Ingaba umntwana wakho uhlanza rhoqo emva kokusela ubisi? Isenokuba yiPyloric Stenosis!

Ingaba umntwana wakho uyagabha aze atshice emva kokusela ubisi? Ayipheleli apho, kodwa ingaba ulahlekelwa bubunzima aze abonakale ebhityile imihla ngemihla? Ngamanye amaxesha ezi mpawu zinokuba semva koko, kodwa namhlanje siza kuthetha ngemeko enokwenzeka kwiintsana ezincinci, kodwa enokunyangeka ngokupheleleyo ukuba inyangwa. Leyo yimeko ebizwa ngokuba yiPyloric Stenosis . Ungakhathazeki, masithethe ngayo ngokweenkcukacha.

Yintoni iPyloric Stenosis?

Ngamafutshane, iPyloric Stenosis yimeko apho umsipha obizwa ngokuba yiPylorus , umngxuma apho ukutya kudlula khona ukusuka esiswini somntwana wakho ukuya emathunjini amancinci, uqina kwaye unciphe. Kufana nombhobho wamanzi ovalekileyo kwaye wenze kube nzima ukuba amanzi ahambe. Oku kwaziwa ngokwezonyango njengeHypertrophic Pyloric Stenosis (HPS) .

• I-Hypertrophic ithetha ukujiya okanye ukuba nkulu.
• I-Pyloric ibhekisa kwisihlunu esibizwa ngokuba yi-pylorus esikhankanyileyo.
• I-stenosis ithetha ukucutheka.

Ngoko ke xa le pylorus ikhula kwaye incipha, ubisi oluselwa ngumntwana alunakuphuma esiswini. Kulapho ke kuvela khona ukugabha okubonakalayo . Oku kunokubangela ukuba umntwana aphelelwe ngamanzi emzimbeni . Kodwa iindaba ezimnandi zezokuba oku kunokunyangeka ngokupheleleyo ngotyando oluncinci.

Yintoni kanye kanye eyenzekayo kule meko?

Ekupheleni kwesisu sethu, apho amathumbu amancinci aqala khona, kukho ivalvu yemisipha ebizwa ngokuba yi-pylorus . Ifana nomnyango. Yimisipha ye-sphincter , oko kuthetha ukuba inokuvula ivaleke. Iyavalwa xa ukutya kugaywa esiswini. Xa ukutya kugaywa, kuyavuleka ukuthumela ukutya emathunjini amancinci.

Nangona kunjalo, kumntwana one-pyloric stenosis, umsipha we-pylorus uba mkhulu kakhulu. Emva koko indlela yokutya edlula ngayo iba mxinwa. Ngoko ke ubisi oluselwa ngumntwana, nokuba lubisi lwefomyula okanye ubisi lwebele, alunakudlula ukusuka esiswini ukuya emathunjini amancinci kwaye lubambeke. Yiyo loo nto umntwana ehlanza rhoqo. Xa umntwana ehlala ehlanza ngolu hlobo, umntwana akatyebi , kuba umzimba awukwazi ukufunxa kakuhle ukutya okutyiwayo. Umntwana usenokuhlanza ngalo lonke ixesha esela ubisi, okanye unokuhlanza ngamanye amaxesha kuphela.

Le meko yenzeka nini kumntwana? Zithini iimpawu?

Abantwana abaqhelekanga ukuzalwa benesi simo. I-pylorus iqala ukutyeba emva kweeveki ezimbalwa emva kokuzalwa.

Iimpawu zePyloric Stenosis zihlala ziqala xa umntwana wakho eneeveki ezi-3 ukuya kwezi-6 ubudala . Nangona kunjalo, ngamanye amaxesha iimpawu ziqala ukubonakala kwangethuba kwiinyanga ezi-5. Ukuba ubona naziphi na kwezi mpawu, bonana nogqirha ngokukhawuleza. Kungcono ukunyanga umntwana wakho ngaphambi kokuba aphelelwe ngamanzi emzimbeni kwaye angondleki kakuhle.

