Tine hanya zvikuru nezvese nezvemwana wedu achangoberekwa, handiti? Zvinhu zvinonyanya kukosha ndezvekuti mwana ari kuyamwisa zvakanaka here, ari kurara zvakanaka, uye ari kuita tsvina nenguva. Saka, kana mwana wako achiita seanonetseka kuita tsvina, kana kuti asingaite tsvina kwemazuva mashoma, zvakajairika kuti iwe saamai unzwe kunetseka zvikuru. Dzimwe nguva chikonzero cheizvi chinogona kunge chiri chikanganiso chiri mu anus ne rectum chinowanikwa pakuzvarwa. Nhasi tichataura nezvechirwere chakadai `(Anorectal Malformation)`.
Chii chinonzi chirwere ichi chekuzvarwa nacho che anus ne rectum (Anorectal Malformation)?
Zvichitaurwa zviri nyore, ``(Anorectal Malformation)`` zvinoreva apo anus yemwana nerectum hazviumbike zvakanaka pavanenge vachikura mudumbu. Waizviziva here kuti anus nerectum ndizvo zvikamu zviviri zvekupedzisira zvegadziriro yedu yekugaya chikafu?
Funga izvi: Vamwe vacheche vane dambudziko iri vanogona kunge vaine anus yakatetepa, kana kuti vangave vasina anus zvachose. Vamwe vanogona kunge vaine tishu yakafukidza anus kana rectum. Zvakare, dzimwe nguva anus yemwana inogona kunge isina kubatana zvakanaka nedzimwe nhengo dzemuviri.
Zvinonzwisisika kunzwa kutya kukuru uye kuzvidya mwoyo paunoona kuti mwana wako ane chirwere ichi. Nekuti, kana chisina kurapwa zvakanaka, mwana anogona kuva nedambudziko rematumbu. Izvi zvinogona kuita kuti zviome zvikuru kuita tsvina, kana kutotadza zvachose. Asi chinhu chakanakisa ndechekuti mazhinji ematambudziko aya anogona kurapwa nekuvhiyiwa mwana achangoberekwa, kazhinji mukati memazuva mashoma, uye mhedzisiro yacho inowanzova yakanaka.
Zvinorevei "Anus" uye "Rectum"?
Izwi rekuti "anorectal" musanganiswa wemazwi ekuti "anus" uye "rectum. " Rectum yako ndiyo chikamu chekupedzisira cheura hwako hukuru, chiri pamusoro peanus yako. Anus yako ndiyo nzvimbo inobuda tsvina mumuviri wako.
Patinobvisa tsvina, tsvina inobuda mumuviri nepaburi remudumbu. Saka, kana paine dambudziko neburi iri remudumbu kana rectum, zvinogona kukonzera matambudziko ekubvisa tsvina.
Dambudziko iri rakajairika zvakadii?
Matambudziko aya, anonzi "Anorectal Malformations", haawanzoitiki. Kunyangwe munyika yakaita seAmerica, mwana mumwe chete pavana 5,000 vanoberekwa ndiye ane dambudziko iri.
Ndezvipi zviratidzo zvehurema hwekuzvarwa nahwo hwemudumbu nemudumbu?
Chiremba anowanzoona dambudziko iri paanoongorora mwana achangoberekwa. Chiremba anogona kuona kuti anus yakatetepa, kana kuti anus haisi panzvimbo yayo. Kana kuti buri rekumashure remwana riri panzvimbo isingawanzoitiki panzvimbo yaro.
Kana chirwere ichi chikasaonekwa nekukurumidza, mwana anogona kuratidza zviratidzo zvakaita se:
- Kusakwanisa kuita tsvina (kuzvimbirwa).
- Tsvina inobuda kubva munhengo yemwana kana tsvina inoonekwa muweti (muvasikana).
- Weti iri kubuda kubva muhuro yemwana.
Kune mhando dzakasiyana dzeAnorectal Malformations here?
