Atresia Esofagus (Kelainan kongenital esofagus)

C[QMRGC MRNHCJ]R

Kq. Qnxmlr Cjamq Ecwzmll Gqn{i

C{qmrgc Mrnhcj}r 1434

C[QMRGC MRNHCJ]R TM@KCI]L]C@ C{qmrgc mrnhcj}r emq}tcfc` r}c{} fmlcg`c` fn`jm`g{cl kgec`c mrnhcj}r {gkcf {mqam`{}f rmbcqc rmet}q`c. Tckc fmac`wcfc` fcr}r, fmlcg`c` g`g kgrmq{cg km`jc` {mqam`{}f`wc i}a}`jc` c`{cqc mrnhcj}r km`jc` {qcfmc wc`j kgrma}{ hgr{}lc {qcfmnmrnticjmcl )[qcbimnmrnticjmcl Hgr{}lc[MH'. Tqmec{}qg{cr emq}tcfc` icl }e}e kc` lmagi kcqg =4- tm`kmqg{c kgrmq{cg km`jc` amqacjcg fmlcg`c` lcg` rmtmq{g tm`wcfg{ oc`{}`j fn`jm`g{cl, fmlcg`c` {qcf{}r }qg`cqg}r kc` fmlcg`c` {qcf{}r jcr{qng`{mr{g`cl. C{qmrgc mrnhcj}r c{c}t}` hgr{}lc {qcfmnmrnhcjmcl kg{c`jc`g km`jc` {g`kcfc` amkci. Kgcj`nrgr g`g icq}r kgtmqic{gfc` tckc rm{gct `mn`c{}r wc`j em`jml}cqfc` ac`wcf e}f}r kc` rclgxc, km`jc` c{c} {c`tc {c`kc%{c`kc jc`jj}c` tmq`ctcrc`.)3' KMHG@GRG C{qmrgc mrnhcj}r ckclci rmfmlnetnf fmlcg`c` fn`jm`g{cl wc`j em`bcf}t jc`jj}c` fn`{g`}g{cr mrnhcj}r kgrmq{cg c{c} {c`tc ckc`wc i}a}`jc` km`jc` {qcfmc. )1' RMOCQCI Tmq{cec rmfclg fcr}r c{qmrgc mrnhcj}r wc`j kgknf}em`{crgfc` gclci tckc r}c{} knf}em` tnr{%enq{me nlmi [inecr Jgarn` )378:' wc`j amqgrg !Can}{ @nxmeamq 3878, G zcr rm`{ hnq {n c` g`hc`{ {ic{ zn}lk `n{ rzcllnz. [im biglk rmmemk xmqw kmrgqn}r nh hnnk, c`k {nnf zic{ zcr nhhmqmk g{ g` c rtnn` zg{i jqmmkg`mrr6 a}{ zim` g{ zm`{ {n rzcllnz g{, g{ zcr lgfmk {n am binfmk, c`k zic{ rin}lk icxm jn`m knz`

3

Kq. Qnxmlr Cjamq Ecwzmll Gqn{i

C{qmrgc Mrnhcj}r 1434

qm{}q`mk aw {im en}{i c`k `nrm, c`k g{ hmll g`{n c r{q}jjlg`j bn`x}lrgxm rnq{ nh hg{ }tn` g{.!)3' Knf}em`{crg amqgf}{`wc gclci rmfg{cq 3=4 {ci}` wc`j lcl} nlmi [inecr Igll )39;4' wc`j “kgtc`jjgl tckc eclce icqg }`{}f em`j}`o}`jg q}eci fml}cqjc Kq.Zmar{mq―.

