The deformations of the thorax (ICD 10) and their treatment
Such a serious disease, such as chest deformity involves a pretty major change of its form, which may be acquired or congenital. This pathology can cause serious disruption to almost all organs of the thorax, i.e. Cardiac, respiratory and vascular systems. It should be noted that deformation of the thorax occur in approximately 2% of children. While the child is still too young for such pathology is not visible. However, until the child reached 3 years old, this deviation becomes most apparent.
Classification of deformities of the chest?
In medicine, there are certain classifications of chest deformation. For example, view such a severe pathology may be funnel-shaped. This form is the most common. It is in most cases characterized by a hollow and slightly concave chest. Likely to develop this deviation boys, as many children of primary school age there are health problems on the background of the development of pulmonary emphysema. The more severe form of the disease may receive a decrease or increase in pressure, the complex curvature of the spine, as well as a very serious offense in the work of such important organs, such as lungs and heart.
Code Using ICD 10, which is an officially adopted international classification of diseases, everyone will be able to know that there is a so-called keel-shape deformity in which the chest is rather strongly projecting forward. Gradually this pathology can manifest itself much stronger, but it has no detrimental effect on the internal organs and spine. However, with this disease, the heart can take cablevideo form, and the patient experiences fatigue, shortness of breath and fast heartbeat.
Considering the existing types of deformations of a thorax is to provide a flat shape. This deviation is largely inherent to the children who have so-called asthenic body type (long limbs, tall height and narrow shoulders). This form of deformation leads to the existence of frequently occurring diseases of catarrhal nature and the backlog of child development.
According To the international classification of diseases existing today distinguish the presence of deformation, which is a partial or complete cleft of the chest. However, this pathology is extremely rare. Quite a severe congenital deformity of the chest over time, gradually getting worse. Its main danger is that the front part of the heart is not protected by the ribs and located under the skin. Because of this, you can even see the beating of this organ. This form of the disease requires surgery.
Pretty rare pathology is arched, which in medicine is often called the syndrome of Currarino-Silverman. And probably the most rare is the so-called costal-muscular defect called Poland syndrome.
This severe pathology characterized by not only a serious chest deformity, but the presence of significant changes in the spinal column, internal organs and muscles. With the development of this pathology can move the ribs and spine. A larger number of inconveniences gives the so-called asymmetrical PLANO-concave deformation, which is rear, front or side.
Main causes are
Among the most common causes of development of such disease is an acquired disease and congenital defects. It may be the presence of emphysematous thorax that develops with the occurrence of pulmonary emphysema. In addition, deformation may occur due to previously deferred pleural diseases, which are chronic in nature. However, the most frequent cause of this serious pathology are genetic factors, which are gradually laid exactly at the time when the baby is in the womb. The development of this pathology in certain cases is affected by such widespread ailments, such as tuberculosis, rickets, scoliosis, injuries and certain diseases of the lungs.
The disease causes a significant displacement of all the organs in the thoracic cavity, resulting in too frequent palpitations and shortness of breath. The most frequent symptoms of the pathology expressed autonomic disorders, weakening of the immune system, as well as a fairly significant lag in physical development.
During the development of the disease the patient may appear violation of the functioning of the respiratory, vascular and cardiac systems, scoliosis, kyphosis. Because of the retraction of the sternum may show asymmetrical posture, which is a sign of the development of lateral curvature of the spine. In addition, the study physician may reveal the pathological process directly in the stomach. If increases thoracic cavity, gradually weaken diaphragmatic holes, which ultimately leads to the development of hernia.
What are the ways to diagnose the disease?
To properly diagnose the disease specialists use MRI. This procedure gives 100 % diagnostic picture. Instrumental diagnosis of the disease can include radiography that helps identify the degree of development of pathology. using more modern computer tomography, doctors can explore the displacement of the mediastinum, bone defects and to view the degree of compression of the lungs.
Magnetic resonance imaging allows to obtain the most comprehensive information about all the pathological processes occurring in bone and soft tissues. If it is suspected that a malfunction in the heart and lungs, the doctor may recommend a x-ray of the organs, echocardiography, cardiac monitoring with Holter method.
What today there are methods of treatment?
Correctly and in a timely manner to treat the deformity of the chest using a variety of methods. In this case, everything depends on the shape, degree of development, and whether there are abnormalities in the respiratory, vascular and cardiac systems.
At home it is possible to successfully use the most modern pharmaceutical methods of treatment. However, such treatment does not contribute to the correction of a sufficiently large number of violations. Drugs are used only in order as quickly as possible to remove many of the painful symptoms of a severe pathology. In that case, if the deformation is not too large, it gives to assume that the disease is only the first stage. In this case, use the long-known and effective conservative methods.
The Right treatment at home chest deformation involves the use of special exercises. In addition, the physician may recommend massage, physiotherapy, swimming, wearing a special corset.
If a physician recommended that the patient perform this procedure, such as therapeutic exercise, then only he should choose the most effective exercises that will help gradually to eliminate the pain. When performing massage is recommended to follow certain rules. For example, before beginning treatment, the patient should be sure to do some relaxation exercises or take a warm bath.
The massage Itself is carried out directly in the pathological areas. In place of deformation, where she developed a lump, massage therapist performs light and stroking motions, and in existing areas of convexity stronger pressure with the hands. All massage exercises can be used only after consultation with the doctor who performed the diagnosis of the patient's condition. Massage conducted only by a qualified technician.
If you have the so-called funnel of pathology, which is most often congenital, use the most effective method of the vacuum bell. During use, vacuum is applied directly above a funnel that helps gradually to pull it out. In that case, if this method does not give the expected result, experts can assign the patient to conduct this procedure, as, for example, lernkontrolle. It is used to perform treatment of diseases in children aged 6 – 7 years. During this procedure, the surgeon enters the plate through the excision of costal cartilages and a small incisions on the chest. In any case, after performing this manipulation on the patient's body scars, but this method is the most effective, and the boy's parents will not have to think about how to correct the defect of the thorax.
In the presence of deformation, located on the 2nd and 3rd stages of development, using only proven surgical treatment options. The most popular in this case is the so-called minimally invasive surgery using the method of Nassa. Before his execution, the doctor is obliged to tell you how to remove the pain syndrome to ensure that the operation was successful. The main advantage of this procedure is that after it on the patient's body there are no scars. The essence of this method is to perform very small incisions. Then they insert a specially manufactured metal plates that contribute to the straightening of the deformed thorax. These plates are put approximately 4 years, while the sternum does not take the natural shape.
To protect against deformation of the rib cage, must try to save herfrom burns and severe injuries. It is essential to get rid of various chronic lung diseases.
for Example, a child needs at school age to strengthen the spinal muscles, every day to perform quite simple physiotherapy exercises, to strengthen my core and exercise. Thus, it is possible to keep the muscles in good shape that will help to protect the breast area from warping. It should be remembered that the pectoral strain is a very dangerous disease, which in most cases leads to quite serious violations of the internal organs.