Pyloric stenosis nyob rau hauv aub: dab tsi yog pyloric stenosis thiab yuav ua li cas kom tshem tau ntawm nws

Pyloric stenosis tseem hu ua pyloric stenosis hauv dev. Nws kuj tseem hu ua pyloric hypertrophy syndrome lossis nce cov leeg nqaij. Tus kab mob no yog nqaim ntawm ib feem ntawm lub plab hu ua pylorus. Lub pylorus yog lub valve zoo li qhib los ntawm cov zaub mov tawm hauv lub plab thiab nkag mus rau hauv cov hnyuv.

Hauv kev kho mob, "stenosis" txhais tau tias "narrowing." Kev ua haujlwm ntawm pylorus yog tswj los ntawm cov leeg nyob ib puag ncig nws, thiab thaum lawv tuab, lawv tsis ua haujlwm zoo. Qhov no ua rau qhov qhib kaw tag nrho lossis ib nrab, tiv thaiv cov zaub mov tawm ntawm lub plab ib txwm.

Ua rau pyloric stenosis hauv dev

Cov tsos mob ntawm tus kab mob tuaj yeem ua rau muaj kev sib txawv ntawm cov leeg nqaij ntawm pylorus. Hauv cov dev yug los nrog pyloric stenosis, cov tsos mob feem ntau tshwm sim qee lub sij hawm tom qab weaning thiab hloov mus rau khoom noj khoom haus. Qhov no feem ntau tshwm sim thaum muaj hnub nyoog 4 thiab 12 lub hlis.

Lwm yog vim li cas tej zaum yuav muaj feem xyuam rau maj mam thickening ntawm cov nqaij du los yog gastric mucosa. Qhov ua rau ntawm daim ntawv ntawm tus kab mob no tsis paub. Hauv cov dev uas muaj daim ntawv no ntawm pyloric stenosis, thawj cov tsos mob feem ntau tshwm sim hauv nruab nrab lossis hnub nyoog laus.

Brachycephalic, los yog luv-nosed, breeds, nrog rau boston-chaw hav zoov, boxer luv thiab bulldogs muaj ntau predisposed rau congenital pyloric stenosis. Cov dev me me, suav nrog Lhasatso, Shea-tso, Pekingese thiab MalteseBologneseTej zaum yuav muaj kev pheej hmoo ntau dua ntawm kev tsim daim ntawv ntawm pyloric stenosis.

Cov tsos mob ntawm pyloric stenosis hauv dev

Feem ntau cov cim qhia ntawm pyloric stenosis nyob rau hauv dev yog tus dev qhov ntuav ntuav tom qab noj mov hauv luv luv. Qhov no yog ib tug dynamic txheej txheem nyob rau hauv uas tus tsiaj, siv lub plab cov leeg, regurgitates cov ntsiab lus ntawm lub digestive ib ntsuj av, uas zoo li yuav overcooked. Tus tsiaj kuj tuaj yeem ntuav nrog tus ciav.

Nrog rau daim ntawv yug los ntawm pyloric stenosis, ntuav tawm tsam hauv tus dev tom qab noj mov pib hauv tus menyuam dev tom qab weaning thiab hloov mus rau khoom noj khoom haus. Lwm cov tsos mob tshwm sim cuam tshuam nrog pyloric stenosis hauv dev muaj xws li:

• Regurgitation. Passive expulsion ntawm cov ntsiab lus ntawm lub plab zom mov, nyob rau hauv uas tus dev burps cov ntsiab lus undigested ntawm lub plab.
• Tsis qab los noj mov.
• Lub cev yuag.
• Lub cev qhuav dej.
• teeb meem ua pa, Piv txwv li aspiration pneumonia tom qab ntuav. Aspiration tshwm sim thaum cov khoom txawv teb chaws raug yuam kev nkag mus rau hauv lub ntsws los yog txoj hauv kev. Hauv qhov no, ntuav tuaj yeem ua rau mob ntsws lossis mob ua pa, uas tuaj yeem ua rau mob ntsws.

