Pylorosthenosis chirwere chekuvandudzwa kwezvakabuda (pyloric) chikamu chemuviri - kazhinji chinowanikwa mumwana achangoberekwa. Chikonzero che pyloric stenosis ndechekudzivirira kwakasimba kwemuchengeti wegedhi uye, sechikonzero, kuputsa kwekubudiswa kwezviri mukati memudumbu muchechecheche. Dumbu, kuedza kudhonza zvokudya mu duodenum, kunopfupiswa, asi chikafu nokuda kwekusimudzirwa kwemuchengeti wemagedhi kunopera zvakaipa uye kune kurwisa kwekurwadza kukuru. Chirwere chacho chinokonzerwa nehupirrophy yemapuronic sphincter muscle, nhamba yakawanda yepamusoro-soro inogadzirisa zvigunwe zvishoma inopfigira lumen mumuchengeti wegedhi. Congenital pyloric stenosis inowanzoitwa nevakomana kakawanda kupfuura vasikana, inogonawo kupiwa nhaka.
Zviratidzo zve pyloric stenosis muzvitsva
Chiratidzo chikuru chePyloric stenosis muchechecheche ndiko kurutsira "tsime" pakarepo mushure mekudya, izvo zvinoitika mumavhiki maviri ehupenyu hwemwana. Pakuvamba, kudzokera shure uye kurutsa kunowanzoitika nguva nenguva, uyezve, sezvo kuderedza kwemapirumusi kuwedzerwa - mushure mekudya kwega kwega. Sezvo mutemo, chiyero chemarutsi chinokwana kana kuti chakakosha kudarika chiyero chemukaka chinodyiwa pamudyo. Mumikira yemarutsi, hapana kunyanya kusachena. Somugumisiro wokurutsa kusingagumi, muviri wemwana unokurumidza kusvibiswa uye kuora mvura. Mwana anorasikirwa nehutano kunyange kana achienzaniswa nechiremera pakuberekwa. Kuwanda kwekucheka kunoderera, urini inowedzera kuwedzera. Kuvharwa kunoitika. Chimwe chiratidzo chiratidzo chepamuviri, icho chine mufananidzo we "hourglass", inomhanya-yaya kubva kumusoro kusvika pasi uye kubva kuruboshwe kuenda kurudyi. Ichi chiratidzo chinogona kukonzerwa kana iwe ukarisa dumbu recheche mudumbu kana kupa mvura shoma shomanana. Apo pyloric stenosis muvana imomo mune zviratidzo zvekushaya mvura - ganda rakaoma, iyo inopisa yakajeka, iyo inotanel sunken, turgor yeganda inoderedzwa, i-subcutaneous fat layer yakaderedzwa zvakanyanya kana kuti haisipo.
Ndeipi inotyisa pyloric stenosis?
Migumisiro ye pyloric stenosis inoratidzika pachavo nenzira yekuwedzera kwemudumbu, masvingo ayo ane hypertrophied, uye kudengenyeka kunogona kuitika. Kusvetwa kunotungamirira ku-asphyxia, aspiration pneumonia, pasina kushandiswa kurapwa pane sepsis, dystrophia, osteomyelitis.
Zvakakosha kuparadzanisa pyloric stenosis nedzimwe zvirwere, umo kune kurutsira kunze kwekusanganiswa kwebi. Nokuda kwekuongororwa, kutanga kwezvose, palpation kuongororwa kweplorlorus inoitwa ne ultrasound kuongororwa kwemudumbu, kana kunezve kusava nechokwadi muhutano-kusiyanisa radiology.
Nzira yekurapa pyloric stenosis?
Kurapa kwepirloric stenosis muzvitsva zvinongobatwa chete. Basa racho rinogadzwa pakarepo mushure mekugadzwa kwechinyatsoongorora. Kana mwana wacho akazara zvakanyanya, saka kusati kwatanga kushanda kunokosha kudzorera mvura yakakwana, sariti, acid uye zvigaro mumutumbi wemucheche wakarashika semugumisiro we pyloric stenosis. Kazhinji, mushure mokuvhiyiwa, kuzorora kwakakwana kwechecheche kunouya uye hapana kuitika kwechirwere ichi chinoitika. Nokudaro, vabereki vanofanira kunyatsongwarira pamusoro pekusava nekugadzikana kwehupenyu hwemwana uye mune mubvunzo chero upi zvake kuende kune vadzidzisi vakagadzirira kuti vabatsirwe.