Kodi kuchita ngati mwana thumbo prolapse? zifukwa

Mu zochiritsira pali milandu matenda ndi matenda matumbo. The mwana thumbo prolapse akhoza kutchedwa vuto wamba. kudwala, ndiye kuchepetsa makoma wapotalikira imfa anayamba mwa orifice kumatako.

N'chifukwa chiyani imfa ya matumbo ana?

Childs, matenda amawapeza ana aang'ono. Pankhaniyi, anyamata amene ali pansi zaka 5 zaka zambiri atengeke zambiri matenda.

Pamaso tikambirana mwatsatanetsatane prolapse thumbo mwana ndi pathogenesis ake, tiyenera powasamalira chakuti matenda kukhala palokha anapatsidwa vuto. Nthawi zambiri zikuoneka monga chotsatira cha zinthu zosiyanasiyana pathological. Akuluakulu, komanso mwana, imfa ya thumbo makamaka chifukwa kuwonjezeka kuthamanga kwapakati pa-m'mimba. Nayenso abwino ndondomeko izi ndi zinthu ankaona kuti zimayambitsa chiyambi ndi mapangidwe matenda. Iwo agawidwa m'magulu awiri.

Kutengera za kuti zikamera matenda

Choyamba ndi zinthu zinanso zimene zimachititsa matenda. Ali:

1. Titadziwa chizolowezi. Chifukwa chakuti ana osaposa zaka 6 m'munda wa fupa lumbosacral concavity zachilengedwe m'malo ofooka chionetsedwe. Chifukwa pakalibe lordosis ndi m'chiuno kuweramira osakwanira rectum zolungama. Ndi kuthamanga kwapakati pa-m'mimba, katundu lonse kunditumiza ku chotulukira lapansi.
2. Kuya kwa danga Douglas. The zambiri phindu izi (zomwe ndi khalidwe la ana), m'munsi ndi vesico-m'mimba indentations mu peritoneum lapansi. Pamene kuthamanga amapezeka kutsogolo khoma invagination kuti akutumikira monga chifukwa chomveka chitukuko cha kudwala pa mwanayo. Thumbo prolapse zingachitike pamaso pa zina anatomical paubwana: yaitali mesentery, lotayirira mtundu intraenteric mitsempha, etc ...
3. matenda ena m'mimba chifukwa cha kuperewera kwa zakudya m'thupi kapena kudya zopanda nzeru. Mu nkhani iyi, chosayenerera akufotokozera chifukwa kusintha osachiritsika mu nthenda m'chiuno minofu pansi ndi paraproctium.

zinthu nzika adzitaya wa matumbo

Gulu lachiwiri la zinthu causative ali anapeza chisokonezo kugwira ntchito dongosolo m'mimba ndi thirakiti m'mimba, amene anali ngati poyambira zikamera vuto. The mwana thumbo prolapse (zimene makolo ayenera kuchita mu nkhani iyi, uzani katswiri, kotero kutenga njira yako mwana chithandizo mpofunikila) amayambira chifukwa kuyan'anila za mpando. Mavuto pa kuchita defecation mu mawonekedwe a kudzimbidwa zonse - limagwirira zoyambirira za kukhazikitsidwa kwa matenda. Pafupipafupi yofinyira komanso kukhudzana yaitali kuti mphika kusokoneza chikhalidwe cha sphincter kumatako.

Nthawiyi, nthawi zambiri, ndi zinthu zina zikhoza kuwonjezeka kuthamanga mu M'mimbamo intraperitoneal, amene amakwiya thumbo prolapse ana. Zimayambitsa zodabwitsazi pathological zambiri kugona mu osaneneka chifuwa matenda kapena vuto kukodza (mwachitsanzo, phimosis anyamata).

Komanso, chifukwa chiwonetsero cha kudwala lofunika kwambiri, kawirikawiri chimagwira zikuluzikulu udindo kuphatikiza zinthu. Nthawi zambiri, pamaso pa chimodzi kapena zingapo mwa mavuto pamwamba, thumbo prolapse mwana kumachitika pang'onopang'ono.

