Isasshen atresia

Esophageal atresia cuta ce ta narkewar abinci wanda esophagus baya ci gaba da kyau. Hanji shine bututun da yakan ɗauki abinci daga baki zuwa ciki.

Esophageal atresia (EA) nakasar haihuwa ce. Wannan yana nufin yana faruwa kafin haihuwa. Akwai nau'ikan da yawa. A mafi yawan lokuta, hanta ta sama tana karewa kuma baya haduwa da karamin esophagus da ciki.

Yawancin yara da ke da EA suna da wani lahani da ake kira fistula tracheoesophageal (TEF). Wannan haɗin mahaɗa ne tsakanin esophagus da ƙoshin iska (trachea).

Bugu da kari, jarirai masu EA / TEF galibi suna da tracheomalacia. Wannan rauni ne da ruɓaɓɓen katangar gilashin iska, wanda zai iya haifar da numfashi don yin sauti mai ƙarfi ko hayaniya.

Wasu jariran masu EA / TEF suna da wasu lahani kuma, galibi lahani ne na zuciya.

Kwayar cutar EA na iya haɗawa da:

• Launin Bluish zuwa fata (cyanosis) tare da yunƙurin ciyarwa
• Tari, gagging, da shaƙewa tare da yunƙurin ciyarwa
• Rushewa
• Rashin ciyarwa

Kafin haihuwa, duban dan tayi na iya nuna ruwan amniotic da yawa. Wannan na iya zama alamar EA ko wasu toshewar hanyoyin narkewar jariri.

Yawancin lokaci ana gano cutar ba da daɗewa ba bayan haihuwa lokacin da jariri yayi ƙoƙarin ciyarwa sannan tari, shaƙewa, kuma ya zama shuɗi.Idan ana zargin EA, mai ba da kiwon lafiya zai yi ƙoƙari ya wuce ƙaramin bututun ciyarwa ta cikin bakin jariri ko hanci zuwa cikin ciki. Idan bututun ciyarwa ba zai iya wucewa gaba ɗaya zuwa cikin ciki ba, da alama jaririn zai kamu da cutar ta EA.

Bayan haka ana yin x-ray kuma zai nuna ɗayan masu zuwa:

• Jaka mai cike da iska a cikin esophagus.
• Iska a cikin ciki da hanji.
• Bututun ciyarwa zai bayyana a hade a cikin esophagus na sama idan an saka shi gaban x-ray.

EA shine gaggawa na gaggawa. Yin aikin tiyata don ciwan hanji ana yinsa da wuri-wuri bayan haihuwa don huhun bai lalace ba kuma za a iya ciyar da jariri.

Kafin tiyatar, ba a ciyar da jariri ta baki kuma zai buƙaci abinci mai gina jiki (IV). Ana kulawa da hankali don hana tafiyar numfashin numfashi zuwa cikin huhu.

Gano asali da wuri yana ba da kyakkyawar dama na kyakkyawan sakamako.

Jariri na iya shaƙar miyau da sauran ruwa a cikin huhu, yana haifar da ciwon huhu, mura, da yiwuwar mutuwa.

Sauran rikitarwa na iya haɗawa da:

• Matsalar ciyarwa
• Reflux (yawan kawo abinci daga ciki) bayan tiyata
• Naruntataccen (tsananin) na esophagus saboda rauni daga tiyata

Tsarin lokaci na iya rikitar da yanayin. Kamar yadda muka gani a sama, akwai kuma iya zama lahani a wasu yankuna na jiki.

Wannan cuta galibi ana gano ta jim kaɗan bayan haihuwa.

Kira mai ba da jaririn ku nan da nan idan jaririn ya amai akai-akai bayan ciyarwa, ko kuma idan jaririn ya sami matsalar numfashi.

Madanick R, Orlando RC. Anatomy, histology, embryology, da ci gaban rashin ciwan esophagus. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 42.

Rothenberg SS. Ciwon mara da ke cikin jiki da nakasar cutar yoyon fitsari da tracheoesophageal. A cikin: Holcomb GW, Murphy JP, St. Peter SD, eds. Holcomb da Ashcraft ta ilimin aikin likita na yara. 7th ed. Philadelphia, PA: Elsevier Saunders; 2020: babi na 27.

Wolf RB. Hoto na ciki. A cikin: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Creasy da Resnik na Maganin Uwar-Gida: Ka'idoji da Ayyuka. 8th ed. Philadelphia, PA: Elsevier Saunders; 2019: babi na 26.