I-duodenal atresia

I-duodenal atresia yisimo lapho ingxenye yokuqala yamathumbu amancane (i-duodenum) ingakakhuli kahle. Akuvuliwe futhi akunakuvumela ukudlula kokuqukethwe yisisu.

Imbangela ye-duodenal atresia ayaziwa. Kucatshangwa ukuthi kubangelwa izinkinga ngesikhathi sokukhula kombungu. I-duodenum ayiguquki isuka ekuqineni iye esakhiweni esifana neshubhu, njengoba yayijwayelekile.

Izinsana eziningi ezine-duodenal atresia nazo zine-Down syndrome. I-duodenal atresia ivame ukuhlotshaniswa nezinye izinkinga zokuzalwa.

Izimpawu ze-duodenal atresia zifaka:

• Ukuvuvukala okuphezulu kwesisu (kwesinye isikhathi)
• Ukuhlanza kokuqala kwamanani amakhulu, okungaba luhlaza okotshani (okuqukethe i-bile)
• Ukuqhubeka nokuhlanza noma usana lungadliswa amahora amaningi
• Akukho ukunyakaza kwamathumbu ngemuva kwezitulo ezimbalwa zokuqala ze-meconium

I-ultrasound yombungu ingakhombisa inani eliphezulu le-amniotic fluid esibelethweni (i-polyhydramnios). Kungakhombisa nokuvuvukala kwesisu sengane nengxenye ye-duodenum.

I-x-ray yesisu ingakhombisa umoya esiswini nengxenye yokuqala ye-duodenum, ngaphandle komoya ongaphezu kwalowo. Lokhu kwaziwa njengophawu lwe-bubble kabili.

Ishubhu ibekwa ukunciphisa isisu. Ukungalingani emzimbeni kanye nokungalingani kwe-electrolyte kuyalungiswa ngokunikeza uketshezi ngethumbu elifakwa emthanjeni (IV, emthanjeni). Ukuhlola ezinye izinkinga zokuzalwa kufanele kwenziwe.

Ukuhlinzwa ukulungisa ukuvinjelwa kwe-duodenal kuyadingeka, kepha hhayi okuphuthumayo. Ukuhlinzwa ngqo kuzoya ngesimo sokungajwayelekile. Ezinye izinkinga (njengalezo ezihlobene ne-Down syndrome) kufanele ziphathwe ngendlela efanele.

Ukuvuselelwa kusuka ku-duodenal atresia kulindeleke ngemuva kokwelashwa. Uma singelashwa, isimo siyabulala.

Lezi zinkinga zingenzeka:

• Okunye ukukhubazeka kokuzalwa
• Ukuphela kwamanzi emzimbeni

Ngemuva kokuhlinzwa, kungaba nezinkinga ezinjengalezi:

• Ukuvuvukala kwengxenye yokuqala yamathumbu amancane
• Izinkinga ngokuhamba ngamathumbu
• I-reflux ye-Gastroesophageal

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma usana lwakho olusanda kuzalwa:

• Ukondla kabi noma cha
• Ukuhlanza (hhayi ukumane ukhafule) noma uma umhlanzo uluhlaza
• Ukungachami noma ukunyakaza kwamathumbu

Akukho ukuvimbela okwaziwayo.

• Isisu namathumbu amancane

UDingeldein M. Okukhethiwe kokukhubazeka kwamathumbu ku-neonate. Ku: Martin RJ, Fanaroff AA, Walsh MC, ama-eds. UFanaroff kanye neMithi kaMartin's Neonatal-Perinatal Medicine. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2020: isahluko 84.

I-Maqbool A, i-Bales C, i-Liacouras CA. I-atresia yamathumbu, i-stenosis, ne-malrotation. 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 356.

USemrin MG, uRusso MA. I-anatomy, i-histology, kanye nokukhubazeka kokuthuthuka kwesisu ne-duodenum. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 48.