Ukuqhaqhozeka okungapheli kubantwana, isifo sikaHirschsprung

Ngowe-1887, ngokokuqala ngqa kwimbali yeyeza, umfanekiso wekliniki kunye nayo yonke impawu ebalulekileyo yesifo eso, ngokokuqala ngqa ngelo xesha kwabonakala, njengegigantism yekoloni, ichazwe, nangona ingagqibekanga. Ugqirha owenza oku kufunyanwa waza wenza inkcazo yayingumhlengikazi waseDenmark uHarold Hirschprung, ogama lakhe labizwa ngokuba yiloo sifo. Iminyaka emide yokuqhubeka, uphando olululo lenzululwazi aluzange lube lukhuni: izazinzulu ziye zafumanisa imbangela yale ngozi. Kwavela ukuba lesi sifo sivela ngenxa yokungalunganga kwamacandelo athile endonga zamathumbu amakhulu. Kufuneka kuqatshelwe ukuba esi sifo sibonakala kubantwana. Kule nqaku, "Ukuqhaqhoqhoqhoqho kwabantwana: Isifo seHirschsprung," siza kujonga ezinye zeziganeko zesi sifo, kwakunye neendlela zokuxilongwa kunye neendlela zokonyango.

Isifo seHirschsprung sinokubonakalisa iimpawu eziliqela, ukubonakaliswa kwazo kuxhomekeka kakhulu kwiqela lonyaka. Ngendlela, amakhwenkwe athathwe kakhulu kwesi sifo kunabameli besifazane (bahlupheke kwesi sifo kaninzi ngokuphindaphindiweyo). Iimpawu ziyahlukahluka ngokuxhomekeka kwindawo ekuthiwa isilonda esiswini, ixesha lokubonakaliswa kwazo kunye neengxaki ezahlukeneyo ezinxulumene nesifo sikaHirschsprung. Ngezantsi ziimpawu ezizityhilela kubantwana beeminyaka ezahlukeneyo.

Izifo zeHirschsprung kubantwana ukuya kunyaka omnye kubonakaliswe ngale ndlela:

Kubantwana ukusuka kunyaka ukuya kolunye, iimpawu ezilandelayo zesifo sikaHirschsprung ziqhelekileyo:

Ngaloo ndlela, kunokuqatshelwa ukuba kwimibini yobudala, uphawu oluphambili lwesifo sikaHirschsprung luqhenqo olungapheliyo, olunokuthi lukhule lube lukhuni. Esi sifo kunzima ukuphawula kwiintsana, ekubeni ukuncelisa ivumela isitulo ukuba sidlule emathunjini ngokukhululeka ngakumbi, kodwa ngokuqala kokutya, ukuqhenyiswa kuya kubonakala ngakumbi, kuba ukuhambelana kwesigxina kuya kuba mkhulu. Ngenxa yokuba usihlalo uhamba ngokulibaziseka, umzimba utywala, obangela ukuhlanza. Kubalulekile ukuba uqaphele ukuba xa isifo sifana, isiphumo esingaphantsi kwe-enema.

Ukuvuvukala kwesisu esiswini - esinye isibonakaliso sesifo sikaHirschsprung, kubangelwa ukuphosa. Oku kuya kuphawulwa, kuba injalo yenguqu isisu: utshintsho luya ngaphantsi kwexabiso kunokuba lufanele lube luba ngathi luya kuvela, isisu ngokwawo silinganiselwe. Amathumbu abuye abuyele ecaleni.

Nangona kunjalo, isifo sikaHirschsprung asiyiyo kuphela isifo somntwana, sinokubangelwa ngabantu abadala. Izimbangela zesifo kubantu abadala - ukuguquka, ukungakwazi ukuzichasisa ukususela ebuntwaneni, intlungu kwisisu esiswini ngenxa yokulibaziseka ngokukhawuleza ekuchaseni.

Isifo sikaHirschsprung sinezigaba eziliqela: isigaba sokuhlawulelwa, isigaba esincinci kunye nesincinci. Iyokuqala ibonakaliswe ngokuqhawulwa ukususela ebuntwaneni, enokunciphisa ngokukhawuleza ibe yintsi ngokusebenzisa ukuhlanza. Nangona kunjalo, ezi zinto zenzeke zingenakwenzeka kwisigaba sesibini, kwaye ngenxa yoko, imeko yesigulane ibuhlungu, njengoko iqala ukugula kwiintlungu zesisu, ukuphefumula okufutshane. Kwakhona kwinqanaba lesibini, i-metabolism iyaphazanyiswa kwaye ilahleko ebonakalayo ilahleka. Iyesithathu, inqanaba elibi kakhulu libonakalisa intlungu engapheliyo kunye nobunzima kwisisu esiswini. Ngokuzikhandla komzimba kunye nokutshintshwa kokutya okungaqhelekanga kwesigulane kunokukhokelela kwingxaki enjalo njengomqobo onzima we-intestinal. Ukugqitywa kwe-defecation ayikwazi ukufezwa ngeendlela eziqhelekileyo: akukho ukuhlanjululwa, akukho ziqhwala.

Ngendlela, iintsana ezisenokubeleka zifumana ubunzima besifo seHirschsprung, kwaye esi sifo sibonakala ngokunciphisa umathumbu wamathumbu emathunjini.

Indlela yokonyango kwesi sifo yodwa - yongenelelo lophulo-mthetho, oluphambili lwenziwa ngexesha leminyaka engama-2-3. Nangona kunjalo, utyando lulandelwa unyango olulondolozayo, oluya kwenziwa ekhaya. Ukutya okukhethekileyo okumiselweyo okuhambelana neminyaka yesigulane, okubandakanya ukutya okunjengama-apula, ubusi, i-beetroot, i-carrots, ii-porridges ezahlukeneyo (i-oatmeal, i-buckwheat, njl.). Kwakhona kuyimfuneko ukuba rhoqo usebenzise iimveliso zobisi ezimanzi. Ukutya kukumiselwe enye injongo: ukuchaswa rhoqo, kunye nemveliso ekhankanywe ngentla kunceda ukuqinisa intestinal peristalsis. Ukongezelela kokutya, umntwana wesigulane umiselwe ukusikwa kwesisu esiswini kunye ne-gymnastics ekhethekileyo. Kubalulekile ukusetyenziswa rhoqo kunye neendidi ezahlukeneyo ze-enemas, umzekelo, njengeVaseline, ukucocwa, i-siphon, i-hypertonic.

Isigulane siphantsi kwesigqeba sogqirha omnye unyaka kunye nesiqingatha emva kokusebenza. Kwixesha leemviwo zeklinikhi, uphinde unikezwe ukutya okukhethekileyo, inkqubo yokucoca, i-set of exercise exercises. Ngendlela, ukucocwa kweempahla kufuneka kufakwe ngexesha elifanayo-oku kuyimfuneko ukwenzela ukuba kuphuhliswe i-reflex emiselweyo ukugqiba ukukhutshwa kwamathumbu. Ngethuba lexesha lokuvuselelwa, ngabazali bomntwana akungabazeki ukuba balawulwe kuphela ukulawula ukuchaswa kwakhe.