Necrotizing enterocolitis

Necrotizing enterocolitis (NEC) kufa kwetishu mumatumbu. Izvo zvinowanzoitika kazhinji muvacheche vasati vasvika kana vanorwara.

NEC inoitika panenge pakafa pemadziro emukati. Iri dambudziko rinowanzoitika nguva dzose mumucheche anenge achirwara kana nguva isati yakwana. Zvinogona kuitika kana mucheche achiri muchipatara.

Chikonzero chaicho chechirwere ichi hachizivikanwe. Kudonha kweropa kuyerera kunopinda muura kunogona kukuvadza nyama. Hutachiona muura hunogona zvakare kuwedzera kuchinetso. Zvakare, vacheche vasati vasvika vane kusagadziriswa kwekudzivirira immune kuzvinhu zvakaita sebhakitiriya kana kuderera kweropa kuyerera. Kusanzwisisika mumutemo wekuzvidzivirira kunoita sekubatanidzwa muNEC.

Vacheche vane njodzi yakakwira yemamiriro acho anosanganisira:

• Vacheche vasati vatanga
• Vacheche vanodyiswa fomura pane mukaka wevanhu. (Mukaka wevanhu une zvinhu zvinokura, masoja ekudzivirira chirwere uye masero ekudzivirira muviri anogona kubatsira kudzivirira dambudziko iri.)
• Vacheche munzvimbo inochengeterwa vana pakamuka kuitika
• Vacheche vakagamuchira kuwedzerwa kweropa kana kuti vanga vachirwara zvakanyanya

Zviratidzo zvinogona kuuya zvishoma nezvishoma kana kamwe kamwe, uye zvinogona kusanganisira:

• Kubuda mudumbu
• Ropa muzvigaro
• Manyoka
• Matambudziko ekudyisa
• Kushaya simba
• Tembiricha yemuviri isina kugadzikana
• Kufema kusagadzikana, kurova kwemoyo, kana BP
• Kusvipa

Miedzo inogona kusanganisira:

• Abdominal x-ray
• Stool yemashiripiti eropa bvunzo (guaiac)
• CBC (yakazara ropa kuverenga)
• Electrolyte mazinga, gasi reropa uye kumwe kuongorora kweropa

Kurapa kwemucheche anogona kuve neNEC kazhinji inosanganisira:

• Kumisa kupinda (GI turakiti) feedings
• Kununura gasi muura nekuisa chubhu mudumbu
• Kupa IV mvura uye chikafu
• Kupa IV mishonga inorwisa mabhakitiriya
• Kuongorora mamiriro acho nemudumbu x-rays, kuongororwa kweropa, uye kuyerwa kwemagasi eropa

Mucheche anoda kuvhiyiwa kana paine buri mumatumbu kana kuzvimba kwemadziro emudumbu (peritonitis).

Mukuvhiya uku, chiremba acha:

• Bvisa dzakafa matumbu
• Ita colostomy kana ileostomy

Ura hunogona kubatanidzwazve mushure memavhiki akati wandei kana mwedzi kana chirwere chapora.

Necrotizing enterocolitis chirwere chakakomba. Kusvika pamakumi mana muzana evana vane NEC vanofa kubva pairi. Kutanga, kurapwa nehasha kunogona kubatsira kuvandudza mhedzisiro.

Zvinetso zvinogona kusanganisira:

• Peritonitis
• Sepsis
• Utumbo kupora
• Kusimba kwemukati
• Zvinetso zvechiropa kubva mukusakwanisa kwenguva refu kushivirira enteral mafidha uye kudiwa kweparenteral (IV) chikafu
• Ipfupi ura chirwere kana huwandu hwakawanda hwetumbu hwarasika

Wana kurapwa kwekukurumidzira kana paine chero zviratidzo zvecrotizing enterocolitis inokura. Vacheche vari muchipatara nekuda kwekurwara kana prematurity vari pangozi yakanyanya yeNEC. Vanotariswa zvakanyanya padambudziko iri vasati vadzoserwa kumusha.

• Ura hwevacheche

Caplan M. Neonatal necrotizing enterocolitis. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 10th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 94.

Greenberg JM, Haberman B, Narendran V, Nathan AT, Schibler K. Neonatal marbadities ekuberekwa kwepamuviri. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chits. 73.

Mbeu PC. Iyo microbiome uye hutano hwevana. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsuwa 196.