Pyloric stenosis i loko o kahi ʻīlio: he aha ka pyloric stenosis a pehea e hoʻopau ai

Ua kapa ʻia ka stenosis pyloric i nā ʻīlio. ʻIke ʻia ʻo ia ʻo ka pyloric hypertrophy syndrome a i ʻole ka hoʻonui ʻana i ka ʻiʻo ʻiʻo. ʻO ka maʻi ka haʻikiʻi o ka ʻāpana o ka ʻōpū i kapa ʻia ʻo ka pylorus. ʻO ka pylorus he puka e like me ka valve kahi e haʻalele ai ka meaʻai i ka ʻōpū a komo i loko o ka ʻōpū.

Ma nā ʻōlelo lapaʻau, ʻo "stenosis" ʻo ia ka "narrowing." Hoʻomalu ʻia ka hana o ka pylorus e nā ʻiʻo e hoʻopuni ana iā ia, a i ka wā e mānoanoa ai, pau ka hana pono. ʻO kēia ka mea e pani ʻia ai ka wehe ʻana a ʻāpana paha, e pale ana i ka meaʻai mai ka puka maʻamau o ka ʻōpū.

Nā kumu o ka pyloric stenosis i nā ʻīlio

Hiki i ka hiʻohiʻona o ka maʻi ke hoʻonāukiuki i ka congenital selective thickening o nā ʻiʻo maʻemaʻe o ka pylorus. I nā ʻīlio i hānau ʻia me ka stenosis pyloric, ʻike pinepine ʻia nā hōʻailona ma hope o ka wean a me ka hoʻololi ʻana i ka meaʻai paʻa. Hana ʻia kēia ma waena o nā makahiki 4 a me 12 mahina.

ʻO kekahi kumu e pili ana i ka mānoanoa mālie o ka ʻiʻo maʻemaʻe a i ʻole ka mucosa ʻōpū. ʻAʻole ʻike ʻia ke kumu o kēia ʻano o ka maʻi. I nā ʻīlio me kēia ʻano o ka pyloric stenosis, ʻike pinepine ʻia nā hōʻailona mua ma waena a ʻelemakule paha.

ʻO Brachycephalic, a iʻole ka ihu pōkole, nā lāhui, me Boston-Terriers, ʻeleʻele a ʻoi aku ka predisposed o nā bulldogs i ka congenital pyloric stenosis. ʻO nā ʻīlio pua liʻiliʻi, me Lhasaabso, Shea-tsu, Pekingese a me MalkīBologneseʻoi aku paha ka pilikia o ka hoʻomohala ʻana i kahi ʻano pyloric stenosis.

Nā hōʻailona o ka stenosis pyloric i nā ʻīlio

ʻO ka hōʻailona maʻamau o ka pyloric stenosis i nā ʻīlio, ʻo ia ka luaʻi mau ʻana o ka ʻīlio ma hope o ka ʻai ʻana i nā pō pōkole. He hana hoʻoikaika kēia e hoʻohana ai ka holoholona i nā ʻiʻo o ka ʻōpū, e hoʻihoʻi hou i nā mea o ka digestive tract, ka mea i ʻike ʻia ua ʻai ʻia. Hiki i ka pipi ke luaʻi me ka pūnāwai.

Me kahi ʻano congenital o pyloric stenosis, hoʻomaka ka luaʻi ʻana i ka ʻīlio ma hope o ka ʻai ʻana i ka ʻīlio ma hope o ka wean a me ka hoʻololi ʻana i ka meaʻai paʻa. ʻO nā hōʻailona lapaʻau ʻē aʻe e pili ana me ka stenosis pyloric i nā ʻīlio, penei:

• Hoʻihoʻi hou. ʻO ka hoʻokuke ʻia ʻana o nā mea o loko o ka digestive tract, kahi e uhaʻi ai ka ʻīlio i nā mea i hoʻokaʻawale ʻole ʻia o ka ʻōpū.
• Hoʻoemi i ka makemake.
• Kaumaha emi.
• Make wai.
• pilikia hanu, e laʻa me ka pneumonia aspiration ma ke kua o ka luaʻi. Loaʻa ka manaʻo i ka wā i hoʻokomo ʻia ai kahi mea ʻē i loko o ka māmā a i ʻole nā ​​ala ea. I kēia hihia, hiki i ka luaʻi ke alakaʻi i ka maʻi ʻōpū a i ʻole ka maʻi hanu, a hiki ke alakaʻi i ka pneumonia.

