Atresia yeeophagus ndiyo yakaoma zvikuru kukura kwehutano inowanikwa muzvitsva, iyo inoratidzirwa nekudziviswa kweeophagus. Muna 90% yezviitiko izvi zvinosangana nekuvapo kwechechicheche chechecheoesophageal fistula.
Congenital atresia yenheyo muzvitsva
Ikozvino mwana achangoberekwa muchipatara anogona kuona kuti kuvepo kwehutachiona hwekudya kwekudya:
- kubva kumumvuri uye mumuromo wepamuviri wecheche inouya nechisimba nemuputi;
- mwana haagoni kumedza; kupfira mate ose;
- iye ane kurutsa uye zvimwe zvezviri mukati zvinogona kubuda kuburikidza nemhino;
- kukoromora kukuru nezviratidzo zvekuora mwoyo;
- bloating.
Muzviitiko zvizhinji, sechigumisiro, mwana achangoberekwa anova nechido chokutsva pneumonia.
Sezvo chirongwa chekuongororwa, sopu inotungidzirwa neSenzemu sampu: kana ichipinda mumhepo ichienda, inobva mumhino nemuromo (izvi zvinoratidza muenzaniso wakanaka). Uyezve, chiremba anorayira radiography, iyo inotarisa kwete kwete chete yenharaunda, asi nemapapu.
Kunyange nekufungira zvishomanana kwekuvapo kweAtresia kwechirwere mumwana achangobva kuberekwa, iyo yepamusoro yepamusoro inofanirwa kucheneswa inofanira kucheneswa pakarepo kuitira kuti isapinda chinangwa chepneumonia. Uyezve tumira mwana wacho kumatare ekuvhiya kuti awane mamwe marapirwo.
Atresia yeropa revana: zvinokonzera uye zviratidzo
Chikonzero chinokonzera esophageal atresia ndechokuvhiringidza mukukura uye kukura kwechikamu chekudya mukati mehutachiona hwekutsvaira (kusvika kusvika mavhiki 12 ekuzvitakura).
Atresia yeeophagus: kurapwa
Zvinotanga kutanga kutanga kurapwa kwemwana achangoberekwa nokukurumidza sezvinobvira, sezvo kusakwanisa kwenguva refu kwekugona kwekudya kunotungamirira kumvura uye kuneta, izvo zvinosanganisira kuwedzera kushandiswa.
Chirwere chepachirwere chinotapurirwa chinorapwa nekuvhiyiwa, mugumisiro waro unobudirira zvikuru kana wakaitwa mumaawa makumi maviri nemaviri mushure mokuberekwa kwemwana. Mushure mokuvhiyiwa, mwana wacho akaiswa mubhokisi rimwe chete muimba huru yezvokuchengetedza, uko kunotambudza kunowedzera. Zvisinei, munguva inotevera, zvinogona kuva nezvinetso kubva kumapapu.
Mune zvimwe zviitiko, chiremba anogona kuisa gastrostomy (mukova chaiwo unofanirwa kumusvingo wepamberi wemuviri wemimba, umo uyo murwere anodyiswa nenzira ye catheter).
Zvisinei, kunyange kusati kwaberekwa, zvinokwanisika kutarisa kusavapo kana kuvapo kwemuviri mukudzokorora kuberekwa. Asi haisi mishonga yose ye ultrasound inogona kuona ichi chisina kumira.
Mukadzi panguva yekuzvitakura inowanzozivikanwa ne polyhydramnios uye kutyisidzika kwekubvisa pamuviri, izvo zvinogonawo kushanda sechiratidzo cheatresia yemwana aripo.
Kuoma kwechirwere ichi kunokonzerwa nekutevera
Kubudirira kwekuporesa isophase atresia yaizove yakakwirira kana, kutanga kwekutanga kudyisa mushure mokunge aberekwa, mwana mumwe nomumwe aizenge achiongorora chirongwa chekuongorora maitiro ake. Muchiitiko ichi, kupindira kwekuporesa, kwakagadzirwa mumaawa ekutanga ehupenyu hwemwana, kwaizowedzera mikana yekupona.
Zvakakosha munguva yekuongorora hutachiona atresia uye kutanga utano, sezvo chirwere ichi chinogona kuunza rufu. Mune zviitiko zvakawanda, kubvumirana hakushamisi nekuda kwenhamba yakawanda yezvinetso zvinokonzera uye kazhinji kushandurirwa kwekupinda kwakapera.