Neonatal Hirschsprung's disease?

summary

Babies usually excrete feces for the first time within 10 hours after birth, that is, feces. Generally, feces can be excreted in 2-3 days. However, there are also some babies who have not seen the first "Baba" or only a few "Baba" after two or three days of birth. After that, I defecate only once a few days or even a week or two. At the beginning, the parents thought that the child was just constipated, and they didn't care too much about it. They didn't go to the hospital for help until the child couldn't have a bowel movement for several days and his stomach bulged like a small ball. It turned out that the child was not ordinary constipation, but was caused by Hirschsprung's disease or other diseases. Neonatal Hirschsprung's disease? Let's talk about it.

Neonatal Hirschsprung's disease?

Hirschsprung's disease, also known as congenital agangliosis or Hirschsprung's disease, is caused by the absence of ganglion cells in the diseased intestinal segment, resulting in continuous spasm of the intestinal canal, and the feces can not be pushed down and stagnated in the proximal colon, resulting in hypertrophy and expansion of the intestinal canal. This is a common congenital malformation of the gastrointestinal tract, which is more common in newborns, The incidence was 1 / 2000-1 / 5000.

Once the diagnosis of Hirschsprung's disease is confirmed, it is usually necessary to remove the diseased bowel segment by operation to restore normal intestinal peristalsis to restore defecation. Otherwise, the normal bowel above the diseased bowel segment will continue to expand, and eventually the normal bowel that could have been retained will have to be removed due to delayed operation. Moreover, when the child has severe abdominal distension for a long time, his appetite will be affected, Poor appetite, eat less, and ultimately will affect the absorption of nutrients, resulting in child growth retardation, emaciation.

Constipation is the main symptom of Hirschsprung's disease, baby often does not defecate for several days, need to use kaisailu or clean enema to defecate. Parents must pay attention to the best to the hospital for examination, exclude the possibility of children with Hirschsprung's disease.

matters needing attention

If the condition of Hirschsprung's disease is mild, conservative treatment such as enema can be considered in the short term. However, surgical treatment is the only way to cure Hirschsprung's disease. According to the different conditions, surgery can be performed once or by stages.