Uhangayikishijwe n'imikurire y'ubwonko bw'umwana wawe? Reka tuvuge kuri Dandy-Walker Syndrome

Ese umutwe w'umwana wawe usa n'aho ari munini gato? Cyangwa wumva watinze gukora ibintu bijyanye n'imyaka ye? Hari igihe ni ibisanzwe kumva ufite ubwoba iyo ubonye ibintu nk'ibi. Uyu munsi tugiye kuvuga ku ndwara ishobora gutera ikibazo ku babyeyi, ariko ikaba yakwitabwaho niba ubizi. Iyo ni Dandy-Walker Syndrome . Ntugahangayike, tuzayivugaho mu buryo burambuye kandi bworoshye.

Dandy-Walker Syndrome ni iki?

Muri make, Dandy-Walker Syndrome ni indwara ibaho iyo umwana avutse afite impinduka mu mikurire y'ubwonko bwe . Ibi rimwe na rimwe byitwa Dandy-Walker Malformation. Ibi bibaho umwana akiri mu nda, ubwonko bukirimo gukura. Ibi bivuze ko ari indwara yavutse .

Ibi bigira ingaruka cyane cyane ku bwonko buto buherereye inyuma y'ubwonko bwacu, mu mutwe , no mu mwanya ubukikije. Ese wari uzi ko iki gice cyitwa cerebellum ari cyo gice cy'ingenzi cyane cya sisitemu yacu yo hagati y'imitsi . Ni cyo gihuza imigendere y'umubiri wacu. Si ibyo gusa, ahubwo kinafasha no mu bindi bintu byinshi. Reba:

• Igenzura uburinganire bw'umubiri wacu, imikorere y'umubiri wacu, n'uburyo umubiri wacu uhagaze .
• Binafasha mu bijyanye n'icyerekezo .
• Ubushobozi bwacu bwo gutekereza (cognition) bufitanye isano no gusobanukirwa no kwibuka ikintu runaka.
• Ubuhanga mu gutwara imitsi ni nko gukoresha amaguru n'amaboko.
• Binagira uruhare mu kugenzura imyitwarire .

Ibi byitwa Dandy-Walker mu rwego rwo guha icyubahiro abaganga babiri b'imitsi , Walter Dandy, MD, na Arthur Walker, MD, basobanuye iyo ndwara mu myaka ya 1900.

Ni iki kiba ku bwonko bw'umuntu urwaye Dandy-Walker?

None se ni iki kiba ku bwonko bw'umuntu urwaye Dandy-Walker? Dore bimwe mu bintu bishobora kubaho:

• Umutsi wa kane w'ubwonko uba munini. Uyu ni umwanya ukikije ubwonko. Ibi nibyo bifasha amazi yo mu bwonko (CSF) gutembera hagati y'ibice byo hejuru n'ibyo hasi by'ubwonko n'umugongo .
• Uduce tubiri tw’ubwonko, ni ukuvuga igice cyo hagati gihuza impande zombi, cyitwa cerebellar vermis , kandi gishobora kubura burundu cyangwa igice cyacyo.
• Ikibyimba , gisa n'umubyimba w'amazi, kiba hafi y'umuvuduko wa kane w'amaraso.
• Igice cyo hasi cy'agahanga, ni ukuvuga fossa y'inyuma, kiba kinini.
• Hari igihe amazi yo mu bwonko (CSF) ashobora kwiyongera, yongera umuvuduko mu gahanga bigatuma gabyimba. Ibi nibyo twita hydrocephalus .

Indwara ya Dandy-Walker ikunze kugaragara gute?

Dukurikije amakuru aturuka muri Leta Zunze Ubumwe za Amerika, Dandy-Walker Malformation yibasira umwana umwe mu bana 25.000 kugeza 35.000 . Ikunze kugaragara ku bakobwa kurusha abahungu.

Ni iki gitera indwara ya Dandy-Walker?

