Pyloric stenosis a cikin jarirai

Pyloric stenosis shine kekkewar pylorus, buɗewa daga ciki zuwa cikin ƙananan hanji. Wannan labarin ya bayyana yanayin jarirai.

A ka'ida, abinci yana wucewa cikin sauki daga ciki zuwa bangaren farko na karamin hanji ta bawul din da ake kira pylorus. Tare da pyloric stenosis, tsokoki na pylorus sun yi kauri. Wannan yana hana ciki zubar cikin ƙananan hanji.

Ba a san ainihin dalilin kaurin ba. Kwayar halitta na iya taka rawa, tunda yaran iyayen da ke da cutar kanjamau suna iya kamuwa da wannan yanayin. Sauran abubuwan da ke tattare da hadarin sun hada da wasu magungunan kashe kwayoyin cuta, sunadarai da yawa a sashin farko na karamin hanji (duodenum), da wasu cututtukan da ake haihuwar jariri da su, kamar ciwon suga.

Pyloric stenosis yana faruwa mafi yawanci a cikin jarirai ƙarancin watanni 6. Ya fi faruwa ga yara maza fiye da na mata.

Amai shine farkon alama a mafi yawancin yara:

• Amai na iya faruwa bayan kowane ciyarwa ko kuma bayan wasu abincin.
• Amai yawanci yana farawa ne kusan makonni 3, amma yana iya farawa kowane lokaci tsakanin sati 1 zuwa watanni 5.
• Amai yana da karfi (amai mai guba).
• Jariri yana jin yunwa bayan amai kuma yana son sake ciyarwa.

Sauran cututtukan suna bayyana makonni da yawa bayan haihuwa kuma suna iya haɗawa da:

• Ciwon ciki
• Burping
• Kullum yunwa
• Rashin ruwa a jiki (yana taɓarɓarewa yayin da amai ke ta'azzara)
• Rashin samun kiba ko rage nauyi
• Waaƙirin motsi na ciki jim kaɗan bayan ciyarwa da kuma gab da yin amai

Yawancin lokaci ana gano cutar kafin jaririn ya kai watanni 6.

Gwajin jiki na iya bayyana:

• Alamomin rashin ruwa a jiki, kamar bushewar fata da baki, rashin yayyafi lokacin da ake kuka, da bushewar kyallen
• Ciki ya kumbura
• Tsarin mai kama da zaitun lokacin da yake jin cikin ciki, wanda shine rashin lafiyar pylorus

Duban dan tayi na iya zama gwajin hoto na farko. Sauran gwaje-gwajen da za'a iya yi sun haɗa da:

• Barium x-ray - yana bayyana kumburin ciki da ƙarancin pylorus
• Gwajin jini - galibi yana nuna rashin daidaiton lantarki

Jiyya don stenosis na pyloric ya ƙunshi tiyata don faɗaɗa pylorus. Ana kiran tiyatar pyloromyotomy.

Idan sanya jariri barci don tiyata ba lafiya bane, ana amfani da na'urar da ake kira endoscope tare da ƙaramar balanba a ƙarshen. Ana kumbura balan-balan don fadada pylorus.

A cikin jariran da ba za su iya yin tiyata ba, an gwada ciyar da bututu ko magani don shakatawa pylorus.

Yin aikin tiyata yakan sauƙaƙa duk alamun bayyanar. Da zaran awanni da yawa bayan tiyata, jariri na iya fara cin abinci sau da yawa.

Idan ba a magance stenosis na pyloric ba, jariri ba zai sami isasshen abinci da ruwa ba, kuma zai iya zama mara nauyi da rashin ruwa.

Kira mai ba da sabis na kiwon lafiya idan jaririnku yana da alamun alamun wannan yanayin.

Hawan jini na hauhawar jini pyloric stenosis; Wayar cutar hauhawar jini ta pyloric stenosis; Toshewar mafitar ciki; Amai - pyloric stenosis

• Tsarin narkewa
• Tsarin Pyloric
• Yaran stenosis pyloric stenosis - Jeri

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pyloric stenosis da sauran cututtukan ciki na ciki. 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 355.

Seifarth FG, Soldes OS. Halin rashin haihuwa da cututtukan tiyata na ciki. A cikin: Wyllie R, Hyams JS, Kay M, eds. Ciwon ciki na yara da cutar Hanta. 5th ed. Philadelphia, PA: Elsevier; 2016: babi na 25.