The diaphragm hernia in children

The diaphragm hernia in children's disease overview

The diaphragm is a dome -shaped muscle structure separating the abdominal and chest formed at the 8th - 10th week of the fetus.

During the formation process, for some reason, the diaphragm is not fully completed to form a diaphragm gap that makes the chest and abdominal cavity not completely separated to make the organs in the abdominal cavity such as stomach, intestines, liver, and spleen can go to the chest through the gap of the diaphragm causing disease diaphragm hernia . The organs in the abdomen go up to the chest, affecting the process of formation and development of the lungs, causing serious consequences. The disease is often seen mainly on the left, rarely seen on the right and rarely seen on both sides.

innate hernia has not caused any phenomenon during pregnancy. Newborn hernia is most evident in respiratory with shortness of breath immediately after birth a few hours at a mild or heavy.

Causes of The diaphragm hernia in children's disease

Dowel hernia in children is a dangerous congenital disease with the current cause. The disease may be encountered with the only form of defects but can also appear along with other malformations such as heart, liver, and kidney defects.

Symptoms of The diaphragm hernia in children's disease

As soon as the child is born, the diaphragm symptoms are manifested by:

  • Children appear signs of early respiratory failure, exertion, shortness of breath, cyanosis after birth.
  • Abnormal children's abdomen due to the majority of the gastrointestinal tract on the chest.

    • When examining children detect abnormalities such as right -sided heart, listening to the lungs there are many abnormalities.

    Diagnostic measures for The diaphragm hernia in children's disease

    During the fetal period, the baby can still be detected by diaphragm hernia through fetal ultrasound detection of multi -amniotic images, organs appearing in the chest, rarely seeing hernia. When detecting abnormalities, it is necessary to check other congenital abnormalities of the fetus to eliminate.

    Right after the birth of the baby began to appear the manifestations of diaphragm such as shortness of breath, respiratory failure, cyanosis. Clinical examination combined with testing for quick and accurate diagnosis:

  • Clinical examination, hearing the heart of the patient detect the right child's heart, the gas entering the left lung is inferior to the right lung. Children cry babies, shortness of breath or heavy, abnormally flat belly due to the digestive tube on the chest.
  • X -rays, ultrasound, and cutting tunnels help detect the organs in the abdominal cavity to the chest, trachea and lungs are pinched. In addition, it also helps to locate hernia and hernia size.
  • Some cases of raging hernia in children showing signs of pneumonia recurring many times. In many cases, children do not show signs and are only discovered when they go to regular medical examination.

    • The diaphragm hernia in children's disease treatments

    The treatment of diaphragm in children needs to be proactive and positive:

  • Intentication, muscle relaxation, mechanical breathing help improve children's respiratory problems. Do not support respiration by squeezing the ball through the mask, making the child's condition worse due to respiratory gases into organs such as the stomach, intestines that cause lung compression, making the child's disease worse. P>
  • Set catheter to support treatment and monitor the child's condition.
  • Surgery: After stabilizing, the child will have surgery to bring all the organs to the wrong place to the original position and close the hole of the diaphragm. The surgery is only performed when the child's condition has progressed and must have a full range of emergency resuscitation.
  • After the surgery, children continue to be actively cared for, maintaining mechanical ventilation until the child's condition is stable.

    • Child care after diaphragm surgery

  • Despite successful surgery, many children after surgery suffer from respiratory diseases such as lung disease, deformed chest, respiratory function of diaphragm. .. Moreover, these children are also more likely to suffer from gastrointestinal diseases due to gastroesophageal reflux, intestinal obstruction, intestinal twisting due to abnormal abdominal abdominal abdominal abdominal cavity.
  • In addition, children also have problems with eating and respiration due to lung abnormalities, causing consequences of children's development. Because of these reasons, after successful surgery, children need to be closely monitored and regularly check regularly according to the doctor's schedule to be able to detect abnormal problems and early intervention. For children to develop best.

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