Uyini i-Pyloric Stenosis? Izimpawu, Izimbangela, & Ukwelashwa

I-Pyloric stenosis yisimo lapho umsipha oqhele ngaphandle kokuvuleka phakathi kwesisu nesisu esincane uba ubukhulu kakhulu. Lo msipha obukhulu uvimba ukudla ukuba luhambe ngokujwayelekile ohlelweni lokugaya lokufakelwa komntwana wakho.

Cabanga ngakho njengendlela enkulu kakhulu eba ngumngcele omncane kakhulu ngezinto ezihamba kalula. Uma lokhu kwenzeka, ubisi noma ifomula ayikwazi ukugeleza esiswini iye esiswini esincane, okubangela ukuba umntwana wakho ahlanze ngamandla ngemuva kokondla.

Uyini i-Pyloric Stenosis?

I-Pyloric stenosis ithinta i-pylorus, okuyivuli elivela njengompompi ezansi kwesisu. Ezinganeni ezinesimo, umsipha oqhele ngaphandle kwaleli vuli ukhula ube bukhulu kakhulu futhi uqinile.

Lokhu kubukhulu kudala indlela ecinyiwe evimbela ukudla ukuthi luqhubeke luye esiswini esincane. Ngenxa yalokho, ubisi noma ifomula yakha esiswini futhi ikhishwa ngamandla ngokuhlamba.

Leli simo ngokuvamile liqala ezinsukwini ezimbalwa zokuqala zokuphila, ngokuvamile phakathi kwamasonto angu-3 kuya kwangu-5 ubudala. Lithinta cishe abantwana abangu-2 kuya kwangu-3 kwaba yinkulungwane, okwenza kube yinto engavamile kodwa hhayi eyinqaba kakhulu.

Ziyini Izimpawu ze-Pyloric Stenosis?

Isimpawu esiyinhloko oyibona ukukhahlela okukhulu okuqhubeka kubi ngokuhamba kwesikhathi. Lokhu akuyona into evamile yokukhahlela okuningi abantwana abaningi abanakho ngemuva kokondla.

Nazi izimpawu eziyinhloko okufanele uzibheke kumntwana wakho:

• Ukukhahlela okukhulu okuqhuma kude nomntwana wakho
• Ukukhahlela okwenzeka ngemizuzu engu-15 kuya kwengu-30 ngemuva kokondla
• Ukulangazelela njalo ngisho nasemuva kokukhahlela
• Ukulahlekelwa isisindo noma ukwehluleka ukuzuza isisindo ngokujwayelekile
• Ama-diapers amancane amancane kunokujwayelekile
• Ukuthukuthela nokuqina, ikakhulukazi ngesikhathi sokondla
• Ama-stools amancane, aqinile noma ukubambezeleka

Ungase futhi uqaphele ukuthi umntwana wakho ubonakala elambile njalo futhi efisa ukondla futhi ngemuva kokukhahlela. Lokhu kwenzeka ngoba ukudla akuyeki kufike esiswini esincane lapho izondlo zithathwa khona.

Ezimweni ezithile, ungase ukwazi ukuzwa i-lump encane, enjenge-olive esiswini somntwana wakho. Lo ngumsipha we-pyloric obukhulu, nakuba kungelula njalo ukuwubona.

Yini ebangela i-Pyloric Stenosis?

Imbangela eqondile ye-pyloric stenosis ayiqondakali ngokuphelele, kodwa odokotela bakholelwa ukuthi ivela ekuhlanganiseni kwezinto zofuzo nezimo ezingaphandle. Umusipha oqhele ngaphandle kwe-pylorus ukhula ube bukhulu kunokujwayelekile phakathi kwamasonto okuqala okuphila.

Izinto eziningi zingase zifake isandla ekukhuleni kwalesi simo:

• Umlando womndeni we-pyloric stenosis uyandisa ingozi
• Ukuba owesilisa (amadoda anethuba elingaphezu kwaka-4 lokuthola)
• Ukuba yingane yokuqala
• Ukuzalwa ngaphambi kwesikhathi
• Ukondla ngebhodlela kunokuncelisa
• Ukuthatha ama-antibiotics athile ngesikhathi sokukhulelwa

Kubalulekile ukuqonda ukuthi akukho lutho olukwenzile noma awukwenzanga ngesikhathi sokukhulelwa okubangele leli simo. Yinkinga yokukhula eyenzeka njengoba uhlelo lokugaya lomntwana wakho luqhubeka lukhamba ngemuva kokuzalwa.

