Ukhathazekile ngokukhula kobuchopho bengane yakho? Ake sixoxe nge-Dandy-Walker Syndrome

Ingabe ikhanda lomntwana wakho libonakala likhulu kancane? Noma uzizwa sengathi wephuze kakhulu ukwenza izinto ezilingana nobudala bakhe? Ngezinye izikhathi kuyinto evamile ukuzizwa wesaba kancane uma ubona izinto ezinjengalezi. Namuhla sizokhuluma ngesimo esingaba yikhanda elibuhlungu kubazali, kodwa esingalawulwa uma usazi. Leso yi -Dandy-Walker Syndrome . Ungakhathazeki, sizoxoxa ngakho ngokuningiliziwe nangokulula.

Iyini i-Dandy-Walker Syndrome?

Kalula nje, i-Dandy-Walker Syndrome yisimo esenzeka lapho umntwana ezalwa enoshintsho endleleni ubuchopho bakhe obukhula ngayo . Lokhu ngezinye izikhathi kubizwa ngokuthi i-Dandy-Walker Malformation. Lokhu kwenzeka ngesikhathi umntwana esesesibelethweni, lapho ubuchopho bukhula. Lokhu kusho ukuthi kuyisimo sokuzalwa .

Lokhu kuthinta kakhulu i-cerebellum, ubuchopho obuncane obutholakala ngemuva kobuchopho bethu, esiqwini sobuchopho , kanye nendawo ezungezile. Ubuwazi ukuthi le ngxenye ebizwa ngokuthi i-cerebellum iyingxenye ebaluleke kakhulu yeSistimu Yethu Yezinzwa Ephakathi . Yiyona eqondisa ukunyakaza komzimba wethu. Akukhona lokho kuphela, kodwa futhi iyasiza nakwezinye izinto eziningi. Bheka:

• Ilawula ibhalansi yomzimba wethu, ukuhlangana, kanye nokuma komzimba .
• Kuphinde kusize ngezindaba eziphathelene nombono .
• Ikhono lethu lokucabanga (ukuqonda) lihlobene nezinto ezifana nokuqonda nokukhumbula okuthile.
• Amakhono okunyakaza komzimba anjengokuphatha izitho zomzimba.
• Kuphinde kusize ekulawuleni ukuziphatha .

Lokhu kubizwa ngokuthi i-Dandy-Walker ukuhlonipha odokotela ababili bezinzwa , uWalter Dandy, MD, no-Arthur Walker, MD, abachaza lesi simo ngawo-1900.

Kwenzekani ebuchosheni bomuntu one-Dandy-Walker?

Kulungile, kwenzekani ebuchosheni bomuntu one-Dandy-Walker? Nazi ezinye izinto ezingenzeka:

• I-ventricle yesine yobuchopho iba nkulu. Lesi yisikhala esizungeze i-cerebellum. Yilokhu okusiza uketshezi lwe-cerebrospinal (CSF) ukuthi lugeleze phakathi kwezingxenye eziphezulu nezingezansi zobuchopho kanye nomgogodla .
• Ama-hemispheres amabili e-cerebellum, okungukuthi, ingxenye ephakathi exhumanisa izinhlangothi ezimbili, ibizwa ngokuthi i-cerebellar vermis , futhi ingalahleka ngokuphelele noma ngokwengxenye.
• I -cyst , ebukeka njengebhamuza lamanzi, yakheka eduze kwe-ventricle yesine.
• Isisekelo sekhanda, okungukuthi, i-posterior fossa, siba sikhulu.
• Ngezinye izikhathi, uketshezi lomgogodla (i-CSF) lunganqwabelana, lwandise ingcindezi ngaphakathi kwekhanda bese lubangela ukuthi luvuvuke. Yilokhu esikubiza ngokuthi i-hydrocephalus .

Ivame kangakanani i-Dandy-Walker Syndrome?

Ngokusho kwedatha evela e-United States, i-Dandy-Walker Malformation ithinta cishe ingane eyodwa kwezingu-25,000 kuya kwezingu-35,000 . Ivame kakhulu emantombazaneni kunabafana.