Features zizindikiro ana

Kuopsa kwa matenda ndi zizindikiro zake ndi oyamba kwa nthawi yaitali kukhala wosaoneka kwathunthu. chifukwa zilibe wa mucosa thumbo. Ana, kumachitika nthawi zambiri munthu amaganiza ndi pang'onopang'ono. Pa zokhudza defecation pang'ono kugwa chilonda malo, ndipo pambuyo ndondomeko kachiwiri zobisika kuseri sphincter lapansi.

Nthawi imeneyi, makolo a mwanayo kuzindikira redness m'dera kumatako, chokhala ndi Rosette. Izi kwenikweni kusonyeza nkhawa kuzioneka ndi makolo. Zoonera chotulukira kudetsa muja chizindikiro Mmenemo choonekera imfa intestine. matenda Progressive yodziwika ndi zizindikiro kwambiri. khalidwe akhoza kutchedwa kudula kapena dzenje nyenyezi woboola pakati pang'ono bluish kulocha.

Zizindikiro za matenda mwapang'onopang'ono

Komanso, kwa nthawi yaitali anapitiriza kamvekedwe wa sphincter kumatako, pomwe woterowu ndi intestine katundu, kotero zoyesayesa aliyense ali limodzi ndi zomverera opweteka mwanayo. Thumbo prolapse kenako kumaonekera hypotension musculature opunthira m'chiuno, potero kuwongola ngalande kumatako woterowu kumbuyo mbali mungathe kale mosavuta, koma kamodzi kumachitika wotsatira kugwa pa.

Pamene kudwala ikutha, kusiya-pansi mbali zambiri amapeza kukula kwambiri, nthawi zina kupanga lonse kutalika kwa thupi. Aliyense prolapse thumbo ana (zithunzi sangakhale Pali zifukwa koyenela) ndi kusamala, mwachitsanzo pamene inu kuyetsemula kapena kutsokomola, ndi chidwi thupi. Nthawi zambiri chinthu ichi yapamwamba Limbitsani pamanja. Kufooka kwa sphincter kunja kumathandiza kukulitsa chikhalidwe pathological wa mwana, pamene vuto lalikulu kwambiri ndi fecal incontinence.

Pa nthawi yomweyo kuteteza contractility minofu sphincter zingakhudze wokwiya chitukuko cha matenda ndi kuyambitsa mavuto monga siudzalandilidwa ngathi lamulo la mucosa lapansi. Pankhaniyi mwana akufunika opaleshoni mwamsanga.

Kodi mankhwala a imfa ya matumbo?

Makolo yomweyo anatembenukira kwa akatswiri vutoli ndi mwana wanu simungathe kupulumuka. Nthawi zambiri, ndi Mapa apeze bwino kwambiri. Komanso, njira za mankhwala ndi ndiwofatsa kwambiri poyerekeza ndi chithandizo cha odwala wamkulu. Pa yomweyo anthu kumatanthauza sikutheka kuthetsa prolapse thumbo ana. Chithandizo ayenera kutenga malo yekha kuyang'aniridwa ndi akatswiri, woyang'anira ntchito mankhwala ndi njira.

Payekha, malingana ndi maonekedwe matenda a matenda, pokhala mwana ndi nthawi yaitali matenda, dokotala n'kukulemberani mmodzi wa atatu mankhwala kusiyanitsidwa:

• ndiwofatsa dongosolo chithandizo;
• matenda njira;
• opaleshoni.

chithandizo ndiwofatsa

Woyamba njira mankhwala prolapse thumbo mwana pansi zaka 5 ndi ambiri ndi otchuka. Pa imfa ya mucosal mtundu wa mankhwala kukuonetsedwa nthawi zambiri ndi ana okulirapo. Zolinga zikuluzikulu za izi miyeso zovuta kubwezeretsa amene tikambirane:

• olimba a chikhalidwe ndi kuwonongedwa zakusokonenezedwa kwa mpando, chopondapo;
• oyambirira kukhazikitsidwa kwa yachibadwa matumbo kutaya mode;
• kusankha zakudya abwino kwambiri pa kusintha mphamvu.

Njira kukwaniritsa zimenezi zimatheka mothandizidwa ndi zakudya mankhwala. Kuthetsa chimayambitsa matenda - mkulu m'mimba kuthamanga - posankha okwanira dera optimally abwino ndi zotsatira zofunika mpumulo kapena lolingana yolusa. Popeza mphamvu zabwino dokotala mankhwala ntchito mankhwala enieni.

