Ingabe ingane yakho ihlanza njalo ngemva kokuphuza ubisi? Kungaba yi-Pyloric Stenosis!

Ingabe ingane yakho iyahlanza futhi iyakhafula ngemva kokuphuza ubisi? Akukhona lokho kuphela, kodwa ingabe iyancipha isisindo futhi ibukeka inciphile usuku nosuku? Ngezinye izikhathi lezi zimpawu zingaba yikho, kodwa namuhla sizokhuluma ngesimo esingaba khona ezinganeni ezincane, kodwa esingalapheka ngokuphelele uma selashwa. Leso yisimo esibizwa ngokuthi i-Pyloric Stenosis . Ungakhathazeki, ake sixoxe ngalokhu ngokuningiliziwe.

Kuyini i-Pyloric Stenosis?

Kalula nje, i-Pyloric Stenosis yisimo lapho imisipha ebizwa ngokuthi i-Pylorus , indawo lapho ukudla kudlula khona kusuka esiswini somntwana wakho kuya emathunjini amancane, iqina futhi inciphe. Kufana nombhobho wamanzi ovalekayo futhi okwenza kube nzima ukuthi amanzi ageleze. Lokhu kwaziwa ngokwezokwelapha ngokuthi i-Hypertrophic Pyloric Stenosis (HPS) .

• I-Hypertrophic isho ukuqina noma ukuba mkhulu.
• I-Pyloric ibhekisela emsipheni obizwa ngokuthi i-pylorus esikhulume ngayo.
• I-stenosis isho ukuncishiswa.

Ngakho-ke lapho le pylorus ikhula futhi incipha, ubisi oluphuzwa ngumntwana alukwazi ukudlula esiswini. Yilapho-ke ukuhlanza okubangelwa yi-projectile kwenzeka khona. Lokhu kungabangela ukuthi umntwana aphelelwe amanzi emzimbeni . Kodwa izindaba ezinhle ukuthi lokhu kungelapheka ngokuphelele ngokuhlinzwa okuncane.

Kwenzekani ngempela kulesi simo?

Ekupheleni kwesisu sethu, lapho kuqala khona amathumbu amancane, kukhona ivalvu yemisipha ebizwa ngokuthi i-pylorus . Ifana nomnyango. Ingumsipha we-sphincter , okusho ukuthi ungavuleka futhi uvale. Uvalwa lapho ukudla kugaywa esiswini. Lapho ukudla kugaywa, kuyavuleka ukuthumela ukudla emathunjini amancane.

Kodwa-ke, enganeni ene-pyloric stenosis, imisipha ye-pylorus iba nkulu kakhulu. Bese indlela yokudla idlula ngayo iba mncane. Ngakho ubisi oluphuzwa ngumntwana, kungaba ubisi lwefomula noma ubisi lwebele, alukwazi ukudlula esiswini luye emathunjini amancane bese lubhajwa. Yingakho umntwana ehlanza njalo. Uma umntwana eqhubeka nokuhlanza kanje, umntwana akakhuluphali , ngoba umzimba awukwazi ukumunca kahle ukudla okudliwayo. Ingane ingase ihlanze njalo lapho iphuza ubisi, noma ingase ihlanze ngezinye izikhathi kuphela.

Lesi simo sivela nini enganeni? Ziyini izimpawu?

Izingane azivamile ukuzalwa zinalesi simo. I-pylorus iqala ukujiya ngemva kwamasonto ambalwa zizelwe.

Izimpawu ze -Pyloric Stenosis zivame ukuqala lapho ingane yakho inamaviki amathathu kuya kwayisithupha ubudala . Kodwa-ke, ngezinye izikhathi izimpawu zingaqala ukuvela ezinyangeni ezi-5. Uma ubona noma yiziphi zalezi zimpawu, bona udokotela ngokushesha. Kungcono ukwelapha ingane yakho ngaphambi kokuba iphelelwe amanzi emzimbeni futhi ingondlekile.