Ucwaningo oluthile lubonisa ukuthi izingane ezidluliselwe ama-antibiotics athile esizalweni noma ngemuva nje kokuzalwa zingase zibe nengozi encane. Noma kunjalo, lobu buhlobo abubonakali ngokuphelele.

Nini Okufanele Ubone Udokotela Nge-Pyloric Stenosis?

Kufanele uxhumane nodokotela wakho wezingane ngokushesha uma umntwana wakho eqala ukukhahlela ngamandla, ngemuva kokondla. Lolu hlobo lokukhahlela luhlukile ekukhahleleni okuvamile kwengane futhi ludinga ukunakekelwa ngokushesha kwezokwelapha.

Ungalindi uma uqaphela lezi zibonakaliso zexwayiso:

• Ukukhahlela okuqhuma ngamandla kunokugeleza kancane
• Umntwana wakho akakhuli noma ulahlekelwa isisindo
• Ama-diapers angaphansi kwangu-6 ngamahora angu-24
• Izimpawu zokuphelelwa amanzi njengomlomo owomile, amehlo ahlasimule, noma ukulala
• Umntwana wakho ubonakala elambile njalo naphezu kokuzimisela kokondla njalo

Ukuxilongwa kwangaphambi kwesikhathi nokuphathwa kubalulekile ngoba i-pyloric stenosis engaphathwe ingabangela ukuphelelwa amanzi okukhulu nezingqinamba zezondlo. Ukuze umzimba womntwana wakho ukhule futhi uthuthuke ngokujwayelekile.

Themba izinzwa zakho njengomzali. Uma kukhona okubonakala kungalungile ngezindlela zokondla zomntwana wakho noma uma ukukhahlela kubonakala kukhulu kunokubuyela emuva okuvamile kwengane, kuhlale kungcono ukukuhlola.

Ziyini Izinto Ezifaka Ingozi ye-Pyloric Stenosis?

Izinto ezithile zenza ezinye izingane zibe nethuba elikhulu lokuthola i-pyloric stenosis kunabanye. Ukuqonda lezi zinto ezifaka ingozi kungakusiza ukwazi ukuthi yini okufanele uyibheke, nakuba ukuba nezinto ezifaka ingozi akusho ukuthi umntwana wakho uzokuthola ngokuqinisekile leli simo.

Izinto ezifaka ingozi eziyinhloko zihlanganisa:

• Ukuba owesilisa (kuthinta abafana kakhulu kunawo amantombazane)
• Ukuba nomzali noma umfowabo noma udadewabo owayene-pyloric stenosis
• Ukuba yingane yokuqala
• Ukuba uzalwe ngaphambi kwesikhathi
• Ukuba ngumuntu waseYurophu yaseNyakatho noma waseCaucasian
• Ukondla ngefomula kunokuncelisa

Ezinye izifundo zibonisa futhi ukuthi ukubhema kwabamama ngesikhathi sokukhulelwa nokuthatha imithi ethile kungase kukhulise kancane ingozi. Noma kunjalo, le miqondiso isacwaningwa.

Ngisho noma umntwana wakho enezinto eziningi ezifaka ingozi, khumbula ukuthi i-pyloric stenosis isaqinile. Iningi lezingane ezinezinto ezifaka ingozi azitholi leli simo.

Ziyini Izingozi Ezingase Zenzeke Nge-Pyloric Stenosis?

Uma i-pyloric stenosis ingaphathwa ngokushesha, ingabangela ezinye izingozi ezinkulu ezithinta impilo yomntwana wakho nokuthuthuka. Izindaba ezinhle ukuthi ngokunakekelwa okufanele kwezokwelapha, lezi zingozi zingavikeleka ngokuphelele.

Izingozi eziyinhloko okufanele uzazi zihlanganisa:

• Ukuphelelwa amanzi ngenxa yokukhahlela okuphindaphindayo nokungakwazi ukugcina izinto ezinwetshiwe
• Ukungahlangani kahle kwama-electrolyte okungathinta i-rhythm yentliziyo nomsebenzi wemisipha
• Ukwehluleka ukuthuthuka ngenxa yokuthathwa kwezondlo okungafanele
• Ukuqina kwesisu lapho isisu siqina kakhulu
• I-pneumonia yokuphefumula uma ubisi olukhanyisiwe lungena emaphashini

Ukuphelelwa amanzi kuvame ukuba yinkinga ephambili ngoba izingane ziphulukana namanzi ngokushesha ngokukhahlela. Izimpawu zihlanganisa ama-diapers amancane, umlomo owomile, amehlo ahlasimule, nokulala okungavamile noma ukuthukuthela.

