Omphalocele: yintoni, oyena nobangela kunye nonyango

Umxholo

• Izizathu eziphambili
• Njani na isifo
• Unyango lwenziwa njani

I-omphalocele ihambelana nokungalunganga kodonga lwesisu emntwaneni, oluhlala luchongwa nangexa lokukhulelwa kwaye lubonakaliswa bubukho bamalungu, anjengamathumbu, isibindi okanye udakada, ngaphandle kwesisu esiswini kwaye sigutyungelwe inwebu ebhityileyo. .

Esi sifo sokuzalwa sidla ngokuchongwa phakathi kweveki yesi-8 neye-12 yokukhulelwa kusetyenziswa iimviwo zomfanekiso owenziwa ngugqirha obelekisayo ngexesha lokubeleka, kodwa sinokubonakala kuphela emva kokuzalwa.

Ukuchongwa kwangoko kwale ngxaki kubaluleke kakhulu ukulungiselela iqela lezonyango ukuhanjiswa, kuba kunokwenzeka ukuba umntwana afune ukwenza utyando kanye emva kokuzalwa ukuze abeke ilungu kwindawo efanelekileyo, kuthintelwe iingxaki ezinzulu.

Izizathu eziphambili

Oonobangela be-omphalocele abakasekwa kakuhle, nangona kunjalo kunokwenzeka ukuba kwenzeka ngenxa yotshintsho kwimfuzo.

Izinto ezinxulumene nokusingqongileyo komfazi okhulelweyo, ezinokubandakanya ukunxibelelana nezinto eziyityhefu, ukusela iziselo ezinxilisayo, ukusetyenziswa kwecuba okanye ukufakwa kwamayeza ngaphandle kokhokelo lukagqirha, kukwabonakala ngathi kukonyusa umngcipheko wokuba umntwana azalwe omphalocele.

Njani na isifo

I-Omphalocele isenokuchaphazeleka ngexesha lokukhulelwa, ngakumbi phakathi kwe-8 neye-12 yokukhulelwa, ngoviwo lwe-ultrasound. Emva kokuzalwa, i-omphalocele inokubonwa ngovavanyo lomzimba olwenziwa ngugqirha, apho ubukho bamalungu angaphandle kwesisu esiswini kugcinwa.

Emva kokuvavanya ubungakanani be-omphalocele, ugqirha umisela olona nyango lulungileyo, kwaye kwiimeko ezininzi, utyando lwenziwa kwakamsinya emva kokuzalwa. Xa i-omphalocele ibanzi kakhulu, ugqirha unokukucebisa ukuba wenze utyando ngokwamanqanaba.

Ukongeza, ugqirha unokwenza ezinye iimvavanyo, ezinje nge-echocardiography, ii-X-reyi kunye novavanyo lwegazi, umzekelo, ukujonga ukuvela kwezinye izifo, ezinje ngokutshintsha kwemfuza, i-diaphragmatic hernia kunye neziphene zentliziyo, umzekelo. zixhaphake kakhulu kwiintsana ezinokunye ukungalunganga.

Unyango lwenziwa njani

Unyango lwenziwa ngokuhlinzwa, okunokwenziwa kwakamsinya emva kokuzalwa okanye emva kweeveki ezimbalwa okanye iinyanga ngokobungakanani be-omphalocele, ezinye iimeko zempilo anokuba nazo umntwana kunye nokuxela kwangaphambili kogqirha. Kubalulekile ukuba unyango lwenziwe ngokukhawuleza ukunqanda iingxaki ezinokubakho, ezinjengokusweleka kwamathumbu emathumbu kunye nosulelo.

Ke, xa kufikwa kwi-omphalocele encinci, oko kukuthi, xa kuphela inxenye yamathumbu ingaphandle kwesisu, utyando lwenziwa kwakamsinya emva kokuzalwa kwaye ijolise ekubekeni ilungu kwindawo efanelekileyo kwaye emva koko livalwe esiswini. . Kwimeko ye-omphalocele enkulu, okt xa ukongeza emathunjini, amanye amalungu, anjengesibindi okanye udakada, angaphandle kwesisu, utyando lunokwenziwa ngokwamanqanaba ukuze kungonakalisi ukukhula komntwana.

Ukongeza ekususeni ngotyando, ugqirha unokucebisa ukuba kusetyenziswe iyeza lokubulala iintsholongwane, ngononophelo, kwisingxobo esigcina amalungu omzimba obonakalisiweyo, ukunciphisa umngcipheko wosulelo, ngakumbi xa utyando lungenziwa kwakamsinya emva kokuzalwa okanye xa lwenziwa ngokwamanqanaba.