Ngaba oku kuyenzeka kubantwana abadala? Kunqabile kakhulu ukuba abantwana abadala babe nokuvaleka kwe-pylorus. Oku kudla ngokubangelwa sisilonda sesisu . Ngamanye amaxesha kunokubangelwa sisifo esingaqhelekanga esibizwa ngokuba yi-eosinophilic gastroenteritis, esikukuvuvukala kwesisu.

Ixhaphake kangakanani le nto? Le meko ichaphazela phakathi kwe-1 kunye ne-3.5 kwi-1000 labantwana abasandul’ ukuzalwa. Ikwayeyona meko ixhaphakileyo efuna utyando kwiintsana.

Iimpawu eziphambili zezi:

Nokuba umntwana wakho usela kakuhle, usenokubonisa ezi mpawu:

• Ukuhlanza okubangelwa yi-projectile: Oku kufana nokudutyulwa emthonjeni. Kudla ngokuvela kwisithuba semizuzu engamashumi amathathu ukuya kweyure emva kokusela ubisi.
• Intlungu yesisu: Umntwana usenokubonakala engonwabanga okanye ebuhlungu.
• Ukuphelelwa ngamanzi emzimbeni: Iimpawu ziquka umlomo owomileyo, amehlo atshonileyo, ulusu olomileyo, ukungakwazi ukubila, kunye nokuncipha kokuphuma komchamo.
• Ulambile nasemva kokusela ubisi: Emva kokuhlanza, isisu sakho asibi nanto kwaye uziva ulambile kwakhona.
• Ukungazoli rhoqo kunye nokukhala (Ukucaphuka).
• Indle inciphile kwaye incinci.
• Emva kokusela ubisi, ngaphambi kokuhlanza, isisu sinokushukuma njengegagasi (intshukumo yesisu efana neWavelike). Ngamanye amaxesha, xa usiva isisu somntwana, unokuva iqhuma elincinci elifana nomnquma. Leyo yimisipha yepylorus etyebileyo.
• Ukunciphisa umzimba okanye ukutyeba.

Ngenxa yokuba iintsana zihlala zibonakala ziphilile, abazali basenokungaqondi ukuba le yingxaki enkulu de umntwana aphelelwe ngamanzi emzimbeni okanye angondleki kakuhle. Ezinye iintsana zisenokuba ne -jaundice (ukutyheli kolusu kunye namhlophe emehlweni).

Ingaba oku kukuchithwa nje kobisi? Okanye yinto engaphezulu koko?

Iintsana ezininzi zikhupha ubisi oluncinci emva kokuncancisa. Oku kuqhelekile kwaye akukho nto ixhalabisayo. Nangona kunjalo , ukuhlanza okunamandla okanye okubuhlungu okubangelwa kukugabha kunokuba luphawu lwento enzulu. Ukuba umntwana wakho uhlanza ngolu hlobo emva kokuncancisa, ngokuqinisekileyo kuya kufuneka uthethe nogqirha.

Kutheni i-pyloric stenosis ikhula? Zithini izinto ezibangela umngcipheko?

Izazinzulu azikayazi kakuhle into ebangela i-pyloric stenosis, kodwa kukholelwa ukuba i-genetics kunye nezinto ezingqongileyo ziyabandakanyeka.

Kukho izinto ezininzi ezinobungozi:

• Imbali yosapho: Malunga ne-15% yeentsana ezine-pyloric stenosis zinelungu losapho (isalamane segazi) esikhe saba nale meko ngaphambili.
• Isini:Iintsana ezingamaduna ezizalwa ngexesha lokuzala kunye nezokuqala kusapho zinamathuba amaninzi okuba nale meko. Iintsana ezingamaduna azinamathuba amaninzi okuba nale meko.
• Uhlanga: Oku kuxhaphake kakhulu kwiintsana ezimhlophe, ingakumbi ezo zizalwa eYurophu.
• Ukutshaya: Ukuba umama utshaye ngexesha lokukhulelwa, umntwana usemngciphekweni omkhulu wokufumana esi sifo.
• Ii-antibiotics: Abanye abantwana abanikwe ii-antibiotics ekuzalweni kwabo basenokuba sengozini enkulu. Kwakhona, ukuba umama uthabathe ii-antibiotics ezithile ekupheleni kokukhulelwa, oko kungaba yingozi.
• Indlela yokondla: Ezinye izifundo zibonise ukuba abantwana abancanciswa ubisi lwebhokhwe basengozini enkulu yokuhlaselwa yile meko. Nangona kunjalo, akukacaci ukuba ingozi ivela kwibhotile okanye kwifomyula. Ukuba ivela kwibhotile, inokuchaphazela nabantwana abancanciswa ubisi lwebhokhwe.

Oogqirha bayibona njani le nto?

Ugqirha womntwana wakho uza kukubuza ngemikhwa yokutya komntwana wakho aze emva koko enze uvavanyo lomzimba . Ngamanye amaxesha, oogqirha banokuziva iqhuma esiswini somntwana wakho elifana nomnquma. Yiyo leyo imisipha ye-pylorus etyebileyo.

Ugqirha angayalela uvavanyo lwegazi . Oku kunokunceda ekuqinisekiseni ukuba umntwana wakho uphelelwe ngamanzi emzimbeni ngenxa yokuhlanza okanye ukuba une -electrolyte imbalance . Ii-electrolytes ziiminerali ezinceda umzimba womntwana wakho usebenze kakuhle.

Luhlobo luni lovavanyo oluqhutywayo?

Ukuba ugqirha akakwazi ukuva iqhuma esiswini somntwana, uya kuyalela i-ultrasound ukuqinisekisa ukuxilongwa ngokuchanekileyo.

• Ngexesha le-ultrasound, ugqirha ubeka isixhobo esincinci (iprobe) kancinci phezu kwesisu somntwana.
• Esi sixhobo sisebenzisa amaza esandi ukwenza imifanekiso yangaphakathi.
• Imisipha ye-pyloric etyebileyo idla ngokubonakala kwezi mifanekiso.

Ngamanye amaxesha uvavanyo lomzimba kunye ne-ultrasound zisenokungabonisi ngxaki. Ukuba kunjalo, ugqirha wakho unokuyalela i-barium X-ray (Upper Gastrointestinal (GI) series okanye i-Barium X-ray) :

• Kule meko, umntwana unikwa ulwelo olukhethekileyo ukuba alusele.
• Ugqirha angasebenzisa i-X-ray ukubona indlela olu lwelo oluhamba ngayo ukusuka esiswini ukuya emathunjini amancinci.
• Oku kunokumisela ukuba ulwelo luhamba nge-pylorus okanye akunjalo. Ukuba aluhambi, oko kubonisa ukuba kukho i-pyloric stenosis.

Iphathwa njani le nto?

I-pyloric stenosis inyangwa ngohlobo lotyando olubizwa ngokuba yi-pyloromyotomy . Olu luhlobo lotyando olubizwa ngokuba yi-pyloroplasty . Nje ukuba i-pyloric stenosis ifunyaniswe, ugqirha womntwana wakho uza kuxoxa nawe ngolu tyando.

Wenza ntoni ngaphambi kotyando?

Iintsana ezine-pyloric stenosis zinokuphelelwa ngamanzi emzimbeni kuba zihlanza kakhulu. Ngaphambi kotyando, ugqirha uya kunika umntwana i-saline njengoko kufuneka ukuze aphinde afumane amanzi emzimbeni. Umntwana uya kufuneka anikwe isisombululo se -IV (esifakwe kwi-intravenous) saline esibhedlele. Ngeli xesha, uvavanyo lwegazi lunokwenziwa ukuze kubonwe ukuba amanzi emzimbeni womntwana ayaphucuka na.