Ukungahlangani kahle kwama-electrolyte kungakhathaza ngokukhethekile ngoba kuthinta indlela imisipha nezinzwa zomntwana wakho ezisebenza ngayo. Yingakho odokotela bavame ukulungisa lezi zinto ezingalingani ngamanzi e-IV ngaphambi kokuhlinzwa.

I-Pyloric Stenosis Ixilongwa Kanjani?

Udokotela wakho uzoqala ngokubuza imibuzo eminingi mayelana nezindlela zokondla zomntwana wakho kanye nezehlakalo zokukhahlela. Bazofuna ukwazi ukuthi ukukhahlela kuqalile nini, ukuthi kunamandla kangakanani, nokuthi umntwana wakho ubonakala elambile yini ngemuva kwalokho.

Phakathi kokuhlolwa komzimba, udokotela wakho uzoluzwa ngobumnene isisu somntwana wakho ngenkathi ezolile futhi ephumule. Ngezinye izikhathi bangase bathole umsipha we-pyloric obukhulu, obuzwakala njenge-lump encane enjenge-olive.

Uma ukuxilongwa kungacaci ekuhlolweni komzimba, udokotela wakho angase ayalele ukuhlolwa kwezithombe:

• I-ultrasound yesisu ukuze uqondise ubukhulu bomsipha we-pyloric
• Uchungechunge lwe-GI oluphezulu lapho umntwana wakho enwa khona isisombululo esibonakala ku-X-rays
• Ukuhlolwa kwegazi ukuze uhlole ukuphelelwa amanzi nokungahlangani kahle kwama-electrolyte

I-ultrasound ngokuvamile ivivi lokukhetha ngoba iphephile, ayibuhlungu, futhi inembile kakhulu ekuboniseni umsipha obukhulu.

Ukuhlolwa kwegazi kusiza iqembu lakho lezokwelapha ukuqonda ukuthi umntwana wakho ukhule yini noma uthuthukise noma yiziphi izinto ezingalingani ezidinga ukulungiswa ngaphambi kokwelashwa.

Yini Ukwelashwa kwe-Pyloric Stenosis?

Ukuphathwa kwe-pyloric stenosis yinqubo yokwelapha okuthiwa i-pyloromyotomy. Lolu hlobo lokuhlinzwa luphumelela kakhulu futhi lulungisa inkinga ngokuphelele ngokuqeda imisipha obukhulu.

Ngaphambi kokuhlinzwa, iqembu lakho lezokwelapha lizoqala ngokulungisa noma yikuphi ukuphelelwa amanzi noma ukungahlangani kahle kwama-electrolyte umntwana wakho angase abe nawo. Bazonika amanzi e-IV ukuze babuyisele ukugcwala kwamanzi nokulingana kwezinto zakhiwo.

Inqubo yokwelapha ngokwayo ihlanganisa lezi zinyathelo:

1. Umntwana wakho uthola i-anesthesia jikelele ukuze alele ngokunethezeka ngesikhathi sokuhlinzwa
2. Udokotela uqeda ukusoka okuncane esiswini noma usebenzisa amasu e-laparoscopic angenasiphetho
3. Imisipha yangaphandle ye-pylorus iyanqunywa ngokucophelela ukuze iqhubeke ivuleke
4. Ukuqina kwangaphakathi kuhlala kuqinisile, ngakho-ke akukho ukuvuza
5. Ukusoka kuvalwa ngezinsimbi ezichitha

Ukuhlinzwa ngokuvamile kuthatha cishe imizuzu engu-30 kuya kwengu-60, futhi iningi lezingane lingaqala ukondla futhi ngaphakathi kwamahora angu-6 kuya kwangu-12 ngemuva kwalokho. Cishe uzoba esibhedlela izinsuku ezingu-1 kuya kwezi-2 ukuqinisekisa ukuthi umntwana wakho uyakondla kahle.

Ukubuyela esimweni esijwayelekile ngokuvamile kuyaphuma kahle, futhi izinga lokuphila licishe libe yi-100%. Uma umsipha uqediwe, awukwazi ukukhula ndawonye, ngakho-ke inkinga iyalungiswa ngokuphelele.

