Intussusception - yara

Intussusception shine zamewar wani bangare na hanjin cikin wani.

Wannan labarin yana mai da hankali kan hanjin cikin yara.

Intussusception yana haifar da wani ɓangare na hanji wanda aka tsoma kansa ciki.

Matsawar da bangon hanji ya matse tare yana haifar da:

• Rage gudan jini
• Tsanani
• Kumburi

Intussusception na iya toshe hanyar wucewar abinci ta hanji. Idan jini ya yanke, bangaren hanji da aka ja a ciki na iya mutuwa. Hakanan zubar jini mai yawa na iya faruwa. Idan rami ya ɓullo, kamuwa, damuwa, da rashin ruwa a jiki na iya faruwa cikin sauri.

Ba a san abin da ke haifar da intussusception ba. Yanayin da ka iya haifar da matsalar sun hada da:

• Kwayar cuta ta kwayar cuta
• Larin kumburin lymph a cikin hanji
• Polyp ko ƙari a cikin hanji

Intussusception na iya shafar yara da manya. Ya fi faruwa ga yara maza. Yawanci yakan shafi yara yan shekaru 5 zuwa shekaru 3.

Alamar farko ta hanjin ciki shine kwatsam, kuka mai ƙarfi wanda ke haifar da ciwon ciki. Ciwon yana yin sanyi kuma ba mai ci gaba ba (na lokaci-lokaci), amma yakan dawo sau da yawa. Ciwo zai yi ƙarfi kuma ya daɗe sosai duk lokacin da ya dawo.

Jariri mai tsananin ciwon ciki na iya jan gwiwoyi zuwa kirji yayin kuka.

Sauran cututtukan sun hada da:

• Jina, motsi kamar hanji, wani lokacin ana kiran sa da "currant jelly"
• Zazzaɓi
• Shock (kodadde launi, mai gajiya, gumi)
• Kujerar da aka gauraye da jini da laka
• Amai

Mai ba ku kiwon lafiya zai yi cikakken gwaji, wanda na iya bayyana ɗimbin cikin. Hakanan akwai alamun alamun rashin ruwa ko girgiza.

Gwaje-gwaje na iya haɗawa da:

• Ciki duban dan tayi
• X-ray na ciki
• Iska ko bambanci enema

Da farko za'a daidaita yaron. Za'a wuce da bututu zuwa cikin ciki ta hanci (nasogastric tube). Za a sanya layi (IV) a cikin hannu, kuma za a ba da ruwa don hana rashin ruwa a jiki.

A wasu lokuta, ana iya maganin toshewar hanji ta hanyar iska ko bambanci enema. Ana yin wannan ta ƙwararren masaniyar rediyo mai ƙwarewa tare da aikin. Akwai haɗarin tsagewar hanji (perforation) tare da wannan aikin.

Yaron zai buƙaci tiyata idan waɗannan jiyya basa aiki. Ana iya samun narkar da kayan cikin hanji sosai. Za a cire abin da ya mutu.

Ana iya buƙatar maganin rigakafi don magance kowace cuta.

Za a ci gaba da shayarwa cikin ruwa da ruwa har sai yaron ya sami halin cikin hanji.

Sakamakon yana da kyau tare da magani na farko. Akwai hadari wannan matsalar zata dawo.

Lokacin da rami ko tsagewa a cikin hanji ya faru, dole ne a bi da shi nan da nan. Idan ba a yi maganinsa ba, intussusception kusan koyaushe yana mutuwa ga jarirai da yara ƙanana.

Intussusception na gaggawa ne na gaggawa. Kira 911 ko je dakin gaggawa kai tsaye.

Ciwon ciki a cikin yara - intussusception

• Ciwon ciki
• Intussusception - x-ray
• Gabobin tsarin narkewar abinci

Hu YY, Jensen T, Finck C. Yanayin tiyata na ƙananan hanji a cikin jarirai da yara. A cikin: Yeo CJ, ed. Tiyatar Shackelford na Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: babi na 83.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Ileus, adhesions, intussusception, da kuma rufe-madauki hanawa. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 359.

Maloney PJ. Cutar ciki. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 171.