Kuya kufuneka uyeke ukuncancisa umntwana wakho kwiiyure ezintandathu ngaphambi kotyando. Oku kwenzelwa ukunciphisa umngcipheko wokuhlanza ngelixa uphantsi kwe -anesthesia kunye nokufunxwa komhlanzo ubuyele emiphungeni.

Kwenzeka ntoni ngexesha lotyando?

Ngexesha lotyando lwe-pyloric stenosis, iqela lezonyango liza kwenza oku kulandelayo:

• Umntwana unikwa i-anesthesia jikelele . Oku kuthetha ukuba umntwana ulele ngokupheleleyo ngexesha lotyando kwaye akaziva ntlungu.
• Kwenziwa umsikelo omncinci kwicala lasekhohlo lesisu somntwana, ngaphezulu nje kwenkaba.
• Kwenziwa utyando olubizwa ngokuba yi-pyloromyotomy . Oku kuthetha ukuba kwenziwa i-incision kwisihlunu se-pylorus esityebileyo size sikhululeke. Oku kudala indlela yokutya nokusela ukusuka esiswini somntwana ukuya emathunjini.

Olu tyando ludla ngokuthatha ngaphantsi kweyure.

Umntwana uphila njani emva kotyando?

Emva kotyando, umntwana wakho kuya kufuneka ahlale esibhedlele usuku olunye ukuya kwezintathu. Nantsi into onokuyilindela:

• Emva kweeyure ezimbalwa emva kotyando, uza kuqala ukunika umntwana wakho ubisi lwebele okanye ubisi lwebele. Mnike ubisi oluncinci kuqala. Ugqirha wakho uza kukuxelela ngesicwangciso sakho sokuncancisa.
• Ukuba unika ubisi oluyifomyula, iqela lezonyango liya kunyusa kancinci ubungakanani kunye noxinzelelo lobisi njengoko umntwana enokukwazi ukunyamezela.
• Ukuba uncancisa, kuya kufuneka unike umntwana ukutya okumbalwa kokuqala ngebhotile, njengoko kufuneka ulinganise umlinganiselo ochanekileyo omnika wona.

Kuthekani ukuba umntwana uqhubeka ehlanza emva kotyando?

Iintsana zisenokuhlanza emva kotyando lwe-pyloric stenosis. Oku akuthethi ukuba imeko ibuyile. Ukuhlanza kunokubangelwa zezi zinto zilandelayo:

• I-anesthesia enikwa ngexesha lotyando.
• Ukungachami kakuhle emva kokusela ubisi.
• Ukupha ukutya okuninzi kakhulu ngaxeshanye, ukupha ngokukhawuleza kakhulu .

Ukuba umntwana wakho uyaqhubeka nokuhlanza kakhulu, kunokufuneka uvavanyo olongezelelekileyo. Iqela lezonyango liza kuqhubeka lizama ukulungisa ukuhlanza.

Kuza kwenzeka ntoni kumntwana emva kwale meko? Ngaba kukho naziphi na iziphumo ezihlala ixesha elide?

Imbono yeentsana ezine- HPS (Hypertrophic Pyloric Stenosis) ilungile kakhulu . Emva kotyando lwe-pyloric stenosis oluphumeleleyo, uninzi lwabantwana alubi neengxaki zexesha elide. Batya kakuhle, bakhula kakuhle, kwaye bahlala besempilweni.

Kunqabile kakhulu, i-pylorus isenokuba ncinci kakhulu emva kotyando. Ukuba oku kuyenzeka, oogqirha banokwenza utyando lwesibini ukuze bayinqumle kancinci.

Emva konyango, usana alubi nangxaki yexesha elide ebomini. Izifundo zamva nje zibonise ukuba abantu ababene -pyloromyotomy besebancinci abazange babe neengxaki zesisu ezifana ne -gastroesophageal reflux xa babebadala.

Ngaba ikho indlela yokuthintela oku?

Akukho ndlela yokuthintela i-pyloric stenosis. Ukuba uyazi ukuba kukho umntu kusapho lwakho oye waba ne-pyloric stenosis, xelela ugqirha womntwana wakho. Ugqirha unokujonga iimpawu zale meko.

