Pyloric stenosis hauv cov menyuam mos

Pyloric stenosis yog qhov nqaim ntawm pylorus, qhov qhib ntawm lub plab mus rau hauv txoj hnyuv me. Kab lus no piav qhia qhov mob hauv cov menyuam mos.

Nquag, zaub mov kis tau yooj yim los ntawm lub plab mus rau thawj ntu ntawm txoj hnyuv me los ntawm lub valve hu ua pylorus. Nrog pyloric stenosis, cov leeg ntawm pylorus yog cov tuab. Qhov no tiv thaiv lub plab los ntawm muab pov tseg rau hauv txoj hnyuv.

Qhov tseeb ntawm qhov ua kom tuab yog tsis paub tseeb. Cov noob caj hlav yuav ua lub luag haujlwm, vim tias cov menyuam ntawm cov niam txiv uas muaj tus mob pyloric stenosis feem ntau yuav muaj tus mob no. Lwm yam kev pheej hmoo suav nrog qee yam tshuaj tiv thaiv kab mob, cov kua qaub ntau dhau nyob ntawm thawj ntu ntawm txoj hnyuv (duodenum), thiab qee yam kab mob uas menyuam tau yug los, xws li mob ntshav qab zib.

Pyloric stenosis tshwm sim feem ntau rau cov menyuam mos hnub nyoog qis dua 6 lub hlis. Nws yog feem ntau tshwm sim hauv tub hluas dua ntxhais.

Ntuav yog thawj qhov tsos mob rau cov menyuam feem ntau:

• Ntuav yuav tshwm sim tom qab txhua zaus pub mis lossis tsuas yog tom qab pub mis rau noj ib zaug.
• Ntuav feem ntau pib puag ncig 3 lub lim tiam uas muaj hnub nyoog, tab sis tej zaum yuav pib lub sijhawm 1 lub lis piam mus txog 5 hlis.
• Ntuav yog sib zog (ntuav ntawm pob tw).
• Tus me nyuam mos liab tshaib plab tom qab ntuav thiab xav rov qab pub mis.

Lwm cov tsos mob tshwm sim ntau lub lim tiam tom qab yug tag thiab yuav suav nrog:

• Mob plab
• Kev tawg
• Kev tshaib kev nqhis
• Lub cev qhuav dej (mob heev dua thaum ntuav heev tuaj)
• Ua tsis zoo los poob ceeb thawj
• Qoj ib ce yoj zoo li lub cev ntawm lub plab sai sai tom qab pub mis thiab ua ntej ntuav

Tus mob feem ntau tau kuaj pom ua ntej tus menyuam muaj 6 lub hlis.

Kev kuaj mob lub cev yuav qhia:

• Cov cim ntawm lub cev qhuav dej, xws li qhuav ntawm daim tawv nqaij thiab qhov ncauj, tsis tshua muaj dua thaum quaj, thiab ntaub pawm qhuav
• Ntaj plab
• Txiv ntseej zoo li lub cev loj thaum hnov ​​lub plab hauv siab, uas yog qhov txawv txav pylorus

Ultrasound ntawm lub plab yuav yog thawj qhov ntsuas thawj zaug. Lwm yam kev xeem uas yuav muaj xws li:

• Hluav taws xob xoo hluav taws xob xoo - qhia txog lub plab o thiab nqaim pylorus
• Kev kuaj ntshav - feem ntau qhia tawm qhov tsis txaus electrolyte

Kev kho rau pyloric stenosis koom nrog kev phais kom loj dua pylorus. Qhov kev phais hu ua pyloromyotomy.

Yog tias muab tus menyuam pw tsaug zog rau kev phais mob tsis muaj kev nyab xeeb, ib qho khoom siv hu ua endoscope nrog lub pob zais me me ntawm qhov kawg tau siv. Lub zais pa yog inflated mus rau pylorus.

Rau cov menyuam mos uas tsis tuaj yeem phais, phais raj mis lossis tshuaj kho kom maj mam tawm pylorus.

Kev phais feem ntau txo cov tsos mob. Sai li ob peb teev tom qab kev phais mob, tus menyuam tuaj yeem pib noj me me, nquag pub zaub mov.

Yog pyloric stenosis tsis tau kho mob, tus menyuam yuav tsis tau txais zaub mov txaus thiab kua dej txaus, thiab tuaj yeem ua rau lub cev tsis rog thiab lub cev qhuav dej.

Hu koj tus kws kho mob yog tias koj tus menyuam muaj cov tsos mob no.

Congenital hypertrophic pyloric stenosis; Cov menyuam mos hypertrophic pyloric stenosis; Lub plab tawm qhov teeb meem; Ntuav - pyloric stenosis

• Lub plab zom mov
• Pyloric stenosis
• Cov Menyuam mos pyloric stenosis - Series

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pyloric stenosis thiab lwm yam kev tsis txaus ntseeg lub plab. Hauv: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 355.

Seifarth FG, Muaj Muag OS. Congenital anomalies thiab phais mob ntawm lub plab. Hauv: Wyllie R, Hyams JS, Kay M, eds. Kev mob plab hnyuv thiab lub siab Mob ntshav siabCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2016: chap 25.