Ukuklama Okukhethekile Kungadingeka Ukuphatha Hydrocephalus
Ukucindezeleka okuvamile ngemva kokuhlukunyezwa kwekhanda yi- hydrocephalus , isimo lapho kune-buildup ye-cerebrospinal fluid (CSF) ezingxenyeni zobuchopho. Ukwelashwa okulodwa kwe-hydrocephalus ukufakwa kwe-shunt.
I-shunt yikhubhu elide, eliguquguqukayo elinendlela eyodwa ye-valve.
Ngemuva kokuthi kunqunywe ukuthi kukhona yini i-buildup ewuchungechunge ebuchosheni, i-shunt ifakwa bese ihanjiswa endaweni yomzimba lapho ingakwazi ukukhipha uketshezi okwedlulele.
Kukhona Izinhlobo Eziningana Zokuthiza
I-Ventriculo-peritoneal: ikhipha uketshezi olusuka ku-ventricle ethintekile ebuchosheni nasemgodini wesisu. Lona uhlobo oluvame kakhulu lwe-shunt
I-Ventriculo-i-atrial: idonswa uketshezi okwesibhakabhaka ebuchosheni nasesithombeni senhliziyo.
I-Ventriculo-pleural: ikhipha uketshezi oluphuma emcimbini futhi ibe yindawo ejikeleze amaphaphu. Lona uhlobo olujwayelekile kakhulu lwe-shunt.
Ezimweni ezikhethekile kunezinye izinketho ezengeziwe zokungena emanzini. Lezi zinqunywe ecaleni ngamacala asetshenziswe yi-neurosurgeon ozokhipha isinqumo mayelana nokwelashwa okungcono kakhulu .
Ukuphatha Ukugeleza
Umgomo wokwelashwa lapho kukhishwa ukugudluza ukukhipha isilinganiso esifanele semithombo yamanzi okuphuma emkhathini, futhi uqinisekise ukuthi akukho ketshezi olugeleza phezulu ku-shunt nasengqondweni.
Lokhu kufezwa nge-valve eyodwa yendlela. Njengoba uketshezi lwama-cerebrospinal lukhula e-ventricle ethintekile ebuchosheni, ukucindezela kuyanda.
Indlela eyodwa ye-valve ivuleka uma izinga elithile lokucindezela lifinyelelwa ngaphakathi kwe-ventricle, bese ivala futhi uma lolo cindezela lujwayelekile. Lokhu kusiza ukuvimbela uketshezi oluningi kusuka ekucwilweni.
I-valve eyodwa yendlela iqinisekisa ukuthi ayikho ingozi lapho ilele phansi, ixhama phambili, noma ixhomeke phansi, noma yikuphi ukusekela okwenziwe oketshezi kuze kube ngumbono.
Kunezinhlobo eziningi ze-shunt design. Ezinye zazo zinomthombo ongagcwa yizintatheli ukukhipha uketshezi ukuhlolwa okuzayo, noma ukujova imithi efana nama-antibiotics, uma kunesidingo.
Izinkinga ze-Shunt
Uma odokotela benquma ukuthi noma bafaka i-shunt, kufanele bahlole izinzuzo ezihambisana nezingozi. Uketshezi okweqile ebuchosheni kungaba yingozi yokuphila. Kulezi zimo izinzuzo zokubeka i-shunt zidlula izingozi. Lokhu kufanele kukhulunywe ngokugcwele neqembu lokwelapha ngaphambi kokubekwa. Ezinye izingozi ezivamile zokubekwa kwe-shunt zihlanganisa
- Ukuhluleka kwe-shunt ukusebenza kahle
- Ukuthungatha ngemva kokubeka isikhala
- Ukutheleleka
- Ukukhipha isisu eduze kwe-shunt nokuya ebuchosheni
- Ukugeleza kokuketshezi okuningi okuvela ebuchosheni.
Uma i-shunt ihluleka, kungase kudingekile ukususa i-shunt futhi uphathe noma yikuphi ukucindezeleka okuyisisekelo, njengokutheleleka noma ukuphuma kwegazi. Khona-ke, kuye ngokuthi ngabe i-hydrocephalus iyaqhubeka yini kube yinkinga, faka i-shunt entsha noma uhlole ezinye izindlela zokwelapha.
Izimpawu ze-Complex Shunt
Uma i-shunt isendaweni, kubalulekile ukuqapha izibonakaliso ezilandelayo zezinkinga ze-shunt:
- Izinwele
- Ukuthukuthela
- Ukudideka
- I-Lethargy
Kuncike lapho i-shunt ikhona khona, kungenzeka futhi kube nobuhlungu besisu noma ikhono lokuzwa ukwandiswa kwesayithi le-shunt yamanzi esiswini.
Ukuhlolwa kwe-Radiologic kungasiza ukuxilonga ukuthi kukhona ukutheleleka, i-cyst emaphethelweni okuphela kwe-shunt, ukwanda kwamanzi ngaphakathi kobuchopho obonisa ukuthi i-shunt ayisebenzi kahle, nezinye izinkinga.
Ukwenza Isinqumo Esihle
Uma uzama ukunquma ukuthi i-shunt iyindlela engcono kakhulu, kubalulekile ukukhuluma nethimba lokwelapha , kanye nochwepheshe abajwayele ukuhlukunyezwa kwekhanda eliyinhloko. Funda ukuthi kungani i-hydrocephalus ithuthukiswe, nokuthi i-shunt izosiza kanjani. I-Hydrocephalus yisimo esibucayi esingabangela ukufa. I-shunt yindlela yokwelapha enganciphisa ingozi yokufa kusuka ku-hydrocephalus.
Imithombo:
Gliemroth, J., Käsbeck, E., & Kehler, U. (2014). I-Ventriculocisternostomy ngokuvumelana ne-ventriculoperitoneal shunt ekwelapheni i-hydrocephalus: Ucwaningo oluthatha isikhathi eside, oluqhubekayo lokuhlola. I-Neurology Clinic Neurosurgery , 122 92-96. i-doi: 10.1016 / j.clineuro.2014.03.022
Reddy, GK, Bollam, P., & Caldito, G. (2014). Imibiko Yokubukeza Kontanga: Imiphumela Yesikhathi Eside Yokwelashwa Kwe-Ventriculoperitoneal Shunt Kwaziguli ezine-Hydrocephalus. I-World Neurosurgery , 81 404-410. doi: 10.1016 / j.wneu.2013.01.096