Kutulutsa kwa Ventriculoperitoneal shunting
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Ventriculoperitoneal shunting ndi opareshoni yochotsera cerebrospinal fluid (CSF) m'matumba (ma ventricles) amubongo (hydrocephalus).
Njirayi imachitika mchipinda chogwiritsira ntchito pansi pa anesthesia wamba. Zimatenga pafupifupi 1 1/2 maola. Phukusi (catheter) limadutsa kuchokera pamutu kupita kumimba kukakhetsa cerebrospinal fluid (CSF) yochulukirapo. Valavu yamagetsi ndi chida chotsutsana ndi siphon chimaonetsetsa kuti madzi okwanira amadzulidwa.
Njirayi yachitika motere:
- Malo amutu pamutu amametedwa. Izi zikhoza kukhala kumbuyo kwa khutu kapena pamwamba kapena kumbuyo kwa mutu.
- Dokotalayo amapanga khungu podulira khutu. Chodula china chaching'ono chimapangidwa m'mimba.
- Chibowo chaching'ono chimabooleredwa mu chigaza. Mbali imodzi ya catheter imadutsa mu ventricle ya ubongo. Izi zitha kuchitika kapena popanda kompyuta ngati chitsogozo. Zitha kuchitidwanso ndi endoscope yomwe imalola dokotalayo kuti aziwona mkati mwa ventricle.
- Catheter yachiwiri imayikidwa pansi pa khungu kuseri kwa khutu. Amatumizidwa m'khosi ndi pachifuwa, ndipo nthawi zambiri amalowa m'mimba. Nthawi zina, imayima pachifuwa. M'mimba, catheter nthawi zambiri imayikidwa pogwiritsa ntchito endoscope. Dotolo amathanso kudula pang'ono pang'ono, mwachitsanzo m'khosi kapena pafupi ndi kolala, kuti athandizire kudutsa catheter pansi pa khungu.
- Valve imayikidwa pansi pa khungu, nthawi zambiri kuseri kwa khutu. Valve imagwirizanitsidwa ndi ma catheters onse. Pakapanikizika kowonjezera kuzungulira ubongo, valavu imatseguka, ndipo madzi owonjezera amatuluka kudzera mu catheter kulowa m'mimba kapena pachifuwa. Izi zimathandiza kuchepetsa kupanikizika kosagwira ntchito. Posungira pa valavu imalola kuyipitsa (kupopera) kwa valavu ndikusonkhanitsa CSF ngati kuli kofunikira.
- Munthuyo amamutengera kuchipatala kenako n kupita naye kuchipatala.
Kuchita opaleshoniyi kumachitika pakakhala cerebrospinal fluid (CSF) yochuluka kwambiri muubongo ndi msana. Izi zimatchedwa hydrocephalus. Zimayambitsa kupanikizika kwakukulu kuposa ubongo. Zingayambitse kuwonongeka kwa ubongo.
Ana akhoza kubadwa ndi hydrocephalus. Zitha kuchitika ndi zolakwika zina zakubadwa kwa msana kapena ubongo. Hydrocephalus amathanso kupezeka kwa okalamba.
Kuchita opaleshoni mwachangu kuyenera kuchitidwa hydrocephalus ikapezeka. Opaleshoni ina ingafunsidwe. Dokotala wanu akhoza kukuwuzani zambiri zazomwe mungachite.
Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:
- Zomwe zimachitika chifukwa cha mankhwala kapena mavuto ampweya
- Kukhetsa magazi, magazi kuundana, kapena matenda
Zowopsa zowayika ma ventriculoperitoneal shunt ndi:
- Kuundana kwamagazi kapena kutuluka magazi muubongo
- Kutupa kwa ubongo
- Dzenje m'matumbo (zotsekemera m'matumbo), zomwe zimatha kuchitika pambuyo pa opaleshoni
- Kutulutsa kwamadzimadzi a CSF pansi pakhungu
- Kutenga kwa shunt, ubongo, kapena pamimba
- Kuwonongeka kwa minofu yaubongo
- Kugwidwa
Shunt ikhoza kusiya kugwira ntchito. Izi zikachitika, madzi amayambiranso kukula muubongo. Mwana akamakula, shunt angafunike kuyikanso.
Ngati njirayi siyidzidzidzi (ikukonzekera opaleshoni):
- Uzani wothandizira zaumoyo za mankhwala, zowonjezera, mavitamini, kapena zitsamba zomwe munthu amamwa.
- Tengani mankhwala aliwonse omwe woperekayo wanena kuti mumamwe pang'ono.
Funsani wothandizirayo za kuchepetsa kudya ndi kumwa musanachite opareshoni.
Tsatirani malangizo aliwonse okonzekera kukonzekera kunyumba. Izi zingaphatikizepo kusamba ndi sopo wapadera.
Munthuyo angafunike kugona pansi kwa maola 24 nthawi yoyamba yomwe shunt imayikidwa.
Kutalika kwa nthawi yayitali kuchipatala kumadalira chifukwa chomwe shunt amafunikira. Gulu lazachipatala limayang'anitsitsa munthuyo. Madzi a IV, maantibayotiki, ndi mankhwala opweteka adzapatsidwa ngati zingafunike.
Tsatirani malangizo a omwe akupatsani momwe mungasamalire shunt kunyumba. Izi zingaphatikizepo kumwa mankhwala kuti muteteze matenda a shunt.
Kuyika ma Shunt nthawi zambiri kumathandiza kuchepetsa kupanikizika muubongo. Koma ngati hydrocephalus ikukhudzana ndi zinthu zina, monga spina bifida, chotupa chaubongo, meningitis, encephalitis, kapena kukha magazi, izi zitha kukhudza matendawa. Momwe hydrocephalus ilili isanachitike opaleshoni imakhudzanso zotsatira zake.
Shunt - ventriculoperitoneal; VP shunt; Kusintha kwa Shunt
- Chisamaliro cha bala la opaleshoni - chotseguka
- Ventriculoperitoneal shunt - kutulutsa
Mawonekedwe aubongo
Craniotomy ya ubongo shunt
Ventriculoperitoneal shunt - mndandanda
Badhiwala JH, Kulkarni AV. Njira zotsekemera zamagetsi. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 201.
Rosenberg GA. Edema wamaubongo ndi zovuta zamayendedwe amadzimadzi a cerebrospinal. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 88.