Chiremba akakuudza here kuti musoro wemwana wako wakakura zvishoma pane zvakajairika? Kana kuti scan panguva yekuzvitakura yakaratidza here kuti pane mvura shoma muuropi hwemwana? Zvakajairika kuti chero amai kana baba vanzwe kutya uye kupererwa pavanonzwa chimwe chinhu chakadai. Asi musazvidya mwoyo. Nhasi tiri kutaura nezvechirwere chinonzi ' hydrocephalus '. Ngatitaurei nezvazvo zviri nyore, nenzira inogona kunzwisiswa nemunhu wese.
Chii chinonzi Hydrocephalus?
Paunonzwa zita iri, vamwe vanhu vanofunga kuti chirwere chinoita kuti uropi huzare nemvura. Zita racho pacharo musanganiswa wemazwi ekuti "mvura" uye "musoro". Asi kutaura chokwadi, iri harisi mvura. Iri imvura inokosha zvikuru inotenderera muuropi hwedu nemusana. Mukurapa tinoidaidza kuti Cerebrospinal Fluid (CSF) .
Zvichitaurwa zviri nyore, funga nezvehurongwa huri muuropi hwedu sedhishi remvura. Kune rumwe rutivi, mvura iyi yeCSF inogara ichigadzirwa, uye kune rumwe rutivi, iri kutorwa nekuburitswa nemuviri. Panofanira kuva nekuenzana kwakanaka pakati pekukurumidza kunogadzirwa uku uye kukurumidza kunotorwa nemuviri.
Kana paine hydrocephalus, nekuda kwechimwe chikonzero chiyero ichi chinokanganiswa uye CSF fluid inotanga kuungana muuropi. Sezvo mvura ichiungana, kumanikidzwa mukati meuropi kunowedzera uye musoro wemwana unogona kukura.
Izwi rekuti "kuberekwa" rinoreva kuti chirwere ichi chinowanikwa mumwana kubva pakuzvarwa .
Sei izvi zvichiitika kuvana vacheche? Ndezvipi zvikonzero?
Pane zvikonzero zvikuru zvitatu nei mvura iyi yeCSF ichigona kuungana muuropi:
1. Kuwedzera kwekugadzirwa kwemvura: Maventricle ari mukati meuropi anogadzira mvura yakawanda yeCSF kupfuura zvinodiwa.
2. Kuvharika kwemvura: Kuvharika kwenzira dzinoyerera mvura inobuda. Ichi ndicho chikonzero chinowanzoitika.
3. Kusapinda kwemvura mumuviri: Mvura inobuda haidzokeri zvakanaka muropa.
Kuzvarwa nemwana mudumbu kunogona kukonzerwa nezvinhu zvakaita semajini, pamwe nezvimwe zvirwere zvinoitika panguva yekuzvitakura kwaamai. Ngatitarisei zvimwe zvezvikonzero zvikuru zviri patafura iri pazasi.
| Chikonzero | Zvichitaurwa zviri nyore... |
|---|---|
| Kuomarara kweAqueductal Stenosis | Kuvharika kana kuvharika kwenzira iri pakati pemaventricle maviri europi. Izvi zvinogona kukonzerwa nehutachiona, bundu, kana kubuda ropa. |
| Zvirwere zveNeural Tube | Semuenzaniso, zvirwere zvakaita se spina bifida, uko chikamu chemuzongoza chinoonekwa pakuzvarwa, zvinogona kuvharira kufamba kwemvura yeCSF. |
| Makonzo eArachnoid | Idzi imhando yebundu rinoitika muuropi uye rinogona kuvhara nzira dzemvura yeCSF. |
| Dandy-Walker Syndrome | Dambudziko rekuti zvikamu zveuropi hazvikure zvakanaka. Izvi zvinogona kukonzera kuti sero rimwe chete muuropi rikure nekuda kwekuvharika kwenzira dzemvura. |
| Kukanganisika kweChiari | Chirwere chinokanganisa kubatana kweuropi nemuzongoza. Chikamu chezasi cheuropi chinosundidzira musana, izvo zvinogona kukonzera kuvharika. |
Vanachiremba vanoongorora sei chirwere ichi?
Kazhinji, vanachiremba vanogona kuona shanduko mukukura kwehuropi hwemwana, zvakaita semaventricle akakura zvishoma, panguva yekuongororwa kweultrasound panguva yekuzvitakura.
