I-pylorosthenosis iyinhlangano yokwelashwa kokuthuthukiswa kwesisu (pyloric) ingxenye yesisu - ngokuvamile kuvela ezinganeni ezisanda kuzalwa. Imbangela ye-pyloric stenosis iyinkimbinkimbi ebanzi yomgcini wesango futhi, ngenxa yalokho, ukwephulwa kokukhishwa kokuqukethwe kwesisu kusana olusanda kuzalwa. Isisu, ukuzama ukusunduza ukudla ku duodenum, kufushane, kodwa ukudla ngenxa yokucindezela kwesango lomnyango kuyadlula kabi futhi kuhlaselwa ukuhlanza okukhulu. Lesi sifo sibangelwa i-hypertrophy yemisipha ye-pyloric sphincter, inqwaba yezicubu ezisebenza ngokugcwele zivale kancane isikhumbuzo kumlindisango. I-stenosis yama-congenital e-congenital eyenzeka kubafana kaningi kunamantombazane, ingaba nefa.
Izimpawu ze-pyloric stenosis ezisanda kuzalwa
Uphawu oluyinhloko lwe-stenosis yama-pyloric insana luyahlanza "umthombo" ngokushesha ngemva kokudla, okwenzeka emavikini angu-2-3 empilo yengane. Ekuqaleni, ukuphindaphinda nokuhlanza kwenzeke ngezikhathi ezithile, bese kuthi, njengoba ukwandiswa kwe-pylorus kwanda - emva kokudla kokubili. Njengomthetho, inani lokuhlanza lilingana noma liphakeme nakakhulu kunani lobisi oludliwa ngondla ngayinye. Emasimini okuhlanza, akukho ukungcoliswa kwebhali. Ngenxa yokuhlanza okuqhubekayo, umzimba wengane usheshe uphele amandla futhi uchithe amanzi. Ingane ilahlekelwa isisindo ngisho uma iqhathaniswa nesisindo sokuzalwa. Inani lokuchama liyancipha, umchamo uba ngaphezulu. Ukuqokwa kwenzeka. Esinye isifo yi-peristalsis yesisu, esinesimo se "hourglass", egijima i-wavy kusuka phezulu kuya phansi futhi kusukela kwesobunxele kuya kwesokudla. Lesi sibonakaliso singabangelwa uma ubamba isisu esiswini esiswini noma unike iziphuzo ezimbalwa zamanzi. Uma i-stenosis ye-pyloric inzingane ikhona zonke izimpawu zokuphelelwa amandla kwamanzi - isikhumba somile, isibhakabhaka esibomvu, i-fontanel ilanga, i-turgor yesikhumba iyancipha, uhlaka lwamafutha aluhlaza luyancipha noma alukho.
Iyiphi i-pyloric stenosis eyingozi?
Imiphumela ye-pyloric stenosis ibonakala ngokwayo ngendlela yokwanda kwesisu, izindonga zayo zine-hypertrophied, futhi ukuguguleka komzimba kungenzeka. Ukuvuthwa kuholela ekwenzeni i-asphyxia, i-aspiration pneumonia, ngaphandle kokwelashwa okusebenzayo kune-sepsis, i-dystrophia, i-osteomyelitis.
Kubalulekile ukuhlukanisa i-pyloric stenosis nezinye izifo, lapho kuhlanza ngaphandle kokuhlanganiswa kwe-bile. Ukuze uthole ukuxilongwa, okokuqala, ukuhlolwa kwe-palpation ye-pylorus kwenziwa nge-ultrasound ukuhlolwa kwesisu, uma kusekhona ukungabaza ekuxilongweni - ukuhlukumeza i-radiology.
Indlela yokuphatha i-pyloric stenosis?
Ukwelashwa kwe-pyloric stenosis ezinsana kuhlinzeka kuphela. Ukusebenza kuqokwa ngokushesha ngemuva kokusungulwa kwesifo sokuthola i-diagnosis. Uma ingane isuke idlulile kakhulu, ngaphambi kokuba kusetshenziswe ukuthi kubalulekile ukubuyisela ibhalansi yamanzi, usawoti, ama-acids kanye nezisekelo ezisemzimbeni omusha olahlekile ngenxa ye-pyloric stenosis. Ngokuvamile, ngemva kokuhlinzwa, ukutholakala okuphelele kwengane kuza futhi akukho ukuphindaphinda kwalesi sifo kwenzeka. Ngakho-ke, abazali kufanele baqaphele kakhulu nganoma yikuphi ukungavamile kokuphila kwengane futhi kunoma yikuphi ukungabaza kuya kubachwepheshe abaqeqeshiwe ukuze basize.