megacystis-small colon-bowel dysmotility syndrome
Introduction
Introduction of giant bladder-small colon-intestinal peristalsis syndrome Giant bladder-small colon-intestinal peristalsis syndrome may be caused by insufficient neuromuscular function. The body can correct itself, but the process is slow, mostly due to urinary tract infection, sepsis and long-term malnutrition. It can take parenteral nutrition, and then do jejunal and gastrostomy, and through the stoma into the elemental diet. basic knowledge The proportion of illness: 0.0005% Susceptible people: good for newborns Mode of infection: non-infectious Complications: sepsis malnutrition
Cause
Giant bladder-small colon-intestinal peristalsis syndrome
(1) Causes of the disease: The cause of the disease is not clear, and may have certain correlation with environmental factors, genetic factors, dietary factors, and mood and nutrition during pregnancy.
(B) the pathogenesis: the pathogenesis of this disease is unknown, some scholars believe that it is caused by the loss of nerve fibers in the intestinal cells, belonging to neurological peristalsis. Some scholars believe that the paculopathic eating habits and chromosomal abnormalities are not confirmed.
Prevention
Giant bladder-small colon-intestinal peristalsis syndrome prevention
The cause of this disease is not clear, and it is related to autosomal recessive inheritance. It is usually related to the marriage of a close relative, and the disease cannot be directly prevented. For patients with a family history of suspected chromosomal abnormalities, genetic screening should be carried out to avoid the offspring of the disease caused by chromosome inheritance after marriage. At the same time, attention should also be paid to strengthening nutrition during pregnancy, reasonable diet, and avoiding emotional stimuli that affect embryonic development.
Complication
Giant bladder-small colon-intestinal peristalsis syndrome complications Complications sepsis malnutrition
1. Urinary tract infection: It is inflammation caused by bacteria directly invading the urinary tract. Infection can involve the upper and lower urinary tract, and the difficulty in positioning is collectively referred to as urinary tract infection.
2, long-term malnutrition: energy supply is mainly lacking, the performance is significantly reduced weight, subcutaneous fat reduction is called weight loss; lack of protein supply, characterized by edema called edema, between the two Weight loss - edema type.
Symptom
Giant bladder-small colon-intestinal peristalsis syndrome symptoms Common symptoms Abdominal can touch huge... Urinary infections bloating huge bladder
At the time of birth, the body weight is still normal, and later abdominal bloating, no meconium, the abdomen can touch a huge soft mass, often susceptible to urinary tract infection.
1. In the short term after birth, the small intestine expands and the peristalsis weakens.
2. Small colon, poor peristalsis, poor displacement or rotation.
3. The abdomen touches the huge bladder.
4. There is no evidence of mechanical obstruction in the urinary tract and gastrointestinal tract.
Examine
Giant bladder-small colon-intestinal peristalsis syndrome
Clinical physical examination: after the progressive abdominal distension, no meconium, the abdomen can touch a huge soft mass, often susceptible to urinary tract infections. B-ultrasound showed a significant increase in the bladder, but the contractile force of the bladder was reduced, which easily caused a stressful incontinence.
Laboratory examination: colonoscopy, visible ecchymosis in the colon, less meconium or no meconium. X-ray examination of the abdomen showed that the colon was inflated, but no liquid plane was seen.
Diagnosis
Diagnosis and diagnosis of giant bladder-small colon-intestinal peristalsis syndrome
Diagnosis: Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis: At the same time pay attention to the identification of intestinal obstruction. Intestinal obstruction: refers to the passage of intestinal contents through the obstacles, which is generally said to be inaccessible. Here, the intestine usually refers to the small intestine (jejunum, ileum) and the colon (ascending colon, transverse colon, descending colon, sigmoid colon). The main clinical symptoms are abdominal pain, vomiting, bloating, and stopping the symptoms of exhaustion and defecation.