Ingabe lokhu kuyenzeka ezinganeni ezindala? Akuvamile kakhulu ukuthi izingane ezindala zibe nokuvaleka kwe-pylorus. Lokhu kuvame ukubangelwa isilonda se-peptic . Ngezinye izikhathi kungabangelwa nesimo esingavamile esibizwa ngokuthi i-eosinophilic gastroenteritis, okuwukuvuvukala kwesisu.

Kuvamile kangakanani lokhu? Lesi simo sithinta phakathi kwezingane ezisanda kuzalwa eziyi-1 nezingu-3.5 kweziyi-1,000. Futhi yisimo esivame kakhulu esidinga ukuhlinzwa ezinganeni.

Izimpawu eziyinhloko yilezi:

Ngisho noma ingane yakho iphuza kahle, ingase isabonisa lezi zimpawu:

• Ukuhlanza okubangelwa yi-projectile: Lokhu kufana nokudutshulwa emthonjeni. Ngokuvamile kwenzeka phakathi nesigamu sehora kuya kwehora ngemva kokuphuza ubisi.
• Ubuhlungu besisu: Ingane ingase ibonakale ingakhululekile noma ibuhlungu.
• Ukuphelelwa amanzi emzimbeni: Izimpawu zifaka phakathi umlomo owomile, amehlo acwilayo, isikhumba esomile, ukuntuleka kokujuluka, kanye nokwehla kokukhishwa komchamo.
• Ukulamba ngisho nangemva kokuphuza ubisi: Ngemva kokuhlanza, isisu sakho sisuke singenalutho futhi uzizwa ulambile futhi.
• Ukungahlaliseki nokukhala njalo (Ukucasuka).
• Amathumbu anciphile futhi amancane.
• Ngemva kokuphuza ubisi, ngaphambi kokuhlanza, isisu singase sinyakaze njengegagasi (ukunyakaza kwesisu okufana ne-Wavelike). Ngezinye izikhathi, uma uzwa isisu somntwana, ungase uzwe iqhubu elincane elibukeka njenge-olive. Leso imisipha ye-pylorus eqinisiwe.
• Ukwehlisa isisindo noma ukukhuluphala.

Ngenxa yokuthi izingane zivame ukubonakala ziphilile, abazali bangase bangaqapheli ukuthi lokhu kuyinkinga enkulu kuze kube yilapho ingane iphelelwa amanzi emzimbeni noma ingenawo umsoco. Ezinye izingane zingase zibe ne-jaundice (ukuphuzi kwesikhumba kanye nokumhlophe kwamehlo).

Ingabe lokhu kumane kuwukuchitheka kobisi nje? Noma kukhona okunye?

Izingane eziningi zikhafula ubisi oluncane ngemva kokuncelisa. Lokhu kuyinto evamile futhi akukho okufanele ukhathazeke ngakho. Kodwa-ke , ukuhlanza okunamandla noma okubuhlungu okungase kube uphawu lwento engathi sína. Uma ingane yakho ihlanza kanje ngemva kokuncelisa, kufanele nakanjani ukhulume nodokotela.

Kungani kuvela i-pyloric stenosis? Yiziphi izici eziyingozi?

Ososayensi abakakazi kahle ukuthi yini ebangela i-pyloric stenosis, kodwa kucatshangwa ukuthi izakhi zofuzo kanye nezici zemvelo ziyabandakanyeka.

Kunezici eziningana eziyingozi:

• Umlando womndeni: Cishe u-15% wezingane ezine-pyloric stenosis zinelungu lomndeni (isihlobo segazi) esike saba nalesi simo ngaphambili.
• Ubulili:Izingane zesilisa ezizalwa ngesikhathi sokubeletha kanye nezokuqala emndenini zinamathuba amaningi okuthola lesi simo. Izingane zesifazane zinamathuba amancane okuthola lesi simo.
• Uhlanga: Lokhu kuvame kakhulu ezinganeni ezimhlophe, ikakhulukazi lezo ezizalwa eYurophu.
• Ukubhema: Uma umama ebhema ngesikhathi sokukhulelwa, umntwana usengozini enkulu yokuthola lesi simo.
• Ama-antibiotic: Ezinye izingane ezanikwa ama-antibiotic ngesikhathi sokuzalwa zingase zibe sengozini enkulu. Futhi, uma umama ephuze ama-antibiotic athile ngasekupheleni kokukhulelwa, lokho kungaba yingozi.
• Indlela Yokondla: Ezinye izifundo zikhombisile ukuthi izingane ezinceliswa ubisi lwebhodlela zisengozini enkulu yokuthola lesi simo. Kodwa-ke, akukacaci ukuthi ingozi ivela ebhodleleni noma ubisi lwebhodlela. Uma luvela ebhodleleni, lungathinta nezinsana ezinceliswa ubisi lwebele.

Odokotela bakubona kanjani lokhu?

Udokotela wengane yakho uzokubuza ngemikhuba yokudla yengane yakho bese ekwenza ukuhlolwa ngokomzimba . Ngezinye izikhathi, odokotela bangezwa iqhubu esiswini sengane yakho elifana ne-olive. Leso yimisipha ye-pylorus eqinisiwe.

Udokotela angase futhi acele ukuhlolwa kwegazi . Lokhu kungasiza ekunqumeni ukuthi ingane yakho iphelelwe amanzi emzimbeni ngenxa yokuhlanza noma inokungalingani kwama-electrolyte . Ama-electrolyte amaminerali asiza umzimba wengane yakho ukuthi usebenze kahle.

Hlobo luni lokuhlolwa okwenziwayo?

Uma udokotela engayizwa iqhubu esiswini somntwana, uzocela i-ultrasound ukuqinisekisa ukuxilongwa okufanele.

• Ngesikhathi sokuhlolwa kwe-ultrasound, udokotela ubeka ithuluzi elincane (i-probe) ngesineke phezu kwesisu somntwana.
• Le divayisi isebenzisa amaza omsindo ukudala izithombe zangaphakathi.
• Imisipha ye-pyloric ejiyile ivame ukubonakala kulezi zithombe.

Ngezinye izikhathi ukuhlolwa ngokomzimba kanye ne-ultrasound kungase kungayivezi inkinga. Uma kunjalo, udokotela wakho angase akucele i-barium X-ray (Upper Gastrointestinal (GI) series noma i-Barium X-ray) :

• Kulokhu, umntwana unikezwa uketshezi olukhethekile ukuze aluphuze.
• Udokotela angasebenzisa i-X-ray ukuze abone ukuthi lolu ketshezi luhamba kanjani lusuka esiswini luye emathunjini amancane.
• Lokhu kunganquma ukuthi uketshezi lugeleza phansi lusuka esiswini nge-pylorus noma cha. Uma kungenjalo, kubonisa i-pyloric stenosis.

Kuphathwa kanjani lokhu?

I-pyloric stenosis iphathwa ngohlobo lokuhlinzwa olubizwa ngokuthi i-pyloromyotomy . Lolu uhlobo lokuhlinzwa olubizwa ngokuthi i-pyloroplasty . Uma i-pyloric stenosis isitholakele, udokotela ohlinzayo wengane yakho uzoxoxa nawe ngalokhu kuhlinzwa.

Wenzani ngaphambi kokuhlinzwa?

Izingane ezine-pyloric stenosis zingase ziphelelwe amanzi emzimbeni ngoba zihlanza kakhulu. Ngaphambi kokuhlinzwa, udokotela uzonika ingane i-saline njengoba kudingeka ukuze ibuyisele amanzi emzimbeni. Ingane ivame ukudinga ukunikezwa isixazululo se -IV (intravenous) saline esibhedlela. Phakathi nalesi sikhathi, ukuhlolwa kwegazi kungenziwa ukuze kubonwe ukuthi amanzi emzimbeni wengane ayathuthuka yini.

Kuzodingeka uyeke ukuncelisa ingane yakho emahoreni ayisithupha ngaphambi kokuhlinzwa. Lokhu kwenzelwa ukunciphisa ingozi yokuhlanza ngenkathi ungaphansi kwe -anesthesia kanye nokuhushulwa kokuhlanza emaphashini.

