Umsulwa Ongumzali Onamaqhinga Avelele
I-Megacystis microcolon emathunjini okuthiwa i-hypoperistalsis syndrome (MMIH), eyaziwa nangokuthi i-Berdon syndrome, ibangelwa yi-disorder ye-muscle ebushelelezi esimisweni esiswini nesisu sokugaya. Lesi sifo sivimbela isisu, amathumbu, izinso, nesinye isisu ukuthi singasebenzi kahle.
Ayaziwa ukuthi kungani noma i-MMIH syndrome ivela kanjani. Abanye abacwaningi bakholelwa ukuthi lizuzwe njengefa ngoba sekuye kwavela amacala omndeni wakithi.
Cishe wonke amacala awaziwa amantombazane. Isizathu esisodwa lokhu kungenzeka ukuthi i-MMIH ingase ingabhekwa njenge- prune belly syndrome , ikakhulukazi kubafana.
Izimpawu
Izimpawu ze-MMIH zibangelwa ukuphazamiseka kwesisindo esibucayi. Imisipha yezingaphakathi zangaphakathi ilahla futhi ayihlazi kahle ku-utero. Izimpawu ze-MMIH yizi:
- i-megacystis-isilwane esikhulu esibuthakathaka
- i-microcolon - emathunjini amancane kakhulu
- Amathumbu emathumbu emathumbu amathumbu - amathumbu amancane avulekile futhi imisipha yawo ebuthakathaka ayidluli ukudla kahle kakhulu
Imisipha yesisu isingenangqondo, okwenza isisu somntwana sibonakale siphendukile, njenge-prune. I-hypoperistalsis iholela ekuqotheni nasekuvinjweni kwamathumbu.
Ukuxilongwa
I-MMIH inzima ukuyihlolisisa ngaphambi kokuba ingane izalwe. Izitho zangaphakathi ezingavamile ezifana nesigqila esikhulisiwe nesingavinjelwe singabonakala kumshuwalense we-fetal, kodwa kungase kungacacisi ukuthi ingane i-MMIH, ngaphandle uma ingane ibenezingane zakudala.
Uma umntwana ezalwa, ukuhlolwa ngokomzimba kanye ne-ultrasound kunganquma uma i-MMIH ikhona.
Ekuhloliseni ngokomzimba, odokotela bayobe befuna isethulo esilandelayo sezimpawu isibonakaliso sokuqala kwesimo:
- Isisu esiswini noma esikhulisiwe
- Ukuhlanza okwenziwe ngebheyili nokuhluleka ukudlula i-meconium (into eluhlaza okwakhiwa okomnyama okwenza ucezu lokuqala lwezinsana ezisanda kuzalwa).
- Izimo ezihlukahlukene ze-visceral zezinzwa (ezilawula imisipha ebushelelezi, imisipha yomzimba, namangqamuzana e-gland)
- Izimpikiswano ze-digestive zihlanganisa i-microcolon, ukuxhashazwa kwamathumbu, kanye nesilwane esifushane.
- Amaphutha wephethini lomchamo
- I-testis engaphenduliwe kwezinye izimo
Ukwelapha
Ngeshwa, akukho ukwelashwa kwe-MMIH (i-Berdon Syndrome), futhi umbono ungampofu ezinganeni ezelwe nayo; iningi liyafa ngonyaka wokuqala wokuphila. Izinsana zingadliwa nge-intravenously ngezingxube ezikhethekile, kodwa lolu hlobo lwezokwelapha luvame ukubangela ukwehluleka kwesibindi.
Odokotela baye bazama ukufaka zonke izitho zangaphakathi ezingalungile ezinsaneni ezine-MMIH ngokufakelwa kabusha. I-athikili emaphepheni we- Transplantation ngo-1999 yabika ngamantombazane amathathu anesifo se-MMIH esathola ukufakelwa kwezakhi eziningi. Ukuguqulwa kwehlulekile kumntwana oyedwa, owafa; Ingane eyodwa yafa ezinyangeni ezingu-17 kamuva ngenxa yempumoniya , kodwa ingane yesithathu yayisaphila futhi kahle ngesikhathi saleso sihloko.
Omunye umzamo wokufakelwa kwezakhi eziningi ze-MMIH wenziwa ngoJanuwari 31, 2004. U-Alessia Di Matteo, waseGenoa, e-Italy, wathola izitho eziyisishiyagalombili ukusuka kwesinye isana: isibindi, isisu, ama-pancreas, amathumbu amancane, amathumbu amancane, ubhedu namabili izinso. Odokotela e-University of Miami / Jackson Memorial Hospital, lapho kuhlinzwa khona, kubike amasonto ayisikhombisa ukuthi u-Alessia wenza kahle.
Uzodinga ukuqhubeka nokuthatha izidakamizwa zokulwa nokulahla impilo yakhe yonke, kodwa abazali bakhe bacabanga ukuthi intengo encane yokukhokha isipho sokuphila esinikezwe yona.
Imithombo:
U-Brecher, u-EJ Baby uthola izitho ezintsha ezingu-8 eMiami. I-Miami Herald, ngoLwesihlanu, ngo-March 19, 2004.
InfoBiogen. I-Megacystis-microcolon-intestinal-hypoperistalsis syndrome.
Masetti, M., Rodrigues, MM, Thompson, JF, Pinna, AD, Kato, T., Romaguera, R. l., Nery, JR, De Faria W., Khan, MF, Verzaro, R., Ruiz, P ., Tzakis, AG (1999). Ukufakelwa kwe-multivisceral for megacystis microcolon emathunjini we-hypoperistalsis syndrome. Ukufakelwa kwezitshalo , 68 (2), iphe. 228-232.