Mwana wako achangoberekwa haana kuita tsvina kwemazuva maviri kana matatu here mushure mekuzvarwa? Kana kuti dumbu rake rakazvimba uye rakaoma kubata here? Zvakajairika kuti amai kana baba vatsva vanzwe kutya zvishoma pavanoona chimwe chinhu chakadai. Kazhinji, izvi hazvisi zvinhu zvakakomba. Zvisinei, mune zvisingawanzoitiki, zviratidzo izvi zvinogona kukonzerwa nechirwere chinonzi Hirschsprung's Disease , chatiri kutaura nezvacho nhasi. Saka, ngatitaurei nezvazvo zvakadzama tisingatyi.
Zvichitaurwa zviri nyore, chii chinonzi chirwere cheHirschsprung?
Chirwere cheHirschsprung chirwere chisingawanzoitiki, chinowanzoitika kana mwana akazvarwa asina masero etsinga ari muchikamu chekupedzisira cheura anobatsira kusundira tsvina kunze.
Funga nezvematumbu edu sechubhu. Chikafu chatinodya chinogayiwa, uye tsvina, inonzi tsvina, inofamba nechubhu iyi. Rwendo urwu runobatsirwa nemasero etsinga ari mumadziro emudumbu. Masero aya anotumira zviratidzo kumhasuru dziri mudumbu, zvichiita kuti dziome uye dzizorore, zvichisundira tsvina mberi.
Mwana ane chirwere cheHirschsprung haana masero aya etsinga ari kumagumo kweura guru. Saka, kana tsvina yapinda, haigone kufamba uye inonamirwa. Sekunge mota dziri kuvharirwa mumotokari. Izvi zvinoita kuti tsvina iungane uye iite kuvharika kukuru muura. Izvi zvinogona kukonzera mwana kuvimbiwa kwakanyanya, kuvharika kweura, uye dzimwe nguva hutachiona hune njodzi .
Kazhinji, mwana ane hutano hwakanaka anotanga kubuda tsvina mumaawa ekutanga makumi maviri nemana kusvika makumi mana nemasere ekuzvarwa. Tsvina iyi yekutanga inonzi 'meconium'. Kazhinji inenge iri chinhu chitema, chakakora. Zvisinei, mwana ane chirwere cheHirschsprung haakwanise kubuda tsvina nenzira iyi.
Chii chiri chikonzero chaicho chemamiriro ezvinhu aya?
Vanachiremba havasati vaziva kuti sei vamwe vacheche vachirwara nechirwere ichi, asi vanhu vakawanda vanofunga kuti chine chekuita nemajini .
Zvichitaurwa zviri nyore, mumavhiki mashoma ekutanga ekukura kwemwana mudumbu, masero etsinga anokura mudumbu rose remwana, kubva pamuromo kusvika kuhuro. Asi mumwana ane chirwere cheHirschsprung, kukura kwemasero etsinga uku kunomira kamwe kamwe pamucheto weura hukuru.
Izvi zvinogona kunge zvichikonzerwa nekuchinja-chinja kweDNA yemuviri wedu, uko kwakaita sebhuku remirayiridzo. Dzimwe nguva kuchinja kwemajini uku kunogona kugara nhaka kubva kuvabereki kuenda kuvana. Uyewo, vana vane zvimwe zvirwere zvekuzvarwa nazvo, zvakaita seDown syndrome, nezvimwe zvirwere zvemwoyo, vari panjodzi huru yekubatwa nechirwere cheHirschsprung.
Tinoziva sei zviratidzo izvi?
Kazhinji, zviratidzo izvi zvinoonekwa mukati memavhiki matanhatu ekutanga ehupenyu, kunyanya mukati memaawa makumi mana nemasere ekutanga. Zvisinei, mune vamwe vana, zviratidzo zvinogona kutora makore akati wandei kuti zvionekwe.
