Ese wigeze wumva iby’ibagwa ryihutirwa ry’umuvuduko ukabije mu bwonko? Wenda wigeze wumva abaganga bavuga ibi iyo wowe cyangwa inshuti yawe byabaye ngombwa ko mu bitaro bitunguranye kubera imvune yo mu mutwe. Izina ry’ubuvuzi ry’ibi ni Ventriculostomy. Nubwo izina rigoye gato, reka tuganire ku bibaho muri iki kibazo mu buryo bworoshye kandi mu buryo bw’ubucuti.

Ventriculostomy ni iki mu by'ukuri?

Muri make, Ventriculostomy ni uburyo bwo kubaga bukuraho amazi menshi mu bwonko kandi bukagabanya umuvuduko ku bwonko. Tekereza ubwonko bwacu nk'ikintu cy'agaciro cyane kandi cyoroshye. Birumvikana ko kugira ngo ubu bwonko burindwe, hari amazi atwikiriye. Mu buvuzi, tubwita Cerebrospinal Fluid (CSF) . Aya mazi ya CSF akikije ubwonko bwacu n'umugongo nk'umusego kugira ngo atange uburinzi. Ariko, rimwe na rimwe, bitewe n'impanuka (urugero: gukomereka ku mutwe), kuva amaraso mu bwonko, cyangwa ibintu bigize imiterere y'umubiri, aya mazi ya CSF atangira gukorwa cyane, cyangwa akirundanya ahantu hamwe aho gutembera mu buryo busanzwe. Iyo ibi bibaye, ubwonko buri mu gahanga butangira gukandagira. Ibi ni byo twita kwiyongera k'umuvuduko mu bwonko .

Ni izihe ndwara abaganga bavura ventriculostomy bavura?

Muri rusange, ubu buvuzi bukorwa nk'uburyo bwo kuvura indwara iyo ari yo yose yongera umuvuduko ku bwonko. Reka turebere hamwe imiterere y'ingenzi ubu buvuzi buba bukenewemo.

Hari ubwoko bubiri bw'ingenzi bw'ubu buvuzi.

Hari uburyo bubiri bw'ingenzi bwo gukora ventriculostomy. Muganga wawe azahitamo uburyo bukubereye cyane bitewe n'uburwayi bwawe.

1. Umuyoboro w'amazi wo hanze y'imiyoboro y'amaraso (EVD)

Muri ubu buryo, umuganga ubaga acukura umwobo muto cyane mu gahanga maze agashyiramo catheter , umuyoboro muto kandi woroshye, mu muyoboro uri mu bwonko wuzuyemo CSF. Undi mpera w'umuyoboro uvanwa mu mubiri ugahuzwa n'uburyo bufite agakapu kadasanzwe. Ibi bituma CSF irenze iterana mu gakapu, bigabanura umuvuduko ku bwonko. Ubusanzwe iki ni igisubizo cy'igihe gito.

2. Endoscopic Third Ventriculostomy (ETV)

Ubu buryo butandukanye gato. Aha, umuganga ubaga agabanya gato agashyiramo endoscope , umuyoboro muto ufite kamera n'urumuri imbere, mu bwonko. Hanyuma, hakorwa umwobo muto mu gice cyo hasi cya ventricle ya gatatu y'ubwonko. Uyu mwobo utuma amazi ya CSF yafatiwe avamo agatangira kwinjira mu ngingo ziwukikije. Ibi bituma amazi avamo mu buryo busanzwe.

Ni iki kibaho mbere yo kubagwa?

Akenshi ubu bubagwa bwihutirwa, bityo ntuba ufite umwanya uhagije wo kwitegura. Iyo winjiye mu Ishami rishinzwe Ubutabazi bwihutirwa (ETU), abaganga bazasuzuma vuba uko umerewe maze bafate icyemezo cyo kubaga. Ariko, mbere yo kubagwa, itsinda ry’abaganga rizagusobanurira ibyabazwe n’ingaruka zabyo kuri wowe cyangwa ku murera wawe, kandi rizagusaba gusinya urupapuro rwo kwemerera. Ushobora kandi gusabwa gukora ibi bikurikira mbere yo kubagwa:

• Fata imiti imwe n'imwe (cyane cyane antibiyotike ) wanditswe na muganga wawe nk'uko byavuzwe.
• Niba ufata imiti igabanya amaraso , uzasabwa guhagarika kuyifata by'agateganyo.
• Ibipimo byinshi by'inyongera (nk'ibipimo by'amaraso na CT scans) bishobora gukorwa uko bikenewe mu kubagwa.

Niba ufite ikibazo icyo ari cyo cyose, ntutinye kubaza muganga. Ni ibisanzwe kumva ufite ubwoba mu gihe nk'iki.

Ni iki kibaho mu gihe cyo kubagwa?

Mbere yuko ubagwa utangira, umuganga w’ikinya azaguha ikinya. Ushobora guhabwa ikinya rusange, kikagutera gusinzira burundu. Cyangwa ushobora guhabwa ikinya cyo mu gace, gikuraho gusa agace k’umutwe wawe aho ubagwa uzakorerwa. Ariko, ntuzumva ububabare ubwo aribwo bwose. Hanyuma, itsinda rishinzwe kubaga rizakuramo umusatsi muto cyane mu gace ubagwa uzakorerwamo. Ibi ntacyo bizahindura ku isura yawe. Intambwe zikoreshwa mu kubaga ni izi:

• Umwobo muto cyane ukorwa mu gahanga hakoreshejwe imashini yihariye yo kubaga.
• Catheter cyangwa endoscope binyuzwa muri uwo mwobo byitonze bijya mu bwonko.
• Ijyanwa mu cyuma cy’amaraso, icyumba cyuzuyemo amazi ya CSF, ariko nticyangize uturemangingo tw’ubwonko.
• Hakorwa umwobo kugira ngo amazi arenze urugero ashobore gusohoka.
• Iyo akazi karangiye, ibikoresho birakurwaho, kandi umwobo wakozwe mu mutwe no mu gice cy'uruhu bifungwa hakoreshejwe imidozi cyangwa udukoresho duto.

Ubusanzwe iyi gahunda yose imara isaha imwe.

Ni iki kibaho nyuma yo kubagwa? N'ingaruka zishobora kubaho

Nyuma yo kubagwa, uzajya mu cyumba cy’indembe (ICU) cyangwa mu cyumba cyihariye kandi ukurikiranwe witonze kugeza igihe ingaruka z’ikinyabutabire zizaba zirangiye. Nubyuka, uzumva unaniwe gato kandi unaniwe. Itsinda ry’abaganga rizakubaza ibibazo, rigusabe kwimura ingingo zawe, kandi rirebe niba imikorere y’ubwonko bwawe ari isanzwe. Ugomba kumara iminsi mike mu bitaro. Umaze gutaha, uzahabwa amabwiriza y’uko wakwita ku gikomere cyabazwe n’ubuzima bwawe.