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HIRSCHSPRUNG’S DISEASE (POST-OPERATIVE CARE (Report the folowing to the…
HIRSCHSPRUNG’S DISEASE
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PRE-OPERATIVE CARE
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Teach the mother and make sure she understands exactly what surgery is planned, along with the risks, benefits, and other options
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DIET THERAPY
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Avoid foods that may cause blockage such as popcorn,nuts
POST-OPERATIVE CARE
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Assess frequently for bleeding, stoma viability and function
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As the stoma starts to function,empty the pouch,explaining the procedure to the client
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Assess peristomal skin-skin around the stoma remain clean and pink and free of irritation,rashes and inflammation
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PATHOPHYSIOLOGY
Hirschsprung disease results from the absence of enteric neurons within the myenteric and submucosal plexus of the rectum and/or colon.
Enteric neurons are derived from the neural crest and migrate caudally with the vagal nerve fibers along the intestine.
These ganglion cells arrive in the proximal colon by 8 weeks’ gestation and in the rectum by 12 weeks’ gestation.
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DESCRIPTION
Hirschsprung disease, is characterized by persistent constipation resulting from partial or complete intestinal obstruction of mechanical origin.