Yini ebangela i-Dandy-Walker Syndrome?

Lesi simo senzeka uma kunenkinga ngokukhula kwe-cerebellum yengane esibelethweni . Kwezinye izimo, lesi simo singabangelwa ukuguquka kwezakhi zofuzo .

Abanye abantu abane-Dandy-Walker bangase babe nezimo ze-chromosome . Lokhu kusho ukuthi izingxenye zama-chromosome azikho noma azikho. Uyazi, ama-chromosome afana namaphakheji athwala izakhi zofuzo zethu. I-Dandy-Walker Syndrome ingaba yingxenye yesifo sofuzo esenzeka kanye nezinye izinkinga eziningana zokuzalwa.

Kunezinye izizathu eziningana ezingaba khona:

• Ezinye izinhlobo zamagciwane zingadluliselwa kusuka kumama kuya enganeni ngesikhathi sokukhulelwa.
• Ukuchayeka ezintweni ezithile ezinobuthi noma imithi ngesikhathi sokukhulelwa.
• Umama unesifo sikashukela .

Ziqala nini izimpawu ze-Dandy-Walker?

Ngezinye izikhathi, izimpawu zivela ngokuzumayo nangokucacile . Ngezinye izikhathi, abazali bangase babe nezimpawu ngaphandle kokubona ukuthi kukhona okungahambi kahle.

Ngokuvamile, izimpawu zivela ezinyangeni ezimbalwa zokuqala zokuphila komntwana , kodwa ezinye izingane zingase zingatholakali zize zibe neminyaka emi-3 noma emi-4 ubudala .

Ziyini izimpawu ze-Dandy-Walker Syndrome?

Izimpawu ezingabonakala ezinganeni yilezi:

• Ukulibaziseka kokukhula kuyikulibaziseka ekuhlangabezaneni nezigaba zokukhula ezihambisana nobudala . Isibonelo, ukubambezeleka kokuhlala, ukukhasa, nokuhamba.
• Ugebhezi lukhulu kunokuvamile.
• I-Hypotonia , okusho ukuthi umzimba umane nje uyaxega.
• Ukuvaleka kwemisipha kusho ukuthi imisipha emzimbeni iba lukhuni futhi kube nzima ukuyigoba.

Izimpawu ezibonakala ezinganeni ezindala:

• Ukuhlanza, ukuxhuzula, kanye nokucasuka - lezi yizimpawu zokucindezeleka okukhulu ngaphakathi kobuchopho.
• Ukulahlekelwa ukuhambisana, ukuhamba okuxegayo, kanye nokunyakaza okungavamile njengokudlikiza kwamehlo - lezi yizimpawu zezinkinga nge-cerebellum.

Kungase kube nezinye izimpawu:

• Ukuvuvukala noma iqhubu ngemuva kwekhanda.
• Izinkinga ngemizwa elawula intamo, ubuso kanye namehlo.
• Ukuphazamiseka kokuphefumula .
• Ukuquleka .
• Ukukhubazeka Kwengqondo .
• Izimpawu ze-Hydrocephalus .

Uyini umehluko phakathi kwe-Dandy-Walker Complex kanye ne-Dandy-Walker Syndrome?

Lokhu kungase kuzwakale kuyinkimbinkimbi kancane, kodwa ngizokugcina kulula. I-Dandy-Walker Complex iyiqembu lezimo ezinezimpawu ezifanayo. I-Dandy-Walker Syndrome ingenye yalezo zimo.

Kunezinye izimo eziphathelene ne-Dandy-Walker Complex:

• I-Isolated Cerebellar Vermis Hypoplasia noma i-Dandy-Walker Variant : Kulesi simo, i-cerebellar vermis incane noma ayikakhuli ngokugcwele. Kodwa-ke, ezinye izinguquko zesakhiwo ebuchosheni bezingane ezine-Dandy-Walker Syndrome azibonakali. Iningi lezingane ezitholakale zinalesi simo likhula ngendlela evamile.
• I-Mega Cisterna Magna : Kulesi simo, i-posterior fossa ngemuva kwekhanda iyanda, kodwa i-cerebellum ijwayelekile. I-Mega Cisterna Magna ngokuvamile ayibangeli izinkinga zempilo.
• I-Posterior Fossa Arachnoid Cyst : Lesi yi-cyst ekhula ku-posterior fossa. Akuvamile kakhulu ukuthi izingane zibe nezimpawu ngisho noma zinalolu hlobo lwe-cyst.

