Mukuda nkhawa ndi kukula kwa ubongo wa mwana wanu? Tiyeni tikambirane za Dandy-Walker Syndrome

Kodi mutu wa mwana wanu ukuoneka waukulu pang'ono? Kapena mumamva ngati mwachedwa kuchita zinthu zogwirizana ndi msinkhu wawo? Nthawi zina zimakhala zachilendo kumva mantha pang'ono mukaona zinthu ngati izi. Lero tikambirana za vuto lomwe lingakhale lopweteka kwambiri kwa makolo, koma lingathe kuthetsedwa ngati mukudziwa. Ndi Dandy-Walker Syndrome . Musadandaule, tikambirana mwatsatanetsatane komanso mosavuta.

Kodi Dandy-Walker Syndrome ndi chiyani?

Mwachidule, Dandy-Walker Syndrome ndi vuto lomwe limachitika mwana akabadwa ndi kusintha kwa momwe ubongo wake umakulira . Izi nthawi zina zimatchedwa Dandy-Walker Malformation. Izi zimachitika mwana akadali m'mimba, pamene ubongo ukukula. Izi zikutanthauza kuti ndi vuto lobadwa nalo .

Izi zimakhudza kwambiri ubongo wa cerebellum, ubongo waung'ono womwe uli kumbuyo kwa ubongo wathu, mu ubongo , ndi malo ozungulira. Kodi mukudziwa kuti gawo ili lotchedwa cerebellum ndi gawo lofunika kwambiri la Central Nervous System yathu? Ndi lomwe limagwirizanitsa mayendedwe a thupi lathu. Sikuti zokhazo, komanso limathandizanso pazinthu zina zambiri. Yang'anani:

• Imalamulira bwino thupi lathu, kugwirizana kwa thupi, ndi kaimidwe ka thupi .
• Zimathandizanso pazinthu zokhudzana ndi masomphenya .
• Luso lathu loganiza (kuzindikira) limagwirizananso ndi zinthu monga kumvetsetsa ndi kukumbukira chinthu.
• Luso la kuyendetsa thupi ndi zinthu monga kugwiritsa ntchito miyendo.
• Zimathandizanso kulamulira khalidwe .

Izi zimatchedwa Dandy-Walker polemekeza madokotala awiri a mitsempha , Walter Dandy, MD, ndi Arthur Walker, MD, omwe adafotokoza za vutoli m'zaka za m'ma 1900.

Kodi chimachitika ndi chiyani ku ubongo wa munthu amene ali ndi Dandy-Walker?

Chabwino, kodi n’chiyani chimachitika ku ubongo wa munthu amene ali ndi Dandy-Walker? Nazi zina mwa zinthu zomwe zingachitike:

• Chitseko chachinayi cha ubongo chimakula. Uwu ndi malo ozungulira cerebellum. Izi ndi zomwe zimathandiza kuti madzi a m'mitsempha ya ubongo (CSF) ayende pakati pa mbali zakumtunda ndi zakumunsi za ubongo ndi msana .
• Ma hemispheres awiri a cerebellum, kutanthauza gawo lapakati lomwe limalumikiza mbali ziwirizi, amatchedwa cerebellar vermis , ndipo ikhoza kusowa kwathunthu kapena pang'ono.
• Chiphuphu , chomwe chimawoneka ngati thovu la madzi, chimapangika pafupi ndi ventricle yachinayi.
• Pansi pa chigaza, ndiko kuti, posterior fossa, chimakula.
• Nthawi zina, madzi a m'mitsempha ya ubongo (CSF) amatha kusonkhana, zomwe zimapangitsa kuti chigaza chizitupa. Ichi ndi chomwe timachitcha kuti hydrocephalus .

Kodi Dandy-Walker Syndrome ndi yofala bwanji?

Malinga ndi deta yochokera ku United States, Dandy-Walker Malformation imakhudza pafupifupi mwana m'modzi mwa 25,000 mpaka 35,000 . Ndi yofala kwambiri mwa atsikana kuposa anyamata.

