Ingabe ingane yakho encane ivame ukuba nobuhlungu besisu nokuhlanza okuluhlaza okotshani okuphuzi? Mhlawumbe udokotela uthe ingane inenkinga yokuzalwa nayo ngamathumbu ayo, okusho ukuthi amathumbu abekwe ngendlela engafanele? Yilokhu esikubiza ngokwezokwelapha ngokuthi `(Malrotation)`. Udokotela kungenzeka ukuthi uphinde wathi udinga ukwenza inqubo `kaLadd' njengokwelashwa kwalokhu. Ngakho-ke, kuyinto evamile kakhulu ukuthi uzizwe ukwesaba okukhulu nokukhathazeka. Ngakho-ke namuhla sizoxoxa ngakho konke ngokucacile, kalula, nangendlela ongayiqonda.
Iyini inqubo yeLadd?
Kalula nje, uma amathumbu engekho endaweni efanele ngaphakathi kwesisu lapho umntwana esesibelethweni, lokhu sikubiza ngokuthi `(Ukukhubazeka Kwesisu)`. Lesi yisimo sokuzalwa.
Into eyingozi kakhulu ngalokhu ukuthi ngezinye izikhathi amathumbu angahleleki kahle ngale ndlela angasonta ndawonye. Cabanga ngakho njengokuphatha ipayipi lamanzi nhlangothi zombili bese ulisonta. Lokhu sikubiza ngokuthi i-volvulus . Uma lokhu kwenzeka, ukuhlinzekwa kwegazi emathunjini kunganqamuka ngokuphelele, futhi lezo zingxenye zingaze zife (necrosis). Lesi yisimo esiphuthumayo kakhulu.
Ngaphezu kwalokho, imivimbo engavamile yezicubu ezibizwa ngokuthi "imivimbo kaLadd" ingakha futhi ivimbe ingxenye yokuqala yamathumbu (i-duodenum). Lokhu kungabangela ukuthi umntwana angakwazi ukugaya ukudla futhi ahlanze njalo.
Ngakho-ke lokho okwenziwa yilolu hlinzeko lwe-LAD ukuthi odokotela abahlinzayo baqondise la mathumbu asontekile, basike lezo zicucu ezivimbayo, bese bebeka amathumbu endaweni efanele nephephile ngaphakathi kwesisu.
Ngiyaqonda ukukhathazeka okuzwayo uma uzwa ngokuhlinzwa kwengane yakho. Kodwa lokhu kuyindlela yokwelapha kuphela futhi engcono kakhulu ye-`(Malrotation)`. Ithimba lakho lezokwelapha ngeke likushiye wedwa wena nomntwana wakho kulolu hambo, bazochaza konke.
Ungayilungiselela kanjani ingane ukuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa ezinganeni ezingaphansi konyaka owodwa ubudala. Ngakho aziqondi ukuthi kwenzekani. Yingakho uthando lwakho nokunakekela kwakho njengomzali kubaluleke kangaka enganeni yakho ngalesi sikhathi. Kunezinto ezimbalwa ongazenza.
- Lungiselela ukuhlala esibhedlela: Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa, mhlawumbe amasonto amabili, ngemva kokuhlinzwa. Zama ukuhlala useduze nengane yakho ngangokunokwenzeka. Izwi lakho, ukuthinta kwakho okududuzayo kuyimbangela enkulu yenduduzo enganeni yakho. Uma udinga ikhefu, cela ilungu lomndeni elimazi kahle ingane yakho ukuthi lihlale nawe.
- Yenza ingane yakho ikhululeke: Letha into ethandwa ingane yakho, njengethoyizi noma ingubo encane. Ukuyiphatha ngaphambi nangemva kokuhlinzwa kuzosiza ingane yakho ikhululeke.
- Buza ngokudla neziphuzo: Kungase kudingeke uyeke ukuncelisa ingane yakho bese uyondla ingane yakho emahoreni ambalwa ngaphambi kokuhlinzwa. Lokhu kungahluka kumntwana ngamunye, ngakho khuluma nodokotela wakho ohlinzayo ngalokhu.
Kwenziwa kanjani ukuhlinzwa?
Esikhathini esiningi, lokhu kuhlinzwa kwenziwa nge-laparoscopically. Okusho ukuthi, lokho esikubiza ngokuthi ukuhlinzwa 'kwe-keyhole', okwenziwa ngekhamera. Kulokhu, kwenziwa izimbobo ezimbalwa ezincane esiswini. Akuvamile, kuye ngesimo, ukuhlinzwa okuvulekile okubizwa ngokuthi 'i-laparotomy'. Udokotela ohlinzayo uzonquma ukuthi iyiphi indlela engcono kakhulu enganeni yakho.