Yiziphi ezinye izimo ezihlotshaniswa ne-Dandy-Walker Syndrome?

Izingane ezine-Dandy-Walker zingase zibe nezinkinga nezinye izingxenye zesimiso sezinzwa esiyinhloko. Isibonelo:

• Ukungabikho kweCorpus Callosum (ACC) kuyisimo esingavamile, esizalwa naso.
• Izinkinga ngendlela izinto ezifana nezitho zomzimba, ubuso, inhliziyo, neminwe ezakheka ngayo.

Ingabe ingane yami izoba nokukhubazeka kwengqondo?

Bangaphansi kwengxenye yezingane ezine-Dandy-Walker abanokukhubazeka kwengqondo . Ukukhubazeka kwengqondo kuvame kakhulu ezinganeni ezine-Dandy-Walker ezinezimo ezilandelayo:

• I- hydrocephalus enzima.
• Izimo ze-Chromosome .
• Ezinye izimo zokuzalwa .

Khumbula, ingane ngayinye ihlukile, ngakho-ke okuhlangenwe nakho kwengane eyodwa ngeke kufane nokwenye.

I-Dandy-Walker Syndrome ihlolwa kanjani?

Ngezinye izikhathi odokotela noma abazali bangase baqaphele ukuthi ikhanda lengane likhulu kakhulu . Noma bangase baqaphele ukuthi ingane ayihlangabezani nezigaba zokukhula . Odokotela bangase bacele ukuhlolwa kokubona ubuchopho ukuze kutholakale i-Dandy-Walker. Lezi zivivinyo zingafaka:

• Ukuhlolwa kwe-Ultrasound .
• I-CT scan.
• Ukuskena kwe -MRI .

Ngezinye izikhathi, lesi simo singatholakala ngesikhathi sokuhlolwa kwe-ultrasound ngaphambi kokubeletha noma i-MRI yengane ngaphambi kokuba ingane izalwe.

Uma ingane yami ine-Dandy-Walker, ingabe umndeni udinga ukuhlolwa kofuzo?

Uma ingane yakho ine-Dandy-Walker Malformation, kubalulekile ukukhuluma nodokotela wakho mayelana nokwelulekwa ngofuzo . Iphesenti elincane labantu abanalesi simo lingase libe nelungu lomndeni elinalesi simo. Ngenxa yokuthi kungase kube nengxenye yofuzo kuso, odokotela abaningi batusa ukuhlolwa kofuzo .

Yiziphi izindlela zokwelapha i-Dandy-Walker Syndrome?

Ukwelashwa kuncike ezimpawini ze-Dandy-Walker Syndrome. Kubalulekile ukuhlolwa okuphelele ngudokotela ngaphambi kokuqala ukwelashwa. Isibonelo, odokotela bangase batuse okulandelayo:

• I-Ventriculoperitoneal (VP) Shunt : Odokotela abahlinzayo bafaka idivayisi encane ebizwa ngokuthi i-VP shunt ukuze basuse uketshezi oluningi ebuchosheni. Le shunt inganciphisa ingcindezi ebuchosheni futhi ithuthukise izimpawu.
• Imithi : Udokotela wengane yakho angase akunike imithi yokulawula ukuxhuzula.
• Ukwelapha : Ukwelapha ngokomzimba kanye nokwelapha ngokomsebenzi kusiza izingane zilondoloze amandla emisipha. Odokotela bezokwelapha bangafundisa izingane izindlela ezintsha zokwenza imisebenzi yansuku zonke. Ukwelapha ngenkulumo kusiza ngokuthuthukiswa kolimi kanye nenkulumo.
• Imfundo Ekhethekile : Indawo yokufunda elungiselelwe kahle isiza izingane ukufeza imigomo yazo yezemfundo neyezenhlalo.

Liyini ikusasa lezingane ezine-Dandy-Walker Syndrome?

Ikusasa lomntwana wakho kanye nesikhathi sakhe sokuphila kuzonqunywa yisimo sakhe.Kuya ngokuthi kukhulu kangakanani , nokuthi ngabe kukhona yini ezinye izimo zokuzalwa ingane engase ibe nazo.

Abantu abanalesi simo bangaba nokuhlangenwe nakho okuhlukahlukene. Abanye banezimpawu ezincane . Abanye banokukhubazeka okukhulu . Abanye abantwana bangafinyelela amakhono ajwayelekile okuqonda ngohlelo lokwelashwa olufanele. Kwabanye, ngisho noma ithimba labo lezokwelapha lixilonga futhi lelaphe lesi simo ngokushesha, bangase bangakwazi ukufinyelela kulelo zinga.

Ingabe i-Dandy-Walker Syndrome ingavinjelwa?

Ayikho indlela eyaziwayo yokuvimbela i-Dandy-Walker Syndrome. Kodwa-ke, ukunakekelwa okuqhubekayo kokubeletha kukunikeza ithuba elihle kakhulu lokukhulelwa okunempilo. Landela iseluleko sikadokotela wakho ukuze uhlale uphilile ngenkathi ukhulelwe.

Ngingayinakekela kanjani ingane yami nge-Dandy-Walker?

Ukungenelela kusenesikhathi kunganikeza ingane yakho ithuba elihle kakhulu lokwelashwa okuphumelelayo. Uma ubona ukuthi ingane yakho ayihlangabezani nezigaba zokukhula njengokuhlala, ukuhamba, noma ukukhuluma ngesikhathi, bona udokotela wakho. Bangakwazi ukuthola ukuxilongwa okunembile futhi banikeze uhlelo lokwelapha olusebenza kahle kakhulu enganeni yakho.

Ithimba lokunakekela ingane yakho i-Dandy-Walker lingafaka:

• Udokotela wezingane .
• Ochwepheshe Bentuthuko .
• Ochwepheshe Bezokukhuluma, Emsebenzini Nabasebenza Ngomzimba .
• Ochwepheshe Bemfundo Ekhethekile .

Yini okufanele ngiyibuze udokotela wami nge-Dandy-Walker Syndrome?

Uma ingane yakho itholakale ine-Dandy-Walker, buza udokotela wakho ngalokhu okulandelayo:

• Ingabe ingane yami izodinga i -shunt ?
• Yiziphi ezinye izimo zezokwelapha ingane yami enazo?
• Lizoba njani ikusasa (umbono) wengane yami?
• Singazithuthukisa kanjani izimpawu zengane yami?
• Ingabe kufanele senze ukuhlolwa kofuzo ?

Ekugcineni, khumbula lokhu.

I-Dandy-Walker Syndrome, eyaziwa nangokuthi i-Dandy-Walker Malformation, yisimo sobuchopho esiqala ngaphambi kokuba umntwana azalwe. Izingane ezine-Dandy-Walker zivame ukufinyelela izigaba zokukhula sekwephuzile. Ezinye izingane zidinga i-shunt ukuze zisuse uketshezi oluningi ebuchosheni. Ukwelashwa kungasiza izingane ukuthi ziphathe imisebenzi yansuku zonke, ziphumelele esikoleni, futhi ziphile izimpilo ezanelisayo. Uma ubona ukuthi ikhanda lengane yakho likhulu kakhulu noma ukuthi ayihlali, ayihambi, noma ayikhulumi njengoba kulindelekile, khuluma nodokotela wakho. Ukuqashelwa kusenesikhathi kanye nokwelashwa okufanele kubalulekile. Ungakhathazeki, lesi simo singaphathwa ngeseluleko sezokwelapha.

I- Dandy-Walker Syndrome, Ukukhubazeka Kobuchopho, Ukukhubazeka Kokuzalwa, I-Cerebellum, I-Hydrocephalus, Ukulibaziseka Kokukhula, Impilo Yengane