Wowe cyangwa undi muntu uzi ushobora kuba warumvise ufite ubwoba kandi uhangayika gato igihe muganga akubwira ko ugomba gufunga umuyoboro w'amaraso mu ruti rw'umugongo. Ni nde utatinya iyo akubwira ati "Barimo gushyira umuyoboro mu mugongo wawe," sibyo? Ariko ntugahangayike. Uyu munsi, turaganira mu buryo bworoshye, nk'aho turimo kubwira inshuti, icyo ibi ari cyo koko, impamvu bikorwa, n'uko bikora.
Umuyoboro w'amazi mu kibuno ni iki?
Mu magambo make, ubwonko bwacu n'umugongo wacu, binyura mu mugongo, ntibiri mu mibiri yacu gusa. Bikikijwe n'amazi yihariye, asa n'amazi, kugira ngo biburinde. Ibi tubyita 'Celbrospinal Fluid' , cyangwa CSF mu magambo ahinnye. Tekereza nko gushyira ikintu cy'agaciro mu gasanduku ugashyira ikindi kintu hafi yacyo kugira ngo biburinde. Iki kinyabutabire cya CSF kirinda ubwonko bwacu n'umugongo wacu.
Rero, umuyoboro w'amaraso mu kibuno ni umuyoboro muto cyane kandi woroshye (catheter). Ushyirwa mu mugongo wawe wo hasi, mu gice cy'ikibuno, kandi ukoreshwa mu gusohora amwe mu mazi ya CSF navuze, cyangwa mu kugenzura umuvuduko wayo. Ibi bikorwa by'agateganyo, mu minsi mike.
Kuki ukeneye gukora ikintu nk'iki?
Hari impamvu nyinshi zishobora gutuma muganga agira inama yo kuvura indwara nk'iyi. Reka turebe impamvu nyamukuru.
| Impamvu | Ibisobanuro byoroshye |
|---|---|
| Mu gihe CSF yavuyemo amazi | Nyuma y’impanuka zimwe na zimwe cyangwa izindi mpamvu, aya mazi ya CSF ashobora kuva mu mwanya wayo. Uyu muyoboro ukoreshwa mu kugabanya umuvuduko no gufasha amazi kuva mu mwobo gukira. |
| Ku bijyanye n'indwara ya hydrocephalus | Iyi ni indwara aho amazi menshi ya CSF yirundanya mu mutwe. Ibi bitera umuvuduko utari ngombwa ku bwonko (umuvuduko wo mu bwonko). Ibi ni ngombwa kugira ngo ukureho ayo mazi y’inyongera no kugenzura umuvuduko. |
| Nyuma yo kubagwa | Iyi miyoboro y'amazi ikoreshwa kandi nyuma yo kubagwa ubwonko cyangwa uruti rw'umugongo kugira ngo igabanye umuvuduko muri ako gace kandi ifashe igisebe gukira vuba. |
| Ku bijyanye no gusuzuma indwara | Nk’uko amaraso make afatwa agapimwa kugira ngo hamenyekane indwara, ni nako ingano nto y’aya mazi ya CSF ishobora gufatwa igapimwa kugira ngo hamenyekane indwara zimwe na zimwe, uturemangingo tudasanzwe, cyangwa poroteyine. |
Ni gute nakwitegura iki gikorwa?
Muganga wawe azagusuzuma neza mbere yo kubikora.
- Vuga ku mateka yawe yose y'ubuvuzi .
- Ushobora gusabwa gupimwa MRI cyangwa CT scan . Izi scan zemerera muganga kubona neza ibirimo kuba mu mubiri. Zifasha kandi kumenya ahantu heza kandi hizewe ho gushyiramo amazi.
- Ushobora guhabwa imiti igabanya ubukana bw'indwara, kandi ushobora no guhabwa umuti wo kugenzura ikorwa rya CSF.
Icy'ingenzi ni ukubaza muganga wawe ikibazo cyangwa impungenge ushobora kuba ufite kuri ubu buryo nta bwoba . Ni uburenganzira bwawe kumenya neza ibizaba, ingaruka zabyo, n'inyungu zabyo.
Mu by'ukuri, ni iki kibaho iyo hashyizwemo umuyoboro w'amazi?
Nubwo ibi bishobora kumvikana nk'ikintu gikomeye, igikorwa cyose gikunze gufata iminota 30, kandi byose bikorwa kugira ngo utazagira ububabare.
1. Guhindura aho uhagaze: Ubwa mbere, uzahindurirwa uruhande rumwe rw'igitanda, maze amavi yawe azakururwa hafi y'igituza cyawe maze uzaryamishwa.
2. Gusukura uruhu: Igice cyo hasi cy'umugongo aho umuyoboro w'amazi ushyirwa hasukurwa neza n'umuti wica udukoko.
3. Gutera ibisebe: Hanyuma, hatangwa urushinge ruto (anesthesia yo mu gace) kugira ngo habeho ibisebe. Bityo ntuzumva ububabare ubwo aribwo bwose. Ushobora kumva ufite igitutu gito.
