Zida Zofunikira Zomwe Mungachite Kuti Muchite Matenda a Hydrocephalus
Zomwe zimagwirizanitsa munthu akamatha kupweteka mutu ndi hydrocephalus , mkhalidwe umene umakhala ndi cerebrospinal fluid (CSF) m'magulu a ubongo. Chithandizo chimodzi cha hydrocephalus ndi kusungidwa kwa shunt.
Shunt ndi thumba lalitali, losinthasintha ndi njira imodzi.
Pambuyo patsimikiziridwa kuti pali madzi okwanira mu ubongo, shunt imayikidwa ndiyeno imalowetsedwa mu dera la thupi kumene ikhoza kukhetsa madzi owonjezera.
Pali Mitundu Yambiri Yotsutsa
Ventriculo-peritoneal: imatulutsa madzi kuchokera ku ventricle yomwe imakhudzidwa ndi ubongo ndi m'mimba. Ichi ndi mtundu wotchuka wa shunt
Ventriculo-atrial: drain yamadzi kuchokera mu ubongo ndikulowa mu mtima.
Ventriculo-pleural: imatulutsa madzi kunja kwa ubongo ndikupita kumadera ozungulira mapapo. Ichi ndi mtundu wochepa wa shunt.
Milandu yapadera pali njira zina zowonjezera zowonongeka. Izi zatsimikiziridwa pa mulandu ndi mlandu wa a neurosurgeon omwe angasankhe pa chithandizo chabwino kwambiri cha opaleshoni .
Kusamalira Kusamba
Cholinga cha chithandizo pamene shunt ikuyikidwa ndikutulutsa kuchuluka kwa madzi kuchokera mu ubongo wa ubongo, komanso kutsimikiziranso kuti palibe madzi okwanira omwe amayenderera mmbuyo shunt ndi ubongo.
Izi zikukwaniritsidwa ndi njira imodzi. Momwe chimbudzi chimayambira mu ventricle yomwe imakhudzidwa, ubongo umawonjezeka.
Njira imodzi yomwe valavu imatsegulira pamene msinkhu winawake wa kupanikizika ukufikira mkati mwa ventricle, ndiyeno imatseka kachiwiri pamene kupanikizika kumeneko kumawonekera. Izi zimathandiza kupewa madzi ambiri kuti asakwanire.
Njira imodzi yomwe valve imatsimikizira kuti palibe pangozi pamene tigona, kutsamira kutsogolo, kapena kupachikidwa pambali, kumakhala kulikonse komwe kumathandizira mu ubongo.
Pali ambiri shunt mapangidwe mitundu. Ena a iwo ali ndi malo omwe akatswiri angagwiritse ntchito kuchotsa madzi kuti ayese kuyesa, kapena kumwa mankhwala monga antibiotics, ngati kuli kofunikira.
Zovuta za Shunt
Madokotala atasankha kapena ayikeni shunt, ayenera kulingalira phindu potsata zoopsa. Kutuluka kwa madzi m'bongo kungakhale koopsa. Pazifukwa izi phindu lokhazikitsa shunt liposa zoopsa. Izi ziyenera kukambidwa mokwanira ndi gulu lachipatala musanakhazikitsidwe. Zowopsya zina zomwe zimakhalapo pakusungidwa ndikuphatikizapo
- Kulephera kwa shunt kugwira bwino ntchito
- Kugonjetsedwa mutatha kusungidwa
- Kutenga
- Kutsekemera pafupi ndi shunt ndi mu ubongo
- Kusamba kwa madzi ambiri kuchokera mu ubongo.
Ngati shunt ilephera, zingakhale zofunikira kuchotsa shunt ndikuyambitsa zovuta zilizonse, monga matenda kapena magazi. Ndiye, malinga ndi ngati hydrocephalus ikupitirirabe kukhala vuto, ikani shunt yatsopano kapena fufuzani njira zina zothandizira.
Zizindikiro za Chisokonezo cha Shunt
Ngati shunt ili pamalo, ndikofunikira kuyang'anira zizindikiro zotsatirazi :
- Mutu
- Kukhumudwa
- Kusokonezeka
- Lethargy
Malinga ndi kumene shunt ili, pangakhale ululu m'mimba kapena kuthekera kwowonjezera pa tsamba la shunt m'madzi.
Kuyeza kwa ma ARV kungathandize kuzindikira kuti pali vuto la matenda, chimbudzi chozungulira mapeto a shunt, kuwonjezeka kwa madzi mkati mwa ubongo komwe kumasonyeza kuti shunt ikugwira ntchito bwino, ndi mavuto ena.
Kupanga Chisankho Cholondola
Poyesera kusankha ngati shunt ndi njira yabwino kwambiri, ndizofunikira kulankhula ndi gulu lachipatala , ndi akatswiri omwe amadziwa bwino vuto lalikulu la mutu. Phunzirani chifukwa chake hydrocephalus anayamba, ndi momwe shunt idzathandizira. Hydrocephalus ndi matenda aakulu omwe angapangitse imfa. Shunt ndi njira yopatsira chithandizo yomwe ingachepetse chiopsezo cha imfa kuchokera ku hydrocephalus.
Zotsatira:
Gliemroth, J., Käsbeck, E., & Kehler, U. (2014). Ventriculocisternostomy motsutsana ndi ventriculoperitoneal shunt pochiza hydrocephalus: A retrospective, a long-term study observation study. Clinical Neurology And Neurosurgery , 122 92-96. lembani: 10.1016 / j.clineuro.2014.03.022
Reddy, GK, Bollam, P., & Caldito, G. (2014). Zotsatira Zobwereza Zanga: Zotsatira Zakale za Opaleshoni Yopereka Ventriculoperitoneal kwa Odwala ndi Hydrocephalus. World Neurosurgery , 81 404-410. do: 10.1016 / j.wneu.2013.01.096