Kodi n’chiyani chimayambitsa matenda a Dandy-Walker?

Vutoli limachitika pamene pali vuto la kukula kwa ubongo wa mwana m'mimba . Nthawi zina, vutoli likhoza kuchitika chifukwa cha kusintha kwa majini .

Anthu ena omwe ali ndi Dandy-Walker akhoza kukhala ndi matenda a chromosome . Izi zikutanthauza kuti mbali zina za ma chromosomes sizikupezeka kapena sizikupezeka. Mukudziwa, ma chromosomes ali ngati mapaketi omwe amanyamula majini athu. Dandy-Walker Syndrome ingakhalenso gawo la matenda a majini omwe amapezeka limodzi ndi zilema zina zingapo zobadwa nazo.

Pali zifukwa zina zingapo zomwe zingatheke:

• Mitundu ina ya mavairasi imatha kufalikira kuchokera kwa mayi kupita kwa mwana panthawi ya mimba.
• Kukumana ndi poizoni kapena mankhwala enaake panthawi ya mimba.
• Amayi anga ali ndi matenda a shuga .

Kodi zizindikiro za Dandy-Walker zimayamba liti?

Nthawi zina, zizindikiro zimaonekera mwadzidzidzi komanso momveka bwino . Nthawi zina, makolo angakhale ndi zizindikiro osazindikira kuti pali vuto lililonse.

Kawirikawiri, zizindikiro zimawonekera mkati mwa miyezi ingapo yoyambirira ya moyo wa mwana , koma ana ena sangadziwike mpaka atakwanitsa zaka 3 kapena 4 .

Kodi zizindikiro za Dandy-Walker Syndrome ndi ziti?

Zizindikiro zomwe zingawonekere mwa ana ndi izi:

• Kuchedwa kwa chitukuko ndi kuchedwa kukwaniritsa zofunikira pakukula kwa mwana malinga ndi msinkhu wake . Mwachitsanzo, kuchedwa kukhala, kukwawa, ndi kuyenda.
• Chigaza ndi chachikulu kuposa chachibadwa.
• Hypotonia , zomwe zikutanthauza kuti thupi ndi lofooka.
• Kupindika kumatanthauza kuti minofu m'thupi imakhala yolimba komanso yovuta kupindika.

Zizindikiro zomwe zimawonedwa mwa ana akuluakulu:

• Kusanza, khunyu, ndi kukwiya - izi ndi zizindikiro za kupanikizika kwa ubongo.
• Kulephera kugwirizana bwino, kuyenda mozengereza, ndi mayendedwe osazolowereka monga kugwedezeka kwa maso - izi ndi zizindikiro za mavuto a cerebellum.

Pakhoza kukhala zizindikiro zina:

• Kutupa kapena chotupa kumbuyo kwa chigaza.
• Mavuto ndi mitsempha yomwe imayang'anira khosi, nkhope, ndi maso.
• Kusakhazikika kwa njira zopumira .
• Kugwidwa ndi khunyu .
• Zovuta za Luntha .
• Zizindikiro za Hydrocephalus .

Kodi pali kusiyana kotani pakati pa Dandy-Walker Complex ndi Dandy-Walker Syndrome?

Izi zingamveke ngati zovuta pang'ono, koma ndizisunga mosavuta. Dandy-Walker Complex ndi gulu la matenda omwe ali ndi zizindikiro zofanana. Dandy-Walker Syndrome ndi imodzi mwa matenda amenewo.

