Pyloric stenosis muvacheche

Pyloric stenosis kudzora kwepylorus, kuvhura kubva mudumbu kupinda mudumbu. Ichi chinyorwa chinotsanangura mamiriro ari mucheche.

Kazhinji, chikafu chinopfuura nyore kubva mudumbu kuenda muchikamu chekutanga chemukati mudumbu kuburikidza nevhavha inonzi pylorus. Ne pyloric stenosis, mhasuru dze pylorus dzakakora. Izvi zvinodzivirira mudumbu kubuda mukati memukati ura.

Icho chaicho chikonzero chekukora hachizivikanwe. Majini anogona kutora chinhanho, sezvo vana vevabereki vane pyloric stenosis vanowanzo kuve nemamiriro aya. Zvimwe zvinhu zvine njodzi zvinosanganisira mamwe maantibhakitiriya, yakawandisa asidhi muchikamu chekutanga chemuura mudiki (duodenum), uye zvimwe zvirwere zvinozvarwa mwana, zvakadai seshuga.

Pyloric stenosis inowanzoitika muvacheche vari pasi pemwedzi mitanhatu. Zvakajairika muvakomana kupfuura kuvasikana.

Kurutsa chiratidzo chekutanga muvana vazhinji:

• Kurutsa kunogona kuitika mushure mekudya kwese kana chete mushure meimwe feedings.
• Kurutsa kunowanzotanga kutenderedza vhiki nhatu dzezera, asi kunogona kutanga chero nguva pakati pevhiki rimwe nemwedzi mishanu yezera.
• Kurutsa kunesimba (projectile kurutsa).
• Mucheche ane nzara mushure mekurutsa uye anoda kuyamwisa zvakare.

Zvimwe zviratidzo zvinoonekwa vhiki dzinoverengeka mushure mekuzvarwa uye zvinogona kusanganisira:

• Marwadzo emudumbu
• Burping
• Nguva dzose nzara
• Kushaya mvura mumuviri (kunowedzera sezvo kurutsa kuri kuwedzera)
• Kukundikana kuwana huremu kana kuonda
• Kufamba-senge kufamba kwedumbu nguva pfupi mushure mekudyisa uye nguva pfupi kurutsa kusati kwaitika

Mamiriro acho anowanzoongororwa mwana asati ave nemwedzi mitanhatu yekuberekwa.

Kuongorora kwepanyama kunogona kuratidza:

• Zviratidzo zvekushayiwa mvura, zvakadai seganda rakaoma uye muromo, kushoma kubvarura kana uchichema, uye manapukisi akaoma
• Dumbu rakazvimba
• Huremu hwakaumbwa-neOrive kana uchinzwa dumbu rekumusoro, inova iyo pylorus isina kujairika

Ultrasound yemudumbu inogona kunge iri yekutanga bvunzo yekufungidzira. Mimwe bvunzo inogona kuitwa inosanganisira:

• Barium x-ray - inoburitsa dumbu rakazvimba uye rakadzikira pylorus
• Kuongororwa kweropa - kazhinji kunoratidza kusaenzana kwemagetsi

Kurapa kwepyloric stenosis kunosanganisira kuvhiyiwa kuti kuwedzere iyo pylorus. Kuvhiya kunonzi pyloromyotomy.

Kana kurarisa mucheche kuvhiyiwa hakuna kuchengeteka, chishandiso chinonzi endoscope chine chibharumu chidiki kumagumo chinoshandiswa. Bhaluni rakafemerwa kuti riwedzere pylorus.

Mune vacheche vasingakwanise kuvhiyiwa, kudya kwepombi kana mishonga yekuzorodza pylorus kunoedzwa.

Kuvhiya kunowanzo gadzirisa zvese zviratidzo. Pangosvika maawa akati wandei mushure mekuvhiyiwa, mucheche anogona kutanga kudiki, kazhinji kupa chikafu.

Kana pyloric stenosis ikasarapwa, mwana haazowani kudya kwakakwana uye mvura, uye anogona kushaya huremu uye kupera mvura.

Fonera wako mupi wezvehutano kana mwana wako aine zviratidzo zveichi chiitiko.

Kuberekwa hypertrophic pyloric stenosis; Mucheche hypertrophic pyloric stenosis; Gastric nzira yekubuda; Kurutsa - pyloric stenosis

• Kugaya chirongwa
• Pyloric stenosis
• Infantile pyloric stenosis - Series

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pyloric stenosis uye zvimwe zvekuzvarwa zvisina kumira mudumbu. Mune: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 355.

Seifarth FG, Masoja OS. Congenital anomalies uye chirwere chekuvhiya chedumbu. Mune: Wyllie R, Hyams JS, Kay M, eds. Chiremba Gastrointestinal uye Chirwere Chiropa. 5 ed. Philadelphia, PA: Elsevier; 2016: chits. 25.