Pyloric stenosis ho masea

Pyloric stenosis ke ho khutsufatsa pylorus, ho buloa ka mpeng ho ea ka maleng a manyane. Sengoliloeng sena se hlalosa boemo ba masea.

Ka tloaelo, lijo li feta habonolo ka mpeng ho ea karolong ea pele ea mala a manyane ka phunyang e bitsoang pylorus. Ka pyloric stenosis, mesifa ea pylorus e thatafetse. Sena se thibela mpa ho tsoa ka maleng a manyane.

Lebaka le tobileng la ho tenya ha le tsejoe. Liphatsa tsa lefutso li ka bapala karolo, hobane bana ba batsoali ba neng ba e-na le pyloric stenosis ba na le monyetla oa ho ba le boemo bona. Mabaka a mang a kotsi a kenyelletsa lithibela-mafu tse itseng, asiti e ngata haholo karolong ea pele ea mala a manyane (duodenum), le mafu a mang ao ngoana a hlahang a na le ona, joalo ka lefu la tsoekere.

Pyloric stenosis e etsahala hangata ho masea a ka tlase ho likhoeli tse tšeletseng. E atile haholo ho bashemane ho feta banana.

Ho hlatsa ke letšoao la pele ho bana ba bangata:

• Ho hlatsa ho ka etsahala kamora phepo e ngoe le e ngoe kapa kamora ho fepa feela.
• Ho hlatsa hangata ho qala hoo e ka bang libeke tse tharo, empa ho ka qala nako efe kapa efe lipakeng tsa beke e le 'ngoe le likhoeli tse 5.
• Ho hlatsa ho matla (projectile vomiting).
• Lesea le lapile kamora ho hlatsa mme le batla ho fepa hape.

Matšoao a mang a hlaha libeke tse 'maloa kamora ho hlaha' me a kenyeletsa:

• Bohloko ba mpeng
• Ho phatloha
• Tlala ea kamehla
• Ho hloka metsi (ho mpefala ha ho hlatsa ho mpefala)
• Ho hloleha ho nona kapa ho theola boima ba mmele
• Motsamao o kang oa leqhubu la mpa nakoana kamora ho fepa le pele feela ho hlatsa ho hlaha

Boemo bona hangata bo fumanoa pele ngoana a le likhoeli tse 6.

Tlhahlobo ea 'mele e ka senola:

• Matšoao a ho felloa ke metsi 'meleng, joalo ka letlalo le molomo o omeletseng, ho hahola haholo ha o lla, le maleiri a ommeng
• Mpa e ruruhileng
• Boima ba sebopeho sa mohloaare ha o utloa mpa e kaholimo, e leng pylorus e sa tloaelehang

Ultrasound ea mpa e ka ba teko ea pele ea ho nka litšoantšo. Liteko tse ling tse ka etsoang li kenyelletsa:

• Barium x-ray - e senola mpa e ruruhileng le pylorus e patisaneng
• Liteko tsa mali - hangata li senola ho se leka-lekane ha elektrolyte

Kalafo ea pyloric stenosis e kenyelletsa ho buuoa ho holisa pylorus. Ho buuoa ho bitsoa pyloromyotomy.

Haeba ho robatsa lesea bakeng sa ho buuoa ho sa bolokeha, ho sebelisoa sesebelisoa se bitsoang endoscope se nang le balune e nyane qetellong. Balune e na le moea oa ho holisa pylorus.

Ho masea a sitoang ho etsoa opereishene, ho fepa tube kapa moriana ho phomola pylorus ho a lekoa.

Ho buoa hangata ho kokobetsa matšoao ohle. Hang ha lihora tse 'maloa ka mor'a ho buuoa, lesea le ka qala ho fepuoa khafetsa khafetsa.

Haeba pyloric stenosis e sa phekoloe, lesea le ke ke la fumana phepo e lekaneng le mokelikeli, 'me le ka ba le boima ba' mele le ho omella.

Bitsa mofani oa tlhokomelo ea bophelo haeba ngoana oa hau a e-na le matšoao a boemo bona.

Congenital hypertrophic pyloric stenosis; Lesea hypertrophic pyloric stenosis; Tšitiso ea sehlahisoa sa ka mpeng; Ho hlatsa - pyloric stenosis

• Tsamaiso ea ho sila lijo
• Pyloric stenosis
• Infantile pyloric stenosis - Letoto la lihlooho

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pyloric stenosis le tse ling tse amanang le bothata ba mpa. Ka: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 355.

Seifarth FG, Soldes OS. Bothata ba ho tsoaloa le mathata a ho buoa a ka mpeng. Ka: Wyllie R, Hyams JS, Kay M, bahlophisi. Matšoao a mafu a bana le mafu a sebete. La 5th. Philadelphia, PA: Elsevier; 2016: khaolo ea 25.