Kukonzekera kwa urent urent

Kukonzanso kwa urent kwa patent ndikuchita opaleshoni kuti akonze vuto la chikhodzodzo. Mu urachus yotseguka (kapena patent), pali kutsegula pakati pa chikhodzodzo ndi batani la m'mimba (mchombo). Urachus ndi chubu pakati pa chikhodzodzo ndi batani lamimba lomwe limakhalapo asanabadwe. Nthawi zambiri, imatseka mpaka kutalika kwake mwanayo asanabadwe. Urachus yotseguka imachitika makamaka mwa makanda.

Ana omwe achita opaleshoniyi amakhala ndi anesthesia wamba (ogona komanso opanda ululu).

Dokotalayo adzadula m'mimba mwa mwana. Kenako, dokotalayo apeza chubu cha urachal ndikuchotsa. Kutsegula kwa chikhodzodzo kukonzedwa, ndipo kudula kudzatsekedwa.

Kuchita opaleshoniyo kumatha kuchitidwanso ndi laparoscope. Ichi ndi chida chomwe chili ndi kamera yaying'ono ndi kuwala kumapeto.

• Dokotalayo amapanga mabala atatu ang'onoang'ono opangira opaleshoni m'mimba mwa mwana. Dokotalayo amalowetsa laparoscope kudzera mwa mabalawa ndi zida zina kudzera munthawi zina.
• Dokotalayo amagwiritsa ntchito zida zochotsera chubu cha urachal ndikutseka chikhodzodzo ndi malo omwe chubu chimalumikizana ndi umbilicus (batani lamimba).

Kuchita opaleshoniyi kumatha kuchitika kwa ana osakwana miyezi 6.

Kuchita opaleshoni ndikulimbikitsidwa kwa urent ya patent yomwe siyimatseka atabadwa. Mavuto omwe amatha kuchitika phukusi la urachal lisakonzedwe ndi monga:

• Chiwopsezo chachikulu chotenga matenda amkodzo
• Chiwopsezo chachikulu cha khansa ya chubu ya urachal pambuyo pake m'moyo
• Kupitiliza kutuluka kwa mkodzo kuchokera ku urachus

Zowopsa za anesthesia iliyonse ndi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi
• Matenda
• Magazi amatundikira m'miyendo yomwe imatha kupita kumapapu

Zowopsa zina za opaleshoniyi ndi izi:

• Matenda a chikhodzodzo.
• Chikhodzodzo fistula (kulumikizana pakati pa chikhodzodzo ndi khungu) - ngati izi zichitika, catheter (chubu yopyapyala) imayikidwa mchikhodzodzo kukhetsa mkodzo. Amasiyidwa mpaka chikhodzodzo chitachira kapena kuchitidwa opaleshoni ina.

Dokotalayo atha kufunsa mwana wanu kuti akhale ndi:

• Mbiri yathunthu yazachipatala ndi kuyezetsa thupi.
• Impso ultrasound.
• Sinogram ya urachus. Pochita izi, utoto wa wailesi-opaque wotchedwa kusiyanitsa umalowetsedwa mu kutsegula kwa urachal ndipo ma x-ray amatengedwa.
• Ultrasound ya urachus.
• VCUG (voiding cystourethrogram), x-ray yapadera kuti muwonetsetse kuti chikhodzodzo chikugwira ntchito.
• CT scan kapena MRI.

Nthawi zonse uzani wothandizira zaumoyo wa mwana wanu kuti:

• Ndi mankhwala ati omwe mwana wanu amamwa. Phatikizani mankhwala, zitsamba, mavitamini, kapena zowonjezera zilizonse zomwe mudagula popanda mankhwala.
• Pafupifupi zovuta zilizonse zomwe mwana wanu angafunike kumwa mankhwala, latex, tepi, kapena zotsukira khungu.

M'masiku asanachitike opareshoni:

• Pafupifupi masiku 10 opaleshoniyo isanachitike, mungapemphedwe kuti musiye kupereka mwana wanu aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), ndi mankhwala ena aliwonse omwe amalepheretsa magazi kuphimba.
• Funsani mankhwala omwe mwana wanu ayenera kumwa patsiku la opareshoni.

Patsiku la opaleshoniyi:

• Mwana wanu sangathe kumwa kapena kudya chilichonse kwa maola 4 kapena 8 asanachite opaleshoni.
• Patsani mwana wanu mankhwala aliwonse omwe anauzidwa kuti mwana wanu azikhala nawo pang'ono pokha madzi.
• Wosamalira mwana wanu adzakuwuzani nthawi yobwera kuchipatala.
• Woperekayo adzaonetsetsa kuti mwana wanu alibe zizindikiro zodwala asanachite opareshoni. Ngati mwana wanu akudwala, opaleshoniyo ingachedwe.

Ana ambiri amakhala mchipatala kwa masiku ochepa chabe atachitidwa opaleshoniyi. Ambiri amachira msanga. Ana amatha kudya zakudya zawo zachizolowezi akayambanso kudya.

Musanatuluke kuchipatala, muphunzira kusamalira bala kapena mabala. Ngati Steri-Strips idagwiritsidwa ntchito kutseka chilondacho, amayenera kutsalira mpaka atadzigwa okha patatha sabata limodzi.

Mutha kupeza mankhwala a maantibayotiki kuti muteteze matenda, komanso mankhwala osagwiritsidwa ntchito ngati ululu.

Zotsatira zake nthawi zambiri zimakhala zabwino kwambiri.

Kukonza mapaipi amtundu wa urent

• Chisamaliro cha bala la opaleshoni - chotseguka

• Patent urachus
• Kukonzekera kwa patent urachus - mndandanda

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Katz A, Richardson W. Opaleshoni. Mu: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ndi Davis ’Atlas of Pediatric Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 18.

Ordon M, Eichel L, Landman J. Zoyambira za laparoscopic and robotic urologic surgery. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: mutu 10.

Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH. Kukula kwamkodzo. Mu: Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH, olemba. Larsen's Embryology Yaumunthu. 5th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: mutu 15.