I-Pylorosthenosis yintsholongwane yokuphuhliswa kwemveliso (i-pyloric) inxalenye yesisu - kaninzi ivela kubantwana abasandul 'ukuzalwa. Isizathu se-pyloric stenosis kukunciphisa umgcini-masango kwaye, ngenxa yoko, ukuphulwa kokukhutshwa kweziqulatho zesisu kwintsana. Isisu, ukuzama ukutshiza ukutya kwi-duodenum, kufutshane, kodwa ukutya ngenxa yokunyanzelwa komgcini-wesango kudlulela kakubi kwaye kuhlaselwa ukuhlanza okukhulu. Esi sifo sibangelwa yi-hypertrophy ye-pyloric sphincter muscle, inani elikhulu lezinto ezixhamlayo zifake i-lumen kumgcini wesango. I-stenosis yase-congenital stenosis ivela kubafana abadla ngokuphindaphindiweyo kunamantombazana, banokufumana ilifa.
Iimpawu ze-pyloric stenosis kwiintsana
Uphawu oluphambili lwe-pylorosis kwiintsana ezisuka kuzalwa luhlanza "umthombo" emva kokutya, okwenzeka kwiiveki ezingama-2-3 zobomi bomntwana. Ekuqaleni, ukuhlaziya kunye nokuhlanza kwenzeka ngezinye iinkcukacha, kwaye ngoko, njengoko ukunciphisa i-pylorus kwanda - emva kokusondla nganye. Njengomthetho, inani lemhlanzi lilingana okanye liphezulu kunexabiso lobisi oludliwa ngondlo nganye. Kwimizi yokuhlanza, akukho ukungahlambulukanga. Njengomphumo wokuhlanza okuqhubekayo, umzimba womntwana ngokukhawuleza uya kuba unxweme kwaye unxweme. Umntwana ulahlekelwa isisindo nokuba uthelekiswa nobukhulu bokuzalwa. Isixa sokungcwina sinciphisa, umchamo uba ngakumbi. Ukugqithwa kwenzeka. Olunye uphawu luyi-peristalsis yesisu, enesimo se "hourglass", eqhuba i-wavy ukusuka phezulu ukuya ngasezantsi ukusuka kwesobunxele kuya kwesokudla. Esi sibonakaliso sinokubangela ukuba utyesayo isisu esiswini kwisisu okanye unike iziphuzo ezimbalwa zamanzi. Xa i-pyloric stenosis kubantwana zikhona zonke iimpawu zokungcoliswa kwamanzi - ulusu luye lome, i-mucous bright, i-fontanel ilinywe, i-turgor yesikhumba iyancipha, i-fat-cut layer lay down or less.
Yintoni eyingozi ye-pyloric stenosis?
Imiphumo ye-pyloric stenosis ibonakalisa ngokwawo ngendlela yokwandiswa kwesisu, iindonga zayo zinexholongwane, kunye nokukhukhula kwamanzi kungenzeka. Ukuvuthwa kubangela ukuba i-asphyxia, i-aspiration pneumonia, ngaphandle kwonyango osebenzayo kukho i-sepsis, i-dystrophia, i-osteomyelitis.
Kubalulekile ukuhlukanisa i-pyloric stenosis nezinye izifo, apho kuhlanza ngaphandle kokuxutywa kwe-bile. Ukuxilongwa, okokuqala, ukuhlolwa kwe-palpation ye-pylorus kwenziwa ngokuhlolwa kwe-ultrasound yesisu, ukuba kukho ukungathandabuzeki ekuxilongweni-ukuchasana kwe-radiology.
Indlela yokuphatha i-pyloric stenosis?
Unyango lwe-pyloric stenosis kwiintsana zizodwa kuphela. Umsebenzi uqeshwa ngokukhawuleza emva kokusekwa kokuchongwa okuchanekileyo. Ukuba umntwana uphelile kakhulu, ngaphambi kokusebenza kubalulekile ukubuyisela ukulinganisela kwamanzi, isarti, i-acids kunye neziseko ezisiswini esitsha esilahlekile ngenxa ye-pyloric stenosis. Ngokuqhelekileyo, emva kokusebenza, ukubuyisela ngokupheleleyo umntwana kuza kwaye akukho ukuphindaphinda kwesi sifo. Ngoko ke, abazali kufuneka baqaphele ngokumalunga naluphi na ukungaqhelekanga kwintlalo yomntwana kunye nokuba nayiphi na inzondo baphendule kwiingcali ezifanelekileyo ukufumana uncedo.