Inu kapena munthu amene mumamudziwa mwina munachita mantha pang'ono komanso mantha dokotala akakuuzani kuti muyenera kukhetsa madzi otuluka m'chiuno. Ndani amene sangachite mantha akanena kuti, "Akuika chubu msana wanu," sichoncho? Koma musadandaule. Lero, tikambirana mwachidule, ngati kuti tikuuza mnzanu, kuti izi ndi chiyani kwenikweni, chifukwa chake zimachitika, komanso momwe zimagwirira ntchito.
Kodi njira yotulutsira madzi m'chiuno ndi chiyani?
Mwachidule, ubongo wathu ndi chingwe cha msana, zomwe zimayenda pansi pa msana, sizili m'thupi lathu lokha. Zili ndi madzi apadera, ofanana ndi madzi, kuti ziwateteze. Timatcha izi 'Cerebrospinal Fluid' , kapena CSF mwachidule. Taganizirani izi ngati kuyika chinthu chamtengo wapatali m'bokosi ndikuyika china mozungulira kuti chiteteze. Madzi a CSF awa amateteza ubongo wathu ndi chingwe cha msana.
Kotero, ngalande ya m'chiuno ndi chubu chopyapyala kwambiri komanso chosinthasintha (catheter). Chimayikidwa m'munsi mwa msana wanu, m'chigawo cha m'chiuno, ndipo chimagwiritsidwa ntchito kutulutsa madzi ena a CSF omwe ndatchulawa, kapena kulamulira kuthamanga kwake. Izi nthawi zambiri zimachitika kwakanthawi, kwa masiku angapo.
N’chifukwa chiyani muyenera kuchita zinthu ngati zimenezi?
Pali zifukwa zingapo zomwe dokotala angapangire chinthu chonga ichi. Tiyeni tiwone zifukwa zazikulu.
| Chifukwa | Kufotokozera kosavuta |
|---|---|
| Ngati CSF yatuluka madzi | Pambuyo pa ngozi zina kapena pazifukwa zina, madzi a CSF awa amatha kutuluka m'malo mwake. Madzi otuluka m'madzi awa amagwiritsidwa ntchito kuchepetsa kuthamanga kwa madzi ndikuthandiza kuti madziwo achire. |
| Pankhani ya hydrocephalus | Imeneyi ndi vuto lomwe madzi a CSF ambiri amasonkhana m'mutu. Izi zimayambitsa kupanikizika kosafunikira ku ubongo (kupanikizika kwa mkati mwa mutu). Izi ndizofunikira kuti muchotse madzi owonjezerawo ndikulamulira kupanikizika. |
| Pambuyo pa opaleshoni | Dothi ili limagwiritsidwanso ntchito pambuyo pa opaleshoni ya ubongo kapena msana kuti lichepetse kupanikizika m'derali ndikuthandiza bala kuchira mwachangu. |
| Kuzindikira matenda | Monga momwe magazi ochepa amatengedwa ndikuyesedwa kuti adziwe matenda, kuchuluka kochepa kwa madzi a CSF amenewa kumatha kutengedwa ndikuyesedwa kuti adziwe matenda enaake, maselo osazolowereka, kapena mapuloteni. |
Kodi ndiyenera kukonzekera bwanji izi?
Dokotala wanu adzakuyang'anirani bwino asanachite izi.
- Kambiranani za mbiri yanu yonse ya matenda .
- Mungapemphedwe kuti muyesedwe ndi MRI kapena CT scan . Ma scan amenewa amathandiza dokotala kuona bwino zomwe zikuchitika m'thupi. Amathandizanso kudziwa malo abwino komanso otetezeka oti muyikepo ngalande.
- Mungapatsidwe mankhwala opha tizilombo toyambitsa matenda kuti mupewe matenda, komanso mungapatsidwe mankhwala oletsa kupanga kwa CSF.
Chofunika kwambiri ndikufunsa dokotala wanu mafunso kapena nkhawa zilizonse zomwe mungakhale nazo pankhani ya njirayi popanda mantha . Ndi ufulu wanu kudziwa bwino zomwe zingachitike, zoopsa zake, komanso ubwino wake.
Kodi chimachitika n’chiyani kwenikweni chikayikidwa ngalande?
Ngakhale izi zingamveke ngati nkhani yaikulu, nthawi zambiri ntchito yonse imatenga mphindi 30, ndipo zonse zimachitika kuti musamve kupweteka kulikonse.
1. Kusintha malo: Choyamba, mudzatembenuzidwira mbali imodzi ya bedi, ndipo mawondo anu adzakokedwa pafupi ndi chifuwa chanu ndipo mudzagonekedwa pansi.
2. Kuyeretsa khungu: Malo akumunsi kumbuyo komwe madzi amathiridwa amatsukidwa bwino ndi mankhwala opha tizilombo toyambitsa matenda.
3. Kuchepetsa ululu: Kenako, jakisoni kakang'ono (local anesthetic) kamaperekedwa kuti muchepetse ululu pamalopo. Kuti musamve ululu uliwonse. Mungamve kupanikizika pang'ono.
