Ngaba umntwana wakho uhlanza rhoqo emva kokuncancisa? Ngaba uhlala ekhala? Ngaba ujongeka ediniwe kwaye ephelelwe ngamanzi emzimbeni? Kuqhelekile ukuba umzali okanye umzali akhathazeke kakhulu ngamaxesha anje. Uninzi lwexesha, unokucinga ukuba olu luhlobo oluthile lwentsholongwane okanye usulelo lwebhaktheriya olufunyenwe ngumntwana wakho. Kodwa emva kwezi mpawu zinzima kukho imeko ebizwa ngokuba yiPyloric Stenosis , imeko engaqhelekanga kodwa enyangekayo ngokupheleleyo ngotyando. Ngoko ke, masithethe ngale nto ngokweenkcukacha ngaphandle koloyiko.
Yintoni iPyloric Stenosis?
Ngamafutshane, iPyloric Stenosis yimeko eyenzeka kuphela kwiintsana ezincinci. Yimeko apho izihlunu eziphakathi kwesisu somntwana kunye namathumbu amancinci zikhula kwaye zikhule.
Cinga ngako, isisu yindawo kwinkqubo yethu yokugaya ukutya apho ukutya kugcinwa khona okwethutyana kwaye kubiliswe de kube lulwelo. Emva koko ukutya kufuneka kudlulele kwinqanaba elilandelayo lokugaya ukutya, elilithumbu elincinci. Ngoku, umsipha oqinileyo ofana nesango odibanisa isiphelo sesisu nokuqala kwamathumbu amancinci ubizwa ngokuba yi-pylorus .
Ngokwesiqhelo, kumntwana osempilweni, esi sihlunu se-pylorus siyavuleka size sivaleke, sivumela ukutya ukuba kudlule kakuhle. Kodwa kumntwana one-Pyloric Stenosis, esi sihlunu siyaqina kancinci kancinci, sivale ngokupheleleyo indlela yokutya ehla ngayo. Emva koko, nokuba umntwana usela ubisi olungakanani na, ubisi alungeni emathunjini, kodwa luzaliswa esiswini, kwaye alunakunyamezelwa kwaye luphuma njengokuhlanza okukhulu . Ngenxa yoko, umntwana akafumani izondlo ezaneleyo, ulahlekelwa bubunzima, aze aphelelwe ngamanzi emzimbeni.
Kodwa khumbula, iPyloric Stenosis yimeko engaqhelekanga. Kwaye, ukuba ifunyaniswe ngokuchanekileyo, inokunyangeka ngokupheleleyo ngotyando oluncinci. Ngoko ke ungakhathazeki.
Ugqirha uyixilonga njani kanye kanye le meko?
Xa uxelela umntwana wakho ngeempawu zakhe, ugqirha uza kuqala amhlole umntwana ngononophelo. Xa ugqirha echukumisa isisu somntwana, ngamanye amaxesha esi sihlunu se-pylorus esityebileyo sinokuvakala ngathi 'ngumnquma'. Kodwa asisoloko sivakala.
Ngoko ke, eyona ndlela ilungileyo nechanekileyo yokuqinisekisa le meko kukwenza i -ultrasound yesisu. Oku kuvumela umntwana ukuba abone ngokucacileyo ukuba izihlunu ze-pyloric zijiyile kwaye zinobukhulu kangakanani, ngaphandle kwentlungu.
Ziziphi iimpawu eziphambili zePyloric Stenosis?
