Ngaba amathumbu omntwana wakho angene ngaphakathi? Masifunde nge-intussusception!

Ingaba umntwana wakho omncinci uhlala ekhala? Ngaba kuvakala ngathi kubuhlungu esiswini? Ngamanye amaxesha, kuyinto eqhelekileyo kuthi njengabazali ukuba sikhathazeke xa sibona izinto ezinje. Nangona kunjalo, kukho iimpawu ezithile esifanele sizixhalabise ngazo. Namhlanje, siza kuthetha nge -intussusception, imeko yamathumbu enzima efuna unyango olungxamisekileyo , ingakumbi kubantwana abancinci. Ungakhathazeki, ukuba uyazi oku, ungenza ngokukhawuleza kwaye umsindise umntwana wakho.

Yintoni le nto yokuzicingela?

Ngamafutshane, i-intussusception iyenzeka xa inxalenye enye yamathumbu akho, njengeenxalenye zeteleskopu, igoba iye kwenye inxalenye yamathumbu akho. Yicinge njengesokisi eqengqelekayo ngaphakathi. Oku kubangela ukuvaleka kwamathumbu . Ngokuqhelekileyo, le meko ichaphazela amathumbu amancinci .

Xa oku kusenzeka, ukutya neziselo ziyayeka ukuhamba emathunjini . Kukwanciphisa ukuhamba kwegazi kuloo ndawo. Ukuba ayinyangwa, le ngxaki inokubangela ukuba amathumbu adumbe, alimale , kwaye ibangele iingxaki ezinkulu ezinokuba yingozi ebomini.

Ngoko ke, i-intussusception yingxamiseko yezonyango. Nangona kunjalo, ukuba ifunyenwe kwaye inyangwa ngokukhawuleza, inokunyangeka.

Ixhaphake kangakanani le meko?

I-Intussusception inokwenzeka nakubani na, kwanabantu abadala. Nangona kunjalo, ixhaphake kakhulu kubantwana abancinci abaphakathi kweenyanga ezi-3 kunye neminyaka emi-3 ubudala.

I-Intussusception ibangela malunga ne-1% yazo zonke iingxaki zamathumbu kubantu abadala. Nangona kunjalo, yeyona nto iphambili ebangela iingxaki zamathumbu kubantwana abangaphantsi kweminyaka emi-3 ubudala. E-United States kuphela, malunga ne-1 kwi-2,000 yeentsana ifumana le meko kunyaka wayo wokuqala wobomi.

Zithini iimpawu? Ungazibona njani?

Kubalulekile ukwazi ukuba umntwana wakho unesifo sokuphefumla . Kwaye, xa unesi sifo esingaqhelekanga, kuya kuba kuhle ukuba uzazi iimpawu zaso.

Iimpawu kubantwana abancinci

Iintsana nabantwana abane- intussusception bafumana iintlungu zesisu ezibuhlungu nezibuhlungu eziphela emva kwexesha elithile zize ziphinde ziqale. Le ntlungu inokuhlala imizuzu eli-15-20 nangaphezulu. Iintsana ezingakwaziyo ukuveza iintlungu zazo zinokukhala, zibambe amadolo azo esiswini.Emva koko, xa intlungu iphelile (malunga nemizuzu engama-20-30), ungenza ngathi akukho nto yenzekileyo uze uqale ukudlala. Kodwa, emva kwexesha elithile, intlungu embi iqala kwakhona.

Njengoko intlungu iqhubeka, umntwana usenokudinwa, alale, aze aphelelwe ngamandla . Basenokuba nomkhuhlane aze aqalise ukothuka .

Ezinye iimpawu ezinokubakho zezi:

• Ukudumba kwesisu.
• Isicaphucaphu kunye nokuhlanza (ukuhlanza kusenokuba nombala otyheli-luhlaza).
• Indle ebomvu efana nejeli. Oku kukopha kwegazi emqolo , okunokuxutywa ne-mucus.

Amaxesha amaninzi, ezi mpawu zibonakala emva kweeveki ezimbalwa umntwana enesifo esifana nomkhuhlane wentsholongwane. Ngoko ke, ukubonakala kwezi mpawu ngokuhamba kwexesha kunokubangela ukurhanelwa kokuba umntwana enesifo sofuba .

Nangona kunjalo, kunokuba nzima ukubona iimpawu zokungena ngaphakathi komntwana, kuba azikho zonke iimpawu ezenzekayo kumntwana ngamnye. Kwakhona, azisoloko zisenzeka xa umntwana egula.

