Kukonzekera kwa Meningocele

Kukonzekera kwa Meningocele (komwe kumadziwikanso kuti myelomeningocele kukonza) ndi opaleshoni yokonza zolemala za msana ndi ziwalo za msana. Meningocele ndi myelomeningocele ndi mitundu ya spina bifida.

Kwa azing'onoting'ono komanso azimayi, dokotalayo amatseka kutsegula kumbuyo.

Atabadwa, chilema chimaphimbidwa ndi chovala chosabala. Mwana wanu atha kusamutsidwa kuchipatala cha NICU. Chisamaliro chidzaperekedwa ndi gulu lachipatala lokhala ndi chidziwitso kwa ana omwe ali ndi msana wa bina.

Mwana wanu amakhala ndi MRI (magnetic resonance imagining) kapena ultrasound kumbuyo. MRI kapena ultrasound yaubongo itha kuchitidwa kuti ifufuze hydrocephalus (madzi owonjezera muubongo).

Ngati myelomeningocele sakuphimbidwa ndi khungu kapena nembanemba mwana wanu akabadwa, opareshoni idzachitika mkati mwa maola 24 mpaka 48 atabadwa. Izi ndikuteteza matenda.

Ngati mwana wanu ali ndi hydrocephalus, shunt (pulasitiki chubu) idzaikidwa muubongo wa mwanayo kuti atulutse madzi owonjezera m'mimba. Izi zimalepheretsa kupanikizika komwe kumatha kuwononga ubongo wa mwana. Shunt amatchedwa ventriculoperitoneal shunt.

Mwana wanu sayenera kudziwika ndi lalabala asanafike, nthawi, komanso pambuyo pochita opaleshoni. Ana ambiri omwe ali ndi vutoli amadwala kwambiri latex.

Kukonzekera kwa meningocele kapena myelomeningocele kumafunika kuti muteteze matenda komanso kuvulaza msana ndi mitsempha ya mwana. Kuchita opaleshoni sikungathetse zolakwika mumtsempha kapena m'mitsempha.

Zowopsa za anesthesia iliyonse ndi opaleshoni ndi izi:

• Mavuto opumira
• Zomwe zimachitika ndi mankhwala
• Magazi
• Matenda

Zowopsa za opaleshoniyi ndi izi:

• Kupanga kwamadzimadzi ndikukakamiza muubongo (hydrocephalus)
• Kuchulukitsa mwayi wamatenda amikodzo komanso mavuto amatumbo
• Kutenga kapena kutupa kwa msana
• Kufa ziwalo, kufooka, kapena kusintha kwakumverera chifukwa cha kuchepa kwa mitsempha

Wopereka chithandizo chamankhwala nthawi zambiri amapeza zolakwika izi asanabadwe pogwiritsa ntchito fetal ultrasound. Woperekayo amatsatira mwanayo mosamala kwambiri mpaka atabadwa. Ndibwino ngati khanda lanyamula nthawi yonse. Dokotala wanu adzafuna kubereka (C-gawo). Izi zidzateteza kuwonongeka kwa thumba kapena kuwonekera kwa msana.

Mwana wanu nthawi zambiri amafunika kukhala kwa milungu iwiri kuchipatala atachitidwa opaleshoni. Mwanayo ayenera kugona mosadukiza osakhudza chilonda. Pambuyo pa opaleshoni, mwana wanu adzalandira maantibayotiki kuti ateteze matenda.

MRI kapena ultrasound yaubongo imabwerezedwa pambuyo pochitidwa opaleshoni kuti muwone ngati hydrocephalus ikukula pakangokhalira kukonza kumbuyo.

Mwana wanu angafunikire chithandizo chakuthupi, pantchito, ndi kulankhula. Ana ambiri omwe ali ndi mavutowa ali ndi zilema zazikulu (zazikulu) komanso zabwino (zazing'ono), komanso mavuto akumeza, adakali aang'ono.

Mwanayo angafunikire kuwona gulu la akatswiri azachipatala mu msana bifida nthawi zambiri atatuluka mchipatala.

Momwe mwana amachitira bwino zimadalira momwe zimakhalira msana ndi mitsempha. Akakonza meningocele, ana nthawi zambiri amachita bwino kwambiri ndipo samakhalanso ndi vuto laubongo, mitsempha, kapena minofu.

Ana obadwa ndi myelomeningocele nthawi zambiri amakhala ndi ziwalo kapena kufooka kwa minofu yomwe ili pansi pa msana wawo pomwe pali chilema. Mwinanso sangathe kulamulira chikhodzodzo kapena matumbo. Ayeneranso kuti adzafunika thandizo la zamankhwala ndi maphunziro kwa zaka zambiri.

Kukhoza kuyenda ndi kuyendetsa matumbo ndi chikhodzodzo zimadalira komwe chilema chobadwira chinali pamsana. Zofooka zotsika pansi pamtsempha wa msana zitha kukhala ndi zotsatira zabwino.

Kukonzanso kwa Myelomeningocele; Myelomeningocele kutsekedwa; Kukonzanso kwa Myelodysplasia; Msana dysraphism kukonza; Kukonza kwa Meningomyelocele; Kukonzanso kwa chubu kwa Neural; Spina bifida kukonza

• Chisamaliro cha bala la opaleshoni - chotseguka

• Kukonzekera kwa Meningocele - mndandanda

Wachibale SL, Johnston MV. Kobadwa nako anomalies chapakati mantha dongosolo. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 609.

Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Kuchita opaleshoni. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier Saunders; 2017: mutu 67.

[Adasankhidwa] Robinson S, Cohen AR. Myelomeningocele ndi zolakwika zina za neural tube. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 10th ed. Philadelphia, PA: Elsevier Saunders; 2015: chap 65.