I-Pyloric Stenosis kwiintsana: Iimpawu, izizathu kunye noNyango

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KWELI NQAKU

Iimpawu kunye neempawu zePyloric Stenosis
Iimbangela kunye nezinto zoMngcipheko wePyloric Stenosis
Ukuxilongwa kwePyloric Stenosis
Unyango lwePyloric Stenosis
Iingxaki zePyloric Stenosis

Ukucutheka kwe-pylorus (ukuvuleka ukusuka esiswini ukuya kwi-duodenum) kuthiwa yi-pyloric stenosis. I-Pyloric stenosis kwiintsana ivela ngenxa yokuqina kwemisipha ye-pylorus, ukuthintela ukutya ukuba kudlule esiswini ukuya emathunjini.

Le meko inokubangela ukugabha emva kokutyiswa, oko kwandisa umngcipheko wokunqongophala kwamanzi, ukunqongophala kwezondlo, kunye nokunciphisa umzimba. Iintsana ezine-pyloric stenosis zinokubonakala zilambile ngalo lonke ixesha, kwaye ukuhlanza kunokunyusa imfuno yazo yokutya.

Qhubeka ufunda le post ukuze ukwazi ngeempawu, izizathu, izinto ezinobungozi, ukuxilongwa, unyango, kunye neengxaki ze-pyloric stenosis kwiintsana.

yintoni eyona nja inobungozi emhlabeni

Iimpawu kunye neempawu zePyloric Stenosis

Unokuqaphela iimpawu kunye neempawu ze-pyloric stenosis kumntwana wakho kwiiveki ezintathu ukuya kwezintlanu emva kokuzalwa. Ukuqala kwe-pyloric stenosis kunqabile kwiintsana ezindala kuneenyanga ezintathu.

ngowuphi owona mdlalo ungcono kwi-aquarius

Iimpawu kunye neempawu ze-pyloric stenosis kwiintsana ziquka oku kulandelayo (Nye) .

Ukugabha: Ukugabha okunamandla okunokuthi kuhambe iinyawo ezininzi kwigumbi kubonwa emva kokutyisa. Ezinye iintsana zinokugabha okungephi, okuthi ngokuthe ngcembe kube mandundu ukuya kugabha. Umgabho ubandakanya ubisi lwebele okanye ubisi olungumgubo kwaye awufane ubenegazi.

Ukuqhawuka kwesisu:Intshukumo efana ne-wave kwi-abdomen ephezulu inokuthi yenzeke ngenxa ye-contraction yesisu (peristalsis). Oku kudla ngokubonakala emva kokutyisa kodwa phambi kokugabha. Oku kungenxa yezihlunu zesisu ezizama ukususa ukutya ngepylorus emxinwa ukuya emathunjini.

Indlala: Iintsana ezine-pyloric stenosis zinokufuna ukutyiswa ngokukhawuleza emva kokugabha.

Utshintsho kwisiqhelo samathumbu:Iintsana zinokuba nokuqhinwa okanye ukuhamba kwamathumbu amancinci kuba ukutya okuncinci kufikelela emathunjini.

Funa unyango ukuba umntwana wakho uneempawu kunye neempawu ze-pyloric stenosis. Ukulibazisa ukhathalelo kunokonyusa umngcipheko wokuphelelwa ngamanzi emzimbeni kwaye kukhokelela ekunqongophaleni kwezondlo.

Iimbangela kunye nezinto zoMngcipheko wePyloric Stenosis

I-Pyloric stenosis yenzeka ngenxa yokutyeba kwepylorus, kodwa eyona sizathu sisemva kwayo ayaziwa. (Mbini) . Imiba yemfuza neyendalo inokubandakanyeka ekuphuhliseni oku kungaqhelekanga. Imiba yokusingqongileyo inokudlala indima ebalulekileyo kuba i-pyloric stenosis isenokungabikho ekuzalweni kwaye ihlala ikhula kamva.

Ezi zinto zilandelayo zinokunyusa umngcipheko we-pyloric stenosis kwezinye iintsana (Mbini) .

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Ayaziwa ngokupheleleyo ukuba ezi zinto zandisa njani umngcipheko we-pyloric stenosis. Ezinye iintsana ezinemingcipheko zisenokungaphuhlisi le meko.

Ukuxilongwa kwePyloric Stenosis

Oogqirha babantwana bangakwazi ukumbambazela i-pylorus muscle eyandisiweyo njengeqhuma elimile okwe-olive kwisisu. Oogqirha banokukucela ukuba wondle usana lwakho kwaye ujonge ukuqhawuka kwesisu kunye nokugabha.

izinja ziyazi ukuba ziyafa

Olu vavanyo lulandelayo luyalelwe ukuba iimpawu kunye neempawu ngexesha lokuhlolwa komzimba ziphakamisa i-pyloric stenosis (3) .

