Atresia ngomphimbo e olusanda kuzalwa

Atresia isici azalwa naso ngokuthi iziteshi yemvelo futhi izimbobo emzimbeni. Lokhu zokugula kungenzeka Fusion ukungabi abalufundile noma azalwa nako.

atresia ngomphimbo ezinganeni ingenye kombungu ezivamile azalwa naso umzimba. Phakathi ezihlukahlukene ezichazwe umkhuba emtholampilo, kukhona okukhethwa kukho kwezinhlobo njalo kakhulu. Okuvame kakhulu atresia ngomphimbo nge aphansi tracheoesophageal fistula kumiswa.

Engingakusho liphinyiselwe isithombe emtholampilo kahulumeni. Kakade amahora yokuqala yokuphila emakhaleni nasebusweni umlomo ngayo lapho usana uya isikhwehlela frothy. Ngemva abancela kuzenza futhi. Against isizinda isimo intuthuko isiqala nenshisekelo nenyumoniya. Ukondla ingane yangaphambi kokuvela kwaleso sifo kuholela ukuwohloka ngokushesha. Ngesikhathi esifanayo imakwe izimpawu zokucindezeleka zokuphefumula, okwandisa izimpawu nenshisekelo nenyumoniya.

Iziqephu ukuwohloka abe uxhumano ngqo futhi ecacile ne ukusuthisa umntwana - ubisi uqala ukugeleza aphume ngomlomo nekhala.

isimo Ikakhulukazi sina futhi kuhambisana Ukuwohloka okuqhubekayo atresia ngomphimbo fistula ububanzi (tracheoesophageal engezansi). Ngakho, ngenxa anastomosis ububanzi kwenzeka ukulethwa umthamo omkhulu emoyeni ipheshana wokugaya ukudla, kodwa hhayi emaphashini. Ngenxa yalokhu, kukhona umoya esiswini, ukuqunjelwa, kungaba futhi baphonsa lodumo lokuqukethwe isisu ngendlela yenqwaba esihlahleni tracheobronchial.

atresia ngomphimbo e nosana ngokuvamile akunzima ukukhomba. Ngaphezu kwalokho, kungenzeka ukuthi uphethwe sacula phambi izimpawu. Kuyadingeka ukusungula khona noma ukungabi khona zokugula ngaphambi yokudla lokuqala. Ukusetshenziselwa ukuxilonga intubation ngomphimbo emva kokuzalwa. atresia ngomphimbo sitholakale uma kwenzeka ukwehluleka probe esiswini, uhlangabezana isithiyo kusukwa izinsini ku 8-12 cm.

Sifo Kwenziwa futhi kusho Indlovu isampula. Ngakho gavage iqondiswa namamililitha eziyishumi emoyeni emphinjeni. Ephambi kwezinduna emoyeni owethulwa ngokulambisa zokugula ngomsindo isici ngomlomo kanye nekhala emuva (isampula positive). Uma kungekho kwezinso waphawula ndima buthule esiswini emoyeni (isampula negative).

Ethwele Elephanta abathola futhi isampula esibhedlela zokugula zokuxilonga kwanele.

Isebenza kuhle nxa izimpawu zokuqala atresia intubation ngomphimbo kudingeka kulungiswe elingenhla ipheshana zokuphefumula. Lemisebenti ukusiza ukwehlisa ingozi nenshisekelo nenyumoniya. Ngemva ekufezeni le misebenzi isiguli esibhedlela kuhlinzwa.

Ukuthola Isikhathi esijwayelekile (ngosuku lokuqala noma lwesibili ngemva kokuzalwa) angelasici aqede isidingo okunomsoco parenteral esikhathini prehospital.

Enye anomaly kuyinto atresia we ingemuva kanye ingquza. Kutholwe isici kulo, ngokuvamile ngesikhathi luhlolo kokuqala usana. I anomaly ezivamile kubafana.

Uma ukuhlolwa nganoma yisiphi isizathu, esezele akukabonakaliswa ekupheleni ngosuku lokuqala olusanda kuzalwa iqala sokukhathazeka, kuyilapho siphawula regurgitation obuningi, ukuhlanza lokuqukethwe esiswini emva - ku Bile, bese - ne meconium. Kukhona ukuvuvukala kancane kancane. EGaza meconium ngeke asuke.

Njengoba lisetshenziswe sesinyathelo esisodwa yokwelapha by olukhulu ukuhlinzwa Foam indlela. Uma kukhona contraindications wathi kokungenela kuhlinzwa, noma ukungakwazi nokuqaliswa kwalo ziwumthwalo ipayipi lokukhipha indle.

Uma esanda kuzalwa ingelashwa babulawa ngosuku lwesine nesithupha.