Ingabe ingane yakho ingaba nale nkinga emathunjini ayo? (Ukungalungi kahle) Ake sixoxe ngokuningiliziwe!

Ingabe ingane yakho encane ihlanza njalo? Ingabe ikhala ngobuhlungu besisu? Noma ingabe ibonakala ivuvukele ngendlela engavamile? Ngezinye izikhathi lokhu kungaba izimpawu zento ethile engathi sína. Namuhla, sizokhuluma ngesimo samathumbu esivamile abazali abaningi abangasazi. Lokhu kubizwa ngokuthi i-malrotation.

Kuyini ukubola kwesisu? Kalula nje...

Kalula nje, i-malrotation yisimo esenzeka lapho umntwana ezalwa. Kusho ukuthi ngesikhathi umntwana esesiswini sikanina, amathumbu omntwana (esiwabiza ngokuthi amathumbu amancane kanye namathumbu amakhulu) awabekwa kahle. Ngokuvamile, amathumbu omntwana agobile futhi asontekile ngendlela ekhethekile ngesikhathi sokukhulelwa (okungukuthi, ezigabeni zokuqala zesibeletho sikanina) futhi kufanele alingane kahle nodonga lwesisu ngaphakathi kwesibeletho. Yilapho izinto ezifana nokugaya ukudla zingenzeka khona kahle.

Cabanga ngakho, leli thumba liqala lakhiwe njengebhola lentambo. Bese kufanele lifakwe esiswini ngendlela efanele. Kodwa enganeni ene-malrotation, leli thumba aligobeki kahle, alijikelezi, noma alifanele endaweni efanele ngaphakathi esiswini. Yingakho sikubiza ngokuthi i-malrotation.

Izingane eziningi ezinalesi simo zidinga ukuhlinzwa ukuze kubuyiselwe amathumbu endaweni yawo, kuvinjelwe izimo ezingaba yingozi, futhi kusebenze kahle uhlelo lokugaya ukudla.

Ngakho-ke iyini le volvulus? Ingabe iyingozi?

I-Volvulus iyinkinga enkulu kakhulu futhi eyingozi kakhulu yokubola kwamathumbu. Kalula nje, ukusonteka kwamathumbu. Cabanga ngakho njengepayipi lamanzi elisonteka ngokuzumayo futhi liqhekeka. Ingabe amanzi awagelezi? Yilokho okwenzekayo. Lapho amathumbu esonteka kanje, ukudla okugayiwe akudluli, futhi ukugeleza kwegazi emathunjini nakho kunganqamuka. Lokhu kuyingozi kakhulu.

Lokhu kuqhuma kwenzeka ngoba, njengoba kushiwo ngaphambili, amathumbu omntwana awabambeki kahle esiswini. Ngenxa yokuthi awabambeki kahle, amathumbu aqala ukusonteka kunoma iyiphi indlela.

I-Volvulus iyisimo esiphuthumayo sokuhlinzwa. Uma ingelashwa, ingaholela ezimweni ezimbi kakhulu, ngisho nezisongela ukuphila.

Izinto ezinjalo zingenzeka:

• Ukuvaleka kwamathumbu ngokuphelele (ukuvaleka kwamathumbu).
• Ukubhoboza kwamathumbu.
• I-Peritonitis, ukutheleleka kwesisu.
• I-Sepsis ibangelwa ukunqwabelana kwamagciwane egazini.
• Ukushaqeka.

Lezi zimpawu zivame ukuvela ngaphambi kokuba ingane ineminyaka emi-5 ubudala, ngokuvamile phakathi nenyanga yokuqala yokuphila . Izimpawu eziyinhloko ukuhlanza okungazelelwe (ngokuvamile okuluhlaza) kanye nokuvuvukala kwesisu.

Ubona kanjani ukuthi une-malrotation? Ziyini izimpawu?

Izimpawu zokungalungi komzimba zingahluka kumuntu nomuntu, kodwa ngokuvamile zifaka phakathi ukuhlanza njalo kanye nobuhlungu besisu. Ngezinye izikhathi, ukungalungi komzimba kukodwa kungase kungabangeli izimpawu ezinkulu, futhi izimpawu zivela kuphela ngemva kokuba kwenzeke i-volvulus okukhulunywe ngayo ngaphambilini.

