Une hanya nekukura kwehuropi hwemwana wako here? Ngatikurukurei nezveDandy-Walker Syndrome

Musoro wemwana wako unoita sewakakura here? Kana kuti unonzwa sekunge wanonoka kuita zvinhu zvinoenderana nezera rake? Dzimwe nguva zvakajairika kunzwa kutya zvishoma paunoona zvinhu zvakaita seizvi. Nhasi tichataura nezvechirwere chinogona kushungurudza vabereki, asi chinogona kugadziriswa kana uchiziva nezvacho. Ndiyo Dandy-Walker Syndrome . Usazvidya moyo, tichataura nezvazvo zvakadzama uye zviri nyore.

Chii chinonzi Dandy-Walker Syndrome?

Zvichitaurwa zviri nyore, Dandy-Walker Syndrome chirwere chinoitika kana mwana aberekwa aine shanduko mukukura kweuropi hwake . Izvi dzimwe nguva zvinonzi Dandy-Walker Malformation. Izvi zvinoitika mwana achiri mudumbu, apo uropi huri kukura. Izvi zvinoreva kuti chirwere chekuzvarwa nacho .

Izvi zvinonyanya kukanganisa cerebellum, uropi hudiki huri kumashure kweuropi hwedu, mu brainstem , nenzvimbo yakaipoteredza. Waizviziva here kuti chikamu ichi chinonzi cerebellum ndicho chikamu chakakosha cheCentral Nervous System yedu? Ndicho chinobatanidza mafambiro emuviri wedu. Kwete izvozvo chete, asi chinobatsirawo nezvimwe zvinhu zvakawanda. Tarisa:

• Inodzora kuenzana kwemuviri wedu, kubatana, uye chimiro .
• Zvinobatsirawo panyaya dzine chekuita nekuona .
• Kugona kwedu kufunga (kuziva) kwakabatanawo nezvinhu zvakaita sekunzwisisa nekurangarira chimwe chinhu.
• Unyanzvi hwekufambisa makumbo zvinhu zvakaita sekushandisa makumbo.
• Zvinobatsirawo pakudzora maitiro .

Izvi zvinonzi Dandy-Walker vachikudza vanachiremba vaviri vepfungwa , Walter Dandy, MD, naArthur Walker, MD, avo vakatsanangura chirwere ichi kuma1900.

Chii chinoitika kuuropi hwemunhu ane Dandy-Walker?

Saka chii chinoitika kuuropi hwemunhu ane Dandy-Walker? Heano zvimwe zvinhu zvinogona kuitika:

• Chinoyerera cheuropi chinokura. Iyi ndiyo nzvimbo yakatenderedza cerebellum. Izvi ndizvo zvinobatsira kuti cerebrospinal fluid (CSF) ifambe pakati pezvikamu zvepamusoro nepazasi zveuropi nemuzongoza .
• Ma hemispheres maviri ecerebellum, kureva chikamu chepakati chinobatanidza mativi maviri, chinonzi cerebellar vermis , uye chinogona kushaikwa zvachose kana kuti chikamu chayo.
• Chikofu , chinoita segomba remvura, chinoumbwa pedyo neventricle yechina.
• Hwaro hwedehenya, kureva posterior fossa, hunokura.
• Dzimwe nguva, cerebrospinal fluid (CSF) inogona kuungana, ichiwedzera kumanikidzwa mukati medehenya uye zvichiita kuti rizvimbe. Izvi ndizvo zvatinodaidza kuti hydrocephalus .

Dandy-Walker Syndrome yakajairika zvakadii?

Zvichienderana nedata kubva kuUnited States, Dandy-Walker Malformation inobata mwana mumwe chete pavana 25,000 kusvika 35,000 . Izvi zvinowanzoitika kuvasikana kupfuura vakomana.

Chii chinokonzera Dandy-Walker Syndrome?

Dambudziko iri rinoitika kana paine dambudziko rekukura kweuropi hwemwana mudumbu . Mune zvimwe zviitiko, dambudziko iri rinogona kukonzerwa nekuchinja kwemajini .

Vamwe vanhu vane Dandy-Walker vanogona kunge vaine zvirwere zvemachromosome . Izvi zvinoreva kuti zvikamu zvemachromosome hazvipo kana kuti hazvina kukwana. Unoziva, machromosome akafanana nemapakeji anotakura majini edu. Dandy-Walker Syndrome inogonawo kuva chikamu chechirwere chemajini chinoitika pamwe chete nezvimwe zvirema zvekuzvarwa nazvo.

Kune zvimwe zvikonzero zvakawanda zvinogona kuitika:

• Mamwe marudzi emavhairasi anogona kutapuriranwa kubva kuna amai kuenda kumwana panguva yekuzvitakura.
• Kusangana nezvimwe zvinhu zvine chepfu kana mishonga panguva yekuzvitakura.
• Amai vangu vane chirwere cheshuga .

Zviratidzo zveDandy-Walker zvinotanga riini?

Dzimwe nguva, zviratidzo zvinoonekwa kamwe kamwe uye zvakajeka . Dzimwe nguva, vabereki vanogona kuva nezviratidzo vasingazive kuti pane chakaipa.

Kazhinji, zviratidzo zvinoonekwa mukati memwedzi mishoma yekutanga yehupenyu hwemwana , asi vamwe vana vanogona kusaonekwa kusvika vava nemakore matatu kana mana ekuberekwa .

Ndezvipi zviratidzo zveDandy-Walker Syndrome?

Zviratidzo zvinogona kuonekwa muvana vacheche ndezvi:

• Kunonoka kukura kwemwana kunonoka kusvika padanho rekukura rinoenderana nezera rake . Semuenzaniso, kunonoka kugara, kukambaira, uye kufamba.
• Dehenya rakakura kupfuura zvakajairika.
• Hypotonia , zvinoreva kuti muviri wakaremara.
• Kusimba kwemuviri zvinoreva kuti tsandanyama dziri mumuviri dzinooma uye dzinoomera kukotama.

Zviratidzo zvinoonekwa muvana vakuru:

• Kurutsa, pfari, uye kushatirwa - izvi zviratidzo zvekuwedzera kwedzvinyiriro muuropi.
• Kurasikirwa nekubatana kwenhengo, kufamba kusingafadzi, uye mafambiro asina kujairika akadai sekudhonza maziso - izvi zviratidzo zvematambudziko necerebellum.

Panogona kunge paine zvimwe zviratidzo:

• Kuzvimba kana kuti bundu riri kumashure kwedehenya.
• Matambudziko netsinga dzinodzora mutsipa, kumeso, nemaziso.
• Kusashanda zvakanaka kwekufema .
• Kubatwa nepfungwa dzakaipa .
• Kuremara Kwepfungwa .
• Zviratidzo zveHydrocephalus .

Ndeupi musiyano uripo pakati peDandy-Walker Complex neDandy-Walker Syndrome?

Izvi zvinganzwika zvakaoma, asi ndicharamba ndiri nyore. Dandy-Walker Complex iboka rezvirwere zvine zviratidzo zvakafanana. Dandy-Walker Syndrome inongova imwe yezvirwere izvozvo.

Kune mamwe mamiriro ezvinhu ari muDandy-Walker Complex:

• Hypoplasia yeCerebellar Vermis Yakaparadzaniswa kana Dandy-Walker Variant : Mumamiriro ezvinhu aya, cerebellar vermis idiki kana kuti haina kukura zvakakwana. Zvisinei, dzimwe shanduko dzemaumbirwo europi hwevana vane Dandy-Walker Syndrome hadzionekwe. Vana vazhinji vanoonekwa vaine chirwere ichi vanokura zvakanaka.
• Mega Cisterna Magna : Mumamiriro ezvinhu aya, posterior fossa iri kumashure kwedehenya inokura, asi cerebellum inenge yakajairika. Mega Cisterna Magna kazhinji haikonzeri matambudziko ehutano.
• Posterior Fossa Arachnoid Cyst : Iri ibundu rinokura muposterior fossa. Kashoma kuti vana vave nezviratidzo kunyangwe vaine rudzi urwu rwebundu.

