Duodenal atresia

Duodenal atresia mamiriro umo chikamu chekutanga chemuviri mudiki (duodenum) hachina kukura zvakanaka. Iyo haina kuvhurika uye haigone kubvumidza kupfuura kwemukati medumbu.

Chikonzero che duodenal atresia hachizivikanwe. Inofungidzirwa kuti inokonzerwa nezvinetso panguva yekukura kwemwana "embryo". Iyo duodenum haina kuchinja kubva kune yakasimba kuenda kune chubhu-senge chimiro, sezvaiwanzoita.

Vazhinji vacheche vane duodenal atresia vane zvakare Down syndrome. Duodenal atresia inowanzo kuve yakabatana nehumwe hurema hwekuzvara.

Zviratidzo zve duodenal atresia zvinosanganisira:

• Kumusoro kwepamuviri kuzvimba (dzimwe nguva)
• Kurutsa kwekutanga kwemari yakawanda, iyo inogona kuve yakasvibira (iine bile)
• Kuenderera mberi nekurutsa kunyangwe kana mucheche asina kupihwa chikafu kwemaawa akati wandei
• Hapana ura hunofamba mushure mekutanga mashoma meconium zvituru

Fetal ultrasound inogona kuratidza huwandu hwakawanda hweamniotic fluid mudumbu (polyhydramnios). Inogona zvakare kuratidza kuzvimba kwedumbu remwana uye chikamu che duodenum.

X-ray yemudumbu inogona kuratidza mweya mudumbu uye chikamu chekutanga che duodenum, isina mweya unopfuura ipapo. Izvi zvinozivikanwa sechiratidzo chechipiri-chebubble.

Iyo chubhu inoiswa kuti idzore dumbu. Kushaya mvura mumuviri uye kusaenzana kwe electrolyte kunogadziriswa nekupa zvinwiwa kuburikidza neiyo intravenous tube (IV, kupinda mutsinga). Kuongorora kumwe kuberekwa kusanzwisisika kunofanirwa kuitwa.

Kuvhiya kugadzirisa iyo duodenal blockage inodiwa, asi kwete emergency. Iko kuvhiyiwa chaiko kunoenderana nemhando yekusagadzikana. Mamwe matambudziko (akadai seaya ane hukama neDown syndrome) anofanirwa kurapwa seakakodzera.

Kudzoreredza kubva ku duodenal atresia kunotarisirwa mushure mekurapwa. Kana ikasarapwa, mamiriro acho anouraya.

Aya matambudziko anogona kuitika:

• Humwe urema hwekuzvara
• Kupera mvura mumuviri

Mushure mekuvhiyiwa, pangave nezvinetso zvakadai se:

• Kuzvimba kwechikamu chekutanga chemuviri mudiki
• Matambudziko nekufamba kuburikidza neura
• Gastroesophageal Reflux

Fonera wako mupi wezvehutano kana mwana wako achangozvarwa ari:

• Kudya zvisina kunaka kana kwete zvachose
• Kusvipa (kwete kungosvipa mate) kana kana marutsi ari egirini
• Kwete kuita weti kana kuita ura

Iko hakuna kunozivikanwa kudzivirira.

• Dumbu uye ura hudiki

Dingeldein M. Akasarudzika gastrointestinal anomalies mune neonate. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier; 2020: chap 84.

Maqbool A, Bales C, Liacouras CA. Utumbo atresia, stenosis, uye malrotation. 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 356.

Semrin MG, Russo MA. Anatomy, histology, uye kusimudzira anomalies emudumbu uye duodenum. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 48.