Ngaba umntwana wakho omncinci usoloko ekhala ngenxa yesisu esibuhlungu? Ngaba uziva ngathi uzele? Ngaba ngamanye amaxesha uhlanza ukuhlanza okuluhlaza? Njengomama okanye utata, kuyinto eqhelekileyo ukuziva uxhalabile kakhulu ngamaxesha anje. Nangona sihlala sicinga ukuba ezi zintlungu zesisu eziqhelekileyo, ngamanye amaxesha kunokubakho isizathu esibangela oku ekufuneka sikhathazeke ngakumbi. Ngoko ke, enye imeko ekufuneka siyiqaphele kukuba ukugoba kwamathumbu, okanye ngokwezonyango, `(Malrotation)`.
Ngamafutshane, yintoni i-intestinal malrotation?
Oku kungavakala ngathi ligama elinzima, kodwa kulula kakhulu ukuliqonda. 'Ukuzala kakubi' yimeko yokuzalwa . Oko kukuthi, kwenzeka xa umntwana esesesibelekweni.
Cinga ngale nto, xa amalungu omzimba womntwana esenziwa, amathumbu ayakhiwa kuqala, aze emva koko afuneke ajijeke kakuhle aze angene kwiindawo zawo ezifanelekileyo esiswini. Oku kudla ngokwenzeka.
Nangona kunjalo, kwimeko ye-'Malrotation', amathumbu awajiki kakuhle, kodwa abekwe ngendlela engafanelekanga. Ukuchaneka, amathumbu awabekwanga kakuhle ngaphakathi kwesisu. Ngenxa yoku, amathumbu awanamatheliswanga kakuhle eludongeni lwesisu. Oku sikubiza ngokuba yi-'Malrotation'. Oku akubangelwanga yimpazamo yomntwana okanye yabazali.
Into ebalulekileyo kukuba abantwana abaninzi abanale meko badinga utyando ukuze kulungiswe amathumbu abo. Xa oko kugqityiwe, umntwana angaphila ubomi obuqhelekileyo.
Iyintoni imeko eyingozi ebizwa ngokuba yi-'Volvulus'?
Xa sithetha nge-'Malrotation', enye ingxaki eyingozi kakhulu ekufuneka siyazi yi-'Volvulus'. Le yeyona ngxaki iphambili ye-'Malrotation'. Ngamafutshane, oku kuthetha ukuba amathumbu ayajika aze abambeke .
Cinga ngombhobho wamanzi. Kwenzeka ntoni ukuba umbhobho ugoba kwaye ujijeke kwindawo ethile? Ukuhamba kwamanzi kuvaliwe, akunjalo? Yiloo nto eyenzekayo nalapha.
Ukubola kwesisu yimeko apho amathumbu engabekwanga kakuhle esiswini, ukuze adibane ngokulula. Xa oku kusenzeka, kuvela iingxaki ezimbini eziphambili:
1. Ukuvaleka kwamathumbu: Ukushukuma kokutya okugayiweyo ngamathumbu kuvaliwe ngokupheleleyo. Oku kubizwa ngokuba yi-"Ukuvaleka kwamathumbu".
2. Ukuphazamiseka kokuhamba kwegazi: Okuyingozi ngakumbi kukuba imithambo yegazi ehambisa igazi emathunjini nayo ibanjwa koku kujikajika. Emva koko, loo nxalenye yamathumbu ayifumani gazi laneleyo, kwaye loo nxalenye iqala ukufa.
Le meko ibizwa ngokuba yi-'Volvulus' yimeko efuna utyando olungxamisekileyo.`(ingxamiseko yotyando)`. Kuba ukuba ayinyangwa, iingxaki ezinzima ezisongela ubomi ezifana nokufa kwamathumbu, ukugqobhoka, i-peritonitis, i-sepsis, kunye nomothuko zinokwenzeka.
Zithini iimpawu zale meko? Siyibona njani?
Abanye abantwana basenokungabonakalisi zimpawu xa benesifo se-'malrotation' kuphela. Nangona kunjalo, iimpawu zibonakala ngequbuliso xa kuvela i-'volvulus'. Ezi mpawu zixhaphake kakhulu kubantwana abangaphantsi kweminyaka emi-5 ubudala, ingakumbi kwinyanga yokuqala yobomi babo.