Therapy popanda mphika

Pamene zolondola defecation boma udzakhazikitsidwa, n'kofunika kuti apulumutse mwana chilakolako kawirikawiri achabe. Kubwezeretsa minofu m'chiuno ndi kugwirizana awo zinchito, kuphwanya amene amachititsa thumbo prolapse ana Komorowski analimbikitsa kuchepetsa nkhawa angathe ndi Yosefera. Monga ulamuliro, mankhwala a mwana amaperekedwa kwa ntchito potty kapena chimbudzi, defecate ayenera mwapadera mu malo supine kapena kuima. No katundu chotulukira wa - mmodzi wa zinthu zofunika mankhwala matenda, ndipo mfundo imeneyi kumafuna kuleza mtima ndi kusamalira pa makolo.

Nthawi zonse mode zonse pochira ofanana ndi dokotala kwa zaka za 3-4 miyezi. Bwino mankhwala pafupifupi amatitsimikizira chifukwa wangwiro. Ubwino wa njira ya mankhwala ndi zoonekeratu: iliyonse akunja kulowelera mu thupi la mwana ndi kwina, pali kudziletsa machiritso chifukwa minofu achire komanso kufupikitsa ulusi awo.

Komabe, kuchira si kunena kuti chifukwa wakhala akwaniritsa kale ndipo mwana muyambirenso si pangozi. Pa chaka chamawa, n'kofunika kuti aziona chikhalidwe chake, ndipo pamene kachiwiri limbitsani prolapse rectum mu ngalande kumatako mwamsanga.

Kodi kuwongoka mwana wanu prolapsed rectum?

mwapadera ayenera kuti tiyanjane ndi mokoma muyike pena zida. Amisinkhu, thumbo prolapse mwana (zaka 2 kapena zaka 6) imayenereza mwamsanga mpheto yosavuta. Chinthu chachikulu kuti mwana anali bata ndi omasuka ngati nkotheka. Mwanayo ayenera kugona pa nsana wake. The woterowu mpukutu rectum n'kofunika mafuta lubricant, ndipo patatha kuvala magolovesi, kutenga zala zake za manja komanso popanda khama amphamvu, mofewa ndi mokoma limbitsani mkati. Kodi kuyambira gawo chapakati, chifukwa lamanja m'mphepete ndondomeko anachita prolapsed intestine zokha mu ngalande kumatako. Kamodzi kuchepetsa ndi mpukutu kupeza yekha mkati, mwana n'kofunika pang'onopang'ono titembenuzire mimba yanu ndi kusunga matako anu.

Kodi sclerotherapy

Mu zovuta zambiri, milandu zapamwamba, mankhwala ikuchitika mu chipatala ndipo kawirikawiri amachita opaleshoni ya. Sclerotherapy zambiri masiku ano, monga njira ya opaleshoni. Ndondomeko ndi oyamba wothandizila wapadera, zomwe kanthu walangizidwa kutupa paraproctium. Komanso pali sikhala selo imfa, yomwe m'malo mwa amamuyambitsa timabala ndi oipa zimakhala ozungulira ndi rectum. Zimenezi zimathandiza kuti mwamphamvu kukonza epithelium awo ndi padziko intestine lapansi.

zosokonezeka Nkosatheka ofoola ziwalo

Nthawiyi, ambiri a akatswiri a Dokotala opaleshoni osamala kwambiri mtima kwa njira zimenezi mankhwala. Chifukwa cha ichi ndi utsogoleli pafupipafupi mankhwala, komanso kudwala mosavuta mavuto amene amabwera mkati necrotic matumbo khoma. Sclerotherapy akhoza kutenga malo okhawo pamene ndiwofatsa mankhwala njira zinalephereka kwathunthu, kapena pali imabwera yokulirapo siudzalandilidwa ngathi lamulo.

The njira chachiwiri opaleshoni rectopexy - kuchotsa gawo Chikoka-pansi kutsatira ndondomeko Zerenina - Kümmel.

Mulimonsemo, nthenda iliyonse, kuphatikizapo imfa ya matumbo ana ndi zosavuta kupewa kuposa kuchiza. Pofuna kupewa chitukuko cha kudwala ayenera kupewa ngozi mwayi. Makamaka, sapotoza mwana kukhala nthawi yaitali pa mphika mwamsanga pa kuphwanya pang'ono mpando.