Ngaba umntwana wakho omncinci uhlala ehlushwa ziintlungu zesisu kwaye ehlanza ukuhlanza okuluhlaza okwesibhakabhaka? Mhlawumbi ugqirha uthe umntwana unengxaki yokuzalwa ngamathumbu akhe, nto leyo ethetha ukuba amathumbu akhe abekwe ngendlela engafanelekanga? Oku sikubiza ngokwezonyango ngokuthi `(Malrotation)`. Ugqirha usenokuba uthe kufuneka enze inkqubo `kaLadd' njengonyango loku. Ngoko ke, kuqhelekile ukuba uzive uloyiko olukhulu kunye nexhala. Ngoko ke namhlanje siza kuthetha ngayo yonke into ngokucacileyo, ngokulula, nangendlela onokuyiqonda.
Iyintoni iNkqubo kaLadd?
Ngamafutshane, xa amathumbu engekho kwindawo efanelekileyo ngaphakathi esiswini xa umntwana esesibelekweni, oku sikubiza ngokuba yi-'(Malrotation)'. Le yimeko yokuzalwa.
Eyona nto iyingozi kakhulu ngale nto kukuba ngamanye amaxesha amathumbu angalunganga ngale ndlela anokujijeka kunye. Cinga ngayo njengokubamba umbhobho wamanzi macala omabini uze uwujije. Oku sikubiza ngokuba yi-volvulus . Xa oku kusenzeka, ukuhanjiswa kwegazi emathunjini kunokupheliswa ngokupheleleyo, kwaye ezo ndawo zinokufa (necrosis). Le yimeko engxamisekileyo kakhulu.
Ukongeza, imixokelelwane engaqhelekanga yezicubu ezibizwa ngokuba yi-"Ladd's bands" inokwenza kwaye ivale inxalenye yokuqala yamathumbu (i-duodenum). Oku kunokubangela ukuba umntwana angakwazi ukugaya ukutya kwaye ahlanze rhoqo.
Ngoko ke into eyenziwa lolu tyando lwe-LAD kukuba oogqirha botyando balungise la mathumbu ajijekileyo, banqumle ezo ziqwenga zezicubu ezithintelayo, baze babeke amathumbu kwindawo efanelekileyo nekhuselekileyo ngaphakathi esiswini.
Ndiyayiqonda inkxalabo onayo xa usiva ngotyando lomntwana wakho. Kodwa olu lolona nyango lubalaseleyo nolungcono lwe-`(Malrotation)`. Iqela lakho lezonyango aliyi kukushiya wedwa nomntwana wakho kolu hambo, liza kuchaza yonke into.
Ungayilungiselela njani umntwana utyando?
Olu tyando ludla ngokwenziwa kwiintsana ezingaphantsi konyaka omnye ubudala. Ngoko ke aziqondi ukuba kwenzeka ntoni. Yiyo loo nto uthando lwakho kunye nenkathalo yakho njengomzali zibaluleke kangaka kumntwana wakho ngeli xesha. Zimbalwa izinto onokuzenza.
- Lungiselela ukuhlala esibhedlele: Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa, mhlawumbi iiveki ezimbini, emva kotyando. Zama ukuhlala ukufutshane nomntwana wakho kangangoko unako. Ilizwi lakho, ukuchukumisa kwakho okuthuthuzelayo kungumthombo omkhulu wentuthuzelo kumntwana wakho. Xa ufuna ikhefu, cela ilungu losapho elimazi kakuhle umntwana wakho ukuba lihlale nawe.
- Yenza umntwana wakho akhululeke: Zisa into ayithandayo umntwana wakho, njengethoyi okanye ingubo encinci. Ukuba nayo phambi nasemva kotyando kuya kunceda umntwana wakho azive ekhululekile.
- Buza ngokutya nokusela: Kusenokufuneka uyeke ukuncancisa umntwana wakho kwiiyure ezimbalwa ngaphambi kotyando. Oku kunokwahluka kumntwana ngamnye, ngoko ke thetha nogqirha wakho ngale nto.
Lwenziwa njani utyando?
Uninzi lwexesha, olu tyando lwenziwa nge-laparoscopically. Oko kukuthi, oko sikubiza ngokuba lutyando 'lwe-keyhole', olwenziwa ngekhamera. Kulolu hlobo, kwenziwa imingxunya embalwa esiswini. Kunqabile, ngokuxhomekeke kwimeko, utyando oluvulekileyo olubizwa ngokuba yi-'laparotomy' lunokwenziwa. Ugqirha uya kugqiba ukuba yeyiphi indlela efanelekileyo kumntwana wakho.