Rmnqc`j acwg wc`j acq} lcigq {gkcf kctc{ em`mlc`, {m{ctg o}r{q} {gac%{gac fmoc`j kc` eg`}ec` wc`j kgamqgfc` fml}cq fmeaclg emlcl}g e}l}{ kc` igk}`j, amqbcet}q km`jc` lm`kgq amqkcqci. Kgc em`wcqc`fc` }`{}f em`bnac em`r{ge}lcrg qmf{}e. Cfc` {m{ctg kgkctc{g acizc acwg {mqrma}{ {gkcf emeglgfg c`}r. G`g ckclci knf}em` tmq{cec wc`j amqfcg{c` km`jc` fmlcg`c` lcg` wc`j em`wmq{cg c{qmrgc mrnhcj}r.

)3'

Tckc 3732, Qgbi{mq em`jco}fc` r}c{} tqntnrcl qm`bc`c ntmqcrg amqgrgfc` {g`kcfc` lgjcrg kcqg hgr{}lc {qcfmnmrnhcjmcl { qcfmnmrnhcjmcl kc` c`cr{nenrgr c`cr{nenrgr kcqg fmk}c }o}`j mrnhcj}r.

)3'

Lc`ec` )3728' tmq{cec rmfclg emlcf}fc` my{qctlm}qcl qmtcgq. Tcrgm``wc ic`wc amq{cic` rmlcec 2 oce kc` tckc 37;4 kgc r}kci emlcf}fc` 24 ntmqcrg fcr}r g`g, kgec`c rme}c`wc em`g`jjcl.

)3'

Bcemqn` Icgji{ tckc 37;3 amqicrgl emlcf}fc` tmqacgfc` tqgemq. Tcrgm``wc gclci rmnqc`j acwg tmqmet}c` amq}e}q 31 icqg wc`j kg{qc`rtnq{crgfc` rmoc}i =44 egl fm C`` Cqanq, Egbigjc`. Ntmqcrg km`jc` tm`kmfc{c` my{qctlm}qcl em`bcf}t lgjcrg kcqg hgr{}lc {qcfmnmrnhcjmcl kc` c`cr{nenrgr fmk}c }o}`j mrnhcj}r. C`cf {mqrma}{ amq{cic` igk}t zclc}t}` em`jclceg fm`kclc fmanbnqc` c`cr{nenrgr kc` r{qgf{}q )3'. Rmr}kci g{}, {mqockg tm`g`jfc{c` l}cq agcrc kcqg {g`jfc{ fmlc`jr}`jc` igk}t. Zc{mqr{n` )37=4' emlctnqfc` {g`jfc{ fmlc`jr}`jc` igk}t =:,8- kcqg 332 Acwg Acq} Lcigq wc`j kgqczc{.

)3'

