Ingabe ingane yakho esanda kuzalwa iyahlanza ngemva nje kokuphuza ubisi? Ingabe ukuhlanza kuluhlaza okotshani-kuphuzi? Njengomama, kuyinto evamile ukwesaba kakhulu uma ubona into efana nale. Kodwa ngezinye izikhathi lokhu kungaba ngenxa yesimo esibizwa ngokuthi 'i-Duodenal Atresia', esikhuluma ngaso namuhla. Ungesabi uma uzwa leli gama. Lesi yisimo esingelashwa futhi silapheke ngokuphelele. Ake sixoxe ngakho konke kalula nangokucacile.
Kuyini i-Duodenal Atresia?
Kalula nje, lokhu kusho ukuthi kukhona ukuvaleka lapho kuzalwa ekuqaleni kwamathumbu amancane engane yethu, okungukuthi, engxenyeni ye-duodenum. Cabanga ngakho njengepayipi lamanzi elibhajwa phakathi. Ngemva kokuba ubisi oluphuzwa ingane lungene esiswini, kudingeka luye emathunjini ukuze lugaywe. Kodwa ngenxa yalokhu kuvimbeka, ubisi kanye nojusi wokugaya ukudla akukwazi ukudlula lapho. Yingakho ingane ihlanza.
Lesi yisimo sokuzalwa . Lokhu kusho ukuthi inkinga yenzeka ingane isesesibelethweni. Ngezinye izikhathi, izingane ezinalesi simo zingase zibe nezinye izinkinga zempilo, njengesifo senhliziyo noma i-Down syndrome.
Nakuba lesi kuyisimo esibucayi, singelashwa ngempumelelo enkulu uma sitholakale futhi selashwa kusenesikhathi. Into ebaluleke kakhulu ukuthola usizo lwezokwelapha lomntwana ngokushesha okukhulu.
Ingabe kunezinhlobo ezahlukene zalokhu?
Yebo, kunezinhlobo eziningana eziyinhloko zalokhu kuvinjelwa, kuye ngokuthi kwenzeka kanjani. Akudingeki ukhathazeke kakhulu ngalokhu, kodwa kuhle ukwazi ukuthi udokotela wakho ukhuluma ngakho yini.
| Uhlobo | Kuchazwe kalula |
|---|---|
| Uhlobo 1 | Ingaphakathi lamathumbu livinjiwe yinto efana nolwelwesi oluncane. Njengepayipi elimbozwe ulwelwesi. |
| Uhlobo 2 | Izingxenye ezimbili zamathumbu zihlukene, kodwa zixhunywe ngento efana nentambo. |
| Uhlobo 3 | Izingxenye ezimbili zamathumbu zihlukene ngokuphelele, azinawo uxhumano phakathi kwazo. |
| I-Duodenal Stenosis | Kulokhu, amathumbu awavalekile ngokuphelele, kodwa leyo ngxenye isibe yincane kakhulu, okuvimbela ukunyakaza kokudla. |
Ziyini izimpawu zalesi simo?
Kubaluleke kakhulu ukuqaphela lezi zici.
Esikhathini esiningi, lezi zimpawu zivela emahoreni ambalwa okuqala ngemva kokuzalwa komntwana.
- Ukuhlanza: Lolu uphawu oluyinhloko. Kungavela ngemva kokuba ingane incelisiwe okokuqala. Lokhu kuhlanza kungaba luhlaza, kuphuzi, noma kube nsundu ngokukhanyayo . Uma kungelashwa, ukuhlanza kuzokwanda.
- Ukuvuvukala kwesisu esingaphezulu: Ngenxa yokuvaleka kwamathumbu, ukudla noketshezi kuyaqoqana, okwenza isisu esingaphezulu sibonakale sivuvukele.
- Isisindo esiphansi sokuzalwa.
- Ukuqunjelwa.
- I-Jaundice: Ukuphuzi kwamehlo nesikhumba.
Ngezinye izikhathi, uma ukuvaleka kwamathumbu kungaphelele (ukuvaleka okungaphelele), okusho ukuthi inani elincane kuphela elivalekile, lezi zimpawu zingase zivele enganeni ngemva kwezinyanga ezimbalwa noma ngisho nasebuntwaneni.
Kungani lokhu kwenzeka? Iyini imbangela?
Empeleni lokhu kuwumphumela wenqubo eyinkimbinkimbi kakhulu. Lapho umntwana ekhula esibelethweni, cishe emavikini ama-5-6, i-duodenum yakha kuqala njengepayipi elijiyile. Bese kuthi, amaseli angaphakathi kwalelo payipi aphele kancane kancane, akhe ipayipi elingenalutho. Lokhu kubizwa ngokuthi `(apoptosis)`.
Uma ngandlela thile la maseli efa futhi inqubo yokwakha ithubhu elingenalutho ingenzeki kahle, kuvela ukuvaleka. Lokho kubizwa ngokuthi i-Duodenal Atresia. Uma le nqubo ingaqedwanga futhi ime phakathi, kuvela izimo ezifana ne-Duodenal Stenosis (ukuncipha kwamathumbu).
Odokotela bakuthola kanjani lokhu?
Lesi simo singatholakala ngaphambi noma ngemva kokuzalwa komntwana.
Ukuxilongwa Kwangaphambi Kokubeletha
Ukuskena ngesikhathi sokukhulelwa kungakunikeza izinkomba ngalokhu.