Ehe, kune mhando dzakawanda dzechirwere ichi. Ngationei kuti ndechipi:
- Cloaca: Apa ndipo apo urethra ne anus zvese zvine mukana wakafanana. (Dambudziko iri rinongoitika kuvasikana chete)
- Fistula: Apa ndipo apo anus yemwana inenge yakabatana zvisina kujairika nedzimwe nhengo dzemuviri wake, dzakadai seurethra, dundira, vagina, kana perineum (ganda riri pakati peanus nenhengo dzesikarudzi).
- Hurukuro isina simba: Iyi inyaya yekuti hurukuro nerectum hazvina kubatana. Kureva kuti, hapana kuvhurika kwemusana.
Sei izvi zvichiitika kuvana vadiki?
Nyanzvi hadzisati dzaziva kuti chii chinokonzera kutadza kushanda zvakanaka kwenhengo yemudumbu, asi vamwe vanotenda kuti shanduko dzemajini dzinoitika panguva yekuzvitakura dzinogona kukonzera chirwere ichi.
Vana vane "Anorectal Malformations" ava vanogona here kuva nemamwe matambudziko ehutano?
Dzimwe nguva, hongu. Vana vane "Anorectal Malformations" vanogonawo kuva nemamwe matambudziko ehutano. Heano mimwe mienzaniso:
- Dambudziko reDown syndrome.
- Zvimwe zvirwere zvemudumbu (zvirwere zvemudumbu).
- Zvimwe zvirwere zvemusana.
- Townes-Brocks syndrome: Ichi chirwere chinokonzerwa nemajini. Mumamiriro ezvinhu aya, huro inogona kunge isipo kana kuti yakavharika zvachose (imperforate). Maoko nenzeve zvinogonawo kunge zvisina chimiro chakajairwa.
- Matambudziko enzira yeweti.
- VATER syndrome (VACTERL association): Ichi chirwere chinokanganisa masisitimu akasiyana-siyana mumuviri. Semuenzaniso, musana, moyo, kugaya chikafu, itsvo, nemakumbo zvinogona kukanganiswa.
Chirwere ichi chinoongororwa sei nemazvo?
Vanachiremba vanowanzoongorora chirwere ichi kuburikidza nekuongororwa kwemuviri. Pamusoro pezvo, mimwe miedzo yekufungidzira inogona kushandiswa kusimbisa uye kuongorora chirwere chacho. Mimwe yemiedzo iyi inosanganisira:
- Barium enema: Kuongororwa uku kunosanganisira kuisa mvura murectum kuti ifukidze mukati menzira yekugaya chikafu. Izvi zvinoita kuti nhengo dzemuviri dzionekwe zvakajeka paX-ray.
- Kuongororwa kweBarium swallow / Esophagram: Mukuedzwa uku, mvura inomedzwa uye zvikamu zvepamusoro zvegadziriro yekugaya zvinoonekwa zvakajeka neX-ray.
- Kuongororwa kweCT:Makomputa nemaX-ray zvinoshandiswa kutora mifananidzo yemukati memuviri.
- MRIs: Shandisa magineti nemasaisai eredhiyo kuti utarise mukati memuviri.
- Ultrasound: Shandisa mafungu eruzha ane ruzha rwakanyanya kuti utarise nhengo dzemukati.
- X-rays: Shandisa mwaranzi shoma kutora mifananidzo yemukati memuviri.
Matambudziko aya e'Anorectal Malformations' anorapwa sei?
Vanachiremba vanowanzo rapa chirwere ichi nekuvhiyiwa . Dzimwe nguva, kuvhiyiwa kamwe chete kunogona kuvhura nzira yakamanikana kana kubvisa membrane inofukidza anus yemwana. Vanogonawo kuita oparesheni inonzi anoplasty, iyo inovakazve anus yemwana.