Makhe sibone ukuba ezi mpawu zahluke njani kwiintsana nakubantwana abadala.
| Iimpawu ezibonwa kwiintsana | |
|---|---|
| Uphawu | Inkcazo |
| Ukuhlanza | Ukuhlanza rhoqo. Ingakumbi, ukuhlanza okuluhlaza okanye okumthubi-luhlaza . Oku kubangelwa kukubuya kwenyongo ngenxa yokuvaleka kwamathumbu. Olu luphawu lwengxakeko! |
| Intlungu yesisu kunye nokudumba | Isisu sigcwele, kwaye intlungu ivakala xa isandla sibanjwe. Umntwana unentlungu enkulu ye-colic. |
| Ipateni yokulila | Umntwana ukhala kakhulu, ebambe imilenze yakhe iye esiswini ixesha elide. Emva koko, emva kokuzola malunga nemizuzu eli-10-15, ngequbuliso uqala ukukhala kwakhona ngenxa yentlungu. |
| Utshintsho kwisihlalo | Igazi elikwindle okanye ukopha emqolo. |
Iimpawu zabantwana abangaphezu konyaka omnye ubudala
Iimpawu kubantwana abadala zinokwahluka kancinci. Ezinye izifundo zibonise ukuba abantwana abangaphezu kweminyaka emi-2 ubudala abanakukwazi ukuhlanza okuluhlaza. Badla ngokuba neentlungu zesisu eziphindaphindayo kunye nokuhlanza okumbala oqhelekileyo.
| Iimpawu zabantwana abangaphezu konyaka omnye ubudala | |
|---|---|
| Intlungu yesisu | Intlungu yesisu ephindaphindayo. |
| Ukuhlanza kunye nesicaphucaphu | Ukucaphuka rhoqo kunye nokuhlanza (okudla ngokuba nombala oqhelekileyo). |
| Iingxaki zenkqubo yokugaya ukutya | Urhudo okanye ukuqhina. |
| Iingxaki zokukhula | Ukungaphumeleli ukukhula. |
| Ezinye iimpawu | Ukudumba nokuphuma kwegazi ngendle. |
Kutheni oku kusenzeka? Yintoni unobangela?
Enyanisweni, abaphandi abakayazi eyona nto ibangela oku. Esikwaziyo kukuba yimeko yokuzalwa. Amathumbu emveku aqala ukwakheka malunga neveki ye-10 yokukhulelwa. Ngoko ke ngesizathu esithile ngeli xesha le nkqubo, la mathumbu awakheki kakuhle. Uphando lusaqhubeka ukufumana unobangela ochanekileyo.
Oogqirha bayixilonga njani le meko?
Ukuba umntwana wakho unezi mpawu zingasentla, xa usiya kugqirha, uza kuqala amhlole umntwana ngononophelo. Uza kuva isisu somntwana aze ajonge ukuba akadumbanga okanye unentlungu.
Emva koko, ukuqinisekisa ukuxilongwa, kuyalelwa iimvavanyo ezininzi ezinokuthatha imifanekiso yangaphakathi kwesisu. Ezona ziphambili zezi:
- Iskeni ye-ultrasound yesisu
- Ii-X-reyi kusetyenziswa into ekhanyayo (umahluko)
Ezi mvavanyo zinokubona ngokucacileyo indawo yamathumbu kunye nokuba kukho na ukuphazamiseka kombhobho wokutya.
Inyangwa njani? Ngaba utyando luyimfuneko?
Ewe, abantwana abane-'Malrotation' badla ngokutyandwa. Injongo ephambili yolu tyando kukuvula amathumbu ajijekileyo nokuwabeka kwindawo efanelekileyo ngaphakathi kwesisu.
Kukho iindlela ezimbini eziphambili zotyando ezisetyenziselwa oku:
1. Inkqubo kaLadd: Le yeyona ndlela isetyenziswa kakhulu. Kule nkqubo, ugqirha otyandayo usika imixokelelwane engaqhelekanga yezicubu ezibambe amathumbu kunye. Amathumbu ajijekileyo emva koko ayakhululwa aze abekwe endaweni yawo. Le nkqubo ingenziwa njengotyando oluvulekileyo okanye nge-laparoscopically. Nangona kunjalo, kukho umngcipheko ongaqhelekanga wokuba amathumbu ajijeke kwakhona (i-recurrent volvulus) emva kwale nkqubo.
2. Inkqubo kaKareem: Le yinkqubo entsha. Kule nkqubo, amathumbu ajikeleziswa ngokupheleleyo kwindawo efanelekileyo aze aqiniswe eludongeni lwesisu. Oku kucingelwa ukuba kunciphisa umngcipheko wokuphinda ajike amathumbu.
Iqela lezonyango liza kuxoxa nawe ngeyona nkqubo yotyando ifanelekileyo kwimeko yomntwana wakho.
