Ingabe ingane yakho esanda kuzalwa ivalekile emathunjini? Ake sixoxe ngeMeconium Ileus

Uma umntwana osanda kuzalwa ebuya ekhaya, wonke umzali ukhathazeka ngayo yonke into encane ngomntwana. Kubaluleke kakhulu ukuqinisekisa ukuthi umntwana uphuza ubisi, ulele kahle, uhlala efudumele, nokuthi umntwana uyakhipha indle kahle. Ngezinye izikhathi, izingane ezisanda kuzalwa ziba nobunzima bokukhipha indle yazo yokuqala. Yilapho sikhuluma khona ngesimo esikhethekile esibizwa ngokuthi iMeconium Ileus. Ungakhathazeki, ake sixoxe ngalokhu kalula.

Iyini iMeconium Ileus? Kalula nje...

I-Meconium Ileus iwukuvinjelwa kwamathumbu amancane engane yakho esanda kuzalwa . Imbangela eyinhloko yalokhu ukunyakaza kokuqala kwengane, okubizwa ngokuthi i-meconium, okuyisithako esijiyile nesinamathelayo .

Manje ungase uzibuze ukuthi iyini i-meconium. Kulula kakhulu. Uma ingane yakho isesibelethweni, kukhona uketshezi oluzungeze ingane, esilubiza ngokuthi "uketshezi lwe-amniotic". Ingane igwinya "uketshezi lwe-amniotic". Ngakho-ke njengoba lolu ketshezi ludlula emathunjini engane, amanzi akulo amuncwa emzimbeni. Okusele kuyinto emnyama, ejiyile, enamathelayo . Yilokho i-meconium ebizwa ngakho. Ngokuvamile, ingane esanda kuzalwa idlula kulesi sihlalo sokuqala, okuyi-meconium, phakathi kwamahora angama-24 nama-48 .

Kodwa-ke, ngezinye izikhathi uma le meconium iba nkulu ngendlela engavamile, njenge-tar, ingabhajwa engxenyeni yokugcina yamathumbu amancane engane, i-ileum. Kufana nepayipi lamanzi elivalekile endlini yethu. Kwenzekani-ke? Amathumbu amancane ngaphezu kokuvaleka aqala ukukhula, njengokungathi agcwele amanzi. Ngenxa yalokho, isisu somntwana siqala ukuvuvukala. Amathumbu amakhulu ngaphansi kokuvaleka angase abe mancane kunokujwayelekile.

Cabanga ukuthi kwenzekani lapho indlu yangasese ivaleka ngephepha langasese eliningi kakhulu? Amanzi nemfucuza kuyagcwala, kodwa akukho lutho oludlula emapayipini, akunjalo? Yilokho okwenzekayo lapha.

Ingabe kunezinhlobo ezahlukene zalokhu?

Yebo, iMeconium Ileus ingahlukaniswa ngezinhlobo ezimbili eziyinhloko:

1. I-Simple Meconium Ileus: Kulokhu, i-meconium yomntwana inamathela kuphela ku-ileum nasemathunjini amancane. Kodwa azikho ezinye izinkinga ezinkulu ezenzekayo.

2. I-Complex Meconium Ileus: Lokhu kuyingozi kakhulu. I-Meconium inqwabelana ngaphakathi kwamathumbu, okubangela ukucindezeleka okukhulu nokuvuvukala. Lokhu kungaholela ezinkingeni ezinkulu. Ake sibone ukuthi ziyini:

• Ukungapheleli kahle kwesisu: Lokhu kusho ukuthi amathumbu omntwana awakheki kahle. Ngezinye izikhathi amathumbu angazijika, okubizwa ngokuthi i-prenatal volvulus. Lokhu kuyingozi kakhulu ngoba kungavimba ukugeleza kwegazi emathunjini.
• I-atresia yamathumbu:Njengoba kushiwo ngaphambili, uma amathumbu ephenduka futhi igazi eliya kuleyo ngxenye linqamuka, ezinye izingxenye zamathumbu zingase zingakhuli kahle.
• Ukubhoboka Kwamathumbu: Lesi yisimo esiyingozi kakhulu. Imbobo emathunjini ingabangela ukuthi i-meconium ivuzele esiswini somntwana. Uma lokhu kubhoboka kwenzeka ngemva kokuzalwa komntwana, i-meconium ingavuza futhi ibangele ukutheleleka okukhulu, ukushaqeka, ngisho nokufa.

Ubani othinteka kakhulu yilesi simo?