Palinso zinthu zina zomwe zili mu Dandy-Walker Complex:

• Hypoplasia ya Cerebellar Vermis Yokha kapena Dandy-Walker Variant : Pa vutoli, cerebellar vermis ndi yaying'ono kapena sinakule mokwanira. Komabe, kusintha kwina kwa kapangidwe ka ubongo wa ana omwe ali ndi Dandy-Walker Syndrome sikuonekera. Ana ambiri omwe amapezeka ndi vutoli amakula bwino.
• Mega Cisterna Magna : Pa vutoli, fossa yakumbuyo kumbuyo kwa chigaza imakula, koma cerebellum ndi yabwinobwino. Mega Cisterna Magna nthawi zambiri simayambitsa mavuto aliwonse azaumoyo.
• Posterior Fossa Arachnoid Cyst : Ichi ndi chotupa chomwe chimayamba mu posterior fossa. Sizofala kwambiri kuti ana akhale ndi zizindikiro ngakhale atakhala ndi chotupa chamtunduwu.

Ndi matenda ena ati omwe amagwirizana ndi Dandy-Walker Syndrome?

Ana omwe ali ndi Dandy-Walker angakhalenso ndi mavuto ndi ziwalo zina zapakati pa mitsempha. Mwachitsanzo:

• Kusakhalapo kwa Corpus Callosum (ACC) ndi vuto losowa kwambiri komanso lobadwa nalo.
• Mavuto ndi momwe zinthu monga ziwalo, nkhope, mtima, ndi zala zimapangikira.

Kodi mwana wanga adzakhala ndi vuto la maganizo?

Ana ochepera theka la ana omwe ali ndi Dandy-Walker ali ndi vuto la maganizo . Kulephera kwa maganizo n'kofala kwambiri pakati pa ana omwe ali ndi Dandy-Walker omwe ali ndi mavuto awa:

• Hydrocephalus yoopsa.
• Mikhalidwe ya Chromosome .
• Matenda ena obadwa nawo .

Kumbukirani, mwana aliyense ndi wosiyana, kotero zomwe mwana wina amakumana nazo sizingafanane ndi za wina.

Kodi Dandy-Walker Syndrome imapezeka bwanji?

Nthawi zina madokotala kapena makolo angazindikire kuti mutu wa mwana ndi waukulu kwambiri . Kapena angazindikire kuti mwanayo sakukwaniritsa zofunikira pakukula . Madokotala angayitanitsa mayeso owunikira ubongo kuti adziwe Dandy-Walker. Mayeso awa angaphatikizepo:

• Kufufuza kwa Ultrasound .
• Kujambula kwa CT .
• Kujambula kwa MRI .

Nthawi zina, vutoli limatha kuzindikirika panthawi ya prenatal ultrasound kapena fetal MRI scan mwana asanabadwe.

Ngati mwana wanga ali ndi Dandy-Walker, kodi banja liyenera kuyesedwa majini?

Ngati mwana wanu ali ndi vuto la Dandy-Walker Malformation, ndikofunikira kulankhula ndi dokotala wanu za upangiri wa majini . Anthu ochepa omwe ali ndi vutoli akhoza kukhalanso ndi wachibale amene ali ndi vutoli. Popeza pakhoza kukhala chifukwa cha majini , madokotala ambiri amalimbikitsa kuyezetsa majini .

Kodi mankhwala a Dandy-Walker Syndrome ndi ati?

Chithandizo chimadalira zizindikiro za Dandy-Walker Syndrome. Ndikofunikira kuti dokotala afufuze bwino musanayambe kulandira chithandizo. Mwachitsanzo, madokotala angakulangizeni izi:

• Shunt ya Ventriculoperitoneal (VP) : Madokotala amaika chipangizo chaching'ono chotchedwa VP shunt kuti achotse madzi ochulukirapo muubongo. Shunt iyi imatha kuchepetsa kupanikizika kwa ubongo ndikuwonjezera zizindikiro.
• Mankhwala : Dokotala wa mwana wanu angakupatseni mankhwala oletsa khunyu.
• Chithandizo : Kuchiza thupi ndi chithandizo cha ntchito zimathandiza ana kukhala ndi mphamvu za minofu. Akatswiri a zamaganizo amathanso kuphunzitsa ana njira zatsopano zochitira ntchito za tsiku ndi tsiku. Chithandizo cha kulankhula chimathandiza pakukula kwa chilankhulo ndi kulankhula.
• Maphunziro Apadera : Malo ophunzirira okonzedwa bwino amathandiza ana kukwaniritsa zolinga zawo zamaphunziro ndi chikhalidwe.