| Kwenzekani ngaphambi nangesikhathi sokuhlinzwa | |
|---|---|
| Ukulungiselela ngaphambi kokuhlinzwa | |
| Ipayipi lekhala (ipayipi le-NG) | Kufakwa ipayipi elincane ngekhala esiswini ukuze kukhishwe konke okusesiswini somntwana. |
| Ukufaka usawoti engalweni (umugqa we-IV) | Isixazululo sikasawoti sifakwa emthanjeni engalweni. Yilapho kunikezwa khona uketshezi oludingekayo, imithi yokuqeda ubuhlungu, kanye nemithi yokuvimbela ukutheleleka. |
| I-Anesthesia Ejwayelekile | Ingane ilaliswa ngokuphelele, ngakho-ke akukho buhlungu ngesikhathi sokuhlinzwa. |
| Ngesikhathi sokuhlinzwa | |
| Ukwenza imicu emincane | Ngendlela ye-laparoscopic, kwenziwa izimbobo ezincane ezintathu noma ezine ezingama-3-5 mm esiswini. |
| Ukulungiswa kwamathumbu | Amathumbu asontekile anwetshwa ngokucophelela futhi izicubu "zemichilo kaLadd" ezivimbayo ziyasikwa futhi zisuswe. |
| Ukususwa kwesithasiselo | Uma amathumbu ebekwa kabusha, i-appendix isendaweni engafanele. Ngenxa yokuthi ingaba yinkinga esikhathini esizayo, iyasuswa futhi phakathi nalolu hlinzo. Ayilimazi ingane. |
| Ukubeka kabusha amathumbu | Uma amathumbu enegazi elihle, abekwa ngokuphephile ohlangothini lwesobunxele lwesisu. |
Ngezinye izikhathi, uma kukhona ukusola ukuthi igazi linqanyuliwe ngenxa yokusonteka kwamathumbu kanye nomonakalo wamathumbu, kungase kudingeke olunye ukuhlinzwa zingakapheli amahora angu-24-48 kusukela ekuhlinzweni kokuqala ukuqinisekisa impilo yamathumbu.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, umntwana uyiswa ekamelweni lokululama, lapho odokotela nabahlengikazi beqapha khona ukushaya kwenhliziyo nokuphefumula komntwana. Uketshezi nokudla okunempilo kunikezwa nge-saline (IV) kuze kube yilapho amathumbu omntwana eqala ukusebenza futhi (okungukuthi, ukukhishwa kwegesi nendle ).
Ngemva kokuba amathumbu eqale ukusebenza, umntwana angaqala ukuphuza ubisi nokudla ukudla futhi ezinsukwini ezimbili kuya kwezintathu.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Inzuzo enkulu ukuthi yelapha ngokuphelele isimo "se-Malrotation". Kodwa-ke, njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi ezincane.
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Izimpawu ezifana nobuhlungu besisu nokuhlanza ziyanyamalala. | Ukutheleleka endaweni yokuhlinzwa. |
| Ingozi eyingozi yokusonteka kwamathumbu (i-volvulus) iyasuswa. | I-ileus ekhubazekile iwukumisa okwesikhashana ukusebenza kwamathumbu. |
| Ingane izokwazi ukuphuza ubisi futhi idle ngendlela evamile. | Isifo samathumbu amafushane (uma ingxenye yamathumbu isusiwe). |
| Ingane ikhula kahle futhi ikhula kahle. | Akuvamile, ukujikijelwa kwamathumbu okuphindaphindiwe (i-Volvulus). |
Kufanele ngimshayele nini udokotela?
Ngemva kokuletha ingane yakho ekhaya isuka ekuhlinzweni, shayela udokotela wakho ohlinzayo noma isibhedlela ngokushesha uma ubona noma yiziphi izimpawu ezilandelayo. Lezi kungaba izimpawu zokutheleleka:
- Umkhuhlane: Uma izinga lokushisa le-rectal liphakeme kune-100.4°F (38°C).
- Ubomvu obuphuma enxebeni: Uma kuvela uketshezi olujiyile, olumhlophe noma olunombala okhilimu enxebeni.
- Ukuvula inxeba: Uma inxeba livulekile futhi izithungo zikhululekile, kuba nokujula okubonakalayo.
- Ubomvu obuzungeze inxeba: Isikhumba esizungeze inxeba sibomvu futhi ubomvu buyasakazeka.
Futhi, uma ingane iphinde ibe nobuhlungu esiswini futhi ihlanza okuluhlaza, kusho ukuthi izimpawu zingase ziphinde zivele. Uma lokho kwenzeka, kufanele ushayele udokotela ngokushesha ngaphandle kokulibala.
Umlayezo Wokuya Nawe Ekhaya
- Inqubo ye-Ladd iyindlela yokwelapha ephumelela kakhulu futhi ephumelelayo kakhulu ye-malrotation, isici sokuzalwa samathumbu.
- Lokhu kungavimbela isimo esiyingozi se-``Volvulus``, lapho amathumbu ephenduka khona futhi alahlekelwe igazi lawo.
- Uma kukhona ukwesaba noma ukukhathazeka mayelana nokuhlinzwa, khuluma nodokotela wakho ngakho ngokukhululekile. Bazokuchazela konke.
- Uma uba nezimpawu zokutheleleka (umkhuhlane, ubomvu obuvela esilondeni) noma izimpawu ziphinde zibuye (ukuhlanza, ubuhlungu besisu) ngemva kokuhlinzwa, funa iseluleko sikadokotela ngokushesha.
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