Gastroschisis: chimene icho chiri, zifukwa zazikulu ndi chithandizo

Zamkati

• Momwe mungazindikire gastroschisis
• Kodi pali kusiyana kotani pakati pa gastroschisis ndi omphalocele?
• Zomwe zimayambitsa gastroschisis
• Momwe mankhwalawa amachitikira

Gastroschisis ndimatenda obadwa nawo omwe amadziwika osatsekera kwathunthu khoma lam'mimba, pafupi ndi mchombo, ndikupangitsa kuti m'mimba muululike ndikulumikizana ndi amniotic fluid, yomwe imatha kubweretsa kutupa ndi matenda, zomwe zimayambitsa zovuta kwa mwana.

Gastroschisis ndiofala kwambiri mwa amayi achichepere omwe amagwiritsa ntchito, monga aspirin kapena zakumwa zoledzeretsa ali ndi pakati. Matendawa amatha kudziwika ngakhale atakhala ndi pakati, kudzera mu ultrasound yomwe imachitika panthawi yobereka, ndipo chithandizo chimayambitsidwa mwana akangobadwa ndi cholinga chopewa zovuta ndikukonda kulowa m'matumbo ndikutseka kotsegulira m'mimba.

Momwe mungazindikire gastroschisis

Chikhalidwe chachikulu cha gastroschisis ndikuwona matumbo kunja kwa thupi kudzera potsegula pafupi ndi mchombo, nthawi zambiri kumanja. Kuphatikiza pa m'matumbo, ziwalo zina zimatha kuwonedwa kudzera pachitseko ichi chomwe sichikuphimbidwa ndi nembanemba, chomwe chimakulitsa mwayi wotenga matenda ndi zovuta.

Zovuta zazikulu za gastroschisis ndizosakula gawo la m'matumbo kapena kuphulika kwa m'matumbo, komanso kutayika kwamadzimadzi ndi michere ya mwana, zomwe zimamupangitsa kuti akhale wonenepa.

Kodi pali kusiyana kotani pakati pa gastroschisis ndi omphalocele?

Onse gastroschisis ndi omphalocele ndizobadwa nako, zomwe zimatha kupezeka ngakhale mutakhala ndi pakati kudzera pakubala kwa ultrasound ndipo amadziwika ndi kutuluka kwa m'matumbo. Komabe, chomwe chimasiyana ndi gastroschisis kuchokera ku omphalocele ndichakuti mu omphalocele m'matumbo ndi ziwalo zomwe zimatha kutuluka m'mimba zimaphimbidwa ndi kansalu kocheperako, pomwe mu gastroschisis mulibe nembanemba yozungulira chiwalo.

Kuphatikiza apo, mu omphalocele, chingwe cha umbilical chimasokonekera ndipo matumbo amatuluka kudzera potseguka kumtunda kwa umbilicus, pomwe mu gastroschisis kutsegula kumayandikira ku umbilicus ndipo kulibe gawo la umbilical chingwe. Mvetsetsani chomwe omphalocele ndi momwe amathandizidwira.

Zomwe zimayambitsa gastroschisis

Gastroschisis ndi vuto lobadwa nalo ndipo limatha kupezeka panthawi yoyembekezera, poyesa mayeso, kapena pambuyo pobadwa. Zina mwazomwe zimayambitsa gastroschisis ndi izi:

• Ntchito aspirin pa mimba;
• Low Body Mass Index ya mayi wapakati;
• Amayi azaka zosakwana zaka 20;
• Kusuta pa nthawi ya mimba;
• Kumwa mowa pafupipafupi kapena mopitirira muyeso panthawi yapakati;
• Matenda opitilira mkodzo.

Ndikofunikira kuti azimayi omwe ana awo amapezeka kuti ali ndi gastroschisis amayang'aniridwa panthawi yapakati kuti akhale okonzeka pokhudzana ndi momwe mwana amakhalira, chithandizo akabadwa komanso zovuta zomwe zingachitike.

Momwe mankhwalawa amachitikira

Chithandizo cha gastroschisis chimachitika atangobadwa kumene, ndipo kugwiritsa ntchito maantibayotiki nthawi zambiri kumawonetsedwa ndi dokotala ngati njira yopewa matenda kapena kulimbana ndi matenda omwe alipo kale. Kuphatikiza apo, mwana akhonza kuyikidwa m'thumba losabala kuti ateteze matenda ndi tizilombo tosamva mankhwala, tomwe timafala mchipatala.

Ngati mimba ya mwanayo ndi yayikulu mokwanira, adokotala amatha kuchita opareshoni kuti aike matumbo m'mimba ndikutseka kutsegula. Komabe, pamimba sikokwanira kukula, matumbo amatha kutetezedwa kumatenda pomwe dotolo amayang'anira kubwerera kwa matumbo kumimbako mwachibadwa kapena mpaka pamimba pakutha kugwira matumbo, kuchita opareshoni pamenepo.