I-ventriculoperitoneal (VP) shunt iyisetshenziswa esetshenziswa ukukhulula ukucindezela ngokweqile ebuchosheni. Kunezimo ezithile ezibucayi lapho ubuchopho buba khona engozini yokucindezeleka ngokomzimba ngenxa yomshoshaphansi ophuma emzimbeni noma egazini. Uketshezi okwedlulele ngaphakathi kwesinye sezifunda eziqukethe uketshezi kobuchopho okuthiwa i-ventricles kanye / noma isikhala esungeze ubuchopho sabizwa ngokuthi i-hydrocephalus.
I-Hydrocephalus ingabangela imiphumela yesikhathi eside, futhi ingase isongele ukuphila. I-Hydrocephalus ingabangela ukunyuka kwengcindezi yokungasebenzi, okusho ukucindezela okukhulu ngaphakathi kwekhanda. Enye yezindlela zokuphatha i-hydrocephalus ine-VP shunt, eqondisa uketshezi oluvela ebuchosheni nakwezinye izindawo zomzimba ongakwazi ukubekezelela kalula uketshezi oluthe xaxa.
I-VP shunt idinga ukufakwa ngenqubo yokuhlinzwa. Uma une-VP shunt noma uma uhlelwe ukuthi ube ne-VP shunt, khona-ke kuyokuzuzisa ukwazi amanye amaqiniso mayelana nokuvinjwa kwe-VP ukuze wazi ukuthi yini ongayilindela.
Kuyini i-VP Shunt?
I-VP shunt iyithuluzi elingenalutho elinemivulo emibili, eyodwa ekupheleni kwayo yonke. Omunye ukuphela kwebhulethi kufakwe ngaphansi kwe-skull, ngaphakathi kwe- ventricles .
Omunye ukuphela kwebhubhisi uhamba phansi emzimbeni, ngokuvula kufakwe endaweni ejikeleze isifunda esiswini, okuthiwa i-peritoneum.
Lokhu kuhlobana phakathi kwama-ventricles ebuchosheni kanye ne-peritoneum yesisu kuvumela uketshezi oludlulele ukugeleza kude ebuchosheni bese kungena ku-peritoneum, lapho engeyona eyingozi futhi empeleni iminywe ngumzimba.
I-VP shunt ingase futhi ibe nama-valve angalungiswa ukuze ashintshe izinga lokugeleza kwamanzi.
Kungani Ungadinga i-VP Shunt?
Kunezimo eziningi zezokwelapha ezingabangela uketshezi oluningi ngokweqile ngaphakathi noma oluzungeze ubuchopho. I-fluid ingaba yigazi noma ingaba yi-cerebrospinal fluid (amanzi, izakhi eziqukethe oketshezi ezivikela futhi zondla ubuchopho), noma zingase zihlanganiswe kokubili.
Ngenxa yokuthi ubuchopho buvikelwe ngokuphepha yi-skull, akuyona indlela okungabalekela ngayo uketshezi oludlulele. Ngakho-ke, ukugqithiswa kwamanzi kagesi kuqhuma emqondweni, okungabangela ukulimala kakhudlwana kobuchopho. Eqinisweni, uketshezi oluthe xaxa kulo lonke ubuchopho lungabangela ngisho nokufa uma izifunda ezithile ezibalulekile zobuchopho zicindezelwa. Lezi zifunda ezibalulekile zitholakala ngokuyinhloko ebuchosheni be-brainstem futhi zilinganisa imisebenzi yokulondoloza impilo njengokuphefumula, isigqi senhliziyo, nokugeleza kwegazi.
Umsebenzi we-VP shunt ukuvumela indlela yokubalekela le-accumulation eyingozi yetshezi noma yegazi. Kunezindlela ezimbalwa ezihlukene ezingasetshenziselwa ukunciphisa ingcindezi ezungeze ubuchopho. Lezi zindlela zihlanganisa ukukhishwa kwe-lumbar, i-craniotomy (ukususwa kwengxenye ye-skull ukuvumela isikhala sobuchopho), ne-VP shunt. Isimo sakho singase sidinge enye noma ngaphezulu yalezi zindlela ukususa noma ukunciphisa ukucindezela ngokweqile ngaphakathi noma eduze kobuchopho bakho.
Kunezimo ezihlukahlukene ezingabangela igazi noma i-cerebrospinal fluid ukuba iqoqe ebuchosheni. Lezi zimo zihlanganisa:
- Ukuhlukunyezwa kwekhanda kubangela ukuphuma kwegazi nokuvuvukala.
- Ukuphuza igazi ebuchosheni
- Isifo esibi kakhulu noma esikhulu sibangela ukuvuvukala endaweni yesifo.
- Ukushaywa yingozi kudala igazi elibuthakathaka ebuchosheni.
- I-aneurysm ye-Brain noma i-arteriovenous malformation (AVM) ikhuphuka ibangela ukuqoqwa kwegazi ebuchosheni.
- Ukuvuvukala kobuchopho (i-edema) kungase kwenzeke ekungalinganisweni kwamanzi, ukwedlula ngokweqile uketshezi, noma ukuphindaphinda kancane kwe-fluid.