Fungidzira, kana mwana ane chirwere che "Imperforate anus", vanachiremba vanovhiya vanovhiya kakawanda muzvikamu kuti vabatanidze anus nerectum. Kuvhiya uku ndekwekuti:
1. Colostomy: Mukuita uku, chiremba anokamura ura hukuru kuita zvikamu zviviri uye anoburitsa magumo ahwo kuburikidza nemaburi maviri ari mudumbu. Mwana anofanira kupfeka mabhegi ekuunganidza anounganidza tsvina kunze kwemuviri. Tsvina netsvina (mvura yakaita setsvina) zvinopinda mumabhegi aya.
2. Kugadziriswa kweAnorectal: Kazhinji, kana mwana ava nemwedzi mishoma, vanachiremba vanosanganisa anus nerectum. Mushure mekuvhiyiwa uku, tsvina inoramba ichibuda nepa colostomy bag kusvika mwana apora.
3. Kuvharwa kweColostomy: Mwedzi miviri kusvika mitatu mushure mekuvhiyiwa kwechipiri, kuvhiyiwa kumwe kunoitwa kubvisa colostomy pouch. Mushure meizvozvo, mwana anotanga kuita tsvina kuburikidza ne anus mukati memazuva mashoma.
Unganzwa kutya paunonzwa nezvekuvhiyiwa uku. Asi yeuka kuti izvi zvinoitirwa kuvandudza ramangwana remwana. Vanachiremba vachakutsanangurira zvese.
Ndezvipi zvinetso kana migumisiro inogona kuitika mushure mekurapwa uku?
Vana vakavhiyiwa kuti vagadzirise dambudziko remusana wetsvina vanogona kunge vaine nguva yakaoma yekudzidzisa vana chimbuzi kupfuura vamwe vana. Vangave vachiomerwa nekudzora mafambiro avo etsvina kana kuti vanogona kuva nedambudziko rekugara vachizvimba. Zvinonziwo vanhu vakavhiyiwa uku vachiri vana dzimwe nguva vanombosangana nematambudziko epabonde pavanenge vakura.
Izvi zvinogona kudzivirirwa here (Anorectal Malformation)?
Hapana nzira yekudzivirira mwana kuzvarwa aine chirwere ichi (Anorectal Malformation). Zvisinei, mushure mekuchirapa, unogona kubatsira mwana wako kurarama hupenyu hwakanaka.
Kana mukaona kuti mwana wenyu ari kusangana nematambudziko mushure mekurapwa - akadai sekuvimbiwa - muendesei kuna chiremba nekukasika. Chiremba wemwana wenyu anogona kukunyorerai mishonga yekunyorovesa, kuchinja zvekudya, kana mamwe marapirwo ekubatsira kuderedza zviratidzo. Anogonawo kukurudzirai chirongwa chekugadzirisa ura kana mwana wenyu achiomerwa nekudzora mafambiro edumbu rake.
Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?
Kukanganisika kwenhengo dzemuviri (anorectal malformations) kwakajairika muvakomana kupfuura vasikana.
Uyewo, vabereki vakatova nemwana mumwe chete ane Anorectal Malformation vane mukana mukuru wekuva nemumwe mwana ane chirwere ichi. Kana iwe uine mwana ane chirwere ichi, mwana wako anotevera ane mukana we1 pa100 wekuva ne Anorectal Malformation.
Chii chiri kutarisira mamiriro ezvinhu aya?
Vana vazhinji vanozvarwa vaine Anorectal Malformation vanorapwa mukati memazuva mashoma ekutanga ehupenyu hwavo. Vana vazhinji vanopora zvakanaka mushure mekuvhiyiwa uye havana matambudziko.
Vamwe vana vanogona kuramba vachinetseka nekuzvimba kana kunetseka kudzora kufamba kwedumbu mushure mekuvhiyiwa. Muzviitiko zvakadaro, marapirwo chaiwo - akadai se "chirongwa chekugadzirisa matumbu" chambotaurwa - anogona kubatsira.
