Wo ba no amemene mu nkɔso ho asɛm haw wo? Momma yɛnka Dandy-Walker Syndrome ho asɛm

So ɛte sɛ nea wo ba kumaa no ti yɛ kɛse kakra? Anaasɛ wote nka sɛ woaka akyi dodo sɛ wobɛyɛ nneɛma ama wɔn mfe? Ɛtɔ da bi a, ɛyɛ ade a ɛfata sɛ wobɛte ehu nka kakra bere a wuhu nneɛma a ɛte sɛɛ no. Ɛnnɛ yɛbɛka tebea bi a ebetumi ayɛ awofo tiyɛ kakra, nanso sɛ wunim a, wobetumi adi ho dwuma ho asɛm. Ɛno ne Dandy-Walker Syndrome . Mma ɛnhaw wo, yɛbɛka ho asɛm akɔ akyiri na yɛayɛ no tiawa.

Dɛn ne Dandy-Walker Yare no?

Sɛ yɛbɛka no tiawa a, Dandy-Walker Syndrome yɛ tebea bi a ɛba bere a wɔwo akokoaa a nsakrae ba ɔkwan a wɔn amemene no fa so nyin mu no . Ɛtɔ mmere bi a wɔfrɛ eyi Dandy-Walker Malformation. Eyi ba bere a akokoaa no da so wɔ awotwaa mu, bere a amemene no renyin no. Eyi kyerɛ sɛ ɛyɛ tebea a wɔde awo obi .

Eyi ka amemene no titiriw, amemene ketewaa a ɛwɔ yɛn amemene no akyi, amemene no dua , ne baabi a atwa ho ahyia no. So wunim sɛ ɔfã a wɔfrɛ no cerebellum yi ne yɛn Central Nervous System no fã a ɛho hia sen biara . Ɛno na ɛma yɛn nipadua no keka ne ho. Ɛnyɛ ɛno nko, na mmom ɛboa wɔ nneɛma afoforo pii mu nso. Hwɛ:

• Ɛhwɛ sɛnea yɛn nipadua kari pɛ , sɛnea ɛyɛ adwuma bom, ne sɛnea yegyina hɔ no so .
• Ɛboa nso wɔ nsɛm a ɛfa anisoadehu ho.
• Yɛn tumi a yɛde susuw nneɛma ho (adwene) nso ne nneɛma te sɛ ntease ne biribi a yɛbɛkae no wɔ abusuabɔ.
• Motor skills yɛ nneɛma te sɛ nsa ne akwaa a wɔde di dwuma.
• Ɛboa ma wodi nneyɛe so nso.

Wɔfrɛ eyi Dandy-Walker de hyɛ ntini mu oprehyɛn ho animdefo baanu , Walter Dandy, MD, ne Arthur Walker, MD, a wɔkaa tebea no ho asɛm wɔ 1900 mfe no mu no anuonyam.

Dɛn na ɛto obi a ɔwɔ Dandy-Walker amemene?

Okay, enti dɛn na ɛba obi a ɔwɔ Dandy-Walker amemene so? Nneɛma bi a ebetumi asi ni:

• Amemene no mu ntini a ɛto so anan no yɛ kɛse. Eyi ne baabi a atwa amemene no ho ahyia. Eyi ne nea ɛboa ma amemene mu nsu (CSF) kɔ amemene no atifi ne ase ne akyi berɛmo no ntam .
• Wɔfrɛ amemene no fã abien, kyerɛ sɛ, mfinimfini fã a ɛka afã abien no bom no, amemene no mu vermis , na ebetumi ayera koraa anaa ne fã bi.
• Cyst , a ɛte sɛ nsu a ɛrehuruhuruw no ba wɔ baabi a ɛbɛn ventricle a ɛto so anan no.
• Ti nhwi no ase, kyerɛ sɛ, akyi ntini no yɛ kɛse.
• Ɛtɔ mmere bi a, amemene mu nsu (CSF) betumi ayɛ kɛse, na ɛma nhyɛso a ɛwɔ ti nhwi no mu no yɛ kɛse na ɛma ɛho ahonhon. Eyi ne nea yɛfrɛ no hydrocephalus .

Dandy-Walker Syndrome abu so dɛn?

Sɛnea nsɛm a efi United States kyerɛ no, Dandy-Walker Malformation ka nkokoaa bɛyɛ 25,000 kosi 35,000 biara mu biako . Ɛtaa ba mmeawa so sen mmarimaa.

Dɛn na ɛde Dandy-Walker Syndrome ba?