I-Meconium Ileus ivame ukuhlotshaniswa nesifo sofuzo i-cystic fibrosis. Eqinisweni, phakathi kuka-10% no-20% wezingane ezine-cystic fibrosis zithola i-meconium ileus njengophawu lokuqala lwesifo. Ezinye izifundo zibonise ukuthi izingane ezingafika ku-90% ezine-meconium ileus nazo zingaba ne-cystic fibrosis.

Kungani lokhu kwenzeka? Yiziphi izimbangela zeMeconium Ileus?

Njengoba kushiwo ngaphambili, i-Meconium Ileus ivame ukuba uphawu lokuqala lwe-cystic fibrosis. I-cystic fibrosis yisimo sofuzo. Lokhu kwenzeka lapho uketshezi (okungukuthi uketshezi) emathunjini omntwana luba lukhulu futhi lunamathele ngendlela engavamile. Lokhu ketshezi oluqinile lunamathela olwelwesini lwamathumbu, okubangela ukuvaleka. Ngakho-ke, uma ingane yakho ine-Meconium Ileus, ingase ibe nezinye izimpawu ze-cystic fibrosis kamuva ekuphileni.

Ziyini izimpawu zalokhu? Ukubona kanjani?

Uma ingane yakho esanda kuzalwa ingakakwazi ukunyakaza kwamathumbu okokuqala zingakapheli amahora angu-24 kuya kwangu-48, kungaba uphawu lwe-meconium ileus. Bheka futhi lezi zimpawu:

• Ukuhlanza
• Ukuvuvukala kwesisu: Lokhu kuvuvukala kungenza kube nzima ngengane ukuphefumula.
• Ngezinye izikhathi, lapho udokotela ezwa isisu somntwana, angase athole izingxenye zamathumbu amancane akhulisiwe.

Uma amathumbu engane yakho ebhobokile (ebhobokile), angase abonise nezimpawu ezifana nalezi:

• Ukubomvu kwesikhumba esiswini.
• Ukuzwa umuzwa wokucasuka noma ubuhlungu lapho uthinta isisu.
• Imfiva.
• Ukushaqeka.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Ngezinye izikhathi, i-meconium ileus ingatholakala ngaphambi kokuba umntwana azalwe. I-ultrasound yesisu sikamama ngaphambi kokubeletha ingabonisa izimpawu zokuvaleka kwamathumbu .

Kodwa-ke, kuvame ukutholakala ngemva kokuzalwa komntwana. Odokotela basola ukuthi lokhu kusekelwe ezimpawini umntwana azibonisayo. Ikakhulukazi ezimweni ezinjengalezi, banaka kakhulu i-Meconium Ileus:

• Othile emndenini wakhoUma une-cystic fibrosis.
• Uma umntwana osanda kuzalwa eqinisekisiwe ukuthi une-cystic fibrosis ngokuhlolwa kokuhlolwa kosana olusanda kuzalwa.

Hlobo luni lokuhlolwa okwenziwayo ngalokhu?

Uma udokotela esola ukuthi une-meconium ileus, angenza lezi zivivinyo ezilandelayo:

• I-X-ray yesisu: Lokhu kubonisa izingxenye ezinkulu zamathumbu amancane. Ngezinye izikhathi i-meconium ingaxubana nomoya umntwana awugwinyayo, okwenza i-X-ray ibonakale "njengebhola lensipho" . Uma kukhona ukuvaleka okuphelele, ngeke kube khona umoya e-rectum yengane.
• I-enema yokuqhathanisa: Lokhu kuhilela ukufaka uketshezi olukhethekile olungabonakala ku-X-ray endunu yomntwana. Lokhu kungasiza ekuboneni ukuthi amathumbu amakhulu omntwana mancane yini kunokujwayelekile. Kungasiza futhi ekutholeni ukuthi kukhona yini indawo engavamile yamathumbu (i-malrotation). Uma kusolwa ukuthi i-malrotation imbi, odokotela bazo-oda uchungechunge lwe-upper gastrointestinal (UGI) . Le UGI ingaqinisekisa i-malrotation futhi ibone ngqo ukuthi amathumbu aphikisiwe.
• Ukuhlolwa kokujuluka: Lokhu kwenzelwa ukuqinisekisa ukuthi une-cystic fibrosis noma cha.

Yiziphi izindlela zokwelapha lokhu?

Uma umntwana ene-meconium ileus eyinkimbinkimbi (okusho ukuthi amathumbu asontekile noma anezimbobo), kuzodingeka ukuhlinzwa ngokushesha.

Kodwa uma ingane ine-ileus elula ye-meconium, odokotela bazoqala bazame ukususa ukuvaleka nge-enema. Le enema incibilikisa i-meconium eqinisiwe bese ifaka umuthi okhethekile wokuyithambisa. Lesi sixazululo se-enema singasiza i-meconium ukuthi idlule emathunjini omntwana futhi iphume nge-anus.