Ndezvipi zvimwe zvirwere zvinobatanidzwa neDandy-Walker Syndrome?

Vana vane Dandy-Walker vanogonawo kuva nematambudziko nezvimwe zvikamu zvetsinga dzemuviri. Semuenzaniso:

• Kusavapo kweCorpus Callosum (ACC) chirwere chisingawanzoitiki, chinowanzoitika pakuzvarwa nacho.
• Matambudziko nemaumbirwo ezvinhu zvakaita semakumbo, chiso, moyo, neminwe.

Mwana wangu achave nedambudziko repfungwa here?

Vana vanosvika hafu vane Dandy-Walker vane hurema hwepfungwa . Kuremara kwepfungwa kunonyanya kuwanikwa muvana vane Dandy-Walker vane zvirwere zvinotevera:

• Kurwara zvakanyanya kwehydrocephalus .
• Mamiriro eChromosomal .
• Zvimwe zvirwere zvekuzvarwa nazvo .

Yeukai, mwana wese akasiyana, saka ruzivo rwemwana mumwe haruzofanani nerwemumwe.

Dandy-Walker Syndrome inoonekwa sei?

Dzimwe nguva vanachiremba kana vabereki vanogona kuona kuti musoro wemwana wakakura zvakanyanya . Kana kuti vanogona kuona kuti mwana haasi kuzadzisa matanho ekukura . Vanachiremba vanogona kuraira bvunzo dzekuongorora uropi kuti vaongorore Dandy-Walker. Miedzo iyi inogona kusanganisira:

• Kuongororwa kweUltrasound .
• Kuongororwa kweCT .
• Kuongororwa kweMRI .

Dzimwe nguva, chirwere ichi chinogona kuonekwa panguva yekuongorora mwana asati aberekwa kana kuti MRI yemwana asati aberekwa.

Kana mwana wangu aine Dandy-Walker, mhuri inofanira kuongororwa majini here?

Kana mwana wako aine Dandy-Walker Malformation, zvakakosha kutaura nachiremba wako nezvemazano ezvemajini . Chikamu chidiki chevanhu vane chirwere ichi vanogonawo kunge vaine nhengo yemhuri ine chirwere ichi. Nekuti panogona kunge paine chikamu chemajini , vanachiremba vazhinji vanokurudzira kuongororwa kwemajini .

Ndeipi mishonga yekurapa Dandy-Walker Syndrome?

Kurapwa kunoenderana nezviratidzo zveDandy-Walker Syndrome. Zvakakosha kuti chiremba aongorore chirwere ichi zvakanaka usati watanga kurapwa. Semuenzaniso, vanachiremba vanogona kukurudzira zvinotevera:

• Shunt yeVentriculoperitoneal (VP) : Vanachiremba vanoisa mudziyo mudiki unonzi VP shunt kuti vabvise mvura yakawandisa muuropi. Shunt iyi inogona kuderedza kumanikidzwa kweuropi uye kugadzirisa zviratidzo.
• Mishonga : Chiremba wemwana wako anogona kunyora mishonga yekudzivirira pfari.
• Kurapa : Kurapa kwemuviri nekurapa kwemabasa zvinobatsira vana kuchengetedza simba remhasuru. Vanachiremba vanogonawo kudzidzisa vana nzira itsva dzekuita mabasa ezuva nezuva. Kurapa kwekutaura kunobatsira mukukura kwemutauro nekutaura.
• Dzidzo Yakakosha : Nzvimbo yekudzidza yakagadzirirwa vana inobatsira vana kuzadzisa zvinangwa zvavo zvedzidzo uye zvemagariro.