Unofanira kuona chiremba wemwana wako rini?
Kana mwana wako aine chimwe chezviratidzo zvinotevera, enda kuna chiremba nekukasika:
- Kana usingaite tsvina zvachose.
- Kana uine kuvimbiwa.
- Kana tsvina ikabuda munhengo yemukadzi (muvasikana).
- Kana paine zviratidzo zvetsvina zvinoonekwa muweti.
- Kana weti ichibuda kubva mu anus.
Mibvunzo ipi yaunofanira kubvunza chiremba wemwana wako?
Kana mwana wako aine Anorectal Malformation, kana kuti uchifunga kuti angave nayo, unogona kubvunza chiremba wemwana wako mibvunzo iyi:
- Ndedzipi bvunzo dzinoitwa kuti uone kana paine Anorectal Malformation?
- Mwana wangu anoda kuvhiyiwa here kuti arapwe?
- Ndezvipi zviratidzo zvematambudziko anogona kuitika mushure mekuvhiyiwa?
- Ndingabatsira sei mwana wangu kudzivirira kuvimbiwa?
- Ndingaziva sei kana mwana wangu achida "chirongwa chekugadzirisa ura"?
Chekupedzisira, zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)
Kukanganisika kwenhengo dzemudumbu (anorectal malformation) chirwere chinokonzerwa nekuti anus kana rectum yemwana haina kukura zvakanaka pakuzvarwa. Zvinogona kutyisa kuziva kuti mwana wako ane chirwere chekuzvarwa nacho. Zvisinei, kuvhiyiwa kunogona kugadzirisa dambudziko racho mukati memazuva mashoma ekuzvarwa. Rudzi rwekuvhiyiwa kunodiwa nemwana wako runoenderana nerudzi rwechirwere chacho uye kuti chakakura sei. Vana vazhinji vanopora zvakanaka mushure mekurapwa.Saka usatya, tevera zano rachiremba, uye zvese zvichave zvakanaka!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Encopresis chirwere chinoita kuti vana vanyorovese pamubhedha here?
Kwete! Kunyorova pamubhedha kunonzi enuresis. Asi ichi chirwere chakasiyana, chinonyadzisa zvikuru. 'Encopresis' inoitika kana mwana ane makore anopfuura mana (akura zvakakwana kuti adzore mafambiro ake emudumbu) asingazvidi (asingazivi) akaisa 'tsvina' muzvipfeko zvake zvemukati (tsvina yemudumbu).
💬 Sei mwana achibuda tsvina muhembe dzake dzemukati asina chirwere?
90% yeizvi imhaka yekusagadzikana kwemwana. Kana mwana akabata tsvina, kungave nekuda kwekuti anotya kuenda kuchimbuzi kana kuti ane usimbe, tsvina inonamira mudumbu sedombo guru (fecal impaction). Zvadaro, tsvina ichangobva kugadzirwa inokambaira ichitenderedza dombo uye inopfeka zvipfeko zvemukati zvemwana muchivande.
💬 Unogona here kudzivirira mwana kuti asanyorove nehembe dzake dzemukati nekumurova?
Kwete zvachose! Kuranga kana kutsamwira mwana nekuda kweizvi kunongowedzera kutya kwemwana (Psychological stress) uye izvi zvichawedzera. Kuti uite izvi, unofanira kukurumidza kubvunza chiremba wobvisa tsvina yakaita sematombo uchishandisa mishonga yekurara/inema. Mushure meizvozvo, unofanira kumupa mvura yakawanda yekunwa uye kudzidzira chimbuzi.
Kukanganisika kweAnorectal , Zvikanganiso zveAnorectal, Zvikanganiso zveAnorectal, Zvikanganiso zveVana Vakaberekwa, Vacheche, Matambudziko eKubuda kwetsvina, Colostomy, Kuvhiyiwa
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