Ngaba usana olusandul’ ukuzalwa luyahlanza emva kokusela ubisi? Makhe sithethe ngeDuodenal Atresia!

Ngaba umntwana wakho osandul’ ukuzalwa uyagabha emva nje kokusela ubisi? Ngaba ukuhlanza kuluhlaza-mthubi? Njengomama, kuyinto eqhelekileyo ukuba noloyiko xa ubona into efana nale. Kodwa ngamanye amaxesha oku kusenokubangelwa yimeko ebizwa ngokuba yi-'Duodenal Atresia', esithetha ngayo namhlanje. Musa ukoyika xa usiva eli gama. Le yimeko enokunyangeka kwaye inyangeke ngokupheleleyo. Masithethe ngayo yonke into ngokulula nangokucacileyo.

Yintoni iDuodenal Atresia?

Ngamafutshane, oku kuthetha ukuba kukho ukuvaleka xa kuzalwa ekuqaleni kwamathumbu amancinci omntwana wethu, oko kukuthi, kwinxalenye ye-duodenum. Cinga ngako njengombhobho wamanzi onamathela phakathi. Emva kokuba ubisi oluselwa ngumntwana lungene esiswini, kufuneka luye emathunjini ukuze lugaywe. Kodwa ngenxa yokuvaleka, ubisi kunye neencindi zokugaya azikwazi ukudlula apho. Yiyo loo nto umntwana ehlanza.

Le yimeko yokuzalwa . Oku kuthetha ukuba ingxaki yenzeka ngelixa umntwana esesesibelekweni. Ngamanye amaxesha, abantwana abanale meko banokuba nezinye iingxaki zempilo, ezifana nesifo sentliziyo okanye i-Down syndrome.

Ngaba kukho iintlobo ezahlukeneyo zezi?

Ewe, kukho iintlobo ezininzi eziphambili zale ngxaki, kuxhomekeke kwindlela eyenzeka ngayo. Akunyanzelekanga ukuba ukhathazeke kakhulu ngezi zinto, kodwa kulungile ukwazi ukuba ugqirha wakho uyathetha ngayo.

Zithini iimpawu zale meko?

Kubaluleke kakhulu ukuzazi ezi mpawu.

Uninzi lwexesha, ezi mpawu zibonakala kwiiyure zokuqala emva kokuba umntwana ezelwe.

• Ukugabha: Olu luphawu oluphambili. Lunokwenzeka emva kokuba umntwana etyisiwe okokuqala. Olu hlanzo lunokuba luhlaza, tyheli, okanye lube mdaka ngombala . Ukuba alunyangwa, ukuhlanza kuya kwanda.
• Ukudumba kwesisu esingentla: Ngenxa yokuvaleka kwamathumbu, ukutya kunye nolwelo ziyaqokelelana, nto leyo eyenza isisu esingaphezulu sibonakale sidumbile.
• Ubunzima obuphantsi bokuzalwa.
• Ukuqhinwa.
• I-Jaundice: Ukutyheli kwamehlo nolusu.

Ngamanye amaxesha, ukuba ukuvaleka kwamathumbu akuphelelanga (ukuvaleka okungaphelelanga), oko kuthetha ukuba kukuvaleka okuncinci kuphela, ezi mpawu zinokubonakala kumntwana emva kweenyanga ezimbalwa okanye kwanasebuntwaneni.

Kutheni oku kusenzeka? Yintoni unobangela?

Oku ngokwenene kubangelwa yinkqubo enzima kakhulu. Xa umntwana ekhula esibelekweni, malunga neeveki ezi-5-6, i-duodenum iqala ukwakheka njengetyhubhu etyebileyo. Emva koko, iiseli ezingaphakathi kuloo tyhubhu ziyafa kancinci kancinci, zenze ityhubhu engenanto. Oku kubizwa ngokuba yi-`(apoptosis)`.

Ukuba ngandlela ithile ezi seli ziyafa kwaye inkqubo yokwenza umbhobho ongenanto ayenzeki ngokuchanekileyo, kuvela ukuvaleka. Oko kubizwa ngokuba yiDuodenal Atresia. Ukuba le nkqubo ayigqitywanga kwaye ime phakathi, iimeko ezifana neDuodenal Stenosis (ukuncitshiswa kwamathumbu) ziyavela.

Oogqirha bayixilonga njani le meko?

Le meko ingafunyanwa ngaphambi okanye emva kokuba umntwana ezelwe.

Ukuxilongwa Kwangaphambi Kokubeleka

Iiskeni ngexesha lokukhulelwa zinokunika izikhokelo malunga noku.