- Ukuhlukumeza ubuchopho noma umgogodla kungavimba ukugeleza okujwayelekile kwe-cerebrospinal fluid kulo lonke ubuchopho nomgogodla.
- Imithi ethile ingabangela ukukhiqiza okweqile kwamanzi noma ukuphindaphinda kancane kwe-fluid.
- Ukuvuvukala kobuchopho, umgogodla noma i-cerebrospinal fluid.
- Ukutheleleka kobuchopho (encephalitis) noma ukutheleleka kwama-mening okuvikela ubuchopho (meningitis)
- I-hydrocephalus evimbelayo
- Ukucindezelwa okuvamile kwe-hydrocephalus
- I-pseudotumor cerebri
- Isisu sobuchopho
- I-cancer emzimbeni isakazeka ebuchosheni
Indlela Yokulungiselela I-VP Shunt nokuthi Yini Ongayilindela
Ukubekwa kwe-VP shunt kudinga inqubo efaka ukuhlinzekwa kobuchopho nokuhlinzwa kwesifunda sesisu.
Kungenzeka ukuthi usuvele uneVP shunt efakwe njengesimo esiphuthumayo ngenxa yokucindezela okusheshayo kokucindezela okungahambi kahle. Uma uhlelwe ukuthi ube ne-VP shunt, cishe uzobe uchungechunge lwezivivinyo zangaphambi kokusebenza futhi uzonikezwa imiyalelo mayelana nokuthi ungadla uphinde uphuze ezinsukwini noma emahoreni ngaphambi kokuhlinzwa kwakho. Ngaphezu kwalokho, cishe udinga ukuthi othile akuyise esibhedlela futhi othile akuyise ekhaya ngemuva kwenqubo.
Uma une-VP shunt, kufanele uqaphele ngekhanda, ubuthakathaka, noma umbono obonakele futhi vumela ithimba lakho lezokwelapha ukuthi wazi ukuthi uthola noma iyiphi yalezi zimpawu. Izinga lakho lomsebenzi okwenzelwe ukunconywa kungadingeka ukuthi lilungiswe ukuze i-shunt ihlale iphephile, ivikelekile futhi ihlanzekile.
Ingabe i-VP Shunt Cause Effects Side Effects noma Izinkinga?
Nakuba kungavamile, kunezinkinga ezithile ezingenzeka nge-VP shunt. Izinkinga ziyi:
- Ukwelashwa: Lokhu kungenzeka uma isifo esithathelwanayo, njengebhaktheriya, sifinyelela noma iyiphi ingxenye ye-shunt futhi isakazeka kulo lonke uketshezi.
- Ukuvinjelwa / ukungasebenzi / ukuvinjelwa: I-shunt ingaba yinkinga, noma ingavinjelwa ngenxa yegazi, isifo, ukuvuvukala, noma ukusakazeka komdlavuza.
Ingabe i-VP Shunt Permanent?
Kuye ngezimo, i-VP shunt ingaba yesikhashana noma ingunaphakade. Uma imbangela ye-hydrocephalus yakho i-idiopathic (engachazwanga), i-congenital (ikhona manje kusukela ekubelethweni), noma umphumela wesici esimweni sobuchopho noma umgogodla, kukhona ithuba eliqinile lokuthi kuzodingeka ube ne-VP shunt yakho isikhati eside.
Kodwa-ke, uma i-VP shunt yakho ibekwe ngokuphuthumayo okuphuthumayo, njengokukhukhumeza kusuka kwesifo, ukutheleleka kobuchopho, noma ukuphaphaza ebuchosheni, khona-ke kukhona ithuba eliphakeme lokuthi ikhishwa lakho lingasuswa uma imbangela yokuvuvukala ixazululwe.
Izwi elivela
I-VP shunt kungenelela okubalulekile okusetshenziselwa izimo ezibucayi eziveza ingcindezi ebuchosheni. Uma une-VP shunt noma udinga i-VP shunt, udinga ukulondoloza ukulandelwa kwakho kwezokwelapha ukugwema izinkinga ukuze uphinde ululame ngokugcwele ngangokunokwenzeka.
Uma ulungiselela ukugcinwa okujwayelekile kwe-shunt yakho, uzofunda ukuqaphela noma yiziphi izimpawu zokuxwayisa ezibonisa ukuthi udinga ukunakekela i-shunt yakho. Uma ekugcineni ukwazi ukukhishwa kwe-VP shunt yakho, kungenzeka ukuthi ululame kahle ngaphandle kwezinkinga zesikhathi eside ezihlobene ne-VP shunt yakho.
> Imithombo:
> Bozhkov Y, Roessler K, Hore N, Buchfelder M, Brandner S, umphumela we-neurological kanye nemvamisa yokuxoshwa ngokweqile kumfutho ovamile we-hydrocephalus ngokuqondile uhambisana ne-ventriculo-peritoneal shunt valve type, i-Neurol Res. 2017 Meyi 1: 1-5.