Ngamanye amaxesha, kuxhomekeke kubungakanani bomonakalo emathunjini, amanyathelo ongezelelweyo anokufuneka athathwe ukongeza kutyando.
- Ukususwa kwenxalenye yamathumbu eyonakeleyo.
- Umngxuma wexeshana okanye osisigxina esiswini ukuvumela indle ukuba idlule (iColostomy).
- Ukususwa kwe-appendix (kuba indawo yamathumbu iyatshintsha, nto leyo eyenza kube nzima ukuxilonga i-appendicitis kwixesha elizayo).
Liyinyaniso elokuba utyando olungxamisekileyo lunokuba yinto eyoyikisayo kumama okanye kutata. Kodwa khumbula, umntwana wakho usezandleni zeqela lezonyango elinobuchule. Thetha nabo ngayo nayiphi na imibuzo okanye iinkxalabo onazo. Baza kukuchazela yonke into.
Sifanele siye nini kugqirha? Sifanele siye nini kwi-ETU?
Le yeyona nxalenye ibalulekileyo. Ukuba unamathandabuzo amancinci ngento ethile ngomntwana wakho, ungalindi uthi, "Oku kuza kuba ngcono." Ingakumbi kwiimeko ezifana ne-'Malrotation', ukungenelela kwangoko kunokusindisa ubomi bomntwana.
Ufanele udibane nini nogqirha wakho:
Ukuba umntwana wakho unezi mpawu zilandelayo, bonana nogqirha wabantwana.
- Ukuhlanza okuphindaphindiweyo (nokuba kuqhelekile ngombala).
- Ukuba uhlala uthetha ngentlungu yesisu.
- Ukuba umntwana akatyebi kakuhle.
Khumbula, ezi mpawu azisoloko zibangelwa yi-'Malrotation'. Isenokubangwa nangenye imeko, efana ne-'Reflux'. Nokuba yintoni na imbangela, kungcono ukuya kugqirha.
Ixesha lokuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngoko nangoko:
Ukuba kukho naziphi na kwezi mpawu zilandelayo, mse umntwana kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane ngaphandle kokulibazisa . Ezi zisenokuba ziimpawu eziyingozi zesifo esibizwa ngokuba yi-'Volvulus'.
| Iimpawu zengxamiseko - yiya kwi-ETU ngoko nangoko! |
|---|
| 🟢 Ukuhlanza okuluhlaza okanye okumthubi-luhlaza - olu luphawu oluphambili lwesilumkiso! |
| 💨 Ukuphefumla ngokukhawuleza ngendlela engaqhelekanga. |
| ❤️ Ukubetha kwentliziyo okunyukileyo. |
| 😵 Ukudideka okanye ukulahlekelwa zingqondo. |
| 😨 Ulusu luyabanda, lube mdaka, lube mthubi. |
| 😖 Ukudumba kwesisu kunye nentlungu eqatha yesisu. |
Ngaba le meko ayinakuthintelwa?
Ekubeni 'iMalrotation' yimeko yokuzalwa kwaye unobangela ochanekileyo ungaziwa, akukho ndlela yokuyithintela. Kwakhona, imeko 'yeVolvulus' ebangelwa yiyo ayinakuthintelwa.
Nangona kunjalo, eyona nto ingcono esinokuyenza kukuthatha amanyathelo ngokukhawuleza xa iimpawu zibonakala . Oku kunokunciphisa kakhulu umngcipheko weengxaki ezinkulu.
Umyalezo Wokuya Ekhaya
- `Ukukhubazeka kokuzala` sisifo sokuzalwa esenzeka xa amathumbu omntwana engajikelezi kakuhle xa esesibelekweni .Asilotyala labazali.
- Ukuba umntwana wakho uhlanza eluhlaza okanye otyheli-luhlaza , yingxamiseko leyo. Yiya kwigumbi likaxakeka lesibhedlele (ETU) ngoko nangoko.
- I-'Volvulus' kukujijeka kwamathumbu okuthintela ukuhamba kwegazi. Oku kunokuba yingozi ebomini kwaye kufuna utyando olukhawulezileyo.
- Unyango lwale meko lutyando. Ukuba lufunyenwe kwaye lunyangwa kwangethuba, abantwana banokuphila ubomi obuqhelekileyo nobusempilweni.
- Ukuba unesikrokro esincinci malunga nentlungu yesisu somntwana wakho, ukuhlanza, okanye ezinye iimpawu ezingaqhelekanga, musa ukucinga nje ukuba, "Kulungile." Thetha nogqirha wakho. Kubalulekile nokuyeka uloyiko lwakho.
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