Volvulus - yara

Volvulus karkatar hanji ne wanda zai iya faruwa a yarinta. Yana haifar da toshewar jini wanda ka iya yanke gudan jini. Angaren hanji na iya lalacewa sakamakon haka.

Ciwon haihuwa da ake kira ɓarna na hanji na iya sa jariri ya fi ƙarfin samun ƙarfi. Koyaya, ƙararrawa na iya faruwa ba tare da wannan yanayin ba.

Volvulus saboda mummunan rauni yakan faru mafi yawanci a cikin shekarar farko ta rayuwa.

Alamun yau da kullun na yawan kuzari sune:

• Jinin jini ko jan baƙƙen duhu
• Maƙarƙashiya ko wahalar sakewar ɗakuna
• Rarraba ciki
• Jin zafi ko taushi a cikin ciki
• Tashin zuciya ko amai
• Shock
• Abincin kore mai amai

Kwayar cututtuka suna da yawa sosai. Jariri a irin wannan yanayin ana kai shi dakin gaggawa. Jiyya na farko na iya zama mahimmanci ga rayuwa.

Mai ba da sabis na kiwon lafiya na iya yin odar waɗannan gwaje-gwajen don tantance yanayin:

• Barium enema
• Gwajin jini don bincika wutan lantarki
• CT dubawa
• Stool guaiac (yana nuna jini a cikin kujerun)
• Jerin GI na sama

A wasu lokuta, ana iya amfani da maganin na hanji don gyara matsalar. Wannan ya shafi amfani da bututu mai sassauƙa tare da haske a ƙarshen da aka wuce zuwa cikin hanji (babban hanji) ta dubura.

Yin tiyata na gaggawa galibi ana buƙatar gyara ƙwanƙolin ruwa. Ana yin tiyata a cikin ciki. Ba a hanta hanji ba kuma jinin ya dawo.

Idan karamin sashin hanji ya mutu daga rashin gudan jini (necrotic), za'a cire shi. Sannan an dinke karshen hanjin. Ko kuma, ana amfani dasu don samar da haɗin hanji zuwa bayan jiki (colostomy ko ileostomy). Ana iya cire kayan cikin hanji ta wannan buɗewar.

Mafi yawan lokuta, saurin ganewar asali da magani na yawan kuzari yana haifar da sakamako mai kyau.

Idan hanji ya mutu, hangen nesa ba shi da kyau. Halin na iya mutuwa, ya danganta da yadda yawan hanjin ya mutu.

Matsalolin da za su iya faruwa a cikin kwayoyi sune:

• Cutar peritonitis
• Raunin ciwo na hanji (bayan cire babban ɓangaren ƙaramar hanji)

Wannan yanayin gaggawa ne. Kwayar cututtukan yara suna tasowa da sauri kuma yaron zai kamu da rashin lafiya. Samu likita nan da nan idan wannan ya faru.

Volaramar yara; Ciwon ciki - ƙima

• Volvulus
• Volvulus - x-ray

Maqbool A, Liacouras CA. Manyan bayyanar cututtuka da alamun cututtuka na narkewar narkewa. 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 332.

Mokha J. Amai da jiri. A cikin: Wyllie R, Hyams JS, Kay M, eds. Ciwon ciki na yara da cutar Hanta. Na 6 ed. Philadelphia, PA: Elsevier; 2021: babi na 8.

Peterson MA, Wu AW. Rashin lafiyar babban hanji. 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 85.

Turay F, Rudolph JA. Gina Jiki da gastroenterology. A cikin: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli da Davis 'Atlas na Ciwon Lafiyar Jiki na Yara. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 11.