Kuqhelekile ukuba umntwana omncinci ahlanze kancinci aze atshice kancinci. Kodwa iimpawu zePyloric Stenosis zinzima kakhulu. Qaphela oku.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Ukuhlanza ngeProjekthi | Olu luphawu oluphambili. Emva kwexesha elithile emva kokusela ubisi, endaweni yokuphuma kobisi oluqhelekileyo emlonyeni, ukuhlanza kwenzeka ngamandla, ngokungathi kutshizwa malunga nemitha ukusuka apho. Ubungakanani bokuhlanza buyanda imihla ngemihla. |
| Ukulamba ngalo lonke ixesha | Emva kokuhlanza, umntwana uya kuziva elambile kwakhona. Ngenxa yokuba ubisi olwalusele ludlulisiwe ngaphambi kokuba lufunxwe ngumzimba, umntwana uya kuhlala elambile. Ukuba umntwana usalila emva kokusela ubisi, kusenokwenzeka ukuba kungenxa yendlala. |
| Ukuziva izihlunu zesisu zifinyela | Ukuba ujonga isisu somntwana wakho ngaphambi kokuba ahlanze emva kokusela ubisi, ungabona izihlunu ezikwinxalenye ephezulu yesisu zishukuma njengamaza. Le yindlela yesisu yokutyhala ukutya ngendlela evalekileyo. |
| Ukuphelelwa ngamanzi emzimbeni | Umntwana uphelelwa ngamanzi emzimbeni kuba akafumani manzi aneleyo. Inani lee-napkin ezimanzi ngosuku liyancipha, akukho inyembezi xa ekhala, umntwana ulele kakhulu, kwaye ubonisa iimpawu zomlomo owomileyo. |
| Ukunciphisa umzimba okanye ukungonyuki | Ngenxa yokuba umzimba awufumani izondlo ezaneleyo, umntwana uyeka ukutyeba, okanye aqale nokunciphisa umzimba. |
Ezi mpawu zihlala ziqala xa umntwana eneminyaka emalunga neeveki ezi-3-5 ubudala. Le meko ayiqhelekanga kakhulu kwiintsana ezingaphezulu kweenyanga ezi-3 ubudala. Ngoko ke, ukuba umntwana wakho uneeveki ezimbalwa ubudala kwaye uhlanza kakhulu kwaye uphelelwe ngamanzi emzimbeni, bona ugqirha ngokukhawuleza .
Yintoni le tyando ibizwa ngokuba yiPyloromyotomy?
I-Pyloromyotomy lutyando olulula nolukhuselekileyo lokunyanga i-Pyloric Stenosis. Lwenziwa nguGqirha wabantwana.
Olu tyando ludla ngokwenziwa nge-laparoscopically , ebizwa ngokuba yi-"keyhole surgery."
1. Utyando luqala emva kokuba umntwana enikwe i-anesthesia kwaye elele ngokugqibeleleyo. Ngoko ke, umntwana akaziva nto.
2. Emva koko ugqirha wenza umngxuma omncinci kakhulu esiswini somntwana, kufutshane nenkaba, aze afake ityhubhu encinci enekhamera encinci (i-laparoscope). Le khamera ivumela ukuba ingaphakathi lesisu libonwe kwiscreen.
3. Emva koko, kwenziwa umsike omnye okanye emibini emincinci kwaye kufakwa izixhobo ezibuthathaka kakhulu ezifunekayo kutyando.
4. Okokugqibela, ugqirha usika kuphela umaleko wangaphandle wesihlunu se-pylorus esityebileyo nesikhulisiweyo, ekhulula isihlunu ngaphandle kokonakalisa ulwelwesi oluthambileyo olungaphakathi. Oku kufana nokusika nokukhulula ibhande lerabha eliqinileyo.
Xa izihlunu ziphumle ngolu hlobo, indlela evalekileyo iyavuleka, ivumela ubisi olusesiswini ukuba ludlule ngaphandle kokuphazanyiswa luye emathunjini amancinci.
Ziziphi iingenelo kunye neengozi zalo tyando?
I-Pyloromyotomy lolona nyango lubalaseleyo lwe-Pyloric Stenosis.
- Iingenelo: Emva kotyando, umntwana uya kukwazi ukusela ubisi ngokwesiqhelo kwakhona aze afunxe izondlo. Ukugabha kuya kuyeka phantse ngokupheleleyo. Umntwana angathathwa aye ekhaya esibhedlele kwiintsuku ezimbalwa. Umntwana uya kuba sempilweni aze aqale ukutyeba ngokwesiqhelo.