4. Kuyika singano: Dokotala amaika singano yapadera mosamala pamalo pomwe pali madzi a CSF (malo a subarachnoid) . Nthawi zina izi zimachitika pogwiritsa ntchito X-ray kuti aone malo enieni.
5. Kulowetsa catheter: Chubu chopyapyala komanso chosinthasintha chimalowetsedwa kudzera mu singano.
6. Kuchotsa singano: Pambuyo poti chubucho chaikidwa, singanoyo imachotsedwa mosamala.
7. Kulumikiza ku thumba losonkhanitsira:Malekezero akunja a chubucho amalumikizidwa ku thumba lapadera komwe CSF imasonkhanitsidwa.
8. Kumangirira pakhungu: Pomaliza, chubucho chimamangiriridwa pakhungu ndi pulasitala kapena mwina kusoka pang'ono kuti chisagwe, ndipo amaika bandeji kuti malowo akhale oyera.
Kodi ndiyenera kukhala pabedi pambuyo poti ngalande yaikidwa?
Inde, muyenera kukhala m'chipatala kwa masiku angapo chitoliro chikatsegulidwa. Ndipo nthawi zambiri mudzauzidwa kuti mugone pabedi. Choyamba, mudzakakamizidwa kugona chammbali kapena cham'mimba.
Chofunika kwambiri: Musanadzuke, musanadzuke pabedi , muyenera kulankhula ndi ogwira ntchito yosamalira anamwino. Chifukwa, mukadzuka, muyenera kulamulira kutuluka kwa madzi kuchokera mu ngalande. Kupanda kutero, madzi ambiri angatuluke ndikuyambitsa mavuto monga mutu waukulu. Choncho tsatirani malangizo awo molondola.
Kodi ubwino ndi zovuta zomwe zingachitike chifukwa cha izi ndi ziti?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali ubwino ndi zoopsa zazing'ono kwambiri.
| Ubwino Waukulu | Mavuto Otheka |
|---|---|
| Kuletsa kutayikira kwa CSF. | Matenda a bakiteriya. |
| Lamulirani kupanikizika kwa ubongo ndikuletsa kuwonongeka. | Mutu, nseru ndi kusanza. |
| Kupereka chidziwitso chofunikira kwambiri pa matenda. | Kutuluka magazi kuchokera pamalo pomwe chubucho chinayikidwa. |
| Mwina ngakhale kupulumutsa moyo. | Kutulutsa madzi a CSF mopitirira muyeso (kutulutsa madzi ambiri). |
| Kukonza njira ya opaleshoni kapena chithandizo china. | Chubucho chingasunthe kapena kumasuka kuchokera pamalo pake. |
Koma gulu lanu lachipatala lidzachita zonse zomwe lingathe kuti lichepetse chiopsezo cha mavutowa, choncho ndikofunikira kutsatira malangizo awo molondola.
Kodi ngalande idzakhalapo kwa nthawi yayitali bwanji? Nanga chimachitika n'chiyani pambuyo pake?
Kawirikawiri imasiyidwa m'nyumba kwa masiku angapo, koma nthawi zambiri siipitirira masiku 5. Izi zili choncho chifukwa chiopsezo cha matenda chimawonjezeka ngati itayidwa m'nyumba kwa nthawi yayitali kuposa pamenepo. CSF yanu ikakhazikika komanso kuthamanga kwa magazi, dokotala wanu amachotsa ngalande yonse. Mukaichotsa, mudzapemphedwa kuti mugone pansi kwa kanthawi. Izi zidzakuthandizani kupewa mutu. Ngakhale mutapita kunyumba, muyenera kupewa kunyamula zinthu zolemera kapena kugwira ntchito yolemetsa mpaka dokotala wanu atakuuzani kuti muchite zimenezo.
Ngati mukumva kupweteka kwatsopano, mutu waukulu, kapena nseru muli kuchipatala, dziwitsani ogwira ntchito nthawi yomweyo. Komanso, ngati mukumva zizindikiro izi mutabwerera kunyumba, muyenera kuyimbira dokotala nthawi yomweyo.
Uthenga Wopita Nawo Kunyumba
- Dothi la m'chiuno ndi chubu chopyapyala chomwe chimagwiritsidwa ntchito kuchotsa kapena kufufuza madzi owonjezera (CSF) omwe amazungulira ubongo ndi msana.
- Njira imeneyi imachitika popereka mankhwala oletsa dzanzi pamalopo kuti musamve kupweteka kulikonse.
- Ndikofunikira kwambiri kupuma kuchipatala ndikutsatira malangizo a dokotala masiku ochepa kuchokera pamene ngalande yaikidwa.
- Izi zimapereka maubwino ambiri ofunikira, monga kuletsa kutuluka kwa CSF, kuwongolera kuthamanga kwa magazi muubongo, ndipo nthawi zina zingathandize kupulumutsa miyoyo.
- Ngati mukumva zizindikiro monga mutu waukulu, nseru, malungo, kapena kufiira kapena kutupa pamalo otayira madzi mutabwerera kunyumba, dziwitsani dokotala wanu nthawi yomweyo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment