Wakambonzwa here nezvekuvhiyiwa kwekukurumidzira kweBP mukati meuropi? Pamwe wakambonzwa vanachiremba vachitaura nezvazvo kana iwe kana shamwari yako yaifanira kuendeswa kuchipatara kamwe kamwe nekuda kwekukuvara kwemusoro. Zita rekurapa reizvi ndiVentriculostomy. Kunyange zvazvo zita racho rakaoma zvishoma, ngatitaurei nezvezvinoitika munyaya iyi zviri nyore uye zvine hushamwari.
Chii chinonzi Ventriculostomy?
Zvichitaurwa zviri nyore, Ventriculostomy inzira yekuvhiya inobvisa mvura yakawandisa muuropi uye inoderedza kumanikidzwa kweuropi. Funga nezveuropi hwedu sechinhu chinokosha uye chisina kusimba. Zviri pachena kuti, kuti tidzivirire uropi uhwu hunokosha, pane mvura inohufukidza. Mukurapa, tinodana izvi
kuti Cerebrospinal Fluid (CSF) . Iyi CSF fluid inokomberedza uropi hwedu nemusana sechitsigiro kuti ipe dziviriro. Zvisinei, dzimwe nguva, nekuda kwetsaona (semuenzaniso, kukuvara kwemusoro), kubuda ropa muuropi, kana majini, iyi CSF fluid inotanga kugadzirwa yakawandisa, kana kuti inoungana panzvimbo imwe chete panzvimbo yekutenderera zvakajairika. Kana izvi zvikaitika, uropi huri mukati medehenya hunotanga kudzvanywa. Izvi ndizvo zvatinodaidza kuti
kuwedzera kwekumanikidzwa kwemukati memusoro .
Kuwedzera uku kwekumanikidzwa kwepfungwa muuropi kune njodzi huru. Kana kukasarapwa nekukurumidza, kunogona kutokonzera njodzi kuhupenyu. Kuvhiyiwa kweVentriculostomy kuvhiyiwa kwakakosha zvikuru kunoitwa panguva yekukurumidzira kwakadaro kuderedza kumanikidzwa kwepfungwa nekuponesa hupenyu.
Kuvhiyiwa kwe ventriculostomy kunoitirwa zvirwere zvipi?
Kazhinji, kuvhiyiwa uku kunoitwa sekurapa chero chirwere chinowedzera kumanikidzwa kweuropi. Ngatitarisei mamiriro makuru ayo kuvhiyiwa uku kunodiwa.
| Mamiriro | Tsananguro iri nyore |
|---|
| Hydrocephalus | Kuungana kwemvura yeCSF muuropi kusingawanzoitiki. Izvi zvinonyanya kuitika muvacheche vadiki. |
| Kubuda ropa mukati memusoro | Kubuda ropa muuropi kana mumasero akapoteredza. Izvi zvinogona kuitika nekuda kweBP yakakwira kana tsaona. |
| Kuwedzera kwekumanikidzwa kwemukati memusoro | Kuwedzera kwekumanikidzwa muuropi nekuda kwechimwe chezvikonzero zvataurwa pamusoro apa kana chimwe chikonzero, senge bundu reuropi. |
| Kukuvara Kwepfungwa Kunorwadza | Kukuvara kwehuropi kunokonzerwa netsaona yemotokari kana kudonha, zvichikonzera kuzvimba uye kuungana kwemvura yeCSF. |
Kune mhando mbiri huru dzekuvhiyiwa uku.
Kune nzira mbiri huru dzekuita ventriculostomy. Chiremba wako achasarudza nzira yakakunakira zvichienderana nemamiriro ako ezvinhu.
1. Drein yekunze yeVentricular (EVD)
Mukuita uku, chiremba anovhiya anoburitsa kaburi kadiki mudehenya remusoro wemunhu oisa
catheter , chubhu yakatetepa, inochinjika, mu ventricle iri mukati meuropi yakazadzwa neCSF. Rimwe divi rechubhu rinobviswa mumuviri robatanidzwa kune system ine bhegi rakakosha. Izvi zvinoita kuti CSF yakawandisa iungane mubhegi, zvichideredza kumanikidzwa kweuropi. Iyi inowanzova mhinduro yenguva pfupi.
2. Endoscopic Third Ventriculostomy (ETV)
Iyi inzira yakasiyana zvishoma. Pano, chiremba anochekwa diki obva aisa
endoscope , chubhu diki ine kamera nechiedza pamberi, muuropi. Zvadaro, gomba diki rinogadzirwa pasi pe ventricle yechitatu yeuropi. Bhomba iri rinobvumira mvura yeCSF yakavharirwa kuti ibude uye ipinde munyama dzakapoteredza. Izvi zvinobvumira mvura kuti ibude yega.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Uku kuvhiyiwa kunowanzoitwa nekukurumidza, saka hauna nguva yakawanda yekugadzirira. Kana wapinda muEmergency Department (ETU), vanachiremba vachakurumidza kuongorora mamiriro ako uye vosarudza kana uchida kuvhiyiwa. Zvisinei, usati wavhiyiwa, timu yezvekurapa ichatsanangura kuvhiyiwa kwacho nenjodzi dzacho kwauri kana kumuchengeta wako, uye ichakukumbira kuti usayine fomu rekubvumidza. Unogonawo kukumbirwa kuti uite zvinotevera usati wavhiyiwa:
Kana muine mibvunzo, musatya kubvunza chiremba. Zvakajairika kuti munzwe kutya panguva yakaita seiyi.