- Iingozi: Njengakwezinye iintlobo zotyando, kukho iingozi ezithile, kodwa iingozi ze-pyloromyotomy ziphantsi kakhulu . Xa kwenziwa liqela lotyando lwabantwana abanamava, umngcipheko weengxaki ungaphantsi kwe-1%. Iingozi ezimbini ezinokubakho zezi:
1. I-membrane ethambileyo ngaphakathi kwe-pylorus iyasikwa ngexesha lotyando.
2. Ukugabha kuyaqhubeka nokuba emva kotyando.
Ezi zizinto ezinqabileyo kakhulu, kodwa zinokulawulwa.
Indlela yokunyamekela umntwana emva kotyando?
Emva kotyando, umntwana uza kugcinwa kwigumbi lokuchacha iiyure ezimbalwa aze emva koko adluliselwe kwigumbi lonyango. Gcina ezi zinto engqondweni xa unyamekela umntwana wakho.
Iibhandishi kunye nezititshi
Iibhandishi ezincinci ezingangeni manzi (iibhanti ezingeyontsholongwane) zisetyenziselwa ukugquma amanxeba amancinci otyando. Akukho zithungo zibonakalayo eluswini, izithungo ezinyibilikayo zingaphantsi kolusu. Akufuneki wenze nantoni na ekhethekileyo ngale nto. Nangona kunjalo, soloko ujonga inxeba ukuba alibomvu, libomvu, kwaye linomkhuhlane . Ukuba ubona nayiphi na kwezi, yazisa ugqirha ngokukhawuleza.
Ulawulo lweentlungu
Ekubeni olu lutyando oluncinci kakhulu lokusikwa, umntwana akayi kuva iintlungu ezininzi. Ngokwesiqhelo, into efana neParacetamol inikwa iintlungu. Soloko unika iintlungu njengoko ugqirha wakho ekuyalele kwaye kuphela kwidosi emiselweyo . Ukuba umntwana wakho uyaqhubeka ekhala ngenxa yentlungu, xelela ugqirha wakho .
Ukutya
Umntwana wakho mhlawumbi uya kulamba kakhulu emva kotyando. Ngokwesiqhelo ungaqalisa ukuncancisa kwakhona kwiiyure ezimbalwa. Usenokuhlanza kancinci ekuqaleni, nto leyo eqhelekileyo. Nangona kunjalo, landela imiyalelo kagqirha wakho malunga nokuba uncancisa kangakanani kwaye nini emva kotyando. Musa ukunika umntwana omninzi ngaxeshanye.
Ukuba umntwana wakho uneentlungu eziqatha emva kotyando, unomkhuhlane, okanye uneempawu ezikwenza ukrokre, tsalela umnxeba ugqirha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Ukuba umntwana wakho ongaphantsi kweenyanga ezi-3 ubudala uhlanza ngamandla, ngokungathi uza kuhlanza, emva kokusela ubisi, musa ukulibazisa, ucinga ukuba yinto eqhelekileyo.
- Oku kusenokuba kungenxa yePyloric Stenosis, ekulukuqina kwemisipha emnyango wesisu, okuvala indlela yokutya.
- Asikuko oku okubangela ingxaki yakho. Esi sisifo esingaqhelekanga kodwa esinokunyangwa esinokwenzeka ebantwaneni.
- Le meko inokunyangeka ngokupheleleyo ngotyando olulula olubizwa ngokuba yi-pyloromyotomy. Olu lutyando olukhuselekileyo kakhulu.
- Ukuba ubona ezi mpawu, ungoyiki, kodwa bonana nogqirha wabantwana ngokukhawuleza ukuze akunike iingcebiso. Okukhona ufumana unyango ngokukhawuleza, kokukhona umntwana wakho eza kuphila ngokukhawuleza.
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