Kana scan ikaratidza chimwe chinhu chakadai, chiremba anogona kuraira kuti aedze zvimwe kuti anyatsoongorora.
- MRI scan: Izvi zvinoita kuti pave neruzivo rwakadzama rwekukura kwehuropi hwemwana .
- Kuongororwa kwemvura yeamniotic:Mwana achiri mudumbu, sampuli diki yemvura yeamniotic inogona kutorwa kuti kuyedzwe machromosome emwana.
- Nhoroondo yezveutano hwemhuri: Zvakakoshawo kuti chiremba azive kana paine munhu mumhuri yako akambova nezvirwere zvakaita se neural tube defects.
Ndezvipi zvinorapwa izvi?
Kunyangwe chirwere ichi chichionekwa mwana achiri mudumbu, kurapwa kunowanzo tanga mushure mekunge mwana azvarwa.
Chiremba wako achanyatsoongorora mamiriro emwana wako uye osarudza nzira yekurapa yakakodzera mwana wako.
Kune nzira mbiri huru dzekurapa.
1. Kuisa Sisitimu yeShunt:
Uku ndiko kurapwa kunonyanya kuitwa. Mukuita uku, chubhu yepurasitiki yakatetepa uye inochinjika inopinzwa nekuvhiyiwa kubva panzvimbo apo mvura yeCSF inoungana muuropi hwemwana, pasi peganda, munzvimbo yakaita sedumbu remwana. Mvura yakawedzerwa inoungana muuropi inobva yapfuura nemuchubhu youngana mudumbu, uko inonyudzwa zvakachengeteka nemuviri.
2. Kuvhiyiwa kweETV (Endoscopic Third Ventriculostomy):
Iyi imwe nzira yekurapa. Pano, kamera diki ine tekinoroji yefiber-optic inoshandiswa kupinda muuropi nekugadzira buri diki mu ventricle yeuropi kuti isavharirwe munzira yemvura. Mvura yacho inobva yayerera nepaburi yopinda mumuviri.
Chii chinoitika mushure mekurapwa?
Remangwana remwana anozvarwa aine hydrocephalus rinoenderana nechikonzero chechirwere ichi nezvimwe zvinhu zvakawanda.
Mushure mekunge masisitimu e shunt aiswa, anofanira kutariswa nguva nenguva nachiremba . Shunt ingangoda kutsiviwa kana kuti mamwe maoparesheni angangoda kuvhiyiwa mwana achikura. Matambudziko ne shunt anogona kusanganisira:
- Utachiona
- Pombi yacho yakavharwa.
- Kukundikana kwemuchina
- Chubhu inova isina kukwana mwana paanokura.
Kunewo dzimwe njodzi dzekuvhiyiwa kweETV. Pane njodzi yekuti buri rivharwe kamwe kamwe, izvo zvinogona kuisa hupenyu panjodzi. Kunewo njodzi dzakadai sekutapukirwa nehutachiona, fivha, uye kubuda ropa.
Kunyangwe kana kurapwa, chirwere ichi chinogona kukanganisa kukura kwemwana mumuviri nepfungwa. Nokudaro, mwana angada kugadziriswa, dzidzo yakakosha , nezvimwewo. Zvisinei, nekutarisirwa kwakakodzera kwechiremba uye rudo nerubatsiro rwevabereki , vana vazhinji vanogona kurarama hupenyu hwakajairika, hunofadza hune zvimwe zvipingamupinyi zvidiki. Saka shinga.
Mharidzo Yekuenda Nayo Kumba
- Hydrocephalus haisi kuunganidzwa kwe'mvura' muuropi, asi kuunganidzwa kwemvura chaiyo inonzi cerebrospinal fluid (CSF).
- Dambudziko iri rinowanzoonekwa kuburikidza nekuskena panguva yekuzvitakura.
- Kune nzira dzinoshanda dzekurapa izvi, dzakadai sekuiswa kwe shunt kana kuvhiyiwa kweETV.
- Kuramba uchitarisirwa nachiremba uye kutariswa kwemwana kwakakosha zvikuru, kunyangwe mushure mekurapwa.
- Taura nachiremba wako nezvemibvunzo kana kutya kwauinako, usinganyare kana kuzeza.
- Kana vana vakawanda vakarapwa zvakanaka uye vakatarisirwa zvakanaka, vanogona kurarama hupenyu hwakanaka.
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