Ingaba umntwana wakho osandul' ukuzalwa unengxaki yokuvaleka kwamathumbu? Masithethe ngeMeconium Ileus

Xa umntwana osandul’ ukuzalwa efika ekhaya, wonke umzali uxhalabile ngayo yonke into emalunga nomntwana. Kubaluleke kakhulu ukuqinisekisa ukuba umntwana usela ubisi, ulele kakuhle, uhlala efudumele, kwaye umntwana ukhupha indle ngendlela efanelekileyo. Ngamanye amaxesha, iintsana ezisandul’ ukuzalwa ziba nobunzima bokukhupha indle yazo yokuqala. Kulapho ke sithetha khona ngemeko ekhethekileyo ebizwa ngokuba yiMeconium Ileus. Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni iMeconium Ileus? Ngamafutshane...

I-Meconium Ileus yingxaki emathunjini amancinci omntwana wakho osandul’ ukuzalwa . Eyona nto ibangela oku kukuphuma kwesisu okokuqala komntwana, okubizwa ngokuba yi-meconium, into enamathelayo neqinileyo .

Ngoku usenokuba uzibuza ukuba yintoni i-meconium. Kulula kakhulu. Xa umntwana wakho esesibelekweni, kukho ulwelo olujikeleze umntwana, esilubiza ngokuba yi-"Amniotic fluid". Umntwana uginya olu "lwelo lwe-Amniotic". Ngoko ke njengoko olu lwelo ludlula emathunjini omntwana, amanzi akulo afunxwa emzimbeni. Okuseleyo yinto emnyama, etyebileyo, enamathelayo . Yiyo loo nto ibizwa ngokuba yi-meconium. Ngokwesiqhelo, umntwana osandul' ukuzalwa udlula esi situlo sokuqala, esiyi-meconium, phakathi kweeyure ezingama-24 nezingama-48 .

Nangona kunjalo, ngamanye amaxesha ukuba le meconium iba nkulu ngokungaqhelekanga, njengetar, inokunamathela kwinxalenye yokugqibela yamathumbu amancinci omntwana, i-ileum. Ifana nombhobho wamanzi ovalekileyo endlwini yethu. Kwenzeka ntoni ke emva koko? Amathumbu amancinci angaphezulu kokuvaleka aqala ukwanda, ngokungathi azaliswe ngamanzi. Ngenxa yoko, isisu somntwana siqala ukudumba. Amathumbu amakhulu angaphantsi kokuvaleka anokuba mancinci kunesiqhelo.

Khawucinge ngento eyenzekayo xa indlu yangasese ivalekile ngamaphepha amaninzi endlu yangasese? Amanzi kunye nenkunkuma ziyazalisa, kodwa akukho nto idlula kwimibhobho, akunjalo? Yiloo nto eyenzekayo apha.

Ngaba kukho iintlobo ezahlukeneyo zezi?

Ewe, iMeconium Ileus inokwahlulwahlulwa ibe ziintlobo ezimbini eziphambili:

1. I-Simple Meconium Ileus: Kule meko, i-meconium yomntwana inamathela kuphela kwi-ileum namathumbu amancinci. Kodwa akukho ezinye iingxaki ezinkulu ezenzekayo.

2. I-Complex Meconium Ileus: Oku kuyingozi ngakumbi. I-Meconium iqokelelana ngaphakathi kwamathumbu, ibangela uxinzelelo olugqithisileyo kunye nokudumba. Oku kunokukhokelela kwiingxaki ezinkulu. Makhe sibone ukuba zithini:

• Ukubola: Oku kuthetha ukuba amathumbu omntwana awakhekanga kakuhle. Ngamanye amaxesha amathumbu anokuzijikela, okubizwa ngokuba yi-prenatal volvulus. Oku kuyingozi kakhulu kuba kunokuthintela ukuhanjiswa kwegazi emathunjini.
• I-atresia yamathumbu:Njengoko bekutshiwo ngaphambili, ukuba amathumbu ayajikajika kwaye igazi eliya kuloo ndawo liyanqanyulwa, ezinye iindawo zamathumbu zisenokungaphuhli kakuhle.
• Ukugqobhoka Kwamathumbu: Le yimeko eyingozi kakhulu. Umngxuma emathunjini unokubangela ukuba i-meconium ivuzele esiswini somntwana. Ukuba oku kugqobhoka kwenzeka emva kokuba umntwana ezelwe, i-meconium inokuvuza kwaye ibangele usulelo olunzima, ukothuka, kwanokufa.

Ngubani ochaphazeleka kakhulu yile meko?