Saa tebea yi ba bere a ɔhaw bi wɔ akokoaa no amemene a ɛrenyin wɔ awotwaa no mu no ho . Wɔ tebea horow bi mu no, tebea yi betumi afi awosu mu nsakrae bi mu aba .

Ebia nnipa binom a wɔwɔ Dandy-Walker no wɔ nkwaboaa mu tebea horow . Eyi kyerɛ sɛ chromosomes no afã horow bi nni hɔ anaasɛ ɛboro so. Wunim, chromosomes te sɛ nneɛma a wɔde ahyɛ mu a ɛkura yɛn awosu mu nkwaadɔm no. Dandy-Walker Syndrome nso betumi ayɛ awosu mu yare bi a ɛba ka awo mu dɛmdi afoforo pii ho no fã.

Nneɛma afoforo pii wɔ hɔ a ebetumi ama wɔayɛ saa:

• Mmoawa ahorow bi betumi afi ɛna hɔ akɔ akokoaa nkyɛn bere a wɔyem no.
• Awuduru anaa nnuru bi a wɔde di dwuma bere a wɔyem no.
• Me maame wɔ asikreyare .

Bere bɛn na Dandy-Walker yare no ho sɛnkyerɛnne fi ase?

Ɛtɔ mmere bi a, sɛnkyerɛnne ahorow no da adi mpofirim na ɛda adi pefee . Mmere foforo nso, awofo betumi anya yare no ho sɛnkyerɛnne bi a wonhu sɛ biribi anyɛ yiye.

Mpɛn pii no, sɛnkyerɛnne ahorow no da adi wɔ asram kakraa a edi kan wɔ akokoaa nkwa mu , nanso ebia wɔrenhu mmofra binom kosi sɛ wobedi mfe 3 anaa 4 .

Dɛn ne Dandy-Walker Syndrome ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne a wotumi hu wɔ nkokoaa mu ne:

• Nkɔso a ɛkyɛ yɛ akyɛde a ɛba wɔ nkɔso mu nsɛntitiriw a ɛfata mfe a obi adi ho . Sɛ nhwɛso no, ɛkyɛ wɔ tra a wɔsɔre, ɔwea, ne nantew mu.
• Ti nhwi no sõ sen sɛnea ɛte daa.
• Hypotonia , a ɛkyerɛ sɛ nipadua no ayɛ mmerɛw ara kwa.
• Spasticity kyerɛ sɛ ntini a ɛwɔ nipadua no mu no yɛ den na ɛyɛ den sɛ wɔbɛkotow.

Nsɛnkyerɛnne a wohu wɔ mmofra a wɔanyinyin mu:

• Ɔfe, akisikuru, ne abufuw – eyinom yɛ nhyɛso a ɛkɔ soro wɔ amemene no mu ho sɛnkyerɛnne.
• Nkitahodi a ɛyera, nantew a ɛwosow, ne kankyee a ɛyɛ soronko te sɛ aniwa a ɛtwetwe – eyinom yɛ ɔhaw ahorow a ɛwɔ amemene no mu ho sɛnkyerɛnne.

Ebia sɛnkyerɛnne afoforo bi wɔ hɔ:

• Ti nhwi no akyi a ɛho ahonhon anaasɛ ɛyɛ kurukuruwa .
• Ntini a ɛhwɛ kɔn, anim, ne aniwa so no ho haw ahorow .
• Nneɛma a ɛnteɛ wɔ ɔhome nhyehyɛe mu .
• Ntini a ɛma obi ho kyere no .
• Adwene mu Mmofra a Wɔadi M dɛm .
• Hydrocephalus Ho Nsɛnkyerɛnne .

Nsonsonoe bɛn na ɛda Dandy-Walker Complex ne Dandy-Walker Syndrome ntam?

Ebia eyi bɛyɛ te sɛ nea ɛyɛ den kakra, nanso mɛma ayɛ mmerɛw. Dandy-Walker Complex yɛ tebea horow kuw bi a ɛwɔ sɛnkyerɛnne ahorow a ɛte saa ara. Dandy-Walker Syndrome yɛ saa tebea horow no mu biako pɛ.

Tebea afoforo wɔ hɔ a ɛyɛ Dandy-Walker Complex no dea:

• Isolated Cerebellar Vermis Hypoplasia anaa Dandy-Walker Variant : Wɔ tebea yi mu no, amemene mu vermis no sua anaasɛ ennyaa nkɔso koraa. Nanso, wonhu nsakrae afoforo a ɛba mmofra a wɔwɔ Dandy-Walker Syndrome amemene mu wɔ nhyehyɛe mu no. Mmofra dodow no ara a wohu sɛ wɔwɔ saa tebea yi nyin sɛnea ɛsɛ.
• Mega Cisterna Magna : Wɔ tebea yi mu no, akyi ntini a ɛwɔ ti nhwi no akyi no yɛ kɛse, nanso amemene no yɛ nea ɛfata. Mpɛn pii no, Mega Cisterna Magna mfa akwahosan ho haw biara mma.
• Posterior Fossa Arachnoid Cyst : Eyi yɛ akisikuru a ɛba akyi ntini no mu. Ɛntaa mma koraa sɛ mmofra benya yare no ho sɛnkyerɛnne sɛ wɔwɔ saa akisikuru yi mpo a.

