I-ventriculoperitoneal (VP) shunt yisixhobo esisetyenziselwa ukunciphisa uxinzelelo oluninzi kwingqondo. Kukho imeko ezinzulu apho ubuchopho buba sengozini yokunyanzeliswa ngokomzimba ngenxa yoxinzelelo oluphuma kumanzi okanye ngegazi. Ubuncipheko obuninzi ngaphakathi kwimihlaba eneengqamlezo zengqondo ezibizwa ngokuba yi-ventricles kunye / okanye indawo ejikeleze ingqondo ibizwa ngokuba yi-hydrocephalus.
I-Hydrocephalus inokubangela iziphumo zangexesha elide, kwaye inokuba yingozi yokuphila. I-Hydrocephalus inokuvelisa ukwanda kweengcinezelo zangaphakathi, oku kuthetha uxinzelelo oluphezulu ngaphakathi kwekhanda. Enye yeendlela zokulawula i-hydrocephalus ine-VP shunt, eyayibuyisela umkhuhlane ngaphandle kwengqondo kunye nomnye ummandla womzimba onokuyinyamezela ngokulula umthwalo ogqithiseleyo.
I-VP shunt idinga ukusetyenziswa ngokusetyenziswa kwenkqubo yokuhlinzwa. Ukuba unayo iVP shunt okanye ukuba uhleliwe ukuba ube neVP shunt, kuya kuba luncedo kuwe ukwazi ezinye iinkcukacha malunga ne-VP ukuphepha ukuze uzazi ukuba ulindele ntoni.
Yintoni iVP Shunt?
I-VP shunt yiphubhu engenanto enezivulo ezimbini, enye ekupheleni kwayo. Esinye siphelo sebhubhu siphezulu phantsi kwekrele, ngaphakathi kwee- ventricles .
Olunye uphelo lwebhubhu luye lwadlula emzimbeni, kunye nokuvula kwindawo ejikeleze ummandla wesisu, obizwa ngokuba yi-peritoneum.
Olu dlelwane phakathi kwama-ventricles wengqondo kunye ne-esisitumum esiswini esisenza i-fluid excessively-flow flow away kwi-brain and into e-peritoneum, apho ingonakalisi kwaye ingenwa ngumzimba.
I-VP shunt inokuthi ibe neeplaviti ezingatshintshiweyo ukuguqula izinga lokuhamba kwamanzi.
Kutheni Unokufuna I-VP Shunt?
Kukho iziganeko zonyango ezinokubangela ukwakhiwa kwamanzi okugqithiseleyo ngaphakathi okanye ngeenxa zonke kwengqondo. I-fluid inokuba yigazi okanye ingaba yinkompe yamanzi (amanzi, isondlo esinomsoco okhusela kunye nokondla ingqondo), okanye kungabandakanywa kokubili.
Ngenxa yokuba ubuchopho bukhuselekile ngokukhuseleka ngekrele, akukho ndlela ehamba ngayo apho umbane ogqithiseleyo ungasinda. Ngoko ke, umthwalo ogqithiseleyo wobuncwane uqhubekile emzimbeni, obangela ukulimala kwengqondo. Enyanisweni, ukwanda kwamanzi okujikeleza ingqondo kunokubangela ukuba ukufa ukuba imimandla ethile ebalulekileyo yengqondo ixineke. Ezi ndawo zibalulekileyo zifumaneka kwi-brainstem kwaye zenza imisebenzi eqhubekayo yokugcina impilo, njengokuphefumula, isisu, kunye nokuhamba kwegazi.
Umsebenzi we-VP shunt kukuvumela indlela yokuphepha yokuqokelela okuyingozi kwerhasi okanye igazi. Kukho iindlela ezimbalwa ezahlukileyo ezingasetyenziselwa ukunciphisa uxinzelelo olujikeleze ingqondo. Ezi ndlela ziquka ukugqithiswa kwe-lumbar, i-craniotomy (ukususwa kweengxenye zekrele ukuvumela indawo yengqondo), kunye ne-VP shunt. Imeko yakho inokubangela ukuba enye okanye ezinye zezi ndlela zitshintshe okanye zinciphise uxinzelelo olungaphezu kweengqondo okanye ngaphakathi kwengqondo yakho.
Kukho iintlobo ezahlukeneyo ezingabangela ukuba igazi okanye i-cerebrospinal fluid iqokelele kwingqondo. Ezi meko ziquka:
- Intlungu yesifo idala ukuphaphaza nokukhupha.
- Ukuhlamba kwiingqondo
- I-stroke ekhulu okanye enkulu ibangela ukuvuvukala kwindawo yesifo.
- Isibetho esingaqhelekanga senza ukuba igazi liqokelele kwingqondo.
- I-aneurysm yeBrazil okanye i-arteriovenous malformation (AVM) iphuka ibangela ukuqoqwa kwegazi kwingqondo.
- Ukuvuvukala kwengqondo (i-edema) inokuvela ngokungalingani kwamanzi, ukuchithwa kwamanzi okugqithiseleyo, okanye ukuhlaziywa ngokukhawuleza kwendalo.