Unofanira kuziva nezvehunhu hunotevera.
| Hunhu | Tsananguro |
|---|---|
| Kwete kubvisa tsvina | Chimwe chezviratidzo zvikuru zvemwana achangoberekwa ndechekuti haabudi tsvina kunyangwe mushure memaawa makumi mana nemasere ekuzvarwa. Kana mwana akura zvishoma, anogona kunge aine dambudziko rekusagadzikana rinogara kwenguva refu uye risingapindure mishonga. |
| Kuzvimba mudumbu | Dumbu remwana rinogona kuita serakazvimba uye rakaoma nekuda kwetsvina nemhepo zvakavharirwa muura. |
| Kurutsa | Mwana anogona kurutsa. Dzimwe nguva kurutsa uku kunogona kuita sekwegirini kana kuti brown. Izvi zvinogona kureva kuti nyongo iri kubuda nekuda kwekuvharika kweura. |
| Manyoka ane ropa | Ichi chiratidzo chine njodzi zvikuru . Chinoratidza kukura kwechirwere chemudumbu chinouraya chinonzi enterocolitis . Chinogonawo kuperekedzwa nefivha, manyoka akanyanya, uye kurwadziwa mudumbu. |
| Kukura kwakanonoka | Kana mwana akura zvishoma uye asina kuonekwa kuti ane chirwere ichi, kugara achivhara dumbu uye kusadya zvakanaka zvinogona kukonzera kusakura zvakanaka uye kuneta nguva dzose. |
Chinhu chinonyanya kukosha ndechekuti kana mwana wako aine chimwe chezviratidzo izvi, kunyanya kana mwana achangoberekwa asiri kuita tsvina, usazviregeredza. Zvakakosha kuendesa mwana wako kuna chiremba nekukasika.
Chiremba anonyatsoongorora sei chirwere ichi?
Kana mukaenda nemwana wenyu kuna chiremba, iye achaongorora mwana wenyu, obvunza nezvezviratidzo zvenyu, uye obva akurudzirai kuti muone kana aine chirwere ichi.
- X-ray yedumbu: Izvi zvinogona kushandiswa kutarisa kana ura hwakavharika kana kuzvimba.
- Enema yekuenzanisa: Muizvi, mvura chena yakakosha (dhayi inonzi barium) inopfuudzwa nemudumbu remwana uye mifananidzo yeX-ray inotorwa. Mvura iyi inobvumira kuti mukati meura muonekwe zvakajeka. Chikamu chisina masero etsinga chinowanzoita sechitete, nepo chikamu chakazara netsvina pamusoro pacho chichitaridzika sechikuru uye chakazvimba zvakanyanya. Izvi zvinogona kupa pfungwa yakanaka yechirwere.
- Kuongororwa kweRectal Biopsy: Iyi ndiyo bvunzo inosimbisa chirwere ichi 100%. Muizvi, chiremba anotora chidimbu chidiki chenyama (sampuli yenyama) kubva mukati merectum yemwana ochiongorora pasi pemaikorosikopu. Nekutarisa kana paine masero etsinga muchikamu ichocho chenyama kana kwete, chirwere chinogona kuonekwa nemazvo.
- Anorectal Manometry: Bvunzo iyi inowanzoitwa pavana vakuru. Inosanganisira kuisa chinhu chidiki chakaita sebharumu murectum wochifuridza kuti uone kana tsandanyama dziri murectum dziri kushanda nemazvo.
Ndezvipi zvinorapwa izvi?
Chirwere cheHirschsprung hachisi chirwere chinogona kurapwa nemishonga. Mushonga wekugara kwenguva refu uye unoshanda ndeyekuvhiyiwa . Musazvidya mwoyo, kuvhiyiwa uku kuri kuitwa zvinobudirira zvikuru.
Panguva yekuvhiyiwa, chiremba anobvisa chikamu chemuura usina masero etsinga uye anosanganisa chikamu chine hutano, chakazara netsinga dzemuura zvakananga ku rectum. Kuvhiyiwa uku kunonzi "pull-through procedure."