Odokotela bazofaka kancane kancane lesi sixazululo nge-catheter efakwe e-rectum yengane. Uma benza lokhu, basebenzisa indlela ekhethekile yokuthwebula izithombe yezokwelapha ebizwa ngokuthi i-fluoroscopy . I-Fluoroscopy ihilela ukuthumela ama-X-ray emzimbeni wengane nokubuka ividiyo ebukhoma yezicubu ezingaphakathi.

Uma i-enema yehluleka ukususa ukuvaleka, odokotela kuzodingeka benze ukuhlinzwa.

Ukuhlinzwa kuhilela ukusika amathumbu engane nokukhipha i-meconium engaphakathi. Kuye ngesimo sengane, ngezinye izikhathi i-ileostomy ingenziwa, lapho iziphetho ezimbili ezisikiwe zamathumbu zikhishwa ngesikhumba sesisu. Bese kuba khona ama-enemas engeziwe ngeziphetho ezivuliwe bese ukwelashwa kuqhubeka kuze kube yilapho yonke i-meconium isusiwe. Bese kuba khona okunye ukuhlinzwa ukuze kuxhunywe iziphetho ezimbili zamathumbu.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kwenzeke enganeni yethu?

Empeleni, ayikho indlela yokuvimbela lesi simo esibizwa ngokuthi iMeconium Ileus. Ngoba imbangela eyinhloko yalokhu yisifo sofuzo esibizwa ngokuthi iCystic Fibrosis. Kuyinto edluliselwa ezizukulwaneni ngezizukulwane.

Uma ukhulelwe noma uhlela ukukhulelwa, ungase uthande ukucabangela ukuhlolwa kwabathwali be-cystic fibrosis ngaphambi kokubeletha . Lokhu kuhlolwa kungakusiza uqonde ingozi yakho yokuba nengane ene-cystic fibrosis.

Uma lokhu kwenzeka enganeni, ikusasa liyoba njani? (Amathuba)

Endabeni ye-Meconium Ileus, ngisho nasezimweni eziyinkimbinkimbi, uma lesi sifo sitholakala kusenesikhathi futhi selashwa kahle, ikusasa lomntwana livame ukuba lihle.

I-Meconium Ileus ivame ukuba uphawu lwe-cystic fibrosis. Kodwa-ke, uma itholakale futhi yelashwa kusenesikhathi, ukusebenza kwamaphaphu engane, ukudla okunomsoco, kanye nengozi yokutheleleka kungagcinwa ezingeni elihle esikhathini eside. Kodwa-ke, uma i-meconium ileus ishiywa ingelashwa, isimo somntwana singaba sibi kakhulu. Ngakho-ke, uma usola ukuthi ingane yakho ine-meconium ileus, kubaluleke kakhulu ukufuna ukwelashwa ngokushesha.

Kuvamile ukuzizwa wesaba futhi udidekile uma uzwa ukuthi ingane yakho ineMeconium Ileus. Kodwa khumbula, njengezifo eziningi, ukutholakala kusenesikhathi kanye nokwelashwa kungaholela emiphumeleni ephumelelayo. Nakuba iMeconium Ileus iyisibonakaliso seCystic Fibrosis, khumbula ukuthi iCystic Fibrosis nayo iyisimo esingelapheka. Khuluma nodokotela wengane yakho nganoma yiziphi izinkinga noma imibuzo ongase ube nayo. Bazokwazi ukukusiza futhi banikeze ingane yakho umphumela ongcono kakhulu.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

• Uma ingane yakho esanda kuzalwa ingakaphumi indle yayo yokuqala (i-meconium) zingakapheli amahora angu-48, inesisu esivuvukile, noma ihlanza, bona udokotela ngokushesha.
• I-Meconium Ileus ivame ukuhlotshaniswa nesifo sofuzo i-cystic fibrosis.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa kunganikeza ingane ukululama okuhle kanye nekusasa eliqhakazile.
• Kukhona ama-enemas kanye nokuhlinzwa njengezindlela zokwelapha.
• Nakuba lesi simo singenakuvinjelwa, qaphela ukuhlolwa kofuzo ngaphambi kokubeletha .
• Khuluma ngokukhululekile nodokotela wengane yakho nganoma yimiphi imibuzo noma ukukhathazeka onakho. Bakulungele ukukusiza wena nomntwana wakho.

'I-Meconium Ileus, Usana Olusanda Kuzalwa, Ukuvinjelwa Kwamathumbu, I-Cystic Fibrosis, Indle Yokuqala Yomntwana, Impilo Yomntwana