Ese wigeze wumva ko habayeho kubagwa byihutirwa kugira ngo bigabanye umuvuduko mu bwonko? Niba umuntu ukunda cyangwa inshuti yawe yihutishijwe mu bitaro kubera imvune yo mu mutwe, ushobora kuba warumvise abaganga bavuga ubu buryo. Ijambo ry'ubuvuzi ry'ibi ni Ventriculostomy . Nubwo izina risa n'irigoye, reka tuganire ku cyo rikubiyemo mu buryo bworoshye kandi bw'ubucuti.
Ventriculostomy ni iki mu by'ukuri?
Muri make, ventriculostomy ni uburyo bwo kubaga bugamije gusohora amazi arenze urugero mu bwonko, bigafasha mu kugabanya umuvuduko w’amaraso mu buryo bukabije.
Tekereza ubwonko bwawe nk'ikintu cy'agaciro gakomeye kandi cyoroshye. Kugira ngo uburinde mu buryo busanzwe, butwikiriwe n'uruvange rw'amazi. Mu buvuzi, ibi tubyita Cerebrospinal Fluid (CSF) . Aya mazi akikije ubwonko bwawe n'umugongo, akora nk'icyuma kiburinda guhungabana.
Ariko, bitewe n'imvune (nk'igikomere ku mutwe), kuva amaraso mu bwonko, cyangwa indwara za genetiki, iyi CSF rimwe na rimwe ishobora gukorwa cyane cyangwa ntitembe neza, bigatuma ihugira mu gituza. Iyo ibi bibaye, ubwonko butangira gukandamizwa ku gahanga. Ibi ni byo twita kwiyongera k'umuvuduko wo mu bwonko .
Kwiyongera k'umuvuduko ku bwonko ni ikibazo gikomeye cyihutirwa. Iyo bitavuwe, bishobora gushyira ubuzima mu kaga. Ventriculostomy ni uburyo bw'ingenzi bwo kubaga bukoreshwa muri ibi bihe byihutirwa kugira ngo bigabanye uwo muvuduko kandi burokore ubuzima.
Ni ibihe bibazo bisaba Ventriculostomy?
Muri rusange, ubu buryo bwo kubaga bukorerwa kuvura indwara iyo ari yo yose yongera umuvuduko mu bwonko. Dore ibihe by'ibanze aho ubu buryo buba bukenewe:
| Imiterere | Ibisobanuro byoroshye |
|---|---|
| Hydrocephalus | Kwiyongera kudasanzwe kwa CSF mu bwonko. Ibi bikunze kugaragara mu bana bato. |
| Kuva amaraso mu mutwe | Kuva amaraso mu bwonko cyangwa mu ruhu rukikije, akenshi biterwa n'umuvuduko ukabije w'amaraso cyangwa ihungabana. |
| Ubwiyongere bw'umuvuduko mu bwonko | Umuvuduko ukabije uterwa n'indwara zavuzwe haruguru cyangwa izindi mpamvu nk'ikibyimba cyo mu bwonko. |
| Ihungabana ry'ubwonko | Kubyimba ubwonko no kwiyongera k'amazi nyuma y'impanuka, nko kugwa cyangwa impanuka y'imodoka. |
Ubwoko bubiri bw'ingenzi bw'ubu buryo
Hari uburyo bubiri bw'ingenzi bwo gukora ventriculostomy. Umuganga wawe azahitamo uburyo bujyanye n'ibyo ukeneye mu buvuzi.
1. Umuyoboro w'amazi wo hanze y'imiyoboro y'amaraso (EVD)
Muri ubu buryo, umuganga ubaga akora umwobo muto mu gahanga maze agashyiramo catheter - umuyoboro muto kandi woroshye - mu cyumba cyuzuyemo amazi (ventricle) y'ubwonko. Impande y'uyu muyoboro ivanwa mu mubiri igahuzwa n'uburyo bwihariye bwo gusohora amazi. Ibi bituma CSF irenze isohoka buhoro buhoro mu gafuka, bigabanura umuvuduko w'ubwonko. Ubusanzwe iki ni igisubizo cy'igihe gito.
2. Endoscopic Third Ventriculostomy (ETV)
Ubu buryo butandukanye gato. Umuganga ubaga agabanya gato maze ashyira mu bwonko endoscope - umuyoboro muto ufite kamera nto n'urumuri. Hanyuma bakora umwenge muto mu gice cyo hasi cya ventilateur ya gatatu. Ibi bituma CSF ifashwe isohoka ikajya mu mubiri w'inyama ziyikikije, igasubiza amazi asanzwe. Iki ni igisubizo kirambye kandi cy'imbere.
Ni iki kibaho mbere yo kubagwa?
Kubera ko ibi akenshi biba ari ibyihutirwa, ushobora kutagira umwanya uhagije wo kwitegura. Umaze kugera mu cyumba cy’ubutabazi bw’ibanze (ER), itsinda ry’abaganga rizasuzuma indwara yawe vuba kandi rifate umwanzuro ku kubagwa.
Mbere yo kubagwa, itsinda ry’abaganga rizagusobanurira wowe cyangwa umurera wawe ingaruka z’ukubagwa n’ingaruka zako, kandi uzasabwa gusinya ku rupapuro rwo kwemerera. Bashobora kandi kugusaba:
- Fata imiti runaka (cyane cyane antibiyotike ) nk'uko byategetswe.
- Hagarika by'agateganyo imiti iyo ari yo yose igabanya amaraso urimo gufata.
- Gusuzuma indwara bikenewe, nko gusuzuma amaraso cyangwa gupima CT scan.