Chii chinoitika panguva yekuvhiyiwa?
Kuvhiyiwa kusati kwatanga, chiremba weanesthesia achakupa anesthesia. Unogona kupiwa
anesthesia yakajairika, iyo inokuraramisa zvachose. Kana kuti unogona kupiwa
anesthesia yemunharaunda, iyo inongopedza simba panzvimbo yemusoro wako chete pachaitirwa kuvhiyiwa. Zvisinei, hauzonzwi kurwadziwa. Zvadaro, timu yekuvhiya ichabvisa bvudzi diki kubva panzvimbo ichaitirwa kuvhiyiwa. Izvi hazvizove nemusiyano mukuru pakuonekwa kwako. Matanho anobatanidzwa mukuvhiyiwa ari nyore:
- Kaburi kadiki kwazvo kanogadzirwa mudehenya uchishandisa chibooreso chakakosha chekuvhiya.
- Catheter kana endoscope zvinonyatsopfuudzwa nepaburi iroro zvichienda muuropi.
- Inonangidzirwa mu ventricle, kamuri rakazadzwa nemvura yeCSF, pasina kukuvadza tsinga dzeuropi.
- Mugero unogadzirwa kuti mvura yakawandisa ibude.
- Kana basa rapera, zvishandiso zvinobviswa, uye buri rinogadzirwa mumusoro neganda rinochekwa zvinovharwa nemasitichi kana mastaple.
Maitiro ese aya anowanzo tora awa imwe chete.
Chii chinoitika mushure mekuvhiyiwa? Uye njodzi dzinogona kuitika
Mushure mekuvhiyiwa, uchaendeswa kuchipatara chevarwere vane chirwere chepfungwa (ICU) kana kuti kuchipatara chakagadzirirwa varwere vakasiyana-siyana uye uchanyatsoongororwa kusvika mushonga weanesthesia wapera. Paunomuka, uchanzwa kugomera uye kuneta. Chikwata chekurapa chichakubvunza mibvunzo, chokukumbira kuti ufambe nhengo dzako, uye chotarisa kana kushanda kweuropi hwako kwakanaka. Uchafanira kugara muchipatara kwemazuva mashoma. Mushure mekudzokera kumba, uchapiwa mirayiridzo yekuti ungachengeta sei ronda rekuvhiyiwa uye hutano hwako.
Kufanana nekuvhiyiwa kwese, kune dzimwe njodzi dzinobatanidzwa, asi vanachiremba vanoita nepavanogona napo kuderedza njodzi idzi.
| Njodzi Inogona Kuitika | Tsananguro iri nyore |
|---|
| Kubuda ropa | Kubuda ropa panzvimbo yekuvhiyiwa kana muuropi. |
| Utachiona | Kukuvara kana kutapukirwa kwemasero europi (semuenzaniso Ventriculitis) |
| Kuisa catheter panzvimbo isina kurongeka | Mvura yeCSF haisi kubuda zvakanaka nekuti chubhu iri muchubhu haisi panzvimbo chaiyo. |
| Kubuda kweCSF | Mvura yeCSF iri kubuda muronda. |
| Kuyerera kwemvura yeCSF yakawandisa | Dzimwe nguva, mamwe matambudziko anoitika nekuda kwekubviswa kwemvura yakawanda kupfuura zvinodiwa. |
Kana uchida kuona chiremba nekukurumidza sezvinobvira
Mushure mekudzokera kumba, kana mukaona chimwe chezviratidzo zviri pazasi,
fonerai chiremba wenyu nekukasika kana kuenda kuchipatara chiri pedyo
neEmergency Department (ETU) .
- Kupindwa nechando.
- Ropa kana kuti mvura yakaita seyero inobuda kubva paronda rekuvhiyiwa.
- Kuzvimba kweronda.
- Musoro kana kurwadziwa kusingatsungiririki.
- Kuvhiringidzika, kusaziva zvakanyanya, kana kurasikirwa nendangariro.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweVentriculostomy kunoitwa kana paine kumanikidzwa kwakanyanya muuropi .
- Izvi zvinowanzova chinhu chinofanira kuitwa nekukasika nekuda kwetsaona kana kurwara.
- Sekunge kune dzimwe nzira dzekuvhiya, kune njodzi, asi vanachiremba vanotora matanho ese anodiwa kuti vadzideredze.
- Zvinogona kutora mavhiki akati wandei kuti unyatsopora mushure mekuvhiyiwa, uye zvakakosha kuti utevedzere mirairo yachiremba wako.
- Kana iwe kana muchengeti wako muine mibvunzo nezve kuvhiyiwa uku, musatya kubvunza chiremba wenyu. Chikwata chenyu chehutano chakagadzirira kukutsigirai nguva dzose.
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