I-Omphalocele: yini, izimbangela eziyinhloko nokwelashwa

-Delile

• Izimbangela eziyinhloko
• Kunjani ukuxilongwa
• Yelashwa kanjani

I-omphalocele ifana nokungahleleki kahle kodonga lwesisu enganeni, okuvame ukukhonjwa ngisho nangesikhathi sokukhulelwa futhi okubonakala ngokuba khona kwezitho, njengamathumbu, isibindi noma ubende, ngaphandle komgodi wesisu futhi kumbozwe ulwelwesi oluncane .

Lesi sifo sokuzalwa ngokuvamile sikhonjwa phakathi kwesonto lesi-8 nele-12 lokukhulelwa ngokusebenzisa izivivinyo zezithombe ezenziwa ngudokotela obelethisayo ngesikhathi sokubeletha, kodwa futhi singabonakala kuphela emva kokuzalwa.

Ukuxilongwa kwale nkinga kusenesikhathi kubaluleke kakhulu ukulungiselela iqembu lezokwelapha ukuthi libelethe, ngoba kungenzeka ukuthi ingane izodinga ukuhlinzwa ngemuva nje kokuzalwa ukuze ibeke isitho endaweni efanele, igweme izinkinga ezinkulu.

Izimbangela eziyinhloko

Izimbangela ze-omphalocele azikakasekelwa kahle, kepha kungenzeka ukuthi kwenzeka ngenxa yokuguqulwa kofuzo.

Izici ezihlobene nemvelo yowesifazane okhulelwe, engafaka ukuthintana nezinto ezinobuthi, ukuphuza iziphuzo ezidakayo, ukusetshenziswa kogwayi noma ukuphuza imithi ngaphandle kokuyalelwa ngudokotela, nazo zibukeka zandisa ubungozi bokuzalwa kwengane omphalocele.

Kunjani ukuxilongwa

I-Omphalocele isengatholakala ngesikhathi sokukhulelwa, ikakhulukazi phakathi kokukhulelwa kwesi-8 kuya kwele-12, ngokuhlolwa kwe-ultrasound. Ngemuva kokuzalwa, i-omphalocele ingabonakala ngokuhlolwa komzimba okwenziwa ngudokotela, lapho kutholakala khona ukutholakala kwezitho ezingaphandle kwesisu.

Ngemuva kokuhlola ubukhulu be-omphalocele, udokotela unquma ukwelashwa okuhle kakhulu, futhi ezimweni eziningi, ukuhlinzwa kwenziwa ngemuva nje kokuzalwa. Lapho i-omphalocele inkulu kakhulu, udokotela angakweluleka ukuthi wenze ukuhlinzwa ngezigaba.

Ngaphezu kwalokho, udokotela angenza ezinye izivivinyo, njenge-echocardiography, i-X-ray kanye nokuhlolwa kwegazi, ngokwesibonelo, ukubheka ukuthi zikhona yini ezinye izifo, njengokushintsha kwezakhi zofuzo, i-hernia e-diaphragmatic namaphutha enhliziyo, ngokwesibonelo, zivame kakhulu ezinganeni ezinokunye ukukhubazeka.

Yelashwa kanjani

Ukwelashwa kwenziwa ngokuhlinzwa, okungenziwa ngemuva nje kokuzalwa noma ngemuva kwamasonto ambalwa noma izinyanga ngokusho kobukhulu be-omphalocele, ezinye izimo zempilo ingane engaba nazo kanye nesibikezelo sikadokotela. Kubalulekile ukuthi ukwelashwa kwenziwe ngokushesha okukhulu ukugwema izinkinga ezingaba khona, njengokufa kwezicubu zamathumbu kanye nokutheleleka.

Ngakho-ke, uma kukhulunywa nge-omphalocele encane, okungukuthi, lapho kuphela ingxenye yamathumbu ingaphandle kwesisu, ukuhlinzwa kwenziwa ngemuva nje kokuzalwa futhi kuhlose ukubeka isitho endaweni efanele bese kuvalwa umgodi wesisu. . Endabeni ye-omphalocele enkulu, okungukuthi, lapho ngaphezu kwamathumbu, ezinye izitho, ezinjengesibindi noma ubende, zingaphandle kwesisu, ukuhlinzwa kungenziwa ngezigaba ukuze kungalimazi ukukhula kwengane.

Ngaphezu kokususwa kokuhlinzwa, udokotela angancoma ukuthi kusetshenziswe umuthi wama-antibiotic, ngokucophelela, esikhwameni esifaka izitho eziveziwe, ukuze kuncishiswe ubungozi bokutheleleka, ikakhulukazi lapho ukuhlinzwa kungenziwa ngemuva nje kokuzalwa noma lapho kwenziwa ngezigaba.