Kubaluleke kakhulu: Uma ingane yakho ihlanza ukuhlanza okuluhlaza okotshani noma okuphuzi-oluhlaza okotshani, noma uma kukhona igazi ekuhlanzeni, shayela u-911 noma inombolo yakho yezimo eziphuthumayo yendawo ngokushesha. Lokhu kungaba izimpawu zesimo esiphuthumayo, njenge-volvulus.

Izimpawu ezinganeni

Izinsana kanye nezinsana ezinezinyanga ezimbalwa ubudala ezine-malrotation zingase zibonise izimpawu ezifana nalezi:

• Ukuhlanza okuvamile. Lokhu kuhlanza kungaba luhlaza okotshani noma okuphuzi ngokuluhlaza okotshani. Lokhu kungenxa yokuthi inyongo iyakhishwa kanye nokuhlanza.
• Isisu (isisu) siyavuvukala futhi sizwa ubuhlungu uma sithintekile.
• Ubuhlungu obukhulu besisu (ubuhlungu be-colic).
• Ukopha okuvela e-rectum noma igazi elisendle.

Izingane ezinezinhlungu zesisu ngenxa yokungalungi kahle kwesisu zivame ukuziphatha ngale ndlela:

• Udonsa imilenze yakhe esiswini sakhe bese ekhala.
• Hlala uzolile cishe imizuzu eyi-10 kuya kweyi-15.
• Ngiqala ukukhala futhi.

Izimpawu ezinganeni ezingaphezu kweminyaka engu-1 ubudala

Izingane ezingaphezu konyaka zingase zibonise izimpawu ezifana nalezi:

• Ubuhlungu besisu noma ukuqaqamba.
• Isicanucanu nokuhlanza (lokhu kuhlanza kungaba umbala ojwayelekile).
• Uhudo (ukuhlanza).
• Ukuqunjelwa kwesisu (i-flatulence).
• Ukuqunjelwa.
• Ukopha okubangelwa yi-rectal noma igazi esitulweni.
• Ukwehluleka ukukhula kahle kuwukwehluleka ukukhuluphala njengoba kulindelekile.

Ucwaningo oluthile lubonise ukuthi izingane ezingaphezu kweminyaka emibili azivamile ukuhlanza indle enombala oluhlaza njengezingane ezincane. Izingane ezindala zinamathuba amaningi okuhlanza okuphindaphindiwe (okunombala ojwayelekile) kanye nobuhlungu besisu.

Kungani lokhu kubola kwenzeka?

Abacwaningi abakayitholi ngempela imbangela eqondile yalokhu. Ngokwazi kwabo, kuyisimo sokuzalwa. Amathumbu engane aqala ukwakheka cishe emavikini ayi-10 okukhulelwa kwayo. Ngakho ochwepheshe basacwaninga ukuthi kungani la mathumbu ekhula ngendlela engafanele.

Odokotela bakuthola kanjani lokhu?

Odokotela basebenzisa kakhulu ukuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe ukuze bahlole i-malrotation. Udokotela uzoqala ahlole ingane yakho ngokucophelela ukuze ahlole impilo yayo jikelele nokuthi ngabe kukhona yini izimpawu ze-malrotation.

Ngaphezu kwalokho, izivivinyo ezingathatha izithombe zengaphakathi lomzimba womntwana zifaka:

• Ukuhlolwa kwe-ultrasound yesisu.
• Ama-X-ray ane-contrast yizivivinyo ezenziwa ngoketshezi olukhethekile (contrast).
• Ukuhlolwa kwesisu (GI).

Udokotela uzokutshela okwengeziwe ngokuthi yiziphi izivivinyo ezidingwa yingane yakho nokuthi zizokwenziwa kanjani.

Yini oyenzayo ngengane enesifo sokuwohloka kwesisu? Yiziphi izindlela zokwelapha?