Iyi ndwara ibaho iyo hari ikibazo cy’uko ubwonko bw’umwana bukura mu nda . Hari ubwo iyi ndwara ishobora guterwa n’impinduka mu miterere y’uturemangingo .

Hari abantu bamwe na bamwe barwaye Dandy-Walker bashobora kuba bafite imiterere ya chromosome . Ibi bivuze ko ibice bya chromosomes bitaba bihari cyangwa bitariho. Urabizi, chromosomes ni nk'udupaki twitwaza imiterere yacu. Dandy-Walker Syndrome ishobora kandi kuba kimwe mu bigize indwara ya gene ibaho hamwe n'izindi nenge nyinshi zo kuvukana.

Hari izindi mpamvu nyinshi zishobora kuba:

• Hari ubwoko bumwe na bumwe bwa virusi bushobora kwanduzanya kuva ku mubyeyi kugera ku mwana mu gihe atwite.
• Guhura n'uburozi cyangwa imiti imwe n'imwe mu gihe utwite.
• Mama arwaye diyabete .

Ibimenyetso bya Dandy-Walker bitangira ryari?

Hari igihe ibimenyetso bigaragara mu buryo butunguranye kandi busobanutse neza . Hari n'igihe ababyeyi bashobora kugira ibimenyetso batazi ko hari ikibazo bafite.

Akenshi, ibimenyetso bigaragara mu mezi make ya mbere y'ubuzima bw'umwana , ariko bamwe mu bana bashobora kutabimenyeshwa kugeza bagejeje ku myaka 3 cyangwa 4 .

Ni ibihe bimenyetso by'indwara ya Dandy-Walker?

Ibimenyetso bishobora kugaragara ku bana bato ni ibi bikurikira:

• Gutinda mu mikurire ni ugutinda mu kugera ku ntego z'imikurire zijyanye n'imyaka . Urugero, gutinda kwicara, kunyara no kugenda.
• Agahanga kanini kurusha ibisanzwe.
• Hypotonia , bivuze ko umubiri urembye gusa.
• Gucika intege bivuze ko imitsi yo mu mubiri ikomera kandi ikagorana kuyigora.

Ibimenyetso bigaragara ku bana bakuru:

• Kuruka, gucika intege no kurakara - ibi ni ibimenyetso by'umuvuduko mwinshi mu bwonko.
• Kubura ubushobozi bwo guhuza ingingo, kugenda nabi, no kugenda utuntu tudasanzwe nko guhindagura amaso - ibi ni ibimenyetso by'ibibazo biri mu bwonko.

Hashobora kubaho ibindi bimenyetso:

• Kubyimba cyangwa ikibyimba inyuma y'agahanga.
• Ibibazo by'imitsi igenzura ijosi, isura n'amaso.
• Utumenyero duto two guhumeka .
• Indwara zo mu mutwe .
• Ubumuga bwo mu mutwe .
• Ibimenyetso bya Hydrocephalus .

Ni irihe tandukaniro riri hagati ya Dandy-Walker Complex na Dandy-Walker Syndrome?

Ibi bishobora kumvikana nk'ibigoye, ariko ndabikomeza byoroshye. Dandy-Walker Complex ni itsinda ry'indwara zifite ibimenyetso bisa. Dandy-Walker Syndrome ni imwe muri izo ndwara.

Hari izindi mpamvu zigomba kuba zijyanye na Dandy-Walker Complex:

• Hypoplasia ya Cerebellar Vermis cyangwa Dandy-Walker Variant : Muri iyi ndwara, cerebellar vermis iba nto cyangwa itarakura neza. Ariko, izindi mpinduka mu bwonko bw'abana bafite Dandy-Walker Syndrome ntizigaragara. Abana benshi basanzwe bafite iyi ndwara bakura neza.
• Mega Cisterna Magna : Muri iyi ndwara, igice cy'inyuma cy'agahanga kiba kinini, ariko ubwonko buba busanzwe. Mega Cisterna Magna ubusanzwe ntabwo itera ibibazo by'ubuzima.
• Posterior Fossa Arachnoid Cyst : Iyi ni cyst ikura mu gice cy'inyuma cy'inyuma. Ni gake cyane ku bana kugira ibimenyetso nubwo baba bafite ubwoko bw'iyi cyst.

