Diaphragmatic hernia

Cutar herphragmatic hernia nakasa ce ta haihuwa wanda a ciki akwai wata mahaukaciyar buɗewa a cikin diaphragm. Diaphragm shine tsoka tsakanin kirji da ciki wanda ke taimaka maka numfashi. Budewar yana bawa wani bangare na gabobi daga ciki damar motsawa zuwa cikin kogon kirji kusa da huhu.

Cutar herphragmatic hernia cuta ce da ba a cika samun ta ba. Yana faruwa yayin da jariri ke girma a cikin mahaifar. Diaphragm ba cikakke bane. A dalilin wannan, gabobi, kamar ciki, hanji, hanji, wani bangare na hanta, da koda na iya daukar wani bangare na ramin kirji.

CDH galibi yana ƙunshe da gefe ɗaya ne kawai na diaphragm. An fi kowa yawa a gefen hagu. Sau da yawa, ƙwayoyin huhu da jijiyoyin jini a yankin ba su haɓaka koyaushe. Ba a bayyana ba idan ƙwayar herphragmatic ta haifar da ƙwayar huhu da jijiyoyin jini, ko akasin haka.

Kashi 40 na jariran da ke wannan yanayin suna da wasu matsaloli kuma. Samun iyaye ko kanne da yanayin yana kara haɗarin.

Mummunan matsalolin numfashi yakan taso ne jim kaɗan bayan haihuwar jariri. Wannan ya faru ne sanadiyyar mummunan motsi na tsokar diaphragm da cunkoson kwayoyin huhu. Matsaloli tare da numfashi da matakan oxygen yawanci saboda rashin cigaban ƙwayar huhu da jijiyoyin jini suma.

Sauran cututtukan sun hada da:

• Fata mai launin Bluish saboda rashin oxygen
• Saurin numfashi (tachypnea)
• Saurin bugun zuciya (tachycardia)

Ultrawararrawar duban dan tayi na iya nuna gabobin ciki a cikin ramin kirji. Mace mai ciki na iya samun adadin ruwan amniotic mai yawa.

Binciken jariri ya nuna:

• Motsa kirji mara tsari
• Rashin sautin numfashi a gefe tare da hernia
• Sautunan hanji da ake ji a kirji
• Abun ciki wanda ba shi da karfin magana kamar na jariri na al'ada kuma yana jin kasa cika idan an taba shi

X-ray na kirji na iya nuna gabobin ciki a cikin ramin kirji.

A diaphragmatic hernia gyara bukatar tiyata. Ana yin aikin tiyata don sanya gabobin ciki cikin madaidaicin matsayi da gyara buɗewa a cikin diaphragm.

Jariri zai buƙaci taimakon numfashi yayin lokacin murmurewa. An sanya wasu jarirai akan mashin din zuciya / huhu don taimakawa isar da isashshen oxygen zuwa jiki.

Sakamakon tiyata ya dogara da yadda huhun jariri ya bunkasa. Hakanan ya dogara da ko akwai wasu matsaloli na haihuwa. Yawancin lokaci hangen nesa yana da kyau ga jarirai waɗanda ke da isasshen adadin ƙwayoyin huhu masu aiki kuma ba su da wasu matsaloli.

Ci gaban likita ya sa ya yiwu fiye da rabin jarirai masu wannan yanayin su rayu. Yaran da suka rayu sau da yawa suna fuskantar matsaloli masu gudana tare da numfashi, ciyarwa, da haɓaka.

Matsaloli na iya haɗawa da:

• Cututtukan huhu
• Sauran matsalolin haihuwa

Babu sanannun rigakafin. Ma'aurata da ke da tarihin wannan matsala na iya son neman shawarar ilimin ɗabi'a.

Hernia - diaphragmatic; Hanyoyin cutar ta ciki na diaphragm (CDH)

• Yarinyar diaphragmatic hernia
• Diaphragmatic hernia gyara - jerin

Ahlfeld SK. Cututtukan numfashi. 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 122.

Crowley MA. Rashin lafiyar numfashi na jarirai. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA: Elsevier; 2020: babi na 66.

Harting MT, Hollinger LE, Lally KP. Hanyar diaphragmatic hernia da taron. A cikin: Holcomb GW, Murphy JP, St. Peter SD, eds. Holcomb da Ashcraft ta ilimin aikin likita na yara. 7th ed. Philadelphia, PA: Elsevier; 2020: babi na 24.

Kearney RD, Lo MD. Rayar da jariri. 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 164.