Ledd maʻi pale: Symptoms, iapaau ana

A ola ano pili me ka'āno'ē kulana o ka duodenum, ka makapo, a me ka midgut, kapa maʻi pale Ledd. E like me ka mea ana hoʻohālike hooholo i ke alo i loko o ke kino o kēia maʻi, a me ka aha kāu kiʻina hana i alakaʻi i loko o kona nohoʻana - i keia ninau mākou, e noiʻi ana i loko o kēia 'atikala.

Ledd maʻi pale

Ke anomaly o intestinal kuapo, a ua hanaʻia iloko fetal? Acaeoey (IeAUPIIe, IAa IO 10-12 pule) a me ka mea i ka mīkini'opihia o ka duodenum a hiki i ka cecum volvulus o ka midgut, i ka kekahi inoa - Ledd maʻi pale.

ICD-10 - he na Mea Maluna o ka helu kuʻina 'inikua diagnoses hoʻomohalaʻia e MEA. I kulike ai me keia International Mea Maluna Nā Maʻi 10th hou Ledd maʻi pale pili i ka maʻi o ka digestive nā loko (kūlana XI). Pathological ano 'Aʻole e hana oi ma mua i loko o kekahi hihia ma 500 na kamalii uuku a me nā keiki i kaʻike, pinepine mea mau manawa hou ma mua o kaikamahine pinepine.

Nō kāu, ua hookupaaia kaʻike, i loko o ka hebedoma mua o ke ola he uuku hoomanawanui, he uuku emi - i ka malama mua o ke ola. E lawe mai i ka pololeiʻike, mai ka pediatrician pono ka hoao ana a me ka nui familiarity me ka maʻi. Ma keia manao, i ka maʻi ua ole mau 'akomi i loko o ka' eleu kūpono. Ka loa ahuwale ka hoailona o ka maʻi i loko o nā lā mua o ke ola ua ka luaʻi bile.

Eia naʻe, ka oolea o ka hoʻomanawanui me ia i ka maʻi ke ano i ke ano hoomainoino hele pū ana congenital, e like me:

• hypoplastic puʻupaʻa paha ia maʻiʻaʻai;
• naau maʻi;
• pulmonary stenosis a me na mea e ae.

Ledd maʻi pale i loko o nā mākua, he'āina pohihihi keia. Intestinal iaʻi e ia i ka hopena o ka ka hoʻoneʻe o ka cecum, a me adhesions ma ka abdominal lua. I kekahi manawa, ho okumu hernia pathology hoʻonāukiuki anterior abdominal pā pōhaku. 'Aʻole uuku loa iwaena o nā kumumea mea e pono ai i ke kahua o ka maʻi moku'āina, hula benign a me malignant hikoko o kekahi mau Oihana o ka naʻau liʻiliʻi.

Symptoms o ka maʻi

Ledd maʻi pale i loko o nā pēpē i hiki ke hoike symptoms lolelua. Ma waho aʻeo i ka luaʻi, a regurgitation o ka bile i na kamalii uuku kēlā wā i kēia wā ke kumu eha i loko o ka abdomen. Ma kekahi mau hihia, relapses ana, e alakai i ka huʻi intestinal iaʻi me ka mea hōʻemi, i hiki i ke keiki ka kulana collaptoid.

General symptoms o ka maʻi pale.

• paroxysmal eha;
• ka holo koke noho, flatulence;
• ka luaʻi;
• haanou ana o ka epigastric māhele 'āina ;
• retraction o ka lalo abdomen;
• palpation Aʻole e hoʻolako piha 'ike e pili ana i ka hoʻomanawanui ka kulana.

Radiography abdomen hōʻike mau wai a pae i loko o ka opu a me ka duodenum, a me he uuku ka nui o ke kinoea i loko o ka naʻau liʻiliʻi. Inā i ke kaʻina hana hoʻohana barium sulufahate, i ka hopena hōʻike i ka hoʻomāhuahua o Akä naÿe meakino i loko o ka lima opu a me ka duodenum. Akä naÿe i kēia me ka kōā kaulike haawi lou o ka uuku liʻiliʻi.

Ergography i hookuu hōʻike i ka fixation o ka cecum ma ke akepaʻa. Akā, ka hoʻohana 'ana Me tomography hahana mea i ho'ākāka' midgut puni mesenteric artery.

lapaʻau kiʻi

Ledd maʻi pale - he pathology e pono kokeʻoki lāʻau lapaʻau 'uao. E like me ka olelo mua, na symptoms i lolelua ka, a hiki ke hai hou maʻanuʻu o kekahi mau lā, pule a me ke ahiahi makahiki.

Ma kekahi mau hihia, i ka maʻi moku'āina ua ole ana iho i manao ai no na makahiki, a ua asymptomatic. Keiki, ke'ōlelo mai nele no ia o ka ikaika loa ka makemake, e lagging hope ma physical ulu.

Ma waho aʻeo i ka panina maʻi pale Ledd, hou hoomaopopo mau 'ano apau loa:

1. Ma ka hihia mua, aole he hahana o ka midgut, a me ka anomalous wahi o ka cecum, i compresses ka duodenum.
2. I ka lua o ka hihia ua kaʻawale mākou wale nō midgut volvulus.

