I-Pyloric stenosis inja: iyini i-pyloric stenosis nokuthi ungayiqeda kanjani

I-Pyloric stenosis ibizwa nangokuthi i-pyloric stenosis ezinjeni. Kuyaziwa nangokuthi i-pyloric hypertrophy syndrome noma ukwanda kwezicubu zomzimba. Lesi sifo siwukuncipha kwengxenye yesisu ebizwa ngokuthi i-pylorus. I-pylorus iyimbobo efana ne-valve lapho ukudla kuphuma khona esiswini futhi kungene emathunjini.

Ngokwezokwelapha, elithi “stenosis” lisho “ukuncipha.” Umsebenzi we-pylorus ulawulwa imisipha ezungezile, futhi lapho ishubile, iyayeka ukusebenza kahle. Lokhu kubangela ukuthi imbobo ivaleke ngokuphelele noma kancane, ukuvimbela ukudla ekuphumeni kwesisu ngokujwayelekile.

Izimbangela ze-pyloric stenosis ezinjeni

Ukubonakala kwe-syndrome kungavusa ukuqina okukhethiwe kokuzalwa kwemisipha ebushelelezi ye-pylorus. Ezinjeni ezizalwa zine-pyloric stenosis, izimpawu zesici ngokuvamile zivela esikhathini esithile ngemva kokulunyulwa kanye nokushintshela ekudleni okuqinile. Lokhu kuvame ukwenzeka phakathi kweminyaka eyi-4 nezinyanga eziyi-12.

Esinye isizathu singase sihlobane nokuqina kancane kancane kwemisipha ebushelelezi noma i-mucosa yesisu. Imbangela yalolu hlobo lwalesi sifo ayaziwa. Ezinjeni ezinalolu hlobo lwe-pyloric stenosis, izimpawu zokuqala zivame ukuvela phakathi noma ubudala.

I-Brachycephalic, noma i-short-nosed, izinhlobo, kuhlanganise Boston-terriers, isibhakela futhi ama-bulldog avame kakhulu ukuba ne-congenital pyloric stenosis. Izinja zohlobo oluncane, kuhlanganise Lhasaabs, Shea-tsu, Pekingese kanye MalteseI-Bologneseingase ibe sengozini enkulu yokuthuthukisa uhlobo olutholiwe lwe-pyloric stenosis.

Izimpawu ze-pyloric stenosis ezinjeni

Uphawu oluvame kakhulu lwe-pyloric stenosis ezinjeni ukuhlanza okungapheli kwenja ngemva kokudla ngezikhathi ezifushane. Lena inqubo eguquguqukayo lapho isilwane esifuywayo, sisebenzisa imisipha yesisu, sibuyisela okuqukethwe komgudu wokugaya ukudla, okubonakala sengathi kuphekwe kakhulu. Isilwane sasekhaya singahlanza nangomthombo.

Ngohlobo lokuzalwa lwe-pyloric stenosis, ukuhlaselwa kokuhlanza enja ngemva kokudla kuqala kumdlwane ngemva kokulunyulwa nokushintshela ekudleni okuqinile. Ezinye izimpawu zomtholampilo ezingaba khona ezihlobene ne-pyloric stenosis ezinjeni zihlanganisa:

• Ukuvuselelwa kabusha. Ukuxoshwa okungahleliwe kokuqukethwe komgudu wokugaya ukudla, lapho inja ibhodla okuqukethwe okungagayeki kwesisu.
• Ukwehla kwesifiso sokudla.
• Ukwehla kwesisindo.
• Ukuphela kwamanzi emzimbeni.
• izinkinga zokuphefumula, isb i-aspiration pneumonia ngemuva kokuhlanza. Ukuphefumula kwenzeka lapho into yangaphandle ingena ngephutha emaphashini noma emigudwini yomoya. Kulokhu, ukuhlanza kungaholela ekuthelelekeni kwamaphaphu noma umgudu wokuphefumula, okungase kubangele inyumoniya.

Lezi zimpawu zihlobene nezinga le-pyloric thickening futhi ngokuvamile azithuthuki ngokwelashwa kwezidakamizwa kwezimpawu. Uma isilwane sakho sibonisa noma yiziphi zalezi zimpawu, kuyadingeka ukuhlolwa okwengeziwe ngudokotela wezilwane.