Kwenzekani ngesikhathi sokuhlinzwa?

Ngesikhathi sokuhlinzwa kwe-pyloric stenosis, ithimba lezokwelapha lizokwenza okulandelayo:

• Ingane inikezwa i-anesthesia ejwayelekile . Lokhu kusho ukuthi ingane ilele ngokuphelele ngesikhathi sokuhlinzwa futhi ayizizwa ubuhlungu.
• Kwenziwa ukusika okuncane ohlangothini lwesobunxele lwesisu somntwana, ngaphezu nje kwenkaba.
• Kwenziwa ukuhlinzwa okubizwa ngokuthi i-pyloromyotomy . Lokhu kusho ukuthi kwenziwa i-incision emsipheni we-pylorus ojiyile bese ukhululeka. Lokhu kudala indlela yokudla nokuphuza okudlulela ngayo kusuka esiswini somntwana kuya emathunjini.

Lo msebenzi uvame ukuthatha isikhathi esingaphansi kwehora.

Umntwana unjani ngemva kokuhlinzwa?

Ngemva kokuhlinzwa, ingane yakho kuzodingeka ihlale esibhedlela usuku olulodwa kuya kwezintathu. Nakhu ongakulindela:

• Ngemva kwamahora ambalwa ngemva kokuhlinzwa, uzoqala ukunikeza ingane yakho ubisi lwebele noma ubisi lwebele. Nikeza ubisi lwebele ngobuningi obuncane ekuqaleni. Udokotela wakho ohlinzayo uzokutshela ngohlelo lwakho lokuncelisa.
• Uma unikeza ubisi lwefomula, ithimba lezokwelapha lizokwandisa kancane kancane inani kanye nokuhlushwa kobisi njengoba ingane ingalubekezelela.
• Uma uncelisa, kuzodingeka ukuthi unikeze ukudla kokuqala okumbalwa ngebhodlela, njengoba udinga ukukala inani eliqondile olinikezayo.

Kuthiwani uma ingane iqhubeka nokuhlanza ngemva kokuhlinzwa?

Izingane zingase zihlanze ngemva kokuhlinzwa kwe-pyloric stenosis. Lokhu akusho ukuthi isimo sesibuyile. Ukuhlanza kungabangelwa yilokhu:

• I-anesthesia enikezwa ngesikhathi sokuhlinzwa.
• Ukungachami kahle ngemva kokuphuza ubisi.
• Ukunikeza ukudla okuningi ngesikhathi esisodwa, ukukunikeza ngokushesha okukhulu .

Uma ingane yakho iqhubeka nokuhlanza kakhulu, kungase kudingeke ukuhlolwa okwengeziwe. Ithimba lezokwelapha lizoqhubeka nokuzama ukulungisa ukuhlanza.

Kuzokwenzekani enganeni ngemva kwalesi simo? Ingabe ikhona imiphumela yesikhathi eside?

Umbono wezingane ezine- HPS (Hypertrophic Pyloric Stenosis) muhle kakhulu . Ngemva kokuhlinzwa kwe-pyloric stenosis okuphumelelayo, izingane eziningi azibi nezinkinga zesikhathi eside. Zidla kahle, zikhula kahle, futhi zihlala ziphilile.

Akuvamile kakhulu, i-pylorus ingase ibe mncane kakhulu ngemva kokuhlinzwa. Uma lokhu kwenzeka, odokotela abahlinzayo bangase benze ukuhlinzwa kwesibili ukuze bayinciphise kancane.

Ngemva kokwelashwa, umntwana akabi nezinkinga zesikhathi eside kamuva ekuphileni. Izifundo zakamuva zikhombisile ukuthi abantu ababene -pyloromyotomy beseyizingane abazange bahlushwe yizinkinga zesisu njenge- gastroesophageal reflux lapho sebekhulile.

Ingabe ikhona indlela yokuvimbela lokhu?

