VP Shunt ni iki? Reka tuvuge kuri ibi mu buryo bworoshye? (Ventriculoperitoneal Shunt)

Ese wowe cyangwa umuntu uzi wigeze abwirwa na muganga ibyerekeye indwara yitwa ' Hydrocephalus ' kandi ko 'VP Shunt' igomba gushyirwaho nk'uburyo bwo kuyivura? Ni ibisanzwe kumva ufite ubwoba, ukagira ubwoba, kandi ukaba ufite ikibazo gikomeye ku bijyanye n'icyo ari cyo. None rero uyu munsi, reka tuganire ku byo iyi VP Shunt ari byo, icyo ikora, n'uko ishyirwamo, mu buryo bworoshye ushobora gusobanukirwa.

Ni izihe ndwara zivurwa hakoreshejwe VP shunt?

Mu magambo make, VP Shunt ikoreshwa mu kuvura indwara yitwa Hydrocephalus . Noneho ushobora kuba wibaza icyo ari cyo.

Hari amazi yihariye akikije ubwonko bwacu kugira ngo aburinde. Tuyita Cerebrospinal Fluid (CSF) . Ni nk'ibintu bigabanya ubwoba mu modoka. Birinda ubwonko mu kububuza gutigita no gutigita. Binafasha gutwara intungamubiri bukeneye no gukura imyanda mu bwonko.

Ariko rimwe na rimwe aya mazi ya CSF ashobora gukorwa cyane, cyangwa umubiri ukayagaruramo ntayashyiremo neza. Hanyuma aya mazi arundanya mu bwonko, agatera umuvuduko mwinshi ku bwonko. Ibyo ni byo twita Hydrocephalus. Uyu muvuduko ushobora gutera ibimenyetso bitandukanye.

Uyu muyobozi mukuru w’ishyaka (VP Shunt) akora ate mu by’ukuri?

VP shunt ni umuyoboro muto cyane wa plastiki ukoreshwa mu gusohora amazi ya CSF arenze mu bwonko ujya mu kindi gice cy'umubiri, akenshi mu nda (imbere mu nda). Aho ni ho amazi yinjira mu mubiri.

Iyi sisitemu y'umuyoboro ifite valve yihariye (valve y'inzira imwe). Ibi bituma amazi atembera mu cyerekezo kimwe gusa, kure y'ubwonko. Muganga ashyiraho uburyo bwihariye bwo gushyiraho umuvuduko w'iyi valve. Iyo amazi ya CSF mu bwonko yiyongera kandi umuvuduko ukarenga iyo ngingo, iyi valve irakinguka maze amazi y'inyongera akinjira mu nda. Iyo umuvuduko usubiye ku buryo busanzwe, valve irafunga. Ni inzira yoroshye cyane, ariko y'ingenzi cyane.

Ese hari ubwoko bubiri bwa shunt? (Irahamye n'ishobora gutegurwa)

Yego, hari ubwoko bubiri bw'izi valve.

1. Gufunga imvange: Igipimo cy'umuvuduko w'izi mvange kigenwa mbere yo kubagwa. Iyo imaze gushyirwamo, ntishobora guhindurwa. Hakenewe ubundi bubagwa.

2. Porogaramu zo gufunga ibyuma: Izi nizo zikoreshwa cyane. Igipimo cy'umuvuduko w'izi mashini gishobora guhindurwa ndetse na nyuma yo kubagwa. Ntibisaba ubundi buryo bwo kubagwa. Muganga ahindura iki gipimo cy'umuvuduko mu cyumba cye, akoresheje magneti yihariye, ishyirwa ku ruhu.

Ubwo bwoko bwombi bwagize ingaruka nziza kimwe mu igeragezwa ry’ubuvuzi, ariko abaganga b’inzobere mu kubaga bakunze guhitamo ubwoko bushobora gutegurwa kuko bushobora guhindurwa byoroshye bibaye ngombwa.

Kubaga kugira ngo umuntu ashyiremo shunt bikorwa gute?

Ubusanzwe ubu burwayi bumara isaha imwe. Ntabwo uzumva ububabare kuko uzahabwa ikinya, bivuze ko uzaba usinziriye burundu.