Kodi tsogolo la ana omwe ali ndi Dandy-Walker Syndrome ndi lotani?

Tsogolo la mwana wanu komanso moyo wake zidzadalira momwe alili.Zimatengera kuopsa kwake , komanso matenda ena aliwonse obadwa nawo omwe ali nawo.

Anthu omwe ali ndi vutoli akhoza kukhala ndi zochitika zosiyanasiyana. Ena ali ndi zizindikiro zochepa . Ena ali ndi zilema zazikulu . Ana ena amatha kukhala ndi luso lozindikira zinthu mwachibadwa pogwiritsa ntchito njira yoyenera yothandizira. Kwa ena, ngakhale gulu lawo lachipatala litazindikira ndikuchiza vutoli mwachangu, sangathe kufika pamlingo umenewo.

Kodi Dandy-Walker Syndrome ingapewedwe?

Palibe njira yodziwika yopewera Dandy-Walker Syndrome. Komabe, chisamaliro chokhazikika cha amayi apakati chimakupatsani mwayi wabwino kwambiri wokhala ndi pakati wabwino. Tsatirani upangiri wa dokotala wanu kuti mukhale ndi thanzi labwino pamene muli ndi pakati.

Kodi ndingasamalire bwanji mwana wanga ndi Dandy-Walker?

Kuthandiza msanga kungapatse mwana wanu mwayi wabwino kwambiri wopeza chithandizo chabwino. Ngati muwona kuti mwana wanu sakukwaniritsa zofunikira pakukula monga kukhala pansi, kuyenda, kapena kulankhula pa nthawi yake, onani dokotala wanu. Kenako angapange matenda olondola ndikupereka njira yabwino kwambiri yothandizira mwana wanu.

Gulu losamalira mwana wanu la Dandy-Walker likhoza kuphatikizapo:

• Dokotala wa ana .
• Akatswiri a Zachitukuko .
• Akatswiri Olankhula, Ogwira Ntchito ndi Othandiza Anthu Odwala Matenda a Thupi .
• Akatswiri a Maphunziro Apadera .

Kodi ndiyenera kufunsa dokotala wanga chiyani za Dandy-Walker Syndrome?

Ngati mwana wanu wapezeka ndi matenda a Dandy-Walker, funsani dokotala wanu za izi:

• Kodi mwana wanga adzafunika shunt ?
• Ndi matenda ena ati omwe mwana wanga ali nawo?
• Kodi tsogolo la mwana wanga (malingaliro) lidzakhala bwanji?
• Kodi tingatani kuti tiwongolere zizindikiro za mwana wanga?
• Kodi tiyenera kuchita mayeso a majini ?

Pomaliza, kumbukirani izi.

Dandy-Walker Syndrome, yomwe imadziwikanso kuti Dandy-Walker Malformation, ndi vuto la ubongo lomwe limayamba mwana asanabadwe. Makanda omwe ali ndi Dandy-Walker nthawi zambiri amafika mochedwa pakukula. Ana ena amafunika shunt kuti achotse madzi ochulukirapo muubongo. Mankhwala angathandize ana kuchita zinthu za tsiku ndi tsiku, kupambana kusukulu, komanso kukhala ndi moyo wokhutiritsa. Ngati muwona kuti mutu wa mwana wanu ndi waukulu kwambiri kapena kuti sakukhala pansi, sakuyenda, kapena kulankhula monga momwe amayembekezera, lankhulani ndi dokotala wanu. Kuzindikira msanga ndi chithandizo choyenera ndikofunikira. Musadandaule, vutoli lingathe kuthetsedwa ndi upangiri wa dokotala.

Matenda a Dandy -Walker, Kulephera kwa Ubongo, Zilema Zobadwa Nazo, Cerebellum, Hydrocephalus, Kuchedwa kwa Kukula, Thanzi la Ana