I-Drained Special Drain ingafuneka ukuba iphathe Hydrocephalus
Inkxalabo eqhelekileyo emva kwexinzelelo lwentloko yi- hydrocephalus , imeko apho kukho i-cerebrospinal fluid (CSF) kwi-ventricles yengqondo. Elinye unyango lwe-hydrocephalus kukubekwa kwe-shunt.
I-shunt yile ityhude ende, iguquguqukayo eneendlela enye.
Emva kokuba kuqinisekiswe ukuba kukho i-buildup yamanzi engqondweni, i-shunt isetyenziswe ize ixolelwe kwindawo yomzimba apho inokukhupha umkhuhlane ogqithiseleyo.
Kukho iindidi ezininzi zokuShunyuzwa
I-Ventriculo-peritoneal: ikhupha i-ventricle echaphazelekayo ye-ventricle yengqondo kunye nesigxina esiswini. Olu luhlobo oluqhelekileyo lwe-shunt
I-Ventriculo-epharityhulam: ikhupha umkhuhlane ngaphandle kwengqondo kunye ne-atrium yentliziyo.
I-Ventriculo-pleural: ikhupha umkhuhlane ngaphandle kwengqondo kunye nommandla ojikeleze imiphunga. Olu luhlobo oluqhelekileyo lwe-shunt.
Kwiimeko ezithile ezikhethiweyo kukho ezinye iindlela zokukhethwa kwamanzi ezinqabileyo. Ezi zichongiwe kwimeko ngamatyala asematyaleni abaza kuthatha isigqibo malunga nokunyanga okugqithisileyo .
Ulawulo lweMboniselo
Injongo yonyango xa i-shunt isetyenziselwa ukukrazula inani elifanelekileyo lokuphuma kwamanzi, kunye nokuqinisekisa ukuba akukho lukhuni olujikelezayo lubuyela emva kwe-shunt kunye nengqondo.
Oku kufezwe ngenye yevini. Njengoko i-cerebrospinal fluid yakha kwi-ventricle echaphazelekayo yengqondo, ukwanda kwengcinezelo.
Enye indlela i-valve ivuleka ngayo xa iqela elithile leengcinezelo lifikelelwa ngaphakathi kwiphepha, kwaye ivale kwakhona xa lo xinzelelo lugqithisa. Oku kunceda ukunqanda kakhulu umbane ukususwa.
Enye indlela i-valve iqinisekisa ukuba akukho mngcipheko xa ulele phantsi, uxhomekeke phambili, okanye uxhomeke ngaphantsi, kwanoma yiyiphi na into ekhuselekileyo yokuxhaswa kwingqondo.
Kukho ezininzi iindlela zokuyila. Ezinye zazo zinomthombo onokuthi usebenzise iingcali ukuba zicime umbane oza kuhlola, okanye ujobe imishanguzo enjengamayeza okubulala, ukuba kuyimfuneko.
Iingxaki zeShunt
Xa oogqirha banquma ukuba okanye bangayifaki i-shunt, kufuneka baqikelele inzuzo ngokubhekiselele kwingozi. Ukugqithisa okweqile kwintliziyo kungasongela ubomi. Kule meko inzuzo yokubeka i-shunt ingaphezulu kweengozi. Oku kufuneka kuxoxwe ngokugcwele kunye neqela leyeza phambi kokufakwa. Ezinye iingozi eziqhelekileyo zokubeka indawo zibandakanya
- Ukungaphumeleli kwe-shunt ukusebenza kakuhle
- Ukuxoshwa emva kokuyeka ukufakwa
- Sulelo
- Ukuhlambalaza nge-shunt kunye nengqondo
- Utywala oluninzi lwamanzi ukusuka kwingqondo.
Ukuba i-shunt ihluleka, kunokufuneka ukuba ususe i-shunt kwaye uphathe nayiphi na ingxaki ephantsi, njengokusuleleka okanye ukuphuma. Emva koko, kuxhomekeke ekubeni okanye i-hydrocephalus iyaqhubeka iyingxaki, faka i-shunt entsha okanye uhlole ezinye iindlela zokonyango.
Iimpawu ze-Shunt Complication
Ukuba i-shunt isendaweni, kubalulekile ukubeka iliso kwiimpawu ezilandelayo zokukhupha iingxaki:
- Intloko
- Ukutshatyalaliswa
- Ukudideka
- Lethargy
Ngokuxhomekeka apho i-shunt ikhona khona, kunokubakho ubuhlungu besisu okanye ukukwazi ukuvalelwa kwinqanaba le-drantage kwisibilini.
Ukuvavanywa kwe-Radiologic kunokunceda ukuxilonga ukuba kukho ukusuleleka, i-cyst ejikeleze umgca wokuphela kwemithombo ye-shunt, ukwanda kwamanzi ngaphakathi kwengqondo ebonisa ukuba i-shunt ayisebenzi kakuhle, kunye nezinye iingxaki.
Ukwenza Isigqibo Esihle
Xa uzama ukugqiba ukuba i-shunt yindlela efanelekileyo, kubalulekile ukuthetha kwikomiti yokonyango , kunye neengcali eziqhelaniswe neengxaki zentloko. Funda ukuba kungani i-hydrocephalus iphuhlisiwe, kwaye indlela yokuncedisa ngayo iza kunceda njani. I-Hydrocephalus yimeko ebalulekileyo engakhokelela ekufeni. I-shunt yindlela yokonyango enganciphisa umngcipheko wokufa kwi-hydrocephalus.
Imithombo:
Gliemroth, J., Käsbeck, E., & Kehler, U. (2014). I-Ventriculocisternostomy ngokubhekiselele kwi-ventriculoperitoneal shunt ekhatyweni kwe-hydrocephalus: I-retrospective, i-long-term study study. I-Neurology Clinic Neurosurgery , 122 92-96. i-doi: 10.1016 / j.clineuro.2014.03.022
Reddy, GK, Bollam, P., & Caldito, G. (2014). Ingxelo yokuBonisana noontanga: Iziphumo zexesha elide ze-Ventriculoperitoneal Shunt Surgery kwizigulane nge-Hydrocephalus. I-World Neurosurgery , 81 404-410. i-doi: 10.1016 / j.wneu.2013.01.096