Pili kēia mau hōʻailona i ke kiʻekiʻe o ka mānoanoa pyloric a maʻamau ʻaʻole maikaʻi me ka mālama lāʻau i nā hōʻailona. Inā hōʻike kāu pipi i kekahi o kēia mau hōʻailona, ​​​​pono ka loiloi hou ʻana e ke kauka holoholona.

ʻO ka hōʻailona o ka stenosis kiaʻi puka

No ka loaʻa ʻana o ka luaʻi mau ʻana i nā kumu he nui, pono ka hoʻāʻo diagnostic. ʻO ka maʻamau e koi ʻia kahi helu koko piha (CBC), kahi hoʻāʻo koko biochemical a me kahi mimi, a me kahi x-ray o ka ʻōpū.

I nā manawa he nui, he mea maʻamau ka hoʻāʻo ʻana i ke koko a me ka mimi a i ʻole ke hōʻike ʻana i ka dehydration haʻahaʻa a i ʻole ke kaulike ʻana o nā electrolytes, nā mineral koʻikoʻi e pono ai no nā hana maʻamau o ke kino. Eia nō naʻe, ʻoiai inā he maʻamau ka hoʻāʻo ʻana i ke koko, hiki ke kōkua i ka pale ʻana i nā kumu ʻē aʻe o ka luaʻi.

I ka hihia o kahi keakea ma ke kiʻekiʻe o ka pylorus, hiki i kahi x-ray o ka ʻōpū ke hōʻike i ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū, e alakaʻi ana i ka bloating. Kauoha ʻia kahi pahu x-ray ma mua o nā pilikia hanu e pili ana i ka loiloi no ka maʻi pneumonia aspiration a i ʻole nā ​​​​mea ʻino ʻē aʻe o ka umauma.

Inā kānalua ka pyloric stenosis, lawe pinepine ʻia nā x-ray hou o ka ʻōpū ma hope o ka hoʻohana waha ʻana i kahi mea hoʻohālikelike barium. Kōkua ia i ke kauka holoholona e ʻike maikaʻi i ka ʻōpū o ka ʻōpū.

ʻO ka lohi ʻana o ka ʻōpū a me ka hōʻemi ʻana o ka pylorus hiki ke hōʻike i kahi hōʻailona o ka stenosis pyloric. Inā hiki, pono e lawe i ka x-ray ma hope, i kapa ʻia he fluoroscopy, a i ʻole he ultrasound abdominal e loiloi no ka loaʻa ʻana o ka pyloric stenosis pono e lawe ʻia ma mua o nā hoʻokolohua diagnostic hou aʻe.

Inā manaʻo ʻoe i ka stenosis pyloric i loko o kahi holoholona, ​​​​hiki iā ʻoe ke hoʻohana i ke kāmela e nānā ai. Eia hou, hiki ke hana ʻia ka endoscopy no ka loaʻa ʻana o nā laʻana o ka ʻiʻo pyloric no ka biopsy. He mea koʻikoʻi ka biopsy e kāpae i nā kumu ʻē aʻe o ka mānoanoa o ka ʻiʻo pyloric.

I kekahi mau hihia, pono ke ʻoki ʻana i ka ʻimi ʻana e hana i kahi hōʻailona maopopo.

ʻO ka papa hana hoʻokahi

ʻO ka lapaʻau ʻana no ka stenosis pyloric i nā ʻīlio e hana maʻamau i ka ʻokiʻoki, no ka mea, ʻo ia ka hopena i ke keʻe ʻana o ka ʻōpū i ka nui o nā hihia. ʻO ka hana maʻamau ka hana i kapa ʻia he pyloroplasty. Hāʻawi ia iā ʻoe e wehe i ka ʻiʻo mānoanoa o ka membrane mucous o ka pylorus a hoʻonui i ka pylorus ma ke kahua puka o ka meaʻai mai ka ʻōpū. I kekahi mau hihia koʻikoʻi, koi ʻia ke ʻoki paʻakikī e wehe i ka pylorus i hoʻopilikia ʻia.

I ka loaʻa ʻole o nā pilikia ma hope o ka hana ʻana, ʻoi aku ka maikaʻi o ka hapa nui o nā ʻīlio e hana i ka ʻokiʻoki no ka mālama ʻana i ka stenosis pyloric a hiki ke hoʻi i ko lākou nohona maʻamau.

E nānā i kekahi:

• Pehea e kōkua ai i ka ʻīlio me ka ʻōpū paʻakikī?
• Pehea e mālama ai i ka ʻōpū ʻeha o ka ʻīlio
• ʻO nā pathologies gastrointestinal a me ka indigestion i nā ʻīlio: nā ʻano a me nā kumu
• Pehea ʻoe e ʻike ai inā ʻeha kāu ʻīlio?