ʻO Duodenal atresia

ʻO Duodenal atresia kahi kūlana kahi i ulu ʻole ai ka ʻāpana mua o ka ʻōpū liʻiliʻi (ka duodenum). ʻAʻole hāmama a ʻaʻole hiki ke ʻae i ka hele ʻana o ka ʻōpū.

ʻO ke kumu o ka duodenal atresia ʻaʻole ʻike ʻia. Manaʻo ʻia he hopena ia mai nā pilikia i ka wā o ka ulu ʻana o ka embryo. ʻAʻole loli ka duodenum mai kahi paʻa i kahi ʻano o ka Tube, e like me ka maʻamau.

Nui nā pēpē me ka duodenal atresia pū kekahi me Down Syndrome. Hoʻopili pinepine ʻia ʻo Duodenal atresia me nā kīnā hānau ʻē aʻe.

ʻO nā ʻōuli o duodenal atresia me:

• ʻO ka ʻōpū o ka ʻōpū kiʻekiʻe (i kekahi manawa)
• ʻO ka luaʻi mua ʻana i ka nui o ka nui, a ʻōmaʻomaʻo paha (i loaʻa ka bile)
• ʻO ka luaʻi hoʻomau ʻana ʻoiai ke hānai ʻole ʻia ka pēpē no kekahi mau hola
• ʻAʻohe neʻe o ke ʻōpū ma hope o nā noho o ka meconium mua

Hiki i kahi ultrasound fetal ke hōʻike i nā nui o ka wai amniotic i loko o ka ʻōpū (polyhydramnios). Hōʻike paha ia i ka pehu ʻana o ka ʻōpū o ka pēpē a me ka ʻāpana o ka duodenum.

Hiki i kahi x-ray ʻōpū ke hōʻike i ka ea i loko o ka ʻōpū a me ka ʻāpana mua o ka duodenum, me ka ea ʻole ma waho o kēlā. ʻIke ʻia kēia ma ke ʻano he inoa pālua.

Hoʻokomo ʻia kahi paipu e decompress i ka ʻōpū. Hoʻoponopono ʻia ka hemahema a me nā kaulike electrolyte ma o ka hāʻawi ʻana i nā wai ma o kahi paipu hoʻokomo (IV, i kahi aa). E nānā no nā anomalies hānau hou e pono e hana ʻia.

Pono ke ʻoki e hoʻoponopono i ka blockage duodenal, akā ʻaʻole kahi pilikia. ʻO ke kaha pololei e pili i ke ʻano o ka abnormalities. ʻO nā pilikia ʻē aʻe (e like me nā mea e pili ana i Down Syndrome) pono e mālama ʻia ke kūpono.

Loaʻa ka loaʻa hou ʻana mai ka duodenal atresia ma hope o ka mālama ʻana. Inā ʻaʻole mālama ʻia, make ka maʻi.

Hiki ke hana i kēia mau pilikia:

• Nā kīnā hānau ʻē aʻe
• Make wai

Ma hope o ke kahakaha ʻana, aia paha nā pilikia e like me:

• ʻO ka pehu o ka ʻāpana mua o ka ʻōpū liʻiliʻi
• Nā pilikia me ka neʻe ma o ka ʻōpū
• ʻO reflux Gastroesophageal

Kāhea i kāu kahu mālama ola inā ʻo kāu keiki hānau:

• E hānai hānai ʻana paha ʻaʻole paha
• ʻO ka luaʻi (ʻaʻole kuha wale) a inā he ʻōmaʻomaʻo ka luaʻi
• ʻAʻole i ka mimiki a i ʻole ka neʻe ʻana o ka ʻōpū

ʻAʻohe pale e ʻike ʻia.

• ʻŌpū a me ka ʻōpū liʻiliʻi

ʻO Dingeldein M. Nā anomal gastrointestinal i wae ʻia i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 84.

Maqbool A, Bales C, Liacouras CA. Intestinal atresia, stenosis, a me malrotation. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 356.

Semrin MG, Russo MA. ʻO Anatomy, histology, a me nā anomalies ulu o ka ʻōpū a me ka duodenum. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 48.