I-Pyloric stenosis kwiintsana

I-pyloric stenosis kukunciphisa i-pylorus, ukuvulwa kwesisu kungena emathunjini amancinci. Eli nqaku lichaza imeko yeentsana.

Ngokwesiqhelo, ukutya kudlula ngokulula ukusuka esiswini ukuya kwinxalenye yokuqala yamathumbu amancinci ngevalve ebizwa ngokuba yipylorus. Nge-pyloric stenosis, izihlunu zepylorus ziyaqina. Oku kuthintela isisu ekuchithekeni siye emathunjini amancinci.

Isizathu ngqo sokuqina asaziwa. Imfuza inokudlala indima, kuba abantwana babazali ababene pyloric stenosis kunokwenzeka ukuba babe nale meko. Ezinye izinto ezinobungozi zibandakanya i-antibiotics ethile, i-asidi eninzi kwinxalenye yokuqala yamathumbu amancinci (i-duodenum), kunye nezifo ezithile umntwana azalwa nazo, ezinjengesifo seswekile.

I-pyloric stenosis ivela rhoqo kwiintsana ezingaphantsi kweenyanga ezi-6. Kuqheleke kakhulu kubafana kunamantombazana.

Ukuphalaza luphawu lokuqala kubantwana abaninzi:

• Ukuhlanza kunokwenzeka emva kokondla konke okanye kuphela emva kokutya okuthile.
• Ukuphalaza kuhlala kuqala kwiiveki ezi-3 ubudala, kodwa kungaqala nanini na phakathi kweveki enye neenyanga ezintlanu ubudala.
• Ukuhlanza kunyanzelekile (ukugabha kweprojekti).
• Usana lulambile emva kokugabha kwaye lufuna ukondla kwakhona.

Ezinye iimpawu zivela kwiiveki ezimbalwa emva kokuzalwa kwaye zinokubandakanya:

• Intlungu zesisu
• Ukuqhuma
• Ukulamba rhoqo
• Ukuphelelwa ngamanzi emzimbeni (kuya kusiba mandundu njengoko ukugabha kusiba kubi)
• Ukungaphumeleli ukufumana ubunzima okanye ukunciphisa umzimba
• Ukunyakaza okufana nokujija kwesisu kungekudala emva kokondla kwaye ngaphambi nje kokugabha

Imeko ihlala ifunyaniswa ingekabikho iinyanga ezintandathu ubudala.

Uvavanyo lomzimba lunokubonisa:

• Iimpawu zokuphelelwa ngamanzi emzimbeni, ezinjengesikhumba esomileyo kunye nomlomo, ukungakrazuki kangako xa ukhala, kunye nee-diapers ezomileyo
• Isisu esidumbileyo
• Ubunzima obenziwe nge-Olive xa uziva isisu esingaphezulu, esiyi-pylorus engaqhelekanga

I-Ultrasound yesisu inokuba luvavanyo lokuqala lokucinga. Olunye uvavanyo olunokwenziwa lunokubandakanya:

• I-Barium x-ray-ityhila isisu esidumbileyo kunye ne-pylorus encinci
• Uvavanyo lwegazi-luhlala lubonisa ukungalingani kwe-electrolyte

Unyango lwe-pyloric stenosis lubandakanya utyando ukuze kwandiswe ipylorus. Olu tyando lubizwa ngokuba yi-pyloromyotomy.

Ukuba ukulalisa usana ukuze kwenziwe utyando akukhuselekanga, isixhobo esibizwa ngokuba yi-endoscope esinebhaluni encinci ekugqibeleni siyasetyenziswa. Ibhaluni inyuselwe ukuze kwandiswe ipylorus.

Kwiintsana ezingenakho ukwenza utyando, ityhubhu yokondla okanye amayeza okuphumla i-pylorus iyazanywa.

Utyando luhlala luthomalalisa zonke iimpawu. Ngokukhawuleza emva kweeyure ezininzi emva kotyando, usana lunokuqala ukutya okuncinci, rhoqo.

Ukuba i-pyloric stenosis ayinyangeki, umntwana akazukufumana ukondla okwaneleyo kunye nolwelo, kwaye angatyeba kwaye aphelelwe ngamanzi emzimbeni.

Fowunela umboneleli wakho wezempilo ukuba umntwana wakho uneempawu zale meko.

Ukuzalwa kwe-hypertrophic pyloric stenosis Usana lwehypertrophic pyloric stenosis; Ukuthintela ukuphuma kwesisu; Ukugabha - i-pyloric stenosis

• Inkqubo yokwetyisa
• I-pyloric stenosis
• Usana lwe-pyloric stenosis-Uthotho

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, uWilson KM. I-pyloric stenosis kunye nezinye izinto ezingafaniyo nesisu. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 355.

Seifarth FG, iiSoldes OS. Iziphene kwangaphambi kokuzalwa kunye nokuphazamiseka kotyando esiswini. Ku: Wyllie R, Hyams JS, Kay M, ii-eds. Izifo zesisu esiswini kunye nezifo zesibindi. Umhla we-5. IPhiladelphia, PA: Elsevier; 2016: isahluko 25.