Anti-reflux tiyata - yara

Yin aikin tiyatar-reflux shine tiyata don matse tsoka a ƙasan esophagus (bututun da ke ɗaukar abinci daga baki zuwa ciki). Matsaloli tare da waɗannan tsokoki na iya haifar da cututtukan reflux na gastroesophageal (GERD).

Hakanan ana iya yin wannan aikin tiyata yayin gyaran hernia.

Wannan labarin yayi magana akan gyaran tiyatar rigakafin yara.

Mafi yawan nau'in tiyatar rigakafin reflux ana kiran shi tara kuɗi. Wannan tiyatar mafi yawanci yakan ɗauki awanni 2 zuwa 3.

Za a yiwa yaronka maganin rigakafin baki ɗaya kafin a yi masa aikin. Wannan yana nufin yaron zai yi barci kuma ba zai iya jin zafi yayin aikin ba.

Dikita zai yi amfani da ɗinka don nade ɓangaren sama na ciki na yaron a kusa da ƙarshen esophagus. Wannan yana taimakawa hana sinadarin ciki da abinci daga gudunawa.

Za'a iya sanya bututun ciki (g-tube) a wurin idan yaronku ya sami matsalar haɗiye ko ciyarwa. Wannan bututun yana taimakawa wajen ciyarwa da kuma fitar da iska daga cikin cikin yaron.

Hakanan za'a iya yin wani aikin tiyata, wanda ake kira pyloroplasty. Wannan tiyatar tana faɗaɗa buɗewa tsakanin ciki da ƙananan hanji don haka cikin zai iya zama da sauri.

Wannan tiyata na iya yin hanyoyi da yawa, gami da:

• Buɗe gyara - Likita zai yi babban yanka a yankin cikin yaron (ciki).
• Gyara laparoscopic - Likita zai yi ƙananan yanka 3 zuwa 5 a cikin ciki. An sanya sirara, bututun rami tare da ƙaramar kyamara a ƙarshen (laparoscope) ta ɗayan waɗannan yankan. Sauran kayan aikin ana wucewa ta sauran cutan tiyata.

Dikita na iya buƙatar canzawa zuwa hanyar buɗe idan akwai zub da jini, yawan tabo daga tiyatar farko, ko kuma idan yaron yayi nauyi sosai.

Fundaddamarwa na endoluminal yayi kama da gyaran laparoscopic, amma likitan likita ya isa ciki ta hanyar shiga ta bakin. Ana amfani da ƙananan shirye-shiryen bidiyo don ƙarfafa haɗin tsakanin ciki da ƙoshin baya.

Yin tiyatar rigakafin rigakafin rigakafi yawanci ana yin shi don magance GERD a cikin yara kawai bayan magunguna ba su yi aiki ba ko rikice-rikice sun ɓullo. Mai ba da sabis na kiwon lafiyar ɗanka na iya ba da shawarar tiyatar hana-reflux lokacin da:

• Youranka yana da alamun cututtukan zuciya da ke samun sauƙi tare da magunguna, amma ba ka son ɗanka ya ci gaba da shan waɗannan magunguna.
• Alamomin ciwon zuciya suna ƙonawa a cikin cikinsu, maƙogwaronsu, ko kirjinsu, huɗa ko kumfa na gas, ko matsalolin haɗiye abinci ko ruwa.
• Wani sashi na cikin yaronka yana makalewa a kirji ko kuma yana juya kanta.
• Childanka yana da ƙarancin esophagus (wanda ake kira tsaurarawa) ko zubar jini a cikin esophagus.
• Yaronku baya girma sosai ko kuma yana kasa cigaba.
• Childanka yana da ciwon huhu wanda ya haifar da numfashin abin da ke ciki zuwa huhun (wanda ake kira ciwon huhu).
• GERD na haifar da tari mai dorewa ko rashi a cikin ɗanka.

Hadarin ga kowane tiyata sun hada da:

• Zuban jini
• Kamuwa da cuta

Hadarin ga maganin sa barci ya hada da:

• Amsawa ga magunguna
• Matsalar numfashi, gami da ciwon huhu
• Matsalar zuciya

Rashin haɗarin tiyata na anti-reflux sun haɗa da:

• Lalacewar ciki, esophagus, hanta, ko ƙaramar hanji. Wannan yana da wuya.
• Gas da kumburin ciki wanda ke sanya wahalar hudawa ko jifa. Yawancin lokaci, waɗannan alamun suna sannu a hankali suna samun sauƙi.
• Yin gwatso.
• Mai ciwo, haɗiye mai wahala, ana kiransa dysphagia. Ga yawancin yara, wannan yana ɓacewa a farkon watanni 3 bayan tiyata.
• Ba da daɗewa ba, matsalolin numfashi ko huhu, kamar huhun da ya faɗi.

