Gastroschisis kugadzirisa - akateedzana-Maitiro

Zvemukati

• Mhedziso

• Enda unotsvedza 1 kunze kwe4
• Enda unotsvedza 2 kunze kwe4
• Enda unotsvedza 3 kunze kwe4
• Enda unotsvedza 4 kunze kwe4

Mhedziso

Kugadziriswa kwekuvhiya kwemadziro emadziro kuremara kunosanganisira kutsiva nhengo dzemimba kudzokera mudumbu kuburikidza nedumbu remadziro hurema, kugadzirisa hurema kana zvichibvira, kana kugadzira homwe isina kuchena yekudzivirira ura pavanenge vachidzoserwa kumashure mudumbu.

Pakarepo mushure mekusununguka, nhengo dzakafumurwa dzakafukidzwa neinodziya, yakanyorova, isina kupfeka. Chubhu inoiswa mudumbu (nasogastric tube, inonziwo NG chubhu) kuchengetedza dumbu risina chinhu uye kudzivirira kudzipwa kana kufemera mukati memudumbu zvirimo mumapapu.

Ipo mwana akarara zvakadzama uye asingarwadziwe (pasi peanesthesia) kuita kunogadzirwa kunoitwa kuwedzera gomba pamadziro emudumbu. Iyo ura hunotariswa zvakanyatso kuona zviratidzo zvekukuvara kana zvimwe zvinokanganisa kuberekwa. Zvikamu zvakakanganisika kana zvakaremara zvinobviswa uye mativi akasimba akasonwa pamwechete. Chubhu inoiswa mudumbu uye kunze kuburikidza neganda. Nhengo dzinotsiviwa mudumbu uye dumbu rakavharwa, kana zvichibvira.

Kana dumbu remudumbu riri diki kana nhengo dzinobuda dzakazvimba zvakanyanya kutendera kuti ganda rivharwe, homwe ichagadzirwa kubva papepa repurasitiki kuvhara nekuchengetedza nhengo. Kuvhara kwakazara kunogona kuitwa kwemavhiki mashoma. Kuvhiya kunogona kudikanwa kugadzirisa tsandanyama dzemudumbu pane imwe nguva inotevera.

Dumbu remucheche rinogona kunge riri diki pane zvakajairwa. Kuisa nhengo dzemudumbu mudumbu kunowedzera kumanikidza mukati medumbu uye kunogona kukonzera kunetseka kufema. Mucheche angangoda kushandisa chubhu yekufema nemuchina (mweya wekufema) kwemazuva mashoma kana masvondo kudzamara kuzvimba kwenhengo dzedumbu kwadzikira uye saizi yedumbu yawedzera.

• Zvinokanganisa Kuberekwa
• Hernia