Esophageal atresia mu akhanda

Atresia kobadwa nako chilema otchedwa njira zachilengedwe ndi tizibowo thupi. kudwala Izi zikhoza kukhala maphatikizidwe wa kuthi kapena kobadwa nako kulibe.

esophageal atresia ana ndi imodzi mwa ambiri malformations kobadwa nako kwa thupi. Pakati zosiyanasiyana anafotokoza kuchita matenda, pali zimene mungachite kuti mitundu zambiri. Ambiri esophageal atresia kuchepetsa tracheoesophageal fistula mapangidwe.

Wokwanira kutchulidwa matenda chithunzi cha boma. Kale mu maora loyamba la moyo kuchokera ku mphuno ndi mkamwa mwa ana akhanda amapita frothy ntchofu. Pambuyo woyamwa zimamanga kachiwiri. Against maziko a boma la patsogolo wayamba kukhumba chibayo. Kudyetsa mwana pamaso matenda kumayambitsa kuwonongeka mofulumira. Pa nthawi yomweyo amalembedwa zizindikiro za mavuto kupuma, kuchuluka zizindikiro za chibayo chiyembekezo.

Magawo a kuwonongeka ndi kugwirizana mwamavuvu ndi kudyetsa mwana - mkaka umayamba kuyenda kupyola pakamwa ndi mphuno.

Makamaka matenda aakulu ndi limodzi ndi kupata kuwonongeka esophageal atresia lonse fistula (m'munsi tracheoesophageal). Choncho, chifukwa anastomosis lonse limapezeka yobereka buku lalikulu mpweya thirakiti m'mimba, koma osati mu mapapo. Against maziko awa, pali bloating, ingakhalenso titchuke osewera a zili m'mimba mu buku lalikulu mu mtengo tracheobronchial.

Esophageal atresia mu akhanda ndi zambiri osati zimavuta kudziwa. Komanso matenda akhoza anachita pamaso zizindikiro. M'pofunika kukhazikitsa kukhalapo kapena kusapezeka kwa kudwala pamaso kudya choyamba. Ntchito oterewa esophageal intubation atabadwa. Esophageal atresia amawapeza mu chochitika za kulephera kwa kafukufuku kwa m'mimba kukumana chopinga m'mphepete mwa m'kamwa mwa 8-12 cm.

Matenda ikuchitika ndi zikutanthauza Elephant nyemba. Choncho gavage kutumikiridwa Botolo khumi mpweya kholingo. Pamaso pa anayambitsa mpweya amalephera kudwala ndi khalidwe phokoso kudzera pakamwa ndi mphuno kumbuyo (nyemba zabwino). Ngati palibe kuvutika anati ndimeyi chete kwa m'mimba mpweya (nyemba zoipa).

Kunyamula cholinga ndi chitsanzo Elephanta mu chipatala cha matenda kudwala Chakwanira.

Pamene kupeza zizindikiro loyamba atresia esophageal intubation muyenera kuti akonzere thirakiti chapamwamba kupuma. zinthu izi zimathandiza kuchepetsa kufala kwa chibayo chiyembekezo. Pambuyo pogwira ntchito zimenezi mtima uli kuchipatala pa opaleshoni.

Panthawi yake kudziwika (pa tsiku loyamba kapena wachiwiri atabadwa) chilema kumatha kufunika kwa zakudya parenteral mu nthawi prehospital.

anomaly wina ndi atresia ya rectum ndi chotulukira. Wapezeka chilema, makamaka kuona koyamba kwa ana akhanda. The anomaly ambiri anyamata.

Ngati anayendera chifukwa aliyense pambuyo pa kubadwa kwa akhala ndi kutha kwa tsiku loyamba la khanda wayamba nkhawa, pamene ndikulemba regurgitation zambiri, kusanza ya nkhani chapamimba, pambuyo - mu ya ndulu, ndiyeno - ndi meconium. Pali bloating pang'onong'ono. Gaza ndi meconium zisachoke.

Monga ntchito-sitepe imodzi mankhwala ndi kwakukulu njira opaleshoni thovu. Ngati pali contraindications kuti anati alowererepo opaleshoni kapena kulephera kukhazikitsa akusokoneza yaikulu.

Ngati Popanda kuchitapo kanthu akhanda anaphedwa pa tsiku lachinayi-chimodzi.