Ayikho indlela yokuvimbela i-pyloric stenosis. Uma wazi ukuthi othile emndenini wakho uke waba ne-pyloric stenosis, tshela udokotela wengane yakho. Udokotela angabe esebheka izimpawu zalesi simo.

Ukwazi izimpawu ze-pyloric stenosis kungakusiza ukuthi uthole usizo ngokushesha. Ukuthola ukwelashwa kusenesikhathi kungasiza ekuvimbeleni izinkinga ezifana nokungondleki kahle kanye nokuphelelwa amanzi emzimbeni.

Ungamnakekela kanjani umntwana ekhaya ngemva kokuhlinzwa?

Ngemva kokubuya esibhedlela:

• Njengoba umntwana encelisa ngendlela evamile, ungancelisa ngaphandle kwezinkinga.
• Uma ingane yakho isezinhlungwini, mnike umuthi wokuqeda izinhlungu njenge- acetaminophen (isib. i-Tylenol®) njengoba udokotela wakho ekuyalile.
• Geza ingane yakho ngesiponji ngosuku olulandela ukuhlinzwa. Ngemva kwezinsuku ezintathu, ungayigeza ebhavini.
• Itheyiphu encane ebizwa ngokuthi i-Steri-Strip™ izobekwa phezu kwesibazi. Ungayisusi - izoziphumela yodwa. Uma ingasusi, udokotela wakho uzoyisusa ngesikhathi sokuqokwa kwakho okulandelayo.

Kufanele uphinde uye kudokotela nini?

Kujwayelekile ukuba nokuvuvukala okuzungeze imbobo, kodwa uma ingane yakho inanoma yiziphi zalezi zimpawu, shayela udokotela wakho:

• Ukopha.
• Isisu esivuvukile noma esikhulu.
• Ukuvuvukala okukhulu okuzungeze indawo yokusikwa.
• Imfiva.
• Ukuchama kancane kunokujwayelekile (ukuncipha kwenani lokumanzisa amanabukeni).
• Ukuhlanza njalo.
• Ukuhlanza okuluhlaza okotshani noma okunegazi.
• Ubuhlungu obandayo.
• Ukusika kubomvu noma kuphuma uketshezi olufana nobovu.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma ingane yakho inezimpawu ze-pyloric stenosis, ungase ube nemibuzo eminingana okufanele uyibuze udokotela:

• Ngingazi kanjani ukuthi ingane yami ikhipha ubisi nje, noma ukuthi lokhu kuyi-pyloric stenosis?
• Ingabe i-pyloric stenosis iyisimo esibuhlungu?
• Ingabe ingane yami idinga ukuhlinzwa? Azikho yini ezinye izindlela zokwelapha?
• Ingabe ingane yami kuzodingeka iphinde ihlinzwe?

Kujwayelekile ukuthi ingane ikhafule ubisi oluncane. Kodwa uma ingane yakho ihlanza njalo ngemva kokuyipha ukudla, noma ngemva kokuyipha ukudla kaningi, ingase ibe ne-pyloric stenosis.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Nakuba kuvamile ukuthi ingane ikhafule ubisi, uma ingane yakho ihlanza njalo, ikakhulukazi ngamandla (ukuhlanza okuphoqelelwe), kungaba uphawu lwe-Pyloric Stenosis. Uma ubona noma yiziphi zalezi zimpawu, bona udokotela wengane yakho ngokushesha. Uma lesi simo sitholakala ngokushesha futhi selashwa, kungcono. Ukulibazisa ukwelashwa kungaholela ekuphelelweni amanzi emzimbeni kanye nokungondleki kahle enganeni yakho. Izindaba ezinhle ukuthi i-Pyloric Stenosis yisimo esingelapheka ngokuphelele ngokuhlinzwa. Sithemba ukuthi ingane yakho izolulama ngokushesha, iphilile, futhi ijabule!

I- pyloric stenosis, ukuhlanza kwengane, izifo zezingane, izinkinga zesisu, ukuhlinzwa, ukuphelelwa amanzi emzimbeni, i-HPS