Cov tsos mob no muaj feem xyuam rau qib ntawm pyloric thickening thiab feem ntau tsis zoo nrog kev kho tshuaj ntawm cov tsos mob. Yog tias koj tus tsiaj pom ib qho ntawm cov tsos mob no, kev ntsuam xyuas ntxiv los ntawm kws kho tsiaj yog tsim nyog.

Kev kuaj mob ntawm gatekeeper stenosis

Vim tias ntuav ntuav tuaj yeem muaj ntau yam ua rau, kev kuaj mob yog tsim nyog. Feem ntau yuav tsum tau kuaj ntshav kom tiav (CBC), kuaj ntshav biochemical thiab kuaj zis, nrog rau x-ray ntawm lub plab.

Feem ntau, kev kuaj ntshav thiab zis yuav zoo li qub lossis tej zaum yuav pom tias lub cev qhuav dej me me lossis qhov tsis sib xws hauv electrolytes, cov zaub mov tseem ceeb uas xav tau rau lub cev ua haujlwm. Txawm li cas los xij, txawm tias kev kuaj ntshav zoo li qub, nws tuaj yeem pab txiav txim siab lwm yam ua rau ntuav.

Nyob rau hauv cov ntaub ntawv ntawm ib qho kev cuam tshuam ntawm cov theem ntawm pylorus, lub plab x-ray yuav qhia tau cov kua dej ntau hauv plab, uas ua rau tsam plab. Lub hauv siab x-ray raug txiav txim thaum muaj cov teeb meem ua pa cuam tshuam los ntsuas kev mob ntsws ntsws lossis lwm yam hauv siab txawv txav.

Yog tias xav tias pyloric stenosis, ntxiv x-ray ntawm lub plab yog feem ntau coj tom qab kev tswj qhov ncauj ntawm tus neeg sawv cev barium sib txawv. Nws pab tus kws kho tsiaj kom pom kev zoo dua ntawm lub plab kab noj hniav.

Kev ncua lub plab khoob thiab nqaim ntawm pylorus kuj tseem tuaj yeem qhia txog kev kuaj mob pyloric stenosis. Yog tias ua tau, kev soj ntsuam x-ray, hu ua fluoroscopy, lossis ultrasound plab los ntsuas seb puas muaj pyloric stenosis yuav tsum tau noj ua ntej kev kuaj mob ntau ntxiv.

Yog tias koj xav tias pyloric stenosis hauv tus tsiaj, koj tuaj yeem siv lub koob yees duab los tshuaj xyuas nws. Tsis tas li ntawd, endoscopy yuav ua tau kom tau txais cov qauv ntawm cov ntaub so ntswg pyloric rau biopsy. Biopsy yog ib qho tseem ceeb los txiav txim rau lwm yam ua rau thickening ntawm cov ntaub so ntswg pyloric.

Qee qhov xwm txheej, kev tshawb nrhiav kev phais yog tsim nyog los ua qhov kev kuaj mob tseeb.

Kev kho mob ntawm tus kheej

Kev kho mob pyloric stenosis hauv dev feem ntau yog kev phais, vim nws ua rau mob plab hauv plab feem ntau. Kev ua haujlwm ntau tshaj plaws yog cov txheej txheem hu ua pyloroplasty. Nws tso cai rau koj tshem tawm cov tawv nqaij ntawm cov mucous ntawm cov pylorus thiab nthuav cov pylorus ntawm qhov chaw tawm ntawm cov zaub mov los ntawm lub plab. Hauv qee kis, kev phais ntau dua yuav tsum tau tshem tawm cov pylorus cuam tshuam.

Thaum tsis muaj teeb meem tom qab kev ua haujlwm, cov dev feem ntau raug phais los kho pyloric stenosis ua tau zoo thiab tuaj yeem rov qab mus rau lawv txoj kev ua neej li qub.

Saib kuj:

• Yuav ua li cas pab tus dev nrog lub plab rhiab?
• Yuav ua li cas kho mob plab nyob rau hauv ib tug dev
• Pathologies thiab indigestion nyob rau hauv dev: hom thiab ua rau
• Ua li cas koj thiaj paub tias koj tus dev mob?