Ese imiterere y'umwana ntigenzurwa n'imiti? Reka tuvuge ku kubagwa Hemispherectomy

Ese umwana wawe akunze kugira igicuri? Ugomba kuba uhangayitse cyane kuko udashobora kumurwanya nubwo baguha imiti myinshi. Hari igihe abaganga bavuga ko ari igikorwa gikomeye cyo kubaga cyitwa 'Hemispherectomy' mu gihe nk'iki. Ni ibisanzwe kumva ufite ubwoba bwinshi iyo wumvise iri zina. Kuko ibi bivuze gukuramo igice cy'ubwonko. Ariko ntugahangayike, uyu munsi turaganira kuri ibi mu buryo bworoshye, mu buryo ushobora kumva.

Mu magambo make, Hemispherectomy ni iki?

Hemispherectomy ni ukubaga gukuraho ubwonko bwose cyangwa igice cyabwo (uruhande rumwe) cyangwa guca isano yabwo n'ubundi bwonko. "Hemi" bivuga "igice." Ubu ni ukubaga kudasanzwe kandi kwihariye cyane.

Ibi bikorwa cyane cyane ku bana bafite igicuri badashobora kugenzurwa n'imiti. Muri bene abo bana, uruhande rumwe rw'ubwonko ruba rudasanzwe rwose, kandi urwo ruhande nirwo rutera ibicurane. Intego y'ubu buryo bwo kubaga rero ni uguhagarika ibicurane bakuraho cyangwa bagakuraho icyo gice cy'indwara.

Hari ubwoko bubiri bw'ingenzi bw'ubu buvuzi.

Hari uburyo bubiri bw'ingenzi bwo gukora ubu buvuzi. Abaganga bazahitamo uburyo bukwiye cyane bitewe n'uko umwana wawe amerewe.

Ni ubwoko ki bw'abana bakeneye kubagwa?

Ubu bubagwa ntibukorerwa buri mwana wese ufite ikibazo cyo kurwara indwara yo mu mutwe. Bukorwa mu bihe bidasanzwe. Niba umwana wawe afite ibimenyetso cyangwa indwara zikurikira, muganga wawe ashobora gutekereza kubagwa:

• Kugira indwara yo kurwara igicuri (igicuri) idashobora gukemurwa n'imiti .
• Intege nke ku ruhande rumwe rw'umubiri. Urugero, kudashobora gukoresha ukuboko kumwe kimwe n'ukundi.
• Gutakaza ubushobozi bwo kureba impande z'umubiri.
• Isuzuma rya MRI ryerekana ko hari ikintu kidasanzwe ku ruhande rumwe rw'ubwonko.
• Kuba umwana ahora arwaye indwara zo mu mutwe bishobora gutuma imikurire n'imikurire y'umwana bitinda .

Ibintu bishobora gutera ibi bimenyetso:

• Ubusembwa bw'imikurire y'umutima: Hari inenge zimwe na zimwe zibaho mu gihe cy'imikurire y'umutima w'ubwonko.
• Infarction yo mu gihe cyo kubyara (Stroke): Gutera stroke bibera mu nda cyangwa nyuma yo kuvuka.
• Hemimegalencephaly: Uruhande rumwe rw'ubwonko runini cyane kurusha urundi.
• Sturge-Weber Syndrome: Indwara aho imiyoboro y'amaraso ikura mu buryo budasanzwe. Ibi bishobora no kugaragara mu bwonko.
• Rasmussen's Encephalitis: Indwara ifata uruhande rumwe rw'ubwonko gusa ikanatera indwara zo kubyimba.

Ni iki kibaho mbere no mu gihe cyo kubagwa?

Gutegura umwana wawe kubagwa gukomeye nk'uku bishobora kukubera ikibazo gikomeye, ariko abaganga n'abaforomo bo mu bitaro bazagufasha bagusobanurira byose.

Mbere yo kubagwa

Umunsi umwe mbere y'uko ubagwa, uzasabwa guhagarika kurya no kunywa nyuma y'igihe runaka. Uzahabwa amabwiriza asobanutse neza ku miti umwana wawe afata, imiti agomba guhagarika, n'indi agomba gukomeza. Ushobora kogosha cyangwa gukuraho burundu ku ruhande rw'umutwe w'umwana wawe aho azakorerwa ubuvuzi.

Mu gihe cyo kubaga

Umwana ahabwa ikinya rusange , gituma asinzira neza kandi ntagire ububabare. Kubagwa bifata amasaha agera kuri 5, rimwe na rimwe igihe kirekire kurushaho. Umuganga ubaga azakurikiza cyane cyane izi ntambwe:

1. Gukuraho agace gato k'agahanga (ibi byitwa 'Craniotomy').

2. Gukuraho cyangwa gukuraho burundu igice cy'umubiri ku ruhande rw'ubwonko rurwaye.

3. Gukata imigozi ihuza impande ebyiri z'ubwonko (corpus callosum). (Ibi byitwa `Corpus Callosotomy`).

4. Igice cy'agahanga cyakuweho kirasimbuzwa hanyuma uruhu rugafungwa.

Ni iki kibaho nyuma yo kubagwa? Kandi ni ibihe bisubizo?

Nyuma yo kubagwa, umwana yinjira mu cyumba cy’indembe (ICU) kandi agakurikiranwa neza cyane. Nyuma y’iminsi ibiri cyangwa itatu, yimurirwa mu cyumba gisanzwe.

Itsinda ry'inzobere ririmo gukora ibishoboka byose kugira ngo rifashe umwana gukira.

• Ubuvuzi bw'umubiri: Bugufasha kugenda, kwiruka no kugumana uburinganire.
• Ubuvuzi bw'akazi: Bukwigisha uburyo bwo gukora imirimo ya buri munsi nko kurya no kwambara.
• Ubuvuzi bwo mu Mitwe: Bufasha mu gukemura ibibazo byo kuvuga no kugaragaza ibitekerezo.

Ese nta ngaruka n'ingorane bishobora kubaho?

Nkuko bigenda mu kubagwa gukomeye kose, hari ingaruka n'ingorane bishobora kubaho, ariko ibi ni gake cyane.

Iyo ukeneye kuvugana na muganga byihutirwa

Umaze gutaha uvuye mu bitaro, ugomba kwita cyane ku mwana wawe. Niba ubonye kimwe muri ibi bimenyetso bikurikira, hamagara muganga wawe ako kanya cyangwa ujyane umwana wawe mu ishami ryita ku bibazo byihutirwa (ETU) ry’ibitaro biri hafi.

• Kugaragaza ibimenyetso by'ubwandu, nko kugira umuriro , kubyimba, gutukura, cyangwa amashyira aturuka mu gikomere cyo kubagwa.
• Kuruka kenshi, kuribwa umutwe cyane, no guhinduka mu myitwarire (ibi bishobora kuba ibimenyetso by'indwara yitwa Hydrocephalus).
• Kugaruka k'igicuri.

Gufata iki cyemezo ku bijyanye no kubagwa ntabwo byoroshye ku babyeyi. Ni umutwaro ukomeye. Ariko ibuka ko muganga azagusaba kubagwa gusa iyo yizeye neza ko nta yandi mahitamo ahari kandi ko bizagirira akamaro kanini ubuzima bw'umwana.