Ukuxilongwa kwe-stenosis yomgcini-sango

Ngenxa yokuthi ukuhlanza okungapheli kungaba nezimbangela eziningi, ukuhlolwa kokuxilonga kuyadingeka. Ngokuvamile isibalo segazi esiphelele (CBC), ukuhlolwa kwegazi kwamakhemikhali ezinto eziphilayo kanye nokuhlaziywa komchamo, kanye ne-x-reyi yesisu kuyadingeka.

Ezimweni eziningi, ukuhlolwa kwegazi nomchamo kuzoba okuvamile noma kungase kubonise ukuphelelwa amanzi emzimbeni okuncane noma ukungalingani kwama-electrolyte, amaminerali abalulekile adingekayo ekusebenzeni okuyisisekelo komzimba. Nokho, ngisho noma ukuhlolwa kwegazi kuyinto evamile, kungasiza ekukhipheni ezinye izimbangela zokuhlanza.

Endabeni yokuvinjelwa ezingeni le-pylorus, i-x-ray yesisu ingase ibonise ukunqwabelana koketshezi esiswini, okuholela ekuqhumeni. I-x-ray yesifuba iyalwa phambi kwanoma yiziphi izinkinga zokuphefumula ezihlotshaniswayo ukuze kuhlolwe i-aspiration pneumonia noma okunye ukuphazamiseka kwesifuba.

Uma kusolwa i-pyloric stenosis, ama-x-ray engeziwe esisu ngokuvamile athathwa ngemva kokuphathwa ngomlomo kwe-agent ehlukile ye-barium. Isiza udokotela wezilwane ukuba abone kangcono umgodi wesisu.

Ukuphuza ukukhishwa kwesisu nokuncipha kwe-pylorus kungase futhi kubonise ukuxilongwa kwe-pyloric stenosis. Uma kungenzeka, i-x-ray yokulandelela, ebizwa ngokuthi i-fluoroscopy, noma i-ultrasound yesisu ukuze ihlole ukuba khona kwe-pyloric stenosis kufanele kuthathwe ngaphambi kokuhlolwa okwengeziwe kokuhlola okuhlaselayo.

Uma usola i-pyloric stenosis esilwaneni esifuywayo, ungasebenzisa futhi ikhamera ukusihlola. Ngaphezu kwalokho, i-endoscopy ingenziwa ukuze kutholwe amasampula ezicubu ze-pyloric ze-biopsy. I-Biopsy ibalulekile ukuze kukhishwe ezinye izimbangela zokuqina kwezicubu ze-pyloric.

Kwezinye izimo, ukuhlinzwa kokuhlola kuyadingeka ukuze kutholakale ukuxilongwa okuqondile.

Inkambo yokwelashwa yomuntu ngamunye

Ukwelashwa kwe-pyloric stenosis ezinjeni ngokuvamile kuhilela ukuhlinzwa, njengoba kubangela ukuvinjelwa kwesisu ezimweni eziningi. Ukuhlinzwa okuvame kakhulu inqubo ebizwa ngokuthi i-pyloroplasty. Ikuvumela ukuthi ukhiphe izicubu ezijiyile zolwelwesi lwamafinyila lwe-pylorus futhi wandise i-pylorus endaweni yokuphuma kokudla okuvela esiswini. Kwezinye izimo ezithuthukile, kungase kudingeke ukuhlinzwa okuyinkimbinkimbi ukuze kukhishwe i-pylorus ethintekile.

Uma zingekho izinkinga zangemva kokuhlinzwa, izinja eziningi ezihlinzwa ukuze zelaphe i-pyloric stenosis zenza kahle futhi zingabuyela endleleni yazo yokuphila evamile.

Bona futhi:

• Ungayisiza kanjani inja enesisu esibucayi?
• Indlela yokwelapha isisu esibuhlungu enja
• I-pathologies ye-gastrointestinal kanye ne-indigestion ezinjeni: izinhlobo nezimbangela
• Wazi kanjani uma inja yakho isezinhlungwini?