Za'a iya Buƙatar Drain na Musamman don Kula da Hydrocephalus
Abinda ya sabawa bayan rikici ne shine hydrocephalus , yanayin da ake ginawa na ruwa (CSF) a cikin ventricles na kwakwalwa. Daya magani ga hydrocephalus shine sanyawa wani shunt.
Shunt yana da tsayi mai tsawo, mai sauƙi tare da hanyar ɗamara daya.
Bayan an ƙaddara inda aka gina ruwa a cikin kwakwalwa, an sanya shunt sannan a sake shi a cikin jiki inda zai iya zubar da ruwa mai zurfi.
Akwai nau'o'in Shunts da yawa
Ventriculo-peritoneal: ya zubar da ruwa daga cikin ventricle da ke ciki da kwakwalwar ciki. Wannan shine mafi yawan shunt
Rawan jari-hujja: rayar da ruwa daga kwakwalwa da kuma a cikin zuciyar zuciya.
Hannun ganyayyaki: zubar da ruwa daga kwakwalwa da kuma cikin yanki a cikin huhu. Wannan shine nau'in shunt na kowa.
A cikin ƙwararrun ƙirar akwai wasu ƙarin zaɓin magudi don shunts. Wadannan an ƙaddara su ne a kan kararrakin ta hanyar ƙwararren ƙwararren ne wanda zai yanke hukunci game da magani mafi kyau .
Sarrafa lafiya
Manufar maganin lokacin da aka sanya shunt shi ne ya zubar da adadin ruwa daga kwakwalwar kwakwalwar kwakwalwa, kuma ya tabbatar da cewa babu wani ruwa da zai iya dawo da shunt da cikin kwakwalwa.
An cika wannan ta hanyar hanya daya. Yayinda ruwa mai gina jiki yake ginawa a cikin kwakwalwar da ke cikin kwakwalwa, kwantar da hankali ya kara.
Hanya ɗaya hanya ta buɗe idan an sami wani matakin ƙin ƙwaƙwalwar ciki cikin ventricle, sa'an nan kuma ya sake rufewa lokacin da matsa lamba ta daidaita. Wannan yana taimaka wajen hana ruwa mai yawa daga kasancewa.
Hanya ɗaya ta ba da tabbacin cewa babu hadarin yayin kwance, jingina gaba, ko ratayewa, daga duk wani ruwa mai goyan baya cikin kwakwalwa.
Akwai hanyoyi daban-daban na shunt. Wasu daga cikinsu suna da tafki wanda kwararrun zasu iya amfani da su don zubar da ruwa don gwajin gaba, ko yin amfani da magunguna kamar maganin maganin rigakafi, idan ya cancanta.
Shunt Complications
Lokacin da likitoci suka yanke shawara ko a'a ba su da wani abu, dole su yi la'akari da amfani da hadari. Jigilar ruwa a kwakwalwa zai iya zama barazanar rayuwa. A cikin waɗannan lokuta amfanin amfani da shunt ya fi damuwa da hadarin. Wannan ya kamata a tattauna dashi tare da kungiyar kulawa kafin a saka su. Wasu hadarin da ke tattare da sakaci na shunt sun hada da
- Rashin aikin shunt yayi aiki yadda ya kamata
- Saki bayan shunt jeri
- Kamuwa da cuta
- Yadawa a kusa da shunt da cikin kwakwalwa
- Gubar da ruwa mai yawa daga kwakwalwa.
Idan shunt ya kasa, zai zama wajibi don cire shunt kuma ku bi duk wani rikitarwa mai mahimmanci, kamar kamuwa da cuta ko zub da jini. Bayan haka, dangane da ko a'a hydrocephalus ya ci gaba da zama matsala, sanya sabon shunt ko gano wasu zaɓuɓɓukan magani.
Alamomin Shunt Complication
Idan shunt ya kasance a wuri, yana da mahimmanci don saka idanu ga wadannan alamun matsaloli na shunt:
- Ciwon kai
- Madaba
- Rikici
- Lethargy
Dangane da inda shunt yake samuwa, akwai kuma ciwo na ciki ko kuma ikon iya jin ƙarar da ke kewaye da shinge mai zurfi a cikin ciki.
Gwajin na Radiologic zai iya taimakawa wajen tantance kamuwa da kamuwa da cuta, mai karfin motsa jiki a fadin shunt, ya kara yawan ruwa cikin kwakwalwa wanda ya nuna cewa shunt ba ya aiki yadda ya dace, da sauran matsalolin.
Yin Kyau mafi kyau
Lokacin da kake ƙoƙarin yin hukunci idan shunt shine mafi kyawun zaɓi, yana da mahimmanci don magana da ƙungiyar kulawa , da kuma kwararrun da suka saba da mummunan rauni. Koyi dalilin da yasa hydrocephalus ya ci gaba, da kuma yadda shunt zai taimaka. Hydrocephalus wani mummunan yanayin da zai iya haifar da mutuwa. Shunt wani zaɓi ne wanda zai iya rage haɗarin mutuwa daga hydrocephalus.
Sources:
Gliemroth, J., Käsbeck, E., & Kehler, U. (2014). Ventriculocisternostomy da ventriculoperitoneal shunt a cikin lura da hydrocephalus: A retrospective, nazarin na zaman lokaci nazarin. Magungunan Bincike na Ingantaccen Kwayoyin Neurosurgery , 122 92-96. Doi: 10.1016 / j.clineuro.2014.03.022
Reddy, GK, Bollam, P., & Caldito, G. (2014). Rahoton-Binciken Bincike: Harkokin Tsarin Harkokin Cikin Gidan Harkokin Cutar Harshen Ventriculoperitoneal Shunt a cikin marasa lafiya tare da Hydrocephalus. Duniya Neurosurgery , 81 404-410. Doi: 10.1016 / j.wneu.2013.01.096