I-Meconium Ileus idla ngokunxulunyaniswa nesifo semfuza i-cystic fibrosis. Enyanisweni, phakathi kwe-10% kunye ne-20% yabantwana abane-cystic fibrosis bafumana i-meconium ileus njengophawu lokuqala lwesifo. Ezinye izifundo zibonise ukuba ukuya kuthi ga kwi-90% yeentsana ezine-meconium ileus nazo zinokuba ne-cystic fibrosis.

Kutheni oku kusenzeka? Zithini izizathu zeMeconium Ileus?

Njengoko bekutshiwo ngaphambili, iMeconium Ileus idla ngokuba luphawu lokuqala lwe-cystic fibrosis. I-cystic fibrosis yimeko yemfuza. Kulapho ukukhupha (oko kukuthi ulwelo) emathunjini omntwana kuba nkulu ngokungaqhelekanga kwaye kunamathela. Olu kukhupha luqinileyo lunamathela kwingqiniba yamathumbu, nto leyo ebangela ukuvaleka. Ngoko ke, ukuba umntwana wakho uneMeconium Ileus, usenokuba nezinye iimpawu ze-cystic fibrosis kamva ebomini.

Zithini iimpawu zoku? Uzibona njani?

Ukuba usana lwakho olusandul’ ukuzalwa aluzange luqale ukukhupha isisu kwiiyure ezingama-24 ukuya kwezingama-48, oko kungaba luphawu lwe-meconium ileus. Khangela nezi mpawu:

• Ukuhlanza
• Ukudumba kwesisu: Oku kudumba kunokwenza kube nzima kumntwana ukuphefumla.
• Ngamanye amaxesha, xa ugqirha echukumisa isisu somntwana, banokufumana iindawo ezithile zamathumbu amancinci akhulisiweyo.

Ukuba amathumbu omntwana wakho agqobhokile (agqobhokile), angabonisa neempawu ezifana nezi:

• Ububomvu besikhumba esiswini.
• Ukuva ukuziva urhawuzelelwa okanye intlungu xa uchukumisa isisu.
• Ifiva.
• Umothuko.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Ngamanye amaxesha, i-meconium ileus inokubonwa ngaphambi kokuba umntwana azalwe. I-ultrasound yesisu sikamama ngaphambi kokuzalwa inokubonisa iimpawu zokuvaleka kwamathumbu .

Nangona kunjalo, idla ngokufunyanwa emva kokuba umntwana ezelwe. Oogqirha bayakukrokrela oku ngokusekelwe kwiimpawu umntwana azibonisayo. Ingakumbi kwiimeko ezinje, banikela ingqalelo ngakumbi kwiMeconium Ileus:

• Umntu kusapho lwakhoUkuba une-cystic fibrosis.
• Ukuba umntwana osandul’ ukuzalwa uqinisekisiwe ukuba une-cystic fibrosis ngovavanyo lokuhlolwa kosana olusandul’ ukuzalwa.

Luhlobo luni lovavanyo olwenziwayo koku?

Ukuba ugqirha urhanela ukuba une-meconium ileus, angenza ezi vavanyo zilandelayo:

• I-X-reyi yesisu: Oku kubonisa iindawo ezinkulu zamathumbu amancinci. Ngamanye amaxesha i-meconium inokudibana nomoya umntwana awuginyayo, nto leyo eyenza i-X-reyi ibonakale ngathi "yibhola yesepha" . Ukuba kukho ukuvaleka ngokupheleleyo, akuyi kubakho moya kwi-rectum yomntwana.
• I-enema yokwahlulahlula: Oku kuquka ukufaka ulwelo olukhethekileyo olunokubonwa kwi-X-ray kwi-anus yomntwana. Oku kunokunceda ukubona ukuba amathumbu amakhulu omntwana anciphile kunesiqhelo. Kunokunceda nokufumanisa ukuba kukho indawo engaqhelekanga yamathumbu (i-malrotation). Ukuba kukho ukurhaneleka kwe-malrotation, oogqirha baya ku-odola uthotho lwe-upper gastrointestinal series (UGI) . Le UGI inokuqinisekisa i-malrotation kwaye ibone ngqo apho amathumbu ajijeke khona.
• Uvavanyo lokubila: Oku kwenzelwa ukuqinisekisa ukuba une-cystic fibrosis okanye akunjalo.

Zithini iindlela zonyango zoku?

Ukuba umntwana une-complex meconium ileus (oko kuthetha ukuba amathumbu ajijekile okanye aqhekekile), kuya kufuneka utyando ngoko nangoko.

Kodwa ukuba umntwana une-ileus elula ye-meconium, oogqirha baya kuqala bazame ukususa ukuvaleka nge-enema. Le enema iyayinyibilikisa i-meconium etyebileyo kwaye yongeze iyeza elikhethekileyo lokuyithambisa. Esi sisombululo se-enema sinokunceda i-meconium ukuba idlule emathunjini omntwana ize iphume nge-anus.