Nantsi into ekufuneka uyikhumbule: Ukuba umntwana wakho okanye umntwana wakho omncinci ubonakala enesifo sesisu ngaphandle kwesizathu esicacileyo, bonana nogqirha ngokukhawuleza.

Iimpawu kubantu abadala

Abantu abadala nabo bafumana iintlungu zesisu xa benesifo sokungenelela ngaphakathi . Kodwa sinokufika siphele, njengabasebantwaneni, okanye singahlala sihleli. Ukugabha, ukudumba, kunye nendle enegazi nazo ziqhelekile. Nangona kunjalo, ngenxa yokuba ezi mpawu ziqhelekile kwiimeko ezininzi zesisu (GI) , abantu abaninzi bayalinda ukuba ziphele. Kodwa kwimeko yesifo sokungenelela ngaphakathi, ayilocebo lilungileyo ukulinda. Le yimeko efuna unyango olungxamisekileyo kubantwana nakubantu abadala.

Kutheni kukho i-intussusception? Zithini izizathu?

Uninzi lwexesha, oogqirha abakwazi ukufumana unobangela othile wokungena ngaphakathi emzimbeni .

Izizathu zokukhulisa abantwana

Kubantwana, le meko ibonakala ngathi inxulumene nosulelo lwentsholongwane . Uninzi lwabantwana lufumana i-intussusception ekwindla nasebusika, xa i-viral gastroenteritis ixhaphakile. Ukongeza, abanye abantwana banokuba nezakhiwo ezingaqhelekanga okanye amaqhuma emathunjini abo, njenge -Michels diverticulum .Izinto ezifana ne -Meckel's diverticulum kunye ne-polyps nazo zinokuba zizizathu.

Izizathu ze-acne kubantu abadala

Izizathu zokuba abantu abadala bakhulele koku zicacile kancinci. Abantu abadala banamathuba amaninzi okuba ne -intussusception ukuba banomhlaza wamathumbu amakhulu ( ii-tumor ezinobungozi ) okanye ukukhula okungengobungozi kumathumbu amakhulu . Ukongeza, akunakubangelwa ziimeko ezihlala ixesha elide zosulelo ezifana nesifo sikaCrohn .

Zithini izinto ezibangela umngcipheko? Ngubani onokuba nethuba elikhulu lokufumana esi sifo?

Kukho izinto ezininzi ezibangela umngcipheko ezibangela ukuphuhliswa kwale meko:

• Ubudala: Uninzi lwabantwana lukhula phakathi kweenyanga ezi-3 kunye neminyaka emi-3 ubudala.
• Isini: Abafana banamathuba aphindwe kathathu okufumana le meko kunamantombazana. Abaphandi abakaqiniseki ukuba kutheni oku kusenzeka.
• Ixesha: Uninzi lwabantwana lukhula oku ekwindla nasebusika, apho iintsholongwane zesisu zidla ngokuba nomkhuhlane.

Ezinye iimeko zonyango zinokunyusa umngcipheko womntwana wakho:

• Ukubola kwamathumbu
• I- diverticulum kaMeckel
• Iipolyps okanye ii-cysts kwikholoni
• I-vasculitis ye-Immunoglobulin A (IgA)

Iimeko ezandisa umngcipheko wakho njengomntu omdala ziquka:

• Iithumba zamathumbu amakhulu (ezidla ngokuba ngumhlaza, kodwa zisenokungabi ngumhlaza)
• Isifo samathumbu esivuthayo (IBD)
• I-Endometriosis
• Ukuba unetyhubhu yokondla .

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba inyangwa ngokukhawuleza, i-intussusception inokubuyiselwa esiqhelweni. Nangona kunjalo, ukuba ayinyangwa, i-intussusception inokukhokelela kwiingxaki ezinzulu nezisongela ubomi, kwanokufa.

Iingxaki ezinokwenzeka:

• Ukugqobhoka kwamathumbu : Xa amathumbu evalekile ngenxa yokungena ngaphakathi , ukutya kunye neejusi zokugaya ukutya zinokubuyela umva emva kwawo. Oku kunokubangela ukuba amathumbu akhule, adumbe, aze ekugqibeleni aqhume, enze umngxuma.
• Usulelo olunzima kunye nokudumba (i-peritonitis) : Xa amathumbu evuvuka aze avuleke ngale ndlela, umxholo wamathumbu unokuvuza ungene kwisisu. Oku kunokubangela usulelo olunzima nolusongela ubomi olubizwa ngokuba yi-sepsis .
• I-Bowel necrosis : Ukonakala kwamathumbu kunokubangela ukuba izicubu ezikuloo ndawo zife.

