I-pyloric stenosis ezinganeni

I-pyloric stenosis ukunciphisa i-pylorus, ukuvuleka okuvela esiswini kuya emathunjini amancane. Lo mbhalo uchaza isimo ezinganeni.

Imvamisa, ukudla kudlula kalula kusuka esiswini kuya engxenyeni yokuqala yamathumbu amancane nge-valve ebizwa nge-pylorus. Nge-pyloric stenosis, imisipha ye-pylorus iyaqina. Lokhu kuvimbela isisu ekuchithekeleni singene emathunjini amancane.

Imbangela ngqo yokuqina ayaziwa. Izakhi zofuzo zingadlala indima, ngoba izingane zabazali ababene-pyloric stenosis maningi amathuba okuba babe nalesi simo. Ezinye izinto eziyingozi zifaka ama-antibiotic athile, i-asidi eningi engxenyeni yokuqala yamathumbu amancane (i-duodenum), kanye nezifo ezithile ingane ezalwa nayo, njengesifo sikashukela.

I-pyloric stenosis yenzeka kakhulu ezinganeni ezingaphansi kwezinyanga eziyisithupha. Kuvame kakhulu kubafana kunasemantombazaneni.

Ukuhlanza uphawu lokuqala ezinganeni eziningi:

• Ukuhlanza kungenzeka ngemuva kokuphakelwa noma ngemuva kokuphakelwa okuthile.
• Ukuhlanza kuvame ukuqala cishe amasonto amathathu ubudala, kepha kungaqala noma nini phakathi kwesonto elilodwa nezinyanga ezinhlanu ubudala.
• Ukuhlanza kunamandla (ukuhlanza kweprojektha).
• Usana lulambile ngemuva kokuphalaza futhi lufuna ukuncelisa futhi.

Ezinye izimpawu zivela emasontweni ambalwa ngemuva kokuzalwa futhi zingafaka:

• Ubuhlungu besisu
• Ukuqhuma
• Ukulamba njalo
• Ukwehla kwamanzi emzimbeni (kuya kuba kubi njengoba ukuhlanza kuya kuba kubi)
• Ukwehluleka ukuthola isisindo noma ukwehlisa isisindo
• Ukunyakaza okufana nokuzamazama kwesisu kungekudala ngemuva kokondla nangaphambi nje kokuhlanza kwenzeka

Isimo sivame ukutholakala ngaphambi kokuba ingane ibe nezinyanga eziyisithupha ubudala.

Ukuhlolwa komzimba kungaveza:

• Izimpawu zokuphela kwamanzi emzimbeni, njengesikhumba esomile nomlomo, ukudabuka kancane lapho ukhala, namanabukeni omile
• Isisu esivuvukile
• Isisindo esimise okomnqumo lapho uzizwa isisu esingenhla, okuyi-pylorus engajwayelekile

I-Ultrasound yesisu ingaba ukuhlolwa kokuqala kwe-imaging. Olunye uvivinyo olungenziwa lubandakanya:

• I-Barium x-ray - yembula isisu esivuvukile ne-pylorus enciphile
• Ukuhlolwa kwegazi - kuvame ukuveza ukungalingani kwe-electrolyte

Ukwelashwa kwe-pyloric stenosis kuhilela ukuhlinzwa ukuze kunwetshwe i-pylorus. Ukuhlinzwa kubizwa nge-pyloromyotomy.

Uma ukulalisa usana ukuze luhlinzwe akuphephile, kusetshenziswa umshini obizwa nge-endoscope onebhaluni elincane ekugcineni. Ibhaluni ligcwele ukukhulisa i-pylorus.

Ezinganeni ezingakwazi ukuhlinzwa, i-tube feed noma umuthi wokuphumuza i-pylorus kuyazanywa.

Ukuhlinzwa kuvame ukuqeda zonke izimpawu. Ngokushesha nje emva kwamahora ambalwa emva kokuhlinzwa, usana lungaqala ukuncancisa okuncane, kaningi.

Uma i-pyloric stenosis ingelashwa, ingane ngeke ithole umsoco owanele kanye noketshezi, futhi ingakhuluphala futhi iphelelwe ngamanzi emzimbeni.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma ingane yakho inezimpawu zalesi simo.

Ukuzalwa kwe-hypertrophic pyloric stenosis Usana lwe-hypertrophic pyloric stenosis; Ukuvimbela ukuphuma kwesisu; Ukuhlanza - i-pyloric stenosis

• Uhlelo lokugaya ukudla
• I-pyloric stenosis
• I-Infantile pyloric stenosis - Uchungechunge

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. I-pyloric stenosis nezinye izinkinga zokuzalwa zesisu. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 355.

Seifarth FG, Amasosha OS. Okuzenzakalelayo kokuzalwa kanye nokuphazamiseka kokuhlinzwa kwesisu. Ku: Wyllie R, Hyams JS, Kay M, eds. Izifo Zamathumbu Emathunjini Nesibindi. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2016: isahluko 25.