Oogqirha baza kuyifaka kancinci kancinci le ngxubevange nge-catheter efakwe kwi-rectum yomntwana. Xa besenza oku, basebenzisa indlela ekhethekileyo yokuthatha imifanekiso yezonyango ebizwa ngokuba yi-fluoroscopy . I-Fluoroscopy ibandakanya ukuthumela ii-X-ray emzimbeni womntwana kunye nokubukela ividiyo ephilayo yezicubu ezingaphakathi.

Ukuba i-enema ayiphumeleli ukususa ukuvaleka, oogqirha kuya kufuneka benze utyando.

Olu tyando lubandakanya ukunqunyulwa kwamathumbu omntwana nokususwa kwe-meconium ngaphakathi. Ngokuxhomekeke kwimeko yomntwana, ngamanye amaxesha i-ileostomy inokwenziwa, apho iziphelo ezimbini ezisikiweyo zamathumbu zikhutshwa ngesikhumba sesisu. Emva koko, kwenziwa i-enemas engaphezulu ngeziphelo ezivulekileyo kwaye unyango luyaqhubeka de yonke i-meconium isuswe. Emva koko, kwenziwa olunye utyando lokudibanisa kwakhona iziphelo ezimbini zamathumbu.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki kumntwana wethu?

Enyanisweni, akukho ndlela yokuthintela le meko ibizwa ngokuba yiMeconium Ileus. Kuba imbangela ephambili yesi sifo sisifo semfuza esibizwa ngokuba yiCystic Fibrosis. Sisifo esidluliselwa kwizizukulwana ngezizukulwana.

Ukuba ukhulelwe okanye uceba ukukhulelwa, ungathanda ukuqwalasela uvavanyo lokuthwala i-cystic fibrosis ngaphambi kokukhulelwa . Olu vavanyo lunokukunceda uqonde umngcipheko wokuba nomntwana one-cystic fibrosis.

Ukuba oku kwenzeka kumntwana, liza kuba njani ikamva? (Amathuba)

Kwimeko yeMeconium Ileus, nokuba kwiimeko ezinzima, ukuba isifo sichongiwe kwangethuba kwaye sinyangwa ngokufanelekileyo, ikamva lomntwana lihlala lilungile.

I-Meconium Ileus idla ngokuba luphawu lwe-cystic fibrosis. Nangona kunjalo, ukuba ifunyenwe kwaye inyangwa kwangethuba, ukusebenza kwemiphunga yomntwana, isondlo, kunye nomngcipheko wosulelo kunokugcinwa kwinqanaba elifanelekileyo kwixesha elide. Nangona kunjalo, ukuba i-meconium ileus ayinyangwa, imeko yomntwana inokuba mandundu. Ke ngoko, ukuba ukrokrela ukuba umntwana wakho une-meconium ileus, kubaluleke kakhulu ukufuna unyango ngokukhawuleza.

Kuqhelekile ukuziva usoyika kwaye udidekile xa usiva ukuba umntwana wakho uneMeconium Ileus. Kodwa khumbula, njengezinye izifo, ukufunyanwa kwangoko kunye nonyango kunokukhokelela kwiziphumo eziphumelelayo. Nangona iMeconium Ileus luphawu lweCystic Fibrosis, khumbula ukuba iCystic Fibrosis nayo yimeko enokunyangeka. Thetha nogqirha womntwana wakho malunga nayo nayiphi na inkxalabo okanye imibuzo onokuba nayo. Baya kukwazi ukukunceda kwaye banike umntwana wakho iziphumo ezilungileyo kangangoko.

Izinto ezibalulekileyo ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

• Ukuba umntwana wakho osandul’ ukuzalwa akakaphumi ebhedini yakhe yokuqala (i-meconium) kwiiyure ezingama-48, unesisu esidumbileyo, okanye uyahlanza, bona ugqirha ngokukhawuleza.
• I-Meconium Ileus idla ngokunxulunyaniswa nesifo semfuza i-cystic fibrosis.
• Ukuxilongwa kwangethuba kunye nonyango lwesi sifo kunokunika umntwana ithuba lokuchacha kakuhle kunye nekamva elihle.
• Iindlela zonyango ziquka i-enemas kunye notyando .
• Nangona le meko ingenakuthintelwa, lumka uvavanyo lwemfuza ngaphambi kokukhulelwa .
• Thetha ngokukhululekileyo nogqirha womntwana wakho malunga nayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Bakulungele ukukunceda wena nomntwana wakho.

"I-Meconium Ileus, Usana Olusandul' Ukuzalwa, Ukuvaleka Kwamathumbu, I-Cystic Fibrosis, Isihlalo Sokuqala Somntwana, Impilo Yomntwana