Tebea afoforo bɛn na ɛne Dandy-Walker Syndrome wɔ abusuabɔ?

Mmofra a wɔwɔ Dandy-Walker nso betumi anya ɔhaw ahorow wɔ ntini a ɛwɔ mfinimfini no afã afoforo ho. Nhwɛsoɔ:

• Corpus Callosum (ACC) a enni hɔ no yɛ tebea a ɛntaa nsi, a wofi awo mu.
• Ɔhaw ahorow a ɛfa ɔkwan a wɔfa so hyehyɛ nneɛma te sɛ akwaa, anim, koma, nsateaa ho.

So me ba no benya adwene mu dɛmdi?

Mmofra a wɔwɔ Dandy-Walker no mu nnu fã na wɔwɔ adwene mu dɛmdi . Adwene mu dɛmdi abu so kɛse wɔ mmofra a wɔwɔ Dandy-Walker a wɔwɔ tebea horow a edidi so yi mu:

• Nsu a ɛma obi ho yɛ hyew a emu yɛ den .
• Nkwammoaa mu Tebea horow .
• Tebea afoforo a wonya fi awo mu .

Kae sɛ ɛsono abofra biara, enti abofra biako suahu rennyɛ pɛ ne ɔfoforo de.

Ɔkwan bɛn so na wohu sɛ obi anya Dandy-Walker Syndrome?

Ɛtɔ mmere bi a nnuruyɛfo anaa awofo betumi ahu sɛ abofra ti sõ dodo . Anaasɛ ebia wobehu sɛ abofra no nni nkɔso mu nsɛntitiriw ho dwuma . Ebia nnuruyɛfo bɛhyɛ sɛ wɔnyɛ amemene mu mfonini mu nhwehwɛmu mfa nhu Dandy-Walker. Ebia sɔhwɛ ahorow yi bi ne:

• Ultrasound nhwehwɛmu a wɔyɛ.
• CT scan a wɔde yɛ adwuma.
• MRI scan a wɔde yɛ nhwehwɛmu.

Ɛtɔ mmere bi a, wobetumi ahu saa tebea yi bere a wɔreyɛ ultrasound ansa na wɔawo anaasɛ awotwaa mu MRI scan ansa na wɔawo akokoaa no.

Sɛ me ba no wɔ Dandy-Walker a, so ɛsɛ sɛ wɔyɛ abusua no awosu mu nhwehwɛmu?

Sɛ wo ba wɔ Dandy-Walker Malformation a, ɛho hia sɛ wo ne wo duruyɛfo kasa fa awosu mu afotu ho . Nnipa a wɔwɔ saa tebea yi mu kakraa bi nso betumi anya abusua muni bi a ɔwɔ yare no. Esiane sɛ ebia awosu mu ade bi wɔ mu nti, nnuruyɛfo pii kamfo kyerɛ sɛ wɔnyɛ awosu mu nhwehwɛmu .

Dɛn ne ayaresa ahorow a wɔde sa Dandy-Walker Syndrome?

Ayaresa no gyina Dandy-Walker Syndrome ho sɛnkyerɛnne ahorow so. Ɛho hia sɛ woyɛ oduruyɛfo nhwehwɛmu a edi mũ ansa na woafi ayaresa ase. Sɛ nhwɛso no, nnuruyɛfo betumi akamfo nea edidi so yi akyerɛ:

• Ventriculoperitoneal (VP) Shunt : Nnuruyɛfo a wɔyɛ oprehyɛn de afiri ketewaa bi a wɔfrɛ no VP shunt hyɛ mu de yi nsu a ɛboro so fi amemene no mu. Saa shunt yi betumi atew nhyɛso a ɛba amemene no so so na ama sɛnkyerɛnne ahorow no atu mpɔn.
• Nnuru : Ebia wo ba no duruyɛfo bɛkyerɛw nnuru a ɛbɛma watumi asiw akisikuru ano.
• Ayaresa : Apɔw-mu-teɛteɛ ne adwuma mu ayaresa boa mmofra ma wɔn ntini mu ahoɔden kɔ so yɛ den. Ayaresa ho animdefo nso betumi akyerɛkyerɛ mmofra akwan foforo a wɔbɛfa so ayɛ da biara da nnwuma. Ɔkasa ayaresa boa ma kasa ne ɔkasa nkɔso.
• Nhomasua Titiriw : Adesua tebea a wɔayɛ ama mmofra boa ma wodu wɔn nhomasua ne asetra mu botae ahorow ho.

Dɛn ne mmofra a wɔwɔ Dandy-Walker Syndrome daakye?

Wo ba no daakye ne ne nkwa nna gyina ne tebea so.Egyina sɛnea emu yɛ den , ne tebea foforo biara a wɔde awo no nso so.

Nnipa a wɔwɔ saa tebea yi betumi anya osuahu ahorow. Ebinom wɔ sɛnkyerɛnne ahorow a emu nyɛ den . Afoforo nso adi dɛm kɛse . Mmofra binom betumi anya adwene mu tumi a ɛfata denam ayaresa nhyehyɛe a ɛfata so. Wɔ afoforo fam no, sɛ wɔn nnuruyɛfo kuw no hu tebea no na wɔsa no ntɛm mpo a, ebia wɔrentumi nkɔ saa gyinabea no.

So wobetumi asiw Dandy-Walker Syndrome ano?

Ɔkwan biara nni hɔ a wonim a wɔbɛfa so asiw Dandy-Walker Syndrome ano. Nanso, ɔhwɛ a wɔyɛ no daa ansa na wɔawo no ma wunya hokwan a eye sen biara sɛ wubenya nyinsɛn a ahoɔden wom. Di wo duruyɛfo afotu akyi na ama woanya apɔwmuden bere a woanyinsɛn no.

Meyɛ dɛn hwɛ me ba a mewɔ Dandy-Walker?

Sɛ wo de wo ho gye mu ntɛm a, ebetumi ama wo ba no anya hokwan a eye sen biara ama ayaresa a edi mu. Sɛ wuhu sɛ wo ba no ntumi nhyia nkɔso mu nsɛntitiriw te sɛ tra, nantew, anaa ɔkasa wɔ bere ano a, kɔ wo duruyɛfo nkyɛn. Afei wobetumi ahu yare no pɛpɛɛpɛ na wɔde ayaresa nhyehyɛe a etu mpɔn sen biara ama wo ba no.

Ebia wo ba no Dandy-Walker hwɛ kuw no bi ne:

• Mmofra oduruyɛfo .
• Nkɔso Ho Abenfo .
• Ɔkasa, Adwumayɛ ne Apɔw-mu-teɛteɛ Ho Nnuruyɛfo .
• Nhomasua Titiriw Ho Adwumayɛfo .

Dɛn na ɛsɛ sɛ mibisa me duruyɛfo fa Dandy-Walker Syndrome ho?

Sɛ wo ba no nya Dandy-Walker a, bisa wo duruyɛfo no nea edidi so yi ho asɛm:

• So me ba behia shunt ?
• Ayaresa mu tebea afoforo bɛn na me ba no wɔ?
• Me ba daakye (adwene) bɛyɛ dɛn?
• Yɛbɛyɛ dɛn atumi ama me ba no yare no ho sɛnkyerɛnne atu mpɔn ?
• So ɛsɛ sɛ yɛyɛ awosu mu nhwehwɛmu ?

Nea etwa to no, kae eyi.

Dandy-Walker Syndrome a wɔsan frɛ no Dandy-Walker Malformation yɛ amemene mu yare a ɛba ansa na wɔawo akokoaa. Nkokoaa a wɔwɔ Dandy-Walker taa du nkɔso mu nneɛma atitiriw ho akyiri. Mmofra binom hia shunt na ama nsu a ɛboro so afi amemene no mu. Ayaresa betumi aboa mmofra ma wɔadi da biara da dwumadi ahorow ho dwuma, adi yiye wɔ sukuu mu, na wɔatra ase a abotɔyam wom. Sɛ wuhu sɛ wo ba no ti sõ dodo anaasɛ ɔntra ase, wɔnnantew, anaa wɔnkasa sɛnea wɔhwɛ kwan no a, wo ne wo duruyɛfo nkasa. Ɛho hia sɛ wohu no ntɛm na wɔsa no yare yiye. Mma ɛnhaw wo, wobetumi de nnuruyɛfo afotu adi tebea yi ho dwuma.

` Dandy-Walker Syndrome, Amemene mu Mfomso, Awo mu Mfomso, Cerebellum, Hydrocephalus, Nkɔso a Ɛkyɛ, Mmofra Akwahosan