Indunu engaphelele

Indunu engenaphutha yisici lapho ukuvuleka kwendunu kulahlekile noma kuvinjelwe khona. Indunu ukuvuleka kukanxande lapho izitulo zishiya khona umzimba. Lokhu kukhona kusukela ekuzalweni (kokuzalwa).

Indunu engaphelele ingavela ngezindlela eziningi:

• I-rectum ingahle iphele esikhwameni esingaxhumi nekholoni.
• I-rectum ingaba nokuvuleka kwezinye izakhiwo. Lokhu kungabandakanya i-urethra, isinye, isisekelo sepipi noma i-scrotum kubafana, noma isitho sangasese samantombazane.
• Kungahle kube nokuncipha (stenosis) kwendunu noma cha.

Kubangelwa ukukhula okungajwayelekile kombungu. Izinhlobo eziningi zedunu elingahlanzekile zenzeka nezinye izinkinga zokuzalwa.

Izimpawu zenkinga zingafaka:

• Ukuvulwa kwe-anal eduze kakhulu nokuvulwa kwesitho sangasese samantombazane
• Indle yokuqala ayidluliswa kungakapheli amahora angama-24 kuye kwangama-48 ngemuva kokuzalwa
• Ukulahleka okungahanjiswanga noma okuhanjiswe endunu
• I-Stool idlula ngaphandle kwesitho sangasese sowesifazane, isisekelo sobudoda, i-scrotum, noma i-urethra
• Indawo yesisu evuvukile

Umhlinzeki wezokunakekelwa kwempilo angakwazi ukuxilonga lesi simo ngesikhathi sokuhlolwa komzimba. Ukuhlolwa kokulingwa kunga-odwa.

Usana kufanele luhlolelwe ezinye izinkinga, njengokungajwayelekile kwezitho zangasese, umgudu wokuchama nomgogodla.

Ukuhlinzwa ukulungisa iphutha kuyadingeka. Uma i-rectum ixhuma nezinye izitho, lezi zitho zizodinga futhi ukulungiswa. I-colostomy yesikhashana (exhuma ukuphela kwethumbu elikhulu nodonga lwesisu ukuze isitokisi siqoqwe esikhwameni) kuyadingeka kaningi.

Ukukhubazeka okuningi kungalungiswa ngempumelelo ngokuhlinzwa. Iningi lezingane ezinokukhubazeka okuncane zenza kahle kakhulu. Noma kunjalo, ukuqunjelwa kungaba yinkinga.

Izingane ezinokuhlinzwa okuyinkimbinkimbi zisakwazi ukulawula ukuhamba kwazo kwamathumbu isikhathi esiningi. Kodwa-ke, bahlala bedinga ukulandela uhlelo lwamathumbu. Lokhu kufaka ukudla ukudla okuphezulu kwe-fiber, ukuthatha izithambisi zesitulo, futhi kwesinye isikhathi usebenzisa ama-enemas.

Ezinye izingane zingadinga ukuhlinzwa okwengeziwe.

Le nkinga ivame ukutholakala lapho usana olusanda kuzalwa luhlolwa okokuqala.

Shayela umhlinzeki wakho uma ingane elashelwe indunu engafanele ine:

• Ubuhlungu besisu
• Ukuqunjelwa okunzima ukuphatha
• Ukwehluleka ukuthuthukisa noma yikuphi ukulawulwa kwamathumbu ngeminyaka engu-3

Akukho ukuvimbela okwaziwayo. Abazali abanomlando womndeni wale nkinga bangafuna ukwelulekwa ngezakhi zofuzo.

Ukungahleleki kahle kwe-anorectal; I-anal atresia

• Indunu engaphelele
• Ukulungiswa kwendunu okungaphelele - uchungechunge

UDingelsein 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.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. Izimo zokuhlinzwa ze-anus ne-rectum. 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 371.