4. Gushyira urushinge: Muganga ashyira urushinge rwihariye mu mwanya uriho amazi ya CSF (umwanya wa subarachnoid) . Hari igihe ibi bikorwa hifashishijwe X-ray kugira ngo harebwe neza aho hantu.
5. Gushyiramo catheter: Umuyoboro muto kandi woroshye ushyirwamo unyuze mu rushinge.
6. Gukuraho urushinge: Nyuma y'uko umuyoboro ushyizwe mu mwanya wawo, urushinge rukurwaho witonze.
7. Guhuza n'isakoshi yo gukusanya:Inyuma y'umuyoboro ifatanye n'agakapu kadasanzwe aho CSF ikusanyirizwa.
8. Gufata ku ruhu: Amaherezo, umuyoboro uhambirwa ku ruhu hakoreshejwe plaster cyangwa udushumi duto kugira ngo wirinde kugwa, hanyuma ugashyirwaho igitambaro kugira ngo aho hantu hakomeze kuba hasukuye.
Ese nzagomba kuguma mu buriri nyuma yo gushyiramo umuyoboro w'amazi?
Yego, uzagomba kumara iminsi mike mu bitaro nyuma y'aho amazi afunguye. Kandi bazakubwira kuryama mu buriri igihe kinini. Ubwa mbere, bazaguhatira kuryama ugaramye cyangwa uryamye inda.
Icy'ingenzi kurusha ibindi: Mbere yo kubyuka, mbere yo kuva mu buriri , ugomba kuvugana n'abaforomo. Kuko, iyo ubyutse, ugomba kugenzura amazi ava mu muyoboro w'amazi. Bitabaye ibyo, amazi menshi ashobora gusohoka agatera ibibazo nko kubabara umutwe cyane. Bityo rero kurikiza amabwiriza yabo neza.
Ni izihe nyungu n'ingorane zishobora guterwa n'ibi?
Nkuko bigenda ku buvuzi ubwo aribwo bwose, hari inyungu n'ingaruka nto cyane.
| Ibyiza by'ingenzi | Ingorane zishoboka |
|---|---|
| Guhagarika amazi ya CSF. | Indwara za bagiteri. |
| Kugenzura umuvuduko w'ubwonko no gukumira kwangirika. | Kuribwa umutwe, isesemi no kuruka. |
| Gutanga amakuru y'ingenzi cyane mu gusuzuma indwara. | Kuva amaraso aturutse aho umuyoboro w'amaraso washyizwe. |
| Wenda no kurokora ubuzima. | Gusohora amazi menshi ya CSF (gusohora amazi menshi). |
| Gutegura inzira y'ubundi buryo bwo kubaga cyangwa kuvura. | Umuyoboro ushobora kwimuka cyangwa kuva aho uri. |
Ariko itsinda ry’abaganga rizakora ibishoboka byose kugira ngo bagabanye ibyago byo guhura n’ibi bibazo, bityo ni ngombwa gukurikiza amabwiriza yabo neza.
Umuyoboro w'amazi uzamara igihe kingana iki? Ni iki kizaba nyuma y'ibyo?
Akenshi ishyirwa mu nzu iminsi mike, ariko akenshi ntirenza iminsi 5. Ibi biterwa nuko ibyago byo kwandura byiyongera iyo ishyizwe mu nzu igihe kirenze icyo. Iyo urugero rwa CSF n'umuvuduko w'amaraso bihagaze neza, muganga wawe azakuraho burundu umuyoboro w'amazi. Iyo umaze kuyikuramo, uzasabwa kuryama igihe gito. Ibi bizagufasha kwirinda kuribwa umutwe. Ndetse na nyuma yo gutaha, ugomba kwirinda guterura ibintu biremereye cyangwa gukora akazi katoroshye kugeza igihe muganga wawe agutegetse.
Niba ugize ububabare bushya, umutwe ukabije, cyangwa isesemi uri mu bitaro, menyesha abakozi ako kanya. Nanone, niba ugize kimwe muri ibi bimenyetso nyuma yo gutaha, ugomba guhita uhamagara muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Umuyoboro w'amazi mu ruhu ni umuyoboro muto ukoreshwa mu gukuraho cyangwa gusuzuma amazi y'inyongera (CSF) akikije ubwonko n'umugongo.
- Ubu buryo bukorwa utanga imiti yo gusiga ibisebe ahantu hadakora neza kugira ngo utababara.
- Ni ingenzi cyane kuruhuka mu bitaro no gukurikiza amabwiriza ya muganga mu minsi mike nyuma yo gushyiramo umuyoboro w'amazi.
- Ibi bitanga inyungu nyinshi z'ingenzi, nko guhagarika kuva kwa CSF, kugenzura umuvuduko w'amaraso mu bwonko, ndetse rimwe na rimwe bigafasha no kurokora ubuzima.
- Niba ugize ibimenyetso nko kubabara umutwe cyane, isesemi, umuriro, cyangwa gutukura cyangwa kubyimba aho amazi yavuye nyuma yo gutaha, bimenyeshe muganga wawe ako kanya.
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