Ezi ngxaki zinokwenzeka ngokukhawuleza njengoko imeko yomntwana wakho isiba mandundu. Yiyo loo nto kubaluleke kakhulu ukufuna unyango olungxamisekileyo ngokukhawuleza ukuba ukrokrela ukuba kukho into engalunganga.

Ungayixilonga njani ngokuchanekileyo le sifo? (Ukuxilongwa)

Uninzi lwexesha, uxilongo lwenziwa ngexesha lonyango olungxamisekileyo. Uvavanyo olusetyenziswa ukuqinisekisa uxilongo yi -ultrasound (yabantwana) kunye ne-CT scan ( yabantu abadala). I-Ultrasound inokubhaqa ukuvuvukala kwesisu ngokuchanekileyo kwe-100%. Olu luvavanyo lokuqala olwenziwa ngoogqirha ukujonga ukuvuvukala kwesisu ebantwaneni.

Ugqirha womntwana wakho unokuyalela i -enema yomoya okanye yokwahlulahlula . Kolu vavanyo, ugqirha ufaka ulwelo olunomoya okanye into ekhuselekileyo ebizwa ngokuba yi-barium kwi-rectum yomntwana wakho. Uxinzelelo oluvela emoyeni okanye kulwelo lubangela ukuba ikholoni yande, nto leyo eyenza ukuba inxalenye yayo inyamalale ngaphakathi kwenye. Le nkqubo ireyiphwa ngevidiyo kusetyenziswa umatshini we-X-ray .

Le ndlela ayiqinisekisi nje kuphela ukuxilongwa, kodwa kwiimeko ezininzi inokunyanga nokungena kwamathumbu ebantwaneni.

Indlela yokunyanga? (Unyango)

Unyango lubandakanya ukusebenzisa i -enema yomoya okanye yokwahlulahlula efanayo neyasetyenziswa ukuxilonga imeko ukulungisa ukuvaleka kwekholoni yomntwana wakho. Le yinkqubo ye -radiologic (njengeskeni), hayi inkqubo yotyando. Ngoko ke umntwana wakho akayi kuyidinga i-anesthesia .

Nangona kunjalo, le ndlela ayisebenzi kubantu abadala abane- intussusception . Badla ngokunyanzeleka ukuba benze utyando.

Utyando

Abantu abadala abane -intussusception baya kufuna utyando. Kwaye, kunqabile, abanye abantwana baya kufuna utyando. Umzekelo, ukuba indlela ye-enema ayisebenzi, okanye ukuba umntwana uneengxaki ezithile (ezifana nomngxuma emathunjini, usulelo), baya kufuna utyando.

Olu tyando lunokuba lutyando lwendabuko "oluvulekileyo", oko kuthetha ukuba lwenziwa ngokusikwa okukhulu esiswini. Okanye, ugqirha angasebenzisa inkqubo engangenisi kakhulu ebizwa ngokuba yi-laparoscopy .

I-LaparoscopyNgexesha lotyando, ugqirha wenza amanxeba amabini okanye amathathu esiswini somntwana wakho. Ngale manxeba, ugqirha angafikelela emathunjini atsaliweyo aze awabuyisele kwindawo yawo yokuqala. Ukuba oko akunakwenzeka, baya kususa inxalenye eyonakeleyo yamathumbu baze bathunge iindawo eziseleyo (ezingancamathiselwanga) ndawonye.

Ngexesha lotyando, ingcali yokubulala iintlungu zabantwana (ugqirha ogxile ekupheliseni iintlungu zabantwana) uza kulalisa umntwana wakho. Ukuze umntwana angaziva ntlungu okanye azi ukuba kwenzeka ntoni.

Umntwana uza kuziva njani emva konyango? Kuza kuthatha ixesha elingakanani ukuba aphile?

Emva kwe-enema, umntwana wakho usenokuziva equnjelwe kangangeeyure ezimbalwa. Kusenokufuneka unike i-acetaminophen (umz., i-paracetamol) ukunciphisa iintlungu kunye nomkhuhlane.

Emva kotyando, umntwana wakho kuya kufuneka anikwe amayeza entlungu ukuze ahlale ekhululekile. Kuya kufuneka atyiswe ngemithambo yegazi (ii-IV fluids) kangangeentsuku ezimbalwa de amathumbu akhe aphole. Ngokwesiqhelo banokuqala ukutya kwakhona kwiintsuku ezi-1 ukuya kwezi-3. Kungathatha iiveki ezimbalwa ukubuyela kwimisebenzi yabo yesiqhelo.

Ngaba ikho indlela yokuthintela ukungena ngaphakathi?

