Duodenal atresia

Duodenal atresia wani yanayi ne wanda kashi na farko na karamin hanji (duodenum) bai bunkasa yadda yakamata ba. Ba a buɗe yake ba kuma ba zai iya ba da izinin shigar da kayan ciki ba.

Ba a san dalilin duodenal atresia ba. Ana tsammanin zai samo asali ne daga matsaloli yayin ci gaban amfrayo. Duodenum baya canzawa daga daskararre zuwa sifa mai kama da bututu, kamar yadda ya saba.

Yaran da yawa da ke fama da cutar atodia suma suna da cutar rashin lafiya ta Down Down. Duodenal atresia galibi yana da alaƙa da wasu lahani na haihuwa.

Kwayar cututtukan duodenal atresia sun hada da:

• Kumburin ciki na sama (wani lokacin)
• Farkon amai na adadi mai yawa, wanda yana iya zama mai ɗanɗano (mai ɗauke da bile)
• Ci gaba da amai ko da kuwa ba a ba jariri awanni da yawa ba
• Babu motsawar hanji bayan fewan stan sandunan meconium

Wata tayi ta duban dan tayi na iya nuna ruwa mai yawa a mahaifar (polyhydramnios). Hakanan yana iya nuna kumburin ciki da ɓangaren duodenum.

X-ray na ciki na iya nuna iska a cikin ciki da ɓangaren farko na duodenum, ba tare da iska sama da hakan ba. Wannan an san shi da alamar kumfa biyu.

Ana sanya bututu don ruɓewar ciki. Rashin ruwa a jiki da rashin daidaiton wutan lantarki ana gyara su ta hanyar samar da ruwaye ta cikin bututun jini (IV, cikin jijiya). Bincike don wasu cututtukan da suka shafi haihuwa ya kamata a yi.

Yin tiyata don gyara toshewar duodenal wajibi ne, amma ba gaggawa ba. Ainihin aikin tiyata zai dogara da yanayin mummunan yanayin. Sauran matsalolin (kamar waɗanda suka shafi Down syndrome) dole ne a bi da su yadda ya dace.

Ana tsammanin dawowa daga duodenal atresia bayan jiyya. Idan ba a magance shi ba, yanayin na kisa.

Wadannan rikitarwa na iya faruwa:

• Sauran lahani na haihuwa
• Rashin ruwa

Bayan tiyata, ana iya samun rikitarwa kamar:

• Kumburin farko na karamin hanji
• Matsaloli tare da motsi ta hanjin hanji
• Reflux na Gastroesophageal

Kira mai ba da sabis na kiwon lafiya idan jaririnku shine:

• Ciyar da talauci ko a'a
• Amai (ba kawai tofawa ba) ko kuma idan amai kore ne
• Ba yin fitsari ko yin fitsari ba

Babu sanannun rigakafin.

• Ciki da karamin hanji

Dingeldein M. Zaɓaɓɓun cututtukan ciki a cikin jariri. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 84.

Maqbool A, Bales C, Liacouras CA. Atresia na hanji, stenosis, da malrotation. 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 356.

Semrin MG, Russo MA. Anatomy, histology, da rashin ci gaban ciki da duodenum. 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 48.