Dzimwe nguva, zvichienderana nemamiriro emwana, kuvhiyiwa kwechinguvana kwe "ostomy" kunogona kuitwa kuvhiyiwa uku kukuru kusati kwaitwa. Izvi zvinosanganisira kugadzira buri (stoma) kuitira kuti chikamu cheura hwakanaka chiuye pamusoro peganda redumbu. Zvadaro, bhegi re ostomy rinosungirirwa paburi iri kuti riunganidze tsvina. Kana mwana angopora zvishoma uye agadzirira kuvhiyiwa uku kukuru, buri iri rinovharwa uye kuvhiyiwa kunodhonzwa.
Ndezvipi zvinetso zvinogona kuitika mushure mekuvhiyiwa?
Vana vazhinji vanokwanisa kuita zvemukati medumbu mushure mekuvhiyiwa uye vanoenderera mberi nekurarama hupenyu hwakanaka. Zvisinei, vamwe vana vanogona kusangana nematambudziko mushure mekuvhiyiwa. Zvakakosha kuziva izvi.
Enterocolitis inokonzerwa neHirschsprung
Iri ndiro dambudziko rine njodzi zvikuru . Rinogona kuitika usati wavhiyiwa kana kuti mushure mekuvhiyiwa. Ihutachiona hwakakomba hwemudumbu.
Kana mwana wenyu aine zviratidzo mushure mekuvhiyiwa, zvakaita sefivha, kuzvimba mudumbu, kurutsa, manyoka akanyanya, kana ropa mutsvina, idambudziko guru. Endai nemwana wenyu kuchipatara cheEmergency Department (ETU) nekukasika.
Kusazvidzora tsvina
Vamwe vana vanogona kunetseka kudzora mafambiro avo emudumbu mushure mekuvhiyiwa. Izvi zvinoreva kuti vanogona kubuda tsvina vasingatombozvizivi. Izvi zvinogona kunge zvichikonzerwa nemhedzisiro yekuvhiyiwa pamhasuru dzemudumbu. Nekufamba kwenguva uye mamwe maekisesaizi (pelvic physiotherapy), chirwere ichi chinogona kudzorwa zvakanyanya.
Kuzvimba uye kuvharika kweropa
Vamwe vana vanogona kusangana nedambudziko rekuvimbiwa mushure mekuvhiyiwa. Izvi zvinogona kunge zvichikonzerwa nekuchekwa kwenzvimbo yekuvhiyiwa kana zvimwe zvikonzero. Muzviitiko zvakadaro, chiremba wako ndiye achakupa mushonga unodiwa.
Kunyangwe chirwere ichi chikarapwa nekuvhiyiwa, zvakakosha kuramba uchitarisa mamiriro emwana. Taura nachiremba nguva nenguva nezvemaitiro emwana wako ekudya uye kudya kwake.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheHirschsprung chirwere chinowanzoitika pakuzvarwa chinokonzera kusakwanisa kuita tsvina nekuda kwekushaikwa kwemasero etsinga muura.
- Zviratidzo zvikuru zvemwana achangoberekwa asina kubuda tsvina mukati memaawa makumi mana nemasere, dumbu rakazvimba, uye kurutsa kwegirini/brown ndeizvi: Kana ukaona izvi, enda kuna chiremba nekukasika.
- Chirwere ichi chinosimbiswa ne biopsy.
- Kurapa kwacho kuvhiyiwa. Mushure mekuvhiyiwa kwakabudirira, vana vazhinji vanogona kurarama hupenyu hwakajairika.
- Kana ukaona zviratidzo zvakaita sefivha, kuzvimba mudumbu, kana manyoka ane ropa mushure mekuvhiyiwa, unofanira kuenda kuchipatara nekukurumidza kuEmergency Department (ETU), sezvo izvi zvingava chiratidzo chehutachiona hune njodzi hunonzi enterocolitis.
- Ichi chirwere chinoda kutariswa kwehupenyu hwese. Saka, zvakakosha kutevedzera mirairo yachiremba uye kuita kuti mwana wako aongororwe nguva nenguva.
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