Koyaushe ka tabbata ƙungiyar kula da lafiyar ɗanka ta san game da duk magunguna da abubuwan da ɗanka ke sha, gami da waɗanda ka saya ba tare da takardar sayan magani ba.

Mako guda kafin a yi tiyata, ana iya tambayarka ka daina ba ɗanka kayayyakin da suka shafi daskarewar jini. Wannan na iya haɗawa da asfirin, ibuprofen (Advil, Motrin), bitamin E, da warfarin (Coumadin).

Za a gaya muku lokacin da za ku isa asibiti.

• Yaron kada ya ci ko ya sha komai bayan tsakar dare kafin a yi masa tiyata.
• Yaronku na iya yin wanka ko wanka daddare kafin ko safiyar aikin tiyata.
• A ranar tiyata, ya kamata yaron ya sha duk wani magani da mai bayarwar ya ce a sha tare da ɗan shan ruwa.

Tsawon lokacin da yaro ya zauna a asibiti ya dogara da yadda aka yi aikin tiyatar.

• Yaran da ke yin tiyatar hana fuka-fuka yawanci sukan zauna a asibiti na kwanaki 2 zuwa 3.
• Yaran da suka yi tiyata a buɗe na iya yin kwana 2 zuwa 6 a asibiti.

Yaronku na iya fara cin abinci kimanin kwana 1 zuwa 2 bayan tiyata. Galibi ana bayar da ruwa ne da farko.

Wasu yara suna da bututun g-tube yayin aikin tiyata. Ana iya amfani da wannan bututun don ciyarwar ruwa, ko don sakin gas daga ciki.

Idan yaro bai sanya g-tube ba, ana iya saka bututu ta hanci zuwa cikin ciki don taimakawa sakin gas. Ana cire wannan bututun da zarar yaro ya fara cin abinci.

Yaron ka zai iya komawa gida da zarar sun ci abinci, sun yi hanji kuma sun ji sauki.

Ciwan zuciya da alamomin da ke da alaƙa ya kamata su inganta bayan tiyatar anti-reflux. Koyaya, ɗanka na iya buƙatar shan magunguna don ƙwannafi bayan tiyata.

Wasu yara zasu buƙaci wani tiyata a nan gaba don magance sababbin cututtukan reflux ko matsalolin haɗiyewa. Wannan na iya faruwa idan ciki ya lulluɓe da bakin eso sosai ko kuma ya saki.

Yin aikin ba zai yi nasara ba idan gyaran ya yi sako-sako da yawa.

Tallafawa - yara; Nissen tarawa - yara; Belsey (Mark IV) tara kuɗi - yara; Turapet fundoplication - yara; Thal tallatawa - yara; Hiatal hernia gyara - yara; Oladdamarwa ta ƙarshe - yara

• Yin aikin tiyatar-reflux - yara - fitarwa
• Anti-reflux tiyata - fitarwa
• Gastroesophageal reflux - fitarwa
• Bwannafi - abin da za ka tambayi likitanka

Chun R, Noel RJ.Laryngopharyngeal da cututtukan gastroesophageal reflux da eosinophilic esophagitis. A cikin: Lesperance MM, Flint PW, eds. Cummings Ilimin Kananan Yara. Philadelphia, PA: Elsevier Saunders; 2015: babi na 29.

Khan S, Matta SKR. Cutar reflux na Gastroesophageal. 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 349.

Kane TD, Brown MF, Chen MK; Membobin Kwamitin Sabon Fasaha na APSA. Takardar matsayi kan ayyukan antireflux na laparoscopic a cikin jarirai da yara don cutar reflux gastroesophageal. Surungiyar Kula da Kula da Lafiyar Yara ta Amurka. J Pediatr Surg. 2009; 44 (5): 1034-1040. PMID: 19433194 www.ncbi.nlm.nih.gov/pubmed/19433194.

Yates RB, Oelschlager BK, Pellegrini MA. Ciwon reflux na Gastroesophageal da hernia na hiatal. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 42.