1

Kq. Qnxmlr Cjamq Ecwzmll Gqn{i

C{qmrgc Mrnhcj}r 1434

Tckc tmq{m`jcic` 3794, {g`jfc{ fmec{gc` {}q}` rcetcg kgaczci 3=- km`jc` {g`jfc{ fmamqicrglc` kglctnqfc` kcqg amamqctc kcmqci em`bctcg 74-.)3' MTGKMEGNLNJG G`rgkm`rg c{qmrgc mrnhcj}r {mqockg tckc rmfg{cq 3 kcqg 1=44%2444 fmlcigqc`. Fmlcg`c` g`g {gkcf kg{}q}`fc`, zclc}t}` {mqkctc{ fcg{c` km`jc` ca`nqeclg{cr fqnenrnecl. [gkcf lmagi kcqg 3- fcr}r kgec`c {mqkctc{ qgzcwc{ nqc`j {}c km`jc` fmlcg`c` wc`j rcec. C{qmrgc mrnhcj}r {mqockg 1 rcetcg 2 fclg lmagi rmqg`j tckc c`cf fmeacq, rmem`{cqc {gkcf lmagi kcqg 3- fcr}r kgec`c rc}kcqc tm`kmqg{c em`jclceg c{qmrgc mrnhcj}r. )3' M[GNLNJG M{gnlnjg c{qmrgc mrnhcj}r emq}tcfc` e}l{ghcf{nqgcl kc` ecrgi aml}e kgfm{ci}g km`jc` omlcr.)1' MEAQGNLNJG Emfc`grem wc`j em`kcrcqg eclhnqecrg {qcfmnmrnhcjmcl ecrgi aml}e omlcr. Rmbcqc }e}e kgfm{ci}g acizc tqgenqkg}e rcl}qc` tmq`ctcrc` emq}tcfc` mxcjg`crg xm`{qcl kcqg hnqmj}{ tnr{ hcqg`jmcl tckc czcl eg`jj} fm%; kcqg fmiceglc` kc` acfcl {}ea}i kcqg tcq}%tcq} {mqkctc{ fc}kcl kcqg mxcjg`crg g`g. Rmlcec tmqgnkm tmq{}ea}ic` wc`j bmtc{, {qcfmc kg xm`{qcl cfc` {mqtgrci km`jc` mrnhcj}r kg knqrcl. Rc{} {mnqg em`jc{cfc` acizc {qcfmc {mqtgrci cfgac{ tmq{}ea}ic` ln`jg{}kg`cl wc`j bmtc{ kcqg tqgenqkg}e em`oc}i kcqg hnqmj}{. [mnqg lcg` em`jc{cfc` {qcfmc rmocf czcl emec`j {}ea}i {mqtgrci kcqg hnqmj}{ kc` fme}kgc` em`ockg r{q}f{}q wc`j {mqtgrci rmacjcg icrgl kcqg r}c{} tqnrmr tmegrcic`. Tqnrmr g`g kgfcg{fc` km`jc` r}c{} jm` f}`bg wc`j kgrma}{ jm` Rn`gb Imkjminj )Rii', kgec`c mfrtqmrg kcqg rg`wcl 2

Kq. Qnxmlr Cjamq Ecwzmll Gqn{i

C{qmrgc Mrnhcj}r 1434

tmq{}ea}ic` kcqg jm` g`g tm`{g`j kclce tmqfmeac`jc` hnqmj}{ kc` tmegrcic` kcqg {qcfmnmrnhcjmcl. Mtg{ml hnqmj}{ wc`j amqtgrci kg{c`kcg km`jc` em`g`jfc{`wc o}elci rml wc`j em`jclceg tqnrmr fmec{gc` rml. Fmac`wcfc` r{}kg em`}`o}ffc` acizc kmhmf tqgemq wc`j {mqockg gclci {gkcf {mqtgrci`wc hnqmj}{ rmacjcg cfgac{ kcqg fmjcjclc` tmq{}ea}ic` {qcfmc c{c}t}` fmjcjclc` kcqg {qcfmc g{} rm`kgqg }`{}f emegrcifc` kgqg kcqg mrnhcj}r. [mqkctc{ rmf}et}lc` kmhmf fn`jm`g{cl wc`j kgkctc{g tckc lmagi kcqg =4- fcr}r c{qmrgc mrnhcj}r, c`{cqc lcg`)3,1,2,;,='? 

Rg`kqnec

XCB[MQL

)Xmq{maqcl

kmhmb{,

C`nqmb{cl

Eclhnqec{gn`,

Bcqkgnxcrb}lcq kmhmb{, [qcbimnmrnticjmcl kmhmb{, Qm`cl c`neclgmr c`k Lgea kmhnqeg{w'? 

Xmq{maqcl kmhmb{r ‒ Imegxmq{maqc, rfnlgnrgr, kmhnqeg{cr gjc.



C`nqmb{cl eclhnqec{gn`r ‒ Getmqhnqcrg c`}r.

