Duodenal atresia

Duodenal atresia waa xaalad qaybta hore ee mindhicirka yar (duodenum) uusan si sax ah u horumarin. Ma furna mana oggolaan karo marinka waxyaabaha caloosha ku jira.

Sababta loo yaqaan 'duodenal atresia' lama oga. Waxaa loo maleynayaa inay ka dhalaneyso dhibaatooyin inta lagu jiro horumarka embriyaha. Duodenum-ku iskama beddelo adag oo wuxuu u beddelaa qaab-dhismeed u eg tuubbo, sidii caadiyan ahayd.

Dhallaanka badan ee qaba duodenal atresia sidoo kale waxay leeyihiin cilladda Down syndrome. Duodenal atresia badanaa waxay la xiriirtaa cilado kale oo dhalasho.

Calaamadaha cudurka 'dodenal atresia' waxaa ka mid ah:

• Bararka caloosha sare (mararka qaarkood)
• Matag hore oo xaddi badan leh, oo laga yaabo inuu cagaar yahay (oo ay ku jirto bile)
• Matag joogto ah xitaa marka ilmuhu aan la quudin dhowr saacadood
• Saxaro malahan saxarada meconium ee ugu horeysa

Ultrasound-ka uurjiifka ayaa laga yaabaa inuu muujiyo xaddiga dheecaanka amniotic ee ilmo galeenka (polyhydramnios). Waxa kale oo laga yaabaa inay muujiso barar caloosha ilmaha iyo qayb ka mid ah duodenum.

Raajada caloosha ayaa laga yaabaa inay muujiso hawo caloosha iyo qaybta hore ee duodenum, iyadoo aan lahayn hawo intaas dhaafsiisan. Tan waxaa loo yaqaan calaamadda laba-xumbo.

Tuubo ayaa la dhigayaa si ay caloosha uga jajabiso. Fuuqbax iyo isu dheelitir la'aanta elektroolka ayaa lagu saxayaa iyadoo la siinayo cabitaanno iyadoo la marinayo tuubada xididka la siinayo (IV, xididka). Hubinta cudurada kale ee lagu dhasho waa in la sameeyaa.

Qalliin si loo saxo xayiraadda dhuunta waa lama huraan, laakiin ma aha xaalad degdeg ah. Qalliinka saxda ah wuxuu ku xirnaan doonaa nooca cilladaha aan caadiga ahayn. Dhibaatooyinka kale (sida kuwa la xiriira Down syndrome) waa in loola dhaqmaa sida ugu habboon.

Ka soo kabashada atodia dodenal atresia ayaa la filayaa daaweynta ka dib. Haddii aan la daweyn, xaaladdu waa dilaa.

Dhibaatooyinkan ayaa dhici kara:

• Cilladaha kale ee dhalashada
• Fuuqbax

Qalliinka ka dib, waxaa jiri kara dhibaatooyin sida:

• Barar qayb ka mid ah mindhicirka yar
• Dhibaatooyinka dhaqdhaqaaqa ee mindhicirka
• Reflux-ka Gastroesophageal

Wac daryeel caafimaad bixiyahaaga haddii ilmahaaga cusubi yahay:

• Quudinta si liidata ama haba yaraatee
• Matag (ma ahan iska tufin) ama haddii mataggu yahay mid cagaaran
• Kaadida ama saxaro la'aanta

Ma jiro ka hortag la yaqaan.

• Caloosha iyo xiidmaha yar

Dingeldein M. Cilladaha caloosha iyo caloosha ee la xushay ee dhasha. Gudaha: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff iyo Martin ee Neonatal-Perinatal Medicine. 11aad. Philadelphia, PA: Elsevier; 2020: cutubka 84.

Maqbool A, Bales C, Liacouras CA. Xiidmaha xiidmaha, stenosis, iyo malrotation. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 356.

Semrin MG, Russo MA. Anatomy, histology, iyo cilado horumarineed ee caloosha iyo duodenum. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 48.