A Specialized Drain inogona kudiwa Kubata Hydrocephalus
Chimwe chinhu chinowanzoitika mushure mekunge mutambudza mutsi iwa hydrocephalus , mamiriro ezvinhu umo kune chivakwa che cerebrospinal fluid (CSF) mumhepo inobva muuropi. Imwe mushonga we hydrocephalus ndiyo kuiswa kwekuvhara.
A shunt ndeyendarira yakareba, inogadziriswa uye ine imwe nzira yemagetsi.
Mushure mekunge yave yakagadzirirwa kuti pane kuvharidza kwemvura muuropi, shunt inoiswa uye inogadziriswa munzvimbo yemuviri umo inogona kubvisa mvura yakanyanya.
Iko Kune Mhando Dzakawanda dzeShunje
Ventriculo-peritoneal: inodonha mvura inobuda mumhepo yakagadzikana yeuropi uye mudumbu remuviri. Ichi ndicho chinonyanya kunyanya che shunt
Ventriculo-atrial: inodonha mvura kubva muuropi uye inoenda kune inrium yemwoyo.
Ventriculo-pleural: inodonha mvura yakabuda muuropi uye inoenda kunharaunda yakapoteredza mapapu. Ichi ndicho chinonyanya kutaridzika che shunt.
Mune zviitiko zvakasiyana-siyana pane zvimwe zvingasarudzwa zvekunyura kwekudzivirira. Izvi zvakagadziriswa pane imwe nyaya nenyaya yakatarwa neurosurgeon uyo achasarudza pakurapwa kwakanakisisa kwokuvhiya .
Kutarisira Kuronga
Chinangwa chekurapa kana shunt inowanikwa ndeyekudzikisa huwandu hwemvura inobva mumakumbo europi, uyewo kuva nechokwadi kuti hapana hutachiona hunoyerera huchidzoka uye huchienda muuropi.
Izvi zvinoitwa nenzira imwe yemagetsi. Sezvo cerebrospinal fluid inovakwa mumhepo inoputika yeuropi, kuwedzera kunowedzera.
Nzira imwe yemagetsi inotanga apo imwe nhamba yekumanikidzika inosvika mukati memhepo inobhururuka, uye inogumira zvakare apo kushungurudzika kunowanzoita. Izvi zvinobatsira kudzivirira kuwandisa kwemvura kusinganwi.
Nzira imwe yevhavha inovimbisa kuti hakuna ngozi kana yakarara pasi, yakamira mberi, kana kuti yakaturikirwa nechepamusoro, yehupi chero hupi zvayo inotsigira kusvika muuropi.
Kune vakawanda shunt design types. Vamwe vavo vane gorosi iyo nyanzvi dzinogona kushandisa kushandisa mvura inoshandiswa kuongororwa, kana kuvhara mishonga yakadai semishonga inorwisa mabhakitiriya, kana zvichidikanwa.
Shunt Zvinetso
Apo vanachiremba vanosarudza kuti kana kuti kwete kuisa shunt, vanofanirwa kuongorora zvikomborero zvinopesana nezvengozi. Kusviba kwakanyanya muuropi kunogona kutyisidzira upenyu. Mune zviitiko izvi zvakakosha zvekuisa shunt kudarika zvengozi. Izvi zvinofanira kuongororwa zvakakwana neboka rekurapa vasati vaiswa. Zvimwe zvinowanzoitika njodzi dzekuvhara zvinosanganisira
- Kukundikana kwekushanda kushanda zvakanaka
- Kushungurudzika mushure mokunge musingaiti
- Kurwara
- Kuzvinyima kumativi ose shunt uye muuropi
- Kuronga kwemvura yakawandisa kubva muuropi.
Kana shunt inopera, zvingave zvakakosha kubvisa shunt uye kubata chero zvinetso zvakakonzera, zvakadai sehutachiona kana kubuda ropa. Zvadaro, zvichienderana nekuti kana kwete hydrocephalus inoenderera mberi kuva dambudziko, isai shunt itsva kana kutsvaga mamwe maitiro ekurapa.
Zviratidzo zveShunt Complication
Kana kuvhara kuri panzvimbo, zvakakosha kutarisa kune zviratidzo zvinotevera zvekudzivisa matambudziko:
- Headache
- Kusvibiswa
- Kusanganiswa
- Lethargy
Zvichienderana nezvinoshandiswa kuti shunt iripo, zvinogonawo kuva nekurwadziwa kwepamuviri kana kukwanisa kunzwa sekuwedzera kune nzvimbo yekudzivirira mvura mumimba.
Kuongororwa kwemashudhiki kunogona kubatsira kuongorora kuvepo kwehutachiona, cyst inopoteredza kuguma kwemvura yekupedzisira, inowedzera mvura mukati meuropi inoratidza kuti shunt haisi kushanda zvakanaka, nezvimwe zvinetso.
Kuita Chisarudzo Chakanakisisa
Kana uchiedza kugadzirisa kana shunt ndiyo ndiyo nzira yakanakisisa, zvakakosha kutaurirana neboka rekurapa , uye nyanzvi dzinoziva nheyo dzinotambudza musoro. Dzidza kuti nei hydrocephalus yakagadzirwa, uye kuti shunt ichabatsira sei. Hydrocephalus chirwere chakakomba chinogona kutungamirira kurufu. A shunt inzira yekurapa inogona kuderedza ngozi yekufa kubva ku hydrocephalus.
Sources:
Gliemroth, J., Käsbeck, E., & Kehler, U. (2014). Ventriculocisternostomy pamwe ne ventriculoperitoneal shunt mukurapa kwehydrocephalus: A retrospective, kwenguva refu yekucherechedza chidzidzo. Clinical Neurology Neurosurgery , 122 92-96. doi: 10.1016 / j.clineuro.2014.03.022
Reddy, GK, Bollam, P., & Caldito, G. (2014). Vezera-Kudzokorora Nyaya: Migumisiro Yenguva refu YeVerriculoperitoneal Shunt Surgery muVirwere neHydrocephalus. World Neurosurgery , 81 404-410. doi: 10.1016 / j.wneu.2013.01.096