Chirwere cheHirschsprung chinokonzera kubatana kwepachivi kana kudzivirira.
Hirschsprung's Disease
Chirwere cheHirschsprung chinowanzojairika, chinoitika munenge 1 mumarudzi ose ekuzvarwa 5 000.
Inokonzerwa nokushayikwa kwemasero e ganglion (masero emagetsi) pakuguma kwekoni uye rectum. Kazhinji peristalsis inoda masero aya e ganglion, saka kunze kwavo, hauna kuwana zvipembenene zvakadai semakumbo zvinoita kuti zvinhu zvive pamwe chete, zvichiita kuti vashandurwe uye vadzivise kubuda kwechitsime kubva mumakoloni.
Izvi zvinotungamirira pakuvhara, iyo ndiyo chiratidzo chechikamu chechirwere ichi.
Hirschsprung's Disease Symptoms
Vana vanozvarwa patsva vanowanzopfuura netsoka dzavo dzokutanga dzeropa (black tarry meconium) mukati maawa makumi maviri nemana ekurarama.
Vazhinji vevana vane chirwere cheHirschsprung vachave nekunonoka kudarika meconium. Vamwewo vachakurumidza kuvhiringidzika mushure memwedzi wokutanga wehupenyu. Chero nzira, iyo inogona kutungamirira kumubereki kubvongodzwa, uye zviratidzo zvizhinji zvinosangana nezviratidzo, kusanganisira:
- kusununguka pamimba
- kurutsa, izvo zvinogona kunge zvakashata
- kudya zvakashata
- kushaya uremu
Hirschsprung's Disease Testing
Kuedzwa kunogona kuitwa kuti uongorore chirwere cheHirschsprung uye chinosanganisira:
- x-rays, iyo inogona kuratidzira kusvibiswa kwegumbo kumatumbo uye kusavapo kwegesi uye chigaro mune rectum
- a barium enema, iyo inogona kuratidza nzvimbo yekushandura kana nzvimbo iri pakati pekodoni yakazara uye nzvimbo yakadzivirirwa iyo inokanganiswa nekushayikwa kwemasero e ganglion
- anal manometry, muedzo unoyera kuomeswa kwemukati anal sphincter mu rectum
Kuti kusimbise kuongororwa, rectal biopsy yaitwa, iyo inofanira kuratidza kusasha kwemasero e ganglion pamugumo wekoloni uye rectum.
Kuedza kwekufungidzirwa kweHirschsprung kunowanzotanga ne barium enema.
Kana iyo barium enema yakajairika, zvino pane mukana wakanyanya kwazvo wemwana ane Hirschsprung's. Vana vane chirwere chisina kujairika emaema kana avo vanokundikana kurapwa kwechiremba nguva dzose kwekudzivirira vanofanira kuenderera mberi kuti vave nehuputi hwemhuka.
Hirschsprung's Disease Zvirwere
Kurapa kwechirwere cheHirschsprung ndechokugadzirisa chirongwa, icho chinosanganisira kutanga kugadzira colostomy uye gare gare kubvisa chikamu chekoni pasina masero e ganglion nekubatanidza zvikamu zvine utano zvakare pamwe chete (kuvhura-kuburikidza nekushanda).
Dzimwe nguva zvinogoneka kuita imwe-nhanho yekukwevera-kuburikidza nenzira yakatarwa kana kunyange kuita chirwere chaparoscopically.
Rudzi rwekugadziriswa kwekugadzira rungangodaro runobva pane imwe nyaya yemwana wako. Somuenzaniso, vamwe vacheche vanorwara zvikuru pavanotanga kuonekwa kuti vane chirwere chimwe chekurota.
Zvaunoda Kuziva Nezvezvirwere zveHirschsprung
Zvimwe zvinhu zvokuziva nezvirwere zveHirschsprung zvinosanganisira kuti:
- inonziwo congenital aganglionic megacolon
- zvinowanzozivikanwa nevakomana
- inogona kuwirirana neA Down syndrome , Waardenburg syndrome, neurofibromatosis, uye dzimwe syndromes uye inofungidzirwa kuti inokonzerwa nekuchinja kwemajeni akawanda akasiyana
- kunyange zvazvo kazhinji chirwere chevana vachangoberekwa, Hirschsprung dzimwe nguva inofungidzirwa muvana vakwegura vane kuvhiringidzika kwenguva refu, kunyanya dai vasina kumbobvira vaine hutano hwakanaka ivo pachavo pasina rubatsiro rwemaemas kana kuti suppositories kana kuti havana kukura mushure mokunge vashure pakurumurwa kubva mukuyamwisa
- yakatumidzwa kuna Harald Hirschsprung, chiremba wevana patakatsanangura vana vaviri vane chirwere muna 1887 Copenhagen
Chiremba gastroenterologist uye chirwere chechiremba chinogona kubatsira pakuongorora nekurapa mwana wako neHirschsprung's disease.
> Sources:
Hirschsprung's Disease. Chirwere Chepachiviri uye Chirwere Chirwere (Chine Chete), 2011, Mapeji 576-582.e2
Hirschsprung Disease. Chirwere Chepachiviri (Seventh Edition), 2012, Mapeji 1265-1278