Imperforate dubura

Rashin dubura ta dubura cuta ce ta yadda buɗewar dubura ta ɓace ko an toshe ta. Dubura ita ce buɗewa zuwa duburar dubarun da abin da kawunansu ke barin jiki. Wannan yana nan tun daga haihuwa (na haihuwa).

Fuskar da ba ta dace ba na iya faruwa ta hanyoyi daban-daban:

• Dubura na iya ƙarewa a cikin aljihun da bai haɗu da uwar hanji ba.
• Dubura na iya samun buɗewa zuwa wasu sifofi. Waɗannan na iya haɗawa da mafitsara, mafitsara, gindin azzakari ko maƙarƙashiya a cikin yara maza, ko farji a cikin 'yan mata.
• Za'a iya samun takurawa (stenosis) na dubura ko babu dubura.

Hakan na faruwa ne ta ci gaban mahaifa. Yawancin hanyoyi da yawa na dubura marasa aiki suna faruwa tare da sauran lahani na haihuwa.

Kwayar cutar na iya haɗawa da:

• Buɗe dubura kusa da buɗewar farji a cikin girlsan mata
• Ba a wuce kujerun farko a tsakanin awanni 24 zuwa 48 bayan haihuwa
• Bace ko motsawa zuwa dubura
• Tabon ya fita daga farji, gindin azzakari, maziyyi, ko mafitsara
• Yankin ciki mai kumbura

Mai ba da sabis na kiwon lafiya na iya gano wannan yanayin yayin gwajin jiki. Ana iya yin oda da gwajin hoto.

Ya kamata a duba jariri don wasu matsaloli, kamar rashin daidaiton al'aura, hanyoyin fitsari, da kashin baya.

Ana buƙatar tiyata don gyara lahani. Idan dubura tayi cudanya da sauran gabobi, wadannan gabobin suma zasu bukaci gyara. Sau da yawa kwalliyar kwalliya (haɗa ƙarshen babban hanji zuwa bangon ciki don a tara kujeru a cikin jaka) ana buƙata sau da yawa.

Yawancin lahani za a iya samun nasarar gyara tare da tiyata. Yawancin yara masu lahani mara kyau suna yin kyau. Koyaya, maƙarƙashiya na iya zama matsala.

Yaran da ke da tiyata masu rikitarwa har yanzu suna da iko akan hanjin hanjin su mafi yawan lokuta. Koyaya, galibi suna buƙatar bin shirin hanji. Wannan ya hada da cin abinci mai-fiber, shan masu sanya laushi, da wasu lokuta amfani da enemas.

Wasu yara na iya buƙatar ƙarin tiyata.

Ana samun wannan matsalar sau da yawa lokacin da aka fara bincika jaririn da aka haifa.

Kirawo mai ba da sabis idan yaron da aka kula da shi don ɓarnar dubura yana da:

• Ciwon ciki
• Maƙarƙashiyar da take da wahalar gudanarwa
• Rashin inganta duk wani hanji da ya hanata shekaru 3

Babu sanannun rigakafin. Iyaye da ke da tarihin iyali na wannan lahani na iya neman shawarwar kwayoyin halitta.

Rashin daidaito; Ciwon mara

• Imperforate dubura
• Imperforate dubura gyara - jerin

Dingelsein 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.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Yanayin tiyatar dubura da dubura. 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 371.