Ngaba umntwana wakho unokuba nale ngxaki emathunjini akhe? (Ukungalungi kakuhle komzimba) Makhe sithethe ngokweenkcukacha!

Ngaba umntwana wakho uhlala ehlanza? Ngaba ukhalaza ngeentlungu zesisu? Okanye ubonakala evuvukele ngendlela engaqhelekanga? Ngamanye amaxesha ezi zinokuba ziimpawu zento enzulu. Namhlanje, siza kuthetha ngemeko eqhelekileyo yamathumbu abazali abaninzi abangayaziyo. Oku kubizwa ngokuba yi-malrotation.

Yintoni i-malrotation? Ngamafutshane...

Ngamafutshane, i-malrotation yimeko eyenzeka xa umntwana ezalwa. Oku kuthetha ukuba ngelixa umntwana esesibelekweni sikanina, amathumbu omntwana (esiwabiza ngokuba yi-small intestine kunye ne-large intestine) awabekwanga kakuhle. Ngokwesiqhelo, amathumbu omntwana ajikajika aze ajijeke ngendlela ekhethekileyo ngexesha le-embryonic stage (oko kukuthi, ngexesha lokuqala kwesibeleko sikanina) kwaye kufuneka alingane kakuhle nodonga lwesisu ngaphakathi kwesibeleko. Kulapho izinto ezifana nokugaya ukutya zinokwenzeka khona ngokufanelekileyo.

Cinga ngayo, eli thumba liqala libe njengebhola yentambo. Emva koko kufuneka libekwe esiswini ngendlela efanelekileyo. Kodwa kumntwana one-malrotation, eli thumba aligobi kakuhle, alijikelezi, okanye alingeni kwindawo efanelekileyo ngaphakathi esiswini. Yiyo loo nto sibiza ngokuba yi-malrotation.

Abantwana abaninzi abanale meko badinga utyando ukuze kubuyiselwe amathumbu endaweni yawo, kuthintelwe iimeko ezinokuba yingozi, kwaye kusebenze inkqubo yokugaya ukutya ngendlela efanelekileyo.

Ngoko ke yintoni le volvulus? Ingaba iyingozi?

I-Volvulus yeyona ngxaki inzima neyingozi yokubola kwamathumbu. Ngamafutshane, kukujijeka kwamathumbu. Cinga ngayo njengombhobho wamanzi ojijeka ngequbuliso kwaye uqhekeke. Ngaba amanzi awahambi? Yiloo ndlela eyenzeka ngayo. Xa amathumbu ejijeka ngolu hlobo, ukutya okucoliweyo akudluli, kwaye ukuhamba kwegazi ukuya emathunjini nako kunokunqanyulwa. Oku kuyingozi kakhulu.

Le volvulus yenzeka kuba, njengoko bekutshiwo ngaphambili, amathumbu omntwana awabambekanga kakuhle ngaphakathi esiswini. Ngenxa yokuba engabambekanga kakuhle, amathumbu aqala ukujika-jika aye nakweyiphi na indlela.

I-Volvulus yingxaki yotyando. Ukuba ayinyangwa, inokukhokelela kwiimeko ezinzulu, ezisongela ubomi.

Izinto ezinjalo zinokwenzeka:

• Ukuvaleka ngokupheleleyo kwamathumbu (Ukuvaleka kwamathumbu).
• Ukugqobhoka kwamathumbu.
• I-Peritonitis, usulelo lwesisu.
• I-Sepsis ibangelwa kukuqokelelana kweentsholongwane egazini.
• Umothuko.

Ezi mpawu zihlala zibonakala ngaphambi kokuba umntwana abe neminyaka emi-5 ubudala, rhoqo kwinyanga yokuqala yobomi bakhe . Iimpawu eziphambili kukuhlanza ngequbuliso (ngokuqhelekileyo okuluhlaza) kunye nokuvuvukala kwesisu.

Uzibona njani ukuba une-malrotation? Zithini iimpawu?

Iimpawu ze-malrotation zingahluka kumntu nomntu, kodwa zihlala ziquka ukuhlanza rhoqo kunye nentlungu yesisu. Ngamanye amaxesha, i-malrotation yodwa isenokungabangeli naziphi na iimpawu ezinkulu, kwaye iimpawu zibonakala kuphela emva kokuba kwenzeke i-volvulus ekhankanyiweyo ngaphambili.