Izinsana nezingane ezine-malrotation zivame ukudinga ukuhlinzwa ukuze zilungise amathumbu azo. Udokotela ohlinzayo, esebenzisa ukuhlinzwa okuncane okungavamile (i-MIS surgery), uzovula amathumbu asontekile engane yakho bese ewabuyisela endaweni efanele ngaphakathi kwesisu.

Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa ezisetshenziswa odokotela abahlinzayo ukwelapha i-malrotation:

• Inqubo kaLadd: Lokhu kuhilela ukususa noma yiziphi izicubu ezingavamile, njengemivimbo yezicubu, ezivimba amathumbu. Udokotela ohlinzayo uphinde alungise ukusonteka nokubekwa kwamathumbu engane. Inqubo kaLadd ingenziwa njengenqubo evulekile noma nge-laparoscopically (ngekhamera). Nakuba lokhu kunganciphisa izimpawu, kunethuba lokuthi amathumbu engane azosonteka futhi esikhathini esizayo (i-recurrent volvulus).
• Inqubo kaKareem: Lokhu kuhilela ukubeka kabusha ithumbu ngokuphelele bese ulinamathisela odongeni lwesisu. Le nqubo kucatshangwa ukuthi inciphisa ingozi yokuthi ithumbu liphinde liphenduke.

Udokotela uzokuchazela ukuthi iyiphi indlela engcono kakhulu esimweni sengane yakho, nokuthi yiziphi izinzuzo nezingozi. Kuye ngesimo samathumbu engane yakho, kungadingeka wenze izinto ezifana nalezi:

• Dala i-colostomy yesikhashana noma ehlala njalo (ukuletha ingxenye yamathumbu ebusweni besikhumba ukuze indle idlule).
• Susa ingxenye yamathumbu.
• Yenza ukuhlinzwa kokuvuselela amathumbu.
• Susa i-appendix (ngezinye izikhathi ngoba indlela amathumbu abekwe ngayo ingenza kube nzima ukuthola ukuthi i-appendicitis iyavela yini esikhathini esizayo).

Ezinye izinsana nezingane zidinga ukuhlinzwa okuphuthumayo. Yilapho ukubola kwesisu kubangela isimo esibizwa ngokuthi i-volvulus, esingabangela umonakalo omkhulu emathunjini. Ukuhlinzwa okuphuthumayo kungaba yinto eyesabekayo nekhathazayo. Kodwa ungesabi. Buza ithimba lezokwelapha lengane yakho noma yimiphi imibuzo ongase ube nayo. Bazokuchazela konke futhi bakutshele ukuthi wenzeni kuze kube yilapho ingane yakho ilulama.

Ingabe lesi simo singavinjelwa?

Ngenxa yokuthi imbangela eqondile ayaziwa, ayikho indlela yokuvimbela i-malrotation noma inkinga yayo eyinhloko, i-volvulus. Kodwa-ke, ukufuna usizo lwezokwelapha ngokushesha okukhulu kunganciphisa ingozi yezinkinga ezinkulu enganeni yakho.

Uma ingane yakho ibhekene nanoma yiziphi izimpawu ezingavamile – isibonelo, ihlanza njalo futhi ingabonakali ithola isizathu – kufanele nakanjani ubone udokotela. Ungacabangi ukuthi, “Kuzoba ngcono ngokwayo” noma “Ngimane ngiyesaba.” I-Malrotation yisimo esingaba sibi kakhulu uma singelashwa.

Yini engingayilindela uma ingane yami ine-malrotation?

Umbono wengane yakho uncike ezintweni eziningana:

• Indlela othole ngayo ukwelashwa ngokushesha.
• Ungakanani umonakalo owenziwe emathunjini.
• Ukuthi ingane inezinye izinkinga zempilo.

Iningi lezingane liyalulama kahle ngemva kokuhlinzwa, futhi ingozi yezinkinga zesikhathi esizayo iyancipha. Kodwa-ke, ezinye izingane zisengaba nokuvaleka kwamathumbu ngemva kokuhlinzwa. Kodwa-ke, le ngozi manje isiphansi kakhulu ngamasu amasha okuhlinzwa. Ithimba lezokwelapha lengane yakho lizokutshela okwengeziwe ngalokhu.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma ingane yakho inezimpawu zokungakhuli kahle kwengane , bheka udokotela wezingane ngokushesha. Lesi simo singaba yisimo esiphuthumayo sezokwelapha ngokushesha. Ukuqaphela izimpawu zokuqala kungasiza ingane yakho ukuthi ithole ukwelashwa ngaphambi kokuba kuvele izinkinga ezinkulu.

