Kuzindikira ndi Chithandizo cha Duodenal Atresia
Duodenal atresia ndi vuto la kubadwa kwa thupi la m'mimba kapena m'mimba (GI) lomwe limapezeka kawirikawiri m'mabanja omwe ali ndi matenda a Down syndrome . Pafupifupi pakati pa 5 peresenti ndi 7 peresenti ya ana omwe ali ndi matenda a Down syndrome adzabadwira ndi duodenal atresia, poyerekezera ndi 1 okha mwa ana 10,000 amene alibe matenda a Down syndrome.
Palibe amene amadziwa chifukwa chake izi zimachitika, koma zimadziwika kuti zimachitika msinkhu mwana asanabadwe, pasanafike masabata khumi ndi limodzi.
Dziwani kuti ngati mwana wanu ali ndi duodenal atresia, palibe chimene munachitapo kuti mutha kuchikonza kapena mutachichita. Ana ambiri omwe ali ndi vutoli amachita bwino atatha opaleshoni.
Kodi Duodenal Atresia N'chiyani?
Duodenal atresia ndi chikhalidwe chimene chiwalo chaching'ono (duodenum) sichimachita bwino. The duodenum ndi kachidutswa kakang'ono kamene kamangolowetsa m'mimba mpaka katatu kakang'ono. Nthaŵi zina, duodenum siimapanga molondola ndipo imatsekedwa (duodenal atresia) kapena yaying'ono kwambiri kuposa duodenal stenosis.
Kuzindikira kwa Pambuyo Pambuyo pa Duodenal Atresia
Duodenal atresia kaŵirikaŵiri amapezeka pa nthawi ya mimba panthawi ya ultrasound. Ngati zilipo, pali mwayi wa 30% kuti mwanayo akhale ndi Down syndrome. Mwachidziwikire, njira zokhazo zodziwira matenda a syndrome m'chigawo chachiwiri kapena chachitatu ndi mayeso a amniocentesis kapena kuyesedwa kwa PUBS (njira yochepetsera magazi).
The ultrasound iwonetsa chomwe chimatchedwa chizindikiro "kawiri". Chizindikiro chachiwiri chowonekera chimachokera ku madzi owonjezera mu duodenum ndi m'mimba, zomwe zimawapangitsa kuti azidzikuza. Popeza iwo ali pafupi ndi wina ndi mzake ndipo amasiyanitsidwa ndi kutseguka kwazing'ono, zigawo ziwirizo zimafanana ndi "kuphulika kawiri" kapena mabulu awiri mbali, poyang'ana ndi ultrasound.
Duodenal atresia ikhoza kudziwika ndi ultrasound kuyambira masabata 18 mpaka 20 a mimba, koma imawoneka patatha masabata 24. Chizindikiro china cha duodenal atresia pakakhala ndi amniotic zamadzimadzi kwambiri. Mimba ya mimba ya mimba imatha kuonjezeredwa chifukwa cha madzi ambiri m'mimba. Izi sizichitika mpaka milungu isanu ndi iwiri.
Kuzindikira kwa Duodenal Atresia pa Kubadwa
Matenda ambiri a duodenal atresia amapezeka pa nthawi ya mimba kapena atangobadwa kumene.
Ngati mwana wanu atapezeka kuti ali ndi mimba, mudzatumizidwa kwa a perinatologist (yemwe akudwala matenda oopsa) kuti akambirane za kuyamwa kwanu. Mungathenso kutumizidwira kwa aphungu, kuti mukambirane zomwe mungachite poyezetsa magazi, ndi dokotala wa opaleshoni a ana, kuti mukambirane za kukonzekera kwa vutoli mutabereka.
Ana obadwa kumene ali ndi duodenal atresia akhoza kukhala ndi zizindikiro zotsatirazi, zomwe zingachititse kuti azindikire:
- Kutupa m'mimba pamimba
- Kusanza kwakukulu, ngakhale kusasuka kapena kusanza (bile)
- Kupanda kukodza
- Zosasunthika m'matumbo pambuyo pa zochepa zoyambirira za meconium
Akapeza kuti duodenal atresia akudandaula, adokotala adzalamula x-ray ya mimba.
Ngati matendawa ndi duodenal atresia, x-ray iwonetsa mpweya m'mimba ndi gawo loyamba la duodenum, koma palibe mpweya pambuyo pake.
Kuchiza kwa Duodenal Atresia
Chithandizo chokha cha duodenal atresia ndi opaleshoni, yomwe kawirikawiri imachitidwa posakhalitsa atabadwa. Asanachite opaleshoni, chubu (NG) chidzaikidwa m'mimba mwa mwana kuti chichotse mchere wambiri ndi mpweya umene wasonkhanitsa, ndipo mwanayo adzalandira IV kuti athe kulandira madzi omwe angateteze kuchepa kwa madzi. Dokotala wanu wa ana ndi dokotala wa opaleshoni adzakambirana za momwe mwana wanu akuyendera ndi dongosolo la chisamaliro ndi inu musanachite opaleshoni.
Ana omwe ali ndi vuto linalake kapena zovuta zina sangathe kuchita komanso ana omwe ali ndi duodenal atresia okha. Makanda ambiri amachita bwino kwambiri atatha opaleshoni ndipo amachiritsidwa kwambiri ndi vutoli.
Zotsatira:
Cassidy, Suzanne B., Allanson, Judith E., (2001) Utsogoleri wa Genetic Syndromes. 1st ed. New York, NY; 2001.
Karrer, F., Duodenal Atresia, Emedicine , 2009
Newberger, D., Down Syndrome: Kufufuza kwa Chisanadze ndi Kuzindikira. American Family Physician. 2001.