• I-Ultrasound yosana olungekazalwa:Ngexesha lokuhlolwa kwakho rhoqo, ukuba ugqirha ubona "iqamza eliphindwe kabini" esiswini somntwana wakho, oko kuthetha ukuba isisu kunye nenxalenye yokuqala yesibeleko zizaliswe lulwelo, oku kusenokuba yinto engaqondakaliyo. Kwakhona, ukuba kukho ulwelo oluninzi lwe-amniotic olujikeleze umntwana (i-polyhydramnios), oku kunokuba luphawu lwale meko. Oku kungenxa yokuba umntwana udla ngokuginya olunye lolwelo, kodwa akanakukwazi ukwenza njalo ngenxa yokuvaleka kwamathumbu.
• I-MRI yosana olusesiswini: Ukuba iskeni ayicacanga, i-MRI inokwenziwa ngamanye amaxesha.

Ukuba kurhanelwa oku, oogqirha banokucebisa novavanyo olufana ne-amniocentesis ukujonga iingxaki ze-chromosome ezifana ne-Down syndrome.

Emva kokuba umntwana ezelwe (Ukuxilongwa emva kokubeleka)

Le meko ifunyaniswa ngokuqinisekileyo kuphela emva kokuba umntwana ezelwe.

• I-X-reyi yesisu: Uvavanyo lwe-X-reyi lubonisa ngokucacileyo "uphawu lwebhamuza eliphindwe kabini" olukhankanyiweyo ngaphambili. Oku kuthetha ukuba isisu kunye ne-duodenum zizaliswe ngumoya, ngelixa umoya osemathunjini angezantsi ungabonakali.
• Uvavanyo lweBarium Swallow: Ngamanye amaxesha, ingakumbi ukuba ukuvaleka akuphelelanga, umntwana unikwa ulwelo olubizwa ngokuba yibarium ngetyhubhu kwaye kuthathwa i-X-ray ukuze kubonwe ukuba kuphi na kwaye yintoni ukuvaleka.

Inyangwa njani? Ngaba le nto inganyangeka?

Ewe, unyango olulodwa noluphumeleleyo kakhulu lwale meko lutyando .

Ngaphambi kotyando, umntwana akayi kunikwa ubisi ngomlomo. Endaweni yoko, umzimba uya kunikwa isondlo esifunekayo ngesisombululo se-saline (IV). Kwakhona, kuya kufakwa ityhubhu encinci ngempumlo okanye ngomlomo esiswini ukuze kususwe umoya kunye nolwelo oluqokelelene esiswini somntwana.

Uninzi lwexesha, utyando lwenziwa kwiintsuku ezimbini ukuya kwezintathu emva kokuzalwa komntwana.

Utyando

Olu tyando lubizwa ngokuba yi-duodeno-duodenostomy. Lubandakanya ukudlula inxalenye yamathumbu evalekileyo nokudibanisa iindawo eziphilileyo ezingaphezulu nangaphantsi kwawo. Kufana nokususa iqhekeza lombhobho ovalekileyo nokufaka omtsha.

Ngobuchwepheshe bangoku, olu tyando ludla ngokwenziwa kusetyenziswa indlela yotyando olungenabungozi kangako, apho kufakwa ikhamera ngokusebenzisa imingxunya embalwa emincinci kakhulu, endaweni yokwenza umngxunya omkhulu esiswini. Oku kuthetha ukuba umntwana uphila ngokukhawuleza.

Kwenzeka ntoni emva kotyando?

Emva kotyando, umntwana unyanyekelwa kwiyunithi yokhathalelo oluphezulu lweentsana ezisandul’ ukuzalwa (i-NICU). Kungathatha iveki okanye ngaphezulu ukuba amathumbu aqale ukusebenza ngokuqhelekileyo kwakhona. Kude kube ngoko, umntwana utyiswa ngetyuwa.

Xa amathumbu eqala ukusebenza, uya kuqala kancinci kancinci ukunika ubisi. Xa umntwana esela kakuhle kwaye eqala ukutyeba, ungabuyela ekhaya usuka esibhedlele. Ngokwesiqhelo, kufuneka uhlale esibhedlele malunga neeveki ezimbini ukuya kwezintathu.

Ingaba le meko iyingozi? Sifanele sicinge ntoni ngekamva?

Akukho ndlela yokuthintela le meko okwangoku. Ngoko ke ungaze ucinge ukuba yimpazamo yakho. Eyona nto ibalulekileyo kukuba ukuba uyazi ngayo ngexesha lokukhulelwa, oogqirha banokukulungela ukunika unyango olufunekayo xa umntwana ezelwe. Kungoko ke, kubaluleke kakhulu ukulandela iingcebiso zonyango ezifanelekileyo.

Ukuba umntwana wakho unale meko, thetha nogqirha wakho umchazele yonke into. Ungakhathazeki, iqela lezonyango liza kukunika lonke uncedo olufunekayo kuwe nakumntwana wakho.