Remangwana revana vane Dandy-Walker Syndrome rakaita sei?

Remangwana remwana wako uye hupenyu hwake zvinotsamira pamamiriro ake ezvinhu.Zvinoenderana nekuti zvakakomba sei , uye kana paine zvimwe zvirwere zvekuzvarwa nazvo izvo mwana angave nazvo.

Vanhu vane chirwere ichi vanogona kuva nezviitiko zvakasiyana-siyana. Vamwe vane zviratidzo zvishoma . Vamwe vane hurema hwakakomba . Vamwe vana vanogona kuwana hunyanzvi hwekuziva nehurongwa hwakakodzera hwekurapa. Kune vamwe, kunyangwe kana timu yavo yezvekurapa ikaongorora uye ikarapa chirwere ichi nekukurumidza, vangasakwanisa kusvika padanho iroro.

Dandy-Walker Syndrome inogona kudzivirirwa here?

Hapana nzira inozivikanwa yekudzivirira Dandy-Walker Syndrome. Zvisinei, kugara uchitarisirwa panguva yekuzvitakura kunokupa mukana wakanaka wekuva nepamuviri pakanaka. Tevedzera zano rachiremba wako kuti urambe uine hutano paunenge uine pamuviri.

Ndingatarisira sei mwana wangu neDandy-Walker?

Kupindira nekukurumidza kunogona kupa mwana wako mukana wakanakisisa wekurapwa zvinobudirira. Kana ukaona kuti mwana wako haasi kusangana nematanho ekukura akadai sekugara, kufamba, kana kutaura nenguva, ona chiremba wako. Vanogona kubva vaongorora chirwere chacho nemazvo uye kupa chirongwa chekurapa chinoshanda zvakanyanya kumwana wako.

Chikwata chekuchengeta mwana wako cheDandy-Walker chinogona kusanganisira:

• Chiremba wevana .
• Nyanzvi dzeBudiriro .
• Nyanzvi dzeKutaura, dzeMabasa uye dzeMiviri .
• Nyanzvi dzeDzidzo Yakakosha .

Chii chandinofanira kubvunza chiremba wangu nezveDandy-Walker Syndrome?

Kana mwana wako akaonekwa kuti ane chirwere cheDandy-Walker, bvunza chiremba wako nezvezvinotevera:

• Mwana wangu achada shunt here?
• Ndezvipi zvimwe zvirwere zvine mwana wangu?
• Remangwana remwana wangu (maonero ake) richava rakaita sei?
• Tingagadzirisa sei zviratidzo zvemwana wangu?
• Tinofanira here kuita bvunzo dzemajini ?

Pakupedzisira, yeuka izvi.

Dandy-Walker Syndrome, inozivikanwawo seDandy-Walker Malformation, chirwere chepfungwa chinokura mwana asati aberekwa. Vacheche vane Dandy-Walker vanowanzosvika padanho rekukura kunonoka. Vamwe vana vanoda shunt kuti vabvise mvura yakawandisa muuropi. Kurapa kunogona kubatsira vana kubata mabasa ezuva nezuva, kubudirira kuchikoro, uye kurarama hupenyu hunogutsa. Kana ukaona kuti musoro wemwana wako wakakura zvakanyanya kana kuti haasi kugara, kufamba, kana kutaura sezvaitarisirwa, taura nachiremba wako. Kuzivikanwa nekukurumidza uye kurapwa kwakakodzera kwakakosha. Usanetseke, chirwere ichi chinogona kugadziriswa nemazano echiremba.

Dandy -Walker Syndrome, Kuremara kweHuropi, Zvirwere zveKuberekwa, Cerebellum, Hydrocephalus, Kunonoka Kwekukura, Hutano hweVana