Ni izihe ndwara zindi zifitanye isano na Dandy-Walker Syndrome?

Abana barwaye Dandy-Walker bashobora kandi kugira ibibazo ku bindi bice by'imitsi yo hagati. Urugero:

• Kubura kwa Corpus Callosum (ACC) ni indwara idasanzwe, ivukanwa.
• Ibibazo bijyanye n'uburyo ibintu nk'amaguru, isura, umutima, intoki byifashe.

Ese umwana wanjye azaba afite ubumuga bwo mu mutwe?

Abana badafite Dandy-Walker bafite ubumuga bwo mu mutwe . Ubumuga bwo mu mutwe bukunze kugaragara cyane mu bana barwaye Dandy-Walker bafite ibi bikurikira:

• Indwara ikomeye ya hydrocephalus .
• Imiterere ya chromosome .
• Izindi ndwara zo kuvukana .

Wibuke ko buri mwana atandukanye, bityo ubunararibonye bw'umwana umwe ntibuzaba nk'ubw'undi.

Indwara ya Dandy-Walker ipimwa ite?

Hari igihe abaganga cyangwa ababyeyi bashobora kubona ko umutwe w'umwana ari munini cyane . Cyangwa se bashobora kubona ko umwana adashoboye kugera ku ntambwe z'iterambere ry'imikurire . Abaganga bashobora gutumiza ibizamini byo gupima ubwonko kugira ngo bapime Dandy-Walker. Ibi bizamini bishobora kuba birimo:

• Isuzuma rya Ultrasound .
• Isuzuma rya CT .
• Isuzuma rya MRI .

Hari igihe iyi ndwara ishobora kugaragara mu gihe cyo gupima umwana utwite cyangwa mu gihe cyo gupima umwana utwite (MRI) mbere yuko umwana avuka.

Niba umwana wanjye afite Dandy-Walker, umuryango ugomba gukorerwa isuzuma ry’uturemangingo?

Niba umwana wawe afite ikibazo cya Dandy-Walker, ni ngombwa kuvugana na muganga wawe ku birebana n'ubujyanama ku ngirabuzimafatizo . Ijanisha rito ry'abantu bafite iki kibazo bashobora kuba bafite umwe mu bagize umuryango ufite iki kibazo. Kubera ko gishobora kuba gifite uruhare mu ngirabuzimafatizo , abaganga benshi basaba ko bapimwa ngirabuzimafatizo .

Ni ubuhe buryo bwo kuvura indwara ya Dandy-Walker?

Uburyo bwo kuvura buterwa n'ibimenyetso bya Dandy-Walker Syndrome. Ni ngombwa ko muganga abanza gusuzuma neza mbere yo gutangira kuvura. Urugero, abaganga bashobora kukugira inama ikurikira:

• Shunt ya Ventriculoperitoneal (VP) : Abaganga babaga bashyiramo agakoresho gato kitwa VP shunt kugira ngo bakure amazi menshi mu bwonko. Iyi shunt ishobora kugabanya umuvuduko ku bwonko no kunoza ibimenyetso.
• Imiti : Muganga w'umwana wawe ashobora kuguha imiti yo kugabanya indwara z'igicuri.
• Ubuvuzi : Ubuvuzi bw'umubiri n'ubuvuzi bw'akazi bifasha abana gukomeza kugira imbaraga z'imitsi. Abavuzi bashobora kandi kwigisha abana uburyo bushya bwo gukora imirimo ya buri munsi. Ubuvuzi bw'imivugire bufasha mu iterambere ry'ururimi n'imivugire.
• Uburezi bwihariye : Ahantu ho kwigira hagenewe abana hafasha kugera ku ntego zabo z'uburezi n'imibereho myiza.