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Bcqkgnxcrb}lcq kmhmb{r  ‒ Xm`{qgb}lcq rmt{cl kmhmb{, {m{qclnjw nh Hclln{, tc{m`{ k}b{}r cq{mqgnr}r, c{qgcl rmt{cl kmhmb{r, c{qgnxm`{qgb}lcq bc`cl kmhmb{r, cnq{gb bncqb{c{gn`, qgji{%rgkmk cnq{gb cqbi, rg`jlm }eaglgbcl cq{mqw

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[qcbimnmrnticjmcl [qcbimnmrnticjmcl kmhmb{r ‒ Mrnticjmcl c{qmrgc

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Qm`cl c`neclgmr  ‒ Qm`cl cjm`mrgr g`bl}kg`j Tn{{mq rw`kqnem, aglc{mqcl qm`cl cjm`mrgr nq kwrtlcrgc, inqrmrinm fgk`mw, tnlwbwr{gb fgk`mwr, }qm{iqcl c{qmrgc, }qm{mqcl eclhnqec{gn`r.



Lgea kmhnqeg{gmr  ‒ Qckgcl kwrtlcrgc, carm`{ qckg}r, qckgcl%qcw kmhnqeg{gmr, rw`kcb{wlw, tnlwkcb{wlw, tnlwkcb{wlw, lnzmq%lgea {gagcl kmhnqeg{gmr.

;

Kq. Qnxmlr Cjamq Ecwzmll Gqn{i 

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BICQJM, em`bcf}t? 

Bnlnanec



Imcq{ kmhmb{r

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C{qmrgc Binc`cm

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Kmxmlntem`{cl qm{cqkc{gn`

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Jm`g{cl iwtntlcrgc



Mcq kmhnqeg{gmr

Fqnenrne ca`nqecl 

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C{qmrgc Mrnhcj}r 1434

[qgrnew 32, 39 kc` 13

Fmlcg`c` lcg``wc 

Kgjmnqjm rw`kqnem

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@m}qnlnjgb kmhmb{r  ‒ @m}qcl {}am kmhmb{r, iwkqnbmticl}r, {m{imqmk bnqk, inlntqnrm`bmticlw inlntqnrm`bmticlw



JG kmhmb{r  ‒ K}nkm`cl c{qmrgc, glmcl c{qmrgc, iwtmq{qntigb twlnqgb r{m`nrgr, neticlnbmlm, eclqn{c{gn`, Embfml kgxmq{gb}l}e

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T}len`cqw kmhmb{r  ‒ ]`glc{mqcl t}len`cqw cjm`mrgr, kgctiqcjec{gb imq`gc

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Jm`g{clgc kmhmb{r  ‒ ]`kmrbm`kmk {mr{gblmr, ceagj}n}r jm`g{clgc, iwtnrtckgcr

Rmbcqc fmrml}q}ic` fmlcg`c`%fmlcg`c` g`g {mqkctc{ tckc lmagi kcqg =4- fcr}r. Fmlcg`c` fcqkgnxcrf}lcq em`bcf}t 2=- fcr}r, fmlcg`c` jm`g{n}qg`cqgc em`bcf}t 14- fcr}r kc` fmlcg`c` jcr{qng`{mr{g`cl em`bcf}t 14- fcr}r.)2'

=

Kq. Qnxmlr Cjamq Ecwzmll Gqn{i

C{qmrgc Mrnhcj}r 1434

FLCRGHGFCRG C{qmrgc mrnhcj}r kgrmq{cg km`jc` hgr{}lc {qcfmnmrnhcjmcl kgr{cl ckclci {gtm wc`j tclg`j rmqg`j {mqockg. Xcqgcrg c`c{neg kcqg c{qmrgc mrnhcj}r em`jj}`cfc` rgr{me flcrghgfcrg Jqnrr nh Anr{n` wc`j r}kci tnt}lmq kgj}`cfc`. Rgr{me g`g amqgrg c`{cqc lcg`?)3'

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[gtm C ‒ C{qmrgc mrnhcj}r {c`tc hgr{}lc6 C{qmrgc mrnhcj}r e}q`g )34-' ) 34-'

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[gtm A ‒ C{qmrgc mrnhcj}r km`jc` [MH tqnygecl )