Unganikeza Kanjani Ukunakekelwa Kwasekhaya Ngemva Kokwelashwa?

Ngemva kokuba umntwana wakho ephume esibhedlela, kuzodingeka uqaphele izimpawu zokwelapha okuhle futhi uqinisekise ukuthi ukondla kuhamba kahle. Iningi lezingane liyaphila ngokushesha futhi libuyela ezindleleni zokondla eziqondile ngaphakathi kwezinsuku ezimbalwa.

Nansi ongayenza ukuze usekele ukubuyela esimweni esijwayelekile komntwana wakho:

• Qala ngokondla okuncane, okuvamile njengoba udokotela wakho ekuphakamisela
• Gcina indawo yokusoka ihlanzekile futhi yomile ngesikhathi sokuhlanza ama-diapers
• Qaphela izimpawu zokutheleleka njengokubomvu, ukuvuvukala, noma ukuvuza okungavamile
• Nikeza imithi yokunciphisa ubuhlungu njengoba kulotshwe
• Gwema ukuphakamisa umntwana wakho ngaphansi kwama-arms isonto lokuqala
• Xhumana nodokotela wakho uma ukukhahlela kubuyela noma izingqinamba zokondla ziqhubeka

Kuyinto evamile ukuba umntwana wakho abe nokuhlupheka okuncane izinsuku ezimbalwa zokuqala, kodwa lokhu kufanele kuphume ngokushesha. Ungase uqaphele inani elincane lokukhahlela ekuqaleni, okuhlukile ekukhahleleni okukhulu okwenzeka ngaphambi kokuhlinzwa.

Iningi lezingane lingabuya emisebenzini yazo evamile ngaphakathi nesonto noma amabili. Ukusoka kuzoqina ngokuphelele ngaphakathi kwamasonto ambalwa, kushiya i-scar encane ehlala ingabonakali ngokuhamba kwesikhathi.

Kufanele Uzilungiselele Kanjani Ukuya Kudoti Lakho?

Ukulungiselela kahle i-appointment yakho kusiza udokotela wakho ukuba enze ukuxilongwa okuqondile ngokushesha. Gcina amanothi aminingi mayelana nezimpawu zomntwana wakho, ikakhulukazi izindlela zokukhahlela nezindlela zokondla.

Ngaphambi kokuya kwakho, buthana nale mininingwane ebalulekile:

• Lapho ukukhahlela kuqalile nokuthi kuguquke kanjani ngokuhamba kwesikhathi
• Ukuthi ukukhahlela kwenzeka yini ngemuva kokondla konke noma ezinye kuphela
• Ukuthi ukukhahlela kunamandla kangakanani nokuthi kuhamba kude kangakanani
• Isisindo samanje somntwana wakho kanye nezinguquko zesondlo zakamuva
• Inani lama-diapers amancane umntwana wakho abe nawo emahoreni angu-24 adlule
• Noma yimuphi umlando womndeni we-pyloric stenosis

Zama ukuletha umntwana wakho e-appointment lapho ezolile ngangokunokwenzeka, ngaphambi kwesikhathi sokondla. Lokhu kwenza ukuhlolwa komzimba kube lula futhi kube lula kubo bonke.

Bhala phansi noma yimiphi imibuzo onayo ngaphambi kwesikhathi ukuze ungakhohlwa ukuyibuza. Kusiza futhi ukuletha umuntu osekela nawe ongakusiza ukuba ukhumbule ulwazi oluxoxwe.

Iyini I-Takeaway Key Mayelana ne-Pyloric Stenosis?

I-Pyloric stenosis yisimo esingaphatheka esingakhathaza abazali, kodwa sinenzuzo enhle uma sixilongwa futhi siphathwa ngokushesha. Okubalulekile ukubona izimpawu ngokushesha futhi ufuna ukunakekelwa kwezokwelapha.

Khumbula ukuthi ukukhahlela okukhulu kwingane ebonakala elambile njalo akuyona into evamile futhi kudinga ukuhlolwa kwezokwelapha ngokushesha. Themba izinzwa zakho njengomzali uma kukhona okubonakala kungalungile ngezindlela zokondla zomntwana wakho.

Ukuhlinzwa kokulungisa i-pyloric stenosis kuphumelela kakhulu, ngezinga lokuphila eliphakeme kakhulu kanye nezingozi ezincane. Iningi lezingane liyaphila ngokushesha futhi liyaqhubeka lokondla futhi likhule ngokujwayelekile ngaphandle kwanoma yiziphi izingqinamba zesikhathi eside.