Ni iki kizaba ku bana bafite Dandy-Walker Syndrome?

Ahazaza h'umwana wawe n'ubuzima bwe bizagenwa n'uko ameze.Biterwa n'uburemere bwayo , ndetse niba hari izindi ndwara umwana ashobora kuba afite.

Abantu bafite iyi ndwara bashobora kugira ubunararibonye butandukanye. Bamwe bafite ibimenyetso byoroheje . Abandi bafite ubumuga bukomeye . Bamwe mu bana bashobora kugera ku bushobozi busanzwe bwo gutekereza bakoresheje gahunda ikwiye yo kuvura. Ku bandi, nubwo itsinda ry’abaganga babo ryasuzuma kandi rigavura vuba, bashobora kutagera kuri urwo rwego.

Ese Dandy-Walker Syndrome ishobora kwirindwa?

Nta buryo buzwi bwo kwirinda Dandy-Walker Syndrome. Ariko, kwita ku babyeyi batwite buri gihe biguha amahirwe meza yo gutwita neza. Kurikiza inama za muganga wawe kugira ngo ukomeze kugira ubuzima bwiza mu gihe utwite.

Ni gute nakwita ku mwana wanjye nkoresheje Dandy-Walker?

Gutera inkunga hakiri kare bishobora guha umwana wawe amahirwe meza yo kuvurwa neza. Niba ubonye ko umwana wawe adashoboye kugera ku ntambwe z'iterambere nko kwicara, kugenda, cyangwa kuvuga ku gihe, gana muganga wawe. Hanyuma bashobora kumusuzuma neza no kumuvura neza.

Itsinda ryita ku mwana wawe rya Dandy-Walker rishobora kuba rigizwe na:

• Umuganga w'abana .
• Impuguke mu iterambere .
• Abavuzi b'indwara zo mu mutwe, iz'akazi n'iz'umubiri .
• Abahanga mu by'Uburezi bwihariye .

Ni iki nabaza muganga wanjye ku bijyanye na Dandy-Walker Syndrome?

Niba umwana wawe arwaye Dandy-Walker, baza muganga wawe ibi bikurikira:

• Ese umwana wanjye azakenera shunt ?
• Ni izihe ndwara zindi umwana wanjye afite?
• Ejo hazaza h'umwana wanjye (icyerekezo) kizaba kimeze gite?
• Ni gute twakongera ibimenyetso by'umwana wanjye?
• Ese tugomba gukora ibizamini by’uturemangingo (genetic pimps )?

Amaherezo, ibuka ibi.

Dandy-Walker Syndrome, izwi kandi nka Dandy-Walker Malformation, ni indwara y'ubwonko ivuka mbere y'uko umwana avuka. Abana bafite Dandy-Walker bakunze kugera ku ntego z'iterambere batinze. Hari abana bakeneye shunt kugira ngo bakure amazi menshi mu bwonko. Ubuvuzi bushobora gufasha abana gucunga imirimo ya buri munsi, gutsinda mu ishuri, no kubaho ubuzima bwiza. Niba ubonye ko umutwe w'umwana wawe ari munini cyane cyangwa ko aticaye, atagenda, cyangwa ngo avuge nk'uko byitezwe, vugana na muganga wawe. Kumenya umwana hakiri kare no kumuvura neza ni ingenzi. Ntugahangayike, iyi ndwara ishobora gukemurwa n'inama za muganga.

Indwara ya Dandy -Walker, Ubusembwa bw'ubwonko, Ubusembwa bwo kuvuka, Ubusembwa bwo mu bwonko, Hydrocephalus, Gutinda mu mikurire, Ubuzima bw'Umwana