Wake wezwa ngokuhlinzwa okuphuthumayo kokucindezeleka okuphezulu ngaphakathi kobuchopho? Mhlawumbe uke wezwa odokotela bekhuluma ngalokhu lapho wena noma umngane wakho kwadingeka ukuthi alaliswe esibhedlela ngokuzumayo ngenxa yokulimala ekhanda. Igama lezokwelapha lalokhu yi-Ventriculostomy. Nakuba igama liyinkimbinkimbi kancane, ake sixoxe ngalokho okwenzekayo kulesi simo kalula nangendlela enobungane.
Iyini ngempela i-Ventriculostomy?
Kalula nje, i-Ventriculostomy inqubo yokuhlinzwa esusa uketshezi oluningi ebuchosheni futhi inciphise ingcindezi ebuchosheni. Cabanga ngobuchopho bethu njengento eyigugu kakhulu, ebuthakathaka. Ngokwemvelo, ukuze kuvikelwe lobu buchopho obuyigugu, kukhona uketshezi olumboze nxazonke. Ngokwezokwelapha, sibiza lokhu ngokuthi
i-Cerebrospinal Fluid (CSF) . Lolu ketshezi lwe-CSF luzungeza ubuchopho bethu kanye nomgogodla njengomcamelo ukuze luhlinzeke ngokuvikelwa. Kodwa-ke, ngezinye izikhathi, ngenxa yengozi (isb., ukulimala ekhanda), ukopha ebuchosheni, noma izici zofuzo, lolu ketshezi lwe-CSF luqala ukukhiqizwa ngokweqile, noma luqoqana endaweni eyodwa esikhundleni sokuhamba ngokujwayelekile. Uma lokhu kwenzeka, ubuchopho obungaphakathi kwekhanda buqala ukucindezela. Yilokhu esikubiza ngokuthi
ukucindezela okuphezulu kwangaphakathi kobuchopho .
Lokhu kwanda kwengcindezi ebuchosheni kuyingozi kakhulu. Uma kungelashwa ngokushesha, kungaba yingozi ngisho nokuphila. I-Ventriculostomy iwukuhlinzwa okubaluleke kakhulu okwenziwa esimweni esiphuthumayo ukuze kuncishiswe ingcindezi ebuchosheni futhi kusindiswe izimpilo.
Yiziphi izimo ezenziwa ukuhlinzwa kwe-ventriculostomy?
Ngokuvamile, lokhu kuhlinzwa kwenziwa njengokwelashwa kwanoma yisiphi isimo esikhuphula ingcindezi ebuchosheni. Ake sibheke izimo eziyinhloko lapho lokhu kuhlinzwa kudingeka khona.
| Isimo | Incazelo elula |
|---|
| I-Hydrocephalus | Ukuqongelela okungavamile koketshezi lwe-CSF ebuchosheni. Lokhu kuvame kakhulu ezinganeni ezincane. |
| Ukopha Kwangaphakathi Kwekhanda | Ukopha okuya ebuchosheni noma emaqakaleni azungezile. Lokhu kungenzeka ngenxa yomfutho wegazi ophakeme noma izingozi. |
| Ukwanda kwengcindezi yangaphakathi kwekhanda | Ukwanda kwengcindezi ebuchosheni ngenxa yanoma yiziphi izizathu ezingenhla noma esinye isizathu, njengesimila sobuchopho. |
| Ukulimala Kobuchopho Okubuhlungu | Ukulimala kobuchopho okubangelwa ingozi yemoto noma ukuwa, okubangela ukuvuvukala nokuqongelela koketshezi lwe-CSF. |
Kunezinhlobo ezimbili eziyinhloko zalokhu kuhlinzwa.
Kunezindlela ezimbili eziyinhloko zokwenza i-ventriculostomy. Udokotela wakho uzokhetha indlela efaneleka kakhulu kuwe ngokusekelwe esimweni sakho.
1. Ipayipi Langaphandle Le-Ventricular (EVD)
Kule nqubo, udokotela ohlinzayo wenza imbobo encane kakhulu ogebhezini bese efaka
i-catheter , ithubhu elincane neliguquguqukayo, e-ventricle engaphakathi kobuchopho egcwele i-CSF. Esinye isiphetho sethubhu sikhishwa emzimbeni bese sixhunywa ohlelweni olunesikhwama esikhethekile. Lokhu kubangela ukuthi i-CSF eningi iqoqeke esikhwameni, okunciphisa ingcindezi ebuchosheni. Lokhu ngokuvamile kuyisisombululo sesikhashana.
2. I-Endoscopic Third Ventriculostomy (ETV)
Lena inqubo ehluke kancane. Lapha, udokotela ohlinzayo wenza i-incision encane bese efaka i-
endoscope , ipayipi elincane elinekhamera kanye nokukhanya ngaphambili, ebuchosheni. Bese kwenziwa imbobo encane phansi kwe-ventricle yesithathu yobuchopho. Le mbobo ivumela uketshezi lwe-CSF oluvalelekile ukuthi luphume futhi lumuncwe ezicutshini ezizungezile. Lokhu kuvumela uketshezi ukuthi luphume ngokwemvelo.
Kwenzekani ngaphambi kokuhlinzwa?