- Ukuchithwa kwengqondo okanye umgudu kungavimba ukugeleza okuqhelekileyo kwe-cerebrospinal fluid kulo lonke ubuchopho kunye nentambo yomgogodla.
- Amanye amayeza angakhokelela ekuveliseni umthamo ogqithiseleyo okanye ukuhlaziywa ngokukhawuleza kwendalo.
- Ukuvuvukala kwengqondo, umgudu okanye i-cerebrospinal fluid.
- Intsholongwane ye-Brain (i-encephalitis) okanye usulelo lwemilo ekhusela ingqondo (i-meningitis)
- IHycecephalus
- Uxinzelelo oluqhelekileyo lwe-hydrocephalus
- Pseudotumor cerebri
- Ixhepha yengqondo
- I-Cancer evela emzimbeni osasazeka kwingqondo
Ungalungiselela njani i-VP Shunt kunye noko Ukulindela
Ukufakwa kweVP shunt kudinga inkqubo equka ukuhlinzwa kwengqondo kunye nokuhlinzwa kwendawo yesisu.
Usenokuba sele uneVP shunt ibekwe ngongxamiseko ngenxa yokunyuka ngokukhawuleza kokunyanzeliswa kwengcinezelo. Ukuba uhlelwe ukuba ube neVP shunt, unokuthi ufumane uchungechunge lweemvavanyo zangaphambi kokusebenza kwaye uya kunikwa imiyalelo malunga nokuba ungadla uphinde uphuze kwiintsuku okanye iiyure ngaphambi kokuhlinzwa kwakho. Ukongeza, mhlawumbi ufuna umntu ukuba akuyise esibhedlele kwaye umntu akuthabathe ekhaya emva kwenkqubo.
Ukuba unayo iVP shunt, umele uhlale uqaphele ngeentloko, ubuthathaka okanye umbono ophazamisayo kwaye vumela iqela lakho lezonyango ukuba lithe nawaphi na le mpawu. Umgangatho wakho wokunyusa umsebenzi ocebisiweyo ungadinga ukuba utshintshwe ukuze i-shunt ihlale ikhuselekile, ikhuselekile kwaye ihlambuluke.
Ingaba i-VP Shunt Cause Effects Side Effects okanye Iingxaki?
Nangona akuqhelekanga, kukho iingxaki ezinokuthi zenzeke ngeVP shunt. Iingxaki zi:
- Usuleleko: Oku kunokwenzeka ukuba isifo esithathelwanayo, ezinjengebhaktheriya, sifinyelela nayiphi na inxalenye ye-shunt kwaye isasazeka kuyo yonke i-fluid.
- Ukuqhaqhazela / ukungasebenzi / ukuvalwa: I-shunt inokuguquka, okanye ikhutshwe ngenxa yegazi, isifo, ukuvuvukala, okanye ukusasazeka komhlaza.
Ngaba i-VP Shunt ePerman?
Ngokuxhomekeke kwiimeko, i-VP shunt inokuthi yesikhashana okanye isigxina. Ukuba imbangela ye-hydrocephalus yakho idiopathic (engachazwanga), inzala yokuzalwa (inokuzalwa kwasekuzalweni), okanye umphumo wesiphene kwi-anatomy yengqondo okanye umgudu, kukho ithuba elinamandla lokuba uya kufuneka ukuba neVP yakho shunt ixesha elide.
Nangona kunjalo, ukuba i-VP shunt yakho ibekwe ngxakeko oluxakekileyo, njengokuba ukuvuvukala kwi-stroke, intsholongwane yengqondo, okanye ukuphaphaza kwengqondo, ke kukho ithuba eliphezulu lokuba u-shunt wakho ungasuswa xa kubangelwa ukuvuvukala isisombululo.
ILizwi
I-VP shunt yindlela yokungenelela ebalulekileyo esetyenziswa kwiimeko ezinzulu ezivelisa uxinzelelo kwingqondo. Ukuba unayo iVP shunt okanye ufuna i-VP shunt, kufuneka ugcine ukulandelelwa kwakho kwezonyango ukukhusela iingxaki ukuze uphinde uphume ngokupheleleyo ngokusemandleni akho.
Emva kokuba ulungelelanise ukugcinwa rhoqo kwe-shunt yakho, uya kufunda ukufumanisa nayiphi na imiqondiso ebonisa ukuba ufuna ukunyamekela i-shunt yakho. Ukuba ekugqibeleni unako ukukhutshwa kweVP yakho, uyakufumana ukufumana kakuhle ngaphandle kwemiba yesikhathi eside enxulumene ne-VP shunt yakho.
> Imithombo:
> Bozhkov Y, Roessler K, Hore N, Buchfelder M, Brandner S, Impembelelo ye-neurological and frequency of overdrainage kwi-pressure exhasayo i-hydrocephalus ngokuhambelana ngqo ne-ventriculo-peritoneal shunt valve type, i-Neurol Res. 2017 Meyi 1: 1-5.