Akukho ndlela iqinisekileyo yokuthintela ukungakwazi ukuzikhusela , kodwa ungazithintela iziphumo ezimbi ngokufumana unyango olungxamisekileyo lomntwana wakho ngoko nangoko .

Yintoni endimele ndiyilindele xa umntwana wam efumana le meko? Ngaba inganyangeka?

Unyango lwakwangoko lunokuphucula iziphumo ebantwaneni. I-Intussusception idla ngokuphathwa nge-enema yomoya okanye i-contrast. Nangona kunjalo, inokuphinda ivele kwi-10% ukuya kwi-20% yabantwana. Iimpawu zinokubuya kwiiyure zokuqala ezingama-48 emva kotyando (oku kunqabile) okanye kwiiveki okanye kwiinyanga kamva (oku kuqheleke kakhulu).

Ukuba i-intussusception iphinda ivele, ugqirha womntwana wakho uya kwenza izinto ezifanayo nalezo wayezenza ngaphambili ukuze ayixilonge aze ayinyange. Oku kungabandakanya ukunika enye i-enema .

Ngaphambi kokuba uphume esibhedlele, buza ugqirha ukuba ulindele ntoni ukuba oku kuphinde kwenzeka, kwaye zithini iimpawu zokuphinda kwenzeke kwakhona.

Ngawaphi amathuba okusindisa ubomi bomntwana one-intussusception?

Kwizibhedlele ezinoogqirha abanamava abanyanga i-intussusception , i-barium okanye i-air enema iphumelela ukuya kuthi ga kwi-85% yabantwana. Ukuba umsa umntwana wakho kugqirha ngokukhawuleza nje ukuba uqaphela iimpawu, ufumane uxilongo, kwaye uqale unyango, unethuba elingcono lokusindisa ubomi bomntwana wakho ngaphandle kweengxaki.

Ngaba i-intussusception isoloko iyinto engxamisekileyo?

Ewe. Ukungena emzimbeni kusoloko kuyinto engxamisekileyo yezonyango. Ixesha libaluleke kakhulu. Ukuba umntwana wakho ubonisa iimpawu zokungena emzimbeni , mse esibhedlele ngokukhawuleza, ngaloo mini inye.

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana wakho unentlungu esiswini engachazekiyo , fowunela ugqirha wabantwana ngokukhawuleza uze umcele ukuba ahlolwe. Ukuba awukwazi ukumbona ngaloo mini, mse kwigumbi likaxakeka (ETU) .

Emva konyango, kuyinto eqhelekileyo ukuba umntwana wakho abe nokudumba kwindawo yotyando. Nangona kunjalo, fowunela ugqirha wakho ukuba umntwana wakho unenye yezi zinto zilandelayo:

• Ukudumba okugqithisileyo, ukuba bomvu, ukufudumala, okanye ukuphuma kwamanzi kwinxeba.
• Umkhuhlane (ngaphezulu kwe-101 Fahrenheit / 38 Celsius).
• Isicaphucaphu nokuhlanza.
• Iimpawu zokubuyela umva (ezifana neentlungu ezingapheliyo, isitulo esifana nejeli).

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Ungabuza imibuzo efana nale:

• Yintoni ebangela ukuba amathumbu omntwana wam avaleke?
• Kuza kuthatha ixesha elingakanani ukuba aphile?
• Ngaba kufuneka ndenze utshintsho kwindlela yokuphila ukuze ndincede umntwana wam aphile kakuhle?
• Zeziphi iimpawu ekufuneka ndiziqaphele ezibonisa ukuba oku kungenzeka kwakhona?
• Ngaba ndifanele ndikutsalele umnxeba xa ndibona iimpawu zokubuyela kwimeko yesiqhelo, okanye ndiye ngqo kwiSebe leNgxamiseko (ETU) ?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuba ubona iimpawu ze- intussusception kumntwana wakho okanye umntwana omncinci, musa ukucinga kabini. Akuqhelekanga ukuba nentlungu yesisu efika ize idlule. Oku kungaba luphawu lwemeko enzima efana ne -intussusception . Okukhona umntwana wakho efumana unyango ngokukhawuleza, kokukhona amathuba okusinda ngaphandle kweengxaki. Musa ukulibazisa. Mse kugqirha okanye kwigumbi likaxakeka. Isenzo sakho esikhawulezileyo sinokunceda ukusindisa ubomi bomntwana wakho.

Ukungena ngaphakathi, ukuvaleka kwamathumbu, iintlungu zesisu ebantwaneni, isitulo sejeli, ukuvaleka kwamathumbu, unyango olungxamisekileyo, i-enema