Ukwazi iimpawu ze-pyloric stenosis kunokukunceda ufumane uncedo ngokukhawuleza. Ukufumana unyango kwangethuba kunokunceda ukuthintela iingxaki ezifana nokungondleki kakuhle kunye nokuphelelwa ngamanzi emzimbeni.

Ungamnyamekela njani umntwana ekhaya emva kotyando?

Emva kokubuya ekhaya esibhedlele:

• Ekubeni umntwana encancisa ngokuqhelekileyo, ungancancisa ngaphandle kweengxaki.
• Ukuba umntwana wakho unesihlungu, mnike isithomalalisi sentlungu esifana ne -acetaminophen (umz. iTylenol®) njengoko ugqirha wakho eyalele.
• Hlamba umntwana wakho ngesiponji ngosuku olulandelayo emva kotyando. Emva kweentsuku ezintathu, ungamhlamba ebhafini.
• Iqhekeza elincinci leteyipu elibizwa ngokuba yiSteri-Strip™ liza kubekwa phezu kwesikhewu. Musa ukulisusa - liza kuzikhupha lodwa. Ukuba alikwenzi oko, ugqirha wakho uza kulisusa kwintlanganiso yakho yokulandelela.

Ufanele ubuye nini ugqirha kwakhona?

Kuqhelekile ukuba nokuvuvukala okujikeleze i-incision, kodwa ukuba umntwana wakho unezinye zezi mpawu, fowunela ugqirha wakho:

• Ukopha.
• Isisu esidumbileyo okanye esikhulu.
• Ukudumba okugqithisileyo okujikeleze i-incision.
• Ifiva.
• Ukuchama kancinci kunesiqhelo (ukuncipha kwenani lokumanzisa iinapukeni).
• Ukuhlanza rhoqo.
• Ukuhlanza okuluhlaza okomnyama okanye okunegazi.
• Iintlungu ezikhulayo.
• Inxeba libomvu okanye kuphuma ulwelo olufana nobovu.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Ukuba umntwana wakho uneempawu ze-pyloric stenosis, unokuba nemibuzo emininzi ekufuneka uyibuze ugqirha:

• Ndingazi njani ukuba umntwana wam ukhupha ubisi nje, okanye ukuba le yi-pyloric stenosis?
• Ngaba i-pyloric stenosis yimeko ebuhlungu?
• Ngaba umntwana wam udinga utyando? Akukho nyango lumbi?
• Ngaba umntwana wam kuya kufuneka enziwe olunye utyando?

Kuqhelekile ukuba umntwana atshice ubisi oluncinci. Kodwa ukuba umntwana wakho uhlanza rhoqo emva kokumtyisa rhoqo, okanye emva kokumtyisa kaninzi, usenokuba ne-pyloric stenosis.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Nangona kuqhelekile ukuba umntwana atshice ubisi, ukuba umntwana wakho uhlanza rhoqo, ingakumbi ngamandla (ukuhlanza ngamandla), isenokuba luphawu lwePyloric Stenosis. Ukuba ubona nayiphi na kwezi mpawu, bonana nogqirha womntwana wakho ngokukhawuleza. Okukhona imeko ifunyaniswa kwaye inyangwa ngokukhawuleza, kokukhona kungcono. Ukulibazisa unyango kunokukhokelela ekuphelelweni ngamanzi emzimbeni kunye nokungondleki kakuhle kumntwana wakho. Iindaba ezimnandi zezokuba iPyloric Stenosis yimeko enokunyangeka ngokupheleleyo ngotyando. Siyathemba ukuba umntwana wakho uya kuphila ngokukhawuleza, usempilweni, kwaye wonwabile!

I- Pyloric stenosis, ukuhlanza komntwana, izifo zeentsana, iingxaki zesisu, utyando, ukuphelelwa ngamanzi emzimbeni, i-HPS