Anus wopanda kanthu

Anus wopanda kanthu ndi chilema chomwe kutsegula kwa anus kumasowa kapena kutsekedwa. Manja ndi kutsegula kwa kachilomboko kamene kamagwiritsira ntchito ndowe. Izi zimakhalapo kuyambira pakubadwa (kobadwa nako).

Chotupa chopanda pake chitha kuchitika m'njira zingapo:

• Matendawa amatha kutuluka m'thumba lomwe silimalumikizana ndi colon.
• Matendawa amatha kukhala ndi zotseguka kuzinthu zina. Izi zingaphatikizepo urethra, chikhodzodzo, m'munsi mwa mbolo kapena khungu la anyamata, kapena nyini mwa atsikana.
• Pangakhale kuchepa (stenosis) kwa anus kapena ayi anus.

Zimayambitsidwa ndi kukula kwachilendo kwa mwana wosabadwayo. Mitundu yambiri yamafuta osakwanira imachitika ndi zovuta zina zobadwa.

Zizindikiro zavutazo zitha kuphatikizira izi:

• Kutsegula kumatako pafupi kwambiri ndi kutsegula kwa atsikana mwa atsikana
• Choyamba choyamba sichidutsa mkati mwa maola 24 mpaka 48 mutabadwa
• Kusowa kapena kusunthira kutsegula kumatako
• Chopondapo chimatuluka kumaliseche, m'munsi mwa mbolo, chikopa, kapena urethra
• Malo otupa amimba

Wothandizira zaumoyo amatha kuzindikira vutoli poyesedwa. Kuyesa kuyerekezera kumatha kuyitanidwa.

Khanda liyenera kuyang'aniridwa ndi mavuto ena, monga zovuta zamaliseche, kwamikodzo, ndi msana.

Kuchita opaleshoni kuti athetse vutoli ndikofunikira. Ngati rectum imagwirizana ndi ziwalo zina, ziwalozi zimafunikanso kukonzedwa. Colostomy yakanthawi kochepa (yolumikiza kumapeto kwa matumbo akulu ndi khoma lamimba kuti chimbudzi chizitoleredwa m'thumba) imafunikira nthawi zambiri.

Zolakwika zambiri zimatha kukonzedwa bwino ndikuchitidwa opaleshoni. Ana ambiri okhala ndi zofooka pang'ono amachita bwino kwambiri. Komabe, kudzimbidwa kumatha kukhala vuto.

Ana omwe ali ndi maopaleshoni ovuta kwambiri amatha kuwongolera matumbo awo nthawi zambiri. Komabe, nthawi zambiri amafunika kutsatira pulogalamu yamatumbo. Izi zimaphatikizapo kudya zakudya zamafuta ambiri, kumwa zofukizirako, ndipo nthawi zina kugwiritsa ntchito ma enema.

Ana ena angafunikire kuchitidwa opaleshoni yambiri.

Vutoli limapezeka mwana wakhanda akamuyesa kaye.

Itanani omwe akukuthandizani ngati mwana wothandizidwa chifukwa cha anus

• Kupweteka m'mimba
• Kudzimbidwa komwe kuli kovuta kusamalira
• Kulephera kukulitsa matumbo aliwonse pofika zaka zitatu

Palibe njira yodziwika yopewera. Makolo omwe ali ndi mbiri yakubanja ya vutoli atha kufunsa upangiri wa majini.

Kusakhazikika kwazinthu; Mafinya

• Anus wopanda kanthu
• Kukonza anus kosakwanira - mndandanda

Dingelsein M. Kusankhidwa kwamankhwala am'mimba m'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.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Zochita za anus ndi rectum. 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 371.