Kubaluleke kakhulu: Ukuba umntwana wakho uhlanza uhlanzo oluluhlaza okanye olumthubi-luhlaza, okanye ukuba kukho igazi emhlanzweni, fowunela u-911 okanye inombolo yakho yongxamiseko yasekuhlaleni ngoko nangoko. Ezi zinokuba ziimpawu zongxamiseko, ezifana ne-volvulus.

Iimpawu kwiintsana

Iintsana ezisandul’ ukuzalwa kunye neentsana ezineenyanga ezimbalwa ubudala ezine-malrotation zinokubonisa iimpawu ezifana nezi:

• Ukuhlanza rhoqo. Oku kuhlanza kunokuba luhlaza okanye kube luhlaza okwesibhakabhaka. Oku kungenxa yokuba inyongo iyaphuma kunye nokuhlanza.
• Isisu (isisu) siyadumba kwaye sivakala sibuhlungu xa sichukunyiswa.
• Intlungu ebuhlungu yesisu (intlungu ye-colic).
• Ukopha okuphuma kwi-rectum okanye igazi elikwi-tube.

Iintsana ezineentlungu zesisu ngenxa yokungalungi kakuhle kwesisu zihlala ziziphatha ngolu hlobo:

• Utsala imilenze yakhe esiswini sakhe aze akhale.
• Hlala uzolile malunga nemizuzu eli-10 ukuya kweli-15.
• Ndiqala ukulila kwakhona.

Iimpawu kubantwana abangaphezu kweminyaka eli-1 ubudala

Abantwana abangaphezu konyaka omnye banokubonisa iimpawu ezifana nezi:

• Intlungu yesisu okanye ukuqaqamba.
• Isicaphucaphu kunye nokuhlanza (oku kuhlanza kusenokuba yinto eqhelekileyo ngombala).
• Urhudo (ukuhlanza).
• Ukudumba kwesisu (i-flatulence).
• Ukuqhinwa.
• Ukopha emqolo okanye igazi eliphuma esitulweni.
• Ukungaphumeleli ukukhula kukusilela ukutyeba njengoko kulindelekile.

Olunye uphando lubonise ukuba abantwana abangaphezu kweminyaka emi-2 ubudala abanakufane bahlanze indle eluhlaza okwesilu kunabantwana abancinci. Abantwana abadala banamathuba amaninzi okuba nokuhlanza okuphindaphindiweyo (okuqhelekileyo) kunye nentlungu esiswini.

Kutheni le nto kwenzeka le malrotation?

Abaphandi abakafumani sizathu sichanekileyo sale nto. Ngokwazi kwabo, yimeko yokuzalwa. Amathumbu omntwana aqala ukwakheka malunga neeveki ezili-10 emva kokukhulelwa kwakhe. Ngoko ke iingcali zisaphanda ukuba kutheni la mathumbu ekhula ngendlela engafanelekanga.

Oogqirha bayixilonga njani le nto?

Oogqirha basebenzisa kakhulu uvavanyo lomzimba kunye novavanyo lwemifanekiso ukuze bafumanise ukuba umntwana unesifo sokungalungi kakuhle. Ugqirha uza kuqala ahlole umntwana wakho ngononophelo ukuze ajonge impilo yakhe ngokubanzi kunye nokuba kukho naziphi na iimpawu zokungalungi kakuhle.

Ukongeza, iimvavanyo ezinokuthatha imifanekiso yangaphakathi yomzimba womntwana ziquka:

• Uvavanyo lwe-ultrasound yesisu.
• Ii-X-reyi ezine-contrast ziimvavanyo ezenziwa ngolwelo olukhethekileyo (contrast).
• Uvavanyo lwesisu (GI).

Ugqirha uza kukuxelela okungakumbi malunga novavanyo olufunekayo kumntwana wakho kunye nendlela oluza kwenziwa ngayo.

Wenza ntoni kumntwana one-malrotation? Zithini iindlela zonyango?