Kuvamile ukuzizwa udabuke kakhulu futhi wesaba lapho ingane yakho iqhubeka nokuhlanza. Kubalulekile ukufuna iseluleko sikadokotela. Kodwa khumbula, kunezinye izimbangela zalezi zimpawu ngaphandle kokungapheleli kahle. Ezinye izimo eziningi, njenge-reflux, nazo zingabangela lezi zimpawu. Udokotela wakho uzothola imbangela futhi anikeze ukwelashwa okudingekayo kwengane yakho.

Kunini lapho kudingeka khona ukuya eGumbini Lezimo Eziphuthumayo?

Uma ingane yakho inanoma yiziphi zalezi zimpawu , yiyise ekamelweni eliphuthumayo ngokushesha:

• Ukuhlanza okuluhlaza okotshani noma okuphuzi-oluhlaza okotshani.
• Ukuphefumula okusheshayo ngendlela engavamile.
• Ukushaya kwenhliziyo.
• Ukudideka.
• Ukuquleka.
• Uma isikhumba sibanda, sijuluka, futhi simhlophe.
• Uma isisu sivuvukele kakhulu futhi sihambisana nobuhlungu obukhulu be-colic.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Ukubuza imibuzo kungakusiza ukuthi uqonde kangcono isimo sengane yakho kanye nokwelashwa okutholakalayo. Ungabuza imibuzo efana nale:

• Ukungalungi kahle komzimba kuyithinta kanjani ingane yami?
• Ingabe zikhona izimpawu zezinkinga?
• Ingabe ingane yami idinga ukuhlinzwa? Uma kunjalo, ungangitshela okwengeziwe ngakho?
• Yiziphi izinzuzo nezingozi zokuhlinzwa?
• Yini engingayilindela ngesikhathi ingane yami ilulama? Ngingamsiza kanjani?
• Ingabe ingane kuzomele ibuye ukuze ilandelwe?

Uma uthola ukuthi ingane yakho ine-malrotation, awukwazi ukuyeka ukuzibuza ukuthi kuzokwenzekani ngokulandelayo. "Ingabe izophila?", "Ingabe izodinga ukuhlinzwa?", "Kuzothatha isikhathi esingakanani ukululama?" kubuya engqondweni.

Ungacabangi ngakho konke ngesikhathi esisodwa, thatha isinyathelo ngasinye. Themba ithimba lezokwelapha lengane yakho. Bazophendula yonke imibuzo yakho futhi bakugcine unolwazi ngendlela ezayo. Ukusha kwesisu kuyisimo esingelapheka kakhulu, ikakhulukazi uma siqashelwa kusenesikhathi. Futhi ngentuthuko ekuhlinzeni, odokotela manje sebeyakwazi ukwelapha ngisho namacala ayinkimbinkimbi, ngisho nalapho kuvela izinkinga.

Umyalezo Wokugcina Wokuya Nasekhaya

Ngakho-ke, ngithemba ukuthi usuyaqonda kahle lokho ebesikhuluma ngakho, i-Malrotation. Into ebaluleke kakhulu ukuthi uma ingane yakho inezimpawu ezingavamile, ikakhulukazi lezo eziyingozi esikhulume ngazo, bona udokotela ngaphandle kokuchitha isikhathi. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungavimbela umonakalo omkhulu empilweni yengane.

Ungesabi, ungesabi. Imithi yesimanje inezindlela zokwelapha ezisebenzayo zalezi zimo. Landela iseluleko sikadokotela wakho, umbuze imibuzo, futhi uhlale uqinile ngenxa yengane yakho.

Ukungalungi kahle , iVolvulus, Udokotela Wezingane, Ukusonta Kwamathumbu, Ukuhlanza Kwezinsana, Ukuhlinzwa, Ubuhlungu Besisu