Ngaba wakha weva ngotyando olungxamisekileyo loxinzelelo oluphezulu ngaphakathi kwengqondo? Mhlawumbi ukhe weva oogqirha bethetha ngale nto xa wena okanye umhlobo wakho kwafuneka alaliswe esibhedlele ngequbuliso ngenxa yokwenzakala entloko. Igama lezonyango lale nto yiVentriculostomy. Nangona eli gama liyinkimbinkimbi kancinci, masithethe ngento eyenzekayo kweli tyala ngokulula nangendlela enobuhlobo.
Yintoni kanye kanye iVentriculostomy?
Ngamafutshane, iVentriculostomy yinkqubo yotyando esusa ulwelo olugqithisileyo engqondweni kwaye inciphise uxinzelelo engqondweni. Cinga ngengqondo yethu njengento exabisekileyo kakhulu, ebuthathaka. Ngokwemvelo, ukukhusela le ngqondo ixabisekileyo, kukho ulwelo oluyigqumayo. Ngokwezonyango, siyibiza ngokuba
yiCerebrospinal Fluid (CSF) . Olu lwelo lweCSF lujikeleza ingqondo yethu kunye nomqolo njengomqamelo ukubonelela ngokhuseleko. Nangona kunjalo, ngamanye amaxesha, ngenxa yengozi (umz., ukwenzakala entloko), ukopha ebuchosheni, okanye izinto zemfuza, olu lwelo lweCSF luqala ukuveliswa ngokugqithisileyo, okanye luqokelelana kwindawo enye endaweni yokujikeleza ngokuqhelekileyo. Xa oku kusenzeka, ingqondo engaphakathi kwentloko iqala ukucinezelwa. Oku sikubiza ngokuba
luxinzelelo oluphezulu lwe-intracranial .
Oku kwanda koxinzelelo engqondweni kuyingozi kakhulu. Ukuba akunyangelwa ngokukhawuleza, kunokuba yingozi nakubomi. I-Ventriculostomy lutyando olubaluleke kakhulu olwenziwa kwimeko engxamisekileyo enjalo ukunciphisa uxinzelelo engqondweni nokusindisa ubomi.
Zeziphi iimeko apho utyando lwe-ventriculostomy lwenziwa khona?
Ngokwesiqhelo, olu tyando lwenziwa njengonyango lwaso nasiphi na isifo esonyusa uxinzelelo engqondweni. Makhe sijonge iimeko eziphambili apho olu tyando lufuneka khona.
| Imeko | Ingcaciso elula |
|---|
| I-Hydrocephalus | Ukuqokelelwa okungaqhelekanga kolwelo lwe-CSF engqondweni. Oku kuxhaphake kakhulu kwiintsana ezincinci. |
| Ukopha kwegazi ngaphakathi kwentloko | Ukopha igazi engqondweni okanye kwiinwebu ezingqongileyo. Oku kungenzeka ngenxa yoxinzelelo lwegazi oluphezulu okanye iingozi. |
| Uxinzelelo oluphezulu lwe-intracranial | Uxinzelelo oluphezulu engqondweni ngenxa yezizathu ezingentla okanye esinye isizathu, esifana nomhlaza wobuchopho. |
| Ukulimala Kwengqondo Okubuhlungu | Ukonakala kwengqondo ngenxa yengozi yemoto okanye ukuwa, okubangela ukudumba kunye nokuqokelelana kolwelo lwe-CSF. |
Kukho iintlobo ezimbini eziphambili zale tyando.
Kukho iindlela ezimbini eziphambili zokwenza i-ventriculostomy. Ugqirha wakho uza kukhetha indlela efanelekileyo kuwe ngokwemeko yakho.
1. Umjelo wokukhupha umoya ongaphandle (EVD)
Kule nkqubo, ugqirha wenza umngxuma omncinci kakhulu ekhayeni aze afake
i-catheter , ityhubhu encinci neguquguqukayo, kwi-ventricle engaphakathi kwengqondo egcwele i-CSF. Elinye icala letyhubhu likhutshwa emzimbeni kwaye liqhagamshelwe kwinkqubo enebhegi ekhethekileyo. Oku kubangela ukuba i-CSF engaphezulu iqokeleleke ebhegini, nto leyo enciphisa uxinzelelo engqondweni. Esi sisisombululo sexeshana.
2. I-Endoscopic Third Ventriculostomy (ETV)
Le yindlela eyahlukileyo kancinci. Apha, ugqirha wenza umngxuma omncinci aze afake i-
endoscope , ityhubhu encinci enekhamera kunye nokukhanya ngaphambili, engqondweni. Emva koko, kwenziwa umngxuma omncinci ezantsi kwe-ventricle yesithathu yengqondo. Lo mngxuma uvumela ulwelo lwe-CSF olubambekileyo ukuba luphume kwaye lufunxwe kwizicubu ezingqongileyo. Oku kuvumela ulwelo ukuba luphume ngokwendalo.
Kwenzeka ntoni ngaphambi kotyando?