Iintsana nabantwana abane-malrotation badla ngokufuna utyando ukuze balungelelanise amathumbu abo. Ugqirha otyandayo, esebenzisa utyando oluncinci oluhlaselayo (i-MIS surgery), uya kuvula amathumbu omntwana wakho ajijekileyo aze awabuyisele kwindawo efanelekileyo ngaphakathi esiswini.

Kukho iintlobo ezimbini eziphambili zotyando ezisetyenziswa ngoogqirha ukunyanga i-malrotation:

• Inkqubo kaLadd: Oku kuquka ukususa naziphi na izicwili ezingaqhelekanga, njengeebhanti zezicubu, ezivala amathumbu. Ugqirha wotyando ukwalungisa ukujijeka kunye nokubekwa kwamathumbu omntwana. Inkqubo kaLadd ingenziwa njengenkqubo evulekileyo okanye nge-laparoscopically (ngekhamera). Nangona oku kunokunciphisa iimpawu, kukho ithuba lokuba amathumbu omntwana ajijeke kwakhona kwixesha elizayo (i-recurrent volvulus).
• Inkqubo kaKareem: Oku kuquka ukubeka amathumbu ngokupheleleyo kwindawo yawo aze awancamathisele eludongeni lwesisu. Le nkqubo kucingelwa ukuba iyanciphisa umngcipheko wokuba amathumbu aphinde ajijeke.

Ugqirha uza kukuchazela ukuba yeyiphi indlela efanelekileyo kwimeko yomntwana wakho, kunye nezinto ezilungileyo nezingalunganga. Ngokuxhomekeke kwimeko yamathumbu omntwana wakho, kunokufuneka wenze izinto ezifana nezi:

• Yenza i-colostomy yexeshana okanye esisigxina (ukuzisa inxalenye yamathumbu kumphezulu wesikhumba ukuze indle idlule).
• Susa inxalenye yamathumbu.
• Yenza utyando lokwakha amathumbu.
• Susa i-appendix (ngamanye amaxesha kuba indlela amathumbu abekwe ngayo inokwenza kube nzima ukufumana ukuba i-appendicitis iyavela na kwixesha elizayo).

Ezinye iintsana nabantwana zifuna utyando olungxamisekileyo. Kulapho ukubola kwesisu kubangela imeko ebizwa ngokuba yi-volvulus, enokubangela umonakalo omkhulu emathunjini. Utyando olungxamisekileyo lunokuba ngamava othusayo naphazamisayo. Kodwa ungoyiki. Buza iqela lezonyango lomntwana wakho nayiphi na imibuzo onokuba nayo. Baza kukuchazela yonke into baze bakuxelele into omawuyenze de umntwana wakho aphile.

Ngaba le meko ingathintelwa?

Ngenxa yokuba unobangela ochanekileyo awaziwa, akukho ndlela yokuthintela i-malrotation okanye ingxaki yayo ephambili, i-volvulus. Nangona kunjalo, ukufuna unyango ngokukhawuleza kunokunciphisa umngcipheko weengxaki ezinkulu kumntwana wakho.

Ukuba umntwana wakho ufumana naziphi na iimpawu ezingaqhelekanga – umzekelo, uhlanza rhoqo kwaye akafumani sizathu – ngokuqinisekileyo kuya kufuneka ubone ugqirha. Musa ukucinga ukuba, "Iza kuba ngcono ngokwayo" okanye "Ndiyoyika nje." I-Malrotation yimeko enokuba mandundu ukuba ayinyangwa.

Ndingalindela ntoni ukuba umntwana wam une-malrotation?

Imbono yomntwana wakho ixhomekeke kwizinto ezininzi:

• Indlela okhawuleze ngayo ukufumana unyango.
• Ungakanani umonakalo owenziweyo emathunjini.
• Ingaba umntwana unezinye iingxaki zempilo.

Uninzi lwabantwana luyaphila kakuhle emva kotyando, kwaye umngcipheko weengxaki ezizayo uyancitshiswa. Nangona kunjalo, abanye abantwana basenokuba nokuvaleka kwamathumbu emva kotyando. Nangona kunjalo, lo mngcipheko uphantsi kakhulu ngoku ngeendlela ezintsha zotyando. Iqela lezonyango lomntwana wakho liza kukuxelela okungakumbi ngale nto.

