Atresia esophageal ku kuzalwa

Atresia bekhubazekile isiphako ekuthiwa amajelo endalo kunye imingxunya emzimbeni. Le ngezifo inokuba ngxubevange lokungabikho ezifunyenwe okanye bekhubazekile.

atresia esophageal kubantwana yenye malformations zixhaphakileyo iziphene komzimba. Phakathi ezahlukeneyo ezichazwe practice lwezonyango, kukho iindlela iintlobo ezininzi rhoqo. Eyona atresia zixhaphakileyo esophageal kunye fistula Ukwakheka esezantsi tracheoesophageal.

Kwane- libizwe umfanekiso onyango karhulumente. Sele kwiiyure yokuqala yobomi kuseloko kwaba impumlo kunye umlomo usana iya yencindi amagwebu. Emva ngokum yakha phezulu kwakhona. Ngokuchasene nentsukaphi imeko inkqubela ekuqaleni ukuya mgomo inyumoniya. Ekondleni umntwana phambi kokuba uxilongo kukhokelela ukonakala ngokukhawuleza. Ngelo xesha iphawulweyo iimpawu lokubandezeleka yokuphefumla, ukwanda imiqondiso yokulangazelela pneumonia.

Izehlo imandundu abe uqhagamshelwano ngqo kunye esicacileyo nokondla umntwana - ubisi uqala ukugeleza uphume emlonyeni kunye nempumlo.

imeko kuyingozi kakhulu kwaye lukhatshwa ukonakala okuqhubekayo atresia esophageal fistula ububanzi (tracheoesophageal asezantsi). Ngenxa yoko, ngenxa anastomosis ngokubanzi lwenzeka ukuziswa umthamo omkhulu umoya wokugaya, kodwa hayi emiphungeni. Kolu lwazi, kukho ukuqunjelwa, nako ndimlahlele udumo lwe imixholo isisu kwi umthamo omkhulu kuloo mthi tracheobronchial.

atresia Esophageal kwi usana Kudla ngokungabikho kunzima ukuchonga. Ngaphezu koko, uphethwe ukuba kwenziwa phambi kokuba iimpawu. Kuyimfuneko ukuseka ubukho okanye ukungabikho ngezifo phambi lokondla lokuqala. Isetyenziswa ukuxilonga ekumfakeni esophageal emva kokuzalwa. atresia Esophageal unesifo xa kuthe ukungaphumeleli probe esiswini, ukudibana umqobo kusukwa iintsini kwi-8-12 cm.

Uxilongo ikhutshwa phandle yaye kuthetha Elephant isampula. Ngoko gavage ilawulwa ngeemililitha ezilishumi umoya emphinjeni. Xa phambi komoya kuqaliswa zize ngezifo ne ingxolo uphawu ngenxa umlomo kunye nempumlo umva (isampuli positive). Ukuba akukho ukungaqheleki waphawula indlela cwaka esiswini lomoya (isampuli negative).

Siphethe elephanta Ukuzibona isampuli esibhedlele ngenxa ngezifo diagnostic kwanele.

Xa uzingela Iimpawu zokuqala atresia ekumfakeni esophageal kufuneka ngenxa yokulungiswa phecana eliphezulu zemiphunga. Le misebenzi incedisa ukucutha umngcipheko yokulangazelela pneumonia. Emva ekuqhubeni le misebenzi isigulane idluliselwa kwisibhedlele yotyando.

Ubhaqo ngexesha elifanelekileyo (ngomhla wokuqala okanye wesibini emva kokuzalwa) eligqibeleleyo akubikho mfuneko lwesondlo parenteral kwixesha prehospital.

Enye anomaly na atresia ye isikali kunye ezimpundu. Uchonge egqibeleleyo, ngokuqhelekileyo iimviwo lokuqala usana. Eyona anomaly iqhelekileyo amakhwenkwe.

Ukuba ukuhlolwa ngenxa yaso nasiphi na isizathu emva kokuzalwa lwenziwe yi ekupheleni kosuku lokuqala usana olusanda kuzalwa iqalisa Ungakhathazeki, ngelixa ephawula regurgitation intabalala, ukugabha lweziqulatho esiswini, emva - in enyongweni, uze - kunye meconium. Kukho ukuqunjelwa kancane kancane. EGaza meconium kumka.

Njengoko kusetyenziswa unyango-inyathelo elinye yi olukhulu indlela uqhaqho amagwebu. Ukuba kukho Izimo ukuba uthe ukungenelela utyando, okanye ukungakwazi ukuphunyezwa kwayo lwafuna indle.

Ukuba usana alunyangwanga wabulawa ngosuku lwesine-wesithandathu.