Pyloric stenosis mwa makanda

Pyloric stenosis ndikuchepetsa kwa pylorus, kutsegula kuchokera m'mimba kupita m'matumbo ang'onoang'ono. Nkhaniyi ikufotokoza momwe makanda amakhalira.

Nthawi zambiri, chakudya chimadutsa mosavuta kuchokera m'mimba kupita mbali yoyamba yamatumbo kudzera pa valavu yotchedwa pylorus. Ndi pyloric stenosis, minofu ya pylorus imakhuthala. Izi zimalepheretsa m'mimba kulowa m'matumbo ang'onoang'ono.

Zomwe zimayambitsa kukhuthala sizikudziwika. Chibadwa chingatenge gawo, popeza ana a makolo omwe anali ndi pyloric stenosis nthawi zambiri amakhala ndi vutoli. Zina mwaziwopsezo zimaphatikizapo maantibayotiki ena, asidi ochulukirapo mbali yoyamba yamatumbo ang'ono (duodenum), ndi matenda ena omwe mwana amabadwa nawo, monga matenda ashuga.

Pyloric stenosis imachitika kawirikawiri mwa makanda ochepera miyezi isanu ndi umodzi. Amakonda kwambiri anyamata kuposa atsikana.

Kusanza ndi chizindikiro choyamba mwa ana ambiri:

• Kusanza kumachitika pambuyo podyetsa kulikonse kapena pokhapokha mutadyetsa.
• Kusanza nthawi zambiri kumayamba pafupifupi masabata atatu, koma kumatha kuyamba nthawi iliyonse pakati pa sabata limodzi mpaka miyezi isanu.
• Kusanza ndi kwamphamvu (projectile kusanza).
• Khanda liri ndi njala litasanza ndipo likufuna kuyamwitsanso.

Zizindikiro zina zimawoneka patatha milungu ingapo atabadwa ndipo mwina ndi izi:

• Kupweteka m'mimba
• Kuphulika
• Njala yanthawi zonse
• Kutaya madzi m'thupi (kumawonjezeka pamene kusanza kumakulirakulira)
• Kulephera kunenepa kapena kuonda
• Kuyenda ngati pamimba pamimba mutangodyetsa komanso kusanza kusanachitike

Matendawa amapezeka kuti ali ndi mwana miyezi isanu ndi umodzi isanakwane.

Kuyezetsa thupi kumatha kuwulula:

• Zizindikiro zakusowa madzi m'thupi, monga khungu louma ndi pakamwa, osang'ambika pang'ono ndikulira, komanso matewera owuma
• Mimba yotupa
• Unyinji wopangidwa ndi azitona mukamamva m'mimba, chomwe ndi pylorus yachilendo

Ultrasound pamimba ikhoza kukhala mayeso oyesa kujambula. Mayesero ena omwe angachitike ndi awa:

• Barium x-ray - imawulula m'mimba yotupa ndikuchepetsa pylorus
• Kuyesedwa kwamagazi - nthawi zambiri kumawulula kusamvana kwa ma electrolyte

Kuchiza kwa pyloric stenosis kumaphatikizapo kuchitidwa opaleshoni kukulitsa pylorus. Opaleshoniyo imatchedwa pyloromyotomy.

Ngati kugona kwa khanda kuti achite opaleshoni sikotetezeka, chida chotchedwa endoscope chokhala ndi buluni yaying'ono kumapeto chimagwiritsidwa ntchito. Baluniyo imakhudzidwa ndikukulitsa pylorus.

Kwa makanda omwe sangachite opareshoni, kuyamwa kwamachubu kapena mankhwala kuti apumulitse pylorus amayesedwa.

Opaleshoni nthawi zambiri amachepetsa zizindikilo zonse. Maola angapo atangochitidwa opareshoni, khanda limatha kuyamba kudyetsa pang'ono, pafupipafupi.

Pyloric stenosis ikapanda kuchiritsidwa, mwana sangapeze chakudya chokwanira komanso madzimadzi, ndipo amatha kukhala wochepa thupi komanso wopanda madzi m'thupi.

Itanani yemwe akukuthandizani ngati mwana wanu ali ndi zodwala.

Kobadwa nako hypertrophic pyloric stenosis; Infantile hypertrophic pyloric stenosis; Kutsekeka kwam'mimba; Kusanza - pyloric stenosis

• Dongosolo m'mimba
• Pyloric stenosis
• Infantile pyloric stenosis - Mndandanda

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pyloric stenosis ndi zina zobadwa nazo m'mimba. Mu: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 355.

Seifarth FG, Soldes OS. Matenda obadwa nawo ndi zovuta zamitsempha zam'mimba. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds. Matenda a m'mimba ndi Matenda a Chiwindi. 5th ed. Philadelphia, PA: Elsevier; 2016: chap 25.