Imperforate qhov quav
Imperforate anus yog qhov ua tsis zoo rau qhov qhib lub qhov quav yuav ploj los yog thaiv. Lub qhov quav yog qhov qhib rau lub qhov quav uas tso quav tawm ntawm lub cev mus. Qhov no yog tam sim no txij thaum yug los (yug los ua neeg).
Imperforate qhov quav yuav tshwm sim ntau hom:
- Qhov quav yuav xaus rau hauv lub hnab uas tsis txuas rau qhov mob hnyuv tws.
- Qhov quav yuav muaj qhov qhib rau lwm cov txheej txheem. Cov no suav nrog qhov zis, tso zis, tso zis ntawm chaw mos lossis hnoos qeev hauv tub, lossis qhov chaw mos ntawm cov menyuam ntxhais.
- Tej zaum yuav muaj qhov nqaim (stenosis) ntawm qhov quav lossis tsis muaj qhov quav.
Nws tshwm sim los ntawm kev loj hlob tsis zoo ntawm tus me nyuam hauv plab. Ntau hom mob ntawm imperforate qhov quav tshwm sim nrog lwm cov kev muaj teeb meem thaum yug.
Cov tsos mob ntawm cov teeb meem yuav suav nrog:
- Qhov quav pib dav ze rau lub paum qhib hauv cov menyuam ntxhais
- Thawj qhov quav tsis dhau 24 teev mus rau 48 teev tom qab yug
- Ploj los yog tsiv qhib rau lub qhov quav
- Cov quav tawm ntawm qhov chaw mos, los ntawm tus qau, hnoos qeev, lossis qhov zis
- Ntse o lub plab
Tus kws kho mob tuaj yeem kuaj xyuas tus mob no thaum lub sijhawm kuaj mob lub cev. Kev ntsuam xyuas cov duab yuav raug txiav txim.
Tus menyuam mos yuav tsum kuaj xyuas lwm yam teeb meem, xws li kev mob plab, ntawm lub plab, thiab lub nraub qaum.
Kev phais txhawm rau kho qhov tsis xws luag yog xav tau. Yog tias lub qhov quav txuas nrog lwm yam kabmob, cov kabmob no tseem yuav tsum tau kho. Kev tso pa ib ntus (txuas rau qhov kawg ntawm txoj hnyuv mus rau phab ntsa plab kom cov quav tuaj yeem ntim hauv ib lub hnab) feem ntau xav tau.
Yuav luag txhua qhov tsis xws luag tuaj yeem kho nrog kev phais mob. Feem ntau cov menyuam yaus uas muaj qhov tsis xws me me yuav ua tau zoo heev. Txawm li cas los xij, cem quav yuav yog qhov teeb meem.
Cov menyuam yaus uas muaj kev phais mob ntau ntxiv tseem tuaj yeem tswj tau lawv txoj hnyuv txhua lub sijhawm. Txawm li cas los xij, lawv feem ntau yuav tsum ua raws li txoj haujlwm hnyuv. Qhov no suav nrog kev noj cov zaub mov muaj fiber ntau, noj cov quav muag muag, thiab qee zaum siv tshuaj enemas.
Qee tus me nyuam yuav tsum muaj kev phais mob ntau ntxiv.
Qhov teeb meem no feem ntau pom thaum tus menyuam mos liab raug kuaj thawj zaug.
Hu rau koj tus kws khomob yog tus menyuam raug mob rau lub qhov quav lawm:
- Mob plab
- Cem quav uas nyuaj los tswj hwm
- Ua tsis tau haujlwm rau kev tiv thaiv quav txhua lub hnub nyoog 3
Tsis muaj kev paub txog kev tiv thaiv. Cov niam txiv nrog tsev neeg muaj keeb kwm muaj qhov tsis zoo no yuav mus nrhiav kev pab tawm tswv yim.
Tsis nco qab txog qhov tsis zoo; Qhov quav atresia
- Imperforate qhov quav
- Imperforate anus kho - series
Dingelsein M. Xaiv cov hnyuv tsis ua haujlwm hauv lub cev neonate. Hauv: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff thiab Martin's Neonatal-Perinatal TshuajCov. 11th ed. Philadelphia, PA: Elsevier; 2020: tshooj 84.
Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Kev phais mob ntawm lub qhov quav thiab lub qhov quav. 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 371.