- I-Ultrasound Yengane Esanda Kuzalwa:Ngesikhathi sokuhlolwa kwakho okuvamile, uma udokotela ebona "ibhamuza eliphindwe kabili" esiswini somntwana wakho, okusho ukuthi isisu kanye nengxenye yokuqala yesibeletho kugcwele uketshezi, lokhu kungase kusolise. Futhi, uma kukhona uketshezi oluningi kakhulu lwe-amniotic oluzungeze umntwana (i-polyhydramnios), lokhu kungaba uphawu lwalesi simo. Lokhu kungenxa yokuthi umntwana uvame ukugwinya olunye lwalolu ketshezi, kodwa akakwazi ukwenza kanjalo ngenxa yokuvaleka kwamathumbu.
- I-MRI yengane engakazalwa: Uma ukuskena kungacacile, i-MRI ingenziwa ngezinye izikhathi.
Uma lokhu kusolwa, odokotela bangase batuse nokuhlolwa okufana ne-amniocentesis ukuhlola ukukhubazeka kwe-chromosome njenge-Down syndrome.
Ngemva kokuzalwa komntwana (Ukuxilongwa Kwangemva Kokubeletha)
Lesi simo sitholakala kuphela ngemva kokuzalwa komntwana.
- I -X-ray Yesisu: Ukuhlolwa kwe-X-ray kukhombisa ngokusobala "uphawu lwebhamuza eliphindwe kabili" okukhulunywe ngalo ngaphambili. Lokhu kusho ukuthi isisu kanye ne-duodenum kugcwele umoya, kuyilapho umoya osemathunjini angezansi ungabonakali.
- Ukuhlolwa Kokugwinya Kwe-Barium: Ngezinye izikhathi, ikakhulukazi uma ukuvinjelwa kungaphelele, umntwana unikezwa uketshezi olubizwa ngokuthi i-barium ngepayipi bese kuthathwa i-X-ray ukuze kubonakale ukuthi ukuvinjelwa kuphi nokuthi kuyini.
Ilashwa kanjani? Ingabe lokhu kungelapheka?
Yebo, ukwelashwa okuwukuphela futhi okuphumelelayo kakhulu kwalesi simo ukuhlinzwa .
Ngaphambi kokuhlinzwa, umntwana ngeke anikwe ubisi ngomlomo. Kunalokho, umzimba uzonikezwa ukudla okudingekile ngesisombululo sikasawoti (IV). Futhi, kuzofakwa ithubhu elincane ngekhala noma ngomlomo esiswini ukuze kukhishwe umoya noketshezi oluqongeleleke esiswini somntwana.
Esikhathini esiningi, ukuhlinzwa kwenziwa zingakapheli izinsuku ezimbili kuya kwezintathu umntwana ezelwe.
Ukuhlinzwa
Lokhu kuhlinzwa kubizwa ngokuthi i-duodeno-duodenostomy. Kuhilela ukudlula ingxenye yamathumbu evalekile bese uxhuma izingxenye ezinempilo ngaphezulu nangaphansi kwawo. Kufana nokususa ipayipi elivalekile bese ufaka elisha.
Ngobuchwepheshe bamanje, lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa indlela yokuhlinzwa engadingi ukungenelela okukhulu, lapho kufakwa khona ikhamera ngokusebenzisa izimbobo ezimbalwa ezincane kakhulu, kunokwenza isimbozo esikhulu esiswini. Lokhu kusho ukuthi umntwana uyalulama ngokushesha.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, umntwana unakekelwa egunjini lokunakekelwa okujulile kwezingane ezisanda kuzalwa (i-NICU). Kungathatha isonto noma ngaphezulu ukuthi amathumbu aqale ukusebenza ngendlela evamile futhi. Kuze kube yileso sikhathi, umntwana unikezwa usawoti.
Uma amathumbu eseqalile ukusebenza, uzoqala kancane kancane ukunikeza ubisi. Uma ingane isiphuza kahle futhi iqala ukukhuluphala, ungaya ekhaya usuka esibhedlela. Ngokuvamile, kufanele uhlale esibhedlela cishe amasonto amabili kuya kwamathathu.
Ingabe lesi simo siyingozi? Yini okufanele siyicabange ngekusasa?
Uma kungelashwa, lokhu kuyingozi kakhulu empilweni yengane. Kodwa-ke, imiphumela ngemva kokuhlinzwa mihle kakhulu. Uma lesi sifo sitholakala kusenesikhathi futhi ukwelashwa kusheshe kunikezwe, imiphumela iba mihle kakhulu.
Ayikho indlela yokuvimbela lesi simo okwamanje. Ngakho-ke ungalokothi ucabange ukuthi yiphutha lakho. Into ebaluleke kakhulu ukuthi uma wazi ngakho ngesikhathi sokukhulelwa, odokotela bangakwazi ukukunikeza ukwelashwa okudingekayo lapho umntwana ezalwa. Ngakho-ke, kubaluleke kakhulu ukulandela iseluleko sezokwelapha esifanele.
Uma ingane yakho inalesi simo, khuluma nodokotela wakho umchazele konke. Ungakhathazeki, ithimba lezokwelapha lizokunikeza lonke usizo oludingwa nguwe nomntwana wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Duodenal atresia iyisici sokuzalwa esenzeka engxenyeni yokuqala yamathumbu amancane osana olusanda kuzalwa.
- Uphawu oluyinhloko ukuhlanza, ikakhulukazi okuluhlaza noma okuphuzi, ngemva kokuphuza ubisi.
- Lokhu kungatholakala ngokusebenzisa ama-scan ngesikhathi sokukhulelwa noma ngokuhlolwa kwe-X-ray ngemva kokuzalwa komntwana.
- Ukwelashwa kwenziwa ngokuhlinzwa, futhi imiphumela iphumelela kakhulu.
- Uma ingane yakho inalezi zimpawu, ungesabi noma ulibale, kodwa bonana nodokotela ngokushesha. Ukwelashwa okusheshayo kungasiza ingane yakho ukuthi ilulame ngokuphelele.
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