• Ubwa mbere, igice gito cy'umusatsi gicibwa mu gace gato cyane k'umutwe, hagakorwa agace gato mu ruhu, hanyuma hagakorwa umwobo muto cyane mu mutwe.
• Hanyuma, umuganga ubaga ashyira impera imwe y'uyu muyoboro wa shunt mu cyumba cyuzuyemo amazi kiri mu bwonko, cyitwa 'ventricle' .
• Impera yindi inyuzwa munsi y'uruhu, inyura mu ijosi, hanyuma ikajya mu nda binyuze mu kantu gato gafata mu nda.
• Amaherezo, izi nganda zifungwa hakoreshejwe imigozi cyangwa udupfundikizo hanyuma zigapfundikirwa.

Nyuma yo kubagwa, uzajyanwa mu cyumba cy’ubuvuzi bw’indwara kandi umuforomo azakwitaho witonze. Iyo ukangutse, ushobora kumva unaniwe gato kandi ufite intege nke. Ushobora kandi kugira ububabare buke mu nda. Nyuma y’igihe runaka, uzajya wimurirwa mu cyumba gisanzwe. Uko ugenda urushaho koroherwa buhoro buhoro, ushobora guhaguruka, ukagendagenda, ugatangira kurya nk’uko bisanzwe. Niba muganga atekereza ko witeguye gutaha, ushobora gutaha mu munsi umwe cyangwa ibiri.

Ni gute wakwita kuri shunt nyuma yo kuyishyiramo?

Nta kwitabwaho byihariye gukenewe kuri shunt buri munsi. Ariko , ni ngombwa gukurikiza amabwiriza y'umuganga wawe no kujya kwa muganga buri gihe. Hanyuma muganga wawe ashobora kugenzura urugero rw'umuvuduko muri shunt kugira ngo arebe neza ko ikora neza.

Byongeye kandi, ugomba no kwitondera ibi bikurikira.

Igihe cyo kubonana na muganga

Niba ufite shunt ishobora gutegurwa kandi kimwe cyangwa byinshi muri ibi bikurikira kigakomeza, jya kwa muganga wawe ako kanya hanyuma ugenzure umuvuduko wa shunt. Ibi bishobora kuba ibimenyetso byerekana ko shunt idakora neza.

• Kubabara umutwe bidashira
• Kuruka no kugira isesemi
• Gusinzira cyane kurusha uko bisanzwe
• Intege nke z'umubiri
• Indwara zo mu mutwe
• Kugorwa no kuvuga
• Ibibazo byo kuringaniza

Ni izihe ngaruka mbi zishobora guterwa n'ibi?

Muri rusange, VP shunt ni igikoresho cyizewe cyane, ariko kimwe n'ubundi buryo bwose bwo kubaga, hari ingaruka zimwe na zimwe.

Ingaruka nyamukuru ni ukwandura. Kwandura mu gice cy'inyuma cy'inyuma ni ikibazo cyihutirwa cy'ubuvuzi. Umuganga wawe azagusobanurira neza ibimenyetso by'ubwandu (nk'umuriro, gutukura hafi y'aho habaye icyuho, kubyimba, ububabare) n'icyo wakora nibibaho. Ni ngombwa cyane gukurikiza ayo mabwiriza neza.

Ikindi kintu ni uko uko igihe kigenda gihita, shunt ishobora kuziba cyangwa igakora nabi. Hanyuma uzakenera ubundi bubagwa kugira ngo uyisimbuze cyangwa uyisane. Ibimenyetso byerekana ko shunt idakora akenshi bisa n'ibimenyetso bya hydrocephalus wari ufite mbere yuko shunt ishyirwamo. Rero niba wongeye kugira kimwe muri ibi bimenyetso, hamagara muganga wawe ako kanya.

Ni izihe nyungu zo kugira VP shunt?

Ugereranije n'izi ngaruka, inyungu za VP shunt ni nyinshi cyane.

• Ibi akenshi bikemura ibimenyetso bya hydrocephalus mu minsi mike.
• Mu gukuraho igitutu giteje akaga ku bwonko, bishobora gukumira kwangirika burundu k'ubwonko guterwa n'igitutu.
• Uzagira amahirwe yo kongera kubaho ubuzima busanzwe.

Bishobora gufata ibyumweru cyangwa amezi menshi kugira ngo ukire neza. Nubwo wakira neza, shunt izakomeza kuba mu mubiri wawe. Ntizakurwaho.