Ngawaphi amaxesha afanelekileyo okubonana nogqirha?

Ukuba umntwana wakho uneempawu zokungalungi kakuhle komzimba , bonana nogqirha wabantwana ngokukhawuleza. Le meko inokuba yingxaki yezonyango ngokukhawuleza. Ukuqonda iimpawu zokuqala kunokunceda umntwana wakho afumane unyango ngaphambi kokuba kubekho iingxaki ezinkulu.

Kuqhelekile ukuba buhlungu kakhulu kwaye woyike xa umntwana wakho eqhubeka nokuhlanza. Kubalulekile ukufuna ingcebiso kagqirha. Kodwa khumbula, kukho ezinye izizathu zezi mpawu ngaphandle kokungalungi kakuhle. Ezinye iimeko ezininzi, ezifana nokuhlambuluka kwesisu, nazo zinokubangela ezi mpawu. Ugqirha wakho uya kufumana unobangela aze anike unyango olufunekayo kumntwana wakho.

Kunini apho kufuneka uye kwiGumbi loNgxamiseko?

Ukuba umntwana wakho unenye yezi mpawu , mse kwigumbi likaxakeka ngokukhawuleza:

• Ukuhlanza okuluhlaza okanye okumthubi-luhlaza.
• Ukuphefumla okukhawulezayo ngendlela engaqhelekanga.
• Ukubetha kwentliziyo.
• Ukudideka.
• Ukuqubha.
• Ukuba ulusu lubanda, lubila, kwaye lumhlophe.
• Ukuba isisu sidumbile kakhulu kwaye sihamba nentlungu ebuhlungu ye-colic.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Ukubuza imibuzo kunokukunceda uqonde ngcono imeko yomntwana wakho kunye nonyango olufumanekayo. Ungabuza imibuzo efana nale:

• I-malrotation ichaphazela njani umntwana wam?
• Ngaba kukho naziphi na iimpawu zeengxaki?
• Ngaba umntwana wam udinga utyando? Ukuba kunjalo, ungandixelela okungakumbi ngalo mba?
• Ziziphi iingenelo kunye neengozi zotyando?
• Ndingalindela ntoni ngelixa umntwana wam echacha? Ndingamnceda njani?
• Ngaba umntwana uza kubuya ukuze alandelelwe?

Xa ufumanisa ukuba umntwana wakho une-malrotation, awukwazi ukuyeka ukuzibuza ukuba kuza kwenzeka ntoni emva koko. "Ngaba uza kuphila?", "Ngaba uza kufuna utyando?", "Kuza kuthatha ixesha elingakanani ukuba aphile?" Zithi engqondweni.

Musa ukucinga ngayo yonke into ngaxeshanye, thatha inyathelo elinye ngexesha. Themba iqela lezonyango lomntwana wakho. Baza kuphendula yonke imibuzo yakho baze bakugcine unolwazi malunga nendlela ezayo. I-Malrotation yimeko enokunyangeka kakhulu, ingakumbi ukuba iqatshelwe kwangethuba. Kwaye ngenkqubela phambili yotyando, oogqirha ngoku bayakwazi ukunyanga iimeko ezinzima, nokuba kuvela iingxaki.

Umyalezo Wokugqibela Wokuya Ekhaya

Ngoko ke, ndiyathemba ukuba ngoku uyaqonda kakuhle into ebesithetha ngayo, iMalrotation. Eyona nto ibalulekileyo kukuba ukuba umntwana wakho uneempawu ezingaqhelekanga, ingakumbi ezo ziyingozi esithethe ngazo, bonana nogqirha ngaphandle kokuchitha ixesha. Ukuxilongwa kwangoko kunye nonyango kunokuthintela umonakalo omkhulu ebomini bomntwana.

Musa ukoyika, musa ukoyika. Amayeza anamhlanje anonyango olusebenzayo kwezi meko. Landela icebiso likagqirha wakho, umbuze imibuzo, kwaye uhlale uqinile kumntwana wakho.

Ukungalungi kakuhle kwamathumbu , iVolvulus, iiPediatrics, ukujija kwamathumbu, ukuhlanza kosana, utyando, iintlungu zesisu