Nakuba lokhu kuxilongwa kungase kubonakale kukukhathaza, yazi ukuthi izinkulungwane zezingane ziyaqhubeka nale nqubo yokwelapha unyaka ngamunye ngemiphumela emihle. Iqembu lakho lezokwelapha linolwazi olukhulu lokwelapha leli simo futhi lizokusiqondisa kuzo zonke izinyathelo zenqubo.

Imibuzo Evamile Ebuzwa Mayelana ne-Pyloric Stenosis

Ingabe i-pyloric stenosis ingazilungisa yodwa ngaphandle kokuhlinzwa?

Cha, i-pyloric stenosis ayikwazi ukuzilungisa yodwa futhi ihlale idinga ukwelashwa okuhlinzwa. Umusipha obukhulu ngeke ubuyele ebukhoneni obuqondile ngokwemvelo, futhi leli simo lizobe libi kakhulu ngaphandle kokungenelela. Nakuba lokhu kungase kubonakale kukukhathaza, ukuhlinzwa kuphephile kakhulu futhi kuphumelela kakhulu, ngemiphumela emihle yesikhathi eside ezinganeni.

Ingabe umntwana wami uzobe enezinto ezithinta isikhathi eside ngemuva kokuhlinzwa kwe-pyloric stenosis?

Iningi lezingane azinazinto ezithinta isikhathi eside ngemuva kokuhlinzwa kwe-pyloric stenosis futhi zikhula zibe yizingane eziphilile ngokuphelele nabantu abadala. Uma ukuhlinzwa sekuphelile, uhlelo lokugaya luyaqhubeka ngokujwayelekile, futhi ngokuvamile azikho izikhawu zokudla noma ukukhathazeka okuqhubekayo kwezokwelapha. Umntwana wakho kufanele akwazi ukudla, ukudlala, nokukhula njenganoma yimuphi omunye umntwana.

Kuphephile yini ukuncelisa ngemuva kokuhlinzwa kwe-pyloric stenosis?

Yebo, ukuncelisa akuphephile kuphela kodwa kuvame ukukhuthazwa ngemuva kokuhlinzwa kwe-pyloric stenosis. Abantwana abaningi bangabuya ekunceliseni ngaphakathi kwamahora ambalwa enqubo, nakuba udokotela wakho angase akuphakamisele ukuqala ngokondla okuncane, okuvamile ekuqaleni. Ubisi lwebele lilungile ngempela ngesikhathi sokubuyela esimweni esijwayelekile ngoba kulula ukulihlanza futhi linikeza izondlo ezibalulekile nama-antibodies asekelayo ukwelapha.

Ingabe i-pyloric stenosis ingase ibuyele noma ithonye izingane zesikhathi esizayo?

Uma isiphelile ngokuhlinzwa, i-pyloric stenosis ayikwazi ukubuyela kumntwana ofanayo ngoba umsipha uyalungiswa ngokuphelele futhi awukwazi ukukhula ndawonye. Noma kunjalo, uma unezingane eziningi esikhathini esizayo, kunethuba elincane lokuthi zingase zithole i-pyloric stenosis, ikakhulukazi uma kunomlando womndeni waleli simo. Lokhu akusho ukuthi kuzokwenzeka ngokuqinisekile, nje ukuthi kufanele uqaphele izimpawu okufanele uzibheke.

Izingane ziyaphila ngokushesha kangakanani ngokuhlinzwa kwe-pyloric stenosis?

Iningi lezingane liyaphila ngokushesha ngokuhlinzwa kwe-pyloric stenosis. Bavame ukuqala ukondla futhi ngaphakathi kwamahora angu-6 kuya kwangu-12 ngemuva kwenqubo futhi ngokuvamile bangaya ekhaya ngaphakathi kwezinsuku ezingu-1 kuya kwezi-2. Ukubuyela esimweni esijwayelekile ekhaya ngokuvamile kuthatha cishe isonto eli-1 kuya kweli-2, ngaleso sikhathi umntwana wakho uzobuyela kancane ezindleleni zokondla eziqondile kanye nezinga lomsebenzi. Ukusoka kuzoqina ngaphakathi kwamasonto ambalwa, futhi iningi lezingane libuyela esimweni sabo esijwayelekile, esiphilile ngokushesha kakhulu.