Fistula ta jiki na esophagus a cikin yara

Fistulas na al'ada za a iya warewa ko hada su, sau da yawa a hade tare da atresia na esophagus. Fistulas sune igiyoyi masu tsada wanda ke haɗa da lumen daga cikin esophagus ko anastomosis tare da motsin rai na ruji (trachea, bronchi) ko yanayin waje ta cikin fata (fistula waje na esophagus). An rarraba fistula mai lalacewa na esophagus a matsayin abin da ke faruwa a cikin wani ɓangaren ƙwayar cuta. Mafi yawan binciken da sanannun sune fistal-tracheal and esophageal-bronchial fistula, suna da wasu nau'o'in jinsunan esophagus tare da hanyoyi masu hanzari: sifa da kuma trachea suna da bango na yau da kullum, hanya marar tsayi ta daɗe da kuma kunkuntar, hanya marar takaita ta takaitacciya ce. Fistulas an gano, a matsayin mai mulkin, a matakin 1-2 thoracic vertebrae. An ba da cikakken nazarin ilmin halittar jiki a kan ayyukan AP Biesin (1964), GA Bairov, NS Mankina (1977).

Fistulas na al'ada daga cikin esophagus sun taso ne saboda sakamakon rashin cikakkewa na kwakwalwa na intanet a kan bishiya da trachea.

Clinical bayyanar cututtuka

Kwayoyin cututtuka suna nuna sa'o'i kadan bayan haihuwar jariri a farkon abinci. An ƙayyade su ta hanyar bambancin ɓangare na tarkon. A lokuta na bango na kowa na esophagus da trachea, da kuma gajeren hanzari da sauri bayan kowane abu na abinci, wanda ke haifar da mummunar cuta, numfashi, da hypoxia. Cyanosis ya bayyana. A cikin gaba akwai azumi na abinci da ciwon huhu ci gaba. Sakin launi na ƙwayar cutar ba shi da ƙira lokacin da aka ciyar ta hanyar bincike. Bugu da kari, abinci ba shi da damar yin amfani da hanyoyi na iska.

A cikin lokuta mai tsawo da kuma kunkuntar a yara na farkon makonni na rayuwa, daɗaɗa duk da yake yana bayyana, amma an nuna tawali'u. Coughing spells ne rare. Duk da haka, a ƙarshen ƙarshen, har ma da yawancin abinci ya fada cikin sashin jiki na jiki, saboda abin da yarinya ya faru ya fi ƙarfin, rashin ƙarfi na numfashi ya ƙaru, kuma ya tsira daga ciwon huhu.

Mafi mahimmanci don bincikar fistula na esophagus ita ce esophagoscopy da itraheobronchoscopy. Tare da taimakon esophagoscopy, wanda zai iya ganin ƙofar shiga ta oviposition da kuma bayyanar iska a cikin tudu a cikin wannan rami, da kuma ƙuƙwalwar ƙuƙwalwa. Tare da taimakon tracheobronchoscopy, ana iya gano ingestion (leakage) ta hanyar fistula a cikin suturar ƙwayar ƙwayar abinci mai yawa, fushi da membran mucous na trachea ko bronchus a wurin fita daga fistula.Ya yi amfani da hanya mai launi don gano sadarwa na esophagus tare da sutura ta hanyar motsi. Don yin wannan, kunna ruwan da jaririn ke amfani da ita don sha, blue blue. Hannar fentin a cikin fili na numfashi ya tabbatar da kasancewar fistula.

Dukkanin esophagoscopy da tracheobronchoscopy anyi su ne a karkashin ƙwayar cuta.

Amma game da ganewar rediyo na fistula, yana da dangantaka da dangi. Da farko dai, saboda binciken da yayi amfani da matsakaicin matsakaici wanda aka gabatar a cikin esophagus, sa'an nan kuma shiga cikin fistula ta hanyar inhalation, zai haifar da ci gaba da ƙananan ciwon ciwon huhu (a gaban ciwon huhu, jigilar gwajin da aka sabawa). Abu na biyu, binciken ba tare da bambanci ba, ba ya bayyana fistula. Akwai hanyar da ba za a iya kaiwa ba don maganin cututtuka na suturar jiki-bronchial fistulas, wanda shine kwatanta magungunan asibiti na rashin lafiya na numfashi da kuma yanayin huhu. Don yin wannan, jarrabawar X-ray daga cikin huhu. Idan ba tare da alamun bala'in ƙwayoyin cuta a cikin ƙwayar cuta ba a cikin tarihin tari, da ci gaban hasara na numfashi a cikin yara ƙanana, wanda zai iya tunani game da kasancewar fosulan esophagus. Idan yaron ya riga ya fara ciwon ciwon ciwon huhu, to, wannan hanyar bincike bata da matsala. Saboda haka, jarrabawar X-ray ya kamata a yi a hankali, yana tunawa da wannan a sama.

Jiyya

Yin maganin esophagus ne m. Magungunan maganin lokaci yana warkar da masu haƙuri. A ƙarshen aikin jiyya, halayen ya tabbatar da halin da tsawon lokaci na rikice-rikice na bronchopulmonary.

Shuka lafiya!