Lokhu kuvame ukuba ukuhlinzwa okuphuthumayo, ngakho-ke awunaso isikhathi esiningi sokulungiselela. Uma ungeniswa eMnyangweni Wezimo Eziphuthumayo (ETU), odokotela bazohlola isimo sakho ngokushesha bese benquma ukuthi bazohlinza yini. Kodwa-ke, ngaphambi kokuhlinzwa, ithimba lezokwelapha lizochaza ukuhlinzwa kanye nezingozi zako kuwe noma kumnakekeli wakho, futhi lizokucela ukuthi usayine ifomu lemvume. Ungase futhi ucelwe ukuthi wenze okulandelayo ngaphambi kokuhlinzwa:
- Phuza imithi ethile (ikakhulukazi ama-antibiotic ) enqunywe udokotela wakho njengoba eyalelwe.
- Uma uthatha imithi yokunciphisa igazi , uzocelwa ukuthi uyeke ukuyithatha okwesikhashana.
- Ukuhlolwa okwengeziwe (njengokuhlolwa kwegazi kanye nokuskena kwe-CT) kungenziwa njengoba kudingeka ekuhlinzeni.
Uma unemibuzo, ungesabi ukubuza udokotela. Kuvamile ukuzizwa wesaba ngesikhathi esinjengalesi.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngaphambi kokuba kuqale ukuhlinzwa, udokotela wezinzwa uzokunikeza i-anesthesia. Ungase unikezwe
i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele. Noma ungase unikezwe
i-anesthesia yendawo, eqeda kuphela indawo yekhanda lakho lapho kuzokwenziwa khona ukuhlinzwa. Kodwa-ke, ngeke uzwe ubuhlungu. Ngemuva kwalokho, ithimba lokuhlinzwa lizosusa izinwele ezincane kakhulu endaweni lapho kuzokwenziwa khona ukuhlinzwa. Lokhu ngeke kwenze mehluko omkhulu ekubukekeni kwakho. Izinyathelo ezihilelekile ekuhlinzeni zilula:
- Kwenziwa imbobo encane kakhulu ekhanda kusetshenziswa umshini wokubhoboza okhethekile.
- I-catheter noma i-endoscope idluliswa ngokucophelela kulowo mgodi iye ebuchosheni.
- Iqondiswa e-ventricle, igumbi eligcwele uketshezi lwe-CSF, ngaphandle kokulimaza izicubu zobuchopho.
- Kwenziwa imbobo ukuze kuvunyelwe uketshezi oluningi ukuthi luphume.
- Uma umsebenzi usuqediwe, amathuluzi ayasuswa, bese imbobo eyenziwe ekhanda kanye nokusikwa kwesikhumba kuvalwa ngezithungo noma ngezinti.
Le nqubo yonke ivame ukuthatha cishe ihora.
Kwenzekani ngemva kokuhlinzwa? Nezingozi ezingaba khona
Ngemva kokuhlinzwa, uzodluliselwa egunjini lokunakekelwa okujulile (ICU) noma egunjini elikhethekile futhi uqashwe ngokucophelela kuze kube yilapho imiphumela yokubulala izinzwa iphela. Uma uvuka, uzozizwa ukhathele futhi ukhathele. Ithimba lezokwelapha lizokubuza imibuzo, likucele ukuthi ushukumise izitho zakho, futhi lihlole ukuthi ukusebenza kobuchopho bakho kuyinto evamile yini. Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ezengeziwe. Ngemva kokubuyela ekhaya, uzonikezwa imiyalelo yokuthi unganakekela kanjani inxeba lokuhlinzwa kanye nempilo yakho.
Njengazo zonke izinhlobo zokuhlinzwa, kunezingozi ezithile ezihilelekile, kodwa odokotela benza konke okusemandleni abo ukunciphisa lezi zingozi.
| Ingozi Engaba Khona | Incazelo elula |
|---|
| Ukopha | Ukopha endaweni yokuhlinzwa noma ngaphakathi kobuchopho. |
| Ukutheleleka | Ukulimala noma ukutheleleka kolwelwesi lobuchopho (isib. i-Ventriculitis) |
| Ukufakwa kabi kwe-catheter | Uketshezi lwe-CSF aluphumi kahle ngoba ipayipi elifakiwe alikho endaweni efanele. |
| Ukuvuza kwe-CSF | Uketshezi lwe-CSF oluphuma enxebeni. |
| Ukugeleza kwamanzi amaningi e-CSF | Ngezinye izikhathi, ezinye izinkinga zenzeka ngenxa yokususwa koketshezi oluningi kunokudingekile. |
Uma udinga ukubona udokotela ngokushesha okukhulu
Ngemva kokubuyela ekhaya, uma uhlangabezana nanoma yiziphi izimpawu ezingezansi,
shayela udokotela wakho ngokushesha noma uye
eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Imfiva.
- Uketshezi olufana nobomvu noma oluphuzi oluphuma enxebeni lokuhlinzwa.
- Ukuvuvukala kwesilonda.
- Ikhanda elibuhlungu noma ubuhlungu obungabekezeleleki.
- Ukudideka, ukuncipha kokuqwashisa, noma ukulahlekelwa inkumbulo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ventriculostomy iwukuhlinzwa okubaluleke kakhulu okusindisa impilo okwenziwa ezimweni zokucindezela okukhulu ebuchosheni .
- Lokhu ngokuvamile kuyinto okumele yenziwe ngokushesha ngenxa yengozi noma ukugula.
- Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi, kodwa odokotela bathatha zonke izinyathelo ezidingekayo ukuze bazinciphise.
- Kungathatha amasonto ambalwa ukululama ngokuphelele ngemva kokuhlinzwa, futhi kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.
- Uma wena noma umnakekeli wakho ninemibuzo mayelana nokuhlinzwa, ningesabi ukubuza udokotela wakho. Ithimba lakho lezokunakekelwa kwempilo lihlala likulungele ukukusekela.
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