I-duodenal atresia

I-duodenal atresia yimeko apho icandelo lokuqala lamathumbu amancinci (i-duodenum) lingakhange likhule kakuhle. Ayivulekanga kwaye ayinakuvumela ukudlula kwesiqulatho sesisu.

Unobangela duodenal atresia aziwa. Kucingelwa ukuba kubangelwe ziingxaki ngexesha lokukhula kombungu. I-duodenum ayitshintshi ukusuka kwisiseko esiqinileyo ukuya kwisakhiwo esifana netyhubhu, njengoko yayiqhelekile.

Uninzi lweentsana ezine-duodenal atresia nazo zine-Down syndrome. I-duodenal atresia ihlala inxulunyaniswa nezinye iziphene zokuzalwa.

Iimpawu ze-duodenal atresia zibandakanya:

• Ukudumba okuphezulu esiswini (ngamanye amaxesha)
• Ukugabha kwangoko kwamanani amakhulu, anokuba luhlaza (ane-bile)
• Iyaqhubeka ukugabha naxa usana lungatyiswanga iiyure ezininzi
• Akukho kushukuma kwamathumbu emva kokuqala kwendlu ye-meconium

I-ultrasound yomntwana ingabonisa inani eliphezulu le-amniotic fluid kwisibeleko (i-polyhydramnios). Ingabonisa nokudumba kwesisu somntwana kunye nenxalenye ye-duodenum.

I-x-ray esiswini inokubonisa umoya esiswini kunye nenxalenye yokuqala ye-duodenum, ngaphandle komoya ongaphaya koko. Oku kwaziwa ngokuba luphawu lweebhabham ezimbini.

Umbhobho ubekwa kwisinciphisi sesisu. Ukuphelelwa ngamanzi emzimbeni kunye nokungalingani kwe-electrolyte kuyalungiswa ngokubonelela ulwelo ngombhobho we-intravenous (IV, uye emthanjeni). Ukujonga ezinye iimpazamo zokuzalwa kufuneka zenziwe.

Utyando ukulungisa ukubhloka kwesibindi kuyimfuneko, kodwa hayi ngxamiseko. Utyando ngqo luya kuxhomekeka kubume bokungaqhelekanga. Ezinye iingxaki (ezinjengezo zinxulumene ne-Down syndrome) kufuneka ziphathwe ngokufanelekileyo.

Ukufunyanwa kwakhona kwi-duodenal atresia kulindelwe emva konyango. Ukuba ayinyangwa, imeko iyabulala.

Ezi ngxaki zinokwenzeka:

• Ezinye iziphene zokuzalwa
• Ukuphelelwa ngamanzi emzimbeni

Emva kotyando, kusenokubakho iingxaki ezinje:

• Ukudumba kwenxalenye yokuqala yamathumbu amancinci
• Iingxaki ngokuhamba ngamathumbu
• I-Reflux yesisu

Fowunela umboneleli wakho wezempilo ukuba umntwana wakho osanda kuzalwa:

• Ukondla ngokungalunganga okanye hayi kwaphela
• Ukugabha (hayi ukutshiza nje) okanye ukuba umgabho uluhlaza
• Ukungachami okanye ukuhamba kwamathumbu

Akukho sithintelo saziwayo.

• Isisu kunye namathumbu amancinci

UDingeldein M. Iimpawu ezikhethiweyo zesisu esiswini kwi-neonate. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2020: isahl. 84.

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

ISemrin MG, uRusso MA. I-Anatomy, i-histology, kunye nokukhula okungahambi kakuhle kwesisu kunye ne-duodenum. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 48.