Gastroschisis: yintoni, izizathu eziphambili kunye nonyango

Umxholo

• Ungayichonga njani i-gastroschisis
• Nguwuphi umahluko phakathi kwe-gastroschisis kunye ne-omphalocele?
• Yintoni ebangela gastroschisis
• Unyango lwenziwa njani

I-Gastroschisis sisiphene esibelekweni esibonakala ngokungaluvali ngokupheleleyo udonga lwesisu, kufutshane nenkaba, kubangela ukuba amathumbu avezwe kwaye adibane ne-amniotic fluid, enokubangela ukudumba kunye nosulelo, kubangele iingxaki emntwaneni.

I-Gastroschisis ixhaphake kakhulu koomama abancinci abasebenzisa, umzekelo, iasprini okanye iziselo ezinxilisayo ngexesha lokukhulelwa. Le meko inokuchongwa nangexesha lokukhulelwa, ngokusebenzisa i-ultrasound eyenziwa ngexesha lokhathalelo lwangaphambi kokubeleka, kwaye unyango luqalwa kanye emva kokuba umntwana ezelwe ngenjongo zokuthintela iingxaki kunye nokuthanda ukungena kwamathumbu kunye nokuvalwa kokuvula kwesisu.

Ungayichonga njani i-gastroschisis

Olona phawu lubalulekileyo lwe-gastroschisis kukubonakala kwamathumbu ngaphandle komzimba ngokuvula kufutshane nenkaba, ihlala kwicala lasekunene. Ukongeza emathunjini, amanye amalungu anokubonwa ngokuvula okungagqunywanga inwebu, eyonyusa ithuba losulelo kunye neengxaki.

Iingxaki eziphambili ze-gastroschisis kukungakhuli kwenxalenye yamathumbu okanye ukuvela kwamathumbu, kunye nelahleko yeencindi zomzimba kunye nezondlo zomntwana, ezibangela ukuba atyebe.

Nguwuphi umahluko phakathi kwe-gastroschisis kunye ne-omphalocele?

Zombini i-gastroschisis kunye ne-omphalocele zizinto zokuzalwa ezingekho mthethweni, ezinokuthi zichongiwe kwanaxa ukhulelwe ngokusebenzisa i-ultrasound yangaphambi kokubeleka kwaye ebonakaliswa kukungaphandle kwamathumbu. Nangona kunjalo, into eyahlukileyo kwi-gastroschisis kwi-omphalocele yinto yokuba kwi-omphalocele isisu kunye namalungu anokuthi aphume kwisisu esiswini agqunywe yimbumba encinci, ngelixa kwi-gastroschisis kungekho lungu lijikeleze ilungu.

Ukongeza, kwi-omphalocele, intambo ye-umbilical iyancitshiswa kwaye amathumbu aphuma ngokuvula kwindawo ephezulu embilicus, ngelixa kwi-gastroschisis ukuvulwa kusondele kwi-umbilicus kwaye akukho kubandakanyeka kwintambo. Qonda ukuba yintoni i-omphalocele kwaye inyangwa njani.

Yintoni ebangela gastroschisis

I-Gastroschisis sisiphene sokuzalwa kwaye sinokufunyanwa ngexesha lokukhulelwa, ngoviwo oluqhelekileyo, okanye emva kokuzalwa. Phakathi kwezizathu eziphambili ze-gastroschisis zi:

• Ukusetyenziswa kwe-aspirin ngexesha lokukhulelwa;
• Isalathiso seMizimba esezantsi yomfazi okhulelweyo;
• Umama ongaphantsi kweminyaka engama-20;
• Ukutshaya ngexesha lokukhulelwa;
• Ukuselwa kotywala rhoqo okanye ukugqithisa ngexesha lokukhulelwa;
• Izifo ezenzeka rhoqo kumchamo.

Kubalulekile ukuba abasetyhini abanabantwana abafunyaniswe ukuba bane-gastroschisis babekwe esweni ngexesha lokukhulelwa ukuze bazilungiselele ngokunxulumene nemeko yosana, unyango emva kokuzalwa kunye neengxaki ezinokubakho.

Unyango lwenziwa njani

Unyango lwe-gastroschisis lwenziwa kanye emva kokuzalwa, kwaye ukusetyenziswa kwee-antibiotics kuhlala kuboniswa ngugqirha njengendlela yokuthintela usulelo okanye ukulwa nosulelo esele lukhona. Ukongeza, usana lunokufakwa kwingxowa engenazintsholongwane ukunqanda ukosuleleka zizidalwa ezinganyangekiyo, eziqhelekileyo kwindawo yesibhedlele.

Ukuba isisu somntwana sikhulu ngokwaneleyo, ugqirha unokwenza utyando ukubeka ithumbu kwisisu esiswini kwaye uvale ukuvula. Nangona kunjalo, xa isisu singenakulingana ngokwaneleyo, ithumbu linokugcinwa likhuselekile kusulelo ngelixa ugqirha ejonge ukubuyela kwamathumbu kwisisu esiswini ngokwendalo okanye de isisu sibe namandla okubamba amathumbu, esenza utyando ngelo xesha.