| Kwenzeka ntoni ngaphambi nangexesha lotyando | |
|---|---|
| Ukulungiselela ngaphambi kotyando | |
| Umbhobho wempumlo (ityhubhu ye-NG) | Kufakwa umbhobho omncinci ngempumlo esiswini ukuze kukhutshwe konke okusesiswini somntwana. |
| Ukufaka i-saline engalweni (umgca we-IV) | Isicombululo setyuwa sifakwa emthanjeni engalweni. Kulapho ke kunikwa khona ulwelo olufunekayo, amayeza okudambisa iintlungu, kunye namayeza okuthintela usulelo. |
| I-Anesthesia Jikelele | Umntwana ulala ngokupheleleyo, ngoko ke akukho ntlungu ngexesha lotyando. |
| Ngexesha lotyando | |
| Ukwenza imingxunya emincinci | Kwindlela ye-laparoscopic, kwenziwa imingxunya emincinci emi-3 okanye emi-4 yesisu esingange-3-5 mm. |
| Ukulungiswa kwamathumbu | Amathumbu ajijekileyo olulwa ngononophelo kwaye izicubu ezithintelayo ze-"Ladd's bands" ziyasikwa zize zisuswe. |
| Ukususwa kwesihlomelo | Xa amathumbu ebekwe ngokutsha, i-appendix ikwindawo engafanelekanga. Ngenxa yokuba inokuba yingxaki kwixesha elizayo, iyasuswa ngexesha lotyando. Ayimlimazi umntwana. |
| Ukutshintsha indawo yamathumbu | Ukuba amathumbu anegazi elilungileyo, abekwa ngokukhuselekileyo kwicala lasekhohlo lesisu. |
Ngamanye amaxesha, ukuba kukho ukurhaneleka kokuba igazi livaliwe ngenxa yokujijeka kwamathumbu kunye nomonakalo wamathumbu, olunye utyando lunokufuneka kwiiyure ezingama-24-48 emva kotyando lokuqala ukuqinisekisa impilo yamathumbu.
Kwenzeka ntoni emva kotyando?
Emva kotyando, umntwana usiwa kwigumbi lokuchacha, apho oogqirha kunye nabongikazi bajonga khona ukubetha kwentliziyo yomntwana kunye nokuphefumla kwakhe. Ulwelo kunye nesondlo zinikwa nge-saline (IV) de amathumbu omntwana aqale ukusebenza kwakhona (oko kukuthi, ukukhupha igesi kunye nendle ).
Emva kokuba amathumbu eqalile ukusebenza, umntwana unokuqalisa ukusela ubisi nokutya kwakhona kwiintsuku ezimbini ukuya kwezintathu.
Ziziphi iingenelo kunye neengozi zalo tyando?
Eyona nzuzo iphambili kukuba iyayiphilisa ngokupheleleyo imeko ethi "Malrotation". Nangona kunjalo, njengakuzo zonke iintlobo zotyando, kukho iingozi ezincinci.
| Iinzuzo | Iingozi/Iingxaki |
|---|---|
| Iimpawu ezifana neentlungu zesisu nokuhlanza ziyanyamalala. | Usulelo kwindawo yotyando. |
| Umngcipheko oyingozi wokujijeka kwamathumbu (i-volvulus) uyasuswa. | I-Paralytic ileus kukuyeka okwethutyana ukusebenza kwamathumbu. |
| Umntwana uya kukwazi ukusela ubisi aze atye ngendlela eqhelekileyo. | Isifo samathumbu amafutshane (ukuba inxalenye yamathumbu isusiwe). |
| Umntwana ufumana ukukhula okuqhelekileyo nophuhliso oluqhelekileyo. | Ukujijwa kwamathumbu ngokuphindaphindiweyo (iVolvulus) rhoqo. |
Ndifanele ndimtsalele umnxeba nini ugqirha?
Emva kokuba uzise umntwana wakho ekhaya evela kuqhaqho, fowunela ugqirha wakho okanye isibhedlele ngokukhawuleza ukuba ubona naziphi na iimpawu ezilandelayo. Ezi zinokuba ziimpawu zosulelo:
- Umkhuhlane: Ukuba ubushushu obusemqolo bungaphezulu kwe-100.4°F (38°C).
- Ubomvu obuphuma enxebeni: Ukuba kuvela ulwelo olungqindilili, olumhlophe okanye olunombala okhrimu enxebeni.
- Ukuvula inxeba: Ukuba inxeba livulekile kwaye izititshi zikhululekile, kukho ubunzulu obubonakalayo.
- Ubomvu obujikeleze inxeba: Ulusu olujikeleze inxeba lubomvu kwaye ubomvu buyasasazeka.
Kwakhona, ukuba umntwana uphinda abe nentlungu esiswini aze ahlanze aluhlaza, oko kuthetha ukuba iimpawu zisenokuvela kwakhona. Ukuba oko kuyenzeka, kufuneka utsalele ugqirha umnxeba ngokukhawuleza ngaphandle kokulibazisa.
Umyalezo Wokuya Ekhaya
- Inkqubo yeLadd lolona nyango luphela noluphumelele kakhulu lwe-malrotation, isiphene sokuzalwa samathumbu.
- Oku kunokuthintela imeko eyingozi ye-``Volvulus``, apho amathumbu ajikajika aze alahlekelwe ligazi lawo.
- Ukuba uneenkxalabo okanye uloyiko malunga notyando, thetha nogqirha wakho ngalo mba ngokukhululekileyo. Baza kukuchazela yonke into.
- Ukuba ubonakalisa iimpawu zosulelo (umkhuhlane, ubomvu obuvela kwinxeba) okanye iimpawu ziphinda zibuye (ukugabha, iintlungu zesisu) emva kotyando, funa ingcebiso kagqirha ngoko nangoko.
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