I-Gastroschisis: kuyini, izimbangela eziyinhloko nokwelashwa

-Delile

• Ungayibona kanjani i-gastroschisis
• Uyini umehluko phakathi kwe-gastroschisis ne-omphalocele?
• Yini ebangela i-gastroschisis
• Yelashwa kanjani

I-Gastroschisis yisifo sokuzalwa esingalungile esivezwa ngokungaluvali ngokuphelele udonga lwesisu, eduze nenkaba, okwenza ukuthi amathumbu avezwe futhi axhumane ne-amniotic fluid, engaholela ekuvukeleni nasekuthelelaneni izifo, okudala izinkinga ezinganeni.

I-Gastroschisis ivame kakhulu komama abasebancane abake basebenzisa, ngokwesibonelo, i-aspirin noma iziphuzo ezidakayo ngesikhathi sokukhulelwa. Lesi simo singabonakala ngisho nangesikhathi sokukhulelwa, ngokusebenzisa i-ultrasound eyenziwa ngesikhathi sokunakekelwa ngaphambi kokubeletha, futhi ukwelashwa kuqalwa ngemuva nje kokuzalwa kwengane ngenhloso yokuvimbela izinkinga kanye nokuvumela ukungena kwamathumbu nokuvalwa okulandelayo kokuvula kwesisu.

Ungayibona kanjani i-gastroschisis

Isici esiyinhloko se-gastroschisis ukubona ngeso lengqondo amathumbu aphume emzimbeni ngokuvula okusondele enkabeni, imvamisa ngasohlangothini lwesokudla. Ngaphezu kwamathumbu, ezinye izitho zingabonakala ngalokhu kuvulwa okungamboziwe ulwelwesi, okwandisa amathuba okutheleleka kanye nezinkinga.

Izinkinga eziyinhloko ze-gastroschisis ukungakhuli kwengxenye yamathumbu noma ukuqhuma kwamathumbu, kanye nokulahleka koketshezi nezakhi zomntwana, okwenza ukuthi abe nesisindo esincane.

Uyini umehluko phakathi kwe-gastroschisis ne-omphalocele?

Kokubili i-gastroschisis ne-omphalocele kungukukhubazeka kokuzalwa, okungatholwa nangesikhathi sokukhulelwa ngokusebenzisa i-ultrasound yangaphambi kokubeletha futhi okubonakala ngokukhishwa kwamathumbu ngaphandle. Kodwa-ke, okwehlukile kwe-gastroschisis kusuka ku-omphalocele iqiniso lokuthi ku-omphalocele amathumbu nezitho okungenzeka ukuthi zingaphandle kwesisu zimbozwe ulwelwesi oluncane, kanti ku-gastroschisis alukho ulwelwesi oluzungeze isitho.

Ngaphezu kwalokho, ku-omphalocele, intambo iyancipha futhi amathumbu aphuma ngembobo ekuphakameni kwenkaba, kanti ku-gastroschisis ukuvulwa kusondele enkabeni futhi akukho ukubandakanyeka kwenkaba. Qonda ukuthi i-omphalocele iyini nokuthi iphathwa kanjani.

Yini ebangela i-gastroschisis

I-Gastroschisis yisici sokuzalwa futhi singatholakala ngesikhathi sokukhulelwa, ngokuhlolwa okujwayelekile, noma ngemuva kokuzalwa. Phakathi kwezimbangela eziyinhloko ze-gastroschisis yilezi:

• Ukusetshenziswa kwe-aspirin ngesikhathi sokukhulelwa;
• I-Low Body Mass Index yowesifazane okhulelwe;
• Iminyaka kamama engaphansi kweminyaka engama-20;
• Ukubhema ngesikhathi sokukhulelwa;
• Ukuphuza njalo noma ngokweqile iziphuzo ezidakayo ngesikhathi sokukhulelwa;
• Ukutheleleka okuvamile komchamo.

Kubalulekile ukuthi abesifazane abanezingane zabo ezitholwe ukuthi bane-gastroschisis babhekwe ngesikhathi sokukhulelwa ukuze bazilungiselele maqondana nesimo somntwana, ukwelashwa ngemuva kokuzalwa kanye nezinkinga ezingaba khona.

Yelashwa kanjani

Ukwelashwa kwe-gastroschisis kwenziwa ngemuva nje kokuzalwa, futhi ukusetshenziswa kwama-antibiotic kuvame ukukhonjiswa ngudokotela njengendlela yokuvimbela ukutheleleka noma ukulwa nezifo esivele zikhona. Ngaphezu kwalokho, ingane ingafakwa esikhwameni esiyinyumba ukuvikela ukutheleleka ngama-microorganisms amelana nayo, ajwayelekile endaweni yesibhedlela.

Uma isisu sengane sikhulu ngokwanele, udokotela angahlinza ukufaka ithumbu emgodini wesisu bese evala imbobo. Kodwa-ke, lapho isisu singenele ngokwanele, ithumbu lingagcinwa livikelekile ezifweni ngenkathi udokotela eqapha ukubuyela kwamathumbu emgodini wesisu ngokwemvelo noma kuze kube yilapho isisu sinamandla okubamba amathumbu, sihlinza ngaleso sikhathi.