe kwelinye lamawaka amawaka amahlanu. Ingundoqo yentsholongwane kukuba ku-utero ukubunjwa kwesilathisi akuphosakeli - kubumba imingxuma. Ngalesi sifuba singangena kwezinye izitho, ezifake imiphunga. Xa umntwana ezalwa, unengxaki yokuphefumula, intambo yomgudu, izintso.
Isizathu esibalulekileyo kunye nesona sizathu esibalulekileyo sokuphuhliswa kwintsimi esandayo esanda kuzalwa sinobuthakathaka kunye nokunyaniseka okwaneleyo kwezicubu ezinxibelelwano.
Unyango kunye nokugxekwa
I-hernia ye-diaphragmatic iintsana ifuna unyango, kodwa ingaqaliswa ngaphambi kokuzalwa. Ukuba ugqirha ufumene i-pathology ye-fetus ngexesha le-ultrasound yesisu esiswini somfazi okhulelweyo, ngoko-ndlela isetyenziselwa ukulungiswa kwe-fetoscopic nganye. Oku kuqhutywayo, ngelixa ibhaluni ijojowe kwi-trachea yengane, ikhuthaza ukuphuhliswa kwemiphunga yayo. Nangona kunjalo, le nkqubo inqunywe ngengozi yangempela ebomini bomntwana, kuba umngcipheko wokuphulukana kwesithintelo kunye nokubeleka kwangaphambi kokubeleka kuphezulu kakhulu. Ukuba iimpawu ze-hernia ezifayo zifunyenwe emva kokuzalwa, ke unyango luqala ngokuphuphuma umoya emva kokubeletha. Emva koko umntwana uya kutyunjwa. Oogqirha badonsa umgodi kwisigxina, kwaye xa kuyimfuneko, bamba iisitiki ezikhoyo ezingekhoyo. Emva kweenyanga ezimbalwa ngokusebenza kwakhona, i-flap iya kususwa.
Amathuba omntwana ukuba aphile xa efumanisa i-hernia ye-diaphragm ukusuka kwi-60-80%. Nangona kunjalo, la manani awanalo nantoni na into, kuba izinto eziphambili zixinzelelo lwesiphene, kunye nommandla we-hernia (kwicala lasekunene okanye lesobunxele lomzimba). Ugqirha kuphela onokukuxelela ngeendlela eziphambili zonyango.