Bhalisa

Ultrasoundinokunceda ukuba nombono kunye nokuvavanya ipylorus emxinwa.

I-X-reyi yesisu(i-barium swallow okanye uchungechunge lwe-GI ephezulu) ithathwa ukuze kuqinisekiswe ukuxilongwa ngakumbi okanye ukuba i-ultrasound ayicaci.

Uvavanyo lwegazizikwaqhutywa ukuvavanya ukuphelelwa ngamanzi emzimbeni kunye nebhalansi ye-electrolyte engabonisa ukufunxwa kakubi kwezondlo.

Oogqirha babantwana banokuthumela usana lwakho kwi-gastroenterologist yabantwana okanye ugqirha wotyando ukuba aqhubeke nokuxilonga kunye nokunyanga i-pyloric stenosis.

Unyango lwePyloric Stenosis

Inkqubo yotyando ebizwa ngokuba yi-pyloromyotomy iyafuneka ukunyanga i-pyloric stenosis. I-pylorus muscle eqiniweyo ihlanjululwe kude kube yilapho i-mucosal layer yangaphakathi iqhuma, ivumela iziqulatho zesisu zidlulele emathunjini ngaphandle kwemiba. I-Pyloromyotomy inokwenziwa ngotyando oluvulekileyo lwesintu okanye utyando lwe-laparoscopic (4) .

Ulwelo olufakwa emithanjeni kunye nee electrolyte zinikwa phambi kotyando kwiintsana eziphelelwe ngamanzi emzimbeni . Umntwana wakho unokufuna i-IV fluids kwiiyure ezimbalwa emva kokuhlinzwa. Iiseshoni zokondla ngokuqhelekileyo ziqala emva kweeyure ezili-12 ukuya kwezingama-24 zotyando, yaye kusenokufuneka ulondle usana lwakho rhoqo ukuze uhlangabezane neemfuno zesondlo. Ezinye iintsana zinokugabha iintsuku ezimbalwa emva kotyando.

Iingxaki zePyloric Stenosis

Iingxaki ezinokwenzeka ze-pyloric stenosis zingabandakanya oku kulandelayo (5) .

amagama amnyama kunye namhlophe ehagu

Ukuphelelwa ngamanzi emzimbeni kunye nokothuka kwe-hypovolemickungenzeka ngenxa yokulahlekelwa kwamanzi kunye ne-electrolyte ngenxa yokuhlanza okuzingileyo.

Ijaundicekubonakala kwezinye iintsana ngenxa yokunciphisa amanqanaba e-enzyme yesibindi ngokwawo anokuthi avele ngenxa yokungondleki ngokwaneleyo.

uphuhliso

ukusilela

Ukucaphuka kwesisu kunye nokophangenxa yokuhlanza okuphindaphindiweyo kunokwenzeka kwezinye iimeko.

Iintsana zidla ngokuphila kwaye zikhule emva kotyando (6) . Ukopha kunye nosulelo lunokwenzeka emva kotyando kwezinye iintsana. Unokuxoxa nogqirha wakho malunga neengxaki ezinokwenzeka emva kotyando kunye nokhathalelo oluyimfuneko.

I-Pyloric stenosis inokubangela iingxaki ezisongela ubomi, ezifana nokuphelelwa ngamanzi emzimbeni, ukuba ayiphathwanga. Nangona kunjalo, iintsana zihlala ziba ngcono kwaye zikhule ngokuqhelekileyo emva kwenkqubo. Ugqirha unokuyibona imeko ngexesha lokuhlolwa kwasemva kokubeleka. Ungaphinda uhlale uqaphile kuzo naziphi na iimpawu kwaye ufune unyango olukhawulezileyo unyango lwangexesha, olunokukunceda ukuphepha naziphi na iingxaki zexesha elide.

Nye. I-Pyloric Stenosis ; Isibhedlele saBantwana kwiSizwe
Mbini. I-Pyloric Stenosis ; IYunivesithi yaseRochester Medical Centre (URMC)
3. I-Pyloric Stenosis kwiintsana ; iMedlinePlus; Ithala leencwadi lase-US leSizwe lezoNyango
Isine. I-Hypertrophic Pyloric Stenosis (HPS)- Uncedo kwiintsana ezinoKugabha ngamandla; Abantwana abasempilweni; I-American Academy of Pediatrics
5. I-Pyloric Stenosis ; Isibhedlele saseSt. Clair
6. I-Pyloric Stenosis ; Isibhedlele sabantwana sasePhiladelphia