Niba ufite ikibazo icyo ari cyo cyose, nyamuneka ntutindiganye kubaza muganga wawe. Ni ibisanzwe rwose kumva uhangayitse mu bihe nk'ibi.
Ni iki kibaho mu gihe cyo kubagwa?
Mbere yuko ubagwa utangira, umuganga w’ikinya azaguha ikinya. Bitewe n’uko umerewe, ushobora gusinzira burundu ( Anesthesia Rusange ) cyangwa ugasinzira agace runaka k’umutwe wawe ( Anesthesia yo mu gace ). Uko byagenda kose, ntuzumva ububabare ubwo aribwo bwose mu gihe cyo kubagwa.
Nyuma y'ibyo, itsinda rishinzwe kubaga rizakogosha agace gato k'umusatsi aho wakorewe isuku. Ibi ntacyo bizagira ku isura yawe muri rusange.
Intambwe zo kubagwa muri rusange ni izi zikurikira:
- Imashini yihariye yo kubaga ikoreshwa mu gukora umwobo muto cyane mu gahanga.
- Catheter cyangwa endoscope bigezwa mu bwonko neza.
- Igikoresho kiyoborwa mu muvuduko w'amaraso (ventricle) nta kwangiza ingirabuzima fatizo z'ubwonko.
- Hakorwa icyuho gikenewe cyangwa hagashyirwamo umuyoboro w'amazi kugira ngo hacungwe amazi.
- Iyo akazi karangiye, ibikoresho birakurwaho, kandi aho gukata hagafungwa hakoreshejwe imisumari cyangwa ibikoresho byo kwa muganga.
Ubusanzwe iyi gahunda yose imara isaha imwe kugira ngo irangire.
Ni iki kibaho nyuma yo kubagwa? Ingaruka zishobora kubaho no gukira
Nyuma yo kubagwa, uzajya mu cyumba cy’ubuvuzi bw’inyongera (ICU) cyangwa mu cyumba cyihariye, aho itsinda ryacu rizagukurikiranira hafi uko ubyutse uvuye mu gihe cyo gusinzira. Iyo ukangutse, ni ibisanzwe kumva unaniwe cyangwa unaniwe. Itsinda ry’abaganga rizakubaza ibibazo byoroshye kandi rigusabe kwimura ingingo zawe kugira ngo ubwonko bwawe burusheho gukora neza kandi bugire icyo bukora.
Bishoboka ko uzakenera kumara iminsi mike mu bitaro. Mbere yo gutaha, uzahabwa amabwiriza asobanutse neza y'uburyo bwo kwita ku hantu wakorewe ubuvuzi no gucunga uburyo ukomeje gukira.
Kimwe n'ubundi buryo bwose bwo kubaga, hari ingaruka zishobora kubaho. Ariko, nyamuneka menya neza ko itsinda ryacu ry’ababaga ryahuguwe cyane kandi ryiyemeje gufata ingamba zose zishoboka kugira ngo rikangirize izo ngaruka kuri wewe.
| Ingaruka zishobora kubaho | Ibisobanuro byoroshye |
|---|---|
| Kuva amaraso | Kuva amaraso aho bakorewe ubuvuzi cyangwa mu bwonko. |
| Kwandura | Kwandura aho igisebe cyakorewe cyangwa aho utwo turemangingo tw’ubwonko twangiritse (urugero: Ventriculitis). |
| Gushyiramo catheter mu mwanya wayo | Umuyoboro ushobora kuba utari mu mwanya mwiza, ibyo bikaba byagira ingaruka ku miyoboro ikwiye ya CSF. |
| Kuvunika kwa CSF | Amazi yo mu bwonko ava aho yaciwe. |
| Gukoresha amazi menshi ya CSF | Gukuraho amazi menshi cyane, bishobora gutera izindi ngorane. |
Igihe cyo gushaka ubuvuzi bwihutirwa
Umaze gusubira mu rugo, niba ubonye kimwe mu bimenyetso byavuzwe hano hasi, hamagara muganga wawe ako kanya cyangwa usure Ishami rishinzwe ubutabazi bwihuse (ED) riri hafi yawe.
- Gukura kw'umuriro.
- Kuva amaraso cyangwa kuva amashyira mu gice cy'aho bakorewe ubuvuzi.
- Kubyimba gukomeye hafi y'igikomere.
- Kuribwa umutwe cyane, ku buryo bukabije cyangwa ububabare burushaho kwiyongera.
- Kutabona ibintu neza, kugabanuka k'ubuhanga bwo gutekereza, cyangwa kubura kwibuka.
Ubutumwa bwo kujyana mu rugo
- Ventriculostomy ni uburyo bwo kubaga burokora ubuzima bukorwa kugira ngo habeho ukwiyongera k'umuvuduko mu bwonko .
- Akenshi bikorwa nk'ubutabazi bwihutirwa nyuma y'ihungabana cyangwa indwara itunguranye.
- Nubwo kubagwa kose gufite ibyago, itsinda ry’abaganga bo muri Nirogi Lanka rikurikiza amabwiriza akomeye kugira ngo rikurinde kandi rigabanye ibyo bibazo.
- Gukira burundu bishobora gufata ibyumweru byinshi; gukurikiza amabwiriza ya muganga wawe nyuma yo kubagwa ni ingenzi ku buzima bwawe.
- Niba wowe cyangwa abakurera mufite ikibazo kijyanye no gukira kwawe, nyamuneka ntimutindiganye kubaza itsinda ry'abaganga banyu. Turi hano kugira ngo tubafashe mu ntambwe zose.