Ma pathology (Ledd maʻi pale) i e huʻi a me ka subacute (maʻi). I ka maʻi palapala loaʻa ka mea,ʻaʻole nō i kaʻeha i loko o ka abdomen, e like colic, i kekahi manawa, he mea ka luaʻi, malnutrition. A 'aʻe' ana o ka noho. ua ho'ākāka 'ia ke keiki ka kulana like kupono. AeXIeAaOIePEAaI volvulus Aʻole e alakai i ka hahau ana o kona koko lako. Ma ka liʻiliʻi liʻiliʻi aa koko wale koko stasis ia lŘlŘ i loko o ka gastrointestinal'āpana he mea kū'ē loli.

Huʻi na naau oʻu volvulus - he nui ana i ka hihia o ka noho lakou malaila pele e alakai i ka necrosis paha gangrene o ka naʻau liʻiliʻi.

Lapaau ana i ka maʻi pale Ledd

Hoʻoikaika nohona ma hoomanawanui me ka maʻi-relapsing maʻi papa hana ka hoʻohana 'ana o antispasmodic konohiki. Naʻe, i kēia mea wale nō he pokole ana. O ka papa kuhikuhi hana i loko o ka iapaau ana o intestinal iaʻi mea nōʻoki kino. ʻoki lāʻau lapaʻau lapaʻau o pathologies (Ledd maʻi pale) he ana o kekahi mauʻanuʻu:

1. Initially eliminated volvulus a me ka iaʻi.
2. Eia, i ka poe uuku a liʻiliʻi mai i ka opu i loko o ka oihana akau, ao - i ka hema.
3. Inā 'oe pono e koho i ka naʻau i puka lou i loko o ka parietal peritoneum, hana i kēia manipulation. Oia ke ana e koi 'ia inā i ka hoʻomanawanui i'āno'ē na naau oʻu motility.
4. Hana i appendectomy.

Ma nā makahiki, lapaʻau hoʻomano hoʻohana laparoscopic ano o kaʻike, a me ka lapaau ana i ka maʻi pale. Oia ieie-invasive i kūpono i mahalo ka hoʻokō. Eia naʻe,ʻoki lāʻau lapaʻau 'uao i loko o ka like ano kumuhana i kekahi mau hihia aie i ka mea uuku ka leo o ka abdominal lua, e like me ka pono me ka uuku mānoanoa o ka abdominal pā i loko o na keiki i ka mahina mua o ke ola. I kekahi manawa, ma ke kakahiaka nui postoperative wā, complications kū aʻe:

• sepsis;
• peritonitis;
• intestinal kahe ana ke koko;
• ileus.

Na hiki wale no i ka piha hou ana, e hilinaʻi ma ka hope o ka hana. Inā mālama i nā wahi a pau o ka gastrointestinal'āpana, i ke kēla no ka nui kiʻekiʻe o ka pono o ke ola e maikaʻi. Inā, akā naʻe, ua noho nui intestinal resection, e alakai ana i ka maʻi pale o "pōkole gut" ka hoʻomanawanui i pilikia me kaʻaiʻana a me ka malnutrition. A pau kēia mau hualoaʻaʻoki lāʻau lapaʻau lapaʻau ua hana mau hospitalizations no na hana o parenteral kino. I kekahi manawa nā mea maʻi e hiki mai ana ka puana hana. Inā ileus hoʻomohala e ku e ia i ke kāʻei kua o cystic fibrosis, e loaa ka noho lakou malaila prognosis.

preoperative hoomalolo

Once diagnosed like neonatal intestinal iaʻi (Ledd maʻi pale), ka mea, ua hoolilo ia keʻoki lāʻau lapaʻau haukapila, lawelawe nasogastric Tube , a i ka mau moni loa'ōpū Contents. Ka manawa koi 'ia e hana preoperative hoomakaukau ana hilinaʻi nui ma luna o ka oolea o congenital intestinal iaʻi.

Inā he hoomanawanui ua kēia uuku na naau oʻu volvulus, hana i ka i kēia PalekanaEND_LINK ana:

• he koko ho'āʻo no ka pae a me RH ololi;
• he koko hoao no ka pae o ka hemoglobin a me ka hematocrit;
• Ka Ikepili ma ke koko coagulation.

ʻoki lāʻau lapaʻau lapaʻau ua hana ma luna o ka pilikia kumu, preoperative e hoʻomākaukau ai i ka i kā mākou o ka hoʻokahi hola. Ke keiki lawe infusion Inc, lawelawe hemostatics, analgesics, i kekahi manawa hoʻokomo ea. Ke catheter Ua hoʻolauna i ke kikowaena aa koko.

Ma ka hihia o ka haʻahaʻa ileus preoperative hoʻomākaukau hiki ke lawe mai i ka 24 hola. Iloko o keia manawa i ke keiki hou hookolokolo aku la ia me ka manao ana i ka mea e hiki 'ike o comorbidities. Penei hana gastric nōkahea, loaʻa i ka nui o anao? Aou nā paʻi hua hoakakaia infusion Inc, antibiotics a me hemostatic konohiki. keiki e ai ana i alii.

Ka hapanui o na keiki i loko o ka postoperative au ke lilo aku hooloihi ae i ma paʻi hoʻokomo ea, a ke mau mai i elima mau lā. Antibiotic Inc hoʻohana ai 'hana ku e anaerobic koʻohune. Microecological kūlana kanaka hoʻoponopono,ʻelua hahauʻana ma ka liʻiliʻi loa o ka hebedoma. Iwakalua-kumamaha hora ma hope oʻoki kino me ka lapaʻauʻia, e hoʻoikaika 'intestinal motility, e like me biologics.