Olu lutyando ludla ngokuba lutyando olungxamisekileyo, ngoko ke awunaxesha lingako lokulungiselela. Xa ungeniswe kwiSebe leeNgxamiseko (i-ETU), oogqirha baya kuhlola imeko yakho ngokukhawuleza baze bagqibe kwelokuba batyande na. Nangona kunjalo, ngaphambi kotyando, iqela lezonyango liya kuchaza utyando kunye neengozi zalo kuwe okanye kumgcini wakho, kwaye liya kukucela ukuba usayine ifomu yemvume. Ungacelwa ukuba wenze oku kulandelayo ngaphambi kotyando:
Ukuba unemibuzo, ungoyiki ukubuza ugqirha. Kuqhelekile ukuziva usoyika ngexesha elinje.
Kwenzeka ntoni ngexesha lotyando?
Ngaphambi kokuba utyando luqale, ingcali yokubulala iintlungu iza kukunika i-anesthesia. Usenokunikwa
i-anesthesia eqhelekileyo, ekwenza ulale ngokupheleleyo. Okanye unganikwa
i-anesthesia yendawo, evala kuphela indawo yentloko yakho apho utyando luza kwenziwa khona. Nangona kunjalo, awuyi kuva ntlungu. Emva koko, iqela lotyando liza kususa uboya obuncinci kakhulu kwindawo apho utyando luza kwenziwa khona. Oku akuyi kwenza mahluko mkhulu kwinkangeleko yakho. Amanyathelo abandakanyekayo kolu tyando alula:
- Kwenziwa umngxuma omncinci kakhulu ekhayeni kusetyenziswa isixhobo sotyando esikhethekileyo.
- I-catheter okanye i-endoscope idluliselwa ngononophelo kuloo mngxuma iye engqondweni.
- Ijoliswa kwi-ventricle, igumbi elizaliswe lulwelo lwe-CSF, ngaphandle kokonakalisa izicubu zobuchopho.
- Kwenziwa umngxuma ukuze kuphume ulwelo olugqithisileyo.
- Xa umsebenzi ugqityiwe, izixhobo ziyasuswa, kwaye umngxuma owenziwe entlokweni kunye nokusika ulusu kuvalwa ngezititshi okanye izitapile.
Le nkqubo yonke idla ngokuthatha malunga neyure.
Kwenzeka ntoni emva kotyando? Kunye neengozi ezinokubakho
Emva kotyando, uza kudluliselwa kwigumbi lokhathalelo olunzulu (ICU) okanye kwigumbi elikhethekileyo kwaye ujongwe ngononophelo de iziphumo ze-anesthesia ziphele. Xa uvuka, uza kuziva udiniwe kwaye udiniwe. Iqela lezonyango liza kukubuza imibuzo, likucele ukuba ushukumise amalungu akho, kwaye lijonge ukuba ukusebenza kwengqondo yakho kuqhelekile na. Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Emva kokuba ubuyele ekhaya, uza kunikwa imiyalelo yokuba unganyamekela njani inxeba lotyando kunye nempilo yakho.
Njengazo zonke iintlobo zotyando, kukho iingozi ezithile ezibandakanyekileyo, kodwa oogqirha benza konke okusemandleni abo ukunciphisa ezi ngozi.
| Umngcipheko onokubakho | Ingcaciso elula |
|---|
| Ukopha | Ukopha kwindawo yotyando okanye ngaphakathi kwengqondo. |
| Usulelo | Ukwenzakala okanye usulelo lwe-membranes yengqondo (umz. i-Ventriculitis) |
| Ukubekwa endaweni engafanelekanga kwe-catheter | Ulwelo lwe-CSF aluphumi kakuhle kuba ityhubhu efakiweyo ayikho kwindawo efanelekileyo. |
| Ukuvuza kwe-CSF | Ulwelo lwe-CSF oluphuma enxebeni. |
| Ukutsalwa kolwelo lwe-CSF olugqithisileyo | Ngamanye amaxesha, ezinye iingxaki ziyenzeka ngenxa yokususwa kolwelo oluninzi kunokuba kuyimfuneko. |
Xa kufuneka ubone ugqirha ngokukhawuleza
Emva kokubuyela ekhaya, ukuba ufumana naziphi na iimpawu ezingezantsi,
fowunela ugqirha wakho ngoko nangoko okanye uye
kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Ifiva.
- Ulwelo olufana negazi okanye ubomvu obumthubi oluphuma kwinxeba lotyando.
- Ukudumba kwenxeba.
- Intloko ebuhlungu okanye intlungu enganyamezelekiyo.
- Ukudideka, ukuncipha kwengqondo, okanye ukulahlekelwa yinkumbulo.
Umyalezo Wokuya Ekhaya
- I-Ventriculostomy lutyando olubalulekileyo olusindisa ubomi olwenziwa kwiimeko zoxinzelelo oluphezulu engqondweni .
- Oku kudla ngokuba yinto ekufuneka yenziwe ngoko nangoko ngenxa yengozi okanye ukugula.
- Njengakwezinye iintlobo zotyando, kukho iingozi, kodwa oogqirha bathatha onke amanyathelo afunekayo ukuze bazinciphise.
- Kungathatha iiveki ezininzi ukuba umntu aphile ngokupheleleyo emva kotyando, kwaye kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho.
- Ukuba wena okanye umntu okhathalelayo unemibuzo malunga notyando, ungaze woyike ukubuza ugqirha wakho. Iqela lakho lezempilo lihlala likulungele ukukuxhasa.
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