Duodenal atresia

Duodenal atresia ndi momwe gawo loyamba la matumbo ang'onoang'ono (duodenum) silinakule bwino. Sichotseguka ndipo sichingalole kudutsa kwa m'mimba.

Chifukwa cha duodenal atresia sichidziwika. Amaganiziridwa kuti amayamba chifukwa cha zovuta pakukula kwa mluza. The duodenum sasintha kuchoka pakulimba kukhala kapangidwe kachubhu, monga momwe zimakhalira.

Makanda ambiri omwe ali ndi duodenal atresia amakhalanso ndi Down syndrome. Duodenal atresia nthawi zambiri imagwirizanitsidwa ndi zovuta zina zobadwa.

Zizindikiro za duodenal atresia ndi monga:

• Kutupa m'mimba kumtunda (nthawi zina)
• Kusanza koyamba kwambiri, komwe kumatha kukhala kobiriwira (kokhala ndi bile)
• Kupitiliza kusanza ngakhale khanda silinadyetsedwe kwa maola angapo
• Palibe kusuntha kwamatumbo patangopita mipando ingapo ya meconium

Ultrusal fetal imatha kuwonetsa amniotic madzimadzi ochulukirapo m'mimba (polyhydramnios). Zitha kuwonetsanso kutupa kwa m'mimba kwa mwana komanso gawo la duodenum.

X-ray m'mimba imatha kuwonetsa mpweya m'mimba ndi gawo loyamba la duodenum, wopanda mpweya wopitilira pamenepo. Izi zimadziwika ngati chizindikiro chowira kawiri.

Chubu chimayikidwa kuti chisokoneze m'mimba. Kuperewera kwa madzi m'thupi komanso kusowa kwa ma elektrolyte kumakonzedwa ndikupereka madzi kudzera mu chubu cholowa mkati (IV, kulowa mumtsempha). Kufufuza zovuta zina zobadwa kuyenera kuchitidwa.

Kuchita opaleshoni kuti mukonze kutsekeka kwa duodenal ndikofunikira, koma osati mwadzidzidzi. Opaleshoni yeniyeniyo idzadalira mtundu wa zovuta. Mavuto ena (monga omwe amakhudzana ndi Down syndrome) ayenera kuthandizidwa moyenera.

Kuchira kuchokera ku duodenal atresia kumayembekezereka mukalandira chithandizo. Ngati sanalandire chithandizo, vutoli limakhala lakufa.

Zovuta izi zitha kuchitika:

• Zowonongeka zina zobadwa
• Kutaya madzi m'thupi

Pambuyo pa opaleshoni, pakhoza kukhala zovuta monga:

• Kutupa kwa gawo loyamba la matumbo ang'onoang'ono
• Mavuto ndi kuyenda kudzera m'matumbo
• Reflux wam'mimba

Itanani yemwe akukuthandizani ngati mwana wanu wakhanda ali:

• Kudyetsa bwino kapena ayi
• Kusanza (osangoti kulavulira) kapena ngati masanzi ndi obiriwira
• Osakodza kapena kukhala ndi matumbo

Palibe njira yodziwika yopewera.

• Mimba ndi matumbo ang'onoang'ono

Dingeldein M. Kusankhidwa kwamankhwala am'mimba mwa mwana wakhanda. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 84.

Maqbool A, Bales C, Liacouras CA. (Adasankhidwa) Matumbo atresia, stenosis, ndi kusokonekera. 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 356.

Semrin MG, Russo MA. Anatomy, histology, ndi zofooka zakukula m'mimba ndi duodenum. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 48.